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Analyze complex healthcare datasets to support Internal Audit, Compliance, and Claims Configuration Audit. Develop SQL/SAS queries, validate data and claims configurations, build dashboards and reports, identify risks and control gaps, document methodologies, and collaborate cross-functionally to improve controls and payment accuracy.

The Product Owner will drive product strategy and execution within an Agile environment, coordinating between operations and technology teams to enhance business processes and customer satisfaction.

The AVP of Community Engagement leads Healthfirst's community health initiatives, driving partnerships, enrollment, and retention strategies to enhance member health and improve community well-being.

Lead enterprise process architecture for AI-enabled workflows: establish decomposition methods, standards, reusable process modules, human-agent patterns, governance, and partner with delivery teams to ensure scalable, observable, compliant, and optimizable process designs that meet business and customer outcomes.

Lead design, development, testing, and delivery of Qlik-based dashboards, reports, and healthcare applications. Build data extracts, optimize Qlik apps, develop NPrinting reports, write specifications and code, use Agile tools, support deployments, and train/assist end users and QA.

Lead cloud infrastructure strategy and standards across public and private clouds. Design, build, and automate systems using IaC and scripting, mentor engineers, serve as SME for complex incidents, support hybrid cloud technologies, enforce governance and security best practices, and drive resiliency and operational excellence.

Lead enterprise information architecture by defining and executing the information management and enterprise data architecture roadmaps. Partner with business and IT stakeholders to design data models, integrate data stores/EDW/ODS, enable analytics and BI, and drive governance, data integration, and deployment practices. Mentor teams, influence cross-functional decisions, and support transformation efforts aligning data assets with corporate strategy.

Lead development and execution of Medicaid member experience strategy, driving journey design, personalization, segmentation, and engagement. Partner cross-functionally to translate insights and VOC into roadmaps, manage a portfolio of initiatives, define metrics, and lead a small strategy team to improve member engagement, satisfaction, retention, and outcomes within regulatory constraints.

The Director manages benefit configuration, ensuring compliance and effective structure. Oversees team performance and collaborates across departments for operational efficiency and regulatory adherence.

The Process Manager for Enrollment and Billing oversees process execution, ensures compliance, manages operational KPIs, and leads continuous improvement initiatives for health services.