Source Job

• Define and own the product roadmap for the member-facing mobile app experience, focusing on key user journeys.
• Spearhead the strategy and delivery of internal provider companion tools that integrate with the member experience to enable high-quality care.
• Partner with Clinical Operations, Legal, and Compliance teams to integrate evidence-based practices and ensure digital experiences meet HIPAA/privacy compliance standards.

Headspace exists to provide every person access to lifelong mental health support and combines evidence-based content, clinical care, and innovative technology.

• Provide oversight to and collaborate with nurse practitioners.
• Conduct high quality reviews of patient charts regularly.
• Available for virtual consultations with nurse practitioners.

Seven Starling is a leading virtual provider of women's behavioral health services supporting every stage of motherhood.

• Conduct virtual assessments, diagnoses, and evidence-based treatment for patients of all ages.
• Manage and coordinate care for chronic conditions and provide preventive care and wellness counseling.
• Produce clear and efficient visit notes that showcase strong medical decision-making.

At Curai, we believe that access to high-quality healthcare is a fundamental human right, not a privilege.

This role involves overseeing the strategic and operational management of a healthcare provider network. The role ensures network design, credentialing, enrollment, data management, and compliance meet regulatory and accreditation standards. The position emphasizes operational excellence, strategic oversight, and effective provider relationship management.

Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

Accountable for the management, performance, quality improvement and scalability of our HCP contractor base. Work cross-functionally with Product, Medical Directors, Data, Regulatory, Patient Experience, and Pharmacy teams. Combine people leadership, operational rigour, analytical ownership, and applied AI/automation in a regulated healthcare environment.

Founded in 2019, Felix is a patient-driven digital healthcare company that puts you in control of your health and wellbeing.

• Owns end to end operations and expansions for our provider networks in the US & Canada.
• Deeply understand and elevate Carrot’s strategic positioning within the US & Canada healthcare and provider ecosystems.
• Define and deliver on KPIs related to provider network operations response including establishing goals, methodology on measurement/tracking, and execution.

Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through life's memorable moments. They are trusted by multinational employers and health plans, offering localized support in over 170 countries and 25 languages.

Ensure day-to-day operational reliability and drive optimal clinician performance in our 24/7 virtual Urgent Care practice. Lead a team of clinician liaisons and schedulers to ensure clinician satisfaction, productivity, engagement, and success. Partner with the Director of Practice Operations and Urgent Care Clinical Leadership to operationalize strategic growth, scale, and quality projects.

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to raise the standard of healthcare for everyone.

• Design and deliver structured onboarding for physicians, NPs/PAs, and dietitians.
• Train clinicians on Form Health’s proprietary technical platforms.
• Create and provide training on medical workflows, EMR documentation standards, and patient engagement best practices.

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine.

Oversee the operations of the Imagine Pediatrics Onboarding, Credentialing, Licensing, and Enrollment Department. Develop and train on policies and procedures, workflows, and training documentation for the team. Manage Delegated Credentialing arrangements - implementation and audit – as well as ongoing Delegated partnerships with health plans.

Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs.

• Provide virtual care via video consults and messaging for general health, preventive care, and common ailments.
• Capture encounter summary documentation in our practice management system, MPractice.
• Collaborate with Maven’s Care Delivery team to ensure member needs are met, including recommendations for in-person referrals and follow-ups.

Maven Clinic, founded in 2014, operates the world’s largest virtual clinic for women and families. They offer award-winning digital programs providing clinical, emotional, and financial support, trusted by employers and health plans to improve outcomes and reduce costs.

• Provide health assessments and treatment solutions via telephone, video, or chat functions.
• Track and monitor follow-up calls, escalate when appropriate.
• Receive inbound phone calls from patients seeking answers to various medical conditions.

PWNHealth is a national clinician network working to improve early detection and prevention of disease using advanced diagnostics and telehealth. They are a mission-driven, positive culture made up of the best and brightest in the industry.

• Through telehealth, conduct consultations with patients, diagnosing and prescribing medication as needed and managing medication side effects.
• Provide exceptional ongoing clinical support for patients, responding to medical issues and ensuring their well-being.
• Assist in the creation of improved models of care, extensive support programs, and better patient outcomes.

Eucalyptus is dedicated to making good health attainable for everyone, focusing on delivering long-term healthcare solutions. They are the creators of Juniper, a comprehensive weight-management program that integrates GLP-1 medication with personalized support.

• Support the AVP of Medical Cost Containment in the implementation, process improvement, and optimization of clinical programs.
• Manage a team of 8 pharmacists through a remote setting, overseeing a countrywide prior authorization program specific to workers compensation claims.
• Monitor, analyze, and trend clinical program data to assist in the development, implementation, and driving of key initiatives.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected.

Serve as the go-to clinical expert for clinician questions and escalations. Support patient care, including escalated and DEA-required visits. Partner with the Medical Director on clinical quality, education, and safety.

Midi Health is the leading virtual clinic for women in midlife, transforming the way perimenopause and menopause are treated with expert, evidence-backed care.

• Provide direct patient care and support by prescribing, creating, monitoring and supporting treatment plans.
• Issue medication prescriptions and provide patient education regarding medications, risks and benefits.
• Maintain medical records and high quality of clinical documentation and provide medical care in an empathetic manner.

Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions.

Lead a team of Credentialing Specialists and Operational Analysts to ensure efficient credentialing file processing. Provide coaching and training to strengthen credentialing knowledge and regulatory understanding. Monitor contractual Service Level Agreements, turnaround times, and quality metrics; drive corrective actions to maintain compliance.

Certify is on a mission to change how the US healthcare industry deals with provider data, aiming to reduce healthcare costs by streamlining access to this data.

• Lead a team to generate and post Physician and APP schedules across all sites of care, maximizing efficiency and meeting operational goals.
• Identify and execute opportunities to improve clinical quality and reduce costs through enhanced scheduling.
• Collaborate with technology and scheduling leaders to enhance tools and share best practices.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

• Oversee operational and clinical performance of contracted provider partners.
• Drive execution on economic, clinical, and population health strategies.
• Proactively analyze population health data to identify opportunities for improvement.

Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.

• Provide high-quality preventative, acute, and chronic care in a fully remote, virtual setting
• Elevate remote care by providing compassionate and meaningful patient encounters
• Manage a dedicated panel of patients as their primary care physician

K Health delivers accessible, high-quality healthcare at scale using clinical AI. As of July 2024, it has nearly $400 million in funding and a $900 million valuation and is expanding partnerships with major health systems and enhancing accessibility and quality of care by pairing people with technology.

• Work primarily remotely with the patient’s medical practice staff and Guidehealth’s Case Management team to manage a targeted population of patients.
• Assist patients in achieving better health outcomes by addressing their questions, connecting them with the medical practice, and implementing high-impact care plans.
• Document patients’ medical history and medical issues accurately in the electronic health record (EHR).

Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, making great healthcare affordable and improving patient health.