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The Community Relations Specialist leads efforts to achieve membership and enrollment goals through marketing, community activities, and training. They coordinate events, develop business relationships, prepare presentations, and collaborate with sales teams to enhance market execution and outreach activities.
The Lead Cloud Platform Engineer manages the configuration of software and infrastructure services on cloud platforms, automating deployments, ensuring security, and leading a team to support cloud environments. They develop CI/CD deployment plans and implement monitoring solutions, collaborating with Development, Network, and Security teams on environment builds and capacity plans.
The Case Manager evaluates and coordinates care for members with significant mental and behavioral health needs. They assess member needs, develop care plans, educate members and families about available services, and facilitate access to community resources. Frequent home visits are required to assess member condition and facilitate education on treatment options and benefits. The role also includes providing feedback for improving service delivery and compliance with guidelines.
The Manager, Data Analysis will support analytic data needs for a business unit, analyze and report plan data, coordinate cross-functional initiatives, and manage a team of analysts. This role requires prioritizing data analysis needs to enhance healthcare delivery while ensuring effective communication with stakeholders.
The Senior Application Development Engineer is responsible for designing, developing, and implementing complex enterprise software solutions using Java, GoLang, AWS, and Node.js. They collaborate with various stakeholders to ensure that the software meets business needs and adhere to best practices, while also addressing functional and non-functional requirements. They engage in software testing, maintain application stability, and participate in tier 3 support activities.
The IT Technical Support Specialist II provides remote and on-site technical support to end users and IT infrastructure, troubleshooting hardware and software issues. Responsibilities include managing computers, networks, and user training while complying with procedures and standards.
The Community Resource Coordinator II supports community connection activities by connecting members to key community resources, conducting assessments, and aiding the clinical care team. The role involves outreach efforts, documentation of community resources, and ensuring compliance with health plans.
Responsible for managing and maintaining provider account relationships and service responsibilities, overseeing contract implementations, and providing training on products and services to clients. Also involved in coordinating product enhancements, resolving account issues, and delivering strategic business insights to management and clients.
The Retention Field Representative is tasked with retaining membership in assigned areas through field outreach, community events, and assisting members with product inquiries. This role requires effective communication, adherence to compliance standards, and relationship-building with members while utilizing systems like Sales Force for documentation.
Lead and administer the Compliance Program across the organization, standardizing processes and developing training materials. Ensure compliance with legal regulations, manage communication and reporting, and promote a culture of compliance. Facilitate collaboration across departments to align on compliance objectives and maintain foundational compliance documents.
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