Curana Health

Risk

• Assist in the daily activities of the Curana’s risk management program
• Support event reporting, investigations, data tracking, and risk initiatives
• Promote a culture of safety and continuous improvement
• Support claims management activities, including documentation, communication with insurers, and coordination with legal counsel
• Investigate and collect data related to incidents, claims, and other risk concerns
• Collaborate with other departments and clinicians in renewing insurance, identifying coverage gaps, and responding to policy information requests
• Assist with the development and review of policies and procedures related to patient safety, risk reduction, and regulatory compliance

Risk Management Coordinator

Recruitment

• Manage end-to-end recruitment for all Corporate roles across the enterprise
• Own high-volume priority requisitions requiring focused sourcing and elevated candidate quality
• Triage and manage active applications with a structured prioritization framework
• Ensure every candidate receives a timely, professional, and branded experience
• Function as a true talent consultant to your hiring manager clients
• Partner with managers to define ideal candidate profiles, realistic expectations, and competitive positioning
• Challenge job descriptions, level-set timelines, and provide market intelligence that drives smarter decisions
• Hold hiring teams accountable to timely feedback and structured interview processes
• Proactively communicate pipeline status, market conditions, and recommended pivots
• Go beyond the applicant pool — build pipelines of high-quality passive candidates for hard-to-fill roles
• Leverage SeekOut, direct outreach, referral programs, and professional communities
• Develop ongoing talent networks in key Corporate disciplines to support both current and future hiring needs
• Build scalable sourcing, screening, and pipeline management processes for corporate functions
• Maintain accurate and timely data in the ATS (applicant tracking system)
• Report on key metrics including time-to-fill, pipeline health, source effectiveness, and offer acceptance rates
• Identify and surface process gaps; propose and implement solutions

Corporate Recruiter

Human Resources

• Act as a trusted go-to HR resource for employee relations matters, navigating policy interpretation, mediating workplace disputes, and driving performance improvement conversations.
• Own the intake, documentation, and hands-on management of employee relations cases from the initial report to final resolution—ensuring prompt follow-through, strategic escalation, and impeccable records every step of the way.
• Lead fact-finding efforts and actively participate in investigations of employee complaints, policy breaches, and workplace concerns.
• Craft concise, objective investigation summaries, articulate findings and clear recommendations, and maintain thorough supporting documentation.
• Collaborate closely with managers, equipping them with actionable guidance and recommendations for corrective actions.
• Identify patterns and recurring themes in employee relations cases to proactively mitigate risks and drive continuous improvement.

Employee Relations Specialist

Data Engineer

• Assist in building and maintaining ETL/ELT pipelines for healthcare datasets including claims, eligibility, provider, risk adjustment, HEDIS, EHR, and clinical data
• Support the development of data models and data transformations aligned with healthcare standards (e.g., HL7, FHIR, X12)
• Contribute to data quality checks, validation rules, and documentation for healthcare data assets
• Work with analysts and business users to understand data requirements and translate them into technical tasks
• Assist in ingestion and integration of new data sources from EMR systems, CMS feeds, and vendor partners
• Develop SQL queries, transformations, functions, and stored procedures to support reporting and analytics workflows
• Support data platform tools such as Azure Data Factory, Databricks, Python/Spark jobs, and version control workflows
• Participate in issue resolution related to data pipeline failures or data quality errors
• Maintain data dictionaries, mapping files, and documentation as part of data governance processes
• Collaborate with senior engineers to implement best practices in security, compliance (HIPAA), and architecture

Manager

• Executes on strategies and goals set by the Align Senior Care Board of Directors, the Senior Leadership Team, and Executive Director for managing and improving overall Member experience.
• Contacts Plan members to conduct a comprehensive health assessment of the individual, develop a plan of care, and participate in the facilities interdisciplinary care team meeting.
• Serves as health coach to educate the member, the family and/or caregiver, about disease status and treatment, plan benefits, community resources, and resource options.
• Collaborates with members of the interdisciplinary care team and medical director(s) to facilitate appropriate treatment for members.
• Routinely follows up with member as scheduled to assess progress towards goals.
• Communicates with the member and/or caregiver to assist with the development of health goals and identify interventions to achieve these goals.
• Provide patient-centered intervention, such as making and verifying appointments, performing medication and care compliance initiatives.
• Acts as front-line support with Members and their RP/POAs to ensure the needs of the Member are met.
• Serves as a connection point among Members, their Communities, their Care Team, and Align Senior Care internal departments.
• Regularly engages Align Senior Care Members and RP/POAs in-person or by phone to provide education and assistance with utilizing Align Senior Care benefits.

Case Manager – RN, LPN, Social Worker

Analyst

• Design, build, and maintain sophisticated predictive models using Python, SQL and AI Foundry
• Apply machine learning techniques (e.g., gradient boosting, random forests, time-series modeling) to forecast outcomes and support proactive clinical interventions.
• Validate, monitor, and refine predictive models for performance and reliability.
• Conduct detailed analyses of utilization, cost patterns, quality outcomes, and value‑based care program performance.
• Evaluate the impact of clinical programs, pilots, and interventions using rigorous statistical methods.
• Deliver insights that improve total cost of care, reduce avoidable utilization, and enhance patient outcomes.
• Develop and optimize analytical datasets using SQL and Python.
• Build clean, user-friendly Power BI dashboards to communicate insights to market leadership, clinicians, and executives.
• Ensure consistent data standards, documentation, and governance.
• Use AI Foundry and other platforms to automate reporting, enhance data pipelines, and accelerate decision‑making.
• Prototype AI-driven solutions that scale predictive intelligence across the organization.
• Partner with clinical, operational, and finance teams to translate analytical findings into actionable strategies.
• Identify gaps, risks, and opportunities—then help design data‑driven solutions to improve outcomes and operational performance.
• Present insights in a clear, compelling manner tailored to diverse audiences.

Senior Analyst, Healthcare Economics

• Take ownership of foundational data and further development of SQL server.
• Engage and assist Project Managers during development activities while ensuring foundational data compliments the system blueprint and defined standard development practices.
• Work and coordinate with Project Managers and Department Directors to align requirements and solutions across the platform.
• Identify and analyze project and technical risks & impacts; define alternatives & prioritizations to remove roadblocks
• Assist with product assessments including fit/gap analysis, building PoCs and providing recommendations on data architecture/tool, etc.
• Drive system and tool optimization activities by reviewing current processes and implementing change when necessary.
• Build interactive dashboards and reports in Power BI that provide insights that can be easily interpreted and applied by business leaders to help improve their performance

Business Intelligence Analyst

Call Center Representative

• Handle inbound calls, chats, emails, and faxes from healthcare providers
• Document each interaction thoroughly, research issues as needed, and ensure prompt, accurate follow-up
• Guide providers through processes like checking authorization status, submitting claims, or navigating our provider portal
• Use empathy, critical thinking, and attention to detail to ensure providers get the answers they need

Shared Services Contact Center Specialist – Part Time

• Executes on strategies and goals set by the Align Senior Care Board of Directors, the Senior Leadership Team, and Executive Director for managing and improving overall Member experience.
• Contacts Plan members to conduct a comprehensive health assessment of the individual, develop a plan of care, and participate in the facilities interdisciplinary care team meeting.
• Serves as health coach to educate the member, the family and/or caregiver, about disease status and treatment, plan benefits, community resources, and resource options.
• Collaborates with members of the interdisciplinary care team and medical director(s) to facilitate appropriate treatment for members.
• Routinely follows up with member as scheduled to assess progress towards goals.
• Communicates with the member and/or caregiver to assist with the development of health goals and identify interventions to achieve these goals.
• Provide patient-centered intervention, such as making and verifying appointments, performing medication and care compliance initiatives.
• Acts as front-line support with Members and their RP/POAs to ensure the needs of the Member are met.
• Serves as a connection point among Members, their Communities, their Care Team, and Align Senior Care internal departments.
• Regularly engages Align Senior Care Members and RP/POAs in-person or by phone to provide education and assistance with utilizing Align Senior Care benefits.
• Including but not limited to. checking on upcoming specialist appointments, connecting members to supplemental benefits and providers, identifying immediate Member needs, and answering any questions the Member or RP/POA may have.
• Communicates Member health updates from Care Team to RP/POAs.
• Coordinates with the Care Team for non-urgent health or clinical questions.
• Works directly with internal departments to solve Member Grievances, Utilization Management, and Billing related issues.
• Updates Member and RP/POA contact information such as changes of address, email, or phone numbers.
• Actively supports Account Manager in identifying and securing contracts with "preferred" Providers.
• Assists Members, RP/POAs, and Partner Communities with locating in-network providers and scheduling/facilitation of appointments.
• Assists with (on request of member or APP) coordination of home health and therapy visits, ordering of Durable Medical Equipment, and utilization of supplemental benefits for Members.
• Monitors and, if needed, facilitates care team meetings with facility team, member, responsible partie(s) and the APP/clinical team.
• Ensures documentation of care team meetings and transmits to Plan.
• Monitors care plan updates, facilitates APP and PCP input into care plan, and distributes care plan as needed to care team members.
• Monitors midnight reports/community census to help identify member transitions to hospital or other care levels.

Case Manager, RN, LPN, Social Worker

• Develop comprehensive cross-functional integration plans for acquired businesses and lead post-deal planning.
• Drive the back-end execution of M&A transactions to full integration including integration due diligence, strategy, planning and execution and partner closely with the M&A, business and functional leaders to create value from M&A. Meet or exceed operational targets in terms of timing and retention.
• Collaborate effectively with internal stakeholders, including executive leadership, legal, finance, HR operations, and other relevant teams, to ensure alignment and execution of integration activities.
• Continue to improve the company's M&A integration approach in alignment with overall business objectives and the evolution of our operations.
• Drive change management approach and build communications infrastructure to efficiently and consistently manage employee experience through integrations.