Transform product development by leading cross-functional teams to deliver innovative solutions for the Ambetter marketplace, ensuring competitive positioning and regulatory compliance while driving growth and retention strategies.

Manage complex HEDIS audit workstreams and ensure compliance with regulations. Provide expert guidance on audit readiness, interpret regulatory requirements, and develop controls to support accurate submissions while driving continuous improvement initiatives.

Drive quality care management by leading a dedicated team, ensuring compliance, and enhancing member experiences through effective supervision and support. Engage in hands-on case management while fostering team development and collaboration.

Oversee provider network strategy and contracting activities, driving growth and operational excellence. Lead negotiations, evaluate costs, and support market expansion initiatives while ensuring alignment with company objectives.

Join a team that's dedicated to enhancing medical management and quality improvement. Collaborate with clinical teams to optimize patient care, support performance initiatives, and drive effective utilization management strategies.