Facilitate negotiations and contract implementation with healthcare providers, ensuring compliance while advancing strategic objectives across various medical lines of business.

Supervise and execute audits, develop scope and work programs, document control issues, prepare formal reports, and build strong relationships with management.

The Actuarial Analyst III is responsible for pricing, underwriting support, reserving, and forecasting for Specific and Aggregate Stop Loss and Level Funding, alongside developing pricing models and performing trend analysis.

The Mgr, SHBP Partner Management II oversees strategic plans for health benefits, manages vendor relationships, evaluates performance, and ensures communication aligns with state leadership.

Lead efforts in payment integrity, focusing on overpayment recovery and preventing future errors by developing pre-payment controls. Analyze data and vendor processes, implement recovery programs, and monitor performance indicators while collaborating across departments.

The Quality Management Specialist supports the Quality Management department by managing projects, analyzing healthcare data, and improving processes to enhance member experience and ensure compliance with regulations.

The Sales Executive III is responsible for selling new Medical and Ancillary accounts, developing client relationships, responding to RFPs, and collaborating with account managers while meeting sales goals.

The Actuary Intern will assist the Actuary/Analytics team with data analysis, actuarial calculations, and technical support while gaining experience in the healthcare industry.