Serve as lead clinician and engagement manager for complex care clients, collaborating with PhD scientists and care coordinators.
Utilize clinical expertise to assess key issues, identify top experts, and guide patients to optimized care plans.
Build strong client relationships and coordinate with external providers and internal teams to deliver personalized care.
Private Health Management guides patients and families through the chaos and complexity of serious medical care as an independent advocate. The company is a remote organization with team members across the United States, focused on delivering personalized, measurably better outcomes.
Lead the care, case, and utilization management programs, setting clinical direction and owning performance targets.
Evolve clinical operating models and partner with Product and Engineering to integrate AI tools into workflows.
Manage, develop, and retain clinical leaders while collaborating cross-functionally to coordinate care for members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They are on a mission to raise the standard of healthcare for everyone, with a remote-first culture and a focus on breaking down barriers to high-quality care.
Identify, source, and manage clinical vendor relationships to support study objectives and cost-effective procurement.
Review clinical protocols to determine vendor scope, lead RFPs, and negotiate contracts with legal and finance teams.
Monitor vendor performance, resolve issues, and drive continuous improvement across clinical operations.
Care Access brings world-class clinical research and health services directly to communities, with hundreds of locations and clinicians globally. They are dedicated to building a more accessible future of health, emphasizing people at the heart of medical progress.
Oversees internal Patient Services team including Case Managers and Reimbursement Specialists to ensure compliant patient experience.
Drives team business objectives, policy development, and cross-collaborative relationships with commercial teams.
Ensures program operations align with laws, regulations, and HIPAA guidelines while supporting patient access and support services.
Kyowa Kirin is a fast-growing global specialty pharmaceutical company that applies state-of-the-art biotechnologies to discover and deliver novel medicines in bone and mineral, intractable hematologic, hematology oncology, and rare diseases. The company is headquartered in Princeton, NJ with offices in California, Massachusetts, and Ontario, and is committed to making people smile by delivering breakthroughs.
United States
Unlimited PTO
12w maternity
12w paternity
Lead and develop a high-performing team of Clinical Experience Managers to execute clinical engagement strategies.
Oversee priority client engagements, using clinical AI recommendations to improve documentation quality and financial performance.
Partner cross-functionally to ensure client insights drive scalable playbooks, education, and operational improvements.
SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. As a Smartian, you'll help build technology that makes healthcare more accurate, sustainable, and effective for everyone.
Lead care management programs with strategic and operational oversight.
Drive clinical performance metrics and evidence-based care models.
Collaborate with cross-functional teams to integrate AI and improve population health.
The partner company is a healthcare organization focused on care management and population health. It operates with a remote-first culture and offers opportunities to influence innovative healthcare models.
Support the design, execution, and optimization of patient access, affordability, and HCP support programs.
Manage day-to-day activities with patient services vendors, ensuring compliance and scalability.
Coordinate cross-functional reviews and governance to maintain alignment with brand priorities and compliance expectations.
Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities. The company is headquartered in Radnor, Pennsylvania and operates as a fully remote organization.
Oversee the Complex Clinical Bill Review team, managing production expectations, SLAs, client communication, and team performance.
Analyze and track internal business requirements, continuously evaluate functionality across programs, and perform requirements gathering to solve process issues.
Monitor team performance metrics, identify growth opportunities, and coordinate system enhancements including JIRA and UAT testing.
Machinify is a leading healthcare intelligence company providing an AI-powered platform for health plan clients. They are deployed by over 85 health plans, representing more than 270 million lives, with a culture of innovation and efficiency.
Shape the strategy and operational performance of a large Patient Service Center organization.
Oversee complex services spanning patient access, contact center operations, data management, reimbursement, education, and copay assistance.
Lead innovation, strengthen operational excellence, and develop high-performing teams in a fully remote U.S. role.
Jobgether is a recruitment platform using AI-powered matching to streamline job applications. The company focuses on efficient, objective candidate screening and partners with hiring companies to manage the hiring process.
Partner with the Chief Customer Officer to shape and execute customer strategy, ensuring consistent engagement across investor/customer health plans.
Lead the operating rhythm for the bi-weekly Customer Advisory Committee, including agenda development, executive communications, and follow-through.
Track adoption, value, and insights related to medication contracting, supporting annual business and financial planning with customers.
Evio is a pharmacy solutions company founded by Blue Cross Blue Shield health plans to reform high-cost medication access, serving over 20 million members. With a team of six health plan owners and a culture emphasizing empathy, diversity, and transparency, Evio is a small, intentional organization focused on transformative initiatives.
Identify and source clinical vendors through market research and protocol analysis.
Lead contract negotiations and vendor selection to ensure cost-effective procurement.
Manage vendor performance and compliance, serving as the escalation point for issues.
Care Access is making the future of health better for all by bringing world-class research and health services directly to communities. With hundreds of research locations, mobile clinics, and clinicians across the globe, we put people at the heart of medical progress.
Support the design, implementation, and optimization of integrated care programs for Dual Eligible and LTSS populations.
Translate strategic priorities into practical operational plans and scalable processes across markets.
Drive program improvement by evaluating processes, identifying risks, and standardizing evidence-based practices.
This partner company specializes in designing and implementing integrated care programs for Dual Eligible and LTSS populations, focusing on operational excellence and improved outcomes. The company's size and culture are not specified, but it offers a collaborative environment with exposure to healthcare operations and cross-functional initiatives.
Lead development of business relationships and a team to achieve growth, retention, and profitability goals.
Manage membership forecasting, projections, and budget processes using performance indicators.
Cultivate relationships with key influencers and decision makers in the large group business segment.
Sentara Health is a not-for-profit integrated healthcare provider in Virginia and Northeastern North Carolina, with 12 hospitals and an 858,000-member health plan. With nearly 30,000 employees, it has been named 'Employer of Choice' for over ten years and recognized for best hospitals.
Manage a portfolio of 20–30 enterprise employer relationships to drive retention, renewals, and measurable customer value.
Analyze complex healthcare and customer-value data to diagnose account performance and develop proactive strategies.
Collaborate across sales, marketing, product, clinical, analytics, and operations teams to resolve customer challenges and strengthen partnerships.
Our partner is a digital healthcare company focused on expanding access to innovative healthcare solutions and delivering measurable outcomes for enterprise customers. They are a remote-first organization that emphasizes cross-functional collaboration and data-driven problem solving.
Conduct independent clinical research and interpret specialty society guidelines to originate automated payment integrity logic.
Author end-to-end logic from scratch, translating clinical documentation and coding frameworks into precise parameters.
Lead cross-functional policy development and own concept rollouts from discovery through post-launch tracking.
Devoted Health is a healthcare company on a mission to improve the health and well-being of older Americans by providing a seamless care platform. Founded in 2017, it fosters a culture of innovation and collaboration, with a focus on data and AI to deliver exceptional member experiences.
Build strong client relationships by managing complex medical issues and coordinating care.
Demonstrate strong clinical acumen to provide education and support to clients and families.
Collaborate with internal and external experts to identify the latest therapies and treatment options.
Private Health Management (PHM) supports people with serious and complex medical conditions, helping them obtain the best possible medical care. The company is a remote organization with a collaborative team culture dedicated to client advocacy and clinical excellence.
Build and maintain strategic relationships with key contacts at major employee benefits consulting organizations.
Leverage an established consultant network to increase awareness and generate new employer partnership opportunities.
Position products and capabilities to maximize inclusion in employer opportunities, RFIs, and RFPs.
Our partner is a mission-driven organization focused on expanding access to high-quality healthcare. They are a growth-oriented, collaborative company with a remote-first culture.
Serve as primary contact for data management timelines, deliverables, and technical issues across clinical projects.
Oversee database design, UAT testing, data validation, and quality reviews to ensure compliance.
Train study teams, manage project resources, and support audits and bid defense meetings.
The company is a partner firm managing clinical data for life sciences research. They foster a collaborative, quality-focused culture and support professional development.
Lead clinical excellence managers in their region through account management and customer success.
Partner with customers to ensure highest standards of patient care and drive long-range sales plan.
Collaborate with cross-functional teams to align clinical strategies with company objectives.
Outset Medical is a trailblazing medical device company that is revolutionizing dialysis by pioneering groundbreaking technology. They focus on creating a high-performing team obsessed with progress in an atmosphere of transformative opportunities.
Serve as a subject matter expert for specialty value-based programs, establishing evidence-based approaches and priorities.
Lead strategic program delivery, coordinating implementation plans, timelines, and stakeholder commitments.
Evaluate program performance, translate findings into actionable recommendations, and advise executives.
The partner company is a healthcare organization focused on advancing strategic value-based programs within a complex healthcare environment. It operates with a remote-first culture and emphasizes collaboration, innovation, and executive-level impact.