Trend Health Partners Benefits Overview

Oversees multiple strategic, interrelated projects and coordinates resources, dependencies, budgets, risks, and priorities across cross-functional teams. Establishes program governance, roadmaps, metrics, reporting, and operating cadences; communicates progress and recommendations to senior leadership. Leads organization-wide initiatives, change management, stakeholder alignment, and adoption activities while mentoring project managers and improving delivery processes, tools, and standards.

Analyzes healthcare claims, provider, pharmacy, and enrollment data to identify trends, improve data quality, optimize workflows, reduce costs, and support business decisions. Translates business needs into requirements, develops complex SQL queries, validates data, recommends process improvements, coordinates projects, and serves as a liaison among operations, research and development, IT, and external partners. Also mentors team members and communicates technical findings to nontechnical stakeholders.

Researches and analyzes healthcare claims to identify, validate, and recover overpayments for commercial insurers and state healthcare programs. Reviews contracts, payment policies, claims systems, algorithms, and regulatory guidance; resolves disputed overpayments; develops and documents new recovery opportunities; and collaborates with management, clients, providers, and team members to ensure accurate, timely claim analysis and continuous process improvement.