The Senior Systems Analyst analyzes business requirements, creates technical specifications, develops mainframe applications, and maintains claims applications while providing expert consultative support.

The Clinical Pharmacist provides clinical support for pharmacy management programs, analyzes drug data, and manages authorization requests and appeals.

The Senior Systems Programmer will install and maintain systems software, assist with vendor software integration, and ensure system capacities meet business needs while managing recovery plans and tests.

The Provider Compliance Specialist reviews claims for fraud, waste, and abuse, conducts research, prepares reports, and monitors hotline activity.

The Senior Clinical Compliance Auditor reviews clinical data, assesses billing practices, coordinates with the medical team, and prepares findings for corrective actions.

Develop and enhance web applications, analyze systems for business, and prevent technical issues in a fast-paced environment.

The Associate Counsel, Compliance monitors laws impacting the company, supports compliance activities, provides summaries for management, and tracks legislative changes.

The Wellness Consultant collaborates with external customers and wellness partners to design and implement wellness activities, providing education and coaching for healthier lifestyles.

The Manager of Financial Reporting oversees financial statement accuracy, manages the Financial Reporting area, ensures compliance with GAAP and Statutory guidelines, and leads special projects.

The Staff Cost Accountant performs accurate cost allocation, conducts cost studies, ensures financial statement compliance, and reconciles financial activities.

Conduct comprehensive audits of Network Providers for compliance, identify provider fraud, waste, and abuse, and collaborate with teams to implement monitoring controls.

The consultant serves as a liaison with BlueAdvantage Network Providers, ensuring compliance with contracts and performance standards including Medicare guidelines.

The Senior Internal Auditor examines and evaluates company processes and systems, performs audits, drafts reports, and conducts special projects to enhance efficiency and risk management.

The Senior Actuarial Analyst develops pricing models, analyzes claim trends, prepares financial statements, and updates financial forecasts.

The Chief Actuary develops pricing models, monitors trends, oversees financial reporting, and supports corporate initiatives, requiring extensive experience in health actuarial roles.

The Treasury Control Specialist processes checks, manages documents related to payments, and ensures accuracy in financial transactions within deadlines.

The Administrative Assistant supports the Federal Employee Program team with routine operational activities and administrative tasks to ensure efficient workflows.

The Technology Support Specialist operates and monitors data center systems, manages service desk functions, tracks issues, and monitors security alerts.

The WebFocus Developer designs and implements business intelligence tools, analyzes data mapping needs, and monitors reporting applications for performance.

The SOC Analyst monitors security events, responds to incidents, drafts reports, and updates procedures to enhance security operations.