Top Tech Jobs & Startup Jobs

Owns product backlogs and roadmaps, translates stakeholder requirements into user stories and acceptance criteria, prioritizes work, supports sprint planning and reviews, and represents business stakeholders. The role collaborates with Agile teams and Product Managers to deliver solutions meeting contractual requirements, quality standards, and business value. It also contributes to release planning, continuous improvement, and process standardization.

Leads end-to-end development and maintenance of enterprise technology platforms. Responsibilities include gathering requirements, reviewing designs and code, improving system stability and scalability, managing change requests, coordinating testing and releases, overseeing monitoring and on-call support, leading large projects, facilitating requirements sessions, and evaluating vendors. The role also mentors others and works with Kubernetes, programming languages, databases, and machine learning or generative AI workflows in regulated environments.

Leads enterprise strategic planning, executive communications, performance management, governance, and operational coordination for a Health Benefits Operations portfolio. Partners with the COO’s office and corporate strategy teams, conducts healthcare research, develops executive materials, manages special projects, evaluates investment decisions, and supervises direct reports. Requires extensive project management and healthcare policy or legislative analysis experience, strong executive presence, and the ability to coordinate complex cross-functional priorities.

Lead architecture, development, and deployment of large-scale, production AI systems (LLMs/agentic systems). Define enterprise AI architecture, modernize legacy systems, implement AI-enabled SDLC and DevOps practices, establish governance and responsible AI, and provide technical leadership and mentorship across engineering teams.

Develops complex data mining analyses, data warehouse applications, database tables, and strategic reports. Translates healthcare business and clinical program needs into technical requirements, analytic logic, and decision-support solutions. Performs data modeling, supports identification and stratification processes, maintains data integrity, coordinates project activities, and trains users. The role primarily involves programming and working with SQL, SAS, cloud data platforms, and legacy databases.

Leads process improvement and continuous improvement initiatives for a business unit. Identifies opportunities, researches and implements best practices, develops performance metrics, consults internally, and creates enterprise-wide improvement plans. Requires extensive process improvement, planning, project management, business analysis, and leadership experience, with preferred expertise in PBM claims, SQL, Teradata, Python automation, vendor management, Lean Six Sigma, prior authorization, eligibility, and Salesforce.

Reviews and processes appeal mail intake for a federal healthcare appeals team. Responsibilities include supporting audits and fieldwork, preparing position papers and jurisdictional reviews, analyzing data, maintaining case records and tracking systems, responding to inquiries, and making recommendations. The role requires collaboration, accurate prioritization, continuing education, and knowledge of federal regulations, CMS programs, and cost report formats.

Provides administrative and operational support for sales teams handling new and renewal business. Coordinates RFP responses, updates sales systems, researches sales and benefits issues, tracks sales data, prepares reports, recommends process improvements, maintains internal and external relationships, and completes special projects.

Develops and maintains relationships with pharmacy clients and prospects, supports PBM field sales and RFP processes, consults with health plan decision-makers, and helps develop savings and revenue recommendations to achieve health plan penetration goals.

The Project Director leads complex, cross-functional claims modernization initiatives across operations, IT, PMO, vendors, and government stakeholders. Responsibilities include defining scope and governance, overseeing schedules, resources, risks, quality, costs, readiness, reporting, RAID management, and implementation stabilization. The role provides executive-level communication, drives issue resolution and decisions, coordinates CMS touchpoints, and mentors project teams and managers.