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Wirespeed (part of Coalition) is hiring a Support Engineer to act as the voice of the customer on security questions, incidents, and product issues, carrying cases through to resolution and escalating severe threat related incidents. The role combines customer support, security …
Health Care Service Corporation
($102k - $184k)
Lead and manage employment compliance programs to ensure adherence to federal, state, and local employment laws across a multi state workforce. Partner with HR, Legal, and business leaders to mitigate risk, support regulatory compliance, and respond to audits, investigations, an…
The Provider Data Operations Lead is a provider data and production workflow expert within a payor healthcare environment, responsible for creating, implementing, and optimizing production workflows while driving team performance against goals and KPIs. The role provides day to …
A Claims Examiner Auto role at Sedgwick focused on analyzing and processing complex auto and commercial transportation claims, including reviewing coverage, investigating, determining liability and evaluating damages. Responsibilities Processes complex auto commercial and person…
Director, Clinical Systems Operations (Pharmacy) at Centene, overseeing the development, implementation, and operation of medical management information systems and technology solutions for pharmacy clinical programs. The role leads a team of 11 (including 4 direct reports) and …
Supports the implementation of member engagement strategies and initiatives, partnering with consultants and cross functional teams on project planning, analysis, communications, and launches. Responsibilities Collaborate with team members on assigned projects, supporting effect…
The Manager CTO Office leads the CTO Office team of about 16 IT professionals, reporting directly to the CTO, and is responsible for governance, control and change portfolio management across the Technology domain. Responsibilities Lead the CTO Office, develop talent and strengt…
Leads the development of functional and non functional business requirements for data focused healthcare IT projects, translating business needs into user stories and technical specifications. Works with architects and data engineers to ensure requirements are met through delive…
Recruit physician, hospital and ancillary service providers to sign network participation agreements in accordance with Corporate, health plan and State guidelines, ensuring all necessary documentation and information are included. Responsibilities Recruit and develop network fo…
An internship at Centene in which the intern learns about processes and functions within the Managed Care industry and contributes to projects, including supporting the Fondue Design System team in exploring AI assisted workflows. Responsibilities Support the Fondue Design Syste…
A full time Medical Director role at Centene Corporation, assisting the Chief Medical Director to direct and coordinate medical management, quality improvement and credentialing functions for the business unit. The role provides medical leadership for utilization management, cos…
Centene Corporation
($88k - $158k)
Individual contributor and subject matter expert supporting the day to day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable federal and state regulations. Provides regulatory guidance, research and analysis, issue tracking, …
Centene Corporation
($88k - $158k)
Individual contributor and subject matter expert supporting the day to day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and applicable federal and state regulations. Provides regulatory guidance, research and analysis, issue tracking, …
A combined Project Coordinator / Accounts Payable Specialist role providing administrative and financial support across multiple client facing projects, including purchase order and invoice processing and project financial tracking. Responsibilities Review and update purchase or…
A combined Project Coordinator / Accounts Payable Specialist role providing administrative and financial support across multiple client facing projects. The role coordinates project activities, maintains documentation, processes subcontractor and vendor invoices, and supports ac…
Contractor role engaging Senior Property Damage and Restoration Experts to contribute domain expertise to a customer's project on property loss evaluation and restoration process optimization, helping train next generation AI systems. Responsibilities Review and analyze property…
Performs concurrent reviews of member care, determining overall health, medical necessity, and appropriate level and setting of care, and contributing to discharge planning according to care policies and guidelines. Assists in evaluating inpatient services to validate the necess…
Product manager role owning product areas within BJAK's AI Investing, focused on building and launching financial products for users in the Netherlands. The role involves defining product direction, working with engineering and design, and iterating after launch. Responsibilitie…
Product Owner Technical role owning product areas within BJAK's AI Neobank, defining product direction and working with engineering and design to launch and improve financial products. Responsibilities Own product areas across insurance, payments, savings, investing, travel or o…
Serves as the functional liaison between the Intake team and operations teams, supporting Medicare and Star Ratings related business initiatives. Reviews project scope, supports business needs through the delivery cycle, and manages production and/or system change requests for m…
The Quality Specialist II oversees Premera's compliance with corporate audit programs such as BCBSA Member Touchpoint Measures, Licensee Desk Level Audit and the Federal Employee Program audit, and performs daily examination and verification of transactions like claims processin…
Product Owner Technical role at BJAK owning product areas within AI Finance, covering insurance, payments, savings, investing, travel and other financial services. The role is for builders who understand users, define product direction, work with engineering and design, launch f…
The Senior Business Intelligence & Data Architect serves as the authoritative technical expert for the State's enterprise grants business intelligence ecosystem, managing end to end data architecture and reporting strategy for the statewide grants management SaaS platform. The r…
Brand Designer at Thatch responsible for shaping and evolving the company's visual identity and developing creative concepts across web, campaigns, events, and print. The role sits within a small, collaborative design team focused on making healthcare feel simple. Responsibiliti…
