Role Overview: The Market Executive Projects Manager plays a critical role in driving strategic initiatives that enhance operational efficiency, strengthen regulatory compliance, and support overall organizational performance. This role lea...
Role Overview: The Director of Network Adequacy leads the strategic integration and utilization of provider network adequacy, availability, and access data to drive network optimization and improvement. Oversee a team responsible for delive...
Role Overview: The National Provider Contracting Director is responsible for leading the evaluation, negotiation, and management of contracts with national providers across existing and emerging markets. This leader will apply a disciplined...
Role Overview: We’re seeking a detail-oriented and relationship-driven Account Executive I to manage and support our network of contracted healthcare providers. In this role, you’ll build and maintain strong partnerships, conduct provider o...
Role Overview: The Corporate Provider Network Management Account Executive plays a critical role in developing high-performing provider networks that meet state and Centers for Medicare & Medicaid Services (CMS) requirements for new and exp...
Role Overview: The Finance Director oversees all accounting and financial operations for the health plan or line of business, including audit coordination, financial planning, reporting, and budget management. This role ensures the integrit...
TITLE: Developer Programmer Lead (Job ID 433318) LOCATION: Newtown Square, PA (remote work option 100% of the time) DUTIES: Analyze, design, develop, test, and implement cost-effective software solutions and applications using MS SQL ...
TITLE: Application Architect (Job ID 434013) LOCATION: Newtown Square, PA (remote work option 100% of the time) DUTIES: Develop, configure, code and test programs from specifications using SQL/SQL Server, .Net, and SSIS technologies. ...
Role Overview: The Vice President of Plan Operations & Administration leads operational strategy and execution for the Michigan Blue Cross Complete Medicaid plan. Acting as the primary partner to the Market President, this role ensures alig...
Role Overview Under the general supervision of the Director of Regulatory Reporting, the Regulatory Reporting Business Specialist is responsible for ensuring that all state reporting requirements are identified and interpreted and a busin...