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• Lead and develop a team of RN Care Coordinators and non-clinical Care Coordinators.
• Ensure timely progression of members through the surgical review and COE pathways.
• Identify workflow issues and recommend process improvements.

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings.

• Lead and manage clinical operations teams, ensuring high standards of service delivery and operational compliance.
• Coordinate clinical programs, including utilization management, clinical review, and special initiatives.
• Develop, implement, and maintain operational policies, procedures, and best practices.

Jobgether is a platform that uses AI to match candidates with job opportunities. They aim to ensure applications are reviewed quickly and fairly, connecting top-fitting candidates with hiring companies.

Develop trusting long-term patient relationships and empower you to do the best work of your career. Conduct holistic assessments to identify conditions, functional status and member values. Support chronic disease management, using motivational interviewing techniques.

Devoted Medical was founded on the belief that if we treat each member like we would our loved ones, we can meaningfully improve healthcare experiences.

• Responsible for application of appropriate medical necessity tools to maintain compliance and achieve cost effective and positive patient outcomes.
• Acts as a resource to other team members including UR Tech and AA to support UR and revenue cycle process.
• Utilizes Payer specific screening tools as a resource to assist in the determination process regarding level of service and medical necessity.

Virtua Health strives to connect individuals to the care they need, building a healthier community in South Jersey. They are a Magnet-recognized health system with over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners.

• Provides quality driven telephonic clinical assessments, health education, and utilization management services.
• Provides assessments to individuals using telecommunications, in accordance with computer-based algorithms and guidelines.
• Uses clinical knowledge to assess, make recommendations for care, provide education and health information.

Carenet Health values expertise and dedication, committed to providing appealing compensation. They celebrate diversity, creating an inclusive environment and are an equal opportunities employer.

• Lead, coach, and develop Team Leads and Member Services Associates.
• Own performance outcomes for medication access including resolution time, pharmacy turnaround, quality scores, and member satisfaction.
• Serve as the primary operational partner for pharmacy vendors, owning escalation patterns, performance issues, and workflow alignment.

Maven is the world's largest virtual clinic for women and families with a mission to make healthcare work for all. They have raised more than $425 million in funding and have been recognized as a Time 100 Most Influential Company and a Fast Company Most Innovative Company.

• Lead and supervise credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing and enrollment tasks.
• Oversee provider credentialing, licensure, and internal enrollment with Medicare, Medicaid, Managed Care, and Commercial Plans.
• Maintain provider rosters, monitor license and certification renewals, and ensure compliance with regulatory and internal standards.

At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. By combining virtual and in-person counseling, community support, and medication access.

• Oversee the daily operations of the Enrollment Specialist team, including planning daily team coverage for various tasks.
• Ensure the efficient and accurate execution of all new patient onboarding processes, including effective management of incoming communications.
• Lead, coach, and develop a team of Enrollment Specialists, providing ongoing performance feedback, conducting regular one-on-one meetings, and completing annual performance evaluations to ensure high-quality service and productivity.

Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Form Health is a venture-backed innovative startup with an experienced clinical and leadership team deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together.

Lead and develop a high-performing Intake team, ensuring operational metrics, quality standards, and regulatory requirements are met. Oversee daily intake operations, coach team members, and drive performance through clear communication and accountability. Reinforce standardized processes, mitigate compliance risks, and support operational excellence to strengthen client trust and organizational growth.

Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration.

Oversee the daily operations of the Wholesale Coordinating team. Ensure efficient and compliant coordination of loan files in accordance with FHA, State, and Investor regulations. Remotely lead, coach, and supervise Coordinators, Team Leads, and Support Staff.

Longbridge Financial has launched HELOC For Seniors® — a first-of-its-kind home equity line of credit (HELOC) designed for homeowners 62+.

• 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.

• 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.

• Lead, coach, and mentor PCA Leads; indirectly oversee the full PCA team.
• Own forecasting, staffing plans, and scheduling strategy for all PCA coverage across chat, phone, and ticket queues.
• Design and oversee quality assurance programs, including auditing, coaching, and root-cause analysis.

9amHealth is a cardiometabolic care company that offers custom care plans, prescription medications, and expert guidance to help members live healthier. It is a San Diego, California-based company with a collaborative learning mindset and a passion for improvement.

Ensure day-to-day operational reliability and drive optimal clinician performance in our 24/7 virtual Urgent Care practice. Lead a team of clinician liaisons and schedulers to ensure clinician satisfaction, productivity, engagement, and success. Partner with the Director of Practice Operations and Urgent Care Clinical Leadership to operationalize strategic growth, scale, and quality projects.

Included Health is a new kind of healthcare company, delivering integrated virtual care and navigation to raise the standard of healthcare for everyone.

• Provides triage telephone service to ensure prompt identification of patients with high-risk conditions.
• Directs callers to appropriate level of care and provides healthcare advice/education using assessment skills, approved guidelines and protocols, and knowledge of self-care practices.
• Serves as a liaison between customers, patients, physicians, other members of the public and hospital staff, programs, and other resources.

Lehigh Valley Health Network is a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work in health care. They are the region’s largest employer and health care provider of choice with nearly 20,000 health care professionals.

The Clinical Nurse is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse utilizes the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.

Dartmouth Health stretches over New Hampshire and Vermont and offers the quintessential New England experience as an academic medical center.

The SME – Health Systems Analyst serves as the clinical and operational authority for quality, patient safety, workflow validation, and clinical oversight. This role ensures safe, effective clinical operations during Pre-Deployment, Go-Live, and Stabilization. Provides leadership across ATE support and clinical backfill activities.

Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery.

• Owns end to end operations and expansions for our provider networks in the US & Canada.
• Deeply understand and elevate Carrot’s strategic positioning within the US & Canada healthcare and provider ecosystems.
• Define and deliver on KPIs related to provider network operations response including establishing goals, methodology on measurement/tracking, and execution.

Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through life's memorable moments. They are trusted by multinational employers and health plans, offering localized support in over 170 countries and 25 languages.

The manager will oversee the team that provides patients with on-demand telephone-based care management services via a 24/7 Nurse Advice Line. They will assess caller symptoms/concerns to determine care urgency, refer patients to providers, and give health advice. The manager will handle inbound communications, conduct outbound communications for follow-up, and coordinate with team members to assess and implement patient care plans.

Privia Health™ is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers.

• Establish and direct the strategic vision for the Imagine Pediatrics centralized call center.
• Lead a team of engagement associates that enroll attributed eligible patients into the clinical program.
• Partner with Product, Engineering, and Data teams to inform the technical infrastructure.

Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, enhancing existing care teams with compassion and an unwavering commitment.