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This role involves managing the actuarial reserving process, ensuring SOX compliance, overseeing financial reporting, and mentoring the actuarial team.

The Pod Engineering Lead will collaborate with cross-functional teams, translate product requirements into technical designs, and engage in technical discussions, leveraging 8+ years of experience in programming and architecture.

The Product Data Analyst at Counterpart Health will analyze product metrics, design experiments, and deliver insights to optimize healthcare outcomes and support primary care.

As the Lead AI Strategist, design and deploy advanced AI/ML models to optimize revenue and mitigate medical costs, impacting financial performance directly.

Support and maintain CMS HCC/RxHCC models, produce risk-adjusted revenue accruals, build automated actuarial tools and dashboards, analyze claims and EDS data, and collaborate across teams to inform pricing, forecasting, and risk adjustment strategy.

The Director of Analytics leads analytics strategies, data engineering, and statistical modeling to enhance decision-making for healthcare operations, managing a team and ensuring data integrity and quality.

As a Senior Investigator, you will lead and execute audit processes to combat healthcare fraud, ensuring compliance with regulatory standards and improving operational efficiency.

As an Investigator in the SIU, you will implement audit strategies to detect healthcare fraud and ensure compliance, supporting regulatory communications and managing audit workloads.

The Senior Manager of Quality Improvement oversees the Regulatory QI Program, ensures compliance, leads QOC investigations, manages performance monitoring, and supervises a team to foster continuous improvement in healthcare delivery.

Identify, develop, and deploy automated cost-saving audits using complex SQL against claims data. Build and maintain financial and ad-hoc reports, run medical record review and administrative hold concepts, lead cross-functional discussions, train teammates on SQL, triage operational tasks (Salesforce, audit letters, reimbursements), and partner with data/engineering to resolve data issues affecting payment integrity.