Supporting contracting and unit cost management through financial modeling Predicts emerging customer needs and develops innovative solutions to meet them Solves unique and complex problems with broad impact on the business Participates in the development of business strategy Develops and manages business plans to achieve objectives Leads large, complex projects to achiev

Assist in efforts to enhance ease of use of physician portal and future services enhancements Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers Help implement training and development of external providers through education programs Identify gaps in network composition and

Support and validate provider network contracting and unit cost management Conduct financial and network pricing modeling, analysis and reporting Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies Provide analytical support for value based contracts, unit cost budgets, target setting, perfor

Read & understand State RFPs to Identify new innovative solutions and opportunities for Non standard IT requirements while managing capabilities across domains and products of Medicaid programs under the C&S Growth Portfolio Delivery of big rock capabilities for Medicaid implementation programs while being fiscally responsible and working across product platforms and part

Monitor the environment health, and drive improvements to enhance availability and performance Utilize solid technical aptitude on a daily basis with experience in Oracle / SQL Databases, UNIX / Linux Operating systems, Service Based Architecture, Monitoring Manage Critical incident call support (24x7) Drive technical team members to restore services in a expedited manner

of Job Successful support of Operations Business by utilizing both internal staff and partners to execute work based on MBO goals Empower Operations team through data, provide oversight and development strategy, to Build and maintain balanced strategy models to provide Operations with data driven recommendations Create and communicating strategic plans, risks, and recommen

Identify potential health care business customers Develop business relationships with agents and/or brokers to increase sales Promote sales of health care and ancillary products to Mid Market Employers (2 99 EE) through brokers. This includes educating and keeping brokers up to date on products and pricing, evaluating, and discussing with brokers, developing recommendatio

Serve as primary care manager for high medical risks / needs members with comorbid behavioral health needs Engage members face to face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs Develop and implement individualized, person centered care plans inclusiv

Working closely with our business partners, Architects, System Analysts translating requirements and technical specifications to application design and code for new or enhancement projects Develops highly scalable applications by developing code and test artifacts that reuse subroutines or objects, is well structured, backed by automated tests, including sufficient commen

Management Manage and monitor producer and client assignments Training of sales staff, new hire and ongoing Maintain an acceptable office close ratio per management direction Maintain an acceptable level of persistency in overall book of business Recruit, hire and monitor sales staff Personnel development and management Manage the budget Set office strategy to achieve goa

Full stack development using SQL, .Net Framework, and other components, unit and integration testing, mock data generation Develop ETL processes using Microsoft SQL Server Integration Services (SSIS) Build fully functional, innovative solutions while integrating reconciliation and control processes Drive broader adoption of data visualization tools Continued improvement a

Participate in a 10 week internship program that builds a solid understanding of the healthcare industry and the consumer journey Enhance the consumer experience by working as an analyst on consumer centric projects within the business, including activities such as Analysis of consumer processes Audits of inbound calls Voice of Customer work Gathering and documenting find

Analyze, review, forecast and trend complex data, reviewing the analysis and interpretation of others' work Develop and implement effective/strategic business solutions through research and analysis of data and business processes Support short and long term operational/strategic business activities through analysis Reviews the work of others Develops innovative approaches

Provide subject matter expertise on analytics strategy including digital marketing, web analytics, marketing engagement and sales attribution Perform complex and conceptual analysis to conduct periodic, comprehensive business reviews on marketing performance with senior leadership Serve as a key resource on complex issues and partner with stakeholders and marketers to ens

Meet or exceed annual sales revenue and profitability goals Build and maintain distribution channel relationships Pipeline development, management, and prioritization Manage RFPs inclusive of proposal development, finalist meetings and transition to implementation and client management Successfully follow up leads, write proposals, and initiate client contact and contact