• 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.

• FL

Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and procedures. Ensure defined goals are implemented and relevant analytics are available to measure goal performance...

• IL

Lead supplier negotiations, develop RFI/RFP, liaise with stakeholders, support business initiatives, utilize market research for sourcing strategy, assist in negotiation strategy, recommend process improvements.

• 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..

• 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

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.

• MO, KS, WI, MI, FL, NJ, TX, NC, IL

Lead Customer Insights Analyst responsible for advising on research strategies, designing research approaches, managing intake and resource planning, evolving insights practices, mentoring analysts, serving as primary vendor contact, and assisting wi..

• 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..

• FL

Ensure compliance with contract provisions with various agencies and applicable State and Federal laws. Serve as compliance resource for dayto-day processes. Analyze and determine the best course of action for each inquiry/problem.

• 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...

• 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.

• 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.

• 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..

• FL

Compile and analyze financial information, develop revenue/expense analyses, analyze reports and trends, assist in financial forecasting and reconciliation. Bachelor's degree or equivalent experience required.

• US National

Develop, analyze, and execute accounting and finance functions. Prepare financial reports and general ledger, report and advise on organization's financial status, and develop analytical financial tools for critical balance sheet accounts.

• MO, TN, ID, KS, AZ, FL, TX, KY

Design, develop, and distribute evidence-based medical documents. Research medical topics, investigate and respond to inquiries, and perform annual reviews of medical policy documents. Must have and maintain current, valid and unrestricted RN or CPC ..

• 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.