Lead the business strategy and execution for HEDIS outcomes.
Establish and manage incentive structures and provider engagement models.
Develop and oversee cross-functional initiatives that translate measure logic into actionable programs.
Clover Health is dedicated to improving the lives of seniors through high-quality, data-driven physician enablement technology. They have built an innovative technology platform designed to put actionable clinical insights into the hands of physicians at the point of care.
Provide executive leadership and strategic oversight for enterprise operations and quality initiatives.
Own enterprise-wide HEDIS strategy, execution, and performance outcomes.
Build and lead a centralized PMO delivering weekly performance metrics across all sites.
Vanna Health aims to improve overall health and wellbeing for individuals with serious mental illness by fostering a sense of belonging. They promote collaboration across healthcare providers through innovative payment models and technology and are committed to culturally competent care.
Support/back up the CSE, Senior CSC and CSC responsibilities
Create and present data for Strategic Business Plans, VALUE Summaries, and Performance Standard reports
Investigate/follow-up if Performance Guarantees are not met and present those results to their assigned clients
Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. They are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them.
Support the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program.
Provide hands-on technical assistance and quality improvement (QI) support to healthcare providers.
Collaborate with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs).
Health Services Advisory Group (HSAG) is dedicated to transforming healthcare delivery in the United States. They are a growing team focused on improving healthcare quality, safety, and outcomes.
Lead measurement strategy across the full product lifecycle.
Shape and communicate the value story for ProviderConnect.
Create internal messaging, training materials, and measurement focused enablement.
Phreesia's SaaS platform digitizes appointment check-in and offers tools to engage patients, improve efficiency, optimize staffing, and enhance clinical care. Phreesia is committed to helping healthcare organizations succeed in an ever-evolving landscape by transforming the way healthcare is delivered. They are dedicated to continuously improving their employee experience by launching new programs and initiatives and they value inclusivity, professional development, and growth opportunities.
Enhance healthcare quality by overseeing performance improvement initiatives.
Ensure compliance with regulations and support data analysis.
Monitor quality metrics and drive projects to improve healthcare outcomes.
Jobgether is a platform that connects job seekers with potential employers, using AI to match candidates with roles. They focus on ensuring applications are reviewed fairly and efficiently.
Set the strategic direction for federal and state quality measurement initiatives.
Provide executive oversight across the full measurement lifecycle.
Serve as a senior strategic advisor to federal and state clients.
American Institutes for Research (AIR) is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance. They solve urgent challenges in the U.S. and worldwide by generating evidence and applying data-driven solutions, with headquarters in Arlington, VA.
Creates and delivers education to improve documentation quality.
Collaborates with CMOs to ensure integrity of the health record.
Monitors the clinical dashboard to demonstrate improvement.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.
Partner with Sales team members to understand customer needs and demonstrate how DoseSpot brings value.
Conduct product demonstrations and walkthroughs for prospective clients, highlighting DoseSpot’s capabilities.
Assist in creating customized solutions scoping documentation to streamline integration and onboarding.
DoseSpot, backed by PE, is a dynamic leader in e-prescribing software, and its subsidiary, pVerify, offers industry-leading insurance verification. They are experiencing hyper-growth at the intersection of software and healthcare and seek team members to improve healthcare for patients and doctors.
Shape, elevate, and expand Shields’ strategic relationships within designated health system partner accounts.
Deliver a world‑class partner experience, ensuring operational and contractual excellence, and driving long-term strategic growth.
Align enterprise priorities, translate partner needs into actionable strategies, and ensure Shields is positioned as a trusted advisor.
Shields Health Solutions focuses on improving outcomes and lowering costs in the specialty pharmacy space. They partner with hospitals and health systems to provide coordinated care and enhanced patient outcomes.
Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
Support for the development and deployment of audit procedures applied to payer data sets.
Partner across teams and with payers to resolve data discrepancies.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Lead and innovate within the Credentialing Department, driving operational excellence and compliance.
Provide strategic direction and oversight to Credentialing Specialists across all lines of business.
Develop and implement policies, procedures, and best practices for efficient and compliant operations.
Avesis has been providing essential ancillary benefit solutions since 1978, developing and administering best-in-class product choices and services. Today, their programs cover more than 8.5 million members throughout the country, striving for excellence with a focus on member satisfaction and client retention.
Maintain internal CMS HCC and RxHCC models for calculating member level risk scores.
Support the monthly close process, including the development of actuarial risk adjusted revenue accruals and analysis of results.
Build reports to track ROI on various risk adjustment initiatives.
Clover Health is reinventing health insurance by combining the power of data with human empathy to keep their members healthier. They are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
Build Maven’s ability to drive sales through payer channels through strategic and analytic support to identify potential clients for all Maven programs and build a business case for them.
Lead end‑to‑end outcome evaluations for payer clients, designing robust methodologies and performing hands‑on analyses of medical and pharmacy claims, eligibility files and Maven platform data.
Own technical and clinical relationships with payer stakeholders, serving as their primary point of contact for study design, data sharing, results interpretation and ongoing analytic support.
Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs.
Partner with the Valeris Sales team to ensure a clear understanding of the concept design while addressing the patient journey and brand strategy specific to the patient program.
Serve as expert resource for the team to address questions pertaining to program design and project management.
Maintain a knowledge base for cross functional team training, onboarding and sharing of best practices with client services, working with internal operational stakeholders.
Valeris is a fully integrated life sciences commercialization partner providing comprehensive solutions that span the healthcare value chain. The company has over 500 life sciences customers, is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana, and has a mission-driven and inclusive culture.
Support Headway health plan partnerships and strategy.
Drive creative, innovative, exploratory data analyses to prove patient outcomes.
Work collaboratively with cross functional teams including product, design, growth, marketing, payer relations, data & analytics, and operations.
Headway is building a new mental healthcare system that everyone can access. They have grown into a national network of over 60,000 mental healthcare providers across all 50 states. They are a Series D company with over $325m in funding.
Support strategic partner relationships and drive thought leadership.
Develop multi‑year account plans and refine programs based on needs.
Create clear, data‑driven recommendations by interpreting performance.
Phreesia's SaaS platform digitizes appointment check-in and offers tools to engage patients, improve efficiency, optimize staffing, and enhance clinical care. They are a five-time winner of Modern Healthcare Magazine’s Best Places to Work in Healthcare award and they’ve been recognized on the Bloomberg Gender Equality Index.
Identify, define, and qualify new sales opportunities by engaging large-sized prospects and clients.
Strategize selling approaches and revenue growth plans in collaboration with business unit leadership.
Lead complex client relationships and sales processes from inception to closure, including deal status.
WellSky is a technology company leading the movement for intelligent, coordinated care worldwide. Their software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum, fostering innovation, inclusiveness, and cohesive perspectives.
Manage day‑to-day client relationships, support issue resolution, align on goals, and deliver product enhancements.
Lead Client Business Reviews with Sales, highlight return on investment, document action items, and outline future strategies.
Conduct periodic Workflow Assessments, including planning sessions, user shadowing, recommendations, documentation, and leadership presentations.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries.
Lead our Research and Development (R&D) focus, supporting new and existing product innovation.
Contribute to product vision, discovery, and development; lead research and documentation efforts.
Translate complex data into actionable recommendations for new product solutions and enhancements.
Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. They are a global team with headquarters in Jacksonville, FL, and an exciting office in Bangalore, India, united by a powerful mission to bring the focus back to patient care.