Top Tech Jobs & Startup Jobs

Perform actuarial analyses and modeling to support Medicare revenue forecasting and month-end reporting. Calculate accruals, settlement estimates, and run rates; analyze revenue drivers, risk adjustment impacts, and membership trends. Partner with Finance for close activities, prepare executive reports and dashboards, document controls, and support ad hoc Medicare revenue analyses and model improvements.

Serve as strategic HR advisor for Health Benefits Operations: lead organizational design, workforce planning, talent and leadership strategy, change management, and analytics-driven people solutions to enable operational performance and culture alignment.

Process and manage pharmacy prior authorization requests: verify completeness, prepare medical necessity documentation, collaborate with clinical and provider offices, document insurer interactions, submit appeals, and follow payer guidelines to expedite approvals.

Respond to customer questions about retail and mail-order prescriptions via phone and written correspondence, research issues, coordinate with internal teams, document interactions, and guide customers on options and tools while maintaining high-quality resolutions.

Provide enrollment, billing, and membership account maintenance for plan members, providers, and employer groups. Handle inbound/outbound calls, verify and update enrollment records, resolve system rejections, reconcile premium bills, coordinate with Underwriting/Sales, document outcomes, order ID cards, apply contract eligibility, and deliver timely customer service using digital tools. Role is primarily virtual with scheduled shifts and occasional overtime.

Serve as primary client lead for Nevada's 988 Crisis Call Response system, overseeing statewide behavioral health operations. Manage account strategy, performance metrics, client retention, upsell/rebids, and stakeholder engagement across call centers, mobile crisis, stabilization, and follow-up care. Lead client communications, coach account managers, and ensure contract and KPI alignment while supporting growth and P&L objectives.

Support pricing for Individual and Small Group ACA markets by building and maintaining rating models, developing pricing strategies, preparing regulatory rate filings, collaborating on special pricing projects, and training junior actuarial staff. Requires actuarial exam progress and strong technical skills.

Lead strategic planning, budgeting, and delivery of a complex IT project portfolio. Align project objectives with IT budget, manage risks, vendors, resources, and forecast short-, medium-, and long-term portfolio performance to meet ROI and schedule goals.

Coordinate and manage forecasting, reporting, and WFM analysis. Develop 6-36 month demand and workforce forecasts, build predictive models, translate forecasts into staffing/FTE needs, provide data-driven insights for hiring and operational decisions, and present findings to leadership.

Senior engineer responsible for end-to-end application and system development, technical design and code reviews, requirements gathering, change request ownership, testing and deployment, on-call coordination, mentoring, and leading small-to-medium projects across multi-technology platforms.