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The Business Analyst I will perform analysis to connect business needs for assigned functions. Responsibilities include data analysis, identifying implementation barriers, user acceptance testing, and recommending business solutions. The role involves working with Medicaid and Health Plan data analytics and daily enrollment file processing.

The Contract Coordinator will create and manage contracts for new business opportunities, assist with temporary staff training and workload assignments, maintain spreadsheets and databases, support contract negotiators, and ensure compliance with corporate contracting standards.

As the Plan President & CEO, you will lead the company’s operations, develop policies to ensure compliance and optimization, represent the organization in relationships with stakeholders, and oversee financial structure and operations management.

As a Complaints Coordinator, you will receive, investigate, and respond to Member and Provider complaints, ensuring compliance with federal and state regulations. Your responsibilities include maintaining complaint logs, reviewing complaint processes, and coordinating with internal and external customers for information needed for responding to complaints.

The Grievance & Appeals Coordinator I is responsible for analyzing, resolving, and reporting on claims and authorization appeals from providers, as well as managing member grievances. Duties include preparing response letters, maintaining files, coordinating committees, assisting in data entry, and managing large volumes of documentation.

The Senior IAM Analyst role involves designing and implementing Identity and Access Management solutions, providing subject matter expertise, documentation of IAM Standards, and continuous service improvement. The position requires collaboration with cross-functional teams and staying updated on industry trends in IAM.

The Escalation Response Specialist II responds to member and provider complaints and escalations, providing resolutions in a timely manner. They document and track issues, perform root cause analysis, and coordinate with various departments to enhance service quality and reduce escalations.