Collective Health simplifies employee healthcare with an integrated technology and service solution that makes administering company health benefit plans incomparably easier and more insightful than traditional health insurance company solutions. With over a quarter of a million members and over 50 enterprise customers—including Driscoll's, Pinterest, Red Bull, RH, Zendesk, and more—Collective Health is reinventing the healthcare experience for forward-thinking organizations and their people across the U.S.

Regional Vice President of Sales

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Eligibility team plays a crucial role in our healthcare organization, managing the essential process of member enrollment across all our clients. We handle significant volumes of sensitive data that directly impacts individuals' access to their health benefits—effectively serving as stewards of what we consider the "currency of healthcare." Our work directly supports operations teams in their mission to maintain seamless, uninterrupted membership services for our clients. We are architecting the next generation of our systems, creating exciting opportunities for innovation. This position represents a data-centric role with high visibility throughout the organization and significant impact on our business operations. If you're passionate about applying technical expertise to solve meaningful healthcare challenges, we would love to hear from you! What you'll do: Take ownership of significant features and modules within our Eligibility Platform, from conception to deployment and ongoing maintenance Design and develop scalable, secure and configurable platform services for eligibility Lead end-to-end development of services across backend(Java/Spring), integration platforms and frontend (React/Angular) Build and extend APIs and data services (micro-services) to enable partner integrations and downstream systems Integrate and operationalize AI-powered developer tools (e.g. Copilot, Cursor) and contribute to incorporating ML-backed capabilities into platform workflows Collaborate with product managers, backend engineers, operations, and data teams tosolve complex real-world problems like data and interface integrations, data enrichment, and automated decision rules. Translate business requirements to technical design specifications Engage with our operations team to help them improve their overall efficiency Drive architectural decisions and champion reusable patterns for cloud-native, AI-enabled backend systems Mentor other senior engineers and influence best practices in system design, testing, and continuous delivery To be successful in this role, you'll need: 8+ years of working as a full stack engineer Is well-versed in technologies such as Java &amp; Spring, including strong understanding of microservices architecture. Experience building file (EDI, CSV), messaging based integrations (Kafka) will be a plus Have experience building frontend features in React/Angular, even if not your primary focus Extensive experience workings hands on with native cloud capabilities (SaaS, PasS) with AWS/GCP Has hands-on experience with data architecture, SQL/PostgreSQL and building data intensive services and solutions Use AI-enhanced development tooling like GitHub Copilot, Cursor, or WindSurf as part of your regular development workflow Strong Communicates to clearly communicate up, down and across teams Prior experience architecting, building, launching and maintaining complex systems Balances getting things done with making things perfect, demonstrating MVP approach To take pride in mentoring other developers To love working with a team of awesome, collaborative co-workers To like to be involved in the decision making process, taking into account the needs of our customers as well as our company long term engineering excellence goals Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Software Engineer, Eligibility

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health is transforming the way people experience healthcare. We are building a world-class team and an innovative technology platform for our members, employers, and partners. We believe that accuracy and efficiency are paramount to ensuring exceptional member and employer experiences. To accomplish this, we are reimagining the operational core of health insurance. Collective Health is looking for a full time, experienced, and forward - looking Social Worker to guide and support members facing complex conditions driven by data, shaped by evidence-based best practices, and supported by world-class customer service. &nbsp; The SW Care Managers are part of an interdisciplinary care team located in Collective Health’s Plano, TX office.&nbsp; The SW Care Manager will ensure that our members’ care is optimally coordinated.&nbsp; What you'll do: Leading outreach efforts to high-risk individuals with complex medical conditions through telephonic or electronic outreach Completing telephonic social work assessments and care plans for patients with behavioral, social, financial and environment problems Educating and empowering members using decision support through multiple modalities including telephone and email to help members achieve their health goals Identifying and discussing current barriers related to member’s current condition, and provide interventions to address these barriers Providing emotional support, assisting with benefits and behavioral health navigation Coordinating a range of services, including community resources and health benefit resources Utilizing motivational interviewing to assist members to become self sufficient in their care planning Participating in clinical interdisciplinary rounds Working collaboratively on co-managed cases with nurses, pharmacists, dietitians, and care coordinators Working cross functionally with other teams to assist with benefits and claims questions Will be required to take call as scheduled Required Travel: 1-2 days per quarter with client-facing and member-facing presentation and interaction; travel will be within Texas Other duties as assigned Spend 85% of your time in the direct case management role and 15% on project work and other opportunities as they are available To be successful in this role, you'll need: An LMSW or LCSW from an accredited school of Social Work and are licensed in the state of Texas To not require hours of supervision for licensure Collective Health will not be able to provide supervision for clinical hours Collective Health will not provide supervision or experience with Clinical Psychosocial Diagnosis, Assessment, Treatment, Individual or Group Psychotherapy Experience in case management; experience at a payer is a plus Bilingual Required (English/Spanish) To be passionate, empathetic, and excited to help people To be independent, tenacious, and capable of identifying and implementing best practices To be capable of thinking creatively to implement care navigation solutions that challenge status quo To be driven, able to carry a caseload and prioritize to complete daily tasks and outreach To be tech savvy; able to talk, type, and navigate an electronic chart with ease To be proficient in Google suite, such as Google Sheets, Docs, etc. To be excited to work in a telephonic social work role To be okay with a role that does not involve providing individual therapy To be a problem solver using best practices to achieve goals To be comfortable with ambiguity and open to collaborating with people across different teams Additional Case Management Certification is a plus Discharge planning, complex care coordination, behavioral health, and/or home health, oncology, behavioral health, autism, pediatrics, and/or maternity experience a plus A strong moral compass and commitment to Collective Health’s core values of integrity, transparency and trust To work in office 3 days a week Pay Transparency Statement&nbsp; This is a hybrid position based out of our Plano office, with the expectation of being in office at least 3 weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Plano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Specialist, Social Worker (Bilingual English/Spanish)

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Capacity Planner at Collective Health, you will play a pivotal role in ensuring our operational teams are optimally staffed to deliver exceptional service to our members and clients. You will be the strategic partner who translates operational needs into actionable staffing plans, driving efficiency and cost-effectiveness across our diverse operational functions. This is an exciting opportunity to make a tangible impact on our ability to scale and serve our growing customer base. What you'll do: Collaborate closely with leaders across various operational teams (member eligibility, claims processing, customer service, etc.) to gain a deep understanding of their workflows, volumes, and service level objectives. Develop and maintain accurate short-term and long-term capacity forecasts using historical data, business trends, and anticipated changes. Translate capacity forecasts into strategic staffing plans, identifying optimal staffing levels by skill and channel to meet operational demands. Partner with Finance, Recruiting, and Training teams to coordinate hiring plans, ensuring alignment with budget and onboarding timelines. Analyze staffing models and scenarios to identify opportunities for efficiency improvements and cost optimization. Develop and present capacity plans and recommendations to operational leadership and stakeholders. Monitor key performance indicators (KPIs) related to staffing and operational performance, identifying potential risks and opportunities. Work with operational teams to ensure they have the necessary tools and insights to effectively manage team performance against capacity plans. Contribute to the continuous improvement of our workforce management processes and methodologies. To be successful in this role, you'll need: Bachelor's degree in a relevant field such as Business Administration, Finance, Economics, Industrial Engineering, or Operations Research preferred. Proven experience (typically 3+ years) in capacity planning, workforce management, or a related analytical role, preferably within a service-oriented or healthcare environment. Strong analytical and problem-solving skills with the ability to interpret complex data and translate it into actionable insights.&nbsp;&nbsp; Proficiency in forecasting methodologies and capacity planning techniques. Excellent communication and presentation skills, with the ability to effectively convey complex information to various audiences.&nbsp;&nbsp; Strong collaboration and interpersonal skills, with the ability to build effective working relationships across different teams. Experience with workforce management software or advanced proficiency in spreadsheet software (e.g., Excel, Google Sheets) for data analysis and modeling. A proactive and results-oriented mindset with a focus on driving efficiency and continuous improvement. Familiarity with healthcare operations or TPA services is a plus. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$75,200&mdash;$93,750 USDPlano, TX Pay Range$82,500&mdash;$103,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Workforce Management Capacity Planning Analyst

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Regional Vice President of Sales at Collective Health, you will lead new business development for the Northern California region, successfully building and selling a strategic pipeline of opportunities to meet revenue goals. Key to this role will be developing and executing strategies to enhance Collective Health’s relationships with national consulting firms and carrier network partners. Utilizing your sales acumen and self-funded benefits knowledge, you will connect with prospective customers and their consultants/broker, guiding them through a consultative sales process focused on building trust, sharing best practices, and enabling them to provide the best healthcare experience to their employees. You will employ effective selling strategies to position Collective Health as an innovative alternative to traditional TPAs and other navigation solutions The ideal candidate is a highly respected and well-connected professional in the health insurance marketplace in San Francisco who is able to leverage their network to open doors and position Collective Health effectively with key decision-makers at large (750+ lives) and jumbo (5k+ lives) employers in the self-funded space. What You’ll Do: Lead new business sales development for self-funded employers, focused on creating and capitalizing on a strategic pipeline of opportunities to achieve revenue goals Build and maintain strong relationships with major consulting firms (e.g., Mercer, Aon, Gallagher, WTW, MMA, Lockton, Alliant, and others), as well as our other strategic partners (i.e., Anthem, Blue Shield) sharing ideas, industry insights, and new product innovations Serve as a partner to brokers, consultants, employers, medical networks, and other key decision-makers to improve employee health and wellness while managing healthcare costs Develop and lead RFP strategies that highlight Collective Health’s offering as the best solution, based on a deep understanding of client needs and priorities Successfully predict and proactively address the needs, questions, and hurdles of prospective customers Use your industry knowledge of healthcare and benefits strategies, including regulations and trends, to create compelling proposals Work with multiple stakeholders and navigate complex buying processes Collaborate with internal teams for a coordinated and effective sales approach Mentor and learn from sales colleagues and team members across departments What You’ll Bring (Key Requirements): Passion for Mission:&nbsp;Dedicated to improving the healthcare experience in the US, aligned with Collective Health’s mission Seasoned Benefits Sales Leader: Has deep knowledge of health benefits and a proven ability to close new business by managing complex sales cycles and engaging with rapidly growing national accounts. Well-versed in both fully-insured and self-funded marketplaces Established Consultant &amp; Broker Network: You should possess an extensive network of key contacts within national benefits consulting firms and brokerages Entrepreneurial Mindset:&nbsp;Shows initiative, creativity, and a willingness to take risks, adapting easily and thinking beyond traditional methods in the healthcare market Channel Relationship Management:&nbsp;Skilled in developing and managing relationships with brokers and consultants to drive significant sales outcomes Communication:&nbsp;Excellent written, oral, presentation, and interpersonal skills, capable of negotiating expectations and building consensus among multiple stakeholders Influence and Presentation:&nbsp;Experienced in presenting to and successfully influencing senior leaders 3-5 years of experience in insurance carrier and/or TPA sales Proven ability to sell to national-sized groups Bachelor's degree required Pay Transparency Statement&nbsp; This is a hybrid position based out of our San Francisco office, with the expectation of being in office at least two weekdays per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Remote Pay Range$150,000&mdash;$150,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Regional Vice President of Sales - San Francisco

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.&nbsp; As part of the Claims Operations department within Customer Experience, the Policy Operations team owns execution of workflows that are closely tied to legal including, client plan exceptions, gap exceptions, subrogation, out-of-network pricing and more. As a member of the Claims Operations team, you will be responsible for the execution of workflows that are closely tied to legal including client plan exceptions, gap exceptions, subrogation, out-of-network pricing and more. You will be responsible for the development of policies &amp; procedures that enable successful operations and ensure operational compliance on the Member Claims team as well as other teams within Customer Experience (CX).&nbsp; What you'll do: Support the execution of the day-to-day operations of our medical plans, including but not limited to: Coordinating with third parties such as, out-of-network (OON) negotiation partners, and medical network partners Triaging &amp; actioning member gap exception requests&nbsp; Resolving out-of-network pricing inquiries and working in collaboration with our OON pricing partner&nbsp; Working with our subrogation vendors and Client Success to resolve open cases&nbsp; Researching member identified FWA claims Work cross-functionally on issues with Legal, Member Advocacy, Collective Care, and the Member Claims teams to delight our members Support quarterly team projects focused on process scalability, workflow and other operational improvements&nbsp; Attend weekly office hours &amp; team working sessions to collaborate on, discuss, and help resolve various issues that are escalated to our team as they arise To be successful in this role, you'll need: To be self-motivated, intellectually curious, and take ownership for everything you do To pay extreme attention to detail To use good judgment and are comfortable when handling sensitive matters&nbsp; To think critically and are willing to question the status quo in a constructive and thoughtful manner&nbsp; To enjoy researching, discussing, and developing consistent policies and approaches to work, and are comfortable operating in ambiguous situations where there is no clear right answer&nbsp; To have been, at a minimum, meeting all expectations in your current role at Collective Health To be a committed team player To thrive on change and are enthusiastic about being along for the ride and learning from our experiences together Excellent verbal, written and interpersonal communication skills To possess a passion for Collective Health’s mission to transform the health insurance experience for employers and their employees Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$27.20&mdash;$34 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Claims Operations Associate II, Policy Operations

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.Collective Health is looking for a full-time Registered Nurse to guide and support members who are facing complex health conditions. You will be a part of an interdisciplinary care team and will report to one of our Care Navigation Managers. What you'll do: Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program Utilizes the Nursing Process and broad knowledge of the whole person including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family Identify and discuss current barriers related to member's current conditions, and provide interventions to address these barriers and connections to relevant health benefit resources Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions Coordinate necessary resources that holistically address members’ problems, whether clinical or social Provide compassionate, longitudinal follow-up care, building supportive relationships To be successful in this role, you'll need: An active RN license in a compact state with ability to be licensed in other states as needed A California nursing license, or you would be eligible for a California nursing license (https://www.rn.ca.gov/applicants/lic-end.shtml). To be eligible, you must have proof of successful completion of anatomy, physiology, and microbiology coursework 2+ years experience in case management 2+ years experience in a hospital or clinical setting To maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education Experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, community care To be driven, passionate, attentive, enjoy change, and are excited to help people To identify and implement best practices To excel at managing a caseload, and can complete daily tasks and outreach Strong competence and ability to use multiple computer/medical record systems, as well as Google suite To be self-aware, able to prioritize and manage multiple assignments, while maintaining department performance standards in a remote setting To can simultaneously talk, type, and navigate an electronic chart with ease To excel working in a telephonic care manager role with no direct/face to face patient contact A commitment to Collective Health's core values of integrity, transparency and trust Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$85,750&mdash;$107,000 USDPlano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Specialist, Nurse

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We are seeking a Director, Procurement to lead its procurement function across the company. Primary focus of the team is technology spend (software, hardware, services, outsourced labor, etc.). As Collective Health expands its product offering, facilitating new vendor selection, evaluation and contracting the support for these products is increasingly critical work.&nbsp; In this role, you will assist with sourcing and procurement of&nbsp; technology and services, negotiating pricing terms, managing vendor relationships and contract lifecycle. You will be responsible for SaaS license management and critical vendor relationships. You will work closely with teams across Collective Health including Legal, Finance, HR Operations, Product and Engineering to discover and acquire the best tools and services for our initiatives. Are you detail oriented and passionate for all sorts of new and exciting technology? If so, we want you on our team! What you'll do: Lead and grow a procurement function for the company that includes a procurement process with review, oversight, and collaboration with Finance, Legal, Tech and operating teams. Collaborate with various teams to assess current systems and manage the annual renewal and RFP processes. Understand department spending and priorities to best support the organization’s needs.&nbsp; Maintain databases of suppliers and contracts and details related to it. Work with our Legal team to manage the review and approval of Master Service Agreements, Terms of Service, BAAs, and End User License Agreements with our vendors. Coordinate other required reviews before final contract approval, including security, product and technology. Provide Collective Health teams with feedback on procurement requests, including possible cost savings, existing or competing services and products that could better serve the company's needs. Partner with senior leaders to forecast technology and services needs, influencing budgeting and strategic planning. Implement best practices for SaaS license optimization and cost saving initiatives, including regular audits and physical inventory.&nbsp; Develop and launch a comprehensive vendor risk management program in partnership with Security and Legal teams. Lead, coach and develop a Procurement Specialist to support the majority of administrative functions and free up your time for vendor partnership and strategic initiatives. To be successful in this role, you'll need: Bachelor’s degree with 10+ years of progressive procurement experience, including at least 3–5 years in a leadership role within technology or healthcare. Demonstrated ability of procurement and contract management within the Tech or Healthcare industry Exceptional negotiation, financial modeling, and vendor analysis skills, with a proven ability to reduce costs while maintaining quality. A confident problem-solver with a track record for building strong cross-functional partnerships with senior leaders, internal clients and external vendors.&nbsp; &nbsp;Strong verbal and written communication skills, good interpersonal skills and ability to lead multiple projects simultaneously Experience with purchasing large orders of computers, software licenses, and SaaS subscriptions Experience sourcing and managing licenses for enterprise SaaS platforms (e.g., Slack, Atlassian, Adobe) and hardware/software commonly used in a tech-forward organization. The willingness to continue learning and expanding into other business areas as needed to support our procurement needs Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Director, Procurement

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Senior Data Engineer, you will develoo&nbsp; robust, scalable, and efficient data solutions, collaborating closely with cross-functional teams. You will&nbsp; optimize our data ecosystem for performance and reliability. What you'll do: Implement Scalable Data Solutions - Design, develop, and optimize large-scale data pipelines using Spark (PySpark, Scala), Databricks, and distributed data processing frameworks. Data Modeling &amp; Architecture -&nbsp; Design and evolution of data models to support analytical, operational, and machine-learning requirements. Enhance Data Performance &amp; Reliability - Improve data processing performance, scalability, and reliability, while ensuring data quality and governance. Drive Cross-Functional Collaboration - Partner with Product, Engineering, Data Science, and Analytics teams to deliver high-impact data solutions that generate actionable business and clinical insights. Ensure Data Governance &amp; Security - Implement robust security, privacy, and compliance measures for sensitive healthcare data, ensuring adherence to industry regulations. To be successful in this role, you'll need: 5+ years of data engineering experience in fast-paced, data-driven environments. Building scalable ETL pipelines with Spark (PySpark or Scala) and SQL &nbsp;Understanding of data architecture, schema design, and dimensional modeling for analytics and machine learning. Proficiency in distributed systems such as Spark, Databricks, or Snowflake. Experience with event-driven architectures and streaming platforms like Kafka or Kinesis. Excellent communication skills – ability to collaborate cross-functionally and translate complex technical concepts into business impact. Security-first mindset – familiarity with data privacy, encryption, and compliance in healthcare or other regulated industries is a plus. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$149,350&mdash;$187,500 USDLehi, UT Pay Range$119,500&mdash;$149,500 USDPlano, TX Pay Range$132,000&mdash;$165,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Data Engineer

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health is growing its Member Services team in Lehi, Utah! As part of our Member Services team, each Member Claims Associate operates core processes to run our employer-sponsored medical plans and assists our members with some of their most complex claims issues. Member Claims Associates gain a comprehensive understanding of medical plan operations—processing medical claims, researching and responding to complicated member issues, and handling details related to regulatory requirements, our network partner relationships, and medical coding. Member Claims Associates do all this with the lens of continuing to delight our members as part of the Member Services Team. As a Member Claims Associate, you can expect to learn and become a professional in the payer-side of healthcare. With the support of our established and knowledgeable teams, you will be an important contributor to scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry. Start Date and Training Hybrid Training (Tues/ Wed) and Hybrid Full Time work (2 days in office)&nbsp; Start date: November 3, 2025 You must be available for 4 weeks of required training beginning on the start date through Nov 3- Dec 5. You will not be able to take time off during the training period. What you'll do: Execute the daily operations of a health plan, including processing medical claims, researching and responding to our members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affect our business Be part of the team that is continuously adapting to improve efficiency and scalability Think critically and strategically to continually boost teamwork and communication across offices Gain additional skills across different areas of our business over time Develop in-depth industry expertise in the healthcare economy Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of our team Reporting to the Manager of Member Claims, this is an essential role on our Customer Experience team To be successful in this role, you'll need: Above all, you are driven, curious, and take ownership for everything you do You can become proficient with a large volume of information quickly You are a committed team player You are excited to build and adapt to the adventures of working on a growing team You are passionate about being a part of a fast-growing company You have a passion for Collective Health's mission to transform the health insurance experience for employers and their employees Nice to have: Bachelor's degree or 1 or more years of work experience Pay Transparency Statement This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$21.50&mdash;$21.50 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Member Claims Associate

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Data Engineering Platform team is responsible for building the foundational data systems that power Collective Health’s operations and insights. Our team enables reliable, governed, and scalable data flows that support analytics, data science, and external reporting across the company. The Data Ingestion &amp; Modeling team focuses specifically on transforming raw data into robust, trusted data warehouse models that serve as the single source of truth for downstream use. As a Staff Data Engineer, you’ll lead the technical strategy and execution for the ingestion and modeling layer of our data platform. You will work hands-on to design, build, and optimize data pipelines and dimensional models, while also setting technical direction and mentoring a small team of 2–4 data engineers. This is a key technical leadership role—not a people management role—that will shape how we transform raw data into clean, analytics-ready datasets. You’ll report to the Director of Data Engineering Platforms and work closely with peers across analytics, product, and operations to deliver data solutions that matter. What you'll do: Lead technical design and implementation of ingestion and transformation pipelines from various source systems into our centralized data warehouse. Develop, maintain, and evolve dimensional models (facts and dimensions) to support analytics, reporting, and data science. Partner with data analysts, product managers, and domain experts to ensure models are aligned with business needs and definitions. Review code, mentor teammates, and raise the bar on engineering quality and operational reliability. Own and improve the team’s ELT workflows, including orchestration, testing, observability, and CI/CD practices. Drive consistency and reuse across domains through shared data modeling patterns, frameworks, and tools. Help prioritize technical debt and contribute to long-term architecture decisions in collaboration with other data platform leads. To be successful in this role, you'll need: 12+ years of experience as a data engineer or analytics engineer, with deep experience designing and building data warehouse models. Expertise in modern ELT pipelines, data modeling (especially dimensional models), and warehouse technologies like Snowflake, Databricks, or BigQuery. Strong proficiency in SQL and at least one programming language (e.g., Python or Scala). Experience working with orchestration tools such as Airflow or DBT to manage pipeline workflows. A strong sense of data governance, data quality, and testing best practices. A collaborative mindset with the ability to influence and guide peers through technical leadership, not management. Experience in healthcare or other regulated data environments is a plus, but not required. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$194,670&mdash;$243,500 USDLehi, UT Pay Range$155,500&mdash;$194,000 USDPlano, TX Pay Range$171,000&mdash;$213,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Staff Data Engineer

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Business Systems Analyst, you will play a key role in the creation of printed and digital communication materials for our members. You will be responsible for managing and optimizing a suite of internal productivity tools used by our team, with the goal of improving internal processes and enhancing the overall experience for both our members and clients. In this role, you will work closely with stakeholders to drive operational efficiency and innovation. You will report directly to the Manager of Card Operations and be an integral part of a team committed to continuous improvement. What you'll do: Execution and delivery of assigned Standard Operating Procedures within the Card Operations team Maintain close collaboration with identified cross-functional stakeholders by frequently providing clear and accurate information formally/informally Maintain consistent Performance Guarantees/Service Level Agreements adherence across assigned processes and associated deliverables Ensure project status and associated metrics are accurately maintained Provide superior implementation experience for new and renewing clients To be successful in this role, you'll need: 2+ years experience managing complex business / technical / process projects Experience with designing for healthcare compliance and regulatory requirements. Familiarity with HIPAA regulations and healthcare privacy standards. Proficient in project management&nbsp; Experience working with customers/end-users Ability to speak and connect with both technical and business personnel, at all levels &nbsp; Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$75,200&mdash;$93,750 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Business Systems Analyst

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.&nbsp; At Collective Health, Care Navigation plays a crucial role in helping people get the right support, at the right time, across a wide range of complex health needs. Care Navigation is a comprehensive care management program made up of our team of pharmacists, social workers, nurses, dietitians, and care coordinators that support people dealing with chronic or serious illnesses by guiding them on their journey to help them understand and navigate the disjointed U.S. healthcare system. In joining our Care Navigation team, you’ll have the important role of helping our members achieve better health at a lower cost. You will report to the Care Coordinator Team Lead of Care Navigation. What you'll do: Provide telephonic support for our Care Navigation program, care managers, and members we serve Take ownership of tasks as assigned for cases requiring additional non-clinical follow up and case coordination, including, but not limited to: researching and answering plan benefits and claims questions, provider research, obtaining medical records with a focus on cost-savings Work directly with members, vendors and providers to ensure superior coordination of care Co-manage cases with care managers, ensuring all assigned tasks are completed on time Act as liaison between Care Navigation and other Customer Service teams within Collective Health, ensuring member needs are met in an accurate and timely manner Utilize multiple systems to respond to, troubleshoot and document customer inquiries including Google Suite Other duties and projects as assigned by Manager To be successful in this role, you'll need: 1+ years experience in customer-facing role, healthcare experience is preferred. Bilingual Preferred: (English/Spanish) Bachelor's or Associate's degree is a plus Medical Assistant or Pharmacy technician experience is a plus Effectively handle multiple priorities, organize workload, and meet deadlines Establish and maintain positive, cooperative, working relationships with ability to work in a team-based environment and achieve common goals Have outstanding oral and written interpersonal communication skills to navigate sophisticated member inquiries Maintain composure and compassion when balancing a high volume of tasks You are comfortable navigating multiple computer applications with dexterity Want to simplify healthcare because you believe people deserve better Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$21.55&mdash;$26.95 USDPlano, TX Pay Range$23.70&mdash;$29.60 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Care Coordinator

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As part of the Services Ops team within Customer Experience, the Claim Operations team will own processes that require close collaboration with finance, legal, product, and other internal teams. The Claims Operations - Claims Performance and Resolution team ensures our production systems are working accurately and partners with our Product team to resolve issues that arise. As a member of the team, you’ll work on claims systems issues, Ingenuity testing and development. What you'll do: Support the execution of the day-to-day operations of our medical plans. Identify areas of 835 improvement in order to limit return file errors Triage &amp; troubleshoot claims related issues (file ingestion, data sync, etc) Support System functionality Apply a scalability lens to several key areas in Claim Operations – Ingenuity development, Claims Response Unit (CRU), Systems Health and more Assist in the development of our internal claims engine, Ingenuity Assist in developing claim Pend rule criteria, Pend rule testing scenarios and monitoring Pend rule performance within Ingenuity Identify and lead quality/process improvement projects within Claim Operations and across Service Ops/CX Build (and/or work with the development team to build) internal tools to improve processes as we identify and fix problems Collaborate cross-functionally with various internal teams. To be successful in this role, you: Are self-motivated, intellectually curious, and take ownership for everything you do Have working knowledge of claims workflows and associated systems Pay extreme attention to detail and enjoy connecting the dots &amp; communicating complexities Are excited about reimagining how we structure our body of work to align with the new service design Are a strong performer within your current role Thrive on change and are enthusiastic about being along for the ride and learning from our experiences together Possess a passion for Collective Health’s mission to transform the health insurance experience for employers and their employees Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$27.20&mdash;$34 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Claims Operations Associate - Claims Performance & Resolution

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As part of the Member Services team within Customer Experience, the Plan Operations team owns specialized processes that require close collaboration with finance, legal, product, and other internal teams.&nbsp; As a member of the Claims Operations team, you will be responsible for the execution of workflows that are closely tied to legal including client plan exceptions, gap exceptions, subrogation, out-of-network pricing and more. You will be responsible for the development of policies &amp; procedures that enable successful operations and ensure operational compliance on the Member Claims team as well as other teams within Customer Experience (CX). What you'll do: Support the execution of the day-to-day operations of our medical plans, including but not limited to: Coordinating with third parties such as, Subrogation partners, and medical network partners, etc.&nbsp; Triaging &amp; actioning member gap exception requests&nbsp; Resolving Subrogation reports and complex inquiries that come from our vendor partners.&nbsp; Researching member identified FWA claims Have an understanding of inpatient pricing, or are willing to learn that process quickly to support our external facing teams..&nbsp; Manage your tickets and your daily rotations Become a SME (subject matter expert) in one or multiple categories of our body of work in our department. Work cross-functionally on issues with Legal, Member Advocacy, Collective Care, and the Member Claims teams to delight our members Support quarterly team projects focused on process scalability, workflow and other operational improvements&nbsp; Attend weekly office hours &amp; team working sessions to collaborate on, discuss, and help resolve various issues that are escalated to our team as they arise&nbsp; To be successful in this role, you'll need: Above all, to be self-motivated, intellectually curious, and take ownership for everything you do Extreme attention to detail To use good judgment and are comfortable when handling sensitive matters&nbsp; To think critically and are willing to question the status quo in a constructive and thoughtful manner&nbsp; To enjoy researching, discussing, and developing consistent policies and approaches to work, and are comfortable operating in ambiguous situations where there is no clear right answer&nbsp; To have been, at a minimum, meeting all expectations in your current role at Collective Health To be a committed team player To thrive on change and are enthusiastic about being along for the ride and learning from our experiences together Excellent verbal, written and interpersonal communication skills A passion for Collective Health’s mission to transform the health insurance experience for employers and their employees To actively seek and accept feedback, taking full accountability for decisions and their results. Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$21.55&mdash;$26.95 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Claims Operations Associate, Policy Operations

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Clinical Account Executive (CAE) position is an exciting opportunity for a Registered Nurse (RN) who is looking to leverage their healthcare expertise to support the demonstration of Collective Health’s clinical program value as well as support our efforts to meet our clients’ strategic goals to drive improved clinical and financial outcomes for their membership.&nbsp; The CAE will partner with clinical experts in our Product, Data Analytics, Clinical Operations and Care Navigation teams to manage a book of complex and dynamic clients looking to harness the power of the Collective Health platform to optimize healthcare value for employers and their members as the landscape continues to evolve. This role will require a forward thinking individual who is grounded in patient care, comfortable drawing actionable insights from population health data, and skilled at public speaking. They must serve as the client’s gold-standard clinical resource and be knowledgeable of Collective Health clinical programs and innovations. They will partner with the Sales/Client Success and Collective Health’s clinical staff to provide a comprehensive management plan to provide insight into our comprehensive clinical strategies, initiatives, and new clinical solution adoption in order to meet the client’s and CH’s common goals. The CAE will work closely with the sales, marketing, and product development teams to drive revenue growth and enhance client experiences around clinical solutions.&nbsp; What you'll do: Clinical Knowledge and Expertise: Maintain a deep understanding of clinical practices, healthcare industry trends, and regulatory requirements Provide clients &amp; broker partners with insights and recommendations based on clinical expertise. Engage in client and prospect conversations to understand client expectations and craft an ongoing strategy to articulate results to the client on an ongoing basis Collaborate with internal teams to ensure we articulate the value and results of our clinical programs in direct correlation to client-specific needs and goals. Proactively engage in conversations and be the conduit between the CS Team/Leadership, Claim Ops, Care Nav team on highly complex claims, plan results, payment integrity programs, results, etc. Partner with the Insights and CS teams to elevate the voice of the customer and ensure that feedback from clients helps prioritize and improve products and services. Leads the adoption of clinical solutions to clients through consultative sales methods (e.g. client presentations, quarterly/annual business reviews, presentation of modeling/reporting,etc.) in accordance with client business goals and upon collaboration and&nbsp;coordination with account management &amp; internal team members. Lead clinical recommendation discussions with client Acts in concert with Strategic Account Exec to service the health management consultative needs of the client. Leads clinical client Strategic Planning and Review Consultation meetings. Maintains strong client relationships with clients to ensure retention/satisfaction/upsell targets are met (Care Nav, Program Partners, etc) Engage in client dialogue that addresses the needs of the client and membership while building trust and credibility and becoming a trusted advisor in healthcare benefit success. Functions as primary clinical resource and new solution product expert for the client. To be successful in this role, you'll need: Bachelor’s degree in Nursing Active Registered Nurse (RN) license Advanced degree in Business, or Healthcare Administration, preferred Experience in Specialty Pharmacy, Oncology, Transplant, Critical Care, Maternal/Child/Newborn Care, and/or Managed Care 5+ years of experience in population health management, care management and direct clinical care Experience explaining clinical information to non-clinical stakeholders (specifically, self-insured employers and brokers/consultants) Strong knowledge of clinical practices and healthcare industry trends Excellent communication, presentation, and interpersonal skills Proven ability to build and maintain client relationships Strong problem-solving skills and the ability to think strategically Self-motivated with a track record of meeting or exceeding targets Ability to travel as required Pay Transparency Statement&nbsp; This job can be performed in a location where we have an office: San Francisco, CA, Lehi, UT, or Plano, TX, with the expectation of being in office at least two weekdays per week, or hired for remote work in the following states: CA, CO, CT, FL, GA, IL, MA, MI, MN, NJ, NY, NC, OH, OR, TN, TX, UT, or WA. #LI-remote The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/#benefits. San Francisco, CA Pay Range$149,350&mdash;$187,500 USDLehi, UT Pay Range$119,500&mdash;$149,500 USDRemote Pay Range$119,500&mdash;$187,500 USDPlano, TX Pay Range$132,000&mdash;$165,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Clinical Account Executive

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We are seeking an AI-native, results-obsessed Director of Growth Marketing to drive our new business and customer retention efforts. Reporting into the VP of Marketing, this is a unique opportunity for a strategic individual contributor who is ready to build our growth and ABM programs from the ground up with the ability to build a team or agency ecosystem over time. You will own the entire marketing-influenced revenue funnel, from initial lead generation/pipeline development to customer retention and win-back as well as building and optimizing our MarTech stack. This role is for a relentless experimenter who is a strategic thinker and partner to sales and client success, is comfortable building an AI-based team, is highly data-driven, and is able to think at a high level and then drive detailed execution to deliver results.&nbsp; The ideal candidate will have driven sales and retention in the health benefits space.&nbsp; What you'll do: Build the Growth Engine: Design, implement, and own a comprehensive B2B growth marketing strategy focused on driving new sales and retention across employers, benefits brokers, hospitals, and other healthcare partners. This includes building our ABM programs to target high-value enterprise accounts and health plans, hospital systems, and payviders. Drive Full-Funnel Influence: Develop and execute campaigns that influence the entire sales pipeline, from MQL to closed sale including RFP stages.&nbsp; Customer Retention and Win-Back: Create and implement marketing strategies to delight existing customers, identify and proactively nurture accounts at risk for churn, and win back lost customers. This will involve tight partnership with Client Marketing.&nbsp; Analytics Ownership: Own and report on growth metrics as well as serve as the go-to-expert for marketing data. The ideal candidate leverages data to inform every decision, ruthlessly prioritizing initiatives that deliver the highest ROI.&nbsp; Martech Stack Ownership: You will be a power user of Salesforce and HubSpot, able to build and optimize campaigns, workflows, and reporting to deliver a seamless and automated funnel. You will also be responsible for identifying and evaluating new tools to continue our growth.&nbsp; AI-Native: We are running lean and fast, so using AI agents as members of the team to scale is critical. We are looking to this role to pioneer the use of AI for growth acceleration. Cross-Functional Alignment &amp; Partnership: This role must work shoulder to shoulder with sales, client success, and rev ops to ensure we are delivering the right opportunities, nurturing the right accounts, and helping them move accounts through the funnel.&nbsp; To be successful in this role, you'll need: Proven Growth Leadership: 15+ years of B2B growth and ABM marketing experience, with a track record of driving significant revenue growth in a complex enterprise sales environment. The ideal candidate will have experience scaling health benefits or digital health companies. You must have hands-on expertise in developing, testing, and scaling campaigns across multiple channels, including SEM, SEO, paid social (especially LinkedIn), and nurture/lifecycle email marketing.&nbsp; AI-Native Mindset: You're not just familiar with AI; you have started building an AI team. You actively seek out and implement AI-driven solutions to improve marketing effectiveness and efficiency. You can demonstrate how you have used AI to drive growth in the past. Enterprise Marketing Experience: Experience selling to enterprise-level B2B customers. Experience in an environment with long sales cycles and high-touch account-based marketing (ABM) process is a must; healthcare, insurance, finance, or benefits technology experience is a strong preference. Data-driven: You start with data first and are skilled at using it to optimize programs as well as to explain and visualize results for executive stakeholders.&nbsp; Technically Systems-Minded: You are comfortable owning a marketing tech stack. You are an expert user of Salesforce and HubSpot, proficient in Demandbase or 6Sense, understand Zoominfo, Zapier, and Clay, and you are able to build and optimize campaigns, workflows, and reporting to deliver a seamless and automated funnel. Hands-On Executor: While a strategic thinker, you are not afraid to roll up your sleeves with your AI team to buy and optimize media, create content, and pull reports.&nbsp; Curious and Relentless: A deep curiosity for the healthcare industry. You are a natural experimenter who is comfortable with failure and committed to continuous improvement. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$168,000&mdash;$210,000 USDLehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Director, Growth Marketing

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building out the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to be responsible for the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform. What you'll do: Monitor quality and perform audits of configurations and EDI files. Develop and apply deep understanding of all of the file formats ingested, generated, or sent by our systems. Review file level validations to ensure they are being dispositioned correctly Review member insurance card configurations to ensure accuracy with the printing service. Review bugs during implementations to validate issues prior to engaging engineering To be successful in this role, you'll need: Advanced Excel, G-Suite - spreadsheet skills Communication Cross functional collaboration Problem Solving Analytical Thinking Healthcare background Problem management identifying and documenting bugs (impact, ticket filing) Understanding of EDI file formats Nice to have: Python EDI/file building and implementation experience during open enrollment Experience working with product, engineering and leadership teams Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$27.20&mdash;$34 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Eligibility QA Analyst

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health is seeking a highly skilled and experienced Lead AI Software Engineer to join our growing team. In this pivotal role, you'll not only contribute to the technical vision and execution of our core platform but also significantly drive the integration and advancement of our applied AI capabilities. You'll work across the entire stack, from sophisticated user interfaces to robust backend services, ensuring the delivery of solutions that directly enhance how our members experience and interact with their healthcare benefits. This is an exciting opportunity for a seasoned engineer who is passionate about building scalable, high-performance applications, has a keen interest in leveraging cutting-edge AI technologies like Google Gemini and Vertex AI to solve complex real-world problems in healthcare, and enjoys mentoring and leading other engineers. What You'll Do Lead the technical design, development, and maintenance of highly scalable and performant applications using React for the front-end and Python for the back-end. Champion the strategic use of Google Cloud Platform (GCP) services, optimizing for cost, performance, and reliability across our data storage, processing, and deployment pipelines. Lead our applied AI initiatives, collaborating closely with Engineering, Product and Business stakeholders to integrate advanced AI models into our products and services. This will include: Implementing and leveraging Google Gemini for enhanced conversational AI, content summarization, or intelligent search within our platform. Exploring and integrating other relevant Google Cloud AI services (e.g., Natural Language API, Vision AI) to extract insights from healthcare data and automate processes. Shaping the technical roadmap for AI-driven features and ensuring responsible AI development and deployment in a healthcare context. Mentor and guide junior to mid-level engineers, fostering a culture of technical excellence, continuous learning, and collaborative problem-solving within the team. Act as a subject matter expert, providing technical guidance and thought leadership to the team and broader organization on AI capabilities. Collaborate with cross-functional partners, including Product Managers, Designers, Data Scientists, Analytics teams, and various Business Stakeholders.&nbsp; Contribute to all phases of the software development lifecycle, from initial concept and requirements gathering to design, implementation, testing, deployment, and ongoing maintenance. Proactively identify and resolve complex technical challenges and production issues, driving continuous improvement. Stay ahead of emerging technologies and industry trends, particularly in AI technologies cloud computing. What You'll Bring Bachelor's degree in Computer Science, Engineering, or a related technical field, or equivalent practical experience. 8+ years of experience in software development, with a significant track record of delivering complex, scalable systems. Proven leadership experience (formal or informal), including mentoring engineers, leading technical initiatives, and driving best practices. Deep Expertise in Python developing robust web services. Hands-on experience designing, developing, and deploying robust applications on Google Cloud Platform (GCP) (e.g., App Engine, Cloud Run, BigQuery, Cloud SQL, Kubernetes Engine). Demonstrated experience or strong desire to work with Google Cloud's AI services. Experience building and integrating with complex APIs (RESTful and GraphQL). Proficiency with relational and NoSQL database technologies (e.g., PostgreSQL, MongoDB, Redis). A strong understanding of software architecture patterns, design principles, and scalable system design. Expertise in software development best practices, including agile methodologies, version control (Git), and advanced CI/CD pipelines. Exceptional interpersonal and communication skills, with the ability to articulate complex technical concepts clearly to both technical and non-technical audiences, including product, design, and business stakeholders. A passion for leveraging technology and artificial intelligence AI to solve complex healthcare problems and significantly improve user experiences. Nice to have Direct experience with machine learning operations (MLOps) and integrating AI models into production systems. Prior experience working in the healthcare technology space with an understanding of HIPAA and healthcare data compliance. Familiarity with other cloud platforms (AWS, Azure) is a plus Experience in React and modern JavaScript (ES6+). Contributions to open-source projects or a strong portfolio of personal projects. Experience with stream processing technologies (e.g., Kafka). Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead AI Software Engineer (Python)

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Application Support team provides technical support to operational, customer and partner-facing teams. We oversee a large variety of in-house developed applications. The team’s operational duties include triaging, troubleshooting, and coordinating remediation efforts across multiple teams. Leveraging our unique understanding of product operational patterns, we can advise on corrective measures to improve services and address technical debt, push for automation and reliability, and conduct root cause analysis. We assess the big picture, and impact, and escalate issues to relevant experts when they are larger than initially reported. What you'll do: Provide first and second tier support to internal external users and business stakeholders. Collaborate effectively while working cross functionally with Customer Experience, Operations, Product, and Engineering teams to identify and mitigate problems. Proactively identify pain points and opportunities for software-driven enhancements, as well as identifying when the gap is in training or process. Troubleshoot issues in our various software solutions, utilize web applications developer tools and APIs calls, inspect logs, releases, and recent changes in java written code, run scripts and database queries, and perform impact analysis using SQL queries. To be successful in this role, you'll need: Experience: 8+ years work experience in Application Support, DevOps, Site Reliability Engineering, or Software Engineering. Production Support: 2+ years of experience being part of a production on-call and/or production support rotation for internal or external users. Problem Solving: Strong analytical and problem-solving skills. Ability to understand the landscape of a large scale system and troubleshoot problems in broad technical domains, such as distributed systems, third-party services and APIs, legacy software, databases. Troubleshooting Skills: Proficiency in working with relational databases and SQL. Basic scripting - ability to manipulate text and files.&nbsp; Tech Stack: Familiarity with logs, dashboards, microservices architecture, K8S, message queues, Github, change and release processes. AI: Familiarity with AI-enhanced development tools for troubleshooting and enhancing run-the-business tasks. Mitigation: Ability to efficiently drive issues that involve multiple internal and external stakeholders to completion, prioritize different tasks under pressure, know when to ask for backup, and provide executive summary on the state of ongoing escalations. Communication: Excellent written and verbal communication skills, with the ability to bridge the gap between technical and non-technical team members and end users.&nbsp; Collaboration: Genuinely enjoy collaborating with non-technical teams to understand their challenges and come up with technical solutions. Leadership: Demonstrated ability to provide technical leadership and mentorship to a team of engineers, with a passion for sharing knowledge and fostering technical growth. Experience in the healthcare industry and familiarity with EDI file feeds is a big plus. Nice to have: Familiarity with Databricks, AWS S3, Java Spring Boot, Rabbit MQ, Kafka, Python, Angular/React, GraphQL. A bachelor's degree in Computer Science, a related technical field, or equivalent practical experience. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Application Support Engineer

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We’re looking for a Lead Software Engineer to join our Developer Experience team. This team builds and maintains the critical internal tools and platforms that enable our engineers to move quickly, safely, and confidently. From owning our CI/CD systems, to designing core internal libraries, to ensuring observability with Honeycomb, we exist to make every engineer at Collective Health more productive. As a Lead Engineer, you’ll drive complex cross-functional initiatives, set technical direction, and partner with engineering leadership to define how we build software at scale. You’ll mentor engineers, lead design discussions, and ensure that our internal developer ecosystem is robust, reliable, and delightful to use. What You’ll Do Lead the design, implementation, and rollout of key cross-functional projects that improve engineering productivity. Own and evolve our CI/CD platform, ensuring reliability, speed, and scalability. Utilize working knowledge of AI-powered developer tools (e.g., Copilot, Cursor) and actively contribute to AI adoption in development and operational aspects. Define and maintain standards and best practices for our core internal libraries, frameworks (Java/Spring Boot, TypeScript, Go, Python), and AI enabled systems Partner with infrastructure and product engineering teams to improve developer workflows, testing strategies, and release pipelines. Drive observability initiatives across services using Honeycomb and other tools. Mentor and guide engineers, fostering a culture of technical excellence and collaboration. Advocate for the developer experience across the company, influencing technical decisions at all levels. To be successful in this role, you'll need 8+ years of professional software engineering experience,&nbsp; Strong technical expertise in at least one of our core languages (Java, TypeScript, Go, or Python); experience with Spring Boot is highly desirable. Experience with distributed systems and cloud-native development (AWS, Kubernetes, etc.). Familiarity with Honeycomb, OpenTelemetry, or other observability platforms. Proven experience designing and scaling CI/CD systems and developer tooling. Deep understanding of modern software engineering practices (testing, observability, deployment strategies, etc.). Experience leading complex cross-functional projects, balancing trade-offs, and aligning stakeholders. Strong communication and mentorship skills; able to influence without direct authority. Passionate about improving the craft of engineering and enabling others to do their best work. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$168,000&mdash;$210,000 USDLehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Backend Software Engineer

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Analytics team is a data-driven team focused on unlocking insights that improve member outcomes and drive business performance. Our team sits at the intersection of data, strategy, and execution. The Analytics team reports directly to the Vice President, Data Engineering, Analytics, and AI in Product Development. In this role, you will lead complex data analyses to support clinical, operational, and financial decisions, and play a key role in developing data products that shape strategic direction. You will collaborate across departments, mentor junior analysts, and work directly with business stakeholders. If you're passionate about using data to make a meaningful impact in healthcare, you'll find a home here. As a Lead BI Developer, you’ll lead the technical strategy and execution for the modeling layer of our reporting platform. You will work hands-on to design, build, and optimize KPI driven scalable reporting architecture, while also setting technical direction and mentoring junior engineers as an individual contributor. This is a key technical leadership role—not a people management role—that will shape how we transform raw data into clean, analytics-ready datasets. You’ll report to the Director of Analytics and work closely with peers across Data Engineering, Data Science, Data Product, Operations &amp; Insights to deliver data solutions that matter. What you'll do: Business Intelligence Solutions: Collaborate with the BI team to design, develop, and maintain business intelligence solutions using tools like Looker, Tableau, Power BI, or similar platforms. Data Visualization: Create interactive and user-friendly reports and dashboards to present data-driven insights to stakeholders. Data Analysis: Analyze complex datasets to identify trends, patterns, and actionable insights that drive business decisions. Data Modeling: Creating and optimizing data models to support efficient data analysis and reporting. SQL Knowledge: Write efficient SQL queries to retrieve and analyze data from various databases/data sources, ensuring data accuracy and reliability. Data Landscape: Build a comprehensive understanding of data sources utilized for reporting, and actively identify areas of improvement in existing reporting processes, contributing innovative solutions to address identified gaps Stakeholder Engagement: Collaborate with stakeholders to understand their analytical needs and provide data-driven solutions to support their decision-making processes. Representation in Technical and Non-Technical Forums: Act as a liaison between the Data Analytics team and other departments, effectively communicating technical concepts to non-technical stakeholders and vice versa. Report/Data Maintenance: Regularly audit existing data pipelines and reports to reflect changes in data and business KPI. Troubleshooting: Identify and resolve issues related to data quality, data pipelines, report accuracy, and performance. Continuous Learning: Stay updated with industry trends and advancements in business intelligence and data analytics. Documentation: Maintain clear and concise documentation for developed BI solutions, including data models and report specifications. Additional project work as assigned To be successful in this role, you'll need: Proven experience (8+ years) as a Business Intelligence Developer or in a similar role. Excellent in data analysis / visualization tools (i.e., Looker, LookML, Tableau, Power BI, Presto SQL) to develop front-end reports to meet the needs of end-users in a user-friendly way Deep understanding of data architecture, schema design, and dimensional modeling for analytics and machine learning. Very strong SQL skills and ability to write efficient queries for data retrieval and analysis. Working knowledge of Python for data manipulation and automation. Analytical mindset with the ability to interpret and communicate complex data insights effectively. Agility to navigate through ambiguity - comfortable with proposing new processes when gaps are present. Strong attention to detail and the ability to deliver high-quality work within deadlines. Strong communication skills, both written and verbal, with the ability to confidently present to executive audiences, lead discussions, and distill complex information into clear concise communications Ability to work collaboratively in a fast-paced, team-oriented environment. Fluent in Microsoft and/or Google productivity software Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$134,500&mdash;$168,750 USDLehi, UT Pay Range$107,635&mdash;$134,000 USDPlano, TX Pay Range$117,500&mdash;$147,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Business Intelligence Developer

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As the Conversational AI Lead Engineer, you will be at the forefront of designing and implementing intelligent and natural conversational solutions. You will work hands-on with Google's CCAI suite, including Dialogflow CX, Agent Assist, Vertex AI and CCAI Insights, to create seamless and personalized user journeys. Your work will directly contribute to improving member satisfaction, streamlining internal workflows, and solidifying Collective Health's position as an innovator in the healthcare industry. What you'll do: Lead the design, development, and deployment of sophisticated conversational AI applications on the Google CCAI platform to serve a variety of consumer and internal use cases. Architect and build robust, scalable, and maintainable conversational flows and virtual agents using Google Dialogflow CX and DialogFlow APIs. Integrate and optimize Google Agent Assist to empower our member-facing teams with real-time guidance and support. Leverage CCAI Insights to analyze conversation data, identify trends, and continuously improve the performance and effectiveness of our AI-driven interactions. Provide technical leadership and mentorship to a team of engineers, fostering a culture of innovation and excellence in the AI space. Collaborate closely with product managers, designers, and other engineering teams to define the product vision, roadmap, and user experience for conversational AI initiatives. Manage stakeholder expectations and communicate technical concepts and project progress to both technical and non-technical audiences. Stay at the forefront of advancements in conversational AI, natural language processing (NLP), and large language models (LLMs), and champion the adoption of new technologies and best practices. To be successful in this role, you'll need: Proven, hands-on experience in designing, building, and launching production-level conversational AI experiences is essential for success in this role. 8+ years of overall development experience in CCaaS platforms with recent experience in developing conversational self service agents. In-depth knowledge and practical experience with the Google Cloud Contact Center AI (CCAI) platform, including Dialogflow CX, Agent Assist, and CCAI Insights. Strong understanding of natural language understanding (NLU), natural language generation (NLG), multi-language support and the principles of conversational design. Experience in training chatbots by analyzing historical chat conversations or large amounts of user generated content and process data Practical knowledge of formal syntax, formal semantics, corpus analysis, dialogue management Experienced in prompt engineering, building, enhancing and maintaining custom RAG pipelines. Proficiency in javascript and in one or more languages such as Python or Java. Experience with API integrations and connecting conversational interfaces with backend systems and data sources. Demonstrated ability to lead and mentor engineering teams, with a passion for sharing knowledge and fostering technical growth. Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams and stakeholders. A strategic mindset with the ability to translate business needs into technical solutions and a long-term vision for conversational AI. Knowledge of training and tuning topic modelling algorithms like LDA and NMF is a huge plus. Be a part of incident management/24*7 support for CCaaS on rotation basis. &nbsp; Understanding of training classical Machine learning algorithms along with an understanding of choosing the right evaluation metric A bachelor's degree in Computer Science, a related technical field, or equivalent practical experience. Nice to Have: Experience Optimizing LLM engines. Experience building AI applications with Claude, OpenAI or LLaMa models. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Conversational AI Engineer

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Eligibility team plays a crucial role in our healthcare organization, managing the essential process of member enrollment across all our clients. We handle significant volumes of sensitive data that directly impacts individuals' access to their health benefits—effectively serving as stewards of what we consider the "currency of healthcare." Our work directly supports operations teams in their mission to maintain seamless, uninterrupted membership services for our clients. We are architecting the next generation of our systems, creating exciting opportunities for innovation. This position represents a data-centric role with high visibility throughout the organization and significant impact on our business operations. If you're passionate about applying technical expertise to solve meaningful healthcare challenges, we would love to hear from you! Take ownership of significant features and modules within our Eligibility Platform, from conception to deployment and ongoing maintenance. Design and develop scalable, secure and configurable platform services for eligibility Lead end-to-end development of services across backend(Java/Spring), integration platforms and frontend (React/Angular) Build and extend APIs and data services (micro-services)&nbsp; to enable partner integrations and downstream systems&nbsp; Integrate and operationalize AI-powered developer tools (e.g. Copilot, Cursor) and contribute to incorporating ML-backed capabilities into platform workflows Collaborate with product managers, backend engineers, operations, and data teams to solve complex real-world problems like data and interface integrations, data enrichment, and automated decision rules.&nbsp; Translate business requirements to technical design specifications Engage with our operations team to help them improve their overall efficiency Drive architectural decisions and champion reusable patterns for cloud-native, AI-enabled backend systems&nbsp; Mentor other sr. engineers and influence best practices in system design, testing, and continuous delivery&nbsp; To be successful in this role, you will need: Experience:&nbsp; 8+ years of working as a full stack engineer&nbsp; Is well-versed in technologies such as Java &amp; Spring, including strong understanding of microservices architecture. Experience building file (EDI, CSV), messaging based integrations (Kafka) will be a plus Have experience building frontend features in React/Angular, even if not your primary focus&nbsp; Extensive experience workings hands on with native cloud capabilities (SaaS, PasS) with AWS/GCP Has hands-on experience with data architecture, SQL/PostgreSQL and building data intensive services and solutions Use AI-enhanced development tooling like GitHub Copilot, Cursor, or WindSurf as part of your regular development workflow&nbsp; Strong Communicates to clearly communicate up, down and across teams Prior experience architecting, building, launching and maintaining complex systems Balances getting things done with making things perfect, demonstrating MVP approach. Takes pride in mentoring other developers Loves working with a team of awesome, collaborative co-workers Likes to be involved in the decision making process, taking into account the needs of our customers as well as our company long term engineering excellence goals. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Full Stack Engineer, Eligibility

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Cost Containment team is developing efficient systems for prior authorizations and utilization management, ensuring members receive appropriate care cost-effectively. These systems will integrate with partner solutions to achieve provider payment integrity and accuracy for the healthcare service. We are leveraging proven technologies and business rules engines to create a highly configurable system. Collective Health is&nbsp; building modern health management systems, which enhance the claims engine, using cutting-edge technologies.&nbsp; What you'll do: Design and develop scalable, secure, and configurable platform services for the Cost Containment team. Lead full-stack development and support of services across backend (Java/Spring Cloud), integration platforms (Kafka, Mulesoft), and frontend (React/Angular/GraphQL etc.). Utilize working knowledge of AI-powered developer tools (e.g., Copilot, Cursor) and actively contribute to AI adoption in development and operational aspects. Build and enrich APIs and data services to integrate with partners and our claims engine. Collaborate with product managers, operations analysts, and data teams in building solutions that leverage Business Rules Management Systems (BRMS) like Drools etc. Actively work with the operations team to create efficient processes through automations to improve SLAs. Understand architectural decisions and actively drive reusable patterns for cloud-native, AI-enabled backend systems. To be successful in this role, you'll need: Experience: 8+ years as a Full-Stack engineer. Full Stack Engineering: Strong proficiency in Java &amp; Spring Cloud, with a deep understanding of microservices architecture and Kafka streaming. Proven experience building UI features using React/Angular with GraphQL. AI Tools: Regular use of AI-enhanced development tools (e.g., GitHub Copilot, Cursor, WindSurf). Cloud: Extensive experience with Cloud Technologies (AWS/GCP preferred). Data: Hands-on experience in data architecture, SQL/PostgreSQL, and developing data-intensive services. Rules Engines: Nice to have experience in working with Business Rules Management Systems (BRMS) like Drools, Kogito etc. Systems Development: Prior experience in building, launching, and maintaining complex systems. Team Collaboration: Work closely with cross-functional teams, including developers, and product managers, to gather requirements and ensure solutions meet business needs. Communication: Excellent communication skills across all levels and teams. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$168,000&mdash;$210,000 USDLehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Full Stack Software Engineer-Claims

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Analytics team is a data-driven team focused on unlocking insights that improve member outcomes and drive business performance. Our team sits at the intersection of data, strategy, and execution.&nbsp; The&nbsp; Analytics team reports directly to the Vice President, Data Engineering, Analytics, and AI in Product Development. In this role, you will lead complex data analyses to support clinical, operational, and financial decisions, and play a key role in developing data products that shape strategic direction. You will collaborate across departments, mentor junior analysts, and work directly with business stakeholders. If you're passionate about using data to make a meaningful impact in healthcare, you'll find a home here. What you'll do: Design, build, and deliver sophisticated analyses on medical cost, utilization, membership, quality, pharmacy, and network performance. Translate business questions into analytic plans and communicate results in a clear, actionable manner to both technical and non-technical audiences. Develop and maintain dashboards, reports, and data visualizations using Looker and other BI tools. Support internal stakeholders (e.g., Product, Clinical, Network, Finance) by generating insights that inform strategy and operational improvements. Identify opportunities to automate manual reporting and create scalable analytic assets. Provide quality assurance and peer review of analytic deliverables. Mentor junior analysts and contribute to the development of analytics standards, documentation, and best practices. To be successful in this role, you'll need: 8+ years of experience in data analytics, preferably in healthcare, health tech, or a related industry. Proven ability to work with complex, large-scale datasets—including querying, QA, summarizing, visualizing, and communicating insights. Strong SQL skills with a track record of writing efficient, scalable queries for analysis and reporting.&nbsp; Experience with more than one coding language and business insights tooling with Looker. Demonstrated project management skills, with the ability to prioritize tasks, manage timelines, and drive cross-functional collaboration. Strong communication skills, with the ability to translate technical findings into clear, actionable recommendations for non-technical stakeholders. To partner with data engineering to develop and maintain data models that support analytics, reporting, and business intelligence across clinical and insurance domains. To champion data quality by conducting regular audits, identifying inconsistencies, and supporting governance practices that ensure data integrity. To collaborate with cross-functional teams—including clinical leaders, product managers, and strategy partners—to surface insights that guide program design and business decisions. To be self-sufficient, intellectually curious and take ownership for everything you do.&nbsp; Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$134,500&mdash;$168,750 USDLehi, UT Pay Range$107,635&mdash;$134,000 USDPlano, TX Pay Range$117,500&mdash;$147,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Healthcare Data Analyst

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We’re looking for a Lead Software Engineer to join our Partner Platform team. This team builds and maintains the integration platforms and enable partner integrations to ingest claims into our Health care systems. Our goal is to develop the next generation healthcare platform, facilitating easy integration with various medical and pharmacy partners. As a Lead Engineer, you’ll drive cross-functional initiatives, set technical direction for the team, and solve for complex claims processing problems. You’ll mentor engineers, lead design discussions, and ensure that our claim integration platform is robust, scalable, user-friendly and easy to manage. What you'll do: Design and Develop Components for Healthcare Eco-systems/Integration Engineering (integrate external systems and partners) Design and Develop Enterprise software solutions that will solve critical business problems, are scalable, secure, easy to maintain, and interact with several internal and external applications Provide recommendations and best practices for application development, platform development, and developer tools Provide technical leadership and be a role model for other team members pursuing technical career path in engineering Generate creative ideas for emerging business needs for Collective Health To be successful in this role, you'll need: BS/MS/PhD in Computer Science or related area or equivalent experience 8+ years of Integration Engineering Experience - Design, Development, Testing and Delivery of Applications Integration using various tools and methodologies Strong Experience design and development of solutions using Mulesoft, DWL Strong Experience design and development of solutions using any of the leading programming languages, e.g. Java Strong Experience with Automation: CI/CD, TDD, unit/integration/functional testing, build and deployment Experience supporting high volume batch data processing, ETL concepts and pipelines Experience with Relational Database Design and Implementation Experience with monitoring tools such as Prometheus, Grafana, LogSearch etc. Healthcare Domain knowledge/EDI background - HL7/FHIR is a plus Experience working hands-on cloud computing domain (AWS) highly desired Practical experience in developing applications using microservices, container technologies, container management systems (AWS EKS) etc Experience with Databases design (SQL, NoSQL) and analytics Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week. #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/ .San Francisco, CA Pay Range$168,000&mdash;$210,000 USDLehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Software Engineer, Mulesoft

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Start Date: November 3, 2025 Shift: 11-8 M-F Collective Health is hiring for its Member Services team in Lehi, UT! At Collective Health, we believe Healthcare should be simple, accessible, and technology-driven. But moreover, we believe healthcare should be grounded by the people that it serves. As Collective Health grows so does our team of passionate Member Advocates to question the industry's status quo. Member Advocates are part of our Customer Experience team and are the first point of contact to support and guide our members through their health care benefits questions. We look for Members Advocates that are motivated by thoughtful perseverance to find solutions to complex issues in the health benefits industry and who will&nbsp; elevate our customer service to the next level. We put the "care" back in healthcare by finding the answers to problems that no one has dared to solve. Our Member Advocate team treats all Member inquiries with a&nbsp; concierge level of service that is distinctive to the Collective Health customer support team. As a Member Advocate, you will immerse yourself in a rapidly-evolving healthcare industry, while mastering skills in operational efficiency and external professionalism. This role includes 4 weeks of training to prepare you for success. What you'll do: Learn health insurance, benefits and network plans to solve challenging member problems through research, technology, and most meaningfully, empathy Connect with members via phone, email and chat and address and resolve a variety of member inquiries to help people understand, navigate, and pay for healthcare Collaborate with other teammates of the Member Services department to find strategic solutions to member issues Support and cultivate office culture that aligns with Collective Health values and incorporates the outstanding aspects of the team Reporting into a Team Lead, this is one of the most essential roles we have at Collective Health Your skills include: Have a want to help others with healthcare situations and have a resiliency mindset that can consistently create empathy with each and every one of our members Have outstanding interpersonal communication skills, both written and verbal, and will use this to navigate sophisticated and moving member inquiries You have the ability to adapt well in a fast-paced high volume environment to deliver personalized and eloquent member service Ability to learn new software programs and adapt quickly to new processes&nbsp; You are technologically savvy&nbsp; Maintain composure and compassion when balancing a high volume of tasks Nice to have: 1+ years of experience in a fast paced work environment&nbsp; 1+ years experience in customer-facing role Bilingual (English/Spanish) is a plus Prior healthcare experience&nbsp; Bachelor's or Associate's degree Pay Transparency Statement This position is based out of our Lehi, UT office, with the expectation of being in office at least two days per week. #LI-hybrid Within the first six months, employees will be eligible to receive additional pay increases anywhere from $.75-$1.25/hour for completing post-service training, and meeting performance expectations. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Why Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Member Advocate

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Proficiency in Spanish requiredStart Date: November 3, 2025 Shift: 11-8 M-F Collective Health is hiring for its Member Services team in Lehi, UT! At Collective Health, we believe Healthcare should be simple, accessible, and technology-driven. But moreover, we believe healthcare should be grounded by the people that it serves. As Collective Health grows so does our team of passionate Member Advocates to question the industry's status quo. Member Advocates are part of our Customer Experience team and are the first point of contact to support and guide our members through their health care benefits questions. We look for Members Advocates that are motivated by thoughtful perseverance to find solutions to complex issues in the health benefits industry and who will&nbsp; elevate our customer service to the next level. We put the "care" back in healthcare by finding the answers to problems that no one has dared to solve. Our Member Advocate team treats all Member inquiries with a&nbsp; concierge level of service that is distinctive to the Collective Health customer support team. As a Member Advocate, you will immerse yourself in a rapidly-evolving healthcare industry, while mastering skills in operational efficiency and external professionalism. This role includes 4 weeks of training to prepare you for success. What you'll do: Learn health insurance, benefits and network plans to solve challenging member problems through research, technology, and most meaningfully, empathy Connect with members via phone, email and chat and address and resolve a variety of member inquiries to help people understand, navigate, and pay for healthcare Collaborate with other teammates of the Member Services department to find strategic solutions to member issues Support and cultivate office culture that aligns with Collective Health values and incorporates the outstanding aspects of the team Reporting into a Team Lead, this is one of the most essential roles we have at Collective Health Your skills include: Bilingual (English/Spanish) Have a want to help others with healthcare situations and have a resiliency mindset that can consistently create empathy with each and every one of our members Have outstanding interpersonal communication skills, both written and verbal, and will use this to navigate sophisticated and moving member inquiries You have the ability to adapt well in a fast-paced high volume environment to deliver personalized and eloquent member service Ability to learn new software programs and adapt quickly to new processes&nbsp; You are technologically savvy&nbsp; Maintain composure and compassion when balancing a high volume of tasks Nice to have: 1+ years of experience in a fast paced work environment&nbsp; 1+ years experience in customer-facing role Prior healthcare experience&nbsp; Bachelor's or Associate's degree Pay Transparency Statement This position is based out of our Lehi, UT office, with the expectation of being in office at least two days per week. #LI-hybrid Within the first six months, employees will be eligible to receive additional pay increases anywhere from $.75-$1.25/hour for completing post-service training, and meeting performance expectations. Member Advocates who pass a Spanish language assessment and begin taking calls in Spanish will receive an additional $1.00/hour language differential. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Why Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Member Advocate- Spanish

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Bilingual Spanish and English Proficiency required&nbsp;Start Date: 10/06/2025 Shift: 11-8 Tues- Sat&nbsp; Collective Health is hiring for its Member Services team in Plano, TX! At Collective Health, we believe Healthcare should be simple, accessible, and technology-driven. But moreover, we believe healthcare should be grounded by the people that it serves. As Collective Health grows so does our team of passionate Member Advocates to question the industry's status quo. Member Advocates are part of our Customer Experience team and are the first point of contact to support and guide our members through their health care benefits questions. We look for Members Advocates that are motivated by thoughtful perseverance to find solutions to complex issues in the health benefits industry and who will&nbsp; elevate our customer service to the next level. We put the "care" back in healthcare by finding the answers to problems that no one has dared to solve. Our Member Advocate team treats all Member inquiries with a&nbsp; concierge level of service that is distinctive to the Collective Health customer support team. As a Member Advocate, you will immerse yourself in a rapidly-evolving healthcare industry, while mastering skills in operational efficiency and external professionalism. This role includes 4 weeks of training to prepare you for success. What you'll do: Learn health insurance, benefits and network plans to solve challenging member problems through research, technology, and most meaningfully, empathy Connect with members via phone, email and chat and address and resolve a variety of member inquiries to help people understand, navigate, and pay for healthcare Collaborate with other teammates of the Member Services department to find strategic solutions to member issues Support and cultivate office culture that aligns with Collective Health values and incorporates the outstanding aspects of the team Reporting into a Team Lead, this is one of the most essential roles we have at Collective Health Your skills include: Have a want to help others with healthcare situations and have a resiliency mindset that can consistently create empathy with each and every one of our members Have outstanding interpersonal communication skills, both written and verbal, and will use this to navigate sophisticated and moving member inquiries You have the ability to adapt well in a fast-paced high volume environment to deliver personalized and eloquent member service Ability to learn new software programs and adapt quickly to new processes&nbsp; You are technologically savvy&nbsp; Maintain composure and compassion when balancing a high volume of tasks Nice to have: 1+ years of experience in a fast paced work environment&nbsp; 1+ years experience in customer-facing role Bilingual (English/Spanish) is a plus Prior healthcare experience&nbsp; Bachelor's or Associate's degree Pay Transparency Statement This position is based out of our Plano, TX office, with the expectation of being in office at least three days per week. #LI-hybrid Within the first six months, employees will be eligible to receive additional pay increases anywhere from $.75-$1.25/hour for completing post-service training, and meeting performance expectations. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Plano, TX Pay Range$21.30&mdash;$21.30 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Member Advocate- Spanish Bilingual

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health is growing its Member Services team in Lehi, Utah! As part of our Member Services team, each Member Claims Associate operates core processes to run our employer-sponsored medical plans and assists our members with some of their most complex claims issues. Member Claims Associates gain a comprehensive understanding of medical plan operations—processing medical claims, researching and responding to complicated member issues, and handling details related to regulatory requirements, our network partner relationships, and medical coding. Member Claims Associates do all this with the lens of continuing to delight our members as part of the Member Services Team. As a Member Claims Associate, you can expect to learn and become a professional in the payer-side of healthcare. With the support of our established and knowledgeable teams, you will be an important contributor to scaling our operations and collaborating on a growing team at the forefront of redefining the healthcare industry. Start Date and Training Start date: November 3, 2025 You must be available for 4 weeks of required training beginning on the start date through Nov 3- Dec 5. You will not be able to take time off during the training period. What you'll do: Execute the daily operations of a health plan, including processing medical claims, researching and responding to our members' most complicated questions, tracking your accuracy around core metrics, and troubleshooting the many operational challenges that affect our business Be part of the team that is continuously adapting to improve efficiency and scalability Think critically and strategically to continually boost teamwork and communication across offices Gain additional skills across different areas of our business over time Develop in-depth industry expertise in the healthcare economy Cultivate a culture that aligns with Collective Health values and incorporates the unique aspects of our team Reporting to the Manager of Member Claims, this is an essential role on our Customer Experience team To be successful in this role, you'll need: Above all, you are driven, curious, and take ownership for everything you do You can become proficient with a large volume of information quickly You are a committed team player You are excited to build and adapt to the adventures of working on a growing team You are passionate about being a part of a fast-growing company You have a passion for Collective Health's mission to transform the health insurance experience for employers and their employees Nice to have: Bachelor's degree or 1 or more years of work experience Pay Transparency Statement This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$21.50&mdash;$21.50 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Regional Vice President of Sales at Collective Health, you will lead new business development for the Philadelphia, Pennsylvania area, successfully building and selling a strategic pipeline of opportunities to meet revenue goals. Key to this role will be developing and executing strategies to enhance Collective Health’s relationships with national consulting firms and carrier network partners. Utilizing your sales acumen and self-funded benefits knowledge, you will connect with prospective customers and their consultants/broker, guiding them through a consultative sales process focused on building trust, sharing best practices, and enabling them to provide the best healthcare experience to their employees. You will employ effective selling strategies to position Collective Health as an innovative alternative to traditional TPAs and other navigation solutions The ideal candidate is a highly respected and well-connected professional in the health insurance marketplace in Pennsylvania who is able to leverage their network to open doors and position Collective Health effectively with key decision-makers at large (750+ lives) and jumbo (5k+ lives) employers in the self-funded space. What You’ll Do: Lead new business sales development for self-funded employers, focused on creating and capitalizing on a strategic pipeline of opportunities to achieve revenue goals Build and maintain strong relationships with major consulting firms (e.g., Mercer, Aon, Gallagher, WTW, MMA, Lockton, Alliant, and others), as well as our other strategic partners (i.e., Anthem, Blue Shield) sharing ideas, industry insights, and new product innovations Serve as a partner to brokers, consultants, employers, medical networks, and other key decision-makers to improve employee health and wellness while managing healthcare costs Develop and lead RFP strategies that highlight Collective Health’s offering as the best solution, based on a deep understanding of client needs and priorities Successfully predict and proactively address the needs, questions, and hurdles of prospective customers Use your industry knowledge of healthcare and benefits strategies, including regulations and trends, to create compelling proposals Work with multiple stakeholders and navigate complex buying processes Collaborate with internal teams for a coordinated and effective sales approach Mentor and learn from sales colleagues and team members across departments What You’ll Bring (Key Requirements): Passion for Mission: Dedicated to improving the healthcare experience in the US, aligned with Collective Health’s mission Proven Sales Leader in Group Health Benefits: Extensive experience and demonstrable success selling to self-funded employers, with deep knowledge of medical TPA arrangements. Established, Active Consultant &amp; Broker Network: You must currently possess and actively maintain an extensive, influential network of decision-makers and key contacts within national benefits consulting firms and brokerages. This existing network is crucial for immediate pipeline generation and success in this role. Relevant Industry Sales Experience: 5-7+ years of direct experience selling complex health benefit solutions (e.g., medical TPA/ASO services, integrated health platforms, large group carrier plans) directly to C-suite and HR/Benefits leaders at large national employers. Executive Presence &amp; Influence: Skilled in presenting to, and influencing, senior executive leadership (CHRO, CFO, VP of Benefits) at large corporations. Strategic Thinker &amp; Results-Oriented: Entrepreneurial mindset with a passion for improving the U.S. healthcare experience. Bachelor's degree required. Pay Transparency Statement This job is based in Philadelphia, Pennsylvania. In addition to the base salary, you will be eligible for commission based on your sales performance, and eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Sales Pay Range$125,000&mdash;$125,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Regional Vice President of Sales - Philadelphia

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.At Collective Health, Care Navigation plays a crucial role in helping people get the right support, at the right time, across a wide range of complex health needs. Care Navigation is a comprehensive care management program made up of our team of pharmacists, social workers, nurses, dietitians, and care coordinators that support people dealing with chronic or serious illnesses by guiding them on their journey to help them understand and navigate the disjointed U.S. healthcare system. In joining our Care Navigation team, you’ll have the important role of helping our members achieve better health at a lower cost. You will report to the Manager of Care Navigation. What you’ll do: Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes. Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program Utilizes the Nursing Process and broad knowledge of the whole person including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family. Identify and discuss current barriers related to member's current conditions, and provide interventions to address these barriers and connections to relevant health benefit resources Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions Coordinate necessary resources that holistically address members’ problems, whether clinical or social Provide compassionate, longitudinal follow-up care, building supportive relationships Participating in program case rounds and providing input for process improvement opportunities and resources for team Will be required to take call as scheduled Other duties and projects as assigned by Manager Your skills include: You have a Bachelor’s degree and an active RN license in a compact state with the ability to be licensed in other states as needed. You have 1+ years experience in case management You have 2+ years experience in a hospital or clinical setting Bilingual Required (English/Spanish) Maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education. Looking for RNs with experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, community care. You are driven, passionate, attentive, enjoy change, and are excited to help people You can identify and implement best practices You excel at managing a caseload, and can complete daily tasks and outreach Strong competence and ability to use multiple computer/medical record systems, as well as Google suite You are self-aware, able to prioritize and manage multiple assignments, while maintaining department performance standards in a remote setting You can simultaneously talk, type, and navigate an electronic chart with ease You excel working in a telephonic care manager role with no direct/face to face patient contact A commitment to Collective Health's core values of integrity, transparency and trust Pay Transparency Statement This is a hybrid position based out of our Plano office, with the expectation of being in office at least three weekdays per week. #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Plano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Registered Nurse RN - Bilingual (Spanish/English)

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Senior Sales Consultant at Collective Health you are a key driver of strategic and complex sales opportunities, both internally and externally. You will leverage advanced knowledge of self-funded employer health benefits and Collective Health’s platform to guide prospective clients through the sales process—from discovery through close.&nbsp; Partnered tightly with the Regional Vice President of Sales, you’ll be expected to manage internal sales processes, prepare sales materials, present Collective Health capabilities in the market, and bring a consultative eye to the process from end to end.The ideal candidate is a well respected early to mid-career professional in the health insurance marketplace in Greater Dallas who is currently supporting a book of business with clients in the enterprise or larger self-funded space (1000+ lives). What you'll do: Work with the Regional Vice Presidents of Sales to develop pipeline and foster relationships with consultants and other network partners Represent Collective Health in prospect-facing meetings, industry events, and strategic presentations as a partner to the Regional Vice Presidents Support and manage complex sales opportunities from initial discovery through close and successful handoff to implementation Collaborate cross-functionally with product marketing, operations, partnerships, and implementation teams to align strategy and execution Own and drive resolution of sales process as related to “non-standard asks” in partnership with internal stakeholders Own and independently manage deals, including those eligible for Sales Consultant leadership To be successful in this role, you'll need: 8 years of overall business experience, 4+ years of experience in consulting/brokerage, or enterprise health benefits sales Deep knowledge of self-funded employer healthcare and the benefits ecosystem Familiarity with the RFP process and experience giving sales presentations and demos Strategic thinking with strong organizational and project management skills Proficiency in Salesforce and related sales tools Excellent written, oral, presentation, and interpersonal skills, capable of negotiating expectations and building consensus among multiple stakeholders Dedicated to improving the healthcare experience in the US, aligned with Collective Health’s mission Bachelor's Degree or equivalent work experience Pay Transparency Statement&nbsp; This is a hybrid position based out of our Plano office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Sales Pay Range$104,000&mdash;$104,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Sales Consultant

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Senior Business Analyst, Provider Administration &amp; Enablement, will be a key contributor to the design, execution, and enablement of the provider network strategy. This role requires a strong background in healthcare administration, with extensive knowledge of provider contracts, payment methodologies, and medical claim pricing. The ideal candidate will be adept at analyzing complex healthcare data, reading and interpreting provider contracts, and translating business needs into actionable solutions. This position will support the Senior Director and collaborate with cross-functional teams to enhance network efficiency, data accuracy, and overall cost-effectiveness. What you'll do: Provider Contract &amp; Pricing Analysis Analyze and interpret complex provider contracts to ensure accurate data administration and system configuration. Support the configuration of new provider contracts and network initiatives by translating contract terms, including pricing and payment methodologies, into clear business requirements. Conduct detailed analysis of medical claims data to validate claim payments against contract terms and pricing schedules. Identify and document discrepancies or issues in claims processing related to provider contracts and pricing, and work with relevant teams to resolve them. Assist in the development and maintenance of scalable processes for managing provider contracts and pricing data. Data Management &amp; Analytics Develop and maintain reporting and dashboards to monitor key performance indicators (KPIs) related to provider data accuracy, network adequacy, and payment trends. Support the implementation and maintenance of data quality standards and procedures. Utilize data analysis to identify gaps in geographic and specialty coverage within the provider network. Partner with the Data &amp; Analytics team to create and refine analytical tools and reports that inform decision-making and support network strategy. Collaboration &amp; Project Support Serve as a subject matter expert on provider contracts and pricing for internal stakeholders, including product, engineering, and claims operations teams. Collaborate with cross-functional teams to support the onboarding and maintenance of provider contract data. Assist in the preparation of materials and presentations for leadership and external stakeholders. Support the team's compliance efforts by assisting with routine audits and ensuring data integrity in alignment with CMS and state regulations. To be successful in this role, you'll need: Required: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field. 7+ years of experience as a business analyst or similar role within the healthcare industry. Required: Extensive experience in reading and interpreting provider contracts and payment methodologies, including fee-for-service, capitation, bundled payments, and value-based care models. Required: Proven experience in analyzing medical claims and pricing data. Strong analytical and problem-solving skills with the ability to translate complex data and contract terms into clear, actionable insights. Proficiency in data analysis tools (e.g., SQL, Excel, Tableau). Excellent communication and interpersonal skills, with the ability to collaborate effectively with technical and non-technical stakeholders. Familiarity with healthcare industry regulations and data privacy standards (e.g., HIPAA). Pay Transparency Statement&nbsp; This is a hybrid position based in Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$85,750&mdash;$107,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Business Analyst, Provider Management & Administration

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The &nbsp;Senior Director, Healthcare Markets &amp; Growth will be a pivotal force in driving Collective Health’s growth for the Hospital and Provider System market. This strategic role is responsible for identifying, developing, and executing business development initiatives that secure new partnerships with health systems and hospitals offering commercial health plans. The successful candidate will possess a deep understanding of the unique challenges and opportunities faced by "Payviders" – health systems acting as payers – and will be instrumental in positioning our capabilities as a critical competitive advantage. This leader will be a subject matter expert in the commercial health plan landscape, particularly as it pertains to health system ownership and operations. They will understand the intricacies of how hospitals and health systems currently contract with insurers and identify compelling reasons for them to leverage a third-party administrative platform for their commercial offerings. This role will directly contribute to revenue growth by expanding our distribution and bringing provider systems clients onto these new channels, in partnership with cross functional teams. What you'll do: Market Leadership &amp; Sales Execute a go-to-market strategy to sell our health plan administration solutions directly to "Payviders" - health systems that own or administer their own health plans. A core element of this strategy is supporting our Sales team in closing hospital customers You will identify key decision-makers and drive the sales cycle of business development initiatives focusing on systems in need of operational efficiency Product &amp; Value Proposition&nbsp; Clearly articulate how our capabilities provide a competitive advantage. Partner with product teams to advocate for new features that meet the needs of this market Cross-Functional Collaboration&nbsp; Work with Sales, Marketing, and other teams to ensure a unified go-to-market strategy. Provide market feedback to improve our service delivery and equip the commercial and product teams with insight To be successful in this role, you'll need: Healthcare &amp; "Payvider" Expertise A deep understanding of the U.S. healthcare landscape, including the unique operational models, product capabilities, financial drivers, and strategic objectives of health systems that act as both providers and payers Sales &amp; Management Proven success in selling complex solutions to large health systems, combined with demonstrated experience leading and developing a growth team Commercial Health Plan Knowledge Strong grasp of the commercial health insurance market, including employer-sponsored and ACA plans Strategic &amp; Collaborative Mindset The ability to identify client pain points and position our platform as a solution Must be a strong collaborator and influencer, capable of working with various internal and external stakeholders in a fast-paced environment Bachelor's degree in Business, Healthcare Administration, or a related field Master's degree preferred 15+ years of experience in sales, business development, or strategic partnerships within the healthcare industry, with a direct focus on selling to hospitals, health systems, or provider-sponsored health plans Demonstrated experience with health plan operations, particularly in the commercial sector Requires travel 20% of time Pay Transparency Statement&nbsp; This job can be performed in a location where we have an office: San Francisco, CA, Lehi, UT, or Plano, TX, with the expectation of being in office at least two weekdays per week, or hired for remote work in the following states: AZ, CA, CO, CT, FL, GA, IL, MD, MA, MI, MN, NV, NJ, NY, NC, OH, OR, TN, TX, UT, VA, WA, or WI. The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$226,085&mdash;$283,250 USDLehi, UT Pay Range$180,250&mdash;$225,000 USDRemote Pay Range$180,250&mdash;$283,250 USDPlano, TX Pay Range$198,250&mdash;$248,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Director, Healthcare Markets & Growth

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Senior Financial Analyst, your mission is to help transform Collective Health’s Financial Planning and Analysis function. In doing so, you will closely collaborate with stakeholders who oversee the Customer Experience function. You will also play a key role in the preparation and analysis of monthly financial reports. You must be intellectually curious, detail-oriented, and able to identify solutions to complex problems (frequently with limited or incomplete data), then roll-up your sleeves to drive implementation and track your work’s impact. What you'll do: Work directly with the Senior Manager to support monthly, quarterly, and annual reporting, forecasting, and budgeting Enhance existing reports and develop additional recurring reports including dashboards, monthly metrics, and Board materials Provide ad-hoc analyses and special project support for Finance leadership Identify new systems, tools, and processes to scale your support Manage and drive key cross-functional initiatives from start to finish Establish oneself as a trusted partner to peers and senior leaders with an intimate understanding of stakeholder requirements to run the business as well as some understanding of the healthcare industry at large To be successful in this role, you'll need: Based in Lehi, UT or San Francisco, CA 3-5 years applicable work experience in a high growth environment preferably in technology or healthcare; FP&amp;A experience preferred Experience with hosted planning solutions and ERP solutions. We use Adaptive Planning and Netsuite; experience with Adaptive Planning/OfficeConnect is required. Strong knowledge and deep understanding of Financial statements&nbsp; Expert MS excel skills - candidate should be comfortable with financial modeling and working with large amounts of data Ability to work effectively both independently and as part of a team Excellent interpersonal skills with the ability to communicate effectively both verbally and in writing Pay Transparency Statement&nbsp; This is a hybrid position based out of our San Francisco/Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$107,650&mdash;$133,750 USDLehi, UT Pay Range$85,750&mdash;$107,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Finance Analyst, FP&A

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We are seeking a highly analytical and strategic Senior Pricing &amp; Underwriting Analyst to join our team. In this critical role, you will spearhead the development of our pricing models for self-funded clients while acting as a catalyst for change across the organization. The ideal candidate is a data-driven problem-solver with a deep intellectual curiosity, who is passionate about asking 'why' to uncover inefficiencies and build scalable processes from the ground up. As a trusted partner to Sales, Client Success, and Senior Leadership, you will provide the critical insights that drive our growth and profitability, all while thriving in a forward-thinking environment where we are leveraging analytics to revolutionize our approach to pricing and risk assessment. What You'll Do:&nbsp; Pricing &amp; Financial Analysis Spearhead&nbsp;the development and execution of administrative pricing models for prospective and existing self-funded clients. Conduct&nbsp;in-depth analysis of large datasets to identify key cost drivers, trends, and opportunities for both global and client-specific pricing strategies. Develop and maintain&nbsp;sophisticated financial models, including customer and product P&amp;Ls and unit economics, to generate critical insights and drive cost allocation efficiency. Design and manage&nbsp;recurring financial reporting, including performance dashboards, monthly metrics, and Board-level materials. Process Improvement &amp; Scalability Proactively identify, recommend, and implement&nbsp;enhancements to underwriting workflows, tools, and processes to drive efficiency and improve accuracy. Champion projects&nbsp;aimed at improving data quality, developing new analytical tools, or refining pricing models to enhance our scalability. Explore and apply emerging technologies, including AI concepts, to enhance predictive accuracy and automate complex analytical tasks. Analyze and map&nbsp;the end-to-end underwriting lifecycle to identify key areas for improvement, cost savings, and operational excellence. Strategic Partnership &amp; Communication Serve as a trusted financial partner&nbsp;to the Sales and Client Success teams, providing analytical support and strategic guidance on pricing decisions. Advise senior leaders&nbsp;during monthly, quarterly, and annual planning processes, presenting complex financial information in a clear and actionable manner. Collaborate across the organization&nbsp;to ensure pricing strategies are competitive, profitable, and aligned with company goals. To Be Successful In This Role, You'll Need: A strong sense of curiosity&nbsp;and a relentless drive to challenge the status quo by finding a 'better way' to solve problems. 5+ years of experience&nbsp;in a data-centric role within the healthcare industry (e.g., underwriting, medical economics, or financial analysis). Proven experience in pricing strategy, including analyzing market competitiveness, preparing revenue forecasts, and modeling the financial impact of various approaches. A demonstrated track record&nbsp;of identifying operational bottlenecks and successfully implementing process improvements to drive efficiency. Familiarity with or a strong interest in applying AI, machine learning, or other advanced analytical techniques&nbsp;to solve business problems is a significant plus. Excellent communication skills, with the ability to distill complex quantitative analysis into simple, actionable recommendations for audiences at all levels, including senior leadership. Strong business acumen, with experience working cross-functionally with Sales and Account Management teams to achieve shared objectives. Experience supporting large-scale, collaborative planning processes. Expert-level proficiency in Microsoft Excel&nbsp;and/or Google Sheets for complex financial modeling and data analysis. Technical proficiency with Google Workspace applications&nbsp;(Docs, Slides). Pay Transparency Statement&nbsp; This is a hybrid position based out of our San Francisco office, with the expectation of being in office at least two weekdays per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$107,650&mdash;$133,750 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Pricing / Underwriting Analyst

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Senior Privacy Analyst is responsible for triaging and responding to privacy incidents and inquiries in accordance with all applicable federal (HIPAA) and state privacy laws in support of Collective Health’s Privacy Program. Reporting to the Senior Manager, this position will act as a trusted privacy resource and ensure the timely and accurate handling of privacy incidents and inquiries.&nbsp; What you'll do: Manage privacy incidents, including breaches, involving protected health information (PHI). Review all facets of a privacy incident to understand causation and responsibility including the review of audit or other technical logs. Document all aspects of the privacy incident review/investigation. Apply privacy laws to each incident to assist in making breach determinations. Work across teams to implement appropriate training and/or corrective actions to prevent re-occurence. Manage and trend privacy inquiries submitted by internal partners. Research and review privacy inquiries. Document inquiries in appropriate systems. Develop and maintain processes to track and trend inquiries. Exercise judgment to determine appropriate actions (e.g., identifying issues that require the input of other Privacy Team members and taking steps to escalate these matters appropriately).&nbsp;&nbsp; Responsible for assisting with any third-party, privacy-based inquiries, audits or investigations. Review of audit trails or logs. Documentation of audit/investigative efforts. Produce reports to assist with audits/investigations. Responsible for assisting the Privacy Officer, Privacy Counsel and Senior Privacy Manager with operational aspects of the Privacy Program including: Drafting, review and maintenance of policies and procedures.&nbsp;&nbsp; Creation and maintenance of trainings.&nbsp; Implementation of system-wide privacy projects/programs. To be successful in this role, you'll need: 3+ years experience working in healthcare. 3-5 years experience serving in a role supporting a HIPAA-based privacy program. 1-3 years experience with using access management/monitoring systems (e.g., Imprivata, Protenus), including managing ensuing privacy investigations.&nbsp;&nbsp; Knowledge of privacy laws and regulations, including HIPAA. Outstanding judgment. Excellent communication and presentation skills. Ability to work both independently and as part of multidisciplinary teams. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT).&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$85,750&mdash;$107,000 USDPlano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Privacy Analyst

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health's mission is to transform people's healthcare experience from confusing and complicated to empowering and trustworthy. Our goal is to provide the most configurable, reliable, and easy to use benefits administration experience for our customers. As part of this work, we are looking for a stellar Senior Product Manager to join our growing TPA product team. You will oversee our provider experience including our provider portal as well as develop and implement value based payment products to ensure an outstanding provider experience while improving overall healthcare value.&nbsp; As a Senior Product Manager, you'll work closely with our engineering, design, operations, data and commercial teams to continually enhance our products and optimize healthcare value for employers, as well as employees and their dependents. You'll work closely with a diverse and multi-disciplinary team to gather, structure, and prioritize product requirements from internal and external stakeholders to execute your roadmap across our deep technology stack and deliver industry-leading service at scale.&nbsp; What you'll do: Own and drive the product vision, strategy, and roadmap for provider servicing and payments. This includes identifying new opportunities to streamline payments, reduce administrative overhead for providers, and simplify the complexity of provider payment models. Empathetically collaborate with TPA operations and product teams.&nbsp; Use insights and customer feedback to gather and execute product requirements for both process and digital solutions. Center the voice of the provider and other external stakeholders in your work by pulling from and continually seeking out feedback through interviews, user testing, and other research means to understand their deepest pain points. Serve as a bridge between business operations, engineering, and data teams to ensure that solutions are developed and delivered that significantly improve the accuracy, reliability, and speed of provider payments, and enable seamless provider self-service. Be the evangelist for your product area across all areas of the organization, advocating for simpler, more efficient payment models that benefit both providers and our members, and finding breakthrough opportunities for shared learning and partnership. Partner with design, engineering, data science, and analytics teams to ensure that features are delivered with high quality, scalability, and efficiency, and that our provider portal drives high adoption and self-service. Communicate progress and maintain accountability to stakeholders, functional owners, and internal team members, proactively managing expectations in a rapidly evolving product area. Establish and track key performance indicators (KPIs) for provider adoption of digital tools (e.g., portal usage, self-service rates for auth status, claims status), payment accuracy and timeliness, and the overall efficiency and simplicity of value-based payment models, even as baselines are being established. To be successful in this role, you'll need: 8+ years of experience in healthcare technology product management, with a strong focus on provider-facing solutions and healthcare payments. Domain expertise in healthcare provider systems, integrations, revenue cycle management, provider contracts and value-based and other payment models, coupled with an understanding of their operational and financial impacts. Demonstrated experience in developing and launching complex systems in highly regulated healthcare environments. Exceptional problem-solving and communication skills, with the ability to lead difficult trade-off discussions and evangelize product vision across diverse audiences. Fervent passion to solve healthcare challenges, particularly in improving the provider experience and simplifying complex payment mechanisms, to improve the lives of others. Adaptability to thrive in highly complex and changing environments, comfortable with ambiguity and building new product capabilities from the ground up. Familiarity with agile software development methodologies (e.g., deep agile knowledge) and proficiency with tools like Jira.&nbsp; Strong organizational skills with the ability to keep track of multiple projects simultaneously.&nbsp; Familiarity with Oracle NetSuite is a plus. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$119,500&mdash;$149,500 USDPlano, TX Pay Range$132,000&mdash;$165,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Product Manager, Provider Servicing & Payments

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.At Collective Health, our Quality Team is the engine driving continuous improvement, ensuring our quality framework not only meets but also propels our strategic business goals forward. As a Senior Quality Specialist, you'll be indispensable. You'll pinpoint processing errors, dissect trends, and partner with consultants to launch improvement programs that deliver measurable impact. We're seeking a professional who is exceptionally detail-oriented and genuinely passionate about elevating accuracy, productivity, and overall process efficiency. What you'll do: Lead comprehensive quality reviews of Member Claims Advocates' work, specifically targeting complex cases, high-dollar claims, and new hire performance to rigorously assess accuracy and decision-making. Manage and support responses to external audit requests, ensuring data integrity and compliance. Actively participate in Quality team meetings and calibration sessions, championing consistent scoring methodologies and a deep understanding of key metrics. Consistently maintain and strive to exceed an acceptable Claim Review Accuracy level. Contribute significantly to data-driven trend analysis, identifying root causes and actionable insights. Execute ad hoc claim reviews and perform in-depth deep-dive analyses to uncover systemic issues. Collaborate closely with Team Leads to develop and support training initiatives. Ensure strict adherence to all documented QA workflows and best practices. To be successful in this role, you'll need: 3+ years of experience as a medical claims examiner AND 2+ years dedicated to auditing and providing quality assurance feedback on medical insurance claims. Your combined background must demonstrate expertise in accurate benefit determination and a meticulous approach to ensuring claims accuracy and compliance. Advanced command of health insurance operations, including intricate details of deductibles, copayments, coinsurance, out-of-pocket maximums, in-network vs. out-of-network benefits, and various plan types (e.g., PPO, EPO, HDHP). Robust knowledge of medical coding systems (ICD-10, CPT, HCPCS, institutional revenue codes). Comprehensive understanding of regulatory guidelines and restrictions (HIPAA, ERISA, federal, state, and local mandates), coupled with the agility to adapt to evolving changes. Solid grasp of complex medical terms, conditions, procedures, and basic human anatomy/physiology. Exceptional attention to detail paired with a strong analytical mindset. Proficiency in reading and interpreting EDI formats (837i and 837p). Superior written and verbal communication skills to effectively collaborate, provide constructive feedback, offer clear guidance, and deliver precise instructions. Demonstrated knowledge and experience in software systems such as Microsoft or Google&nbsp; High degree of self-motivation, intellectual curiosity, and a strong sense of ownership. Exceptional research capabilities. Strong interpersonal relationship-building skills. Excellent organizational and time management skills. Effective listening skills and the ability to maintain focus amidst distractions. Absolute discretion when handling sensitive or private information. Preferred previous experience working for a Third Party Administrator that utilizes multiple repricing networks. Pay Transparency Statement&nbsp; This job can be performed in a location where we have an office: San Francisco, CA, Lehi, UT, or Plano, TX, with the expectation of being in office at least two weekdays per week, or hired for remote work in the following states: CA, CO, IL, MN, NV, OR, TX, or UT.#LI-remote The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$27.20&mdash;$34 USDRemote Pay Range$24.65&mdash;$42.50 USDPlano, TX Pay Range$29.85&mdash;$37.40 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Quality Assurance Specialist, Member Claims

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Care Navigation is a multi-disciplinary team of nurses, pharmacists, dietitians, and social workers. We are the Case Management program that services the clients and members of Collective Health. As a Registered Nurse on the Care Navigation team, you will guide and support members who are facing complex health conditions. You will be a part of an interdisciplinary care team and will report to one of our Care Navigation Managers. What you'll do: Deliver coordinated, patient-centered virtual Care Management by telephone that improves members’ health outcomes. Lead outreach efforts to high-risk individuals and complete care management assessments and care plans for patients enrolled in the program Utilizes the Nursing Process and broad knowledge of the whole person including pharmacy interventions, crisis interventions, and disease-specific education to support members in their care journey Help members navigate the complexity of the healthcare system, providing education and empowerment to support members in meeting their healthcare goals Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family. Identify and discuss current barriers related to member's current conditions, and provide interventions to address these barriers and connections to relevant health benefit resources Work with other disciplines on co-managed cases and collaborate with other teams to assist with benefits and claims questions Coordinate necessary resources that holistically address members’ problems, whether clinical or social Provide compassionate, longitudinal follow-up care, building supportive relationships. To be successful in this role, you'll need: You have an active nursing license in good standing in a Nurse Licensure Compact state. You either currently hold a California nursing license, or you would be eligible for a California nursing license (https://www.rn.ca.gov/applicants/lic-end.shtml). To be eligible, you must have proof of successful completion of anatomy, physiology, and microbiology coursework. You have BSN&nbsp; You have an active RN license in a compact state with ability to be licensed in other states as needed. You have 1+ years experience in case management You have 2+ years experience in a hospital or clinical setting Maintain current nursing licensure by completing applications for renewal in a timely manner and by complying with all requirements for continuing education. Looking for RNs with experience in these areas: med/surg, cancer, behavioral health, maternity, critical care/emergency, pediatric, community care. You are driven, passionate, attentive, enjoy change, and are excited to help people You can identify and implement best practices You excel at managing a caseload, and can complete daily tasks and outreach Strong competence and ability to use multiple computer/medical record systems, as well as Google suite You are self-aware, able to prioritize and manage multiple assignments, while maintaining department performance standards in a remote setting You can simultaneously talk, type, and navigate an electronic chart with easeYou excel working in a telephonic care manager role with no direct/face to face patient contact A commitment to Collective Health's core values of integrity, transparency and trust Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT). #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$85,750&mdash;$107,000 USDPlano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.We all depend on healthcare throughout our lifetimes, for ourselves, and our families and friends, but it is notoriously difficult to navigate and understand. As an industry that comprises 20% of the US economy we think healthcare should work better for all of us. At Collective Health we believe it’s time for a new day in healthcare where as members we are informed and empowered to make the right care choices when the decisions are urgent and critical.&nbsp; At Collective Health, Care Navigation plays a crucial role in helping people get the right support, at the right time, across a wide range of complex health needs. Care Navigation is a comprehensive care management program made up of our team of pharmacists, social workers, nurses, dietitians, and care coordinators that support people dealing with chronic or serious illnesses by guiding them on their journey to help them understand and navigate the disjointed U.S. healthcare system. In joining our Care Navigation team, you’ll have the important role of helping our members achieve better health at a lower cost. You will report to the Manager of Care Navigation. What You’ll Do: Leading outreach efforts to high-risk individuals through telephonic or electronic outreach Completing telephonic assessments and creating goal oriented care plans for members enrolled in the program, and supporting the members as they work to achieve those goals. Use evidence-based medicine and professional guideline recommendations to improve members’ health through interventions including but not limited to: Suggesting formulary alternatives to ask about Coaching on medication adherence strategies Coordinating receiving medications through lower cost of care settings Working with providers to address drug interactions or adverse drug reactions Recommending dosage adjustments to optimize therapy Identifying opportunities for preventive care like immunizations and cancer screenings, etc.&nbsp; Educating and empowering members using decision support through multiple modalities including telephone and email Provide accurate documentation of member assessments and follow up member interactions&nbsp; Identification of opportunities for maximizing value on medical and pharmacy health plan benefits&nbsp; Collaborate with other clinicians on the Care Navigation team on a daily basis and presentation of complex cases to the medical director on a monthly basis Provide subject matter expertise to support the Collective Health operations teams in response to complex or escalated pharmacy inquiries Other duties as assigned To be successful in this role, you'll need: A PharmD&nbsp; Minimum of 2 years experience in a PBM, hospital or clinic, retail pharmacy, health plan, or other managed care setting 2-3 years experience in Medication Therapy Management, Clinical Specialty Programs,&nbsp; experience at a payer (PBM, TPA, health plan, etc.), or residency training is preferred Bilingual Highly Preferred: (English/Spanish) To be passionate, empathetic, and excited to help people To be independent, tenacious, and capable of identifying and implementing best practices To be capable of thinking creatively to implement care navigation solutions that challenge status quo To be driven, able to carry a caseload and prioritize to complete daily tasks and outreach To be tech savvy; able to talk, type, and navigate an electronic chart with ease To be okay in a telephonic role (no direct/face to face patient contact) To be a problem solver using best practices to achieve goals To be comfortable with ambiguity and open to collaborating with people across different teams A strong moral compass and commitment to Collective Health’s core values of integrity, transparency and trust&nbsp; &nbsp; Pay Transparency Statement This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT). #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$119,500&mdash;$149,500 USDPlano, TX Pay Range$132,000&mdash;$165,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Specialist, Pharmacist

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Data and Analytics team is a data-driven team focused on unlocking insights that improve member outcomes and drive business performance. Our team sits at the intersection of data, strategy, and execution. The Data and Analytics team reports directly to the Vice President, Data Engineering, Analytics, and AI in Product Development. In this role, you will lead complex data modeling and analyses to support clinical, operational, and financial decisions, and play a key role in developing data products that shape strategic direction. You will collaborate across departments, mentor junior analysts, and work directly with business stakeholders. If you're passionate about using data to make a meaningful impact in healthcare, you'll find a home here. As a Senior Staff Data Architect, you’ll lead the technical strategy and execution for the ingestion and modeling layer of our data platform and analytics. You will work hands-on to design, build, and optimize data pipelines and dimensional models, while also setting technical direction and mentoring a small team of data engineers, BI developers. This is a key technical leadership role—not a people management role—that will shape how we transform raw data into clean, analytics-ready datasets. You’ll report to the VP of Data, Analytics and AI and work closely with peers across Data Engineering, Analytics, Product, Operations and Insights to deliver data solutions that matter. What you'll do: Responsible for the innovation strategy and technology roadmap for CollectiveHealth’s Data Cloud, overseeing the design, development, and product portfolio of our next-generation Datalake cloud platform (Databricks). Designing and implementing data pipelines, optimizing data storage solutions, and establishing best practices for data integration and analysis. Work across Data Platform, Data Engineering, Analytics and Data Science teams to ensure that our data infrastructure and tooling best meets our overall data strategy Lead advanced development teams building proof-of-concept implementations for data platforms and solutions. Establish processes and governance around data design, consumption and protection Responsible for defining and working across functional and platform teams to deliver a standardized data architecture, pipeline and data products to support our internal and external data analytics, reporting and data availability needs Be the Technical Owner in partnership with our Business Product Owners to define the technical strategy for our data driven products and applications. Work with our product and data science organizations to develop business requirements into architecture and integrate into our longer term platform strategy Stay up to date on new tools &amp; techniques in the data space Lead and mentor other team members Identify and drive process improvements Facilitate communication with teams throughout the organization Introduce standard methodologies and principles around data design and governance to enable consistent delivery and enable alignment with strategic direction Collaborate with data engineering to use our data platform and tooling to meet the business’s operational, insights and analytics needs Enables data usability, availability, and efficiency To be successful in this role, you'll need: Deep understanding of data modeling that facilitates both operational insights and reporting as well as enabling sophisticated AI/ML models, to develop data-driven recommendationsMS or PhD in Computer Science, Data Science or related degree 15+ years of experience architecting, designing and developing large scale data solutions utilizing a mixture of structured and unstructured data Proven experience leading teams resulting in the successful deployment of applications built on data platforms Experience using various ML models to drive recommendation engines, particularly in healthcare, is a plus Experience driving technical ideas and communicating clearly with technical as well as non-technical audiences Experience as the technical lead or data architect, organizing and mentoring junior and intermediate level developers, data engineers or architects Pay Transparency Statement&nbsp; This is a hybrid position based out of our San Francisco office, with the expectation of being in office at least two weekdays per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$226,085&mdash;$283,250 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Staff Data Architect

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As a Sr. Business Process Analyst, Service Design (internally this role is referred as Service Design Analyst) you will be responsible for optimizing and monitoring Collective Health’s service offerings and workflows to optimize for the end user’s experience in a way that is scalable and sustainable. You will work closely with the various enabling business partners to ensure operational readiness, optimize current workflows and processes, as well as create and roll out new service offerings that will exceed our member’s and client’s needs.&nbsp; What you’ll do: Provide key support in the rollout and implementation of new Service Offerings for Collective Health’s Customer Experience teams, including developing and gathering requirements and ensuring solutions meet business needs. Ensure Operational readiness by partnering with critical support functions, KM, Learning, Prod Ops, and WFO. Evaluate business processes and workflows, anticipate requirements, uncover areas for improvement, and develop and implement solutions. Conduct meetings and presentations to share ideas and findings across all levels. Document and clarify departmental processes and procedures to ensure accurate operational efficiency within departments and across departments. Must be able to communicate effectively and clearly express ideas to business partners and represent the interests of the business. Participate in design, development, and implementation of large and complex enterprise wide applications. Must be able to manage multiple projects, develop project plans, and monitor performance. Partner with enabling stakeholders to drive projects within department, from conception to completion with minimal guidance; identify and communicate conflicting needs; handle bottlenecks expeditiously and proactively; track and facilitate follow-through. Must demonstrate leadership; earn and maintain credibility, trust and support. Assist in training new team members. Mentor new and existing team members. Operate as an escalation point for team members regarding questions. Assist in peer reviewing work and providing feedback to team members. Maintain expert level SD industry best practices and share best practices with the team. Act as a lead for the major projects that the full team is supporting. Represent SD team for the business during change management efforts. Assist in reviewing, documenting, and building team processes and training. Cover for manager in business partner meetings and sending team status updates as needed. To be successful in this role, you’ll need: Three or more years of professional business experience Three or more years of experience in a project leadership role; with proven success in role Experience working in a service or operations environment required, healthcare experience preferred Exceptional analytical and conceptual thinking skills Excellent verbal and written communication skills Ability to complete tasks with minimal guidance Ability to manage multiple priorities and projects daily Advanced technical skills Excellent documentation skills Experience creating detailed reports and giving presentations A track record of following through on commitments Excellent planning, organizational, and time management skills A history of leading and supporting successful projects Ability to lead through change and mitigate risks associated with change Ability to mentor and provide meaningful feedback to peers Ability to lead peers through team projects Maintain a high level of professionalism and performance with minimal coaching or guidance from leader. Successful track record of implementing impactful service design changes while meeting high quality standards, project timelines and commitments, and with minimal coaching or guidance from manager. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$75,200&mdash;$93,750 USDPlano, TX Pay Range$82,500&mdash;$103,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Sr.  Business Process Analyst, Service Design

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health is seeking a visionary and results-oriented Vice President of Product to lead our product strategy, roadmap, and execution. As a key member of the leadership team, you will be responsible for defining and delivering innovative products that meet customer needs, align with our business goals, and drive significant growth. You will lead and mentor a team of product managers, fostering a collaborative and high-performing culture. This role requires a strategic thinker with deep product management expertise, strong leadership skills, and a proven track record of successfully launching and scaling impactful products. What you'll do: Product vision and strategy: Develop and articulate a clear and compelling product vision, strategy, and roadmap aligned with the company's corporate strategy and market opportunities. Design Leadership: Provide strategic direction and leadership to the design team, ensuring a consistent and high-quality user experience across all products. Champion user-centered and accessible design principles and best practices. Insights leadership: Oversee the user research function, ensuring that user insights and data are effectively gathered, analyzed, and integrated into product decisions. Advocate for user needs throughout the product development process. Market and customer understanding: Deeply understand market trends, customer needs, competitive landscape, and emerging technologies to identify opportunities for product innovation and differentiation. Product roadmap and prioritization: Define, prioritize, and maintain a comprehensive roadmap, ensuring alignment across engineering, marketing, and sales teams. Product Lifecycle management: partner with Program Management to oversee and drive consistency to the entire product lifecycle, from ideation and concept development through launch, iteration, and end-of-life. Team leadership and development: Build, lead, mentor, and inspire high-performing teams across product management, content and UX design, and insights, fostering their professional growth and ensuring effective collaboration. Cross-functional collaboration: Collaborate effectively with engineering, marketing, sales, customer success, and other stakeholders to ensure successful product development and go-to-market strategies. Data-driven decision making: Define and analyze key product metrics, using data and insights to inform product decisions, measure success, and identify areas for improvement. Go-to-Market Strategy: Partner with marketing and sales to develop and execute effective go-to-market strategies for new and existing products. Budget management: Manage the product management budget effectively, ensuring resources are allocated appropriately to achieve strategic goals. Internal communication: Communicate the product vision, strategy, roadmap, and progress effectively to executive leadership, the board of directors, and other key stakeholders. External thought leadership: serve as a leading voice of the company. Innovation and Experimentation: Foster a culture of innovation and experimentation within the product team, encouraging the exploration of new ideas and technologies. Risk management: Identify and mitigate potential risks related to product development and delivery, including but not limited to security, regulatory compliance, and privacy considerations. To be successful in this role, you'll need: Bachelor's degree. An MBA or relevant advanced degree is preferred. Minimum of 10-15 years of progressive experience in product management, with a significant portion in leadership roles overseeing more than one function. Proven track record of successfully defining, launching, and scaling innovative and impactful products in the healthcare industry. Deep understanding of user-centered design principles, methodologies, and best practices. Strong understanding of various user research methodologies and the ability to translate research findings into actionable insights. Demonstrated experience in developing and executing product strategies that drive significant business growth. Demonstrated fluency and track record in designing, developing, and launching AI-based products in a highly regulated industry setting, as well as demonstrated use of AI in their own work or personal use. Strong understanding of agile development methodologies and lean startup principles. Exceptional leadership, communication, presentation, and interpersonal skills, with the ability to influence and inspire cross-functional teams and executive leadership. &nbsp; Excellent analytical and problem-solving skills, with the ability to interpret data and translate it into actionable insights. &nbsp; Strong customer empathy and a passion for understanding and solving customer problems. Experience building and managing high-performing teams in a growing Product Development organization. Financial acumen and experience managing budgets. Passion for technology and a strong understanding of the health benefits space. Preferred Qualifications: Experience in a health plan or TPA, advocacy &amp; navigation, interoperability, or other healthcare technology setting is strongly preferred. Experience working in an accelerated growth phase company.&nbsp; Pay Transparency Statement&nbsp; This is a hybrid position based out of our San Francisco office, with the expectation of being in office at least two weekdays per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$261,105&mdash;$326,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Vice President, Product

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Claims team is developing efficient systems for claims processing, prior authorizations and utilization management, to ensure members receive appropriate care cost-effectively. These systems will integrate with partner solutions to achieve provider payment integrity and accuracy for the healthcare service. We are leveraging proven technologies and business rules engines to create a highly configurable system. Collective Health is building modern health management systems, which enhance the claims engine, using cutting-edge technologies. What you'll do: Design and develop scalable, secure, and configurable platform services for the Cost Containment team. Develop and support full-stack services across backend (Java/Spring Cloud), integration platforms (Kafka, Mulesoft), and frontend (React/Angular/GraphQL etc.). Use AI-powered developer tools (e.g., Copilot, Cursor) and actively contribute to AI adoption in development and operational aspects. Build and enrich APIs and data services to integrate with partners and our claims engine. Collaborate with Lead developers and product managers in building solutions that leverage Business Rules Management Systems (BRMS) like Drools etc. Understand design decisions and actively drive code development using reusable patterns for cloud-native, AI-enabled backend systems. To be successful in this role, you'll need: Experience: 5+ years as a Full-Stack engineer. Full Stack Engineering: Proficiency in Java &amp; Spring Cloud, with a good understanding of microservices architecture and Kafka streaming. Working experience building UI features using React/Angular with GraphQL. AI Tools: Understanding of AI-enhanced development tools (e.g., GitHub Copilot, Cursor, WindSurf). Cloud: Good experience with Cloud Technologies (AWS/GCP preferred). Data: Working experience in SQL/PostgreSQL, and developing data-intensive services. Rules Engines: Nice to have experience in working with Business Rules Management Systems (BRMS) like Drools, Kogito etc. Team Collaboration: Work closely with cross-functional teams, including developers, and product managers, to gather requirements and ensure solutions meet business needs. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$134,500&mdash;$168,750 USDLehi, UT Pay Range$107,635&mdash;$134,000 USDPlano, TX Pay Range$117,500&mdash;$147,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Full Stack Software Engineer - Claims

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Senior Compliance Claims Auditor’s primary focus will be supporting the Company’s internal compliance operations by developing and strengthening Collective Health’s claims compliance program. If you are a compliance professional excited about helping build and operate a broad range of corporate and healthcare compliance functions at a mission-driven, healthcare technology company, then this role is for you! You will work on assuring the accuracy of claims processing performed by Collective Health. You will build relationships across all parts of the business and drive cross-functional initiatives to continuously improve our compliance program and support of the Collective Health compliance team. This role reports the Director of Compliance Programs,&nbsp; and works cross-functionally with various internal teams. The Compliance Team is responsible for providing oversight over the claims processing systems and procedures at Collective Health, and serving as a thought and innovation partner to business and corporate functions as they implement new initiatives.&nbsp; What you'll do: Audit medical claims received from providers for adjudication accuracy.&nbsp; This includes both professional and institutional claims of all types.&nbsp;&nbsp; Manage internal and external audits.&nbsp; Provide timely input on compliance-related issues and guidance requests Assist with compliance risk assessments and audit readiness Assist with new compliance regulation implementation related to claims accuracy.&nbsp; Collaborate with team members to identify and mitigate compliance risk for claims.&nbsp; Work closely with Collective Health attorneys to receive and coordinate legal guidance needed to operationalize important initiatives and requirements To be successful in this role, you'll need: Bachelor’s degree or equivalency&nbsp; required, preferably in a business, technology or healthcare field At least 5 years of experience auditing medical claims Coding credential is required Preferred AHIMA CCS Required either CPC, CPC-A, RHIT, or CCS.&nbsp; Broad experience and knowledge of coding and reimbursement systems (MS-DRGs, PPS Systems, bundled payments, OPPS, value based care, FFS).&nbsp; Broad experience and knowledge of healthcare and healthcare business practices and principles.&nbsp; Broad experience and knowledge of third-party payer practices, including precertification, timely filing, claims processing, coverage, and payer rules.&nbsp;&nbsp; Broad experience and knowledge of healthcare claims data and analytics,&nbsp; Knowledge and applicable understanding of federal laws related to ERISA group health plans.&nbsp; Knowledge of the 5010 data standards, along with practical understanding of EDI transmission files (835/837, 270/271, etc.)&nbsp;&nbsp; Knowledge and applicable understanding of subrogation, coordination of benefits, and claims hierarchy standards.&nbsp; Knowledge and applicable understanding of state and federal laws which apply to claims processing for group health plans, such as the No Surprises Act, ACA Preventive Health Provisions, parity laws, etc.&nbsp; Experience developing or enhancing a compliance program is desired A CHC certification is preferable Proven ability to build relationships and to collaborate effectively with a broad range of stakeholders and departments to drive compliance-friendly and business-friendly outcomes Strong organizational and project management skills with demonstrated attention to detail Proficiency with technology tools, including Google Drive, Sheets, Docs, Box, Smartsheet, Looker, and Slack Critical thinking and decision making skills, with the ability to quickly determine issues that need escalation Excellent written and verbal communication skills (including presentations) and the ability to drive execution in a team environment Pay Transparency Statement&nbsp; This job can be performed in a location where we have an office: San Francisco, CA, Lehi, UT, or Plano, TX, with the expectation of being in office at least two weekdays per week, or hired for remote work in the following states: AZ, CA, CO, CT, FL, GA, IL, MD, MA, MI, MN, NV, NJ, NY, NC, OH, OR, TN, TX, UT, VA, WA, or WI. The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$134,500&mdash;$168,750 USDLehi, UT Pay Range$107,635&mdash;$134,000 USDRemote Pay Range$107,635&mdash;$168,750 USDPlano, TX Pay Range$117,500&mdash;$147,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Compliance Claims Auditor, Claims

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Compliance Claims Auditor's primary focus will be supporting the Company's internal compliance operations by developing and strengthening Collective Health's claims compliance program. If you are a compliance professional excited about helping build and operate a broad range of corporate and healthcare compliance functions at a mission-driven, healthcare technology company, then this role is for you! You will work on assuring the accuracy of claims processing performed by Collective Health. You will build relationships across all parts of the business and drive cross-functional initiatives to continuously improve our compliance program and support the Collective Health compliance team. This role reports to the Director of Compliance and works cross-functionally with various internal teams. The Compliance Team is responsible for providing oversight over the claims processing systems and procedures at Collective Health and serving as a thought and innovation partner to business and corporate functions as they implement new initiatives. What you'll do: Create electronic claims accuracy monitoring mechanisms utilizing claims data models to identify potentially non-compliant claim adjudications.&nbsp; Develop and implement automated claims audits utilizing purposeful review of claims patterns and data analytics to proactively identify adjudication inaccuracies. Work cross-functionally with data analytics, data engineering, and other operational teams to identify and remediate claims errors based on data patterns.&nbsp; Audit medical claims received from providers for adjudication accuracy, including professional and institutional claims. Manage internal and external audits. Provide timely input on compliance-related issues and guidance requests. Assist with compliance risk assessments and audit readiness. Assist with new compliance regulation implementation related to claims accuracy. Collaborate with team members to identify and mitigate compliance risk for claims. Work closely with Collective Health attorneys to receive and coordinate legal guidance needed to operationalize important initiatives and requirements. To be successful in this role, you'll need: Bachelor's degree or equivalency required, preferably in a business, technology, or healthcare field. At least 8 years of experience performing data analyses on complex medical claims data sets, including but not limited to performing impact analyses and automated (electronic) claims reviews.&nbsp; A coding credential is required, preferably AHIMA CCS, or CPC, CPC-A, RHIT.&nbsp; Preference is given to candidates with a CHDA.&nbsp;&nbsp; Broad experience and knowledge of coding and reimbursement systems (MS-DRGs, PPS Systems, bundled payments, OPPS, value-based care, FFS). Broad experience and knowledge of healthcare and healthcare business practices and principles. Broad experience and knowledge of third-party payer practices, including precertification, timely filing, claims processing, coverage, and payer rules. Broad experience and knowledge of healthcare claims data and analytics. Knowledge and applicable understanding of federal laws related to ERISA group health plans and state department of insurance laws. Knowledge of the 5010 data standards, along with practical understanding of EDI transmission files (835/837, 270/271, etc.) and all X12 data specifications.&nbsp; Knowledge and applicable understanding of subrogation, coordination of benefits, and claims hierarchy standards. Knowledge and applicable understanding of state and federal laws which apply to claims processing for group health plans, such as the No Surprises Act, ACA Preventive Health Provisions, parity laws, etc.. Experience developing or enhancing a compliance program is desired. A CHC certification is preferable. Proven ability to build relationships and to collaborate effectively with a broad range of stakeholders and departments to drive compliance-friendly and business-friendly outcomes. Strong organizational and project management skills with demonstrated attention to detail. Proficiency with technology tools, including Google Drive, Sheets, Docs, Box, Smartsheet, Looker, Slack, and Databricks. Critical thinking and decision-making skills, with the ability to quickly determine issues that need escalation. Excellent written and verbal communication skills (including presentations) and the ability to drive execution in a team environment. Pay Transparency Statement&nbsp; This job can be performed in a location where we have an office: San Francisco, CA, Lehi, UT, or Plano, TX, with the expectation of being in office at least two weekdays per week, or hired for remote work in the following states: AZ, CA, CO, CT, FL, GA, IL, MD, MA, MI, MN, NV, NJ, NY, NC, OH, OR, TN, TX, UT, VA, WA, or WI. The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$134,500&mdash;$168,750 USDLehi, UT Pay Range$107,635&mdash;$134,000 USDRemote Pay Range$107,635&mdash;$168,750 USDPlano, TX Pay Range$117,500&mdash;$147,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Compliance Claims Auditor, Data

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Collective Health’s mission is to transform people’s healthcare experience from confusing and complicated to empowering and trustworthy. Our goal is to provide the most configurable, reliable, and easy to use benefits administration experience for our customers. As part of our TPA business, our product team is building scalable data and analytics solutions that enable payers, providers, employers, and members to access reliable insights and take action with confidence.&nbsp;&nbsp; As an Associate Product Manager (APM), you will partner with data engineering and analytics teams to design, build, and scale data-driven solutions. You’ll support the development of canonical schemas, reporting dashboards, and quality monitoring systems that power critical TPA operations. This is an entry-to-mid-level product role with direct exposure to healthcare data pipelines, claims, eligibility, and compliance — a strong foundation for growth into a data product leadership career. What you'll do: Collaborate with analytics and engineering teams to define requirements for data pipelines, schemas, and reporting. Translate business, compliance, and operational needs into clear data product requirements. Write user stories, manage Jira boards, and drive Agile ceremonies for data initiatives. Partner with stakeholders to gather requirements and align on priorities. Support dashboard and metric development to monitor claims, eligibility, and operational performance. Manage backlog and delivery of analytics and data integration features. Conduct light data exploration (SQL/BI tools) to support product decisions. Document workflows, requirements, and data dictionaries for clarity and scale. Triage and escalate data quality or pipeline issues with engineering partners. To be successful in this role, you'll need: Must be located near one of our offices in San Francisco CA, Plano TX, or Lehi UT. Bachelor’s degree in business, data, healthcare, or technology-related field. 2+ years of experience in product or analytics in healthcare technology. Familiarity with Agile product delivery and Jira. Exposure to SQL, data pipelines, or BI/analytics platforms (Looker, Sigma, Tableau, etc.). Analytical mindset and ability to bring clarity to ambiguous problems and collaborate with cross-functional teams to create solutions Strong communication skills; able to bridge technical and business perspectives. Highly organized, detail-oriented, and able to manage multiple priorities. Growth mindset — eager to deepen expertise in healthcare data, claims, and eligibility. Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.&nbsp;#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.San Francisco, CA Pay Range$107,650&mdash;$133,750 USDLehi, UT Pay Range$85,750&mdash;$107,000 USDPlano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Associate Product Manager, Data & Analytics

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building out the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to be responsible for the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be a pivotal part of improving the member healthcare experience by operating and scaling our data operations platform. What you'll do: Monitor and own the success of daily eligibility file processes and data management across Collective Health Develop an understanding of all of the file formats ingested and sent by our systems Investigate and resolve daily exceptions and errors Manage operational ticketing and ensure team success with SLAs Navigate daily tasks with minimal documentation, ask questions, be curious and analytical in order to build a better understanding of eligibility Help develop process documentation and a functional knowledge base Work closely with internal teams and 3rd party partners on owning and improving existing integrations and implementing new integrations (gathering and defining requirements, coordinating file build, testing, go-live etc) Prioritize quality and building for scale – our team is growing fast so you’ll need to be ready for new challenges To be successful in this role, you'll need: Required: Excel, G-Suite Cross functional collaboration Problem solving &amp; analytical thinking Basic SQL, Python, and/or data architecture knowledge EDI experience - system configuration, data mapping, testing and data reconciliation Experience in a technical oriented customer service organization Strong task and time management skills Proactively communicate with leaders and key stakeholders regarding assigned responsibilities Nice to have: Healthcare/benefits background Eligibility background Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$27.20&mdash;$34 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Eligibility Analyst I

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.As the Learning Team, we are driven by curiosity and a passion for growth. We dare to solve hard problems by creating engaging learning experiences that empower and inspire our learners to simplify the complexity of healthcare and deliver elevated service. Our customer-obsessed approach ensures that we consistently produce exceptional results that positively impact our customers, creating lasting value, and driving success. We are looking for a Learning Specialist to join our team to help facilitate new hire training and ongoing up-skilling training. All Learning Specialists should instill and encourage the Collective Health culture and values in all training interactions.&nbsp; What you'll do: Facilitation&nbsp; Participate in all equipment pickup mornings for all new hire classes (based on location) Act as the face of Collective Health for the new hires and demonstrate our culture, values, and professionalism in all training interactions Partner with IT, HR, and stakeholders to support onboarding days Virtually and in-person solo-facilitate or co-facilitate five-week new hire training programs (often back-to-back throughout the year) Attend all required in-person days and additional training days as needed Facilitate annual and spot upskilling sessions for tenured employees Continuously strengthen facilitation skills using team and leader feedback Cross-train into multiple lines of business as needed Support peers by assisting with prep, coordination, and serving as an SME when appropriate Project Management&nbsp; Oversee coordination and logistics of training classes, including scheduling, calendar management, invites, room/tech setup, nesting/shadowing schedules, and materials prep Partner with stakeholders to review progress, address challenges, and align on training goals Provide clear communications and documentation (agendas, debriefs, readouts) to stakeholders and partners Serve as the primary point of contact for training-related questions, ensuring timely follow-up and resolution Collaborate with HR and stakeholders to support sensitive new hire issues with professionalism Maintain accurate training records and data to support reporting needs Instructional Design &amp; Material Updates&nbsp; Contribute to curriculum improvement, keeping curriculum up to date, meeting deadlines for assigned updates, and collaborating with stakeholders to complete updates To be successful in this role, you'll need: Facilitation &amp; Presentation Skills Strong communication, presentation, and interpersonal skills Ability to engage diverse learners and adapt techniques to different learning styles Confidence and stamina in facilitating long, training sessions&nbsp; Skilled at conducting both supportive and disciplinary conversations with new hires during training Proficient in English (Spanish is a plus) Project Management &amp; Organizational Skills Strong time management and organizational skills; able to manage multiple priorities in a fast-paced environment Proficient in Google Suite and Zoom Ability to coordinate logistics (schedules, calendars, technology, materials) with attention to detail Comfortable taking ownership as the main point of contact Collaboration &amp; Stakeholder Engagement Strong relationship-building skills with stakeholders and cross-functional partners Ability to handle sensitive new hire issues with professionalism and discretion Team player who provides peer support and serves as an SME when needed Instructional Design &amp; Continuous Improvement Desire to design thoughtful, high-quality curriculum and learning environments Basic knowledge of modern corporate training techniques Ability to analyze survey and performance data to identify trends and recommend improvements Critical thinker who can make bold, informed recommendations Desire for continuous personal learning and professional skill building Commitment to creating a world-class training experience Qualifications A minimum of 2-4 years of proven experience in a corporate training Basic knowledge of the latest corporate training techniques Proficient time management and organizational skills Training experience in a healthcare environment Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$56,650&mdash;$71,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Learning Specialist

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Strategy &amp; Operations Learning Team contributes to the success of Collective Health by ensuring our employees are prepared and knowledgeable about the work they will be doing. As the Learning Team we strive to be inclusive and authentic in all of our interactions. Our curiosity drives us to build a thoughtfully crafted curriculum, program and environment for our learners. We are looking for a Team Lead to develop, lead, and coach, a high performing Learning Team and facilitate training. All leaders should instill and encourage the Collective Health culture and values in all interactions.&nbsp; What you'll do: Team Management: Lead, coach, and develop a high-performing team of Learning Specialists that work in a hybrid environment. Learning Specialists are located in both Lehi and Plano. Complete quarterly observations for Learning Team members. Track and document Learning Team members progress on success metrics and individual development goals. Manage the day to day activities of all Learning Team members. Oversee their work to ensure quality, productivity, and efficiency. Conduct regular 1:1s and team meetings to keep the team aligned on priorities and timelines. Participate in regular 1:1s with the Learning Manager and relay necessary updates and training requests to the rest of the team Manage attendance policy adherence, time off requests, behavioral and expectation issues Assist with hiring, training, and onboarding new Learning Team members to ramp up support for our day to day core requirements Facilitation: Participate in all equipment pickup mornings for all new hire classes (based on location) Act as the face of Collective Health for the new hires and demonstrate our culture, values, and professionalism in all training interactions Partner with IT, HR, and stakeholders to support onboarding days Facilitate annual and spot upskilling sessions for tenured employees Deliver quarterly (and as needed) leadership training to other leaders at Collective Health Continuously strengthen facilitation skills Project Management: Oversee all new hire training logistics (pre-class coordination meetings, nesting, shadowing, debriefs, weekly syncs, etc.) Partner with Member Services, Quality, Knowledge Management, Service Design, and other key Learning Team customers regularly to improve training program Provide clear communication and documentation (debriefs, readouts) to stakeholders and partners Serve as the primary point of contact for training program related questions, ensuring timely follow-up and resolution Collaborate with HR and stakeholders to support sensitive new hire personnel issues&nbsp; Maintain accurate training records and data to support reporting needs Participate in and lead stakeholder meetings Instructional Design &amp; Material Updates:&nbsp; Work with Learning Manager and Instructional Design Team to analyze survey data and improve training program Contribute to curriculum improvement, keeping curriculum up to date, meeting deadlines for assigned updates, and collaborating with stakeholders to complete updates To be successful in this role, you'll need: Team Management Skills Strong communication, coaching, active listening, and interpersonal skills Ability to engage diverse team and adapt leadership style Skilled at delivering feedback Proficient in English Facilitation &amp; Presentation Skills Strong facilitation skills and ability to present to large groups Solid knowledge of latest corporate training techniques Basic knowledge of LMS administration Project Management &amp; Organizational Skills Strong time management and organizational skills; able to manage multiple priorities in a fast-paced environment Proficient in Google Suite and Zoom Ability to coordinate logistics (schedules, calendars, technology, materials) with attention to detail Comfortable taking ownership as the main point of contact Collaboration &amp; Stakeholder Engagement Strong relationship-building skills with stakeholders and cross-functional partners Ability to handle personnel with professionalism and discretion Instructional Design &amp; Continuous Improvement Desire to design thoughtful, high-quality curriculum and learning environments Ability to analyze survey and performance data to identify trends and recommend improvements Critical thinker who can make bold, informed recommendations Desire for continuous personal learning and professional skill building Commitment to creating a world-class training experience Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$85,750&mdash;$107,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Senior Team Lead, Learning

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Utilization Management (UM) Operations Manager plays a critical role in the successful operationalization and ongoing support of Collective Health's UM program. This position is responsible for developing, implementing, and maintaining efficient UM processes, ensuring regulatory compliance, and providing vital support as the program scales. This is an individual contributor role focused on execution and optimization. What you'll do: Operational Implementation and Support: Develop, document, and implement efficient UM operational workflows and procedures. Provide ongoing operational support for the UM program, addressing inquiries and resolving issues in a timely manner. Support the scaling of the UM program by assisting with the implementation of new processes, technologies, and workflows. Collaborate with cross-functional teams to execute a seamless integration of UM operations with other departments, this includes Compliance, Product and Engineering, Clinical, etc. Coordinate with UM Program Manager to execute and ensure timely updates to PA lists &amp; UM functions - training, SOPs, KB updates. Monitor and action applicable UM reporting Attend and participate in Clinical, Operations and Client meetings Regulatory Compliance: Ensure UM operations are in compliance with all applicable laws and regulations. Assist in the development and implementation of policies and procedures to mitigate regulatory risk. Process Improvement: Continuously evaluate and identify opportunities to improve UM processes and workflows, including vendor related workflows Implement process changes to enhance efficiency, effectiveness, and quality of UM services. Utilize data and analytics to support process improvement initiatives. Documentation and Reporting: Maintain accurate and up-to-date documentation of UM processes, procedures, and workflows. Develop and generate reports on UM performance metrics and operational activities. To be successful in this role, you'll need: A Bachelor's degree in healthcare administration, business administration, or a related field. A minimum of 5+ years of experience in UM operations or a related healthcare operations role. Strong understanding of UM principles, processes, and regulations. Excellent analytical, problem-solving, and organizational skills. Strong written and verbal communication skills. Ability to work independently and collaboratively in a fast-paced environment. Experience with healthcare information systems and UM software is a plus. Pay Transparency Statement: This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office three days per week (Plano, TX) or two days per week (Lehi, UT). #LI-hybrid The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$85,750&mdash;$107,000 USDPlano, TX Pay Range$94,750&mdash;$118,000 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Utilization Management Operations Manager

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.Eligibility flows through and impacts every aspect of the Collective Health platform, and we are building the team responsible for receiving, processing, validating and sending our eligibility information with our partners. We exchange a high volume of files per day with customers, networks, and partners, and are looking for people to manage the operation, quality, and scaling of our data management systems. Through your experiences at Collective Health, you will be an important part of improving the member healthcare experience by operating and scaling our data operations platform.&nbsp; What you'll do: Responsible for understanding, investigating and resolving client and data inquiries within defined service levels Monitoring file ingestion working to identify and resolve file delays Investigate and resolve daily exceptions and errors Manage operational ticketing and ensure team success with SLAs Complete all needed client data reporting within defined timeframes Working closely with Analysts to help complete specific implementation tasks while adhering to due dates and timelines Prioritize daily work to meet or exceed timelines and expectations. To be successful in this role, you'll need: Required: Excel, G-Suite Experience in a technical oriented customer service organization EDI experience Ability to analyze large data sets Data reconciliation Healthcare background Strong task and time management skills Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the hourly rate, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at&nbsp;https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$21.55&mdash;$26.95 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Eligibility Associate

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Revenue Operations team drives critical go-to-market (GTM) programs across Sales and Client Success, ensuring our commercial execution aligns seamlessly with Collective Health’s growth strategies. Our portfolio spans Performance Guarantees, Salesforce optimization, commercial reporting and analytics, performance management, and strategic market planning. As internal consultants, we partner with leaders and cross-functional teams to define, organize, and execute GTM initiatives that unlock growth and measure impact. We work closely with Product, Marketing, Sales, Client Success, Partnerships, Customer Experience, and Finance to ensure strategies are successfully implemented. You will be reporting to the Director of Revenue Operations.&nbsp;&nbsp; What you'll do: In this role, you’ll use strong analytical skills to turn complex data into clear, actionable insights that drive decisions. You’ll support scalable growth by building reports, automating workflows, and enhancing program oversight through innovative technology and process improvements. Success will require a balance of technical expertise and cross-functional collaboration, ensuring data is connected to business context and communicated clearly to non-technical audiences.&nbsp; Make an Impact on High-Visibility Deals through PG Program Support The Performance Guarantee (PG) program is a key part of how we win and deliver value to clients. You will support it through data preparation, reporting, and cross-functional collaboration: Prepare and manage PG quote sheets and related data, directly influencing win and renewal rates Build and automate reporting to measure program success and inform leadership decisions (I.e., Looker, Google Data Studio (Looker Studio), SQL, Google Apps Script, Python)&nbsp;&nbsp; Ensure financial precision by maintaining the PG Service Level Tracker, a critical tool Finance uses to calculate client payouts Collaborate with senior leaders by partnering with the PG Program Manager on cross-functional reviews and the creation of innovative PG offerings Shape the future of our deals by analyzing past PG performance trends to guide smarter, more competitive structuring Collaborate with the Data Operations team to translate business needs into data requirements, building automated data pipelines that deliver reliable, actionable insights Salesforce Optimization &amp; Data Quality Improvement Make salesforce workflows smoother and reduce manual work by improving the system Be a champion of data quality by keeping Salesforce data clean through checking and cleaning records and setting clear entry rules data ownership Team up with Sales, Client Success and Marketing to agree on data standards and reporting needs Create Salesforce reports and dashboards that give clear insights into the business Enable adoption of Salesforce by assisting with testing, creating documentation, and developing training materials Commercial Performance Reporting &amp; Analysis Enable visibility into key performance areas by building and maintaining reports and dashboards in Salesforce, Google Sheets, and Looker Studio Track commercial performance through weekly and monthly reporting for leadership and cross-functional partners Tackle special analytical projects such as win/loss analysis, market opportunity assessments, territory optimization, evaluating broker performance, and measuring marketing campaign impact&nbsp;&nbsp;&nbsp; Make data digestible by turning complex datasets into clear visuals and concise summaries for a variety of audiences To be successful in this role, you'll need: Must currently be located within commuting distance of Lehi, UT (required) 2+ years in an analytical or data reporting role, with experience translating data into clear, actionable business insights&nbsp; Proficiency in Google Sheets/Excel, including pivot tables, advanced formulas, and data cleansing Experience building and automate reporting and ability to learn new tools (I.e., Looker, Google Data Studio (Looker Studio), SQL, Google Apps Script, Python, Gemini AI)&nbsp;&nbsp; Hands-on experience with Salesforce (required)&nbsp;for data entry, reporting, and basic dashboard building Ability to connect data insights to business priorities and communicate them effectively to both technical and non-technical audiences Exceptional attention to detail and organizational skills to manage multiple projects at once Strong communication and collaboration skills to work with stakeholders across Sales, Marketing, Client Success, and other teams Experience supporting B2B sales, marketing, or client success teams Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$75,200&mdash;$93,750 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Data Analyst II, Revenue Operations

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.You will be part of the Payments Engineering Team. The Payment Engineering team is responsible for the financial side of employer sponsored health benefits. The team builds apps and services to handle the entire process, from invoicing to auditing to payments.&nbsp;If you're passionate about applying technical expertise to solve meaningful healthcare challenges we would love to hear from you! What you'll do: Build the software systems that our payments teams use to manage of billions of dollars of transactions Lead end-to-end development of services across the stack, from backend to frontend Design and develop scalable, secure and configurable services Participate in the ongoing architecture and development of our payments platform Collaborate with product managers, other engineers, and teams across the company to solve complex real-world problems Participate in team projects, from understanding the challenges we are solving for to proposing and implementing solutions Drive architectural decisions and champion reusable patterns for cloud-native, AI-enabled systems&nbsp; Mentor other engineers and influence best engineering practices in system design, testing, and continuous delivery To be successful in this role, you'll need: Experience 8+ years of working as a full stack engineer&nbsp; Prior experience architecting, building, launching and maintaining complex systems To be well-versed in technologies such as Java &amp; Spring with a strong understanding of microservices architecture Experience building frontend features in React/Angular even if not your primary focus Experience working hands on with native cloud capabilities with AWS/GCP Hands-on experience with data architecture, SQL/PostgreSQL To enjoy working with a team of awesome collaborative co-workers A desire to use and drive AI-enhanced development tooling like GitHub Copilot, Cursor, or WindSurf as part of your regular development workflow&nbsp; Ability to clearly communicate up, down and across teams Pay Transparency Statement&nbsp; This is a hybrid position based out of one of our offices: Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$134,500&mdash;$168,000 USDPlano, TX Pay Range$147,800&mdash;$185,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

Lead Full Stack Engineer, Payments

At Collective Health, we’re transforming how employers and their people engage with their health benefits by seamlessly integrating cutting-edge technology, compassionate service, and world-class user experience design.The Manager of Provider Network Administration &amp; Enablement is responsible for the operational execution and leadership of provider contract implementation and data integrity functions. This role serves as the critical bridge between network strategy, contracting, and the technological systems that enable accurate claims pricing and provider visibility. What you'll do: Core Leadership &amp; Operational Management: Operationalizing Strategy Translate strategic network initiatives (e.g., new payment models, network expansions) into clear, scalable operational workflows for the contracting and data enablement team. Process Improvement &amp; Automation Lead continuous improvement initiatives focused on data governance, process automation, and operational excellence within the provider data lifecycle. Cross-Functional Collaboration: Serve as the primary operational liaison with key stakeholders, including Claims Operations, Claims Engineering, Product, and Data &amp; Analytics, ensuring alignment on system requirements and data usage. Provider Contract &amp; Reimbursement Expertise: Contract Interpretation &amp; Requirements Lead the analysis and interpretation of complex provider contracts, including all associated exhibits, to derive clear, unambiguous system configuration requirements. Reimbursement &amp; Fee Schedule Configuration Own the process of translating diverse payment methodologies (e.g., Capitation, P4P, FFS, Bundled Payments) and fee schedules into the payment system for accurate pricing of claims. Provider Taxonomy and Mapping Define and maintain protocols for assigning correct provider taxonomy codes and ensuring providers are accurately mapped to the correct fee schedules and reimbursement methodologies within each contract. Payment Validation Oversee detailed audits and analysis of claims data to validate claim payments against contracted rates and fee schedules, identifying and resolving any payment discrepancies. Provider Data Management &amp; Enablement: Inbound Data Loading &amp; Integrity Own the end-to-end process for inbound provider data loading from health systems, vendors, and self-insured clients. This includes overseeing the data validation, normalization, and housing within the TPA's systems. Contract Management System Responsible for the implementation, setup, and maintenance of a robust Contract Lifecycle Management (CLM) system to house all provider contracts, fee schedules, and associated documentation as the single source of truth. Provider Data Delivery &amp; Downstream Enablement Ensure the accurate and timely delivery and synchronization of provider data to all downstream systems and external vendors (e.g., Utilization Management (UM) partners, customer service platforms, eligibility feeds). Data Quality and Compliance: Establish and maintain data quality standards and procedures, including leading routine audits and remediation efforts. Oversee workflows supporting provider directory accuracy and compliance with CMS, NCQA, and state regulatory standards. To be successful in this role, you'll need: Experience: 7+ years of progressive experience in provider network administration, contracting, or claims payment systems in a health plan or Third-Party Administrator (TPA) environment, with at least 1-3 years of direct team leadership/management experience. Technical Knowledge: Deep expertise in medical claims pricing logic, the configuration of various reimbursement models (e.g., DRG, APC, RBRVS), and the use of industry-standard provider taxonomy and NPI/TIN data structures. System Proficiency: Proven experience working with or implementing Contract Management Systems (CLM), and strong familiarity with the operational aspects of claims adjudication systems (e.g., Ingenuity, Facets, Amisys). Analytical Skills: Expert ability to read and interpret complex legal contract language and translate it directly into technical/system requirements. Education: Bachelor's degree in Healthcare Administration, Business, Finance, or a related field. Pay Transparency Statement&nbsp; This is a hybrid position based out of our Lehi office, with the expectation of being in office at least two weekdays per week. #LI-hybrid&nbsp; The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.Lehi, UT Pay Range$96,300&mdash;$120,500 USDWhy Join Us? Mission-driven culture that values innovation, collaboration, and a commitment to excellence in healthcare Impactful projects that shape the future of our organization Opportunities for professional development through internal mobility opportunities, mentorship programs, and courses tailored to your interests Flexible work arrangements and a supportive work-life balance We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Collective Health is committed to providing support to candidates who require reasonable accommodation during the interview process. If you need assistance, please contact recruiting-accommodations@collectivehealth.com. Privacy Notice For more information about why we need your data and how we use it, please see our privacy policy: https://collectivehealth.com/privacy-policy/.

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