The Director of Digital Software Engineering leads the delivery, modernization, and operational support of the digital application portfolio, including portals, mobile apps, and APIs. This role manages cross-functional teams, drives Agile transformation, and partners with stakeholders to execute technology roadmaps and ensure business value delivery.
The Provider Relations Representative serves as the primary contact for the provider network, managing inquiries, claims issues, and provider demographic updates. They also assist with network recruitment projects, credentialing documentation, and the monitoring of provider complaints.
The Senior Data Scientist is responsible for architecting and deploying advanced machine learning solutions within the Microsoft cloud ecosystem to drive strategic healthcare decisions. They will lead model governance, ensure regulatory defensibility, and mentor team members on analytical best practices.
The Provider Data Specialist manages and maintains accurate demographic and payee data for a large network of healthcare practitioners. This role involves performing audits, troubleshooting data discrepancies, and supporting claims processing and provider directory accuracy.
The specialist supports the creation and modification of variable data templates using Quadient Inspire while collaborating with developers and the mail team. They are responsible for template testing, data integration, quality assurance reviews, and maintaining organized documentation for communication assets.
The Network Recruiting Specialist is responsible for recruiting and contracting vision providers into company networks while managing the credentialing process. They will also negotiate fee schedules, educate providers on plan designs, and resolve provider complaints or claims issues.
The Salesforce Administrator is responsible for the overall administration, configuration, support, and maintenance of the Salesforce platform. This role collaborates with business stakeholders to translate requirements into scalable solutions that improve operational efficiency and user adoption.
The Regional Vice President is responsible for driving new revenue opportunities and managing strategic partnerships within assigned third-party accounts. They act as a consultant to clients, overseeing renewal processes and coordinating with internal leadership to maximize business growth.
The Claims Audit Specialist conducts quality reviews of operational functions to ensure accuracy and compliance with departmental guidelines. They also analyze findings to recommend process improvements and provide performance feedback to staff and management.
The Claims Audit Specialist conducts quality reviews of operational functions to ensure accuracy and compliance with regulatory standards. They provide feedback to staff and management while recommending process improvements to eliminate errors and enhance workflow efficiency.
