Top Tech Jobs & Startup Jobs

The Senior Director of Risk Adjustment Compliance Oversight leads compliance strategy and management for regulations related to Risk Adjustment in health programs. Responsibilities include conducting risk assessments, guiding departments on compliance, and ensuring effective oversight of compliance programs. The role requires collaboration with various teams, education on compliance standards, and readiness for regulatory audits to maintain integrity within government-sponsored healthcare programs.

The Director of Finance will oversee Buckeye's finance department, ensuring accurate financial reporting, managing budgeting processes, and interpreting financial reports for the management team. They will also monitor business processes, manage compliance with legislative matters, and coordinate political contributions, all while aligning finance strategies with corporate objectives.

The Business Analyst II will perform analysis to connect business needs with objectives, support initiatives through data analysis, identify user requirements, recommend business solutions, enhance performance reporting, and assist in policy formulation.

The Account Executive develops and implements sales strategies to manage relationships with national partners, meet sales goals, cultivate broker relationships, and oversee proposal delivery. Additionally, they will maintain up-to-date knowledge of product offerings and coordinate with internal departments to ensure customer satisfaction.

The Community Resource Coordinator III connects members to community resources, supports care management activities, conducts health and non-medical assessments, provides education, and collaborates with the care team to promote member well-being. This role involves both outreach and documentation to ensure effective resource connection and may include home visits and telephonic engagement.

The Vice President of Operations will oversee pharmacy fulfillment operations and case management, partnering with stakeholders to establish strategic objectives, monitor action plans, and manage budgets. This role involves leading new business implementations, evaluating program opportunities, and ensuring compliance with regulations.

The IT Data Scientist II will design and develop scalable AI and machine learning solutions, conduct research to build predictive models, and analyze data to derive insights for business decisions. The role includes coding in SQL and Python/R, exploring data quality, building models, and integrating solutions while engaging with internal customers to fulfill AI/ML requests.