Lead the strategy, performance, and growth of ancillary claim solutions.
Manage vendor partnerships, financial performance, and go-to-market execution.
Drive utilization, adoption, and cross-functional collaboration across the organization.
CBCS helps clients through life's toughest moments. The company hires and grows top professionals in a culture driven by 'better every day,' with high expectations and a commitment to growth.
Provide executive vision and strategic oversight for all Accounts Receivable operations across hospitals.
Direct billing, denials, underpayments, and complex claims resolution to ensure optimal financial performance.
Collaborate with key stakeholders including payor operations, finance, legal, and compliance teams.
CommonSpirit Health is one of the largest nonprofit Catholic healthcare organizations in the US, delivering integrated health services. They have more than 160,000 employees and 25,000 physicians across 24 states, contributing over $5 billion annually in charity care.
Provide executive oversight for HIM, coding, and CDI operations, ensuring alignment with strategic priorities and regulatory compliance.
Establish and enforce documentation quality standards and coding accuracy to optimize reimbursement and maintain medical record integrity.
Manage vendor performance for HIM, coding, CDI, transcription, and ROI services, ensuring adherence to quality and regulatory requirements.
CommonSpirit Health is one of the nation's largest nonprofit Catholic healthcare organizations, delivering more than 20 million patient encounters annually through over 2,300 clinics and 158 hospital-based locations across 24 states. With more than 160,000 employees, 45,000 nurses, and 25,000 physicians, they provide over $5 billion in charity care and community benefits each year.
Manage relationships with multiple managed service providers, ensuring adherence to SLAs, KPIs, and service-quality expectations.
Oversee day-to-day service delivery for revenue cycle applications, resolving escalations and driving continuous improvement.
Lead planning, implementation, and support of domain applications, ensuring alignment with governance, security, and compliance standards.
UnityPoint Health is a healthcare system providing revenue cycle management technology and services. They are recognized as a top workplace in healthcare by Becker's Healthcare and emphasize a culture of belonging, development, and competitive benefits.
Serve as the single point of accountability for all payor relationships, contracts, and negotiations across an assigned regional portfolio.
Own the full contract management and modeling function, including fee schedule updates, performance monitoring, and financial modeling.
Develop and execute a regional payor strategy aligned with enterprise growth targets and net revenue goals.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments with over 70 clinics across 8 states. We are building the future of vein care with a Net Promoter Score of 93, the highest patient satisfaction in the industry.
Provide strategic leadership and operational execution for clearinghouse and payer-facing transaction services.
Ensure performance, availability, and regulatory compliance of EDI transactions connecting providers and payers.
Drive operational excellence, automation, and client outcomes using Experian’s data and analytics.
Experian is a global data and technology company powering opportunities for people and businesses across financial services, healthcare, and other markets. They have an inclusive, people-first culture and a team of 25,200 people in 32 countries.
Develop and execute comprehensive GTM launch blueprint for all new and renewing value-based care contracts.
Construct explicit implementation timelines and operational workflows from signed contract to active status in the field.
Partner with Analytics, Outreach, Provider Networks, and Strategic Payer Partnerships to align priorities and execution.
Aledade, a public benefit corporation, empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.
Provide strategic leadership and oversight for all clinical data management activities across the development program.
Partner with cross-functional leaders to ensure data integrity and support timely, high-quality decision making.
Oversee vendor management, data governance, and delivery of inspection-ready clinical data.
Akero Therapeutics is a clinical stage biopharmaceutical company focused on developing transformational treatments for serious metabolic diseases like MASH. They are a team of problem solvers with a collaborative culture, dedicated to bringing out the best in each other.
Manage data management vendors, ensuring quality through audits and key performance metrics.
Develop program-level DM deliverable timelines and drive internal/external negotiations.
Represent data management at cross-functional meetings, providing study status updates and escalating issues.
Ultragenyx is a biopharmaceutical company focused on developing treatments for rare diseases by challenging the status quo and applying a novel rapid development approach. The company fosters a supportive and inclusive culture of learning and growth, aiming to be an organization where employees can thrive.
Develop and implement enterprise-wide revenue cycle strategy, leveraging AI and automation to optimize performance and reduce denials.
Build and lead a high-performing team, fostering accountability and continuous improvement across billing, collections, and patient intake operations.
Partner cross-functionally with Sales, Market Access, and Commercial Operations to ensure seamless revenue cycle integration and maximize reimbursement.
Freenome is a precision diagnostics company that develops AI-enabled automated revenue cycle infrastructure. The company fosters a culture of accountability, continuous improvement, and deep customer focus, and is an equal-opportunity employer.
Manage, negotiate, and optimize payer agreements to execute the company's payer contracting process strategy.
Sit at the intersection of revenue cycle management, payer relations, and organizational growth with technical expertise in managed care contracting.
Collaborate with internal teams across business development, clinical operations, legal, and finance to manage payer relationships with precision.
Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care, combining medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community resources. Founded by emergency room psychiatrists, our physician-led, data-driven model has served hundreds of thousands of individuals and is recognized as a national best practice by SAMHSA and the National Council for Mental Wellbeing.
Lead and develop a high-performing Revenue Cycle Management organization.
Drive revenue optimization, cash collections, and operational efficiency.
Oversee payer strategy, contract negotiations, and reimbursement performance.
Acorn Health is an Applied Behavioral Analysis treatment provider dedicated to improving the lives of children with autism. The company emphasizes integrity, collaboration, and employee investment, with a family-oriented culture.
Own end-to-end operating model and outcomes for provider engagement and growth programs, ensuring timelines, milestones, and intended results are met.
Track program performance through data, translate into concise reports for senior leadership, and provide recommendations for prioritization.
Collaborate with cross-functional teams and engage directly with providers and practice staff to maintain momentum and drive program success.
Counterpart Health transforms healthcare with an AI-enabled primary care tool, Counterpart Assistant, that supports earlier diagnosis and management of chronic conditions. As a subsidiary of Clover Health, they have a remote-first culture with a focus on diversity and inclusion, and thousands of practitioners using their tool.
Define and execute CEG's global partner strategy, overseeing a $300M+ partner portfolio across managed services, subcontracting, and partner-enabled delivery models.
Own end-to-end partner ecosystem including partner strategy, vendor governance, commercial management, and partner-enabled service delivery.
Lead strategic partner programs, manage executive partner relationships, and drive continuous improvement in partner performance and business outcomes.
ServiceNow provides an AI platform for business reinvention, helping 85% of the Fortune 500 work smarter. It was founded by Fred Luddy and has a large-scale, AI-native culture focused on freeing people from busywork.
Oversee the entire claims submission and follow-up process, ensuring accuracy and timeliness.
Lead and manage large payer projects and care center support, updating leadership on opportunities.
Manage accounts receivable, analyze denial patterns, and implement process improvements.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. The company is led by top industry talent and exceptional physician leadership, and fosters an inclusive work environment.
Oversee overall performance of Evergreen-aligned patients across all markets and payers.
Lead the buildout and growth of the Evergreen Provider Group as a scalable virtual care delivery model.
Manage, coach, and develop teams to foster a high-performance culture with clear expectations and growth opportunities.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing company committed to improving patient outcomes and quality of life, with a culture focused on innovation and collaboration.
Serve as the primary operational subject matter expert for payment integrity methodologies, audit programs, and product requirements.
Translate payer pain points, contract language, and audit policy into product capabilities and scalable AI solutions.
Partner with engineering, product, clinical, and customer success teams to define audit logic and improve product accuracy.
Abacus Insights transforms healthcare data for health plans, breaking down silos to create trusted data foundations that improve outcomes and reduce waste. Backed by $100M from top investors, the company has a bold, collaborative culture focused on innovation and using AI to drive efficiency.
Leads end-to-end project management for strategic revenue cycle access initiatives, including scope definition, timelines, and stakeholder alignment.
Develops KPIs and dashboards to track access operations performance and supports data-driven decision-making for growth and revenue integrity.
Translates strategic objectives into operational plans and manages concurrent high-impact projects across multiple locations.
VCU Health is an academic medical center and health system that provides comprehensive care, research, and education. It includes multiple hospitals, a cancer center, and over 800 physicians, with a focus on innovation and discovery.
Oversee multiple functional areas within the RCM department including scheduling, eligibility, prior authorizations, and billing.
Review daily and monthly performance metrics to ensure service level agreements are met.
Collaborate with regional and line management to provide seamless interface with patients and external customers.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering advanced O&P solutions and clinically differentiated programs. With 160 years of clinical excellence, Hanger's employees touch thousands of lives daily, helping people achieve new levels of mobility and freedom.
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.
Clover Health is redefining health insurance by leveraging data and technology to deliver personalized, high-quality care for Medicare Advantage members, aiming to make healthcare easier and more accessible. As a mission-driven company with a remote-first culture, they prioritize diversity and inclusion, fostering a team of passionate individuals focused on improving lives through innovation.