HealthEdge

DevOps Engineer

• The Senior Release Coordinator leads the planning, coordination, and execution of complex application releases at HealthEdge.
• Operating with a high degree of independence, this role serves as a strategic partner to cross-functional teams.
• Guiding release strategy, driving process maturity, and ensuring consistent, high-quality delivery outcomes.
• Takes ownership of multi-stream release cycles, mentors junior team members, and influences continuous improvement of release management frameworks.
• Communicates release posture and risk to senior leadership and key stakeholders.

Senior Release Engineer

Compliance

• Serve as a privacy subject matter expert, providing guidance on federal and state healthcare privacy regulations to internal stakeholders and external clients.
• Analyze privacy incidents and breaches; prepare reports and root-cause analyses, including recommendations for corrective and preventive actions.
• Maintain privacy incident tracking logs and follow up on corrective action plans to ensure timely and effective resolution.
• Support the implementation and ongoing enhancement of processes and procedures to mitigate identified and potential privacy risks.
• Partner with customer health plans across multiple lines of business, including Commercial, Medicare Advantage, and Medicaid.
• Conduct internal privacy monitoring activities and audits to assess compliance with policies, procedures, and regulatory requirements.

Compliance Analyst, Privacy

Operations

• Lead service model design and solution blueprinting for health plan Core Administration transformation initiatives.
• Assess current-state operations on legacy platforms and define transition pathways to BPaaS delivery models.
• Design future-state operating models spanning claims, enrollment, billing, and more.
• Define how BPaaS service layers connect across the health plan ecosystem.
• Support Advisory and Sales teams on strategic BPaaS pursuits, proposals, and RFP responses.
• Conduct current-state assessments of Core Admin operations, staffing models, and process maturity.
• Mentor team members on Core Admin operational domains and BPaaS service design principles.

Healthcare Operations Strategy Consultant

QA Engineer

• Assisting and in organizing and facilitating strategic program creation
• Providing in-depth analysis on current processes and implementation
• Assisting in researching and compiling appropriate and relevant data and feedback for risk activities
• Performing QA audits on completed prospective and concurrent reviews of inpatient, outpatient, ambulatory and ancillary services
• Developing and delivering targeted education for the team related to policies, procedures, benefits when appropriate
• Maintaining comprehensive knowledge of business, products, corporate organizational structure
• Performing quality audits on calls
• Assisting in monitoring initiatives, outcomes, and objectives to ensure goal attainment
• Developing lines of communication to discuss/review results of analysis to management via reports/presentations
• Assisting leadership by investigating, reviewing, and recommending innovative solutions
• Assisting in identifying resolution of challenges and issues to fulfill key corporate objectives

Utilization Management QA RN

Sales

• Oversee the enterprise sales cycle, pipeline and progress for the Clinical Operations, Risk Adjustment and Quality Divisions
• Lead go-to-market strategy and sales execution for Clinical Operations solutions, including Utilization Management, Care Management, and Appeals & Grievances, articulating value to health plan operational and clinical buyers
• Drive pipeline development and revenue growth for Risk Adjustment offerings (both retrospective and prospective SaaS/BPaaS models) across Medicare Advantage, ACA, and Managed Medicaid markets
• Take the lead role in managing the assigned account territory to plan and execute sales strategy to acquire and grow relationships necessary to achieve annual quota
• Based on the organization’s objectives, lead the team through process definition and creation
• Help determine and set revenue goals on an annual basis for the team based the Objectives and Key Results of the organization
• Manage the sales team and assign HealthEdge resources around a specific sales objective as needed
• Manage the RFI/RFP process for all RFIs/RFPs in the assigned territory
• Interact with the Clinical Operations, Risk Adjustment and Quality teams to understand key initiatives and their impact
• Present Board level report status and activity for all sales pursuits
• Experience negotiating complex BPaaS and SaaS contracts in conjunction with Legal and Operations teams
• Recruit, hire, and manage sales team and ensures the division’s organizational structure is appropriate to support current and future operations
• Monitor CMS regulatory developments, ODAG/HPMS reporting requirements, and risk adjustment coding trends to identify emerging market opportunities and inform sales positioning

SVP, Sales

Analyst

• Assist in configuring and maintaining iKA systems settings for claims, pricing, and benefits.
• Support testing and validation of configuration changes.
• Document configuration activities and assist with updates to system workflows.
• Execute basic test cases and assist in identifying issues during configuration testing.
• Support post-production monitoring and reporting.
• Maintain clear and accurate documentation of configuration tasks and decisions.
• Communicate effectively with team members and escalate issues as needed.
• Analyze data and assist in troubleshooting configuration issues.
• Apply critical thinking to support resolution of routine problems.
• Collaborate with senior analysts, business teams, and offshore resources.
• Participate in team meetings and contribute to solution development.
• Follow organizational policies, procedures, and regulatory requirements.
• Support audit and documentation efforts as directed.

Configuration Analyst

Manager

• Provide strategic compensation support to HR Business Partners and business leaders to inform, influence, and support organizational and talent objectives.
• Support the implementation and administration of core compensation programs, including market benchmarking, annual compensation planning, job evaluation, and salary structure analysis.
• Partner closely with HR Business Partners, Talent Acquisition, and business leaders to ensure compensation recommendations align with business strategy, market competitiveness, and internal equity.
• Conduct market research and analyze compensation trends and practices to support competitive pay decisions, regulatory compliance, and program effectiveness.
• Collect, analyze, and interpret compensation data to identify trends, develop actionable insights, and provide recommendations to senior leadership.
• Lead the annual compensation planning process, including administration of compensation planning tools and systems.
• Develop and deliver compensation-related training, tools, and communication materials for managers, HR partners, and employees.
• Assist with compensation analysis for executive leadership and Board-related matters.
• Participate in special compensation projects, HR initiatives, and process improvement efforts as needed.

Compensation Manager

Financial Planning and Analysis

• The Senior Director, FP&A is an enterprise-level finance leader with full strategic ownership of financial planning, revenue and margin analysis, and cross-functional business partnership across HealthEdge's SaaS and BPaaS lines of business.
• Reporting to the SVP of Finance, this role is accountable not only for delivering financial insight but for shaping the strategic direction of the finance function and influencing how the organization allocates capital, manages performance, and drives growth.
• Drives continuous improvement across covered business lines, including gaps in processes, tools, and team capabilities and leading initiatives to close them in alignment with the broader finance strategy.
• Own the annual budgeting, quarterly forecasting, and long-range planning processes for all covered functions, including Product Development, SaaS, and BPaaS.

Senior Director, FP&A

Solutions Engineer

• Lead solution architecture and blueprinting for payer Core Admin transformation initiatives
• Assess legacy platforms and define migration pathways to modern platforms, including HealthRules Payer (HRP)
• Design future-state architecture for claims, enrollment, billing, provider, UM, A&G, benefits admin, and member operations
• Define integration strategy for Core Administration Transformation across CRM, portals, care management, provider data, payment integrity, and data/analytics platforms
• Recommend modern technology patterns: cloud-native architectures, event-driven messaging, scalable API frameworks
• Identify opportunities for automation, workflow orchestration, and AI-enabled operational models
• Support Advisory and Sales teams on strategic pursuits, proposals, and RFP responses
• Lead technical discussions with CIOs, CTOs, technology leaders, and operations executives
• Develop value cases showing cost, operational, and scalability benefits
• Conduct current-state assessments of Core Admin and ecosystem technologies
• Create modernization roadmaps, platform transition strategies, and future-state enterprise architectures
• Ensure proposed solutions align with operational goals, compliance requirements, and long-term scalability
• Mentor team members on architecture principles, Core Admin domains, HRP concepts, and solution design
• Partner with delivery/engineering teams to validate feasibility and alignment with modernization strategy
• Represent Advisory in client workshops, executive sessions, and strategic planning forums.

Technology Strategy & Solution Architect

• Lead service model design and solution blueprinting for health plan Core Administration transformation initiatives.
• Assess current-state operations on legacy platforms and define transition pathways to BPaaS delivery models.
• Design future-state operating models spanning claims, enrollment, billing, provider relations, UM, A&G, benefits administration, and member operations—focusing on delivery efficiency and outcomes.
• Define how BPaaS service layers connect across the health plan ecosystem, identifying opportunities to embed automation and AI-enabled workflows into operational service models.
• Support Advisory and Sales teams on strategic BPaaS pursuits and proposals, leading operational discussions with health plan leadership.
• Conduct current-state assessments of operations and create modernization roadmaps.
• Mentor team members on Core Admin operational domains and represent Advisory in client workshops and sessions.

Operations Strategy, BPaaS Solution Lead

Project Manager

• Define project scope, objectives, and deliverables in collaboration with clients and internal teams.
• Develop and maintain detailed project plans, including timelines, resourcing, milestones, and risk management strategies.
• Lead all phases of the project lifecycle, ensuring projects are delivered on time, within budget, and to defined quality standards.
• Lead cross-functional project teams, ensuring clear roles, responsibilities, and deliverables.
• Serve as the primary point of contact for clients and key stakeholders throughout the project lifecycle.
• Identify, document, and proactively manage project risks, issues, and dependencies with clear owners and action plans.
• Track and report key project metrics, including schedule, budget, scope, risks, and benefits realization.

Senior Project Manager

• Manage and execute U.S. federal, state, and local income tax compliance
• Support international tax compliance, reporting, and planning as applicable
• Assist in the preparation and review of quarterly and annual income tax provisions
• Partner with FP&A and Accounting to ensure accurate tax forecasting
• Support tax planning initiatives related to acquisitions, restructurings, and new business activities
• Assist with indirect tax compliance and audits as needed
• Own tax-related account reconciliations and documentation for audits

Tax Manager

Technical Project Manager

• Lead and execute complex AWS cloud migration initiatives, ensuring successful delivery of customer environment upgrades
• Oversee comprehensive assessments of customer environments and document testing dependencies, technical requirements, and migration-specific changes for AWS cloud platform
• Partner with Customer Success executives and managers to develop and present AWS migration strategies to customers
• Develop detailed AWS migration timelines in collaboration with customers and internal teams
• Coordinate with internal technical teams including engineering, operations, product management, and security
• Triage customer-reported testing issues and provide escalation support for high-priority blocking issues
• Develop and manage overall program/project plans and timelines
• Identify and manage project risks and issues, driving resolution of roadblocks
• Communicate project status, risks, and issues to key stakeholders and executive leadership

Senior Technical Project Manager – CMS

Lead Network Engineer

People Operations

• Serve as a senior advisor to leaders, aligning business strategy with people strategy to accelerate performance and transformation.
• Translate business needs into actionable, scalable people initiatives that build capability and enhance organizational health.
• Anticipate talent and workforce challenges through ongoing environmental scanning, internal insights, and business partnership.
• Lead complex org design efforts across business units; advise on structure, role clarity, spans and layers, and change impacts.
• Identify opportunities to optimize team performance, decision-making structures, and cross-functional collaboration.
• Partner on workforce planning initiatives to ensure the right people are in the right roles at the right time.
• Coach and advise senior leaders and managers through change initiatives, leadership transitions, and team evolution.
• Facilitate talent review discussions, succession planning, and top talent development across functions.
• Embed a culture of continuous performance, integrating feedback, recognition, and development into everyday leadership.
• Provide data-driven counsel to influence decisions on structure, talent moves, and organizational priorities.
• Partner with analytics teams to ensure data accuracy and use insights to diagnose root causes and inform action.
• Lead and support strategic people analytics initiatives to elevate business impact.
• Serve as a senior escalation point for complex and sensitive employee relations issues, applying objective, legally sound approaches.
• Champion a culture of trust, accountability, and respect through leader coaching and systemic interventions.
• Collaborate across HR Centers of Excellence (Total Rewards, Talent Acquisition, L&D, Operations) to drive integrated solutions.
• Mentor and develop junior PBPs and HR team members, modeling excellence and elevating the practice.
• Contribute to the evolution of enterprise-wide HR frameworks, practices, and programs.