The Operations Specialist handles claims processing, customer advocacy, and enrollment & billing tasks. Responsibilities include adjudicating claims, resolving customer issues, and managing enrollment transactions in compliance with regulations.

The Enrollment & Billing Representative manages enrollment and billing processes, communicates with group representatives and members, and maintains accurate records for group accounts.

The Other Party Liability Specialist identifies and collects recoveries from third parties, investigates claims, and negotiates payments while interacting with various stakeholders.

Lead and manage risk adjustment programs, ensuring compliance, monitoring performance metrics, and training stakeholders on best practices in healthcare compliance and coding accuracy.

The Snowflake Engineer will design, implement, and optimize data solutions on Snowflake, develop data pipelines, ensure data governance, and mentor team members.

The dbt Engineer is responsible for designing, developing, and optimizing data pipelines in Snowflake using dbt Cloud, ensuring data quality, and collaborating with teams to meet analytics needs.

The Corporate Legal Specialist will support legal services, operations, and governance, managing workflows, records, and communications with attorneys and business partners.

Perform ICFR-focused internal audits per IIA standards, conduct MAR/SOX testing and risk assessments, document workpapers, report findings, monitor remediation, use data analytics/AI to detect anomalies, and mentor staff while driving continuous improvement.

This internship will develop skills in communication, risk assessment, and provider relationship management within the health insurance industry.

The role involves investment accounting, tax research, financial statement preparation, and data analysis while collaborating with finance teams.

The Actuary provides analytical support to lower healthcare costs by leading modeling and financial analysis, designing VBC methodologies, and collaborating across teams for contract evaluation and adjustments.

Lead the design and implementation of a multi-tenant enterprise data architecture on AWS and Snowflake. Oversee data engineering standards, mentor teams, and ensure efficient data management and integration for business needs.

The Cybersecurity Compliance Specialist will manage HITRUST certification efforts, maintain compliance in a HIPAA environment, and coordinate audits.

The Director of Enterprise Strategy leads the development of corporate strategy, manages cross-functional teams, and oversees enterprise-wide initiatives to drive organizational change and alignment.