The Director of RADV Programs oversees risk exposure modeling and audit forecasting, ensuring data integrity and supporting executive decision-making with accurate risk metrics while leading a data science team.

The Scheduling Specialist provides outreach and support to ensure members access clinical programs, assists in scheduling, and excels in customer service.

The Director of RADV Audit Operations manages RADV audit processes, ensures compliance with CMS standards, and leads teams to improve coding accuracy and audit strategies.

The Data Scientist will enhance risk score accuracy, build AI tools for clinical documentation, and develop predictive models. Responsibilities include collaborating with business leaders, creating customer segmentation models, and utilizing NLP and machine learning techniques to improve healthcare outcomes.

The Manager, Utilization Management oversees inpatient and pre-service operations, ensuring compliance with standards, driving efficiency, and leading a team of supervisors to improve operations.

The role oversees the enterprise BI vision, delivers scalable BI solutions, aligns initiatives with goals, and drives data-driven decision-making.