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Initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for a health insurance organization. Analyzes financial impact of contracts, communicates contract terms, and advises executives on functional strategies.
The Senior Campaign Development Engineer resolves complex campaign-related issues using data analysis to create population lists, develop automated workflows, and influence strategic decisions. This role requires advanced knowledge of healthcare data and experience in leading teams to improve consumer experiences through insightful data presentation and analysis.
As a Senior Product Marketer, you will develop and manage marketing campaigns to support clinical operations and patient experience. Responsibilities include leading SEO content strategy, managing social media strategy, and overseeing data-driven marketing initiatives across multiple channels. You will collaborate with teams to define objectives and analyze campaign performance while creating resources for patients and clinicians.
Supervise a team assisting members and providers with appeals resolutions in a healthcare setting. Responsible for ensuring compliance with established policies and maintaining quality standards. Provide oversight to associates while managing daily operations and decisions related to schedules and plans.
The Functional Screen Specialist assesses the functional status and eligibility of members in the Wisconsin Family Care program. Responsibilities include scheduling and conducting assessments, gathering and entering data, referring individuals as necessary, maintaining accurate records, and complying with state guidelines and processes.
The Chief of Staff - Market Leadership Advisor manages the operations and development of a health plan, ensuring adherence to Medicare performance benchmarks and strategic plans. This role involves collaborating with stakeholders to enhance market capabilities, leading product initiatives, and influencing senior-level strategies.
The Associate Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, and filing premium rates with regulatory agencies. They support implementation of rates, analyze financial metrics, and develop pricing actions based on market projections. The role involves analysis of complex issues and requires strong communication skills.
The Actuary - Enterprise Financial Analytics analyzes financial and economic data, establishes metrics, evaluates trends, and forecasts the organization's financial position. Collaborates with various teams to support strategic and operational decisions, troubleshoot issues, and develop resolutions for data anomalies.
The Marketing Campaign Developer is responsible for developing and executing marketing campaigns across various channels, including direct mail and email. This role involves requirements gathering, data mapping, database marketing consultation, and working with IT and business partners to optimize campaign processes and strategies.
The Senior Counsel provides legal advice in the health care industry, handling diverse legal problems, advising executives, and working on mergers and acquisitions. They guide legal compliance on fraud laws and support strategic initiatives for patient care improvement.
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