Transcarent

Manager

• Build and own day-to-day health plan relationships to proactively manage product delivery and service expectations.
• Partner with Transcarent teams to represent the voice of the Health Plan and ensure we are delivering on our strategic partnership requirements, as well as member and group satisfaction with Transcarent services.
• Responsible for, along with the Sr, Director, overall, Health Plan Partnership and end group performance, using influence and action to drive results. Strive for 100% partnership and group retention.
• Support Sr. Director, to develop an Annual Strategic Account Plan and successfully execute for each assigned partnership.
• Support Sr. Director in ensuring key stakeholders across our organization have accountability for, and visibility into, Transcarent’s results against key metrics and priorities; ensure they have a solid understanding of overall ROI.
• Partner with Transcarent’s Health Plan Partnership Optimization leader to identify and drive internal cross-functional initiatives that result in improved service delivery, partnership and member outcomes.
• Manage Health Plan partnership reporting delivery and ongoing reporting deliverables.
• Deliver Health Plan performance reports on time with suggestions or insights on trends, opportunities, and values being created through our strategic partnerships.
• Participate in analyzing results or service delivery issues and assisting in identifying the appropriate administrative solution.
• Partner with Activation and Implementation teams on new partnership onboarding and training on Transcarent’s processes such as reporting and ZenDesk (ticketing platform).
• Partner with Health Plan Optimization Leader to influence Operations to address areas of opportunity, drive process innovation and improvement to meet/exceed partnership objectives and maintain contract adherence.
• In partnership with Sr. Director and Health Plan Optimization lead, support cross-functional teams when managing partnership opportunities. Provide support in managing all partnership focused activities to completion across the organization (Product, BI/Reporting, Operational Meetings, Member Engagement, Clinical, Marketing, etc.).
• Plan and execute external status meetings (including agenda development, cross-functional facilitation, and meeting action item follow-up) that are productive and result in moving open items forward to closure in a timely manner.
• Provide partnership support on meeting preparation including logistics, agenda development, meeting notes and follow-up. When appropriate, execute on these items completely and independently.
• Partner with Customer Support team to understand and respond to customer escalated issues, customer specific and business-wide trends.

Manager, Partnership Success – Health Plan

Medical Director

• Provide physician leadership for population health priorities, with a focus on high-risk and high-cost populations across lines of business.
• Ensure the clinical appropriateness of risk stratification and intervention approaches, informing where and how resources are deployed.
• Guide clinical priorities that improve outcomes, experience, and value across targeted populations, aligned to client and contractual goals.
• Provide physician oversight for high-cost claimants and stop-loss reporting where required for contractual, audit, or customer needs.
• Ensure clinical validity, accuracy, and consistency of external reporting and client deliverables.
• Partner with analytics teams to streamline and standardize reporting processes, reducing manual physician involvement over time while maintaining clinical integrity.
• Serve as the physician escalation point for complex, high-risk, or clinically ambiguous cases where physician input drives meaningful decisions or risk mitigation.
• Define and refine criteria for physician involvement so effort is focused on high-impact scenarios rather than broad retrospective review.
• Promote standards of practice, quality oversight, and exception-based engagement models that emphasize proactive, value-added physician review.
• Identify and eliminate low-value physician work through automation, delegation, and clearer protocols, in partnership with operations and product teams.
• Lead the transition from legacy case management support toward a focused, high-impact physician role concentrated on population health, governance, and critical escalations.

Medical Director – Population Health, Clinical Oversight

Product Manager

• Define and evolve the product vision for how members discover, understand, and use their benefits.
• Own the end-to-end product roadmap for member-facing benefits and enrollment features including Member-facing and administrative components
• Establish a single source of truth for benefit content and configuration, mapping legacy data and behaviors into a unified model with engineering and fellow PMs.
• Translate executive and client commitments into a sequenced plan with explicit tradeoffs, dependencies, and cut lines, and keep that plan real as priorities shift.
• Drive accuracy and efficiency in how we gather benefits information from employers, partnering with content management and implementation.
• Define and instrument success metrics for benefits from task completion on "find what's covered" to OE error rates and digital ID card usage.
• Partner with client implementation, clinical operations, and support leadership so engineering timelines leave room for training, UAT, and change management before launch.
• Ship meaningful improvements on a fast, iterative cadence.
• Represent benefits in executive and cross-functional forums with crisp narratives, options, and recommendations.

Principal Product Manager – Benefits

Data Analyst

• Design, build, and maintain a suite of Tableau dashboards/reports that provide real-time visibility into clinical operational efficiency and ops success metrics.
• Build and maintain automation required for Quality Standards in alignment with our Customer Audit requirements.
• Support the refinement and validation of predictive models used for member targeting and clinical program design.
• Deliver high-quality, self-service Tableau reporting that empowers clinical and operational leaders to monitor performance and act on insights without analytical dependency.
• Monitor and report on Clinical Performance Guarantees (PGs), proactively surfacing trends, anomalies, and root causes to support remediation planning.

Healthcare Data Analyst

Director

• Define and evolve COE offerings across Surgery, Cancer, and EMO
• Develop scalable, high-quality care models aligned with market demand
• Drive innovation in bundled payment structures and specialty care delivery
• Lead adoption and expansion across employer and health plan segments
• Identify upsell opportunities and expand into new specialty categories
• Support sales efforts including RFPs, finalist presentations, and growth strategy
• Build and manage high-performing COE networks
• Establish partnerships with leading health systems and specialty providers
• Drive provider engagement, alignment, and performance improvement
• Integrate solutions with major national and regional carriers
• Own pricing strategy, bundled rate structures, and margin performance
• Lead, coach, and manage a high-performing team to achieve organizational goals; foster a culture of accountability, collaboration, and continuous improvement while supporting employee development and engagement

Manager, Partnership Success – Health Plan

Medical Director – Population Health, Clinical Oversight

Principal Product Manager – Benefits

Healthcare Data Analyst

Senior Director, Care Experience