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The Provider Engagement Administrator III serves as a liaison between Tier I providers and the health plan, managing network performance and executing provider performance improvement strategies. Responsibilities include resolving provider claims issues, educating providers on policies, presenting performance analyses, and leading special projects.

The Senior Provider Engagement Account Manager develops strategic partnerships between health plans and providers, focusing on performance improvement in key areas such as quality and utilization. This role involves educating providers, resolving issues, managing network performance, and presenting analyses for committee meetings, while serving as a liaison for both parties.

The Lead Application Development Engineer designs, develops, and implements complex fullstack enterprise software solutions, leading projects while collaborating with various technical and non-technical roles. Responsibilities include overseeing application support, driving product delivery, and managing resources while ensuring code quality and best practices are followed.

The Community Resource Coordinator II supports community connection activities by connecting members with resources to aid in their care management. They assist both members and the care team with inquiries, documentation, and health education, while also conducting assessments and outreach efforts to ensure members access the necessary care resources.

The Senior Quality Improvement Specialist is responsible for developing and implementing quality improvement initiatives, conducting audits for compliance with regulatory standards, analyzing performance data for improvement opportunities, and collaborating with clinical and administrative teams to resolve issues. This role also involves preparing for regulatory site visits and managing assigned quality studies.

The Community Resource Coordinator II supports community connection activities by connecting members to key community resources, conducting assessments, and aiding the clinical care team. The role involves outreach efforts, documentation of community resources, and ensuring compliance with health plans.

The Community Relations Specialist leads initiatives to meet membership and enrollment goals through marketing projects, community events, and training. Responsibilities include developing business relationships, conducting presentations, coordinating events, and collaborating with the sales team. The role requires significant travel and may involve outreach activities to promote membership growth.