The Senior Director, Compliance manages a compliance program, overseeing vendor compliance and ensuring regulatory adherence across all organizations.

Responsible for supporting PACE centers through process improvement, data analysis, and enhancing clinical care services to meet regulatory standards.

The Associate Business Operations Specialist supports project goals in healthcare, monitors progress, collaborates with stakeholders, and ensures project execution.

The Business Operations Coordinator supports leadership with projects by managing plans and coordinating team activities, along with administrative tasks.

The Case Management Coordinator II gathers information for care planning and manages complex issues within an interdisciplinary team in healthcare settings.

The Claims Operations Coordinator provides administrative support to the Claims Department, including clerical duties, mail room support, and assistance at the Front Reception.

Lead and provide guidance to Customer Support Center Representatives, handle escalations, and facilitate meetings and training within a healthcare setting.

The EDI Data Coordinator manages electronic claim data processes, evaluates claim rejects, corrects errors, and develops reports for the department.

The Provider Disputes Claims Examiner analyzes and adjudicates medical claims, resolves payment issues, identifies root causes, and collaborates with departments to address claims issues.

The role involves providing administrative and clerical support for the Claims Department, including mail handling and general office duties.

The Claims Manager oversees daily operations of the Claims Department, ensuring reporting accuracy and performance consistency across sub-units.

The Utilization Management Coordinator I supports the Medical Management department with outpatient/inpatient referral processing, ensuring compliance with guidelines and troubleshooting issues.

The Referrals Supervisor manages referral staff, ensures compliance with timelines, oversees data entry for authorization requests, and serves as a liaison with health plans.

The Operations Director oversees daily operations, optimizes efficiencies, manages budgets, and develops health care programs while supporting strategic objectives.

The EDI Analyst is responsible for generating EDI encounter files, ensuring compliance with Health Plan guidelines, and participating in health plan meetings as an SME.

The Case Management Coordinator II is responsible for gathering information for care planning, facilitating interdisciplinary meetings, and troubleshooting complex issues.

The PACE Social Work Supervisor oversees social work staff, ensuring effective care planning and compliance with regulations while promoting team collaboration.

The Business Operations Specialist manages strategic initiatives, develops project plans, and collaborates with stakeholders to enhance operational efficiency and patient outcomes.

The Senior Data Analytics Developer will manage reporting architecture, deliver BI solutions, and enhance data needs for business decision-making.

The Manager, IT Support will oversee IT projects, enhance infrastructure, engage IT staff, and optimize resources for multiple departments.