Develop deep understanding of the clinical data needs and data usability requirements across Devoted Health Plans and Devoted Medical.
Analyze clinical data availability across geographical areas to develop insights about data gaps, the reasons data is not available, and opportunities to obtain data.
Implement technical integrations with Health Information Exchanges (HIEs), Labs, Electronic Health Record (EHR) systems, and other sources of clinical data and ensure quality of data received.
The ideal candidate will support the growth of Privia Health by assisting the Physician Development, New Provider Recruitment, and Business Development teams. Assist marketing and sales operations, with a focus on CRM data integrity. Review, clean, and analyze data for current and new markets in Salesforce.
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems.
Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers.
Audit internal provider data against database records to ensure 100% accuracy before submission.
Serve as the primary point of contact for health plans to resolve roster discrepancies, rejections, or paneling delays.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs.
Partner with engineers, designers, and business owners to cultivate a shared vision and advocate for this perspective.
Ongoing optimization of live user workflows and capabilities, including monitoring of key metrics & user feedback.
Write detailed product specs for new features and capabilities, capturing descriptions of business rationale, requirements, and success criteria.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country and have a collaborative, inclusive, and remote-first culture.
Provides data management support services to Dignity Health’s CI/ACO Networks, Employer Relations and Valued Based Operations (VBO).
Within the Salesforce platform, this individual gathers and maintains accurate provider data, performs periodic provider data reconciliations with multiple data sources.
Maintains and transmits fee schedules, as necessary, to third-party administrators (TPA's) and other appropriate stakeholders.
Dignity Health MSO builds a system-wide integrated physician-centric, full-service management service organization structure. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers.
Work remotely to enhance member management and navigate the healthcare system.
Promote wellness and assist members in achieving their healthcare goals.
Conduct telephonic outreach, data analysis, clinical review, and documentation.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence, improving patient health, and restoring provider fulfillment.
Develop a deep understanding of our business, care programs, and data.
Synthesize data into actionable insights that improves clinical quality, operational efficiency, and outcomes.
Partner with product, clinical, engineering, and operations teams to translate business needs into analytics solutions.
Cayaba Care is working to drastically improve the experience of affected communities by reimagining how they deliver meaningful and compassionate care to expectant moms. The team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually.
Transform complex healthcare and patient data into actionable insights. Work closely with cross-functional teams to analyze patient journeys and claims data. Independently manage analytics projects and present findings to stakeholders.
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Execute data analysis of trends and strategic opportunities for quality improvement across Aledade’s value based care portfolio.
Track key performance indicators (KPIs) relating to risk, quality, and affordability for all health plan payer contracts.
Support ad-hoc reporting and data analysis requests for field teams specifically relating to MSSP.
Aledade empowers independent primary care practices to succeed in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Responsible for implementation and support of applications and works with end users to troubleshoot and correct problems.
Researches and evaluates a variety of solutions to provide end users with high quality, efficient products.
Participates in the planning, development, implementation, maintenance, support and evaluation of clinical or business application systems.
The University of Kansas Health System is a world-class healthcare provider and destination for complex care and diagnosis. They are driven by their commitment to service, continuous improvement and to the highest degree of excellence.
Conduct outreach to providers to gather accurate pricing and market data.
Become an expert in the provider landscape for your assigned market or service category.
Build and maintain comprehensive provider guides that support internal teams and member-facing resources.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and attainable. The company is made of passionate people from various backgrounds, united by the desire to fix the healthcare system.
Oversee operational and clinical performance of contracted provider partners.
Drive execution on economic, clinical, and population health strategies.
Proactively analyze population health data to identify opportunities for improvement.
Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.
As a Senior Medical Economics Analyst, you will shape how data drives healthcare transformation. You’ll work directly with health plans and internal leaders to uncover the story behind the numbers. This role requires solving complex problems and turning insight into measurable results.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence focused on making great healthcare affordable.
Analyze trends, cost drivers, risks, and opportunities across Sana’s health plans and care model using revenue, pricing, claims, eligibility, clinical, product, and other operational data.
Evaluate the impact of various care programs, benefit designs, and operational initiatives on cost, utilization, and member experience; partner with stakeholders across Revenue, Finance, Care Team, Operations, and Product.
Build and maintain dashboards and recurring reports; write production-quality SQL and analytical code; ensure metrics are accurate and aligned with shared definitions; communicate findings clearly.
Sana is a health plan solution built for small and midsize businesses. Sana is designed around its integrated primary care service, Sana Care, ensuring members can easily access high-quality, affordable care while employers and brokers have the tools they need to manage company benefits with confidence. Sana has a fully distributed team across the U.S. and values curiosity, ownership, and speed — and they build in the open, together.
Monitor performance and troubleshoot issues in a 24 x 7 x 365 environment.
Support the end-to-end flow of data, including connectivity, data formats, and software platforms in an AWS environment.
Function as primary support for MX customers by investigating and maintaining ownership of participant issues to ensure a resolution is delivered in a timely manner.
Manifest MedEx is the largest nonprofit health data network in California, combining and delivering crucial health information for more than 50 million individual records.
Leads market clinical informatics plans, data analysis, and serves as a champion for clinical projects and systems.
Oversee the implementation of market-level clinical systems in collaboration with administration, physicians and nurses.
Direct a team of expert informaticists in consultative activities with key business owners across the region to define new IT solution requirements.
CommonSpirit Health is building a healthier future for all through its integrated health services as one of the nation’s largest nonprofit Catholic healthcare organizations.
Own technical execution of beta programs, including design, validation & deployment of products.
Collaborate with Sales/Customer Success teams to translate insights from beta deployments into repeatable processes.
Coordinate with Product and R&D teams to translate beta requirements into clear technical plans.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.