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The Director manages HEDIS reporting projects, oversees data integration, supports quality metrics, leads teams, and ensures compliance for performance metrics.

Investigate healthcare fraud allegations, conduct audits, utilize data analytics, prepare reports, and collaborate with various teams to mitigate risks.

The Senior Manager, CPTS leads cybersecurity, privacy, and technology service initiatives, ensuring compliance, aligning technology with business goals, and developing high-performing teams.

The Interoperability Product Owner ensures compliance with interoperability mandates and translates regulatory requirements into actionable items for various teams, while overseeing audits and vendor builds.

The AI Systems Analyst III evaluates AI projects for technical feasibility, maintains the AI Registry, analyzes data quality, and documents requirements for implementation.

The role involves developing and managing complex data sets, creating dashboards, and analyzing data for operational efficiency in healthcare. Collaboration with clinical and IT teams is essential to optimize patient outcomes and processes.

The G&A Specialist II reviews Medicaid and Medicare appeals, prepares them for clinical review, documents outcomes, and maintains spreadsheets of appeal outcomes while ensuring compliance with regulations.

The Customer Account Manager oversees customer account management, driving revenue growth and enhancing service utilization while collaborating with multiple teams and managing training and implementations.

The Payment Cycle Analyst II provides analytical support for claims-related projects, ensuring accuracy in claim payments, conducting data analysis, and documenting clinical and payment policies.

The Data Product Manager I supports analytics and data strategy in healthcare, collaborates with teams to implement analytics solutions, and provides insights to improve product performance.