Top Tech Jobs & Startup Jobs

Serve and grow assigned employer accounts by proactively managing renewals, retention, and sales of HMSA products; collaborate with Strategic Account Managers and internal teams; perform business analysis and proposals; educate clients on industry trends; maintain account plans and records; resolve complex service issues.

Provide in-office servicing for assigned employer groups: handle inquiries, coordinate GTB/certificate requests, validate SBCs and benefit summaries, update rates in QNXT, support open enrollment and onboarding, research delinquencies and retro transactions, collaborate with cross-functional teams, and meet retention and service metrics.

Lead and oversee the Fraud, Waste, and Abuse (FWA) Special Investigations Unit: ensure regulatory compliance, manage investigations and outcomes, coordinate cross-functionally and with vendors, escalate major risks, supervise staff, monitor program metrics, and support audit and regulatory responses.

Oversee projects to enhance consumer engagement, lead teams, improve member experience, manage tools and systems, and support staff development.

The Case Resolution Specialist II conducts complex analysis of member and provider appeals, acts as a liaison, and resolves issues by negotiating sensitive matters and implementing changes based on findings.

Responsible for analyzing and resolving complex member and provider appeals and inquiries while ensuring compliance with policies, regulations, and accreditation standards. Works as a liaison to negotiate sensitive issues and identifies areas for improvement in processes. Assists in quality assurance and communicates trends and needs to management.

The Compensation Analyst evaluates job descriptions, administers compensation programs, analyzes salary data, and provides consultative advice on compensation strategies.

The BlueCard Business Analyst II provides production support, conducts data analysis, implements changes, develops training materials, and assists with project implementations.

The Manager of Wellbeing Programs develops strategies for health improvement initiatives, manages staff, fosters relationships with stakeholders, and oversees health and wellbeing solutions in alignment with corporate goals.

The Senior Business Analyst will lead quality improvement initiatives, analyze data, manage cross-departmental projects, and communicate results to stakeholders.