Build and maintain client eligibility and accumulator files ensuring accurate claims adjudication.
Develop coding automations and manage SFTP connections for secure file transmission.
Apply deep PBM claims adjudication expertise to resolve discrepancies and support data operations.
AffirmedRx brings clarity, integrity, and trust to pharmacy benefit management, aiming to improve healthcare outcomes. A small, collaborative team focused on using clinical approaches and state-of-the-art technology.
Lead, coach, and empower a high-performing team of Partner Relationship Managers.
Serve as an executive escalation point for complex operational, technical, or relationship issues.
Standardize and refine PRM workflows, governance models, and best practices for technical data file exchange.
SmithRx provides Pharmacy Benefit Management (PBM) services to help clients derive maximum value from their benefits. The company is a customer- and partner-focused organization that builds high-impact operational relationships and offers competitive wellness benefits.
Serve as the operational lead and subject matter expert for enterprise client accounts, overseeing accounts receivable and revenue cycle performance.
Drive root cause analysis of denied claims, payment variances, and workflow breakdowns to implement corrective actions.
Mentor team members, assign workloads, and facilitate training to ensure high-quality client support and operational consistency.
Prompt provides software for outpatient rehab organizations, helping them treat more patients and deliver better care while reducing environmental waste. It is a team of talented individuals committed to solving complex healthcare problems, fostering a culture of smart work and positive impact.
Drive operational excellence and process optimization across insurance operations using data and customer insights.
Lead cross-functional partnerships with Product, Engineering, Compliance, and CX teams to triage and resolve technical issues.
Manage and mentor a high-performing team while ensuring audit readiness and regulatory compliance.
Ethos is a leading life insurance technology company on a mission to protect families by democratizing access to life insurance and empowering agents at scale. They are dedicated to building a diverse, inclusive and authentic workplace.
Lead a high-volume customer operations team, ensuring service levels, quality standards, and satisfaction goals are met.
Hire, mentor, and develop supervisors and frontline staff, overseeing BPO partnerships for team performance.
Drive process improvements using operational data, partnering with cross-functional teams to enhance customer experience.
Fresno Summit Advisors partners with a rapidly growing healthcare technology company that simplifies financial and administrative experiences for healthcare organizations and consumers. The company is scaling nationally, fostering a culture of accountability, collaboration, and continuous improvement.
Serve as primary liaison between Data Operations and business teams, triaging file and data issues.
Conduct impact analyses to determine issue scope and severity, coordinating with technical staff.
Maintain a dashboard for tracking open issues and provide proactive status updates to stakeholders.
AffirmedRx aims to improve healthcare outcomes by bringing clarity and integrity to pharmacy benefit management. The company is committed to transparency and clinical approaches, fostering a culture of trust and innovation.
Lead, mentor, and coach a team of over 50 direct and indirect reports to foster a high-performance culture.
Oversee daily Patient Service Center operations to ensure efficient, compliant, and high-quality service delivery.
Analyze KPIs, customer feedback, and operational data to drive continuous improvement and enhance patient and provider experiences.
The company provides patient support program services in the healthcare industry. The culture emphasizes operational excellence, compliance, and patient-centered care, with a large team environment.
Own operational governance and data health for customer and prospect data across the GTM ecosystem, ensuring accuracy, consistency, and integrity.
Execute data hygiene programs, enrichment workflows, and integration monitoring between Salesforce, Marketo, and other systems.
Partner with cross-functional teams to support complex segmentation, documentation, and automation to improve operational efficiency.
Algolia is a pioneer and market leader in AI Search, empowering 18,000+ businesses to deliver blazing-fast, predictive search and browse experiences. With over 30 billion weekly search requests and a $2.25 billion valuation after Series D funding, they foster a high-trust, collaborative culture valuing grit, trust, candor, care, and humility.
Lead the scaling of BVA operations, translating business priorities into scalable processes and workflows.
Drive operational excellence through performance metrics, quality assurance, and data-driven improvements.
Partner with AI Engineering to automate workflows and improve customer experience.
Prompt Therapy Solutions is a therapy services company that focuses on operational excellence and AI-driven automation. They value a remote/hybrid work environment and offer a supportive culture with potential equity and wellness benefits.
Lead a multi-team organization of Operations Managers responsible for accurate and compliant execution of money movement flows.
Translate high-level organizational strategy into actionable operational plans and drive continuous improvement.
Serve as a strategic link between frontline operations and cross-functional leadership, including Product, Engineering, and Legal.
Human Interest is a fintech company that makes retirement savings accessible to small and medium-sized businesses. It is a high-growth company backed by major investors, with a mission-driven culture focused on closing the retirement gap.
Oversee multiple remote teams of case managers driving pre-litigation personal injury cases through critical early stages.
Lead through team leads, setting direction, developing managers, and ensuring high standards across a distributed team.
Leverage AI tools to handle cases with precision, urgency, and care while fostering a culture of excellence and collaboration.
EvenUp empowers personal injury lawyers and victims to secure faster settlements and better outcomes using technology and AI. Backed by top VCs including Bessemer, Bain Capital Ventures, SignalFire, and Lightspeed, EvenUp is one of the fastest-growing vertical SaaS companies.
Lead a team of Operational Controls Analysts to execute monitoring strategies across patient support programs.
Ensure consistent application of control frameworks and manage monitoring volume based on operational risk.
Develop analysts through coaching, performance management, and cross-training while enforcing governance boundaries.
Novartis is a healthcare and life sciences company focused on improving the lives of people living with disease through innovative science. The company is a large global organization committed to a community-driven approach, with a culture of learning and collaboration.
Serve as the primary point of contact for customers, forming trusted relationships and owning complex technical implementation projects from kickoff through go-live.
Consult with customer technical teams on data extraction, transformation, and loading from EMR, ADC, and other systems into the Bluesight platform.
Validate, reconcile, and analyze data using command-line tools and scripts, produce technical procedures, and collaborate cross-functionally to improve processes.
Bluesight creates groundbreaking solutions that increase efficiency, safety, and visibility for health systems, hospital pharmacy, and pharmaceutical manufacturers. It is a high growth healthcare information technology company with a start-up vibe and over 3,000 customers using proven solutions.
Coordinate day-to-day operational activities across program workstreams to support efficient execution of contract objectives.
Evaluate operational workflows and recommend process improvements that enhance efficiency, consistency, and service delivery.
Collaborate with program leadership, functional teams, and government stakeholders to support value stream management and operational planning.
Ibility is a Service-Disabled Veteran-Owned Small Business and a Woman-Owned Small Business that helps government leaders achieve their mission by designing creative products and programs. The company is small but positioned for rapid growth, with a team that is fun, passionate, bold, and creative.
Ensure clients receive a consistent operational experience from onboarding through daily service.
Collaborate with Account Management, Care, Logistics, Growth, Product, and on-site teams to launch new clients and enhance operations.
Recruit, onboard, train, and coach Client Operations Associates to build a strong team culture.
Sharebite is a food ordering platform for companies to feed employees, donating a meal for every order placed to combat food insecurity. They have donated over 15 million meals and are recognized as Inc. Magazine's Best in Business and Fast Company's Best Workplaces for Innovators.
Lead customer success operations including rebate and chargeback processing with accuracy and compliance.
Oversee service-level agreements and resolve complex customer and vendor inquiries.
Drive process improvements and cross-functional collaboration to enhance operational efficiency.
This partner company provides customer success operations, managing rebates and chargebacks for clients. It offers a remote, inclusive culture with a focus on innovation, integrity, and continuous learning.
Build and improve core case execution systems: Own backend development across eligibility, batching, submissions, ops workflows, and claim orchestration.
Tackle complex, data-driven backend problems: Work through decision logic and data-heavy workflows that make eligibility and batching hard.
Collaborate cross-functionally: Work closely with Integrations team, Case Strategy team, and other engineering and product partners.
We are a technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. We are a collaborative, low-ego startup team on a mission to make healthcare reimbursement fairer for providers.
Lead, coach, and develop a team of Deployment Specialists and Managers, providing clear direction and performance management.
Own delivery standards across numerous teams, including tooling, documentation, and quality benchmarks.
Oversee scheduling, staffing, and capacity planning to ensure delivery commitments are met without risk to team sustainability.
Versaterm is a PE-backed, high-growth SaaS company building a fully integrated platform across the public safety ecosystem. They have grown through strategic acquisitions and deep product investment, attracting people who want to be pushed by great people and build impactful solutions.
Own incident management for assigned tickets, ensuring SLA compliance and client satisfaction.
Collaborate with cross-functional teams on project coordination and stakeholder management.
Execute data quality reconciliations and monitor automated alerts for data integrity.
TELUS Agriculture & Consumer Goods leverages world-leading technology to create better producer-to-consumer outcomes. The company offers digital solutions and data insights for global supply chains, aiming for sustainability and efficiency.
Lead a team of pharmacy technicians in the end-to-end prior authorization and financial assistance processes.
Drive team performance by monitoring service levels, conducting audits, and providing ongoing feedback.
Oversee daily operations, including scheduling, workload distribution, and collaboration with hospital stakeholders.
Shields Health Solutions is a patient support center specializing in specialty pharmacy services. The company culture emphasizes leadership, performance, and patient outcomes, with a team-oriented environment.