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The Sr Community Outreach Representative will educate and enroll eligible members in the Point32Health Duals Plan, building community relationships and leading outreach efforts to drive membership growth.

The Appeals and Grievance Analyst manages member appeals and grievances while ensuring compliance with regulations and providing excellent customer service. Responsibilities include documentation, investigation, and resolution of cases.

The Manager will lead the Risk Adjustment Operations & Provider Consulting team, focusing on program management, provider engagement, and risk adjustment strategies for healthcare services. Responsibilities include analyzing risk score data, managing vendor contracts, leading strategic planning efforts, and developing financial reporting for various health plan products.

Lead the design and delivery of digital solutions for healthcare experiences. Oversee product lifecycle, stakeholder engagement, and team development while enhancing user experiences on digital platforms.

The Director of Network Contracting leads contract strategy and negotiation for provider networks, focusing on membership growth and quality performance. This role manages a team and collaborates across multiple divisions, ensuring effective relationships with strategic providers and compliance with regulations.