Lucet

Accountant

• The Senior Accountant role is responsible for assisting in preparing and analyzing the monthly financial statements, reconciliation of balance sheet accounts and assisting with external audit requests.
• Utilizing hands-on accounting experience and an in-depth understanding of accounting principles and company practices, this position performs complex accounting activities and financial analyses.
• The Senior Accountant role will also assist with various finance departmental obligations as needed.
• Manage core accounting processes: track and record prepaid expenses, fixed assets (acquisitions, depreciation, disposals), payroll entries, and related accruals to ensure accurate financial reporting.
• Maintain workforce and compensation-related accounting: manage FTE schedules and evaluate reserves for short- and long-term bonus liabilities.
• Record claims-related journal entries (including IBNR) and support accurate financial reporting.
• Prepare claim reserving and cost analysis schedules, leveraging strong knowledge of reserving models.
• Support monthly close and reporting: prepare financial statements, perform account analysis, complete balance sheet reconciliations, and resolve outstanding items.
• Analyze financial performance and payroll-related costs: evaluate expense and salary fluctuations against prior periods and budget, and communicate insights to senior leadership.
• Adhere to Lucet’s Mission Statement, Core Values, Behaviors, Code of Ethical Business Conduct, and Compliance Program.

Senior Accountant

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.