Teams at Integra Partners

Direct and operationalize Utilization Management (UM) for health plan clients: manage clinical and non-clinical teams, maintain UM policies and certifications (NCQA/URAC), oversee prior authorizations and appeals, run quality improvement and audits, configure medical management software, support client engagements and business development, and ensure compliance with legal, regulatory, and contractual requirements.

The EDI Lead Engineer will modernize healthcare interoperability through EDI and FHIR integration, lead design reviews, mentor engineers, and oversee platform modernization and DevOps collaboration to enhance system reliability.

Identify, research, and qualify payer prospects to build pipeline; execute outbound campaigns and support meetings; maintain Salesforce CRM and reporting; analyze campaign and pipeline metrics; support opportunity progression through proposal, contracting, and implementation transition.