Lead the building and scaling of risk adjustment operations, including defining workflows and integrating into care delivery.
Drive broader clinical operations initiatives to improve care delivery workflows and cross-team coordination.
Translate strategic priorities into operational workplans, establish KPIs, and support performance visibility.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by CEO Dr. Justin Bekelman, with a culture focused on transforming cancer care.
Drive new business and expand existing accounts in Risk Adjustment and Quality healthcare SaaS/BPaaS solutions.
Manage key client relationships and anticipate customer needs to exceed service expectations.
Collaborate cross-functionally with Marketing, Product, and Customer Success to ensure seamless onboarding.
HealthEdge provides AI-powered operational infrastructure for health insurance companies to gain a financial edge. The company is experiencing strong market growth and invests in its people, fostering a culture of innovation in healthcare technology.
Own the strategy and performance of a complex portfolio of primary care partnerships, driving adoption, retention, and measurable performance improvement.
Build trusted relationships with clinical and operational leaders, serving as a strategic advisor on value-based care and workflow transformation.
Analyze data, lead performance reviews, and implement interventions to ensure sustained provider success and expansion.
Counterpart Health, a subsidiary of Clover Health, develops AI-enabled technology that supports primary care physicians in diagnosing and managing chronic conditions. They are a remote-first company with a diverse team of experts in value-based care and technology, dedicated to improving patient outcomes and reducing healthcare costs.
Lead end-to-end strategy and execution for go-to-market efforts of Risk Stratification programs and products.
Own strategic partnerships with payer partners, practice leaders, and vendors to advance insight delivery.
Direct and support cross-functional teams on related initiatives, including incentive programs, monitoring, and value estimation.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.
Monitor coding prevalence and ensure compliance with CMS audit processes.
Conduct provider and coder level reviews to ensure accurate risk adjustment data submission.
Maintain tracking tools and assist in RADV audits and corrective action plans.
Alignment Health is a healthcare organization dedicated to transforming senior care, focusing on the chronically ill and frail. The company is fast-growing with a passionate team united in the mission to put seniors first.
Sets strategic direction for assigned market(s) and manages key external stakeholder relationships.
Oversees ACO operations, financial accountability, and professional development of direct reports.
Collaborates with central growth team to establish partnerships and achieve value-based care targets.
Aledade PBC empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the US with a collaborative, inclusive, and remote-first culture.
Own daily execution of the chase queue, monitoring retrieval rates and AID ownership across roughly one million annual chases.
Oversee AI-enabled voice agent performance and adjust workflows to improve retrieval yield while reducing provider abrasion.
Manage staffing models, capacity forecasts, and serve as the operational point of contact for the customer retrieval relationship.
Reveleer provides a unified platform for risk adjustment, quality improvement, clinical intelligence, and member management, helping health plans and provider organizations navigate value-based care. The company is trusted by over 80 customer organizations nationwide and combines regulatory expertise with human-in-the-loop AI to support documentation integrity and operational readiness.
Manage and negotiate contracts with healthcare providers to build and maintain a robust network.
Utilize data and analytics to inform negotiation decisions and optimize costs.
Oversee team performance and collaborate with provider services to ensure best-in-class member care.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
Build and lead partnerships strategy across state associations, GPOs, certification bodies, and white-label partners.
Manage a team of partnership managers, integrating existing team members and relationships into a new structure.
Implement Salesforce tracking and ROI measurement for partner-sourced pipeline, replacing informal arrangements.
Eleos Health builds a system of action for community-based care, using Polaris AI to help behavioral health, hospice, and home health teams reduce administrative burden and improve care. The company is a startup with a team of talented people focused on shifting the industry from reactive to proactive care.
Lead recruitment and onboarding of healthcare organizations for quality improvement initiatives.
Serve as the key liaison between participating organizations, technology vendors, and internal teams.
Coordinate EHR-connected registry implementation and ensure successful data exchange and engagement.
The American Heart Association works to reduce cardiovascular disease deaths and improve health outcomes for all. As a large non-profit with over 100 years of history, it fosters a culture of work-life harmonization and employee growth.
Provide strategic leadership and operational oversight for CMS-mandated RADV audits across Medicare Advantage and Commercial lines of business.
Lead development of audit strategies, workflows, and performance objectives to support regulatory compliance and organizational goals.
Direct departmental operations including staff development, performance management, and cross-functional coordination to ensure successful execution of priorities.
HealthEdge provides AI-powered operational infrastructure for health insurance companies. The company is experiencing strong market momentum and investing in its people to shape the future of healthcare technology.
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.
Own the full practice relationship from identification and acquisition to ongoing performance management and retention.
Conduct monthly performance reviews and coaching sessions with practice leadership to drive improvement.
Serve as the primary liaison between practices and Guidehealth's clinical pillars, ensuring service delivery and satisfaction.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to making great healthcare affordable and improving patient outcomes through AI and predictive analytics. It is a growing, physician-led organization that operates with agility and a collaborative culture focused on value-based care.
Implement products and execute ACO initiatives, supporting wellness visits, transitions of care, and active management to meet practice transformation goals.
Train office staff and physicians on value-based care processes and technologies, continuously assessing training needs.
Develop lasting relationships with physicians and executives to enhance financial and quality performance.
Aledade empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.
Own end-to-end operation of the Comparion Advantage Program, including partner strategy, compensation, and performance metrics.
Collaborate with internal stakeholders, including regional leadership and agents, to align program with growth objectives.
Leverage data-driven insights and dashboards to drive decision-making and optimize referral quality and production.
Comparion, part of Liberty Mutual, manages a field partnership program that connects insurance agents with external partners to generate new business. The company values inclusion and offers comprehensive benefits, flexible work arrangements, and professional development opportunities.
Lead product discovery and shape strategic customer partnerships for enterprise solutions.
Work between product squads and commercial teams to identify gaps and opportunities.
Directly support the Senior Director of Product on high-impact special projects.
Omada Health is a leading provider of virtual-first care for chronic conditions like obesity, diabetes, and hypertension. The company has served over two million members and is publicly traded, fostering a culture of trust, bold action, and collaboration.
Define and execute a holistic provider performance vision, establishing standardized frameworks across clinical service lines.
Lead, mentor, and build a high-performing operations team, setting high-impact priorities.
Partner with Data Analytics to build a unified data vision and establish centralized systems to measure provider performance.
Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally. The company has delivered more than 15 million sessions of mental health care and published more than 35 peer-reviewed studies.
Operate as the lead point of contact for assigned partners, maintaining strong relationships and acting as a trusted advisor.
Manage partner initiatives, including contract management, negotiation, and product expansion, while coordinating with internal teams.
Oversee partner transactions, analyze key metrics, and ensure timely delivery of solutions according to contractual commitments.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. The company is a notable player in the health benefits space, fostering a culture of innovation and collaboration among its team members.