Lucet

Analyst

• Provide utilization management and care management for behavioral health and healthcare navigation for ASD services
• Conduct assessments and engage members, families, and caregivers to identify needs and remove barriers to care
• Connect members with appropriate healthcare and community resources
• Coordinate care and communication among members, providers, health plans, behavioral health teams, and community partners
• Support effective treatment and discharge planning
• Perform ABA utilization management activities, including benefit verification and medical necessity reviews
• Coordinate peer reviews
• Educate stakeholders regarding authorization, denial, and appeals processes
• Maintain accurate clinical documentation
• Provide ongoing member and provider support
• Ensure regulatory compliance and confidentiality
• Participate in clinical staffing, professional development, and special projects

Clinician, Behavioral Analyst

Care Coordinator

• Coordinate and support non-clinical patient care activities
• Ensure patients receive timely services, follow-up, education, and assistance navigating care
• Address barriers and escalate concerns as needed
• Serve as a care coordination resource and team lead
• Provide guidance, training support, workflow support, and operational oversight
• Contribute to process improvement and efficient service delivery
• Maintain accurate patient records and documentation
• Support reporting and quality initiatives
• Ensure compliance with organizational, regulatory, and HIPAA requirements
• Support the care delivery team for individuals with chronic and complex conditions
• Promote high-quality service and a positive patient experience

Senior Care Coordinator

Data Analyst

• Provide reports and analysis supporting Lucet's clinical and operational performance
• Translate evaluation questions into analytic plans
• Construct analytic datasets and produce appropriate data summaries
• Conduct valid data comparisons and statistical tests
• Lead analytics for Medicare Advantage and commercial risk adjustment programs
• Identify HCC opportunities and analyze coding gaps and suspecting logic
• Support chart review and validate encounter and claims data
• Measure and monitor risk adjustment program performance
• Provide insights supporting accurate documentation, compliant coding, and improved financial and clinical outcomes
• Partner with clinical strategy, care management, coding, compliance, provider engagement, and operational teams
• Identify target populations and define intervention cohorts
• Develop actionable reporting and dashboards
• Analyze member populations and recommend strategies, programs, and service offerings
• Evaluate the financial impact of contracts, RFPs, RFIs, and strategic initiatives
• Analyze and report on operational, clinical, and financial data to support organizational objectives and data-driven decisions

Senior Healthcare Data Analyst – Revenue Analytics

Clinician

• Review and complete initial and concurrent authorization requests
• Conduct comprehensive behavioral health utilization reviews
• Apply medical necessity criteria, clinical judgment, and evidence-based practices to determine appropriate levels of care
• Handle incoming telephonic contact from the provider network
• Collaborate with members, families, providers, and clients to coordinate care
• Facilitate access to behavioral health services
• Support discharge planning and promote successful treatment outcomes
• Maintain accurate documentation and use clinical systems effectively
• Maintain compliance with regulatory and accreditation standards
• Meet caseload requirements and team objectives

Temporary Clinician, Utilization Management

Business Intelligence Developer

• Aggregate data from multiple data sources
• Design, build, and support enterprise-level BI and analytics solutions
• Gather requirements from business stakeholders
• Design and develop reports, dashboards, and ad-hoc queries against the data warehouse and operational systems
• Collaborate with Reporting and Analytics and Data Engineering teams on data modeling, predictive analytics, data visualization, and data governance
• Analyze data sources, business processes, and data mining results
• Architect BI and reporting solutions using Tableau, SQL, SSIS, and SSRS
• Implement best-practice BI solutions and reports supporting business decisions
• Consult with users on data use and management
• Support design, maintenance, and completion of highly visible organizational projects
• Maintain stakeholder relationships and data-domain documentation, including reporting requirements and data maps
• Manage multiple tasks and projects to timely completion
• Support data governance initiatives, metadata management, and data stewardship
• Comply with Lucet policies and applicable privacy, confidentiality, security, and legal requirements

BI Developer

Full-stack Engineer

• Design, build, and maintain scalable Ruby on Rails web applications
• Develop and maintain APIs and relational databases
• Build and maintain automated testing
• Develop and support system integrations
• Ensure application quality through testing and performance monitoring
• Partner with product and engineering teams to deliver high-quality, well-tested solutions
• Own features end to end
• Partner with Project Managers and Business Analysts to execute delegated tasks and implement documented business requirements
• Contribute technical expertise to development efforts and overall IT department goals
• Participate in application monitoring and on-call production support, including nights and weekends as required
• Identify and support emerging technologies
• Support systems that improve access to behavioral healthcare

Software Engineer, Ruby on Rails

• Review and complete initial and concurrent authorization requests
• Provide behavioral health clinical care coordination
• Handle incoming telephonic contact from the provider network
• Make medical necessity determinations using clinical judgment, medical necessity criteria, and evidence-based practices
• Conduct comprehensive behavioral health utilization reviews and determine appropriate levels of care
• Collaborate with members, families, providers, and clients to coordinate care
• Facilitate access to behavioral health services
• Support discharge planning and promote successful treatment outcomes
• Maintain accurate documentation and comply with regulatory and accreditation standards
• Use clinical systems effectively and follow organizational policies and procedures

Clinician, Utilization Management

Clinical Operations

• Provide leadership and oversight for clinicians within an assigned region
• Lead regional clinical operations, including team performance, resource management, care coordination, and operational initiatives
• Drive quality outcomes, member satisfaction, and organizational goals
• Oversee clinical quality, regulatory compliance, performance monitoring, and continuous improvement
• Supervise staff, conduct audits and reporting, and optimize processes
• Build and develop high-performing clinical teams
• Foster partnerships with health plans, providers, clients, and internal stakeholders
• Provide leadership and oversight for integrated utilization management and care management services for members with substance use disorders
• Ensure evidence-based, recovery-oriented care
• Serve as a subject matter expert for complex substance use disorder cases and staff development

Manager, Clinical Operations – SUD

Director

• Provide strategic leadership for the organization’s quality management, performance improvement, and compliance programs
• Develop and lead the enterprise quality strategy
• Drive improvements in clinical outcomes, member experience, patient safety, regulatory performance, and operational effectiveness
• Partner with clinical, operational, and health plan stakeholders
• Leverage data, member insights, and best practices to deliver sustainable quality improvements
• Advance HEDIS, Medicare Stars, and satisfaction performance
• Establish and oversee quality measurement, reporting, and performance monitoring frameworks
• Translate quality data and performance trends into actionable insights, recommendations, and executive-level reporting
• Support decision-making and continuous improvement initiatives
• Lead quality assurance, improvement, and audit programs
• Ensure compliance with regulatory, accreditation, contractual, and organizational requirements
• Drive risk mitigation, change management, and stakeholder engagement efforts
• Strengthen care quality, patient safety, operational performance, and external partnerships
• Lead, coach, and develop a high-performing team
• Foster accountability, continuous learning, and alignment with organizational values
• Work from home using company-provided equipment