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The Support Specialist assists with non-clinical tasks including outreach to members and providers, service assessment completion, documentation, and handling inquiries regarding services and authorizations.

The Director manages benefit configuration, ensuring compliance and effective structure. Oversees team performance and collaborates across departments for operational efficiency and regulatory adherence.

Lead strategic, cross-functional performance improvement initiatives to optimize clinical and operational performance, build organizational capability, and deliver measurable financial and customer outcomes through process optimization, automation, AI-enabled solutions, change management, and stakeholder engagement.

Manage claims-related modernization initiatives, oversee project reports, collaborate with IT, and implement process improvements in a healthcare setting.

The Director, Workforce Analytics leads the workforce analytics function, transforming data into insights to optimize talent strategy and support organizational goals through analytics and reporting.

Support the Provider Risk Analytics team by performing data analysis and projects to monitor cost and revenue trends, identify improvement opportunities, model impacts for provider organizations, attend provider meetings, and learn value-based care and risk modeling.

The Grievance Specialist manages and resolves member grievances and complaints, ensuring compliance with regulatory requirements while advocating for members' concerns.

The Performance Support Specialist resolves escalated complaints, reviews reports, manages complaint tracking, and builds relationships with internal and external customers.