Top Tech Jobs & Startup Jobs in NYC, NY

Directs the utilization management team, oversees authorization reconciliation and claims operations, ensures compliance with standards, and manages team performance and budget.

Oversee quality improvement programs for HEDIS, CAHPS, and HOS, analyzing business issues, providing strategic recommendations, and ensuring compliance in reporting.

Analyze prior authorization requests to determine medical necessity, coordinate with healthcare providers, and maintain compliance with regulations.

Manage project prioritization, resource allocation, and Agile portfolio operations to align with business strategies and improve project success. Develop metrics, facilitate processes, and identify risks to optimize IT project lifecycles and ensure compliance.

The position develops and executes the automation strategy in managed care operations, driving transformation initiatives and optimizing processes using advanced technologies.

Develop strategic partnerships with provider networks, enhance client relations, and optimize healthcare delivery through data analytics and performance improvement initiatives.

The Associate Actuary will create ACA rate filings, conduct analysis, and assess financial outcomes while collaborating with stakeholders and utilizing actuarial knowledge.

Lead the execution and strategy of healthcare product offerings at Centene, addressing complex issues and driving value through collaboration with cross-functional teams.

Manage and optimize Coupa P2P system, collaborating with finance and IT teams, supporting users, and leading integration efforts.

The CFO will lead all finance activities for the business unit, focusing on strategy, financial analysis, forecasting, and compliance in the healthcare industry, while overseeing financial performance and audits.