Serve as a subject matter expert and coach to QA staff and leaders across multiple states, promoting consistent quality practices and continuous improvement.
Facilitate regular meetings with state QA leaders to review performance goals, challenges, and improvement opportunities.
Analyze QA metrics, KPI dashboards, and audit findings to identify trends and areas for operational improvement.
Dungarvin is dedicated to enhance the quality of life for people with intellectual and developmental disabilities, including those with mental health, behavioral, or complex medical needs. Dungarvin has services nationwide, and is united by a shared commitment to making a real difference.
Responsible for planning and executing quality and oversight activities to ensure operational compliance.
Responsible for internal and external case audits for Capital and our delegated UM vendors.
Responsible for educating staff on findings, and the audit tool ensuring a consistent approach.
Capital Blue Cross promises to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”
Provide key support across the AHA Lifelong Learning portfolio.
Assist with the development, coordination, and implementation of initiatives that elevate the quality, reach, and impact of AHA’s professional education.
Collaborate with subject matter experts, clinicians, and researchers to ensure scientific accuracy, educational integrity, and strategic alignment across learning materials.
The American Heart Association is dedicated to fighting cardiovascular diseases and strokes. They have cut cardiovascular disease deaths in half since 1924 and need passionate individuals to continue their work towards a healthier future for all; they are committed to work-life harmonization.
Oversees implementation and performance metrics to advance and evaluate progress across the CPA portfolio.
Establishes and executes effective and efficient communication mechanisms which enable continuous exchange of ideas, information, and program developments among team members and across organizational leaders.
Accelerates the implementation of innovations and improvement efforts through rapid-cycle change, in close partnership with clinical and operational leaders.
UChicago Medicine has been at the forefront of medicine since 1899. They provide superior healthcare with compassion, always mindful that each patient is a person, an individual. They are working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward.
Develop and analyze workflows for new client launches and existing program optimization.
Ensure business rules reflect customer’s needs and align with system functionality.
Communicate with customers and internal stakeholders.
CareTria helps clients with healthcare and pharmacy benefits. They value your passion and actions, seeking contributors to their team focused on client satisfaction.
Serve as the central point of contact focused on strategic initiatives for senior leaders across multiple functions.
Proactively identify, assess, and manage program risks, interdependencies, and critical path issues.
Regularly deliver clear, concise, and compelling program updates, status reports, and recommendations to the leadership team.
SmarterDx, a Smarter Technologies company, builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, their platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial.
Assists in the maintenance of structures and processes which support improvement and patient safety.
Uses clinical knowledge in formal and informal consultation with individual staff, clinicians and managers, to address clinical quality and safety concerns.
Participates in clinical adverse event task groups.
Dartmouth Health is a nationally recognized Academic Medical Center set in the White Mountains of New Hampshire, stretching over New Hampshire and Vermont. They offer a rigorous, research-focused environment and are anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH.
Ensure the highest level of quality in customer support interactions and internal processes.
Contribute to improving customer satisfaction, agent performance, and operational efficiency.
Monitor and provide feedback to improve customer and patient satisfaction.
Privia Health is a technology-driven, national physician enablement company. They collaborate with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences.
Lead all aspects of task order execution, including planning, coordination, and delivery of services.
Serve as the primary liaison to the Contracting Officer (CO), and HEFP leadership.
Develop, implement, and maintain the Contractor Project Management Plan (CPMP).
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. They are based in Alexandria, Virginia, and have over 300 employees nationwide.
Help build and launch a more programmatic approach to patient activation and engagement.
Analyze patient journey data to identify drivers of low activation and opportunities for improvement.
Design and help implement activation strategies across workflows, tooling, and patient communications.
Heartbeat Health is a virtual-first cardiovascular care company, providing patients with convenient, high-quality heart care through telemedicine, diagnostics, and virtual care programs. They are redefining how cardiovascular care is delivered in the digital age, led by their medical group.
Manage complex multi-workstream projects and oversee junior team members
Analyze data to implement performance improvement and organizational change
Collaborate with team members and clients to align with business objectives
Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Drive and own Evergreen's performance across CKCC quality measures
Establish the reporting structure, performance cadence, and accountability required to manage quality performance across the organization
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home and accelerating kidney transplants.
Oversee daily program operations and lead a diverse team.
Ensure smooth workflows and foster collaboration among teams.
Facilitate effective program execution and client engagement to impact healthcare solutions.
They connect job seekers with companies using an AI-powered matching process. Jobgether ensures applications are reviewed quickly, objectively, and fairly; company size and culture are not mentioned in the job description.
Support the development of evaluation frameworks and data collection strategies.
Assist in gathering and analyzing quantitative and qualitative data.
Contribute to tracking key performance indicators (KPIs) and developing dashboards.
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations, and enhanced service delivery. They have over 300 employees nationwide and specialize in applying technology, creativity, and human-centered services to optimize mission delivery.
Develop, implement, manage, and maintain operational systems and activities.
Serve as a liaison with all levels of the organization and outside community.
Manage multiple priorities and projects with competing deadlines.
Cleveland Clinic Health System is committed to excellence and transforming the patient experience. As a nonprofit multispecialty academic medical center with 70,800 employees worldwide, they integrate clinical and hospital care with research and education.
Lead and manage program operations at the system level, ensuring alignment with organizational strategies.
Develop, implement, and continuously improve standardized workflows, processes, and documentation.
Serve as a subject‑matter expert and central resource for core program systems, tools, and data platforms.
Mercy Health is a healthcare organization focused on providing compassionate care and improving the health of communities. They offer a supportive environment for associates to grow professionally and personally.
Own and manage shared inboxes and ensure timely review, triage, escalation and routing of requests
Identify trends, risks, or recurring issues and ensure escalation and action planning
Conduct compliance audits, write corrective action plans and work with department managers to ensure timely completion and compliance with local, state and regulatory requirements
Centene is transforming the health of communities, one person at a time. As a diversified, national organization, they offer competitive benefits and a fresh perspective on workplace flexibility.
Communicate clearly and professionally with team members.
Support Provider Experience initiatives by tracking project deliverables.
Maintain accurate, organized documentation to support transparency across projects.
CareCentrix is committed to making home the center of care. They offer advanced home care to improve patient health and lower healthcare costs. They value caring for their employees and strive for excellence.
Build strong, consultative relationships with employer clients to become a trusted partner and advisor.
Manage enrollment marketing and campaign planning efforts to generate awareness of our programs.
Analyze, interpret, and present program engagement and outcome metrics to demonstrate value.
Big Health's mission is to help millions back to good mental health by providing fully digital, non-drug options for the most common mental health conditions. They've pioneered the first at-scale digital therapeutic business model in partnership with some of the most prominent global healthcare organizations.
Develop and execute a comprehensive collaboration strategy aligned with integrated care priorities.
Lead cross-functional collaboration workstreams from concept through implementation and evaluation.
Build trusted relationships with executive leaders, clinicians, researchers, policymakers, and community stakeholders to advance the strategic collaborator strategy.
Since 1924, they've cut cardiovascular disease deaths in half. The American Heart Association is seeking passionate individuals to overcome today’s biggest health challenges and accelerate this progress, with employees thriving both personally and professionally.