Top Tech Jobs & Startup Jobs

Lead support for unified communications infrastructure, including planning, implementation, maintenance, and troubleshooting. Coordinate with vendors and business units, provide technical expertise, and ensure service levels are maintained. Mentor junior staff and participate in on-call support.

Oversee configuration management for health plan products and provider networks, aligning with regulations and quality standards. Collaborate with partners and lead process improvements.

Lead provider performance management activities, oversee compliance with SLAs, manage data analysis for provider contracts, and implement performance metrics.

The Program Analyst coordinates program activities, manages documentation, tracks compliance with licensure requirements, and supports communication among departments. They prepare materials for leadership meetings and analyze compliance post-implementation.

The Manager of Provider Research oversees staff managing provider inquiries, leads technological initiatives, coordinates reports, and develops training. They enhance provider experiences and resolve issues.

The Analyst, Payment Integrity conducts research and analysis to support operations, assesses business impact of policies, and recommends process improvements.

Oversee encounter system processes, optimize submissions and ensure compliance with external partner requirements while leading projects and supporting reporting needs.

The Encounters System Analyst II will manage data exchange processes, analyze claim-related issues, and support projects for optimizing encounter submissions.

Serve as in-office service contact for assigned employer groups handling enrollment, billing, claims, delinquency, retro transactions, pre-enrollment, contracting, onboarding, and open enrollment. Coordinate with cross-functional teams, meet retention and service metrics, and support strategic account activities and documentation updates in QNXT.

Analyze encounter system processes, coordinate data exchange with external entities, research claim scenarios, and document processes. Participate in financial data support and compliance monitoring.