Lead the annual bid development process, ensuring alignment between strategic goals, financial targets, and benefit design.
Build and lead competitive intelligence capabilities, integrating market data into product and bid decisions.
Drive new market evaluation and execution, from initial analysis through operational launch.
Clover Health provides high-quality, affordable healthcare plans for seniors, leveraging data and technology through the Clover Assistant to improve care at lower cost. The company is a mission-driven, diverse, and inclusive organization with a remote-first culture, though specific employee count is not mentioned.
Lead the design, development, and lifecycle management of analytical and automation products for payer health plans.
Translate market needs and customer insights into product capabilities that improve health plan performance and cost management.
Partner cross-functionally with Engineering, Data Science, and Sales to drive product strategy and commercial success.
MedeAnalytics is an enterprise healthcare performance company that delivers AI-driven cloud solutions to payers and providers. With over 30 years of industry experience, the company fosters a culture of innovation and impact.
Own the strategy, roadmap, and execution for Twin's AI-powered member experience across app, chat, and voice.
Develop deep member understanding through research and data to deliver personalized health guidance and behavior change.
Define success metrics, balance rapid experimentation with long-term investments, and drive alignment across leadership.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes using AI Digital Twin technology. Backed by leading venture firms, the company has raised over $100 million and is scaling rapidly, offering a passionate, collaborative culture recognized as a Top Most Loved Workplace.
Partner with the Chief Customer Officer to shape and execute customer strategy, ensuring consistent engagement across investor/customer health plans.
Lead the operating rhythm for the bi-weekly Customer Advisory Committee, including agenda development, executive communications, and follow-through.
Track adoption, value, and insights related to medication contracting, supporting annual business and financial planning with customers.
Evio is a pharmacy solutions company founded by Blue Cross Blue Shield health plans to reform high-cost medication access, serving over 20 million members. With a team of six health plan owners and a culture emphasizing empathy, diversity, and transparency, Evio is a small, intentional organization focused on transformative initiatives.
Handle inbound and outbound calls with prospective DSNP Medicare members, focused on sales, education, and enrollment.
Guide individuals through Dual Special Needs Plan options, helping them understand Medicare and Medicaid benefits and eligibility.
Meet performance expectations around sales goals, call quality, conversion metrics, and schedule adherence.
Connexion Point, an Integrity Marketing company, specializes in customized contact center services connecting healthcare consumers to their providers. They are one of the fastest-growing companies in the US, headquartered in Sandy, Utah, and emphasize a supportive, family-like culture.
Lead Clover's enterprise actuarial function, including pricing, forecasting, reserving, and bid strategy.
Build AI-enabled workflows to reduce manual effort and accelerate insight generation while maintaining governance.
Partner with Finance, Clinical, and Growth leaders to influence company strategy and improve health outcomes.
Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. The company is a mission-driven organization with diverse expertise, working to solve complex healthcare problems.
Serve as a subject matter expert for specialty value-based programs, establishing evidence-based approaches and priorities.
Lead strategic program delivery, coordinating implementation plans, timelines, and stakeholder commitments.
Evaluate program performance, translate findings into actionable recommendations, and advise executives.
The partner company is a healthcare organization focused on advancing strategic value-based programs within a complex healthcare environment. It operates with a remote-first culture and emphasizes collaboration, innovation, and executive-level impact.
Provide on-site and on-demand education on reimbursement challenges and support services for physician offices.
Educate on benefit investigation, prior authorization, Medicare and Commercial coverage, and patient communication streams.
Collaborate with internal hub support and case managers to ensure customer needs are met and track activities in CRM.
McKesson is a Fortune 10 healthcare company that delivers insights, products, and services to make quality care more accessible and affordable. It fosters a culture where employees can grow, make an impact, and thrive as they shape the future of health.
Proactively educate healthcare providers on navigating access, reimbursement, and coverage pathways for company products. - Serve as a subject matter expert in preventing and addressing access and reimbursement issues through education and problem-solving. - Build and maintain access-related relationships with healthcare provider accounts and office staff to ensure timely patient access.
Acadia Pharmaceuticals Inc. is a biopharmaceutical company focused on developing and commercializing innovative therapies for central nervous system disorders. The company fosters a collaborative and inclusive culture, offering competitive benefits and a commitment to diversity and equity.
Develops and implements new business plans and strategies, identifies opportunities, and leads execution of projects, people, and pursuits for the HI Program.
Provides strategic leadership in health economics, healthcare delivery and payment reform, and data analytics, serving as a subject matter expert.
Builds and maintains relationships with clients, partners, and staff, representing AIR and driving program growth and operational goals.
American Institutes for Research (AIR) is a nonpartisan, not-for-profit organization that conducts behavioral and social science research and delivers technical assistance to address pressing challenges in the US and globally. Founded in 1946 and headquartered in Arlington, Virginia, AIR has a large workforce and a culture focused on evidence and data-driven solutions.