Top Tech Jobs & Startup Jobs

Lead and execute financial and operational audits, assess internal controls and risks, prepare audit workpapers, present findings, collaborate on remediation and retesting, mentor junior auditors, support special projects and internal/external audit activities, and travel to worksites as necessary.

Design and implement predictive models using structured and unstructured data; process large data streams (Hadoop); implement batch and real-time scoring; develop custom algorithms and visualizations; evaluate model performance; identify population segments and collaborate with business partners to optimize member quality, use, and cost outcomes.

Designs and leads predictive modeling projects, processes large data streams in distributed environments (Hadoop), recommends batch and real-time scoring, develops proprietary algorithms and visualizations, collaborates with business partners to produce actionable insights, and mentors other data scientists.

Lead strategic planning and execution across business units: manage high-profile initiatives, translate strategy into programs and timelines, facilitate discovery sessions, build stakeholder relationships, propagate execution methods, monitor performance, and support business unit capability building to drive prioritized outcomes.

Lead digital strategy and product initiatives across markets by researching, evaluating, and deploying digital solutions. Develop roadmaps, business cases, and competitive assessments; partner with stakeholders and enterprise digital teams to align priorities and deliver consumer-focused offerings. Gather market requirements through intelligence and feedback to drive digital growth.

Identify and develop new business in the federal healthcare market. Support client and partner relationships, develop account strategies and call plans, build industry relationships, maintain opportunity pipeline, support capture/proposal efforts, perform market and competitor analysis. Travel may be required.

Assemble and maintain billing documentation and system database; reconcile and analyze data discrepancies; post to sub-ledgers; coordinate account eligibility and provide billing information to internal/external contacts; perform first-line collections and handle complex billing situations with minimal guidance.

Serves as chief of staff to the President of Carelon Pharmacy, driving strategic clarity, translating strategy into projects and timelines, monitoring business performance, supporting executive decision forums, and enabling cross-functional alignment to achieve enterprise priorities. Develops executive materials, oversees planning and project activities, and identifies opportunities to improve results. Hybrid role with occasional travel to worksites.

Provide decision-support financial analysis, budgeting, forecasting, and reporting. Lead business improvement projects, deliver actionable insights to partners, mentor junior consultants, and clearly communicate financial trade-offs and risks.

Provide phone and written customer support for pharmacy retail and mail-order prescriptions; research and resolve claims and membership issues; coordinate with internal teams and guide customers on available tools and options to ensure timely, high-quality resolution.