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Position Purpose: Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging, easy-to-use products across all business units. Develop and oversee the model for ma

Position Purpose:Lead the development and execution of business development strategies that expand the company's market presence and drive growth of Individual Coverage Health Reimbursement Arrangements (ICHRAs). Build and strengthen relationships with brokers, employers, and key stakeholders; ident

Position Purpose: Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referral

Position Purpose: Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals. Key Details: Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare exper

Position Purpose: The Senior IAM Engineer designs, develops, implements, and supports enterprise Identity and Access Management solutions. This role operates as an independent technical expert and combines strong IAM engineering depth with a developer mindset. The engineer must be able to understand

Position Purpose: Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions for the business unit. Oversee the denials and appeals department. May manage other medical directors. Assume VPMA responsibility in absence of VPMA. Key Details: Serve as Clinical E

Position Purpose: Lead the development, implementation, and ongoing optimization of Medicaid benefit programs and supporting vendor solutions throughout the product life cycle. Partner with regional Medicaid markets to translate member needs, regulatory requirements, and market priorities into diffe

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Establi

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Establi

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Establi

Position Purpose: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistan

Position Purpose: The Strategy & Planning Manager – California Market serves as staff support primarily for the Population Health and Clinical Operations Executive of the California market. This position plays a key role by providing strategic, operational and administrative support to enable a prod

Position Purpose: Assist in the planning, implementation and evaluation of the state wide marketing & communication programs Key Details: For this role we are seeking candidates who reside within 45 minutes of Indianapolis, IN. Conduct member outreach and education programs including coordination an

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through hom

Position Purpose: Oversee the development and implementation of contracting activities in network development and enhancement. Key Details: The Senior Director, Network Development & Contracting is responsible for providing strategic leadership, direction, and oversight of provider contracting, netw

Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for Sunshine State Health Plan departments supporting members and providers. Key Details: The Senior Trainer role is primarily remote with 25% travel expectation throughout the state of Flor

Position Purpose: Leads an Analytics Engineering team in designing, building, and optimizing scalable, analytics-ready data models and solutions. Bridges business needs with technical execution, ensuring the delivery of high-quality, certified datasets that support enterprise-wide decision-making an

Position Purpose: A key executive role responsible for leading and managing billing and enrollment processes across multiple regions. this position ensures operational efficiency, accuracy, and compliance with healthcare regulations, which driving strategic initiatives and fostering a culture of exc

Position Purpose: Direct and oversee all training activities, including training assessment and evaluation, material development, and training facilitation. Partner with subject matter experts to develop relevant training programs that may utilize different instructional practices. Lead the developm

Position Purpose: Oversight of the Gold Card Program ensuring effective performance and communication of strategic priorities and outcomes with stakeholders. Responsibilities: Develop and execute the strategic vision for a National Gold Card Program. Identify opportunities to simplify provider inter