Jobs at Lucet

Design, build, and maintain scalable Ruby on Rails applications, APIs, databases, integrations, and automated tests. Partner with product, engineering, project management, and business analysis teams to deliver documented requirements and end-to-end features. Monitor application performance, provide production and on-call support, and contribute to emerging technology initiatives. The role supports business-critical behavioral health workflows and systems that improve access to care.

Leads regional clinical operations for substance use disorder utilization and care management services. Oversees clinicians, team performance, resource management, quality, regulatory and contractual compliance, audits, reporting, and continuous improvement. Builds high-performing teams and collaborates with health plans, providers, clients, and internal stakeholders. Serves as a subject matter expert for complex SUD cases while supporting evidence-based, recovery-oriented, member-centered care.

Reviews behavioral health authorization requests and makes medical necessity and level-of-care determinations using clinical judgment and evidence-based criteria. Coordinates care with members, families, providers, and clients, including discharge planning and access to services. Documents reviews accurately, maintains compliance with regulatory and accreditation standards, handles telephonic provider contacts, and manages caseloads independently in a remote work environment.

Leads enterprise quality management, performance improvement, compliance, and quality analytics programs. Develops quality strategy, monitors clinical and operational measures, translates data into executive insights, and drives improvements in outcomes, member experience, patient safety, regulatory performance, and HEDIS and Medicare Stars results. Partners with clinical, operational, health plan, regulatory, and accreditation stakeholders while leading audits, risk mitigation, change management, and a high-performing quality team.

Leads regional clinical operations for behavioral and physical health programs, overseeing care quality, transitions, outcomes, member satisfaction, compliance, audits, performance metrics, and process improvement. Manages and develops clinical teams, supports complex cases, resolves escalated concerns, and collaborates with health plans, providers, clients, and internal stakeholders. The role requires an independently licensed behavioral health professional or registered nurse, substantial post-licensure experience, clinical supervisory leadership, care management expertise, and 10% travel.

Provides integrated care management and utilization management for members with substance use disorders. Conducts clinical assessments, develops care plans, reviews authorization requests, evaluates medical necessity, coordinates referrals and discharge planning, and supports treatment engagement and recovery. The clinician collaborates with members, providers, health plans, and community resources while maintaining compliant documentation and participating in quality improvement.

Provides overnight behavioral health clinical support through telephonic screenings, crisis intervention, utilization review, authorization requests, care coordination, referrals, discharge planning, and member follow-up. Maintains compliant clinical documentation and collaborates with members, families, providers, physician consultants, and internal teams. Requires an independently licensed mental health clinician or registered nurse, at least two years of direct psychiatric or chemical dependency care experience, strong communication skills, and the ability to work remotely in a 24/7 call center environment.

The IT Business Analyst gathers and translates business requirements into technical solutions, partners with stakeholders and product owners, manages backlogs and roadmaps, and supports project delivery. The role creates requirements and UAT documentation, tracks software development, coordinates production issue resolution, and administers Genesys Cloud contact center capabilities including routing, IVR, queues, reporting, dialers, and workflows. It also identifies process improvements and serves as a subject matter expert across supported products and programs.

Outbound-focused role contacting insured members to schedule annual wellness/benefit exams using a progressive dialer. Build member relationships, coordinate and confirm appointments, provide pre-visit instructions, manage high-volume multi-channel communications, and accurately document interactions and outcomes to support primary care teams.