Join a forward-thinking team to design and implement AI and ML solutions that enhance healthcare outcomes and business efficiency. Lead complex projects, mentor peers, and collaborate across departments to drive innovation.
Drive enterprise data integration, architecture, and standards by collaborating with stakeholders to develop solutions that enhance business operations and ensure streamlined integration across systems and applications.
Champion operational excellence in claims administration, ensuring compliance and accuracy while leading a high-performing team. Drive process improvements and strategic initiatives to align claims processing with organizational goals.
Drive clinical improvement initiatives to enhance Stars performance for D-SNP and Covered California. Collaborate cross-functionally, manage teams, and ensure compliance while fostering excellence in member outcomes and operational efficiency.
Lead a dynamic team in optimizing claims adjustments, ensuring compliance and operational efficiency while managing complex disputes and high-stakes reviews. Collaborate with executive management to drive strategic goals and enhance service delivery.