Lucet

Analyst

• Provide utilization management and care management for behavioral health and health care navigation for ASD services provided to Lucet eligible members
• Collaborates in assessment, planning, facilitation, discharge planning, and advocacy to meet member health needs using available resources
• Engages members and families through telephonic assessments, follow‑up support, education, and linkage to resources
• Verifies member eligibility and benefits, completes utilization review for ABA therapy
• Maintains accurate clinical documentation, protects client confidentiality, practices within licensure scope

PRN Clinician, Behavior Analyst

Compliance

• The Compliance Coordinator acts as a liaison between internal departments and stakeholders to ensure compliance in projects and business initiatives
• Key responsibilities include identifying and mitigating risks, managing clinical communications, ensuring adherence to compliance and regulatory standards, leading process change initiatives, and maintaining a mental health parity information repository and task tracking system
• Coordinate and communicate with key stakeholders to ensure timely visibility and resolution of sensitive issues, compliance requests, and impacted tasks
• Manage and support internal and external compliance matters by triaging concerns, investigating root causes, collaborating with operational teams, drafting responses, and ensuring regulatory timelines are met
• Maintain accurate and compliant records by entering, tracking, and managing documents, data, timelines, and meeting minutes within compliance software and related systems
• Conduct research and analysis of contractual, regulatory, and legal requirements, including monthly OIG exclusion and adverse action screenings, and participate in internal and external audits and regulatory inspections

Compliance Coordinator

• The Compliance Specialist position involves being a liaison between various internal departments and stakeholders for compliance considerations in projects and business initiatives.
• The role includes identifying risks and implementing controls to mitigate them, managing and maintaining written clinical communications, ensuring adherence to compliance, regulatory, and accreditation standards, leading cross-department communication process change initiatives, and creating and maintaining a mental health parity information repository and task delivery tracking system.
• Compliance Program Oversight & Risk Management: Lead the annual compliance workplan, auditing and monitoring activities to ensure continuous alignment with regulatory, accreditation, and policy requirements.
• Regulatory Execution & Business Integration: Represent compliance in business initiatives and new account implementations, ensuring adherence to UM standards, regulatory requirements, accreditation standards, and customer‑specific needs.
• Stakeholder, Vendor & Systems Collaboration: Maintain SME‑level expertise in written communications systems, oversee vendors and delegate audits, and manage IT change requests and prioritization.

Compliance Specialist

• The Software Quality Analyst is responsible for ensuring the quality, reliability, and readiness of web‑based applications throughout the software development lifecycle.
• This role partners closely with product, engineering, and business stakeholders to analyze requirements, design and execute comprehensive test strategies, and identify risks early in the delivery process.
• The Software Quality Analyst performs a range of testing activities—including functional, regression, integration, and end‑to‑end testing—to validate system behavior, surface defects, and support high‑quality releases.
• In addition to hands‑on testing, this role actively contributes to Agile teams, supports user acceptance testing, promotes continuous improvement of QA practices, and helps ensure quality standards are met from initial concept through deployment and production support.
• Develop and maintain comprehensive test strategies, plans, and cases aligned to business and technical requirements, ensuring full SDLC coverage.
• Execute manual and automated testing (functional, regression, integration, end‑to‑end, post‑deployment), leveraging tools like Postman and Playwright to drive efficiency and quality.

Software Quality Analyst

Manager

• The Care Manager coordinates and oversees behavioral health services to ensure members receive appropriate, high-quality care while promoting engagement, continuity, and recovery.
• Acting as a central point of contact, the role integrates care management, utilization management, and collaborative partnerships to optimize outcomes, support self-management, and ensure compliance with clinical, regulatory, and organizational standards.
• Conduct holistic assessments, identify barriers, develop individualized care plans, and adjust interventions to support recovery and self-management across the continuum of care.
• Coordinate behavioral health services, care transitions, crisis prevention plans, and aftercare by partnering with members, providers, and health plan medical management teams.
• Build trusting, collaborative relationships with members and providers using motivational interviewing, education, and ongoing communication to increase engagement and continuity of care.
• Serve as the single point of contact for members, facilitating information exchange, discharge planning, and connection to behavioral health, community, and support resources.
• Ensure accurate, timely documentation and service authorization in alignment with medical necessity criteria, regulatory requirements, accreditation standards, and internal policies.
• Participate in audits, quality improvement initiatives, case presentations, and ongoing professional development to support high-quality care delivery and optimal resource utilization.

Care Manager

Full-stack Engineer

• The Software Engineer designs, builds, and maintains scalable Ruby on Rails applications that support business‑critical workflows and integrate with internal and external systems.
• This role partners closely with product and engineering teams to deliver high‑quality, well‑tested solutions, take ownership of features end to end, and contribute to systems that improve access to care in the Behavioral Health space.
• Application Development: Design, build, and maintain Ruby On Rails web-based applications, APIs, relational databases, and automated testing.
• Develop and support system integrations and ensure application quality through testing and performance monitoring.
• Collaboration & Delivery: Partner closely with Project Managers and Business Analysts to execute delegated tasks and implement documented business requirements.
• Contribute technical expertise to development efforts while supporting overall IT department goals.
• Operations & Innovation: Participate in application monitoring and on-call production support, including nights and weekends, as required.
• Identify and support emerging technologies, demonstrating flexibility to meet evolving IT and business demands.

Software Engineer

Product Manager

• The Senior Product Manager owns and drives end‑to‑end product strategy and execution, translating customer and market insights into clear product direction, successful launches, and high‑quality delivery across multiple product lines while developing strong product management capabilities.
• Defines and evolves product vision, strategy, and roadmap to ensure alignment between business objectives, customer needs, and tactical execution
• Incorporates market trends and customer insights to continuously refine product priorities and strategic direction
• Leads product launches and manages multiple product lines or concurrent releases, coordinating cross‑functional teams to deliver on time and at high quality
• Ensures Engineering, QA, and partners have clear requirements, priorities, and user experience expectations to support cohesive development
• Mentors and supports product managers and cross‑functional team members to strengthen product management practices and execution
• Tracks operational and product performance metrics to assess outcomes, inform decisions, and drive continuous improvement

Senior Product Manager

Director

• The Director of Program Integrity provides strategic direction and oversight of the organizational fraud, waste and abuse (FWA) program encompassing conducting routine and targeted claims audits, data analyses, and investigations to detect, prevent, and remediate FWA related to behavioral health, direct medical care, and other healthcare services.
• Responsible for the oversight of the FWA program through the assurance of accurate medical coding, claims processing, compliance with documentation and regulatory requirements, appropriate service utilization, effective overpayment recovery, and prepayment prevention.
• Lead FWA strategy and program integrity efforts through audits, investigations, data analysis, training, and implementation of anti-fraud initiatives that drive compliance and financial recovery.
• Advise leadership on claims risk, regulatory trends, and recovery opportunities while maintaining strong client relationships and supporting team development and certifications.
• Partner with internal teams across operations, legal, clinical, IT, and analytics to support audits, committees, and initiatives that strengthen fraud detection and oversight.
• Serve as the primary liaison to health plans, regulators, law enforcement, and auditors, overseeing external audit responses, regulatory requests, and executive presentations.
• Oversee and continuously enhance the FWA Plan, policies, procedures, reporting, and KPIs to ensure accuracy, transparency, and operational effectiveness.
• Drive innovation by leading training programs, adopting new tools and investigative methods, and managing third-party vendor and partner relationships.
• Mentor and lead a high‑performing team by fostering a culture aligned with Lucet’s values, emphasizing accountability, continuous development, and adaptability to change.

Director, Program Integrity

Bilingual

• Must be Bilingual in English and Spanish
• Support the Chronic Care Management Program by providing both clinical and administrative assistance to the care delivery team
• Serve as a primary point of contact for patients by conducting intake and confirmation calls, communicating provider‑reviewed results and care plans, and supporting initial visit preparation
• Coordinate scheduling and rescheduling for in‑person and telehealth visits, follow up on missed appointments, and ensure continuity when provider availability changes
• Track patient admissions, discharges, and activity across hospitals, skilled nursing facilities, and other care settings; document updates in the EMR and notify the care team
• Support transitions of care by obtaining and uploading medical records, coordinating respite or long‑term care stays, and scheduling return‑to‑residence visits as directed
• Provide day‑to‑day operational and clinical support to primary care teams, including managing the clinical inbox, processing medication refills, prior authorizations, and insurance‑related forms

Medical Assistant, Bilingual English/Spanish

Human Resources

• The HR Shared Services Specialist provides accurate, timely HR support across the employee lifecycle while ensuring strong compliance, data integrity, and consistent service delivery.
• Support core HR operations and reporting, policy and handbook updates, partners with key stakeholders on compliance and risk-related activities, and assists with Total Rewards processes such as merit, bonus, credentialing, and workers’ compensation administration.
• Provide responsive, accurate employee and HR support by managing the HR shared inbox, processing HRIS transactions and data changes, maintaining employee records, and supporting compliant offboarding processes.
• Ensure operational excellence through record retention compliance, automation and distribution of standard HR reports, and ongoing maintenance and improvement of HR SOPs in collaboration with subject matter experts.
• Support FLSA classification reviews, immigration and background check compliance, unemployment processes, and required regulatory reporting (e.g., EEOC, VETS), escalating risks as needed to ensure adherence to laws and policies.
• Maintain the HR policy review calendar, draft and coordinate updates to policies and the Team Member Handbook, participate in governance committees, and prepare documentation and data for internal and external audits (e.g., URAC, 401(k), DOL).

HR Shared Services Specialist

Customer Success Manager

• Managing the relationship with client companies in directing Lucet service delivery to meet the client companies’ needs
• Participating in negotiations on financial matters including pricing changes, benefit issues, program model design
• Maintaining overall customer satisfaction and account retention
• Executing initiatives designed to build and/or improve processes that support customer success strategy for retaining and growing customers
• Developing and implementing strategic business plans that align with customer expectations and performance measures

Recruitment

• Manage the full-cycle recruitment process to attract, hire, and retain top talent that aligns with our company's culture and business goals.
• Support active clinical hiring needs (NPs, APPs, RNs, hard‑to‑fill markets) and drive sourcing efforts across Boolean search, niche boards, referrals, associations, and competitor mapping.
• Engage passive candidates through personalized outreach and screens, presenting vetted talent to Hiring Teams while partnering closely with the Clinical TA Partner and TA Coordinator.
• Deliver bi‑weekly insights on competitive trends, compensation shifts, NP/APP supply dynamics, and recommended search pivots or incentives.
• Build and maintain pipelines for high‑need markets and ensure smooth handoff to onboarding for candidates accepting offers.
• Identify bottlenecks across sourcing, screening, scheduling, and offer flow; collaborate on streamlining tools, templates, and workflows to improve speed‑to‑offer.
• Recommend improvements to postings, messaging, and sourcing channels, using data from decline/drop‑off trends to refine approach and enhance candidate engagement.