Submit, track, and manage all Community Supports, Enhanced Care Management and Community Health Worker authorizations/reauthorizations/referrals
Update Athena with authorization information and For Community Supports: add members to the outreach assignment tracker and ensure compliance with the 24-hour assignment standard
Ensure workflow alignment with referral/authorization processes and Conduct internal checks for compliance, quality assurance, and clinical alignment
Manage fax and mail intake, process medical records requests, and complete insurance pre-authorizations.
Strengthen the operational foundation of our fast-growing digital sleep clinic by handling documentation and correspondence.
Collaborate closely with cross-functional teams in a tech-enabled care environment, contributing to accessible sleep health.
Dreem Health, managed by the Sunrise Group, is America's leading digital sleep clinic that's fixing the broken sleep care patient journey. They connect patients with sleep specialists through a straightforward telehealth platform, eliminating lengthy wait times and complicated in-lab testing.
Manage patient documents and ensure timely, accurate distribution of medical records.
Serve as the primary contact for communication with healthcare providers, hospitals, and medical facilities.
Support families in scheduling visits and coordinating care delivery processes.
Abby Care is tackling family caregiving, training and employing family caregivers to get paid for the care they provide at home. They are building a tech-powered, family-first care platform and are supported by top, mission-driven VCs to empower families throughout the country.
Own the design, execution, and ongoing improvement of Pair Team’s in-person care delivery operations
Build scalable workflows that support field-based visits, including care package delivery, success visits, and care plan check-ins
Serve as the operational point of contact for in-person care delivery, supporting managers and leaders with guidance and structure rather than individual-level coordination
Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serve underserved populations. As a tech-enabled medical group, they deliver whole-person care by partnering with organizations deeply connected to the communities they serve. They empower clinicians and care teams to provide compassionate, high-impact care.
Execute payer enrollment applications from credentialing approval through payer confirmation.
Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements.
Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager.
Spring Health aims to eliminate barriers to mental health by delivering the right care at the right time through their clinically validated technology, Precision Mental Healthcare. They partner with over 450 companies and are valued at $3.3 billion.
Oversee daily practice operations, ensuring consistent delivery of administrative and operational functions.
Manage administrative logistics including scheduling, coverage, resource allocation, and routine practice communications.
Monitor and track staff licensing deadlines, renewals, and required documentation.
FOLX Health is the leading health and wellness platform for LGBTQIA+ care, providing end-to-end services, both virtually and in person, across the spectrum of community needs. They foster a culture of reliability, transparency, access, and agency, trusting their team to get their jobs done.
Serve as the primary contact for inbound patient calls, answering questions regarding prescriptions, prior authorizations, and referrals.
Document all patient interactions and requests accurately in the EHR, routing clinical tasks to the appropriate teams according to escalation protocols.
Follow standardized workflows, adhering to HIPAA requirements and meeting service-level expectations for response time and accuracy.
Midi Health is on a mission to transform care for women in midlife. They aim to build a best-in-class team while working with smart, purpose-driven people.
Directly manage a remote team of Care Partners, providing guidance and support.
Design and improve operational processes to ensure high clinical quality.
Monitor key performance indicators to measure success across different teams.
Medsien provides scalable remote care management for a quality patient experience. Hundreds of organizations trust Medsien's technology solutions to implement remote care management programs, personalize every interaction, and improve the lives of the people who need it most.
Nurture & Grow: Take ownership of existing accounts and drive increased patient referral volume.
Success Management: Act as the primary point of contact for clinical partners, answering questions, providing updates.
Process Implementation: Work with clinics to refine their internal referral processes, making it easier for them to send patients to our platform.
Carda Health is building the world’s first patient-centered virtual heart and lung platform, starting with cardiac and pulmonary rehab. They are a team of clinicians, mathematicians, entrepreneurs, and engineers who believe technology and data, when applied ethically, can transform healthcare.
Own end-to-end operations for your care team while partnering closely with Nurse Practitioner Managers.
Foster belonging and team connection to drive clarity, consistency, and reliability in daily workflows.
Conduct regular 1:1s and performance check-ins to reinforce expectations, accountability, and development.
Midi is a fast-scaling virtual care company on a mission to transform how healthcare is delivered—starting with women’s health and whole-person care. Their distributed clinical teams deliver high-quality, evidence-based care through a modern, tech-forward platform built for scale, safety, and reliability.
Lead day-to-day census, enrollment, eligibility, and Medicaid re-eligibility operations.
Develop, maintain, and enforce department policies, procedures, workflows, and monitoring routines.
Supervise, mentor, and develop staff while setting clear expectations and maintaining accountability for performance and quality.
Habitat Health aims to help older adults experience an independent and joyful aging journey. They provide clinical and social care through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with healthcare partners like Kaiser Permanente.
Gather, validate, and prepare data from multiple sources.
Identify missing or inconsistent fields and partner with Operations to resolve issues.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared and lived experiences. Founded in 2021, they are backed by leading healthcare and social impact investors.
Manage the full enrollment process for Medicare and Medicaid across applicable states.
Prepare, complete, and submit all required enrollment applications and documentation.
Track application status and follow up with agencies to drive timely approvals.
BetterHelp aims to improve mental health and make mental healthcare accessible. They are the world’s largest online therapy service with over 30,000 licensed therapists, and they value employee mental health, investing in their team’s well-being and professional development.
Oversee prior authorization and financial assistance workflows.
Drive quality and productivity across team members.
Ensure work is compliant and meets quality standards.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within the hospital. They focus on improving medication access, adherence, and overall patient outcomes, operating in a high-growth environment.
Lead, coach, and develop a team of Ops Associates.
Oversee the design and implementation of payor builds or process improvements.
Work closely with the Managers to identify process breakdowns and implement solutions.
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 and hundreds of thousands of clients across the country.
Oversee and manage a team of outreach and intake associates including training, onboarding and people management.
Ensure compliance with client and CMS standards across all workflows, ensuring quality of each caller interaction in alignment with Isaac Health’s standards.
Manage service level agreements (SLAs) and performance metrics including managing individual campaign staffing and reporting on KPIs.
Isaac Health aims to improve brain health at the population level by providing access to specialty brain health and dementia care services. Since launching in 2022, Isaac Health has scaled to provide services to more patients and families across the US.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.
Lead and manage daily prior authorization operations across all locations.
Oversee workload distribution and productivity; Track and mitigate revenue at risk.
Hire, train, coach, and develop authorization supervisors and authorization staff.
Metro Vein Centers specializes in state-of-the-art vein treatments. With over 60 clinics across 7 states, they deliver compassionate, results-driven care in a modern, patient-first environment.
Prepare and submit credentialing and enrollment packets.
Maintain accurate provider files and track expirations.
Provide assistance to the billing team during staff absences.
Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Serve as the ongoing point of contact for Medicare patients after their intake appointment.
Educate patients on how to access healthcare services (e.g., finding providers, using insurance, scheduling appointments).
Troubleshoot issues related to online portals, referrals, or provider communication.
Understood Care aims to bridge the healthcare gap for Medicare patients needing help navigating the healthcare system. They seem to value compassion, proactivity, and patient empowerment in a fast-paced, startup environment.