The Manager oversees case management operations, ensuring compliance, staff development, and effective coordination of healthcare services to improve member health status.

The Utilization Management Services Representative provides customer service and administrative support for UM workflows, impacting inpatient and outpatient procedures and regulatory compliance through effective communication and task management.

The Corporate Tax Analyst supports federal and state tax compliance, prepares tax returns, assists in audits, ensures accuracy of filings, and collaborates with various departments.

The Actuarial Analyst performs actuarial services, supports Health Plan operations, and maintains financial solvency through data analysis and modeling.

The Community Connections Representative aids Health Plan outreach through community education, resource navigation, and enrollment assistance while managing home visits and community events.

Responsible for managing strategic and national accounts, focusing on client retention, relationship building, and providing solutions to enhance client satisfaction and operational efficiencies.

The Configuration Technical Architect manages configuration data design, ensures compliance, oversees upgrades, and collaborates with teams to improve system architecture and processes.

The Network Services Analyst evaluates provider networks, manages projects, analyzes claims, develops payment methodologies, and supports financial decisions for strategic network management.

Analyze, develop, and test system solutions for reimbursement configuration. Ensure quality delivery, assist in system maintenance, and communicate with users for issue resolution.

The Senior Legal Counsel I provides legal guidance, manages complex legal issues, and ensures compliance, while working collaboratively across the organization.

The Financial Analyst prepares and analyzes financial data and reports, performs financial modeling, and collaborates to manage financial activities, supporting decision-making across the organization.