Oversee the administration, compliance, and audit readiness of the 340B Drug Pricing Program for assigned Covered Entity clients.
Serve as the primary compliance resource, conducting routine reviews, internal audits, and operational assessments to identify risks.
Collaborate with clients, internal teams, and third-party administrators to ensure compliant and effective program operations.
NuvemRx helps community health providers simplify pharmacy operations with a suite of scalable solutions integrating software, intelligence, and expert support. We are a fast-growing, mission-driven team that values integrity, collaboration, and a bias toward action.
Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.
Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.
Support the AVP of Client Success - Health Plans in operationalizing a large strategic health plan partnership.
Coordinate reporting, renewals, and lifecycle operations across multiple lines of business and employer groups.
Drive cross-functional coordination and process improvements to ensure consistent execution.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million raised and a passionate, collaborative team, Twin Health is scaling rapidly across the U.S. and globally.
Serve as the primary strategic advisor to client leadership, driving retention, expansion, and relationship management.
Define the Customer Success playbook, including account health-scoring, QBRs, and reporting cadence.
Act as the client advocate internally, ensuring business goals are communicated to Operations and Product teams.
Covera Health combines clinical expertise, advanced AI, and radiology quality datasets to improve diagnostic accuracy and patient outcomes. They are backed by Insight Partners and support nearly 6 million people across major employers and health plans.
Stand up the client delivery engine by defining architecture and building models for forecasting.
Set cross-functional priorities with data, marketing, and pharmacy teams.
Shape the post-sale client lifecycle to expand relationships and define optimal operational models.
Leap is a fast-growing benefits solutions company that reshapes how specialty drugs are delivered and financed, eliminating hidden markups and expanding access. They partner with numerous Fortune 500 companies and are building an outlier company with real impact, seeking focus, energy, and commitment.
Lead complex customer-facing consulting engagements for health plan customers, owning strategy from discovery to executive readout.
Analyze data to quantify operational, financial, and product adoption impact for customers.
Mentor consultants and develop reusable assets to advance the consulting practice.
NASCO provides technology solutions and consulting services for healthcare payers, helping health plans realize value from its product portfolio. The company supports a fully remote workforce and offers comprehensive benefits, with a focus on work-life balance.
Maintain the portfolio operating rhythm and governance across initiatives.
Translate operational data into executive dashboards and actionable insights.
Coordinate cross-functional teams to drive execution discipline and measurable outcomes.
This company is a healthcare-focused organization that manages complex portfolios and drives operational excellence. It offers a remote-first culture and supports broad societal impact through healthcare initiatives.
Actively assess health plan core administration and operations to identify root-cause drivers of cost, quality, and compliance gaps.
Translate findings into a future-state roadmap and business blueprint that positions BPaaS as a path to improved efficiency and compliance.
Quantify the opportunity with financial models (ROI, IRR, cost-benefit) and build the business case for operations leadership.
HealthEdge provides a BPaaS operating model for health plans to improve efficiency, compliance, and operational outcomes. The company operates remotely and values transformation expertise and collaborative advisory engagements.
Serve as a strategic advisor to enterprise healthcare customers, building relationships with C-suite executives and driving outcomes, adoption, and growth.
Develop and execute account plans, lead executive business reviews, and identify improvement opportunities through data analysis.
Collaborate with internal teams and facilitate stakeholder collaboration to advance care coordination and network performance.
PointClickCare is a leading healthcare technology company that provides software solutions for care coordination across acute, post-acute, and payer settings. With a focus on value-based care, the company serves a large enterprise client base and fosters a culture of innovation and customer partnership.
Lead end-to-end project lifecycle for strategic initiatives like Engage rollout and new launch preparation.
Drive change enablement by addressing operational challenges and directing team efforts to meet aggressive deadlines.
Manage cross-functional relationships and serve as liaison to proactively push projects forward.
Lyra Health is a leading provider of evidence-based mental health care, serving over 20 million people globally. The company has delivered over 15 million sessions of care and published 35+ peer-reviewed studies, fostering a culture of clinical excellence and innovation.
Lead strategic reviews and resolve operational frictions for top US health insurance clients.
Build relationships with client leaders in Claims, Quality, and Member Experience.
Collaborate with sales to identify expansion opportunities and maintain high Net Promoter Scores.
Smile Digital Health makes it easy for healthcare stakeholders to collect and exchange data with our leading FHIR-based data liberation platform. We were #19 on Deloitte's Technology Fast 50 Ranking for 2024, and our solutions are used in over 20 countries.
Turn every customer message into clear, owned, and due-dated work using an internal scoping process.
Reproduce data and metric issues, gather evidence, and resolve directly or hand Engineering a clean, actionable ticket.
Monitor account KPIs, product usage, and trends to identify low engagement, risks, and opportunities for proactive follow-up.
Kairon is the execution layer for healthcare, turning fragmented claims and clinical data into workflows for ACOs and health networks to capture shared savings. We are a seed-stage team of under 10, AI-native by construction, working with live customers managing real patient populations.
Lead, coach, and develop a team of Customer Success Managers serving clinics and providers.
Drive retention, satisfaction, and growth while ensuring exceptional customer experiences.
Partner cross-functionally with Sales, Operations, Clinical, and Leadership to improve outcomes.
Strive Pharmacy is a personalized compounding pharmacy creating medications tailored to each patient, with a human-centered approach to care. The company is growing and fosters a collaborative, engaging culture where employees build relationships and grow professionally.
Lead cross-functional operational initiatives from intake to implementation, managing stakeholders, dependencies, risks, and outcomes.
Partner with business leaders and technology teams to drive execution, adoption, and operational readiness across the organization.
Provide leadership, coaching, and accountability for assigned resources while supporting continuous improvement and post-launch stabilization.
The company is a US-based organization focused on improving service delivery and operational transformation. It fosters a collaborative, results-oriented culture with an emphasis on professional development and measurable business impact.
Manage enterprise client relationships and drive outcomes through data-driven recommendations.
Collaborate with cross-functional teams to ensure consistent delivery and client satisfaction.
Own revenue targets including renewals and expansions, and mentor team members.
Wellnecity is a platform for high-performing health plans, helping self-insured employers, advisors, and vendors achieve cost savings and better outcomes. We are a fast-paced entrepreneurial company with a passionate team focused on data and healthcare innovation.
Own and evolve provider support workflows, automation, and data practices to enable provider success.
Partner with clinical leadership across the provider lifecycle from onboarding through retention.
Design systems and automation to reduce administrative burden and help prevent provider burnout.
They operate a high-impact telehealth platform focused on improving access to specialized care. The organization is growing and values operational excellence, clinician support, and innovation in workflow automation.
Use data-driven insights to drive strategic change and optimize workflows for the revenue cycle management team.
Collaborate with cross-functional teams including Product, Engineering, and Operations leadership to improve efficiency and scalability.
Lead and coach a remote team of up to 20 employees, fostering a winning team culture and managing performance.
Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. Alma, a Spring Health Company, simplifies access to high-quality, affordable mental health care, with over 20,000 therapists in its network and recognized as one of Inc's Best Workplaces.
Serve as a trusted advisor to strategic healthcare clients, building relationships and driving adoption.
Develop and implement customer success plans to ensure measurable outcomes and retention.
Analyze customer data to provide insights and drive product improvements.
Luma Health builds technology to simplify healthcare access and delivery. They are a growth company with a fast-paced startup environment that values inclusivity.
Develop and maintain key relationships with client account and pharmacy teams.
Drive strategic account plans to ensure client engagement and satisfaction.
Lead client meetings and consult on pharmacy spend optimization.
Prime Therapeutics is a pharmacy benefit manager (PBM) focused on simplifying healthcare and connecting care for clients. The company is a large, purpose-driven organization with a culture centered on innovation and employee well-being.
Take operational problems from roughly defined to fully optimized, owning the design and implementation.
Design and document operating procedures, define metrics, and ensure data integrity.
Partner with product, train teams, and hand off sustained processes with clear ownership.
Finni Health helps BCBAs go independent by providing infrastructure for credentialing, payer contracting, revenue cycle, HR, compliance, and software. They are a YC-backed, small team moving fast in a heavily regulated industry.