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The Sr. Provider Relations Specialist manages contracting efforts for pharmacies, handling communications and escalated issues related to contracts, claims, and payments. They conduct root cause analyses, liaise between various stakeholders, and identify trends to enhance processing. Responsibilities also include project management and triaging issues to network vendors plus other duties as assigned.
The Account Manager will engage directly with clients to resolve issues and enhance member satisfaction, while leveraging Salesforce for documentation and operational efficiency. This role emphasizes collaboration, conflict resolution, and the implementation of best practices for client retention and satisfaction.
The Senior Data Protection Engineer manages the IT Backup and Recovery program, ensuring compliance and validating systems, while collaborating with IT leaders and stakeholders. This role involves leading recovery solutions, executing testing processes, optimizing data protection strategies, and serving as an expert in data protection technology across the enterprise.
The Senior Cloud Financial Operations Analyst will drive cloud financial control and optimization within the IT cloud platform team. Responsibilities include modeling savings opportunities, partnering with the cloud platform team for cost optimization, and creating reports on cloud spend for leadership.
The Scrum Master collaborates with the Product Owner to launch a new product team, guiding the Scrum team through Agile methodologies, facilitating discussions, removing impediments, and improving team maturity while supporting effective communication and backlog management.
The Manager of Project and Program Management oversees daily activities of project and program managers. Responsibilities include guiding project prioritization, mentoring team members, managing quality standards, resolving escalated issues, and coordinating with business and IT stakeholders. Participation in budgeting processes is also essential.
The Compliance Principal ensures effective execution of the corporate compliance program, collaborating with various business areas and legal teams. Responsibilities include promoting compliance awareness, addressing compliance issues, leading compliance projects, monitoring regulatory changes, and representing the compliance program externally.
The Audit Analytics Senior Analyst will lead data requests for Internal Audit projects, driving the adoption of data analytics throughout the audit lifecycle. Responsibilities include automating processes, improving audit analytics, and providing subject matter expertise, among others.
The Principal Data Scientist is responsible for producing data-driven insights to improve healthcare outcomes through analytical processes. They will design predictive models, mentor junior staff, ensure deliverables are valid, and develop automated analysis tools for clinical programs.
The Senior Actuary is responsible for complex actuarial and pricing analyses to support Prime's wide range of clients. Duties include building financial models, leading data analyses, collaborating with stakeholders on pricing initiatives, and mentoring team members while ensuring compliance with actuarial standards.
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