Provide subject matter expertise support on Judi’s function and reporting capabilities related to prior authorization
Take accountability for accurate translation of reporting requirements for Capital Rx’s customers
Support analytics and reporting needs for the prior authorization team and related groups
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They have full-service health benefit management solutions to employers, TPAs, and health plans, with the industry’s leading proprietary Enterprise Health Platform.
Analyze benefit plan documents to accurately build benefit categories and adjudication rules.
Be a leader on the configuration team by supporting training, process development, and peer review / QA.
Support cross-functional teams during implementations/renewals and develop solutions for plan variations.
Gravie aims to improve healthcare access through consumer-centric health benefit solutions. They foster a diverse and authentic work environment where individuals can contribute uniquely to industry-changing products and services.
Perform data mapping activities, translating client data into defined global and consumer data standards according to Cotiviti requirements.
Collaborate with internal stakeholders to analyze, understand, and document data requirements and transformation rules.
Explore large and complex datasets to identify trends, patterns, and anomalies.
Cotiviti transforms information into actionable insights that fuel business growth and innovation. They offer a dynamic environment where priorities can shift quickly based on business needs, but specific employee numbers are not mentioned in the job description.
Manage analytics and machine learning projects from kick-off to completion.
Partner with subject matter experts to deliver actionable findings.
Communicate effectively with team members while working remotely.
Jobgether is an AI-powered matching service that connects candidates with companies. They ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements.
Provide advanced analytical, reporting, and problem‑resolution support across various departments.
Partner with operational, technical, clinical, and compliance teams to analyze trends and optimize processes.
Leverage technical acumen, including FACETS and reporting tools, to drive improvements and ensure compliance.
Capital Blue Cross is committed to providing exceptional service to their team and the community. They foster a flexible work environment where health and well-being are prioritized, valuing professional and personal growth through investment in training and continuing education.