The Program Manager oversees LTSS and Dual Eligible programs, ensuring successful delivery, stakeholder coordination, and compliance with program requirements.

The Actuarial Analyst II conducts analyses and provides recommendations to support corporate initiatives. This involves profitability reporting, evaluating assumptions and government reimbursement, and participating in cross-functional teams.

The Actuarial Analyst I analyzes data to support key initiatives, calculates profitability, evaluates health reimbursement processes, and participates in efficiency improvement initiatives.

The Clinical Appeals Nurse processes clinical appeals, attends state hearings, reviews medical records, collaborates with medical professionals, and ensures compliance with regulations.

The Implementation Sr. Manager drives growth initiatives, overseeing project progress, managing stakeholder relationships, and ensuring effective implementation plans while identifying barriers to success.

The Internal Auditor II executes internal audits, evaluates organizational risks, develops audit plans, and communicates results to management, enhancing internal controls.

The Quality Analyst III analyzes healthcare data, generates reports, collaborates with teams, and provides insights for quality performance improvements.

The IAM Developer II evaluates and supports IAM issues, designs and maintains SailPoint IdentityNow, monitors services, and leads technology implementation.

The Intelligent Automation Developer II designs and implements AI and automation solutions, collaborating on project requirements, developing machine learning models, and ensuring seamless integration across systems.

The Manager leads the Predictive Analytics and Data Science team, develops predictive models, and collaborates with cross-functional teams to drive data-driven solutions in healthcare.

The AI Systems Analyst III evaluates AI projects for technical feasibility, maintains the AI Registry, analyzes data quality, and documents requirements for implementation.

The AI Solution Consultant acts as a bridge between clinical operations and the AI Platform team, leading AI initiative triage, developing business cases, and advising on AI tools.

The Quality Analyst II analyzes healthcare data, generates reports, collaborates with teams, and provides insights for quality performance improvement.

The Manager of Finance & Accounting oversees monthly reporting, budget process, financial analysis, compliance, and team management while ensuring effective financial operations and strategic planning.

Investigate healthcare fraud allegations, conduct audits, utilize data analytics, prepare reports, and collaborate with various teams to mitigate risks.

The Onboarding Specialist facilitates member transitions to health plans, ensuring their health needs are met through outreach, education, and coordination with healthcare providers.

The IT Business Manager III manages internal and external communications, develops strategic messaging, leads change management, and analyzes communication effectiveness.

The Clinical Appeals Nurse processes clinical appeals, attends hearings, analyzes medical records, and collaborates with medical professionals while ensuring compliance and high-quality care.

Design, develop, and deploy AI/ML solutions—especially generative and agentic AI—build LLM and RAG architectures, implement MLOps pipelines, prototype PoCs, and integrate models into production using cloud, containerization, and CI/CD practices while collaborating across teams.

Lead technical delivery and architecture for EDI/Edifecs platform. Drive full development lifecycle, enforce coding standards, ensure HIPAA transaction SLAs, improve resiliency, collaborate with product and stakeholders, and mentor technical teams.