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Manage quality improvement programs, including HEDIS reporting, data verification, vendor oversight, and compliance with healthcare standards.

Support quality improvement initiatives, manage data reports, and assist with projects and audits to ensure regulatory compliance.

Directs the utilization management team, ensuring compliance and performance outcomes while overseeing operations, policies, and strategic initiatives for member care improvement.

Manage and oversee project life cycles, ensuring alignment with strategic objectives, facilitating resource management, and maintaining project documentation.

The Community Relations Coordinator will develop and implement community outreach plans, build relationships with community organizations, and support health education presentations. Responsible for attending events and distributing materials to support member growth goals.

The Provider Engagement Account Manager maintains partnerships with providers, drives performance improvements, resolves issues, and educates providers on policies and procedures.

Lead process improvement initiatives and enhance operational effectiveness across multiple projects while managing the Process Oversight & Improvement team.

Lead quality improvement initiatives, ensure compliance with accreditation standards, and implement efficient operational processes within healthcare settings.

Leads the Conversation Design team, developing strategies and managing execution that aligns with business objectives, optimizing user experiences across various digital channels.

Responsible for the creation of member contract documents and regulatory research for high-risk states, ensuring compliance with regulations. Leads initiatives related to member contracts and develops junior employees while coordinating with various departments.