The Appeals and Grievances Specialist manages the end-to-end resolution of member and provider appeals, ensuring compliance with regulatory timelines. This role involves investigating complex cases, coordinating with internal departments, and drafting clear, well-reasoned resolution communications.
The Operations Training Specialist will own the end-to-end training lifecycle for Claims operations, including program design, content creation, and session facilitation. They will also manage knowledge management systems and evaluate training effectiveness to ensure operational readiness.
Own the product strategy and roadmap for claims automation, integrating AI and deterministic systems to optimize end-to-end claim processing. Lead cross-functional teams to design, build, and launch high-impact features while ensuring accuracy, safety, and regulatory compliance.
Lead the ideation and technical development of AI-powered systems to help members find cost-effective healthcare. Collaborate with cross-functional pods to deliver roadmap-aligned features and optimize user experiences based on data insights.
Own the full-cycle recruiting process for Engineering and Product organizations to meet hiring plans. Partner with hiring managers to define role requirements, build sourcing strategies, and manage candidate pipelines.
Design and own high-throughput distributed data pipelines and platform infrastructure from concept through production. Decompose complex initiatives into executable plans and mentor junior engineers while partnering with leadership on technical roadmaps.
Design and maintain scalable test automation frameworks for web and mobile applications while integrating AI-powered quality engineering tools. Collaborate with product engineering squads to shift quality left and ensure high-reliability releases for member-facing healthcare products.
Lead the strategy and execution of AI-powered member experiences, focusing on agentic systems and LLM-powered tools to improve healthcare shopping. Define product roadmaps, evaluation frameworks for AI quality, and collaborate with cross-functional teams to ship high-impact features.
Lead the B2B growth engine by owning end-to-end demand generation and ABM strategies across broker and employer segments. Manage multimillion-dollar media budgets and lead a high-performing marketing team to drive pipeline and revenue.
Build and ship end-to-end full-stack features from backend APIs to member-facing user interfaces. Integrate AI tools and LLM APIs into product workflows while maintaining high engineering standards through code reviews.
This role involves developing and executing a comprehensive enterprise sales strategy to drive new business growth, setting and achieving ambitious revenue targets focused on net-new client acquisition within jumbo and national employer groups. The Head of Enterprise Sales will also build and scale a repeatable, high-performing sales process while maintaining strong relationships with key stakeholders.
