Ensure the Enrollment Team delivers high-quality, compassionate interactions with prospective members through call audits and evaluation reviews.
Lead calibration sessions and identify trends, opportunities, and improvements for QA rubrics and processes.
Use data and AI technology to surface insights, optimize quality platforms, and advance strategic quality initiatives.
Thyme Care is a market-leading value-based oncology care enabler that partners with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for people with cancer. They are a tech-native organization with a culture centered on human connection, innovation, and continuous improvement, serving thousands of patients across the country.
Lead enterprise-wide quality strategy and compliance excellence, driving design, implementation, and continuous improvement of the PACE quality program.
Partner cross-functionally with Analytics, Compliance, and Operations to turn complex data into actionable insights and elevate quality.
Oversee Quality Operations teams, regulatory reporting, and corrective action plans to ensure participant safety and readiness.
WelbeHealth serves communities' most vulnerable seniors through PACE programs, focusing on participant-centered care. The company values pioneering spirit and offers a collaborative culture with comprehensive benefits and a commitment to diversity and inclusion.
Own the full lifecycle of client implementations, from sales handoff through ongoing quality assurance and process improvement.
Configure platform settings, map client data to internal schemas, and run test loads with QA to ensure high data quality.
Collaborate with engineering, product, and client success teams to align on requirements and drive launch readiness.
Vida is a virtual, personalized obesity care provider that uses evidence-based treatment to help patients manage obesity and related conditions. Trusted by Fortune 100 companies, major national payers, and large providers, Vida is breaking down barriers to better care.
Collaborate with health plan leaders to develop quality data strategies and reporting on HEDIS and CAHPS performance.
Oversee data ingestion, validation, and documentation to improve accuracy across EHR, HIE, and supplemental data.
Support regulatory compliance and HEDIS audit readiness while monitoring quality programs and reporting risks.
This organization is a healthcare quality partner focused on national performance initiatives, including HEDIS, CAHPS, and data analytics. It provides a highly collaborative, matrixed environment with opportunities for cross-functional exposure and remote work.
Review and approve validation of software and AI products to ensure full compliance with regulatory requirements and company policies.
Prepare for and support external regulatory audits; lead internal or vendor audits related to maintaining GxP and regulatory compliance.
Develop and maintain digital/software components of quality management systems, including AI quality management systems.
Care Access brings world-class research and health services directly to communities that often face barriers to care. With hundreds of research locations, mobile clinics, and clinicians across the globe, they are reimagining how clinical research and health services reach the world.
Lead quality program management activities to ensure compliance with state, federal, and NCQA requirements.
Oversee complex quality deliverables including audits, accreditation surveys, and performance reports.
Collaborate with quality leadership and cross-functional teams to monitor performance and drive continuous improvement.
This organization partners with health plans to implement quality improvement programs and ensure compliance with regulatory standards such as NCQA and HEDIS. The culture emphasizes collaboration, regulatory excellence, and continuous improvement, with a remote work environment for professionals based in Michigan.
Execute and quality-check cross-channel campaigns across email, direct mail, and SMS.
Support new client launches, campaign configurations, and operational readiness checks.
Maintain client content, process Do Not Contact requests, and improve QA controls.
Virta Health is on a mission to reverse metabolic disease in one billion people through technology, personalized nutrition, and virtual care delivery. The company has raised over $350 million from top-tier investors and partners with health plans, employers, and government organizations, fostering a values-driven, remote-first culture.
Own the operating model improving AI-agent and human support performance, including building and governing agent operating procedures (AOPs).
Lead teams executing AOP governance, QA cadence, and knowledge management, partnering with Product and Quality Assurance.
Chair cross-functional triage assigning surfaced gaps to owners and due dates, and report on deflection and resolution quality.
Spring Health is a global mental health company on a mission to eliminate every barrier to mental health, using an AI-native platform that delivers personalized support across coaching, therapy, medication management, and specialty care. The company reaches more than 170 million people worldwide through employers, health plans, and partners, and fosters a culture where technology expands the reach, quality, and humanity of care.
Lead clinical quality and accreditation readiness for Pelago's care programs.
Run clinical audits and co-lead the Quality and Safety Committee.
Translate Joint Commission requirements into practical guidance and drive improvements.
Pelago is a specialty substance use and mental health care provider that combines technology with clinical expertise to deliver personalized treatment. They partner with employers and health plans and have supported over 750,000 members with substance use care.
Interpret federal and state regulations to ensure compliance and drive process improvements.
Analyze data in Excel to identify trends, savings, and process improvements.
SIHO Insurance Services provides health insurance administration and related services, focusing on payment integrity and regulatory compliance. The company operates in a managed care environment and emphasizes collaboration, professionalism, and adaptability among its employees.
Turn every customer message into clear, owned, and due-dated work using an internal scoping process.
Reproduce data and metric issues, gather evidence, and resolve directly or hand Engineering a clean, actionable ticket.
Monitor account KPIs, product usage, and trends to identify low engagement, risks, and opportunities for proactive follow-up.
Kairon is the execution layer for healthcare, turning fragmented claims and clinical data into workflows for ACOs and health networks to capture shared savings. We are a seed-stage team of under 10, AI-native by construction, working with live customers managing real patient populations.
Build and lead Chamber's first compliance function, spanning regulatory, clinical, government programs, IT/security, and internal audit.
Partner with legal, clinical, security, and business teams to embed compliance into workflows, technology, and market expansion.
Serve as the strategic compliance expert for Medicare/Medicaid, HIPAA, CPOM, and risk-based program development.
Chamber is rebuilding the system for cardiology by partnering with independent cardiologists and equipping them with technology, data, and operational tools. The company is an early-stage, mission-driven team focused on transforming heart health through AI-enabled clinical workflows and human-centered care.
Develop statistical models and machine learning algorithms to improve patient enrollment and trial management.
Build and optimize data pipelines and analytical workflows using AWS tools like Athena, Redshift, SageMaker, and dbt.
Ensure data science practices comply with HIPAA and GDPR while monitoring models for bias and performance drift.
Care Access brings clinical research and health services to communities worldwide through hundreds of research locations and mobile clinics. The company is dedicated to making healthcare more accessible and puts people at the heart of medical progress.
Manage and maintain Virta's privacy compliance program, including policies, procedures, PIAs, and records of processing activities.
Act as primary point of contact for privacy inquiries from customers, prospects, and partners, supporting DPAs, BAAs, RFPs, and due diligence.
Drive cross-functional privacy initiatives, training, metrics, and incident response workflows to strengthen Virta's privacy posture.
Virta Health is on a mission to reverse metabolic disease in one billion people through virtual care, personalized nutrition, and technology. Backed by over $350 million from top-tier investors, the remote-first company partners with health plans and employers to help members restore their health.
Lead operational testing and experiments for Care & Case Management and navigation teams, including AI calling and intake pilots.
Manage cross-functional projects, own daily and weekly business readouts, and drive Population Health margin initiatives.
Conduct deep-dive operational assessments, leverage AI productivity tools, and partner with product teams to improve outcomes.
Included Health is a healthcare company delivering integrated virtual care and navigation, with a mission to raise the standard of healthcare for everyone. It fosters a remote-first culture and is an equal opportunity employer.
Lead quality strategy and AI-enabled monitoring to shift from manual audits to real-time automated controls.
Own software and operational quality by partnering with Engineering and Product on test automation and release validation.
Drive process design and cross-functional accountability to reduce error rates by 50% within the first year.
PHIL is a Series D health-tech company building a platform that connects patients, prescribers, pharmacies, and pharmaceutical manufacturers to get medication quickly and affordably. They are a dedicated team of people from a wide range of backgrounds, united by a focus on the patient experience.
Oversee delegated audits related to UM, Credentialing, Claims, Enrollment, and Appeals processes to ensure compliance with payer contracts.
Educate staff, update policies and workflows, and act as a liaison between payers and local market leadership during audits.
Operationalize regulatory communications from governing bodies and document process changes for upstream and downstream teams.
Dignity Health Management Services offers integrated management and business services to healthcare providers, focusing on managed care administrative and clinical services to contain costs and improve quality. It is part of CommonSpirit Health, a large health system with a mission-driven culture centered on community and patient care.
Use AI to build, optimize, and maintain software systems.
Collaborate across disciplines to understand our domain and iterate on projects.
Protect our users' privacy and security through best practices.
Garner partners with employers to redesign U.S. healthcare by applying clinical metrics and incentives to steer members to better-performing doctors. The company has doubled five years running, recently raised a Series E, and operates with a demanding, mission-driven culture.
Oversee daily operations across BPO vendor partners, monitoring queue performance, SLA adherence, and staffing levels.
Own the Care technology stack, including Zendesk, Amazon Connect, and workforce management tooling.
Drive quality, learning, and process documentation to deliver high-quality member care at scale.
evermore is a technology company that administers Smart Benefits, connecting people to products and services they need to live healthier lives. It is a Series B stage company backed by leading investors and operates as a remote-first, distributed workforce.