Top Tech Jobs & Startup Jobs

Lead design, development, and implementation of advanced ML and NLP models for payment integrity. Translate business problems into analytics, run large-scale experiments, automate analyses, validate and operationalize models, and present actionable insights. Manage multiple projects, mentor junior staff, and enforce governance, ethical norms, and scalable processes to improve quality, member experience, and cost outcomes.

Manage stop‑loss reinsurance for self‑funded health plans by validating monthly premium, claims, and reimbursement data; investigate and resolve variances; coordinate settlement/surplus reporting and month/period‑end close activities; maintain reinsurance mailbox, SOPs, filings, and audit support; liaise with vendors and cross‑functional teams; prepare and maintain reports, ensure compliance with reinsurance agreements, and drive timely, accurate reconciliations and documentation.

The Senior Contract Manager leads contract negotiations with healthcare providers, ensuring compliance with financial and legal guidelines, and manages key stakeholder relationships.