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The Senior IAM Engineer is responsible for implementing and maintaining Identity and Access Management systems. This role involves analyzing, designing, and developing identity solutions, ensuring compliance with policies, and leading cross-functional teams to deliver IAM strategies and solutions to enhance security and efficiency.
The Billing Operations Specialist is responsible for billing and reporting, collaborating with internal teams and external clients to resolve payment disputes, preparing accurate billing, documenting collections efforts, reconciling member accounts, processing refunds, and maintaining low error counts in the billing system.
The Lead Application Development Engineer will design, develop, and implement complex enterprise software solutions, leading end-to-end application product development. Collaborating with cross-functional teams, the role involves ensuring product integration, overseeing application support activities, and serving as a technical adviser while facilitating team management and conducting risk assessments.
Provide functional and technical support for finance systems, assist in implementing new systems, develop and adhere to production support procedures, identify root cause of issues, maintain documentation, and collaborate with IT on enhancements and testing.
The Quality Improvement Specialist conducts on-site audits for healthcare providers, documenting compliance with regulatory standards and assisting with data management and report generation. Responsibilities include conducting training sessions, managing audit schedules, and ensuring providers meet accessibility requirements while maintaining HIPAA confidentiality.
The Technical Product Manager will translate business problems into technical solutions, develop product roadmaps, and engage stakeholders to shape product design and implementation. This role involves collaborating with architects for data integration, conducting research to improve processes, and overseeing project planning for complex customer environments.
The Provider Engagement Account Manager maintains partnerships with provider networks, ensuring high care delivery levels. Responsibilities include managing provider issues, educating providers on policies and procedures, and driving performance improvement in quality and cost utilization metrics. The role requires frequent travel and project management experience within a healthcare setting.
The Quality Improvement Specialist conducts audits of Primary Care Physicians and associated facilities to ensure compliance with regulatory standards. The role involves managing scheduling, documenting findings, developing reports, and providing training and technical assistance to improve accessibility for members, while maintaining confidentiality and adhering to policies.
The Community Relations Specialist leads activities to achieve membership and enrollment goals through marketing, community activities, and outreach. Responsibilities include planning events, developing business relationships, conducting internal and external meetings, and coordinating with sales teams for market execution, all while ensuring compliance with policies and procedures.
The Retention Field Representative is responsible for retaining membership, conducting outreach, and providing product education to new and existing members. They maintain relationships with members, document interactions in systems like Sales Force, and ensure compliance with corporate policies. Fluency in Cantonese and Mandarin is required.
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