Bring healthcare domain knowledge and experiences, in one or more of the following functional areas in the healthcare value chain, examples include and not limited to: end to end claims process, population health, care management, utilization management and prior authorization, appeals and grievances, provider network, HEDIS / Quality / Stars improvement, enrollment and billing functions. At least five years of healthcare domain experiences, in one or more of the following functional areas in the healthcare value chain, examples include and not limited to: end to end claims process, population health, care management, utilization management and prior authorization, appeals and grievances, provider network, HEDIS / Quality / Stars improvement, enrollment and billing functions.