Top Tech Jobs & Startup Jobs

Manage and grow a portfolio of client accounts by handling renewals, preparing RFPs, coordinating with underwriting and stop-loss vendors, supporting open enrollments and member issues, producing ad-hoc reports, and collaborating with internal teams to resolve routine account problems.

Administer, configure, and improve business applications while partnering with stakeholders, IT, and vendors. Manage enhancements, UAT, integrations, support tickets, vendor relationships, documentation, and application performance monitoring to ensure operational effectiveness.

Review incoming referrals, prioritize and assign team tasks, manage BCBS and Anthem adjustments, run web reports for special projects, update member accumulators, maintain RRT workflows, train team members, and support claims operations and refund processes as needed.

Support development and maintenance of security controls and compliance programs. Manage frameworks (SOC 2, HIPAA, NIST), optimize Drata, support audits, perform vendor risk assessments, maintain risk register, track remediation, and promote security awareness across the organization.

Process and submit client invoices, follow up on payments and resolve discrepancies, maintain billing/collection records, assist month-end close and reporting, set up/change/audit client accounts, and create/maintain Excel and Access reports.

Lead implementation of operational projects, new products, services, and vendor relationships through PMO frameworks. Develop project plans, track milestones, manage risks and QA, run meetings, report status, guide change management, optimize processes, and ensure timely delivery while collaborating with cross-functional teams and ensuring alignment with PMO standards.

Sell health benefits solutions by building broker relationships, managing negotiations and renewals, processing RFPs, conducting presentations and open enrollments, and providing routine account service for self-funded plans.

Execute end-to-end group medical premium billing using QicLink: import/validate billing files, generate/distribute invoices, reconcile discrepancies, set up accounts, audit configurations, maintain reporting (Excel/Access/Power BI), partner with AR/AP/Eligibility/Client Services, perform root-cause analysis, and ensure internal controls and billing accuracy.

Lead delivery of GenAI, predictive modeling, semantic search, and automation across business workflows. Define AI product roadmaps and requirements, coordinate engineering and data science teams, ensure MLOps/cloud deployments, manage stakeholder change and training, and ensure compliance with responsible AI governance and ISO 42001 audit readiness.

Deliver and support inbound/outbound EDI (ANSI X12-834) and claims file implementations, perform EDI mapping and testing, monitor file processing, troubleshoot data discrepancies, coordinate cross-functional stakeholders, and maintain data integration documentation and quality controls.