Drive strategic health care fraud investigations, manage a skilled team, and collaborate with compliance and legal departments to enhance operational integrity and regulatory adherence while leading anti-fraud initiatives effectively.
Elevate operational excellence by identifying and architecting enterprise-level optimization opportunities. Collaborate with leaders across the organization to translate strategy into impactful initiatives that drive measurable business value.
Transform member health outcomes through care coordination and support, engaging in telephonic and field-based assessments to address individual health needs, while driving collaboration with clinical teams and community resources.
Transform the care experience by providing telephonic and field-based health coordination, engaging members in goal discussions, conducting assessments, and collaborating with clinical operations to improve health outcomes for diverse populations.
Lead the charge in utilizing advanced actuarial methods to evaluate and guide key business decisions while managing complex analyses with autonomy, proficiency in statistics and financial theory is essential.