Top Tech Jobs & Startup Jobs

Lead and deliver complex, cross-functional compliance and ethics projects. Develop and maintain project plans, KPIs, dashboards, budgets, and communications. Coordinate stakeholders across Compliance, Ethics, Privacy, SIU, and business partners; manage risks, dependencies, vendor contracts, and PMO governance. Prepare executive reporting, coach project teams, and drive process improvement and value realization to meet regulatory and organizational objectives.

Partner with business leaders to deliver HR services including benefits administration, employee relations, onboarding/offboarding, performance and talent management, HRIS (Workday) updates, policy compliance, reporting, and coaching. Support HR initiatives, conduct fact-finding on employee concerns, and collaborate with centers of excellence to build capability and an inclusive environment.

Coordinates enterprise strategic initiatives and supports board relations for executive leadership. Tracks milestones, risks, dependencies, dashboards, and action items; prepares executive and board-ready reports, presentations, and briefings; supports strategy workshops, planning cycles, meetings, and quarterly board activities. Partners cross-functionally to maintain accountability, improve workflows, and advance organizational priorities while handling confidential information.

Lead workforce planning for Case Management and Utilization Management by developing forecasts, capacity plans, staffing models, and operational analytics. Partner with operational leaders to forecast demand, analyze call and inventory data, identify risks, and recommend staffing, training, and schedule adjustments. Maintain forecasting patterns, present KPI trends, assess project impacts on capacity, and drive efficiency improvements.

Lead the annual HEDIS program, overseeing project planning, training, vendor onboarding, QA/over-read processes, and operational oversight. Manage a team of clinical consultants and analysts, drive performance on quality measures, analyze metrics, identify improvements, and maintain documentation to support continuous improvement and readiness for future cycles.

Process and administer member enrollment and eligibility accurately and timely. Collaborate with teams and vendors to resolve inquiries, document actions across systems, analyze data against business and regulatory guidelines, and identify workflow improvements to increase efficiency and accuracy.

Provide high-trust administrative support to a C-suite leader including complex calendaring, meeting and event management, travel and expense coordination, preparation of presentations and reports, handling confidential correspondence, onboarding support, and partnering with admin teams to streamline processes.

Lead design, development, and maintenance of identification and stratification models and recurring production workflows for care and utilization management. Perform data ingestion, feature engineering, modeling, deployment, performance tracking, and documentation. Mentor junior data scientists and collaborate with clinical, product, and engineering partners to translate business needs into actionable ML solutions and communicate results to stakeholders.

Lead and develop a team of HR Business Partners; serve as strategic HR advisor to executives and leaders; partner on hiring, performance, succession, organizational design, change management, employee relations, and HR data-driven strategy while ensuring compliance and collaboration with HR Centers of Excellence.

Lead sales and account management for local markets across Individual, Medicare Advantage, Small Group, Mid-Market and Specialty segments. Develop and execute strategic sales and business plans, set quotas and forecasts, mentor teams, collaborate cross-functionally, oversee contracts/compliance, pursue growth and retention, and monitor market and regulatory trends to meet membership and financial goals.