Lead the design, expansion, and optimization of the organization’s provider network to achieve strategic goals.
Manage the end-to-end network application and contracting lifecycle, including negotiation of terms and contract execution.
Monitor legislative, regulatory, and industry trends to proactively inform and adjust the organization’s network strategy.
Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Through their personalized, digital platform, they guide their 2.2 million members on a tailored journey to eating well while saving time and money. At Foodsmart, their mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. They are committed to measured, impactful, collaborative, hungry and joyful core values.
End-to-end management of the clinical trial agreement (CTA) process for global, multi-site clinical trials.
Develop the study-specific CTA strategy with the Sponsor and internal stakeholders.
Negotiate CTAs and the corresponding budget directly with clinical sites.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Lead negotiations for new and existing payor agreements.
Develop negotiation strategies informed by market dynamics and data analysis.
Collaborate with cross-functional partners to ensure contracts can be operationalized effectively.
SonderMind provides personalized mental health care, encompassing therapy, medication management, and mindfulness exercises. They leverage digital tools and research to deliver high-quality care and develop thriving practices, combining technology and human connection to drive better outcomes.
Oversee provider credentialing, provider licensing, payer contracting, and network expansion.
Lead end-to-end provider credentialing, provider licensing and recredentialing for MDs and NPs.
Manage relationships with credentialing and contracting vendors.
Sunrise Group is building the future of sleep health by combining innovative technology with expert care. They are a fast-growing team across the US and Europe, backed by more than $50M (€46M) from leading investors including Amazon’s Alexa Fund, Eurazeo, Kurma, and VIVES.
Work with Transportation Providers and resolve service issues.
Coordinate and conduct monthly provider performance evaluations.
Manage day-to-day vendor interactions and ensure satisfaction.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Oversee project management and implementation of FORUM installations and upgrades.
Collaborate with various teams to meet timelines and customer expectations.
Mentor a dynamic team and promote the brand's visibility in the market.
Jobgether is a company that helps connect job seekers with employers through an AI-powered matching process. They focus on quickly and fairly reviewing applications against core role requirements, ensuring top candidates are identified and shared with hiring companies.
Manage end-to-end provider contracting and credentialing processes.
Maintain accurate and up-to-date provider records and documentation.
Assist with billing setup for newly credentialed providers.
Understood Care helps older adults by providing them with Medicare-covered patient advocacy services. They pair each person with a dedicated advocate who helps them navigate care, reduce costs, and make confident healthcare decisions.
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.
Manage day-to-day operations of the Revenue Integrity department.
Lead project planning sessions and ensure timely and accurate delivery of outcomes.
Cultivate relationships within the healthcare community and manage client interactions.
They are a company working with partner companies. They use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Optimize and implement contracting processes and best practices.
Manage end-to-end contract lifecycle for a broad set of contracts.
Maintain the contract management system and repository.
Amylyx is focused on treating diseases with high unmet needs in areas like post-bariatric hypoglycemia, Wolfram syndrome, and amyotrophic lateral sclerosis (ALS). They have an experienced team and a culture of caring, embodying values such as being audacious, curious, authentic, engaged, and accountable.
Lead payor contract implementations, requiring both internal and external cross-functional stakeholder management
Drive revenue cycle issue resolutions (claims processing, credentialing), which includes coordination with payors and internal operations teams
Spearhead cross-functional strategic initiatives that have an impact on revenue (implementation of new product/service lines, as an example)
Ophelia is a venture-backed healthcare startup that provides medication and clinical care through a telehealth platform to help individuals with OUD (opioid use disorder). They are a team of physicians, scientists, entrepreneurs, researchers and White House advisors working to re-imagine and re-build OUD treatment in America.
Delegate, support and provide guidance to colleagues in Referral Coordinator and Sales Representative roles
Pull data from 3-D and other Navi-tools to deliver facts-based presentations to clinics.
Identify and present Clinic opportunities to improve operational costs and clinical patient outcomes
Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. They celebrate creativity and fosters diversity.