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The Customer Experience Specialist will provide compassionate service to seniors, resolving inquiries effectively while advocating for members and ensuring clear communication and follow-up.

The Hybrid Customer Experience Lead is responsible for leading customer service operations, supporting team performance, and ensuring high quality care for members. This role includes managing inbound and outbound call experiences, addressing member grievances, and collaborating on staff training and performance standards.

The Data Scientist will develop AI/ML models to enhance healthcare processes, ensuring compliance and quality in clinical documentation.

The Customer Experience Specialist provides compassionate, seamless service primarily to seniors, resolving inquiries and enhancing member satisfaction through effective communication and empathy.

The Senior Software Engineer will develop enterprise-level software applications, lead technical design and implementation, ensure quality deliverables, conduct research, and collaborate across teams. They will drive improvements in system architecture and product features.

The Risk Adjustment Provider Engagement Lead builds provider relationships, conducts medical record reviews, and ensures coding accuracy while providing education on documentation improvements.

The Executive Assistant will support Senior Leadership by managing schedules, organizing meetings, handling communications, and executing high-level administrative tasks. Responsibilities also include research, travel arrangements, and process improvement initiatives.

The VP of Internal Audit will direct the internal audit function focusing on SOX compliance, enterprise risk management, and healthcare regulatory oversight. They will lead operational audits, ensure compliance with Medicare Advantage regulations, and drive continuous improvement in internal controls while providing strategic insights to senior leadership and the Audit Committee.

The Clinical Pharmacist I reviews Part D coverage determinations and appeals, conducts Medication Therapy Management, and supports clinical initiatives to improve care for senior members.

The Clinical Pharmacist II ensures compliance with CMS regulations, manages Medicare Part D programs, conducts clinical outreach, oversees pharmacy operations, and supports MTM services for seniors.