E-Verify Program

Actuary

• Performs actuarial research, experience studies, and statistical analyses and calculations using Excel, SQL, and SAS.
• Calculates premiums, risk scores, and reserves of new and existing plans of insurance.
• Provides support to senior analysts or actuaries as required.
• Retrieves and validates data for actuarial models.
• Builds model enhancements and determines reasons for changes to calculated factors.
• Analyzes impacts of changes to product lines and segments.
• Communicates filing status to internal stakeholders and transmits rate filings to regulatory agencies (NCDOI, CMS).
• Distributes established reports and responds to inquiries.
• Investigates trends and anomalies.
• Provides analytic support for corporate and departmental projects.

Actuarial Associate – Medicare Pricing

Administrative Assistant

• Perform administrative duties for one or more departments or units and provide various office support activities
• Support three separate leaders: 1) VP, Brand & Creative, 2) VP, Demand Generation, 3) VP, Strategy, Planning, Performance
• Support the leaders and department staff by scheduling, planning, and attending meetings as needed; provide administrative support including expense reporting and travel planning
• Act as a coordinator for departmental projects, following up on pending details, coordinating project activities, and ensuring deadlines are met
• Exercise considerable discretion and independent judgment while analyzing complex information requests and identifying trends or patterns
• Maintain and update distribution lists and organizational charts
• Coordinate departmental activities and events
• Coordinate departmental moves and serve as a liaison with IT for services, equipment, and system upgrades
• Assemble, analyze, and summarize information to support decision-making; prepare presentations, reports, summaries, and responses to inquiries using multiple information sources under general direction
• Support departmental budget processes, including running reports, basic budget analysis, and budget entries as needed

Senior Administrative Assistant, Specialist

Procurement

• Establish sourcing strategies for an assigned category(ies) in conjunction with internal stakeholders and their associated business strategy.
• Conduct sourcing events, including development of project work plan, category profile, category strategy, minimum requirements and evaluation criteria, solicitation.
• Develop and implement assorted bid documents and requests (i.e. RFP, RFI, RFQ); and manage status reporting and performance metrics of sourcing and category management activities.
• Understand, analyze and forecast complex market and industry dynamics and share subject matter expertise and industry knowledge within the established portfolio of products and services.
• Partner with stakeholders to source products and services using proven tools, processes, and analytics to drive and achieve business results.
• Evaluate analyses of sourcing results from a total cost of ownership perspective and provide optimization recommendations.
• Participate in cross-functional teams responsible for complex vendor negotiations, including those that require specialized subject matter expertise, nonstandard risk mitigation solutions, and coordination of multiple arrangements.
• Review and lead supplier relationship management and performance within an assigned category.
• Proactively establish and foster successful, positive working relationships with vendor personnel.
• Drive vendor engagement through formal and informal transactions.
• Engage stakeholders to implement and execute vendor relationship management plan.
• Coordinate and host vendor business reviews.
• Develop, track and manage yearly vendor plans for assigned vendors within the assigned category(ies) and ensure vendor compliance.
• Coordinate vendor risk assessments and develop plans to track and address significant risks.
• Serve as an escalation point for the business in resolving vendor performance issues.
• Manage contracts and collaborate effectively with Corporate Compliance, Legal, Audit and Risk Management and other internal stakeholders for compliance activities to ensure regulatory conditions are met.
• Research, analyze and provide data driven recommendations regarding compliance or audit level issue resolution and remediation.
• Facilitate and monitor vendor implementation of relevant corrective action plans.
• Develop new procedures, training, initiatives, specifications and recommendations for process or policy changes and improvements, as appropriate.

Senior Category Manager

Operations

• Lead end-to-end execution of value-based care programs, ensuring alignment between program requirements and operational delivery
• Drive execution across cross-functional teams, holding stakeholders accountable for delivery against defined timelines and objectives
• Identify and resolve operational barriers impacting program implementation and ongoing execution
• Establish and enforce operational workflows, governance, and accountability structures across programs
• Ensure operational readiness for new program implementations, contract changes, and model updates
• Oversee execution of initiatives designed to improve program delivery and provider engagement
• Partner with performance and analytics teams to translate insights into actionable operational changes
• Align operational processes with contractual requirements, measurement methodologies, and financial expectations
• Drive prioritization and sequencing of operational initiatives across enterprise stakeholders
• Serve as escalation point for complex operational issues impacting value-based care program execution
• Lead implementation of standardized processes supporting attribution, reporting inputs, and operational execution
• Provide clear updates to leadership on execution progress, risks, and mitigation actions
• Build and lead a team responsible for value-based care program operations and delivery

Director, Value Based Care Operations, Execution

Auditor

• Assist in planning and executing risk‑based audit and advisory engagements.
• Develop an understanding of payer‑specific risks, including regulatory compliance.
• Perform assigned audit procedures including walkthroughs, risk identification, and assessment.
• Support audits covering areas such as claims processing and utilization management.
• Prepare complete and accurate audit workpapers that support conclusions.
• Communicate professionally with business partners in a regulated environment.
• Assist in drafting clear, factual, and risk‑focused audit observations.
• Support tracking and validation of management action plans and corrective actions.

Business Process Auditor Associate

• Actively contributes to the success of the Actuarial Services team.
• Responsible for handling highly complex actuarial modeling.
• Leads and/or provides consultative support to assigned projects and is viewed as an expert in the field.
• Assists in Rating/Pricing Develop/Maintain rating models.
• Perform Medical Trend analysis.
• Support Administrative Expense factor development.
• Conduct Experience Studies.
• Conduct Rating Factor Studies.
• Support Rate Filing development.
• Assists in support for Financial Forecasting.
• Works with FP&A to support development of Plan forecast for assigned segments.
• Assists in support for Network Management.
• Support evaluation of financial impacts of provider contract changes.
• Assists in support for Underwriting (all segments).
• Provide ad hoc support for underwriting requests.
• Assists in support for Sales and Marketing.
• Provide support for new product development.
• Provide support for new/existing product programs.
• Responsible for maintaining continuing education requirements as set by the appropriate Actuarial governing body (i.e. Society of Actuaries).
• Is a participant in good standing in the Actuarial Development Program, if still pursuing the FSA designation.

Principal Actuary

Program Manager

• Ensure operational deliverables are met on schedule and within scope
• Identify and resolve operational issues; escalate risks when necessary and maintain a formal escalation process
• Provide program subject matter expertise to implementation teams and operational stakeholders
• Manage program changes and risks; develop mitigation and contingency plans
• Develop and execute communication plans to ensure clarity and alignment across stakeholders
• Maintain strong relationships with provider partners and vendors by fostering trust, ensuring open communication, and aligning on program changes and deliverables
• Maintain a program playbook and implement process improvements for efficiency
• Lead implementation of new programs or major program changes when required
• Track stakeholder commitments and follow up to maintain accountability
• Analyze and develop business processes to improve operational efficiency
• Monitor program performance and report KPIs, benefit realization, and engagement metrics
• Work with provider vendors to optimize performance and maximize program impact
• Represent the organization in meetings with external parties, including consultants and vendors, and manage vendor service delivery as needed
• Support contract and financial oversight, including performance guarantees, vendor invoicing, and develop/tracking budgets, operating plans, and financial forecasts
• Apply strategic thinking to balance competing priorities and align program decisions with business objectives

Senior Program Manager – Value Based Care Programs

Manager

• Serve as a team member on a multidisciplinary team, coordinating care, resources and/or services for members to achieve optimal clinical and resource outcomes.
• Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or discharge planning.
• Develop a member-centric plan tailored to members’ needs, health status, educational status and level of support needs; identify barriers to meeting goals or plan of care
• Utilize community resources and funding sources as needed in the development of the plan of care.
• Perform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation, assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member acuity.
• Evaluate and facilitate care provided to members through the continuum of care (physician office, hospital, rehabilitation unit, skilled nursing facility, home care, etc).
• Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes
• Effectively document all aspects of the plan from the initial assessment, development of the plan, implementation, monitoring, and evaluating outcome.
• May outreach directly to members identified as high risk, high cost, or high utilization cases.
• May review alternative treatment plans for case management candidates and assess available benefits and the need for benefits exception or flex benefit options, where eligible.
• May evaluate medical necessity and appropriateness of services as defined by department.
• As needed, develop relevant policies/procedures, education or training for use both internally and externally.

Case Manager

General Counsel

• Provides legal support to in-house counsel and internal business partners on diverse issues of law that arise in the Company’s business operations.
• Researches and analyzes statutes, regulations, administrative rules, and case law relevant to health plans and government health programs.
• Prepares legal memoranda and opinions to apply legal knowledge to varying business situations.
• Drafts, negotiates, and reviews legal agreements.
• Drafts and reviews correspondence and other documents on behalf of the Company.
• Supports the Legal Department’s work with federal and state regulators, including research, drafting and preparation of regulatory filings and responses.
• Provides client training on timely and relevant legal issues.
• Monitors legislative and regulatory developments affecting health plans and government health programs and escalate key issues to senior counsel and business partners.
• Responds to administrative complaints and information requests and represents the Company in such matters.
• Negotiates settlements of disputes and administrative complaints.
• Assists with internal compliance initiatives and implementation of new legal or regulatory requirements.
• Provides support on developing legal issues and Performs other duties as assigned.

Assistant Counsel

Business Intelligence Developer

• Supports business intelligence efforts by gathering reporting requirements, maintaining BI tools and infrastructure, and developing reports and dashboards
• Ensures data accuracy, system performance, and secure access
• Collaborates with teams to optimize data flows and drive informed decision-making through effective analytics and visualization
• Collects and maintains the set of business reporting requirements
• Sets up and maintains BI tools, infrastructure, and integration with company data sources
• Communicates with operations leaders to determine specific business requirements for reports and business intelligence solutions
• Implements BI reports based on business requirements
• Maintains an accurate and comprehensive inventory of data, data systems, and data storage
• Assists in implementing effective business analytics practices that drive improved decision making, efficiency and performance
• Works with data colleagues to propose data schema and data flow optimization for reporting performance and enhancement as needed

Business Intelligence Analyst, Associate

Counselor

• Provide comprehensive clinical and administrative support to the genetic counseling team to ensure seamless patient care and operational efficiency.
• Manage and complete patient intake processes, coordinate pre- and post-visit activities, and facilitate timely communication across the care team.
• Maintain strong patient engagement and collaboration with genetic counselors and other stakeholders to deliver an exceptional patient experience and optimize clinical workflows.
• Ensures accurate and efficient scheduling by maintaining genetic counseling team calendars, coordinating appointments, and proactively tracking upcoming cases.
• Enhances patient readiness by educating patients on the genetic counseling process, addressing logistical questions, and troubleshooting issues.
• Streamlines onboarding by managing intake processes, including pedigree completion and securing necessary medical records and authorizations.
• Facilitates accurate testing and sample collection by coordinating lab portal entries, scheduling blood draws, and resolving unique sample challenges.

Genetic Counseling Coordinator

• Coordinate and work with all levels in the organization, comfortable in presenting to clinical, non-clinical and executive steering
• Advocate for clinical needs in technical and vendor forums
• Empower, not directive – enabling clinical and technical SMEs to lead within their domains
• Collaborate - working across operations, IS, facilities, product, and vendors
• Manage small to medium IT projects as needed

Manager, Digital Care Operations

• Manage high performing teams accountable for delivering complex business and technical portfolio and program solutions
• Provide operational and tactical support to deliver on enterprise strategies
• Ensure initiative/program benefits achieve business objectives
• Align portfolio and program deliverables to enterprise goals
• Drive coordination, responsiveness, consistency, and continuous capability development across portfolios
• Ensure enterprise portfolios are strategically aligned, financially optimized, effectively sequenced, and predictably planned for delivery
• Support enterprise‑level portfolio reporting and analysis
• Establish and evolve portfolio management standards, frameworks, and operating rhythms
• Oversee funding, capacity, and demand analysis
• Lead portfolio oversight in a highly matrixed environment
• Develop relationships with executive leadership, business stakeholders, and key delivery partners

Manager, Portfolio Management

Communications

• Lead the development and execution of an integrated communications strategy
• Shape how the Foundation communicates its mission, values, and insights
• Manage vendors and partners supporting content creation and distribution
• Engage grantees, community partners, and internal stakeholders

Communications Director

• Serve as a strategic thought partner to two senior leaders, including helping to prioritize leaders’ time and attention.
• Manage executive operating rhythm including designing and ensuring appropriate executive meeting cadences, helping to design agendas aligned to priorities, and ensuring effective follow-through.
• Support special projects for leadership.
• Manage the executives’ day-to-day calendars, including prioritization of sensitive matters.
• Cross-functional coordination for initiatives led by the two senior leaders.
• Manage senior leaders’ travel and expense management processes, including travel arrangements and itineraries & expense reporting submission.
• Coordinate and support both virtual and in-person meetings on behalf of your senior leaders, including 1:1s, client/vendor, team, cross-functional, all hands, etc.
• Oversee Leaders’ workflow including mail, calendar, correspondence, and calls, determining priorities, preparing responses, and/or responding appropriately without errors and in a timely manner.
• Attend key meetings with/on behalf of senior leaders’ including coordination of notes and action items.
• Maintain distribution lists and organizational charts.
• Coordinate departmental moves and serve as liaison for IT services and upgrades.
• Assemble and analyze information to facilitate decision-making.
• Prepare special or one-time reports, summaries, or replies to inquiries, selecting relevant information from a variety of sources such as reports, documents, correspondence, other offices, etc., under general directions.