Own end-to-end revenue cycle performance across claims submission, denial management, and A/R follow-up
Manage and hold external billing vendors accountable to defined KPIs and service expectations
Monitor first-pass resolution rates, denial trends, and aging buckets to proactively mitigate revenue risk
Thirty Madison is a healthcare company that builds specialized healthcare brands that focuses on specific ongoing conditions, and thoughtfully designed to support the unique needs of its community with personalized treatments and care. They have built a number of brands and are continuing to grow rapidly.
Supervise offshore/global VA revenue cycle staff and ensure adequate coverage and productivity.
Conduct regular team check-ins and performance reviews to develop staff capability.
Monitor key revenue cycle metrics and implement action plans to address underperformance.
EnableComp helps more than 1,000 hospitals nationwide recover $3 billion annually from complex claims, denials, and revenue recovery and earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. The company is a multi-year Top Workplaces honoree and believes that investing in employees is the key to their success.
Perform Project Management functions aligned with the PMO best practices for technology, client, vendor, strategic projects.
Lead project teams through initiation, planning, executing/monitoring and controlling, and closing of designated projects.
Ensure project work is well-defined and planned, including thorough scope definition, estimation, cost-budgeting, resourcing, scheduling.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Owns the ServiceNow platform roadmap, backlog prioritization, and release planning across ITSM, CMDB, HRSD, ITAM, SecOps, and custom applications.
Serves as technical and operational owner of the ServiceNow platform; including availability, performance, upgrades, data integrity, integrations, and security posture.
Leads ServiceNow engineering standards including CI/CD pipelines, source control, deployment automation, and environment governance.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. They are passionate about providing solutions that allow American families to connect health and wealth, and they value their employees' individuality.
Directs all phases of programs from inception through completion.
Acts as primary customer contact for program activities, leading program review sessions.
Manages programs of size and complexity, and supervises technical personnel.
GovCIO transforms government IT by delivering innovative IT services and solutions. They are building a workforce that fuels this mission and changing the face of government IT.
Maintain a single, accurate SaaS inventory and Service CMDB.
Analyze SaaS/third-party spend and utilization to uncover opportunities.
Build, coach, and lead a small Vendor & SaaS Ops team.
Included Health delivers integrated virtual care and navigation, aiming to raise the standard of healthcare for everyone. It breaks down barriers to provide high-quality care from acute to chronic, behavioral to physical.
Lead and manage end-to-end revenue cycle operations.
Develop strategic initiatives and performance metrics.
Collaborate with executive leadership and cross-functional teams.
Advantia Health is dedicated to providing unparalleled healthcare to our customers by employing the most highly-qualified individuals. It is a place where good people want to work, and customers want to continue to engage.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Develop and maintain positive customer relationships, acting as a liaison between IT and customers to manage budgets and service feedback.
Lead and coordinate complex projects, including task scheduling, status reporting, and managing project scope and costs.
Independently resolve complex application issues, coordinate multi-team solutions, and ensure support tickets are resolved within SLAs.
UnityPoint Health is a healthcare organization providing hospital and clinic services. It is recognized as a Top 150 Place to Work in Healthcare and offers a competitive Total Rewards program with a commitment to team member culture and belonging.
Serves as a primary interface between clinical services and other departments to ensure multi- and inter-disciplinary vendor project coordination.
Assists clinical department directors and others in the interpretation and use of data for decision-making.
Improves and innovates the use of technology within clinical practice and workflows.
Capital Blue Cross promises to go the extra mile for their team and community. They are an independent licensee of the Blue Cross Blue Shield Association that values professional and personal growth by investing heavily in training and continuing education.
Responsible for driving best-in-class client outcomes through strategic leadership of client services and revenue cycle operations.
Ensures delivery of “white glove” service while optimizing end-to-end revenue cycle performance, client satisfaction, and financial results.
Owns the client experience, operational performance, and growth across assigned service lines, partnering cross-functionally to deliver consistent, high-quality outcomes.
Ventra Health is a business solutions provider for facility-based physicians practicing anesthesia, emergency medicine, hospital medicine, pathology, and radiology. Focused on Revenue Cycle Management, Ventra partners with private practices, hospitals, health systems, and ambulatory surgery centers.
Own the full revenue cycle end-to-end: charge capture, claim submission, denial management, payment posting, and patient collections.
Drive RCM internalization — evaluate current vendor relationships, build the business case for what to bring in-house, and execute the transition without disrupting cash flow.
Partner with the contracting team to translate newly negotiated payor terms into billing workflows.
Dreem Health is America’s leading digital sleep clinic, powered by Sunrise’s technology. They make sleep care simple by replacing long waits and in-lab sleep studies with home-based testing, expert telehealth visits, and personalized treatment plans. They have 100+ clinicians, engineers, and operators across the U.S. and Europe.
Responsible for managing and overseeing activities for multiple value streams within the revenue cycle.
Provide ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle.
Ensure compliance with all federal, state, and local statutes and regulations, as well as all third-party payer policies.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Responsible for the direct supervision of the centralized managed care activities.
Leads the team by recruiting, training, mentoring, and managing the work queues of direct reports.
Serves as the first line of communication with the practices/departments to answer questions and trouble shoot issues.
OHSU is Oregon's only public academic health center. In addition to caring for patients, they lead groundbreaking research and train the next generation of health care professionals. As Portland's largest employer, OHSU provides opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Develop and execute against the strategic business plan, including strategy for growth and market penetration, competitiveness, and differentiation.
Lead the development and execution of sales strategies, including portfolio management, to achieve regional revenue targets.
Collaborate with cross-functional teams to ensure successful implementation and expansion of ServiceNow solutions.
ServiceNow is a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune 500®. Their intelligent cloud-based platform seamlessly connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work.
Be accountable for long term strategy, relationships, and growth of a dedicated book of key health plan partners.
Lead, mentor, and advocate for a team of Payor Partnership Managers, ensuring they have the tools, training, and strategic guidance to exceed their individual goals.
Own contract strategy & renewals to optimize partnership structure and success.
Equip is a virtual, evidence-based eating disorder treatment program focused on ensuring access to effective treatment. Founded in 2019, Equip is a fully virtual company with a highly-engaged, passionate, and diverse culture.
Own end-to-end program management for supplemental benefit implementations.
Lead vendor management across multiple benefit categories, serving as the primary point of accountability for vendor performance and delivery.
Drive large, complex implementations by coordinating across Plan Product, Operations, Call Center Operations, Compliance, and external partners.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep members healthier. They've created custom software and analytics to empower clinical staff to intervene and provide personalized care. They are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
Spearhead strategy, operations, and contracting for VIVIO’s Medical Specialty Drug Carve-Out.
Proactively identifying, fostering, and overseeing partnerships, optimizing mutual value.
Collaborate across various functional areas of the partnerships as well as within VIVIO.
VIVIO Health, a Public Benefit Corporation, is revolutionizing pharmacy benefits management through data and technology. Since 2016, our evidence-based approach has delivered superior health outcomes while reducing costs for self-insured employers and health plans.
Oversee daily SAP AMS operations, including incident, problem, change, and release management.
Lead and mentor SAP support teams, including internal staff and outsourced vendors.
Act as the primary liaison between business stakeholders, clients, and technical teams.
Nagarro is a Digital Product Engineering company that is scaling in a big way! We build products, services, and experiences that inspire, excite, and delight. We work on a scale across all devices and digital mediums, and we have 17000 plus experts across 39 countries. Our work culture is dynamic and non-hierarchical.
Own contribution margin performance across the state project portfolio.
Ensure consistent, on-time, on-budget delivery across all state projects.
Manage and develop a cross-functional delivery team including delivery managers, project managers, software engineers, interoperability analysts, and QA engineers.
Altarum's Public Health Technology division builds and operates the data systems that state health departments rely on to protect their communities. They are a nonprofit with expertise, trusted government relationships, and a work portfolio that impacts public health outcomes.