RAM Technologies

Enrollment Specialist

• Process enrollment transactions including applications, member maintenance, and monthly reconciliation
• Generate CMS required correspondence to members
• Accurately enter member Coordination of Benefits (COB) data
• Meet established production and quality standards

Medicare Member Enrollment Specialist

IT Support

• Responds to and resolves customer technical inquiries and issues via e-mail, phone, or chat.
• Records client interactions, including inquiries, complaints, comments, and actions taken.
• Determine information needed from client for research (logs, data dumps, screen prints, etc).
• Analyzing client data to assist clients with configuration issues.
• Creating and running database queries to evaluate data.
• Configuring and testing within the system to make recommendations to clients.
• Identifying and facilitating issue resolution with functional and technical groups.

Technical Customer Support Specialist

Database Administrator

• Administer DB2 databases across AIX/Linux environments.
• Manage DB2 on IBM Power Systems (PowerVM LPARs).
• Perform installation, configuration, patching, and upgrades.
• Manage schemas, tablespaces, indexes.
• Ensure high availability and adherence to SLA compliance.
• Optimize SQL, buffer pools, memory, I/O, and locking mechanisms.
• Execute RUNSTATS and analyze EXPLAIN plans for performance improvements.
• Implement and manage monitoring tools (PRTG, Rapid7, and native DB2 tools).
• Integrate database logs with SIEM platforms (Rapid7).
• Monitor system health: CPU, memory, disk, locking, and query performance.
• Manage storage utilization and tablespace growth.
• Perform capacity planning and forecasting.
• Optimize memory structures (e.g., buffer pools, sort heap).
• Manage PowerVM resource allocation.
• Manage backup and restore processes.
• Ensure disaster recovery readiness and conduct regular testing.
• Implement RBAC, encryption, and auditing controls.
• Support compliance efforts (HITRUST, NIST, SOC2).
• Support migrations (AIX → Linux, cloud environments).
• Work with OpenShift and container platforms.
• Contribute to ongoing database modernization efforts.
• Provide performance tuning, backups, and routine maintenance for SQL server.

Systems Engineer

• Setting up, maintaining, monitoring, and troubleshooting day to day production operations.
• Creating and maintaining a variety of automated processes that improve operations ability to meet client demands.
• Analyzing and understand the business processes.
• Design solutions that drive highest levels of automated and accurate outcomes.
• Performs daily production control monitoring, scheduling, and planning of operational jobs and outputs.
• Ensure daily processing is accurate and meets or exceeds daily performance metrics.
• Work closely with operational partners to understand support needs and develop opportunities for efficiencies.
• Create plans for the implementation and deployment of releases.
• Communicate to all stakeholders, the documented plans for release deployment to all environments.
• Track the release deployment progress.
• Identify the risks that can delay the release and manage them to eliminate quality issues and ensure accurate deployment.
• Lead the production deployment activities, working with operational, IT, and client stakeholders, to ensure successful deployment.
• Work with development to incorporate automations into the product when feasible.

• Coordinate all aspects of external client, regulatory, and compliance audits involving Medicare Advantage, SNP, Part D, and Managed Medicaid plans and related healthcare operations.
• Serve as the primary liaison between auditors, regulators, health plan clients, and internal operational departments.
• Manage audit timelines, deliverables, evidence requests, and response tracking.
• Coordinate collection, validation, organization, and submission of audit documentation and supporting evidence.
• Schedule audit meetings, interviews, walkthroughs, and status updates with internal and external stakeholders.
• Monitor audit progress and communicate status updates, risks, and deadlines to Chief Compliance Officer and Compliance Committee.
• Track audit findings, corrective actions, remediation plans, and response due dates.
• Assist with preparation for recurring CMS, client, and regulatory oversight activities.
• Support internal compliance and vendor oversight audit activities.
• Assist with compliance monitoring and oversight activities across operational areas.
• Support policy and procedure review and maintenance activities.
• Assist with issue tracking, investigations, and documentation management.
• Participate in internal risk assessments and compliance reviews.
• Support preparation of compliance reports, dashboards, presentations, and committee materials.
• Maintain strict confidentiality of Protected Health Information (PHI), proprietary information, and sensitive client data.
• Maintain awareness of applicable CMS Medicare Advantage regulations, guidance, and audit expectations.

Medicare Member Enrollment Specialist

Technical Customer Support Specialist

Database Administrator

Systems Engineer

Medicare Advantage External Audit Specialist