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The Director of Federal Affairs will develop and execute strategies for government affairs, educate policymakers, advance public policy priorities, and shape health insurance regulations.
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Manage incoming Legal mail and Service of Process, maintain documentation, and support Legal Operations Team with administrative tasks.
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The Data Analyst IV leads complex data projects, providing advanced analytical support and developing reports to drive business decisions. They ensure compliance with reporting requirements and mentor other Data Analysts.
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The Account Manager II manages relationships with various clients, drives sales, negotiates benefits, analyzes financial data, and ensures account profitability.
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The Data Analyst III will handle complex analytics projects, support business operations, develop reports, model data, ensure compliance, and mentor junior analysts.
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This role involves overseeing accreditation processes, ensuring compliance with standards, and leading quality improvement activities. It requires collaborating with stakeholders to manage risk and improve accreditation management.
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The Senior Manager, MAP Sales leads sales teams for Medicaid Advantage Plus and Medicare, drives sales growth, ensures compliance, and cultivates relationships.
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Support data management and quality improvement initiatives, develop reports, manage databases, and assist with quality audits and reporting of outcomes.
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Manage daily operations in the Quality Improvement department, including data management, reporting, project management, and ensuring data integrity for regulatory compliance.
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Oversees program managers in the Digital Experience and Engagement domain. Manages all phases of project life cycles, resource planning, program performance, and risk assessment. Leads hiring, training, and coaching of staff, while developing strategies and objectives to guide the team to achieve results.
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The Contract Implementation Analyst handles contract implementation testing, audits provider setups, oversees claims payment accuracy, and coordinates communication of contract terms across departments.
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Manage fraud and abuse activities and lead project managers to implement cost-saving initiatives while ensuring compliance with state and federal requirements.
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The Contracts Coordinator assists with contract submissions, audits provider information systems, maintains databases, and ensures compliance with standards.
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The Senior Digital Experience Product Manager will define product vision, manage roadmaps, and lead cross-functional teams to enhance digital experiences aligned with business goals.
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Oversee the training team, conduct needs analysis, design training programs, hire and coach staff, and review training quality trends.
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The Sr Business Systems Analyst role involves supporting AWS-based call center infrastructure, incident management, requirement translation, and enhancing processes for efficiency.
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Lead provider network strategy and contracting activities, overseeing negotiations, budgeting, expansion opportunities, and strategic vision for the department.
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Manage partnerships with health plan provider networks, resolve issues, and drive performance improvement in quality and cost utilization, while educating providers.
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Oversee provider contracting and network development to ensure compliance and efficiency. Manage staff, implement strategies, and perform financial analyses while supporting new business launches.
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The Provider Data Coordinator I maintains databases, creates reports for compliance, and provides administrative support within the department.