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.
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.
Develop trusting long-term patient relationships and empower you to do the best work of your career. Conduct holistic assessments to identify conditions, functional status and member values. Support chronic disease management, using motivational interviewing techniques.
Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences.
The Director will manage strategic payer portfolios, build relationships with payer partners, and contribute to health plan contracting for value-based contracts. Develop and lead a team for strong execution and effective storytelling with data. Influence collaboration with internal and external stakeholders.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care arrangements.
Engaging with prospective practices to secure commitment to value-based care contracts.
Extending and negotiating participation agreements using Salesforce CRM/Conga/DocuSign.
Serving as a mentor to Network Development Leads and other Growth / Field team members.
Aledade empowers independent primary care, forming the largest network in the US. They focus on value-based contracts and aim to improve healthcare for patients and practices, with a collaborative and remote-first culture.
Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.
Introduce innovative medical technology for neonatal and pediatric patients in acute care settings.
Collaborate with hospital stakeholders and field teams to drive adoption and deliver measurable improvements in patient outcomes.
Guide hospitals through product implementation, provide thought leadership, and help shape the standard of care for critically ill newborns and children.
This position is posted by Jobgether on behalf of a partner company.
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.
Work remotely to enhance member management and navigate the healthcare system.
Promote wellness and assist members in achieving their healthcare goals.
Conduct telephonic outreach, data analysis, clinical review, and documentation.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, improving patient health, and restoring provider fulfillment.
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.
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.
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.
Deliver comprehensive care navigation and access support for Sana members, ensuring they receive the right care at the right time, place, and cost.
Collaborate with cross-functional teams, including our virtual care practice and customer support, to provide seamless care navigation services.
Educate members on their care referral options, empowering them to make informed healthcare decisions.
Sana Benefits is building affordable health plans designed around Sana Care, their integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. They've compiled an innovative team with top talent from across the healthcare and technology industries to deliver engaging, modern, concierge-style healthcare for their members.
Conduct regular one-on-ones, performance reviews, and development planning.
Act as the primary escalation point for member issues and complex fertility-related financial and billing issues.
Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. The company has over 2,000 employers and health plans trusting their platform, and they've won multiple awards for their culture and innovation.
Ensuring providers are credentialed in a timely manner by monitoring the submission process.
Monitoring submission processes, updating protocols, and managing Virtual Assistants/BPO.
Communicating with payors and conducting regular reviews to validate internal credentialing data.
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients and have empowered more than ten thousand therapists.
Own the relationships between Wellth and healthcare customers, typically large Payer and Provider organizations.
Be a strategic partner to clients, ensuring that programs are serving their needs and helping them identify areas of opportunity proactively.
Analyze, design, and present program outcomes to healthcare executives, conveying Wellth’s value story and quantifying the program’s impact.
Wellth is a fast-growing, growth-stage digital health company headquartered in Los Angeles that motivates people living with chronic conditions to make healthier choices.