Own & Manage Provider Relationships : Serve as the primary point of contact for provider primary care partners.
Support Provider Recruitment Activities as Product SME : Partner with CA GTM team to execute a provider onboarding and training best practices.
Optimize Provider Success & Retention : Implement and oversee a structured engagement plan to ensure providers maximize their use of our platform.
Counterpart Health is transforming healthcare with its AI-enabled primary care tool, Counterpart Assistant, that supports early diagnosis and management of chronic conditions. They drive value-based care at the speed of software with a team of value-based care and technology experts.
Create strategies for maximizing brand reach and provider relationships within a territory.
Cultivate new relationships and nurture existing ones through video calls, in-person meetings, events, and educational presentations.
Deliver on patient acquisition and admissions goals in collaboration with various departments.
Equip is a virtual, evidence-based eating disorder treatment program that aims to ensure everyone with an eating disorder can access effective treatment. Founded in 2019, Equip is a fully virtual company with a highly-engaged, passionate, and diverse culture.
Reach out to medical practices via phone and email to introduce Nabi and build ongoing referral partnerships.
Handle a steady volume of daily outreach, follow up consistently, and document touchpoints in the CRM.
Explain the referral process, navigate questions, and build relationships to expand patient access to care.
Nabi Health is a fast-growing digital health platform helping people access high-quality eating disorder care covered by insurance. They match patients with registered dietitians and help them get scheduled quickly and compassionately in a mission-driven, supportive, and fast-moving environment.
Enrolls providers new to Privia with all commercial health plans specific to the market.
Updates and maintains provider enrollment status in credentialing system, CredentialStream.
Performs follow up with health plans according to designated timeline, until Provider is PAR.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Privia Health consists of scalable cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Communicating with providers regarding claims, service issues and general network provider complaints.
Developing an adequate provider network in assigned geographical areas (currently Texas metroplex areas).
Building and maintaining relationships with contracted providers, including inquiries related to contract status, roster corrections and information accuracy.
Evry Health, a Globe Life company, aims to bring humanity to health insurance. They are a high-technology health plan expanding benefits and access, and feature a personalized, human approach. Globe Life has 16.8 million policies in force, with more than 3,000 corporate employees and 15,000 agents.
Actively engages with Benefits Administration system to complete new and renewing account installation.
Provides assistance to internal and external clients with basic BenAdmin Q&A, reports, troubleshooting and data questions.
Consistently achieves or exceeds established SLA expectations on individual performance.
CRC Benefits is an industry leading provider of benefits services, with a culture focused on inclusion, trust, collaboration, and innovation. The company has earned a Top Workplaces USA award three years in a row based solely on employee feedback, valuing employees and encouraging growth.
Primarily responsible for making outbound calls to healthcare providers.
Accepting inbound calls from healthcare providers.
Answer questions about participation requirements, registration, assessment completion and scoring results.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With over 66,000 employees, we combine scale, expertise and execution to create meaningful, measurable impact.
Managing the credentialing, payer enrollment, and provider onboarding processes for physicians and advanced practice providers.
Ensuring providers are credentialed, enrolled, and maintained with commercial and government payers in a timely and accurate manner.
Maintaining provider records, monitoring credentialing deadlines, and coordinating with payers and providers.
Modena Health (MH) and Modena Allergy & Asthma (MAA) are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona, and ambitious plans for national expansion. They are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Manage complex provider roster creation, submission, and record reconciliation for multiple payers.
Oversee resolution of moderate-scope issues by prioritizing tasks and escalating issues with solutions.
Proactively identify areas for operational improvement and efficiency enhancement.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Monitor compliance with assigned responsibilities and coordinate with patient financial services.
Conduct initial and continued clinical authorization reviews.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Responsible for supporting the implementation, maintenance, analysis, and quality assurance of ConnectiveRx pharmaceutical affordability programs.
Accountable for program set-ups and maintenance, performs quality control on program setups and updates, and investigates adjudication outcomes and data discrepancies.
Applies business rules consistently to ensure operational accuracy and program integrity and works independently on routine tasks.
ConnectiveRx helps pharmaceutical manufacturers untangle the complex prescription process. They bring together diverse voices to allow patients to build trusting relationships with their medication brands. ConnectiveRx offers comprehensive benefits including medical, dental, vision, life, and disability insurance.
Build high-trust partnerships with the broker and consultant community.
Identify opportunities and fuel a high-quality pipeline for our Mid-Market and National Accounts.
Master consultative discovery and fast-track their path to a closing Account Executive role.
Rula is dedicated to treating the whole person and creating a world where mental health is embraced as an integral part of one's overall well-being. As a remote-first company, they strive to be a force for positive change in the field of mental healthcare.
Serve as the primary partner for ACOs and Medicare Supplement carriers partnering with Ceresti.
Ceresti Health pioneers a technology-enabled program centered around family caregivers in dementia care and is selected by CMS to participate in the GUIDE Model. They aim to transform dementia care nationwide, with a focus on activating family caregivers by providing them with the knowledge, skills, and confidence to detect early changes in their loved one's condition.
Meet client needs by collaborating across business functions and following through on outstanding items.
Track internal performance to confirm client expectations are consistently met while maintaining accurate client records.
Research issues, access necessary resources, and escalate to appropriate internal experts for comprehensive resolution.
Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. Our team is on a mission to empower people to lead healthier lives.
Drive outbound outreach to healthcare providers to promote Nomi Pay solutions.
Educate healthcare organizations on the benefits of electronic payments.
Build strong provider relationships while identifying opportunities to increase enrollment.
Nomi Health is rebuilding the healthcare system to provide clear prices, faster payments, and data-driven decisions. They have a team of 300+ people and partner with employers, public sector organizations, advisors, and payers to deliver disruptive healthcare solutions.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Support the ongoing success of our strategic healthcare partnerships.
Manage small and mid-sized accounts while growing into broader leadership responsibilities.
Drive cross-functional initiatives that directly impact our mission of making mental healthcare work for everyone.
Rula is dedicated to treating the whole person and believes that by providing quality care, they can empower individuals to take charge of their mental health. They are a remote first company hiring in most U.S. states except Hawaii and aim to create a world where mental health is no longer stigmatized.
Participate in the planning and execution of the team’s work to maximize the impact of QuestBridge’s programs for high school students.
Provide operational support to college partners enabling their participation in QuestBridge programs.
Develop communications and resources for college partners, ensuring messaging is presented in a clear and concise way.
QuestBridge connects high-achieving students from low-income backgrounds with educational and career opportunities. From its founding over 30 years ago, QuestBridge has always been an organization focused on creating opportunities for students from low-income backgrounds.
You'll spend your day reaching out to health plan members.
You'll guide them toward scheduling their care assessments, and giving them the encouragement they need to take that next step.
You'll be the reason someone gets the care they deserve.
Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. The company values expertise and dedication, fostering a supportive environment for its team members.
Own product requirements for Medicare FFS enrollment workflows within HealthRules Payer, including enrollment transaction processing and plan benefit package configuration.
Drive accumulator configuration requirements for deductible, out-of-pocket maximum and benefit limit tracking across claim types and benefit periods.
Evaluate CMS rulemaking cycles and annual benefit design updates to assess downstream impact on HealthRules Payer configuration and adjudication behavior.
HealthEdge provides an integrated platform of solutions that enables health plans to converge their data and harness insights to improve outcomes. We are a team of visionary, empathetic people who believe technology should remove friction from healthcare and operate with a collaborative culture focused on making a real difference for payers and their members.