• NC

Supports community connection activities by connecting members to community resources, coordinating outreach resources, and providing member support. Maintains documentation of resources and assists the clinical team. Conducts assessments and outreac..

• US National

Manage a team of coordinators performing quality outreach activities, including training, monitoring daily operations, and administrative and HR responsibilities. Requires a Bachelor's degree and 3+ years of supervisory experience. Remote position wi..

• CA

Identify, negotiate, and manage provider and vendor partnerships. Perform market research and analysis. Lead meetings with health plans and corporate teams to review agreement performance and strategy.

• Tampa, FL

Provides timely and appropriate resolutions to escalated issues received from various communication channels. Serves as a liaison in maintaining relationships between departments to ensure timely and appropriate issue resolution.

• Baton Rouge, LA

Review and verify client setup is accurately reflected in PBM system. Support quality reviews and testing of all benefit setup prior to client implementation and go-live date.

• MO, FL, NC

Develop and execute digital communications and strategy for external websites and social media. Manage content strategy team, evaluate competitive trends, and lead web and social media initiatives. Bachelor's degree and 6+ years of web or digital com..

• CA

Recruit and develop a network of healthcare providers, lead contract negotiations, facilitate provider set-up and configuration, coordinate with internal departments and providers for contract compliance.

• MO, TN, GA, NE, WI, OH, MI, FL, ND, IN, SC, NC, IL, NM, PA, UT, IA, TX, OK, MN

Design, develop, test, and deploy software solutions while adhering to standards and guidelines. Analyze user needs and requirements. Collaborate with technical and non-technical roles for design, development, testing, implementation, and support.

• IL, AZ, MI, FL, MO, NC, TX

Analyze data and collaborate with stakeholders to identify areas of value, develop solutions, and deliver insights. Lead problem-solving efforts and provide guidance to junior analysts. Bachelor's degree and 4+ years of experience in data analysis or..

• Long Island City, NY

Develop financial models, manage therapeutic class cost, prepare reports, and communicate trend analysis to committees, clinical staff, management, and clients. Bachelor's degree and minimum five years related experience required. Preferred skills in..

• MO

Develop and implement media and public relations strategies, represent the company at media and public events, oversee the development of target media lists and proposals for news stories, and build and maintain relationships with key media partners.

• NV

Work in conjunction with other departments to include Provider Relations, Quality as well as the Medical Director for the state assigned to ensure compliance of CMS risk adjustments guidelines are met.

• FL, MI, MO, NC, TX

Verify insurance, perform authorizations, determine patient financial responsibilities, coordinate benefits, bill insurance, handle calls, resolve claim rejections. High school diploma and 1+ years experience required.

• NC, TN, GA, NE, WI, OH, MI, SD, FL, IN, SC, IL, NM, PA, UT, IA, MO, TX, OK, MN

Manages design and development of software and processes to support large scale, efficient data pipelines and optimizes the availability of data to generate insights and address business needs.

• IA

Review clinical information for appeals, prepare response letters, maintain appeal logs, and coordinate with Medical Directors to clarify medical determinations. RN or LPN/LVN with 4+ years of experience required.

• WA, OR, CA

Provides telephonic support and coaching for members on ongoing wellness care plans and wellness programs to improve members health and lifestyle through outreach and education. Collects, documents, and maintains member information to...

• MO

Analyze and interpret data from multiple sources to develop solutions and deliver insights that reduce overall cost of care for members. Support execution of large-scale projects and perform root-cause analysis of data irregularities. Manage multiple..

• MO

Responsible for advanced data analytics using big data and data science technology. Design and develop data models, conduct exploratory data analysis, and develop mathematical models. Participate in presentations and manage multiple projects.

• US National

Develop and analyze complex financial and statistical reports related to quality, cost and effectiveness of healthcare services. Prepare budget and forecast and analyze financial results related to expectations. Assist in financial analysis...

• MI, FL, MO

Analyze and interpret healthcare data from multiple sources. Contribute to large-scale projects and process enhancements. Present data-driven insights to stakeholders and provide technical guidance to junior analysts.