Top Tech Jobs & Startup Jobs

Designs and delivers audit training for hospital and non-hospital provider reviews. Identifies skill gaps, creates course content, facilitates virtual training, directs complex provider audits, reviews auditor work, interprets data, recommends improvements, and participates in special projects. Requires Medicare audit or reimbursement experience and knowledge of CMS regulations and cost report formats.

Leads executive account management for a complex Maryland Medicaid behavioral health contract. Owns P&L performance, client relationships, operational excellence, contractual compliance, retention, revenue growth, and expansion opportunities. Partners with state leaders and cross-functional teams across clinical, operations, network, quality, finance, and product functions. Oversees and develops direct reports while driving accountability, customer satisfaction, strategic initiatives, and innovative behavioral health solutions.

Performs complex Medicare cost report audits, reimbursement reviews, settlements, reopenings, exception requests, and appeals. Analyzes provider financial data, prepares audit work papers, presents findings under Government Auditing Standards and CMS requirements, reviews other associates’ work, mentors staff, and supports special projects. The senior role also supervises audits, manages appeals caseloads, maintains procedures, and handles CMS and PRRB requests.

Serves as the primary contact for associate relations matters, advising associates and managers on investigations, complaints, performance, attendance, development, and employment law. Conducts complex investigations, documents findings, debriefs leaders, partners with Legal, Ethics, Compliance, HR business partners, and leadership, and supports separation agreements. Analyzes associate-relations trends and develops action plans while delivering coaching, training, and guidance across the organization.

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.

Leads enterprise provider data strategy, modernization, governance, and transformation across healthcare operations. Owns the provider data platform portfolio, product roadmap, architecture, policy translation, automation, data quality, compliance, vendor relationships, budget, and operational outcomes. Partners with technology, operations, legal, compliance, benefits, and government programs to improve claims accuracy, pricing, provider directories, network performance, and payment integrity. Manages a large leadership organization and nine-figure operating budget while driving continuous improvement and regulatory alignment.

A 12-week marketing internship focused on identifying AI and automation opportunities, developing and testing reusable workflows and prompts, evaluating outputs and risks, creating training materials, tracking adoption and business impact, and presenting recommendations for scaling AI capabilities. The role requires strong communication, organization, analytical skills, and interest in generative AI, marketing technology, digital transformation, or process improvement.

Leads the architecture, development, and deployment of enterprise-scale AI systems and platforms. Establishes technical direction, reusable architecture standards, AI governance, and AI-enabled software development practices. Drives modernization of legacy systems, partners with engineering and business stakeholders, mentors technical talent, and influences enterprise technology strategy. Requires deep hands-on software engineering, distributed systems, generative AI, agentic systems, cloud, DevOps, and healthcare payer/provider domain expertise.

Leads pharmaceutical manufacturer relationships for CarelonRx, develops limited-distribution drug and fee-for-service opportunities, oversees contracting coordination, supports program implementation, and maintains specialty pharmacy industry knowledge. The role manages client feedback, identifies business development opportunities, aligns cross-functional teams, develops department procedures, and travels to customer or offsite locations as needed.

Manages business systems by translating business needs into technical requirements, coordinating workflows, tracking priorities, supporting issue resolution, documenting architecture and requirements, developing feature test strategies, and identifying process improvements. The role also mentors requirements tools usage and assists with training and system documentation.