Avēsis

Customer Success Manager

• Answer 40-60 inbound calls, responding to inquiries ranging from routine to moderate complexity.
• Capture member information accurately and update systems with complete and concise data.
• Ensure flexibility, stay organized, and comply with constantly changing programs and business rules.
• Investigate issues that cannot be resolved at the time of initial call.
• Collaborate with internal teams to research and follow up with the Member until a resolution occurs.
• Comfortable working in the healthcare field, with an acute awareness for privacy, confidentiality, HIPAA requirements and professionalism.
• Ability to determine proper issue escalation, joining forces with other internal departments for answers, therefore closing the loop and providing a solution for the Member.

Customer Engagement Specialist

Bookkeeper

• Provide daily administrative and operational support to the Account Management team, with a strong focus on vision retiree clients.
• Assist in managing Key accounts alongside senior account managers.
• Pull ID cards, plan documents, and group/member bills on request.
• Complete Broker of Record (BOR) forms, change requests, and other documentation using Smartsheet and internal systems.
• Monitor incoming service requests and ensure timely follow-up and resolution.
• Help maintain account records, contact information, and task tracking across platforms.
• Support project work as needed, such as open enrollment prep, reporting pulls, or group onboarding checklists.
• Proactively identify administrative bottlenecks and work with the team to streamline processes.
• Ensure timely and accurate entry of internal service tickets for billing, claims and eligibility support.
• Maintain and organize client documentation, including meeting prep materials and administrative forms.
• Monitor shared team inboxes and triage requests appropriately to prevent missed deadlines, dropped follow-ups or service delays.
• Track open items and follow up with internal departments to ensure client issues are resolved within expected timelines.

Core Accounts Coordinator

DevOps Engineer

• Leading the design, deployment and optimization of cloud-based IT infrastructure and Azure CI/CD pipelines in support of our business applications.
• Collaborating with IT and leadership to ensure that IT Infrastructure aligns with strategic goals and regulatory requirements.
• Designing, deploying, and managing cloud-based infrastructure via Azure CI/CD pipelines across both Microsoft Azure and Amazon Web Services (AWS).
• Supporting applications teams to ensure seamless delivery of cloud-based services.
• Implementing Infrastructure as Code (IaC) best practices for scalable and secure deployments.
• Monitoring and maintaining cloud networking, including VNETs, VPNs and API workloads.
• Collaborating with application and operations teams to support deployments and troubleshoot issues.
• Participating and/or providing operational support for critical services.

IT Cloud DevOps Engineer

Customer Support

• Oversee operation teams of up to 20 Customer Service Representatives and one Team Lead.
• Provide regular monthly one-on-one and ad hoc coaching with a focus on excellence in Customer Service.
• Ensure consistent growth and development of all employees.
• Monitor call flow and performance metrics to ensure service level agreements are met.
• Conduct regular quality assurance evaluations to assess call quality and compliance with policies.
• Analyze trends and identify areas for operational improvement.
• Promote a customer-centric approach within the team to enhance member satisfaction.

Bilingual Customer Service Supervisor

Compliance

• Oversee and enhance the company’s compliance program to ensure adherence with federal and state regulations, accreditation standards, and client contractual relationships.
• Lead the planning and execution of client and regulatory audits, manage audit responses, and ensure corrective actions are tracked to completion.
• Serve as the primary liaison for all client, regulatory, and accreditation audits (e.g., CMS, state Medicaid agencies, dental or vision plan clients).
• Oversee the coordination, preparation, and timely submission of audit deliverables and lead on-site or virtual audit activities.
• Track and monitor audit findings, corrective action plans (CAPs), and deadlines to resolution; collect and maintain documentation and evidence supporting completion of CAPs.
• Partner with internal stakeholders (claims, provider relations, operations, IT, etc.) to proactively identify and mitigate compliance risks.
• Investigate potential compliance violations, including internal complaints or regulatory inquiries, and represent the company in interactions with regulatory agencies.
• Lead corrections-focused compliance initiatives, provide direction, and mentor compliance team members.

Compliance Director

Data Engineer

The Data Engineer contributes to design, implementation, and maintenance enterprise database systems that support large-scale business operations.
The team drives innovation, ensures compliance, and maintains high availability of critical data assets.
Contributes the strategic management of reporting database environments, ensuring their scalability, security, and efficiency.
Mentor junior staff, drive database architecture decisions, and lead complex database initiatives.
Architect and implement enterprise-level database solutions to meet organizational goals.
Oversee the scalability, performance, and security of the reporting database environments.
Lead complex migration projects, including upgrades and cloud integrations.
Establish and enforce database governance policies and best practices.
Build data pipelines for data ingestion, processing, and transformation in SSIS.
Work together with data scientists and analysts to understand the needs for data and create effective data workflows.
Create data flow solutions including Azure Synapse, Azure Data Lake, and Azure Blob Storage.
Conduct regular capacity planning and performance reviews.

Customer Engagement Specialist

Core Accounts Coordinator

IT Cloud DevOps Engineer

Bilingual Customer Service Supervisor

Compliance Director

Senior Data Engineer