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.
Lead daily patient access and pre-access operations, coordinating registration and scheduling activities.
Supervise, coach, and develop team members through training, feedback, and performance evaluations.
Monitor operational KPIs such as point-of-service collections, wait times, and productivity to identify improvement opportunities.
The company specializes in healthcare revenue cycle management, focusing on patient access and pre-access operations. It is a growth-oriented organization that emphasizes innovation, collaboration, and work-life flexibility for its employees.
Lead day-to-day operations of prospective and concurrent CDI review processes, ensuring quality and productivity standards.
Oversee team performance, coaching, and development while partnering with physicians and clinical teams.
Use data and metrics to drive process improvements, reduce documentation gaps, and support compliance and risk adjustment.
Our partner is a healthcare organization focused on clinical documentation integrity and risk adjustment for Medicare Advantage populations. They are a growing company with a collaborative, mission-driven culture that values heart, excellence, accountability, resilience, and teamwork.
Lead, mentor, and coach a team of over 50 direct and indirect reports to foster a high-performance culture.
Oversee daily Patient Service Center operations to ensure efficient, compliant, and high-quality service delivery.
Analyze KPIs, customer feedback, and operational data to drive continuous improvement and enhance patient and provider experiences.
The company provides patient support program services in the healthcare industry. The culture emphasizes operational excellence, compliance, and patient-centered care, with a large team environment.
Lead operational performance across maternal health access programs, monitoring results and driving continuous improvement.
Build and maintain consultative relationships with hospital and clinic partners through regular business reviews and onsite visits.
Serve as the primary relationship owner for senior hospital executives and support contract negotiations and program implementation.
The company provides maternal health access services and manages hospital and clinic partnerships. It operates with a collaborative, mission-driven culture and offers significant exposure to senior healthcare leaders.
Oversee day-to-day operations across billing, coding, claims, and accounts receivable functions.
Coordinate workloads and monitor performance metrics to ensure client requirements are met.
Resolve escalated operational issues and improve workflows to maintain service quality.
Raventra Health is a medical services company that provides outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company emphasizes operational excellence and client service, with a focus on accuracy and efficiency.
Process medical records requests accurately and within required timeframes.
Ensure HIPAA compliance and validate patient authorizations.
Perform quality-control reviews and maintain secure handling of protected health information.
The company specializes in securely processing medical records requests for healthcare clients. It maintains a collaborative and compliance-focused culture with a strong emphasis on accuracy and privacy.
Lead strategic operational and technology initiatives from planning through go-live, ensuring alignment with objectives and timelines.
Drive technology implementations across Patient Access and Pre-Access, including insurance verification and revenue cycle solutions.
Monitor key performance indicators to reduce denials, improve point-of-service collections, and optimize cost-to-collect.
The organization is a healthcare revenue cycle management company focused on improving patient access and pre-access operations. It offers a collaborative culture with remote work opportunities and professional development.
Lead daily operations and align execution with broader business goals.
Manage agent attendance, quality, and performance with coaching and follow-up.
Oversee onboarding, compliance, and monthly invoicing while driving workforce growth.
This role is with a partner company that operates a remote, distributed workforce providing outsourced services. The company is scaling to 100 active agents and values hands-on leadership, accountability, and quality.
Lead and scale a high-performing Revenue Cycle Management team, managing workflows and driving operational excellence.
Oversee day-to-day RCM operations with a patient-first approach, optimizing collections and efficiency.
Collaborate cross-functionally with Engineering, Credentialing, Customer Experience, and external vendors to support growth.
Nourish is an AI-native digital health system that connects patients with registered dietitians, physicians, medications, lab testing, and AI agents for insurance-covered care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partners with health plans covering 200M+ Americans.
Oversee daily operations of the Patient Connection team, including referral tracking, outreach, and quality assessment.
Design and optimize workflows for referral intake, outreach, enrollment, and follow-up to drive efficiency and scale.
Set and achieve team performance targets, develop individuals, and collaborate cross-functionally to improve patient experience.
Concert Health is a national behavioral health medical group integrating the Collaborative Care model into healthcare practices to improve patient lives. They are a diverse and inclusive Equal Opportunity Employer focused on providing high-quality behavioral health support.
Coordinate and oversee patient care requests, ensuring timely and compassionate responses.
Serve as the central point of contact throughout the patient journey.
Maintain accurate electronic medical records and coordinate medical testing and follow-up care.
This company provides patient-centered healthcare coordination, connecting patients with physicians and specialists. They are a mission-driven organization that values collaboration, professional growth, and a supportive, inclusive workplace.
Lead a high-performing team of QA Specialists at the intersection of clinical precision and operational excellence.
Drive coding accuracy, build robust SOPs, and ensure full audit readiness for internal and external partners.
Translate QA findings into actionable insights and mentor team members to elevate compliance standards.
Aledade PBC empowers independent primary care through value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a remote-first, inclusive culture.
Manage day-to-day operations for the outpatient clinical documentation improvement program across multiple facilities.
Liaise with physicians and leadership on coding rules, risk adjustment, and reimbursement guidelines.
Ensure compliant and accurate medical record documentation while facilitating standardization.
Henry Ford Health is an academic health system providing comprehensive care across Michigan. With 12 hospitals and hundreds of clinics, it is a large organization focused on collaboration and innovation.
Architect and scale a unified Central Operations hub for dual-revenue engine optimization, including Fee-For-Service and Value-Based Care workflows.
Own ancillary services such as Medical Records, Lab Integrations, and Referral Management while driving facility partner onboarding and B2B integration.
Oversee telemedicine team deployment for footprint support and create executive dashboards to monitor provider productivity and operational outcomes.
Theoria Medical provides telemedicine and operational services to post-acute care facilities, including skilled nursing and assisted living communities. The company is scaling a centralized operations hub to support multi-state growth, though specific employee size is not disclosed.
Lead and support a virtual team of Transitions of Care Coordinators, providing day-to-day guidance and fostering a patient-focused environment.
Dedicate approximately 30% of your time to direct transitions-of-care patient support, coordinating appointments, transportation, and equipment.
Oversee team performance, develop workflows, and contribute to program development and cross-functional initiatives.
This organization partners with healthcare providers to support patient transitions from hospital to home. They operate with a virtual team and emphasize patient-centered care and professional growth.
Manage partner accounts, drive growth, and serve as the primary bridge between sales, operations, and clinical teams.
Own program metrics, performance analytics, and identify optimization opportunities to ensure program health.
Lead end-to-end implementation of new partnerships and resolve escalations proactively.
Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations. It is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot.
Provide administrative and operational support within a utilization management environment.
Maintain accurate records and documentation to support member care and services.
Collaborate with internal teams while managing multiple priorities and meeting quality standards.
This role is posted on behalf of a partner company that manages all applications and next steps. The partner is a healthcare organization focused on utilization management and member-focused operations.
Own use case deployments end-to-end from contract signature to go-live, driving accountability to timeline and quality.
Build Implementation Charters, configure platform settings, and coordinate with health system IT teams for seamless integration.
Define and refine the standard onboarding process for providers, creating reusable playbooks for scalable deployments.
Hippocratic AI is building the world's first healthcare-only, safety-focused large language model platform to transform patient outcomes. The company is backed by leading investors and co-founded by a team of physicians and AI pioneers, with over $400 million in funding.