Alight Solutions

Clinical Operations

• Acting as the lead clinical expert for leave and disability case management, ensuring accurate claim decisions and effective return-to-work plans
• Providing expert clinical consultation on complex, high risk, or escalated claims
• Overseeing clinical quality programs, including audits, peer reviews, nurse over reads, and retrospective reviews to ensure consistency and best practices
• Leading and facilitating regular clinical roundtables to guide case strategy, functional capacity assessment, and care planning
• Managing and evaluating physician consultants and senior clinical staff (RNs)
• Overseeing recruitment, credentialing, performance, and quality of physician reviewers, IME providers, and peer review vendors
• Reviewing peer review productivity, quality, and compensation for appropriateness
• Leading clinical credentialing meetings and ensure adherence to licensure and certification requirements
• Designing and delivering ongoing clinical training for case managers, nurses, and physician consultants
• Providing guidance and training for sensitive situations, including threats to self or others
• Overseeing development of clinical content, including LOA guides, disability reference materials, attending physician forms, and onboarding curricula
• Leading continuing medical education initiatives and external clinical lecture programs
• Supporting client relationship management through participation in quarterly and annual reviews
• Providing clinical expertise during finalist meetings, RFPs, and sales presentations
• Developing and presenting materials that articulate the clinical model, peer review approach, and value proposition
• Performing targeted clinical data analysis to help clients understand trends, outcomes, and opportunities for improvement
• Providing clinical input into technology platforms, diagnostic coding, vendor integrations, and clinical thought design
• Designing and reviewing reports, metrics, and analytics demonstrating clinical outcomes, ROI, productivity, and quality

Vice President – Clinical Operations

Full-stack Engineer

• The Engineer will be primarily responsible for ensuring timely execution of assigned client deliverables and successfully unit tests requirements
• Work with the team to clarify and improve the design as required
• Build the code of high-priority and complex systems according to the technical specifications, detailed design, maintainability, and coding and efficiency standards
• Write and execute the unit test cases and test each piece to verify the basic functionality before comprehensive testing
• Debug and resolve any project, code, or interface-level problems
• Create documentation for the code as per defined standards and processes
• Adhere to the project and support processes

IT Software Engineer I – T2

Product Manager

• Collaborating with Product Leadership to align product strategy, roadmap priorities, and execution objectives
• Translating strategic initiatives into detailed user stories with clear acceptance criteria for development teams
• Maintaining and prioritizing the product backlog to align with business goals and stakeholder feedback
• Participating in Agile ceremonies, including sprint planning, backlog refinement, and retrospectives, to support team delivery
• Clarifying business rules, workflows, and edge cases to ensure high-quality product development
• Partnering with QA teams to ensure test cases align with requirements and validate acceptance criteria
• Facilitating communication between technical and non-technical teams to ensure shared understanding of goals and requirements
• Supporting enhancements to healthcare navigation solutions by integrating digital tools with human-supported services
• Tracking sprint progress, delivery outcomes, and incorporating user feedback into backlog updates
• Contributing to continuous improvement efforts within Agile processes and team workflows

Senior Product Owner – Healthcare Navigation

Customer Support

• Serving as the senior Customer Care contact and escalation point for assigned clients.
• Building trusted advisor relationships with client executives and internal senior leaders.
• Influencing client decisions by leveraging data insights, best practices, and industry expertise.
• Leading Customer Care delivery to ensure service quality, consistency, and client satisfaction.
• Overseeing delivery models to support scalability, operational efficiency, and performance goals.
• Partnering with operations, domain leaders, and cross-functional teams to resolve complex delivery challenges.
• Driving execution of Customer Care strategy at the client and portfolio level.
• Identifying, leading, and implementing continuous improvement initiatives to enhance customer experience and business performance.
• Mentoring and coaching senior managers and client leaders, serving as a role model within Customer Care.
• Influencing enterprise initiatives and cross-functional priorities without direct authority.
• Leading resolution of complex client issues, using good judgment and multiple data sources.
• Anticipating risks and proactively drive change aligned with organizational priorities.

Customer Care Client Leader

Communications

• utilizing communication, change management, and consulting expertise to manage client relationships and lead communication projects.
• planning the development of effective multi-media communication and change management campaigns.
• managing large, complex client projects and relationships.
• consulting with select clients at the senior HR level.
• staying current with communication trends and demonstrating fluency with delivery channels.
• creating and nurturing successful client relationships.
• mentoring and coaching junior consultants.

Senior Communications Consultant

Financial Planning and Analysis

• Serve as a strategic finance partner to senior leadership, translating financial performance into actionable business decisions
• Lead analysis across actuals, budget, forecast, and prior year, delivering clear executive insights on key drivers, trends, and risks
• Leverage advanced analytics and AI-enabled tools to enhance forecasting, identify risks, and support pro-active decision-making
• Prepare and present materials for senior and executive forums, articulating financial implications, trade-offs, and recommendations
• Lead Benefits FP&A planning processes, including long-range planning, budgeting, forecasting, and scenario modeling
• Champion automation and FP&A process transformation to improve efficiency, consistency, data quality, and insight velocity
• Lead, develop, and mentor a team of analysts, fostering a culture of continuous improvement and automation-first thinking
• Drive complex ad hoc and strategic analyses in support of enterprise initiatives

Vice President – Clinical Operations

IT Software Engineer I – T2

Senior Product Owner – Healthcare Navigation

Customer Care Client Leader

Senior Communications Consultant

Senior Finance Manager – Benefits FP&A