The Talent Sourcing Specialist will partner with hiring managers to identify and implement strategic recruiting solutions for open positions. This role involves managing the full recruitment lifecycle, including screening, interviewing, and proactive sourcing of diverse, high-value candidates.
The Senior Business Systems Analyst acts as a liaison between supply chain stakeholders and IT to ensure enterprise applications align with operational needs. Responsibilities include managing item master records, supporting procurement processes, and analyzing data to maintain system accuracy.
The Director of Corporate Strategy and Planning assists in developing and implementing strategic initiatives while managing multi-disciplinary teams for service line and regional planning. They provide objective data analysis to senior executives to support informed decision-making and manage the department's budget and personnel.
The Proposal Manager leads the end-to-end proposal development process, ensuring high-quality and compliant responses to RFPs and other business opportunities. They coordinate cross-functional teams and manage proposal documentation to support various healthcare service lines.
The RN Supervisor oversees daily operations, coordinates team workflows, and ensures quality service within the Medical Care Management department. They also facilitate team activities, provide leadership in utilization management, and deliver educational support to staff.
The Care Coordinator performs casework and provides case management services to members in nursing facilities, including patients, families, and caregivers. They are responsible for developing, participating in, and monitoring multidisciplinary collaboration of services for patients.
The Authorization Coordinator reviews clinical information from providers to ensure data is sufficient to authorize services according to clinical protocols. They also validate member benefits and insurance enrollment accuracy before entering information into the claims system.
The Integrated Case Manager develops and monitors care plans to optimize member health across the care continuum. They perform clinical assessments and coordinate care for members with complex needs, including physical, behavioral, and social services.
The Integrated Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for high-risk members while ensuring efficient utilization of health benefits.
The Integrated Care Manager is responsible for facilitating comprehensive care coordination services and monitoring health outcomes across the patient continuum. They collaborate with healthcare teams and patients to develop and implement effective care plans based on individual needs.
The specialist is responsible for verifying healthcare provider credentials and ensuring compliance with regulatory and accreditation standards. They also manage the preparation and submission of applications for privileging and payer enrollment.
The analyst is responsible for the day-to-day support, maintenance, configuration, and optimization of Epic MyChart and Cadence applications. They will collaborate with stakeholders to evaluate business needs, design workflows, and manage system upgrades and testing activities.
The Senior Process Improvement Engineer is responsible for identifying, analyzing, and optimizing operational processes to enhance efficiency and quality. They will collaborate with cross-functional teams to implement data-driven improvements and ensure the sustainability of these enhancements.
The BCBA will apply clinical knowledge and critical thinking to evaluate treatment plans and ensure evidence-based care for behavioral health services. They will coordinate with providers to facilitate appropriate healthcare services while monitoring compliance and clinical necessity requirements.
The Vendor Analyst designs, produces, and analyzes financial and operational data to monitor vendor performance and business operations. They are responsible for reviewing invoices, resolving payment discrepancies, and facilitating communication between vendors and internal stakeholders.
The Project Manager is responsible for planning, executing, and delivering projects or workstreams using waterfall or hybrid methodologies. This role ensures projects are completed on time, within scope, and under budget while fostering collaboration across cross-functional teams.
The Business Analyst designs, produces, and analyzes data-driven reports and dashboards to support business operations and decision-making. They also assist in the implementation and optimization of information systems while identifying process improvement opportunities.
The Team Coordinator supervises daily enrollment processes, including web, paper, and electronic systems to ensure high customer satisfaction. They are accountable for managing team workflows, staff development, and maintaining quality control and assurance standards.
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They also assist patients with billing information, payment plans, and scheduling needs.
The Social Worker will act as a key member of the Population Health Team, collaborating with providers and care teams to optimize health outcomes through value-based care. They will serve as a patient advocate and liaison, assisting members in navigating community-based programs and medical care processes.
The IT Specialty Analyst provides day-to-day support, optimization, and advancement of Epic Inpatient clinical applications. This role collaborates with clinical and operational stakeholders to translate business needs into effective system workflows and solutions.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including proactive sourcing, screening, and interviewing to attract high-value candidates.
The Talent Acquisition Specialist partners with hiring managers to identify and implement strategic recruitment solutions for assigned business units. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value candidates.
The Nurse Recruiter will partner with hiring managers to identify strategic recruiting solutions and manage the full-cycle recruitment process for assigned business units. This role involves proactive sourcing, screening, and interviewing candidates while facilitating recruitment plans to meet future employment needs.
The specialist is responsible for the strategic design, optimization, and maintenance of Epic scheduling templates, decision trees, and visit types across the Ambulatory Service Division. They collaborate with operational leaders to improve scheduling workflows, enhance patient access, and manage complex scheduling-related projects.
The Procurement Specialist manages the full procure-to-pay lifecycle, including processing requisitions, purchase orders, and verifying pricing through contract tools. They act as a subject matter expert, communicating with stakeholders and ensuring accuracy and compliance within the ERP system.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value talent.
The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform. This role collaborates with cross-functional teams to ensure benefit plans are implemented accurately and in compliance with regulatory and contractual requirements.
The Nurse Recruiter partners with hiring managers to identify and implement strategic recruitment solutions for open positions. This role manages the full recruitment lifecycle, including sourcing, screening, and interviewing to attract diverse, high-value candidates.
The Referral Specialist acts as a liaison between providers, patients, and insurance companies to schedule appointments and verify insurance eligibility. They are responsible for managing assigned work queues and ensuring the accuracy of patient data.
The pharmacist manages patient drug therapy in accordance with clinical standards to ensure safe and effective medication use. They also serve as a clinical resource, reviewing medication requests and collaborating with providers to support optimal patient outcomes.
The Customer Service Representative handles incoming calls to address member eligibility, prescription benefits, and claim payment issues. They are also responsible for patient services such as updating billing information, establishing payment plans, and managing patient scheduling.
The Senior IT Analyst serves as a liaison between business stakeholders and technical teams to design, develop, and optimize data solutions for Health Plan and Case Management systems. Responsibilities include managing ETL processes, maintaining SQL code, automating workflows, and providing production support to ensure operational efficiency.
The Integrated Case Manager develops, monitors, and revises care plans for medically and behaviorally complex members to optimize health outcomes. They perform clinical assessments, coordinate care with multidisciplinary teams, and manage chronic illnesses while ensuring regulatory compliance.
The Senior Pharmacy Performance Specialist acts as a liaison between Finance, Analytics, IT, and Pharmacy to manage data content and business logic. This role involves gathering requirements, performing analysis, and supporting the development and testing of processes for the Pharmacy Department.
The therapist assesses the social, psychological, and environmental needs of patients presenting with behavioral health concerns in the emergency department. They collaborate with healthcare teams and families to develop, implement, and evaluate effective treatment plans.
The investigator is responsible for conducting in-depth investigations into suspected fraud and abuse involving providers, members, and pharmacy interactions. They also perform routine desk and on-site audits to ensure coding quality and adherence to reimbursement policies.
Manage a team of Special Investigative Unit (SIU) investigators and report findings to government and regulatory agencies. Review and propose updates to health plan policies regarding fraud, waste, and abuse while leading the FWA subcommittee.
The Principal Enterprise Architect provides strategic leadership in developing enterprise architecture frameworks that align technology with business and clinical objectives. This role identifies IT gaps, defines target-state architectures, and mentors engineering teams to ensure efficient and scalable technology solutions.
The Manager of Accounting oversees daily department operations, ensuring the accuracy and timeliness of financial reporting and regulatory compliance. They supervise staff, manage budgets, and collaborate with senior leadership to provide financial data that supports strategic decision-making.
The Manager of Pharmacy Benefits is responsible for monitoring the implementation and testing of pharmacy benefit designs, networks, and formularies. They act as a liaison between internal pharmacy teams and the PBM while leading pharmacy benefit configuration for all products.
The Director of Information Technology manages the organization's IT platform, including infrastructure, software, databases, and network operations. They are responsible for executing functional strategy and providing operational direction for multiple teams over a 1-3 year horizon.
The Utilization Review Nurse manages utilization services, including prior authorizations, retrospective reviews, and medical director referrals. They ensure compliance with medical policies and regulatory standards while facilitating care coordination for members.
The Patient Services Coordinator manages the intake of authorization requests via various channels and builds authorization shells in JIVA. They also coordinate insurance verification, conduct provider outreach for clinical information, and assist with scheduling peer-to-peer calls.
The Authorization Coordinator reviews clinical information from providers to authorize services based on clinical protocols and member benefits. They also ensure accurate information is entered into the claims system for payment processing.
The Care Coordinator performs casework duties and provides case management services to patients, families, and caregivers. They are responsible for developing and monitoring multidisciplinary collaboration of services to support patients with medical conditions.
The Authorization Coordinator reviews clinical information from providers to authorize services based on clinical protocols and member benefits. They also ensure accurate data entry into the claims system for payment processing.
The Bed Flow Coordinator is responsible for reviewing patient charts and unit availability to manage patient flow. They will submit requests for patient admissions into behavioral health units across the Sentara system.
The accountant records routine and non-recurring accounting entries and prepares account reconciliations to the general ledger. They also prepare and review financial statements and reports while performing routine and special project financial analyses.
The accountant is responsible for recording routine and non-recurring accounting entries and preparing account reconciliations to the general ledger. They also prepare and review financial statements and reports while performing financial analyses for routine and special projects.
The IT Program Manager oversees and coordinates multiple interrelated technical projects to ensure alignment with business objectives and strategic goals. This role develops best practices, manages resources, and provides centralized governance for technical programs.
The Program Director will drive program rigor and execution across the cybersecurity portfolio by designing operational frameworks and managing key initiatives. They will act as a primary interface between Cyber, IT, and business teams to ensure foundational processes are documented and strategic goals are met.
The coordinator will manage medically and behaviorally complex members by conducting both in-person and telephonic assessments. They are responsible for coordinating care for individuals with serious mental illnesses, emotional disturbances, and substance abuse disorders.
The Integrated Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for members with complex needs, including physical and behavioral health requirements.
The Director leads a team to drive growth, retention, and profitability objectives while managing membership forecasting and budget processes. They cultivate strategic relationships with key influencers and decision-makers within the large group business segment.
The Director of Appeals and Grievance will lead strategic planning and program development for all lines of business, ensuring compliance with regulatory and accreditation standards. They will oversee staff, manage audit processes, and collaborate with Medical Directors to analyze trends and improve medical criteria.
The Benefit Configuration Manager leads the strategic oversight and execution of benefit configuration operations within the QNXT platform. This role manages the end-to-end lifecycle of benefit plans, ensuring compliance with regulatory standards and supporting claims adjudication across various product lines.
The Compliance Coding Auditor performs internal audits, physician and coder education, and manages AR queries to ensure ethical reimbursement and compliance. They also act as a liaison for external audits and monitor coding trends to advise management.
The Workday Technology Analyst leads the analysis, configuration, and deployment of Workday HCM solutions while partnering with stakeholders to translate business needs into scalable system designs. The role also provides advanced production support, manages data transactions, and collaborates on reporting to enhance end-user experience and operational efficiency.
The Sales Executive is responsible for cultivating and managing relationships with brokers and direct prospects to drive profitable net new business growth. They manage the full sales cycle, including prospecting, presenting solutions, negotiating terms, and closing deals.
The Integrated Nurse Case Manager develops, monitors, and revises care plans for members with chronic or complex conditions to optimize health outcomes. They perform clinical assessments and coordinate care across the continuum, including physical, behavioral, and social services.
The clinician is responsible for reviewing clinical information to ensure services meet medical necessity criteria for authorization. They also ensure accurate data entry into claims systems to facilitate appropriate payment processing.
The Social Worker coordinates care for health plan members by assessing barriers to medical compliance and implementing effective interventions. They act as a resource to connect members with community-based programs and assist them in navigating the healthcare system.
The Integrated Nurse Case Manager develops and monitors care plans for members with chronic or complex conditions to optimize health outcomes. They perform clinical assessments and coordinate care across the continuum, including telephonic and face-to-face home visits.
The Customer Service Representative is responsible for researching and resolving telephone inquiries from members and patients regarding eligibility, benefits, and claims. They also handle patient service needs such as billing updates, payment plan establishment, and appointment scheduling.
The supervisor oversees daily operations, team coordination, and quality of service within the Medical Care Management department. They also facilitate team workflows, conduct competency assessments, and provide educational support to staff.
The representative conducts follow-up sales calls to healthcare providers and businesses to secure laboratory services business. They also resolve client complaints and assist in developing marketing strategies for laboratory services.
Responsible for identifying, analyzing, and optimizing operational processes to enhance efficiency, quality, and productivity within the health plan. Collaborates with cross-functional teams to design, implement, and monitor process enhancements using data-driven methodologies.
The Registered Nurse is responsible for delivering high-quality patient care by conducting assessments, designing personalized care plans, and administering treatments. They work within an interdisciplinary team to coordinate care, educate patients and families, and ensure adherence to safety and regulatory standards.
The Customer Service Representative handles incoming calls to resolve inquiries regarding member eligibility, prescription benefits, and claim payments. They are also responsible for updating billing information, establishing payment plans, and managing patient scheduling.
The Registered Nurse is responsible for performing competent nursing care using the nursing process, including assessment, planning, and evaluation. They must also uphold professional standards such as ethics, collaboration, and evidence-based practice to ensure quality patient outcomes.
The Underwriter evaluates and manages insurance risk by reviewing applications and determining policy terms based on company guidelines. They utilize statistical data and financial statements to ensure policies remain competitive and profitable for the organization.
The IT Program Manager coordinates IT-driven initiatives by centralizing intake, validating requirements, and aligning IT milestone owners. They provide governance and leadership to ensure successful execution across clinical and revenue cycle systems.
The IT Program Manager coordinates Revenue Cycle Systems initiatives by centralizing intake, validating requirements, and aligning IT milestone owners. They provide governance and cross-functional leadership to ensure operational efficiency and successful execution across clinical and revenue cycle systems.
The IT Specialty Analyst is responsible for the day-to-day support, optimization, and integration of software applications. They perform workflow assessments, manage system upgrades, and provide on-call support to resolve application-related issues.
The Cost of Care Analyst identifies trends and solutions by analyzing complex data reports from internal and external sources. They collaborate with business leaders to drive initiatives and provide subject-matter expertise to support complex business decisions.
The IT HEDIS & Analytics Manager leads technology, data integration, and technical validation functions to support the organization's HEDIS program. This role manages ETL developers and operational staff while overseeing data feeds, platform support, and major engine migration initiatives.
The Strategic Regulatory Growth Director aligns regulatory strategy with enterprise growth objectives by identifying market opportunities and guiding expansion initiatives. This role oversees cross-functional projects including financial modeling, regulatory approvals, and strategic partnerships while advising executive leadership.
The Integrated Nurse Case Manager is responsible for developing, monitoring, and revising care plans for pregnant members to optimize health outcomes across the care continuum. They perform clinical assessments, coordinate care for high-risk complications, and facilitate authorizations while ensuring compliance with regulatory and company policies.
The Integrated Nurse Case Manager is responsible for developing and monitoring care plans for high-risk pregnant members to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care in collaboration with medical directors and interdisciplinary teams to ensure efficient utilization of health benefits.
Lead the enterprise identity strategy focusing on non-human identities, privileged access management, and the digital front door experience. Oversee the modernization of the identity technology stack and integrate security operations to mitigate identity-based threats.
Responsible for supporting, enhancing, and implementing software applications and overseeing intermediate to large-scale projects. Acts as a liaison between customers, IT personnel, and vendors to align technology functionality with operational business processes.
Acts as a strategic partner to HR and leadership to deliver advanced compensation analysis and ensure market competitiveness and internal equity. Leads complex market analyses, job evaluations, and annual compensation processes to align pay with organizational strategy.
Acts as a strategic partner to HR and leadership to deliver advanced compensation analysis and ensure market competitiveness and internal equity. Leads complex market analyses, job evaluations, and annual compensation processes to align with organizational strategy.
The Compensation Specialist supports the administration of compensation programs to ensure market competitiveness and internal equity. This role involves conducting data analysis, supporting offer development, and assisting with annual compensation processes.
The Compensation Specialist supports the administration of compensation programs to ensure market competitiveness and internal equity. They partner with Talent Acquisition and HR business partners to provide data-driven recommendations for offers and annual compensation processes.
Oversees day-to-day accounting operations, including general ledger management and month-end close activities within a healthcare system. Leads and coaches accounting staff while ensuring compliance with GAAP and regulatory requirements.
Provide strategic leadership and architectural guidance for the Population Health portfolio to align technology investments with organizational goals. Act as a bridge between clinical stakeholders and IT teams to design scalable solutions and maintain application roadmaps.
Lead actuarial pricing, financial performance insights, and strategic analytics for Medicare and Medicaid lines of business. Oversee bid development, regulatory submissions, and partner cross-functionally to drive product strategy and financial sustainability.
Lead the Cloud Architecture function by defining roadmaps, reference architectures, and governance standards for scalable cloud solutions. Manage a team of architects and engineers to deliver secure cloud platforms supporting enterprise transformation and AI use cases.
Acts as the primary liaison between Pharmacy Operations, Finance, and IT to deliver pharmacy technology solutions and data analytics. Leads IT projects, system enhancements, and regulatory reporting to improve pharmacy operational and financial performance.
Performs internal auditing and physician education to ensure ethical reimbursement and compliance with coding guidelines. Manages audit queries and liaises with external auditors for corporate audits.
The Care Coordinator performs a variety of casework duties and provides case management services to members in nursing facilities. This includes assisting adult patients and their families with personal and environmental difficulties associated with medical conditions.
The role focuses on optimizing Epic Contract Build workflows by collaborating with stakeholders to gather requirements and design system enhancements. It involves troubleshooting application issues, providing end-user training, and maintaining technical documentation to improve organizational efficiency.
The Nurse Case Manager develops, monitors, and revises member care plans to optimize health outcomes across the care continuum. They perform clinical assessments and coordinate care for high-risk members, ensuring efficient utilization of health benefits and regulatory compliance.
The Workday Principal Solution Architect leads and supports enterprise architecture activities, guiding the development and management of technology solutions. They partner with business leads to translate needs into scalable technical solutions across the Workday ecosystem.
The Senior Digital Media Advisor leads the development and execution of digital strategy across web, social, and mobile channels to align with company initiatives. They serve as a subject matter expert, advising teams on digital solutions, market segmentation, and customer acquisition.
The Benefits Coding Analyst maintains the integrity of plan benefits for each program, developing expertise in all plan benefits while collaborating with various Health Plan teams to ensure compliance with state and Federal guidelines. This role synthesizes stakeholder input for benefit implementation decisions, coordinates benefit design documentation, and researches/codes policies for emerging treatments and services.
The analyst is responsible for the day-to-day support and optimization of software applications, including builds, upgrades, and enhancements, while analyzing business/clinical needs to optimize processes. They also manage problem, incident, and change management, provide daily on-call support, and oversee smaller projects or project components.
The Senior Configuration Analyst provides business and technical expertise to identify, develop, and implement system configuration solutions that enhance and support business operations. This role involves performing complex analysis and configuration functions, ranging from high-level functional analysis to detailed technical system configuration.
The ServiceNow Principal Domain Architect leads and supports enterprise architecture activities, guiding the development of domain and infrastructure solutions. They create deliverables that help develop target-state guidance for evolving the technical infrastructure across the enterprise.
The MRI Technologist is responsible for performing general MRI examinations and ensuring the safety integrity of the MRI operational area. They will also coordinate with patient care staff at different sites and maintain adequate supply inventory for examinations.
Responsible for day-to-day support and optimization of software applications, including builds, upgrades, and system enhancements. Works within a cross-functional team and with end-users to achieve application integration to meet business and clinical needs.
