Top Tech Jobs & Startup Jobs

Investigate bank account and debit card fraud, perform in-depth data analysis to identify trends, recommend fraud reduction strategies, partner with Ops/Compliance/IT, support fraud detection systems, train staff, communicate with customers and take actions to prevent further fraud.

Lead and develop a team delivering real estate planning analytics; set analytics roadmap; modernize tooling via automation and AI; build dashboards and forecasts to optimize portfolio, occupancy strategy, and workforce location planning.

Develop and maintain relationships with referral sources to drive hospice and home health referrals. Execute sales activities, provide education and community in-services, document outreach, and act as liaison among referral sources, patients, families, and agency teams to grow market share.

Oversee and manage daily production workflows to meet SLAs, perform reporting, data entry, inventory and materials ordering, maintain process documentation, resolve workflow issues, support implementation of services, coordinate meetings, train peers, and communicate status with business partners.

Handle high-volume inbound/outbound provider calls to research, negotiate, and resolve claims overpayments and recoveries. Meet production goals, ensure compliance with state/federal and contract policies, escalate as needed, analyze trends, provide client updates, and mentor others.

Perform actuarial analyses and modeling for pharmacy affordability, specialty pharmacy, and infusion drug analytics. Build financial models, analyze utilization and cost trends, work with data applications and AI tools, and translate technical results for non-actuarial stakeholders to support product development and contracting strategy.

Field-based account manager responsible for client relationship management, educating customers and members on benefit plans and UHC tools, conducting open enrollment meetings, wellness events, and trainings, coordinating escalated service issues, and partnering with internal teams. Requires local travel to manage assigned book of business and to build broker and employer relationships.

Identify, analyze, and prevent Medicaid fraud, waste, and abuse by developing and deploying detection algorithms, writing advanced SQL, researching claims data, producing reports and visualizations, troubleshooting client issues, and mentoring analysts while collaborating with engineering and product teams.

Design, develop, test, and deploy cloud-native microservices and front-end features using Java, Python, and ReactJS. Automate CI/CD and infrastructure, containerize with Docker/Kubernetes, validate performance, monitor production availability, and build responsible AI-powered solutions. Collaborate on SDLC tasks and evaluate emerging engineering and AI trends.

The role involves developing and managing cloud infrastructure and CI/CD pipelines, designing AI-powered solutions, and ensuring optimal performance in healthcare technology.