E-Verify Program

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

Operations

• 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

Case Manager

Assistant Counsel

Business Intelligence Analyst, Associate

Genetic Counseling Coordinator

Manager, Digital Care Operations

Manager, Portfolio Management