The Manual QA Engineer validates pharmacy benefit technology, including claims adjudication logic and system functionality, to ensure accuracy and reliability. They design and execute test plans, document defects, and collaborate with cross-functional teams to verify fixes and support release sign-offs.
The Account Executive is responsible for maintaining and expanding client relationships while ensuring business retention and growth. They will lead the account management process, manage onboarding, and coordinate internal and external resources to meet performance objectives.
The Eligibility Analyst III manages complex eligibility workflows, ensuring data integrity and accuracy for claim adjudication. They serve as a senior escalation point, providing technical support and mentoring to junior analysts while maintaining compliance with HIPAA standards.
The Associate General Counsel assists the General Counsel with corporate legal initiatives, contract negotiations, and regulatory compliance within the healthcare and employee benefits industry. The role involves managing privacy policies, overseeing HIPAA adherence, and providing legal guidance to senior management.
The Associate Care Navigator manages specialty drug spend by acting as a single point of contact for members to provide personalized, cost-effective solutions. They collaborate with providers and internal teams to ensure compliance with HIPAA and ERISA while maintaining high service standards.
