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Supervisor, Configurations and Notifications
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Not listed
35 days ago
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Sr. Data Engineer (Databricks)
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Not listed
39 days ago
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Lead Implementation Solution Architect
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Not listed
47 days ago
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Client Analytics Manager- Value
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Not listed
75 days ago
♡
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Supervisor, Configurations and Notifications
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Pay
Not listed
Setting
On-site
Position: Supervisor, Configurations and Notifications Location: Lake Mary, FL Job Id: 727-TBD # of Openings: 1 Supervisor, Configurations and Notifications Who We Are: TurningPoint Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. TurningPoint provides an innovative suite of specialty care management services and technologies that enable health plans and employers to improve the safety, quality, and affordability of healthcare. Through its platform and specialized team of clinical experts, TurningPoint works collaboratively with providers to deliver optimal care. TurningPoint offers condition-specific, quality-driven, value-based care management services that optimize care from diagnosis and discovery through recovery. TurningPoint’s comprehensive and integrated suite of services enhances the support individuals need, at the time they need it most. Since launching in 2015, TurningPoint has provided support to more than 50 million people nationwide across numerous clinical specialties including musculoskeletal, pain management, cardiology, wound care, ear/nose/throat, and sleep. TurningPoint’s model moves beyond denial-based care to holistic condition management that improves outcomes and reduces cost. TurningPoint is an independent organization, not owned or affiliated with a health plan or provider system. Position Summary: The Supervisor, Notifications & Configuration is responsible for leading the daily operations of the Notifications and Configurations team within the Non-Clinical Operations department. This role oversees a team responsible for notification processing, correspondence template management, system configuration, production support, and mailroom operations that support TurningPoint's utilization management programs. The Supervisor ensures client and member notifications are accurate, timely, compliant, and generated in accordance with client-specific requirements, regulatory standards, and internal service level expectations. This leader partners closely with Clinical Operations, Technology, Product, Client Implementation, Quality, and other business stakeholders to support operational readiness, system enhancements, production support, and continuous process improvement. The ideal candidate is a collaborative leader with strong operational, technical, and analytical skills who is passionate about developing high-performing teams, improving operational efficiency, and delivering exceptional service to both internal and external customers. Roles and Responsibilities: Leadership Lead, coach, and develop a team of Notifications Associates and Configuration Associates to achieve departmental objectives. Establish clear performance expectations related to productivity, quality, customer service, and turnaround times. Conduct regular one-on-one meetings, performance evaluations, coaching sessions, and career development planning. Foster a culture of accountability, collaboration, continuous improvement, and operational excellence. Assist with recruiting, onboarding, scheduling, training, and cross-training of team members. Manage staffing levels and workload distribution to ensure appropriate operational coverage. Operations Oversee the daily processing of notifications, correspondence generation, template management, and system configuration activities. Ensure notifications and correspondence are accurate, compliant, and delivered within established service level expectations. Oversee the creation, maintenance, and governance of client correspondence templates and notification configurations. Review and approve configuration changes and template updates prior to production deployment. Monitor automated notification workflows and proactively identify, troubleshoot, and resolve production issues impacting correspondence generation. Ensure operational documentation, configuration standards, and template libraries remain current and well maintained. Process Excellence Monitor daily operational performance, productivity, quality, service levels, and turnaround times. Analyze operational trends and implement corrective actions to improve efficiency, quality, and customer satisfaction. Develop and maintain departmental policies, procedures, and standard operating practices. Lead continuous improvement initiatives focused on workflow optimization, automation opportunities, and operational scalability. Ensure compliance with HIPAA, regulatory requirements, client contractual obligations, and company policies. Production Support Serve as the operational lead for notification and configuration-related production support activities. Partner with Technology, Product, and business stakeholders to identify, investigate, and resolve production issues affecting notifications and correspondence. Coordinate validation of configuration changes following system releases or production updates. Monitor production performance and recommend enhancements to improve reliability, efficiency, and accuracy. Collaboration Partner with Clinical Operations, Technology, Product, Client Implementation, Compliance, and Quality teams to support operational priorities. Coordinate notification and configuration activities supporting new client implementations and ongoing client enhancements. Communicate operational risks, project status, and implementation readiness to leadership. Serve as the operational subject matter expert for notification workflows, correspondence management, and system configuration. Performance Management Monitor and report departmental key performance indicators, including: Productivity Quality Turnaround times Notification accuracy Configuration accuracy Production defects Service level attainment Utilize operational data and reporting to identify trends, improve workflows, and drive continuous improvement initiatives. Other Responsibilities Support departmental and organizational initiatives as assigned. Participate in business continuity planning related to notification and configuration operations. Assist leadership with operational reporting, workforce planning, forecasting, and strategic initiatives. Education, Experience and Licensure: Bachelor's degree preferred; equivalent combination of education and experience will be considered. Three (3) to five (5) years of experience in healthcare operations, customer operations, notifications, system configuration, or related operational support. One (1) to three (3) years of leadership or supervisory experience. Strong organizational, analytical, and problem-solving skills. Excellent verbal and written communication skills. Demonstrated ability to manage multiple priorities in a fast-paced environment. Proficiency with Microsoft Office Suite, including Excel, Word, Outlook, and PowerPoint. Preferred Education, Experience and Licensure: Experience supporting healthcare utilization management, managed care, or payer operations. Experience with correspondence management, document automation, workflow systems, or system configuration. Working knowledge of HIPAA and healthcare regulatory requirements. Experience supporting enterprise operational systems and production support processes. TurningPoint Healthcare Solutions is an Equal Opportunity Employer. Apply for this Position
Listed by TurningPoint Healthcare Solutions for a position based in the United States. Employers on this board attest they are hiring domestically.
Sr. Data Engineer (Databricks)
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Pay
Not listed
Setting
On-site
Position: Sr. Data Engineer (Databricks) Location: Lake Mary, FL Job Id: 726-TBD # of Openings: 1 Sr. Data Engineer (Databricks) Who We Are: TurningPoint Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. TurningPoint provides an innovative suite of specialty care management services and technologies that enable health plans and employers to improve the safety, quality, and affordability of healthcare. Through its platform and specialized team of clinical experts, TurningPoint works collaboratively with providers to deliver optimal care. TurningPoint offers condition-specific, quality-driven, value-based care management services that optimize care from diagnosis and discovery through recovery. TurningPoint’s comprehensive and integrated suite of services enhances the support individuals need, at the time they need it most. Since launching in 2015, TurningPoint has provided support to more than 50 million people nationwide across numerous clinical specialties including musculoskeletal, pain management, cardiology, wound care, ear/nose/throat, and sleep. TurningPoint’s model moves beyond denial-based care to holistic condition management that improves outcomes and reduces cost. TurningPoint is an independent organization, not owned or affiliated with a health plan or provider system. Roles and Responsibilities: Serve as a senior technical contributor within the Data Engineering team, providing hands-on development support, code review, troubleshooting, and mentorship to other engineers. Contribute to the design and implementation of Databricks-based data solutions, including Lakehouse patterns, Delta Lake tables, medallion data models, ETL/ELT pipelines, workflow orchestration, and reusable data engineering components. Build, optimize, and maintain production-grade data pipelines using Databricks, Python, PySpark, SQL, and related cloud data platform services. Apply and help improve data engineering best practices, including coding standards, source control, CI/CD, automated testing, documentation, observability, data quality checks, and performance optimization. Partner with business, analytics, product, and technology teams to load, curate, and operationalize large-scale datasets that support reporting, analytics, machine learning, and platform capabilities. Support data platform initiatives via engineering expertise, solution delivery, reusable data assets, integration patterns, and practical implementation recommendations. Participate in technical discovery and solution design for data initiatives, translating business requirements into effective Databricks implementation plans. Share knowledge across the team by introducing relevant Databricks capabilities, engineering methods, and platform patterns that improve delivery speed, reliability, and scalability. Education, Experience and Licensure: Bachelor’s degree or relevant work experience 8+ years software development experience Experience developing production software using Python Experience working with REST API's SQL database design experience Hands-on experience designing, building, and operating production data pipelines in Databricks is required Experience with PySpark, Delta Lake, Lakehouse architecture, data modeling, workflow orchestration, and performance tuning within Databricks Experience with a Distributed Version Control System (e.g., git) Experience writing and maintaining test suites (including unit tests) A passion for thoroughness, execution and completion Ability to communicate in a clear, articulate, team-friendly manner to all levels of an organization to present findings and recommendations to team members and senior management Experience in summarizing analysis results using PowerPoint and explaining analysis results to senior management levels Experience in working with virtual groups across the organization Approachable, personable and team player comfortable working in an Agile environment Experience in managing multiple initiatives in parallel Preferred Skills: Databricks certification Experience with healthcare data Experience with machine learning pipelines TurningPoint Healthcare Solutions is an Equal Opportunity Employer. Apply for this Position
Listed by TurningPoint Healthcare Solutions for a position based in the United States. Employers on this board attest they are hiring domestically.
Lead Implementation Solution Architect
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Pay
Not listed
Setting
On-site
Position: Lead Implementation Solution Architect Location: Lake Mary, FL Job Id: 722-V37505 # of Openings: 1 Lead Implementation Solution Architect Who We Are: TurningPoint Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. TurningPoint provides an innovative suite of specialty care management services and technologies that enable health plans and employers to improve the safety, quality, and affordability of healthcare. Through its platform and specialized team of clinical experts, TurningPoint works collaboratively with providers to deliver optimal care. TurningPoint offers condition-specific, quality-driven, value-based care management services that optimize care from diagnosis and discovery through recovery. TurningPoint’s comprehensive and integrated suite of services enhances the support individuals need, at the time they need it most. Since launching in 2015, TurningPoint has provided support to more than 50 million people nationwide across numerous clinical specialties including musculoskeletal, pain management, cardiology, wound care, ear/nose/throat, and sleep. TurningPoint’s model moves beyond denial-based care to holistic condition management that improves outcomes and reduces cost. TurningPoint is an independent organization, not owned or affiliated with a health plan or provider system. Position Summary: The Lead Implementation Solution Architect is a client-facing integration architecture role responsible for designing scalable, practical solution approaches for new client implementations and expansions. This role partners directly with client architects, TurningPoint implementation leaders, internal technology teams, and operational stakeholders to assess client capabilities, define the end-to-end integration approach, and ensure both organizations understand what must be built or changed to launch successfully. This role serves as the bridge between business implementation needs and technical execution, helping reduce ambiguity, manage integration risk, and strengthen the repeatability of TurningPoint’s implementation model. Key Responsibilities: Solution Design & Architecture Design scalable integration solutions that align with client needs and TurningPoint standards. Assess client systems, workflows, and technical capabilities. Define integration requirements, dependencies, and implementation approaches. Ensure architectural best practices and standards are followed. Implementation Support Serve as the primary architecture resource for implementation teams. Partner with clients and internal teams to resolve technical design challenges. Identify and mitigate integration risks and dependencies. Support solution decisions that balance business, operational, and technical requirements. Client & Stakeholder Management Serve as a trusted advisor to client architects and technical teams. Communicate complex technical concepts to business and operational stakeholders. Facilitate alignment across client, implementation, product, and technology teams. Continuous Improvement Develop reusable integration patterns, standards, and implementation guidance. Recommend improvements that enhance scalability, consistency, and implementation success. Identify opportunities to simplify the client experience by streamlining implementation technical processes, tools, and artifacts. This role is a vital partner with product and technology teams to improve existing solutions and define new capabilities or partnerships that make TurningPoint easier to work with from a technical perspective. Required Qualifications: Bachelor's degree or equivalent experience. 5+ years of experience in solution architecture, systems integration, healthcare technology, implementation consulting, or a related field. Experience designing and delivering complex integrations in a client-facing environment. Experience with API, EDI, SFTP, and file-based integrations. Strong communication, relationship-building, and problem-solving skills. Ability to manage multiple priorities and workstreams independently. Proficiency with Microsoft Office tools and project management tools such as Smartsheet Familiarity with Azure Databricks Preferred Qualifications: Healthcare payer or health plan experience. Experience with prior authorization, utilization management, claims, provider, or member data workflows. Experience working with client technical and architecture teams. Azure Solutions Architecture Certification TurningPoint Healthcare Solutions is an Equal Opportunity Employer. Apply for this Position
Listed by TurningPoint Healthcare Solutions for a position based in the United States. Employers on this board attest they are hiring domestically.
Client Analytics Manager- Value
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Pay
Not listed
Setting
On-site
Position: Client Analytics Manager- Value Location: Lake Mary, FL Job Id: 710-TBD # of Openings: 1 Client Analytics Manager- Value Who We Are: TurningPoint Healthcare Solutions is a leader in advanced clinical and technology-enabled complex condition management. TurningPoint provides an innovative suite of specialty care management services and technologies that enable health plans and employers to improve the safety, quality, and affordability of healthcare. Through its platform and specialized team of clinical experts, TurningPoint works collaboratively with providers to deliver optimal care. TurningPoint offers condition-specific, quality-driven, value-based care management services that optimize care from diagnosis and discovery through recovery. TurningPoint’s comprehensive and integrated suite of services enhances the support individuals need, at the time they need it most. Since launching in 2015, TurningPoint has provided support to more than 50 million people nationwide across numerous clinical specialties including musculoskeletal, pain management, cardiology, wound care, ear/nose/throat, and sleep. TurningPoint’s model moves beyond denial-based care to holistic condition management that improves outcomes and reduces cost. TurningPoint is an independent organization, not owned or affiliated with a health plan or provider system. Position Summary: Lead the development and delivery of analytics that define, measure, and communicate client value, including ownership of savings methodologies and impact quantification. This role is accountable for ensuring value is calculated consistently, accurately, and transparently, informing both strategic decisions and financial outcomes. Partner with Client Account Management, Clinical Operations, and Finance to translate complex healthcare data into clear, defensible insights that articulate program value. Design and deliver scalable financial, clinical, and utilization-based analyses using modern data tools to produce high-quality reporting and compelling, client-ready narratives. This is a highly visible, client-facing role, partnering directly with external stakeholders to explain methodologies, validate outcomes, and guide data-driven decision-making. Roles and Responsibilities: Own and evolve client savings and value methodologies, including design, validation logic, and ongoing refinement aligned to contractual and business requirements Ensure accuracy, transparency, and defensibility of all value calculations, serving as the authoritative source for reported client impact Translate complex analytical outputs into clear, client-ready narratives, articulating financial and clinical value drivers Engage directly with clients as needed to review methodologies, explain results, and address questions related to value realization Design, build, and deploy scalable analytics solutions using Databricks, SQL, Python, and Power BI Ensure data quality and integrity through robust QA processes, validation checks, and adherence to data governance standards Deliver both recurring and ad hoc analyses across program performance, financial outcomes, utilization, and cost-saving initiatives Partner cross-functionally with Client Management, Clinical Operations, Finance, and Data Engineering to align analytics with business needs and enable effective decision-making Support invoicing processes by ensuring savings outputs are accurate, complete, and contractually aligned, enabling efficient and accurate billing Establish and maintain analytics standards, documentation, and best practices Serve as a senior individual contributor, mentoring team members and driving analytics excellence Develop executive- and client-ready visualizations that drive decision-making What we are looking for: Deep experience with healthcare datasets (claims, eligibility, providers, authorizations) Advanced SQL and hands-on experience with Databricks and Power BI Strong understanding of healthcare financial, clinical, and value-based performance metrics Demonstrated experience defining and validating savings methodologies, ROI models, or value frameworks Proven ability to translate complex healthcare data into actionable insights for both internal and client audiences Experience working in ambiguous environments and driving solutions independently Strong stakeholder management and confidence engaging with external clients Education, Experience and Licensure: Bachelor’s degree in Healthcare Analytics, Finance/Economics, Math/Statistics, or related field 5+ years of experience in healthcare analytics, business intelligence, or related environment Experience supporting value measurement, ROI modeling, or financial impact analysis (invoicing exposure a plus, not primary) Strong analytical, problem-solving, and communication skills Ability to influence and mentor others while fostering a collaborative environment Proficient in Microsoft Office Suite (Excel, PowerPoint, etc.) Expertise in a modern data stack (Databricks, distributed processing, SQL-based transformations, and semantic modeling in Power BI) TurningPoint Healthcare Solutions is an Equal Opportunity Employer. Apply for this Position
Listed by TurningPoint Healthcare Solutions for a position based in the United States. Employers on this board attest they are hiring domestically.
Clinical Operations Representative
TurningPoint Healthcare Solutions · Remote
Pay
Not listed
Setting
Remote
Position: Clinical Operations Representative Location: Any Job Id: 685 # of Openings: 1 Job Description As a Clinical Operations Representative you will assist in daily activities servicing customers including doctor's offices and patients. This will include processing requests received via telephone, fax, and e-mail and providing or validating request information. This position supports the Utilization Review Nurses in creation of the medical cases. The ideal candidate will have great attention to detail and advanced grammar and punctuation skills. This position is full-time with variable shifts. Medical Assistant Certification, a plus! Responsibilities: Responds to customer questions via telephone and written correspondence regarding medical cases. Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner. Responsible for meeting or exceeding quality and productivity expectations to ensure customer satisfaction. Review and maintain service requests and call center database for completeness of information Handles most complex calls with minimal assistance. Provides assistance in and/or refers high-level, complex questions, problems or client complaints to appropriate resources to ensure customer satisfaction Enters updates to pertinent insurance data from Document Management System or FAX into the computer system in a timely manner ensuring accuracy, completeness, and adherence to department procedures Perform outbound calls to members, providers, and clients Respects and maintains HIPAA confidentiality guidelines Other duties as directed Qualifications: Minimum of 2 years’ experience in customer service, or healthcare operations; Required Associates Degree in a business or health related field is; Preferred Demonstrates dependability by following instructions, policies, and procedures; exceeds productivity standards, meets deadlines, and adheres to work schedules Strong problem solving and troubleshooting skills with precise attention to detail Phone queue experience and data entry skills, Preferred Intermediate to advance proficiency in Microsoft Word, Excel and Outlook Strong organizational skills and ability to multitask What does TurningPoint have to offer you? Competitive Compensation for full-time employees including, but not limited to: Medical, dental, vision, disability, life, Gym Discount, and PTO. All employees, age 21 and over, are eligible to participate in the 401(k)-retirement savings plan. TurningPoint is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare care patients receive. Are you seeking a place to grow in a career? Do you want to make a difference? A place where continuous learning and performance are rewarded? Start your career as a Clinical Operations Representative. Job Type: Full-time CST and MST is preferred Apply for this Position
Listed by TurningPoint Healthcare Solutions for a position based in the United States. Employers on this board attest they are hiring domestically.
Clinical Review Nurse
TurningPoint Healthcare Solutions · Lake Mary, FL, USA
Pay
Not listed
Setting
On-site
Position: Clinical Review Nurse Location: Lake Mary, FL Job Id: 680 # of Openings: 1 TurningPoint Healthcare Solutions is a rapidly growing and innovative healthcare company that supports several large national health plans to improve the quality and affordability of healthcare patients receive. We are looking for motivated individuals who want to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise and judgement along with established medical criteria to perform first level clinical review for select procedures that require medical necessity authorization. We are seeking individuals who enjoy a challenge, have an ability to work independently and are capable of meeting deadlines. Previous utilization management experience is preferred. In addition to prior experience, the ideal candidate will have an extreme attention to detail, an ability to flourish in a fast-paced environment and advanced grammar, punctuation, and computer skills. This is a fully remote position with multiple shifts available! Responsibilities Perform initial clinical reviews and provide documented recommendations based on the use of appropriate clinical guidelines Review the initial evaluation and clinical documentation against clinical standards, applicable state regulations and relevant treatment guidelines Assist clinical staff in quality improvement projects to provide instructive feedback to clients and providers within scope of practice Resolve patient care issues by working one-on-one with community providers and staff to resolve issues in the determination process Provide information by responding to queries of physicians and their practice staff, sorting and distributing messages and documents, and preparing information for determinations Improve quality results by studying, evaluating procedures and processes and recommending changes, if needed Serves and protects the company by adhering to accreditation standards, professional standards, company policies and procedures, federal, state, and local requirements, and professional and licensing standards Qualifications: Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) required Comprehensive knowledge of general nursing theory and practices Excellent customer service skills and phone etiquette Proficient computer skills, including typing and an ability to maneuver through various programs Previous Utilization Management experience preferred but not required Knowledge of musculoskeletal surgical procedures, cardiac procedures, pain management and/ or wound care is a plus Ability to multi-task and manage tasks to completion on a timely basis and in an organized fashion Ability to work collaboratively as part of a team Apply for this Position
Listed by TurningPoint Healthcare Solutions for a position based in the United States. Employers on this board attest they are hiring domestically.
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