Architect and execute the strategic roadmap for provider data management, credentialing, and network adequacy, acting as the enterprise authority on data integrity.
Lead a high-performing remote team, establishing rigorous metrics for third-party vendors and integrating AI/LLMs to automate and optimize provider data processes.
Oversee the accuracy and compliance of the Provider Directory, partner with the Chief Medical Officer on credentialing, and drive cross-functional collaboration across Clinical, Claims, and Product teams.
Provide day-to-day guidance, training, and support to credentialing associates.
Design, document, and implement scalable credentialing workflows and standard operating procedures.
Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.
BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.
Deliver production-grade AI products using LLMs, NLP, and ML to process unstructured clinical data and drive early disease identification.
Collaborate with Market Operations, Insights Engineering, and Clinical teams to create real-world impact.
Communicate the value and opportunities of AI to internal stakeholders in a fast-paced agile environment.
Agilon health is a healthcare company focused on transforming care delivery for seniors through value-based models. With a collaborative culture and a team dedicated to innovation, they aim to improve outcomes for patients and physicians alike.
Lead Medicaid operations and serve as the subject matter expert shaping service delivery and regulatory compliance.
Own client relationships, drive operational excellence, and implement process improvements across the team.
Develop and coach a high-performing remote team, fostering accountability, collaboration, and continuous growth.
Model N is the leader in revenue optimization and compliance for pharmaceutical, medtech, and high-tech innovators. With over 150 customers in more than 120 countries and 25+ years of experience, the company fosters a culture of innovation and customer success.
Accountable for driving market-wide quality and savings targets by supporting the development of strategies and overseeing the execution of core ACO transformation strategies.
Lead a team of Practice Transformation Specialists (PTS) to ensure high-quality service delivery within the Explorer Market.
Provide frontline feedback to the Program Director to help build and refine the service delivery model while standing up the program.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Manage the delivery of healthcare data integration projects to enable partner practices to use Aledade's population health platform.
Provide strategic planning, roadmap creation, and prioritization for the data integration portfolio.
Coordinate day-to-day activities of the integration project management team and collaborate with internal teams and external vendors.
Aledade empowers independent primary care practices to thrive in value-based care. As the largest network of independent primary care in the country, we foster a collaborative, inclusive, and remote-first culture.
Own the member experience surface including conversational AI, homepage, and community to drive engagement.
Define and ship AI-powered proactive guidance and agentic product architecture at high velocity.
Partner with clinical product teams to ensure coherent AI experience across all programs.
Maven is the world's largest virtual clinic for women and families, offering digital programs for fertility, maternity, parenting, and menopause. With over 2,000 employer clients and $425M in funding, the company is recognized for innovation and has a culture focused on mission-driven impact.
Review assigned TEFCA directory entries against authoritative corroboration sources and apply the approved review methodology.
Research, validate, and reconcile healthcare directory data across multiple reference sources, documenting findings in Jira.
Classify entries using a four-tier disposition taxonomy and escalate exception-path entries to the Lead Analyst.
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that provides expert program management, technology, and consulting solutions to government and private sector clients. As a small business, they emphasize integrity, collaboration, and excellence in their tailored solutions.
Own operational performance, optimizing clinical and administrative workflows to ensure high-quality patient care.
Leverage technology and AI to enhance operations, patient experience, and drive growth across markets and payer networks.
Collaborate closely with executive leadership to align operations with clinical objectives and company strategy.
Synapticure is a mission-driven digital health and life sciences company transforming care for those with neurodegenerative diseases. The company is remote-first, founded by patients and caregivers, and operates a dual-engine clinical and research platform.
Serve as the main point of contact for providers, resolving escalated issues and maintaining positive relationships.
Manage internal projects to improve provider experience, including education on best practices and policies.
Use data analysis and tools like Excel and Salesforce to investigate issues and reduce provider abrasion.
Clover Health provides high-quality, affordable healthcare plans for America's seniors by leveraging data and technology through the Clover Assistant. The company is a mission-driven, remote-first organization with a focus on diversity and inclusion, employing a team of passionate professionals.
Lead end-to-end interoperability programs supporting Risk Adjustment and payor-provider data exchange.
Develop and manage relationships with provider organizations and external stakeholders to ensure effective data connectivity.
Build, maintain, and enhance project plans, dashboards, and operational strategies to drive measurable program impact.
Our partner is a technology-driven healthcare company focused on improving data connectivity and interoperability between provider systems and payor networks. They operate in a fast-moving environment with a remote team, emphasizing high-impact initiatives and cross-functional collaboration.
Own the vision and strategy for product support, defining best-in-class service levels and building a phased roadmap balancing long-term transformation with near-term quality.
Lead, develop, and retain a high-performing support team, including internal staff and outsourced partners, fostering a resilient, customer-first culture.
Architect the path to AI-augmented support, assessing workflows and tooling to design a scalable foundation and lead implementation and refinement.
Inspiren offers the most complete and connected ecosystem in senior living. Founded by a former Green Beret turned cardiothoracic nurse, the company provides integrated solutions that capture everything happening within a community, backed by nurse specialists and powerful analytics to drive efficiency, profitability, and better care outcomes.
Direct and oversee operations of the Enhanced Care Management program, including CalAIM performance and staff supervision.
Refine program policies, manage P&L, and develop KPIs to align performance with business objectives.
Collaborate cross-functionally with other departments and represent the organization externally.
Vynca provides comprehensive care for more quality days at home for individuals with complex needs. It is a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity, fostering a transformative movement.
Leverage deep expertise in AI to lead end-to-end delivery of clinical decision support initiatives from early pilots through scale, translating strategy into sequenced work plans.
Own the program's forward view by tracking the frontier of clinical and agentic AI, anticipate capabilities, and reshape roadmaps and partnerships.
Forge and maintain relationships with the Ministry of Health and other partners, evaluate health system factors affecting impact, and directly manage at least one Senior Associate.
CHAI is a global health organization that saves lives and reduces disease burden in low- and middle-income countries by supporting governments and the private sector to create high-quality health systems. With a diverse team of enthusiastic individuals across 40 countries, CHAI is deeply grounded in the countries we work in, with the majority of our staff based in program countries.
Define and drive the strategy for AI-powered patient engagement experiences.
Create intuitive user experiences that help patients navigate their healthcare journey through AI-driven guidance and recommendations.
Collaborate closely with Engineering, Design, Data, Legal, and AI teams to deliver impactful and safe AI-native experiences.
Docplanner is a healthcare technology company that empowers patients by giving them access to leave and read reviews and provides doctors with technology to manage bookings easily. They employ over 2,500 people globally and maintain a startup-mindset.
Lead and inspire a team of Patient Support Specialists.
Establish and refine team KPIs related to outreach volume and scheduling conversions.
Partner with clinical, engagement, and product teams.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.
Drive new business growth within Medicaid markets by leveraging an established network of relationships across Medicaid MCOs and state health plans.
Build foundational sales infrastructure from the ground up, including CRM management, sales playbooks, and KPI tracking.
Serve as the internal expert on Medicaid policy and regulatory changes, leading contract strategy and negotiations.
Nadia Care aims to improve maternal and birth outcomes for underserved communities by reimagining maternity care delivery with trust-based engagement and wrap-around support. They are an early-stage startup focused on building a team that values empathy, collaboration, and resilience.
Develop and close new health plan contracts to drive sustainable revenue growth.
Bring deep understanding of the health plan market and a proven track record in complex B2B sales.
Position AnswersNow as the preferred ABA partner for health plans through value-based care expertise.
AnswersNow is a fully remote company that provides virtual ABA therapy for autism, designed by clinicians. They are a growing team reshaping autism therapy with a focus on accessibility and effectiveness.
Oversee operational excellence across Integrated Care services, leading a team of 10-12 direct reports.
Manage special projects and strategic initiatives from planning through execution.
Drive process optimization and continuous improvement to enhance efficiency and service quality.
The company provides integrated care services with a focus on behavioral health and human services. It is a large organization that fosters a mission-driven culture and values employee engagement.
Own the operator relationship end-to-end as the strategic partner to senior living operators, driving adoption, demonstrating ROI, and securing renewals across a complex, multi-stakeholder book of business.
Drive commercial outcomes by leading executive business reviews with data-driven storytelling, spotting expansion opportunities, and maintaining ownership of net dollar retention.
Build account plans, mentor CSMs and CSDs, and represent the voice of the customer internally across Sales, Product, and the CCOE.
Inspiren offers the most complete and connected ecosystem in senior living, combining compassionate care with technology to bring peace of mind to residents, families, and staff. Backed by nurse specialists and powerful analytics, the company provides integrated solutions that drive efficiency, profitability, and better care outcomes for senior living operators.
Lead and inspire a remote team of Nurse Practitioners across multiple states, ensuring high-quality patient care and compliance.
Oversee provider performance, documentation quality, and risk adjustment accuracy while fostering a supportive team culture.
Guide training, coaching, and development, collaborating cross-functionally to refine workflows and drive operational success.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients' homes for blood draws, diagnostics, and wellness visits. The company has a rapidly growing team of visionary leaders passionate about increasing access to care and lowering healthcare costs.