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The Manager of Payment Integrity leads strategic programs to improve payment accuracy and enhance member affordability, overseeing performance tracking, vendor management, and compliance. This role requires collaboration with various departments, innovative thinking, and expertise in healthcare operations and clinical coding.

The Utilization Management Clinician coordinates healthcare delivery, assesses member information, reviews care requests, and collaborates with multidisciplinary teams to ensure effective, quality care for members.

The Workforce Management Analyst optimizes staffing and scheduling in a contact center, forecasts call volumes, analyzes metrics, and manages tools for efficiency and satisfaction.

The Utilization Management Clinician collaborates with medical professionals to coordinate care, assess member needs, manage resources, and ensure effective utilization of healthcare services.

The Utilization Management Clinician coordinates healthcare services for members, facilitating quality and cost-effective outcomes through assessment, documentation, and collaboration with healthcare professionals.

The Utilization Management Clinician coordinates healthcare services, assesses member needs, and ensures effective utilization of resources while documenting case notes and interacting with healthcare professionals.

Responsible for coordinating healthcare services, assessing member needs, negotiating services, and providing utilization management to optimize care outcomes.

The Utilization Management Clinician coordinates healthcare services for members, ensuring appropriate utilization of resources while collaborating with healthcare professionals to facilitate member care and manage case documents.

The Director of Marketplace Sales manages and coordinates Medicare and Individual Sales strategies, fosters partnerships in the community, ensures compliance with regulations, and leads sales operations to achieve financial performance goals.

This role involves coordinating healthcare services, assessing member needs, documenting case notes, negotiating with providers, and supporting members in navigating the health system.