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US 3w PTO

  • Serve as a trusted relationship manager for healthcare partners, helping them maximize program value.
  • Manage partner portfolios, gather feedback, support data-sharing, and contribute to fraud-prevention analytics.
  • Maintain confidentiality and handle sensitive information per HIPAA while coordinating with stakeholders at all levels.

Customer Service HIPAA Microsoft Office

20 jobs similar to Senior Partner Relations Liaison (CMS Healthcare Fraud Prevention)

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US

  • Serve as a key point of contact for members seeking support with healthcare and wellness programs via phone, email, and live chat.
  • Help participants understand their eligibility, benefits, and available resources while resolving inquiries and escalations.
  • Support outbound outreach campaigns and accurately document member interactions across multiple systems.

This company connects individuals with healthcare and wellness programs and provides member support services. The team is collaborative and performance-oriented, with a focus on professional development and growth opportunities.

$100,000–$115,000/yr
US Unlimited PTO

  • Manage partner accounts, drive growth, and serve as the primary bridge between sales, operations, and clinical teams.
  • Own program metrics, performance analytics, and identify optimization opportunities to ensure program health.
  • Lead end-to-end implementation of new partnerships and resolve escalations proactively.

Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations. It is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot.

$45,360–$62,370/yr
US

  • Manage order release, billing setup, and documentation follow-up to support accurate and timely revenue realization.
  • Review pending orders, resolve issues with cross-functional teams, and prioritize worklists to minimize billing delays.
  • Provide responsive customer service and identify process improvements to enhance operational quality and efficiency.

The company provides healthcare operational support, focusing on order management and billing to ensure timely revenue realization. It fosters a remote-first culture with an emphasis on collaboration, diversity, and employee wellbeing.

$40,000–$52,300/yr
US

  • Engage with members by phone to encourage participation in care management programs and complete non-clinical assessments.
  • Identify barriers to care and connect members with appropriate services, benefits, and community resources.
  • Accurately document member interactions and operate effectively in a high-volume, remote call-center environment.

This partner company helps members navigate care management programs and access resources to improve their health and well-being. It operates remotely with a focus on compassionate support and efficient operations, though specific size and culture details are not mentioned.

$70,000–$80,000/yr
US

  • Manage strategic partner relationships and deliver proactive support to create a premium partner experience.
  • Act as primary point of contact for payroll and business partners, handling requests and escalations.
  • Identify opportunities to improve partner engagement, retention, and operational processes.

This company provides technology-enabled services focused on improving financial security for employees nationwide. They operate in a fast-paced, mission-driven environment with a focus on partner operations and continuous improvement.

$17–$17/hr
US

  • Respond to member calls and emails, providing clear information about benefits, costs, and coverage options.
  • Investigate and resolve benefit-related issues by researching plan details and identifying solutions.
  • Maintain accurate documentation of interactions and case outcomes using internal systems.

US

  • Research and verify healthcare providers to maintain a high-quality database.
  • Interpret health insurance benefits and explain coverage to support care teams.
  • Coordinate medical records collection to prevent delays and improve efficiency.

Private Health Management guides patients through the complexities of serious medical care, acting as an independent advocate and trusted partner. The company is a remote organization with employees across the United States, emphasizing teamwork and high-quality support.

$120,000–$140,000/yr
United States Unlimited PTO

  • Partner with the Chief Customer Officer to shape and execute customer strategy, ensuring consistent engagement across investor/customer health plans.
  • Lead the operating rhythm for the bi-weekly Customer Advisory Committee, including agenda development, executive communications, and follow-through.
  • Track adoption, value, and insights related to medication contracting, supporting annual business and financial planning with customers.

Evio is a pharmacy solutions company founded by Blue Cross Blue Shield health plans to reform high-cost medication access, serving over 20 million members. With a team of six health plan owners and a culture emphasizing empathy, diversity, and transparency, Evio is a small, intentional organization focused on transformative initiatives.

US

  • Handle patient inquiries via phone, email, and SMS, providing status updates and technical support.
  • Navigate multiple software systems and use a knowledgebase to resolve issues quickly.
  • Achieve performance metrics including CSAT scores and error rates within 90 days.

Phil is a health-tech startup that provides a patient support platform for prescription management. It is a fast-growing company with a remote-first culture.

US

  • Process medical record requests accurately and efficiently according to established procedures.
  • Manage incoming requests through multiple channels and ensure timely completion within required service timelines.
  • Respond to patient questions and requests through phone communication with professionalism and empathy.

Our partner supports the healthcare ecosystem by helping patients, providers, and organizations access critical medical information efficiently and securely. They offer a supportive, mission-driven environment with opportunities for growth and development.

North America

  • Manage daily communications and tactical execution with assigned partners, ensuring alignment of goals, timelines, and deliverables.
  • Drive partner performance and hold partners accountable for pipeline development, lead generation, and revenue contributions.
  • Collaborate cross-functionally with sales, marketing, product, customer success, and operations to align on partner strategies and initiatives.

Cority is an EHS+ platform provider that helps organizations manage environmental, health, safety, quality, and sustainability risks in real time. They are a market leader with over 1,500 clients globally and have received awards for their strong employee culture and business performance.

US

  • Drive B2B growth by building high-trust partnerships with top benefit consultants and health plan sales teams.
  • Navigate self-funded and fully insured dynamics to position Rula as the premier behavioral health solution.
  • Use multichannel prospecting and deep healthcare sales expertise to transform ecosystem relationships into high-value employer opportunities.

Rula is a mental health company dedicated to providing quality, evidence-based care to treat the whole person. It is a remote-first organization with a culture that values diversity, equity, and inclusion, and currently hires in most U.S. states.

US Unlimited PTO

  • Lead end-to-end implementation activities for growth and strategic healthcare clients, ensuring on-schedule, within-scope deployments.
  • Serve as primary implementation contact, facilitating stakeholder meetings and maintaining alignment throughout the implementation lifecycle.
  • Develop project plans, lead payer enrollment workstreams, and conduct business reviews to tailor implementations to client needs.

They provide healthcare technology solutions to large organizations. The company fosters a collaborative, fast-paced culture centered on innovation and continuous learning.

US

  • Act as main contact for communicating and collaborating with assigned accounts.
  • Review and verify FMLA and Disability forms for validity and compliance with HIPAA.
  • Provide world-class customer service while handling high call volumes and maintaining patient privacy.

MRO Clinics manages the release of protected health information for multiple healthcare facilities. They are a remote-first company focused on compliance and customer service.

US 3w PTO

  • Coordinate implementation workstreams across clinical, product, data, and operations teams to ensure successful partnership launches.
  • Maintain project plans, trackers, and dashboards to track progress, risks, and milestones.
  • Serve as key implementation contact for external partners, managing timelines and communication.

The company facilitates strategic partnerships across healthcare and life sciences organizations. It maintains a remote-first culture centered on patient impact, collaboration, and empathy.

$85,000–$117,000/yr
US

  • Serve as the primary relationship owner for SMB employer customers, managing renewals and identifying expansion opportunities.
  • Support customers' utilization goals through data-led business reviews and proactive account health monitoring.
  • Leverage AI and modern tools to scale workflows, optimize execution, and collaborate cross-functionally with product, clinical, and data teams.

Lyra Health provides mental health care and coaching services to employers and their employees. They are a growing company with a collaborative culture focused on innovation and employee well-being.

$21–$23/hr
United States

  • Serve as a key point of contact for community members, managing inbound inquiries with empathy and professionalism.
  • Resolve non-clinical needs accurately and efficiently, aiming for first-contact resolution.
  • Collaborate with internal teams to troubleshoot complex issues and ensure appropriate member support.

This company provides support services for individuals navigating complex healthcare needs. It operates with a focus on empathy, professionalism, and high-quality service, though specific size and culture details are not provided.

$150,000–$170,000/yr
US

  • Build and maintain strategic relationships with key contacts at major employee benefits consulting organizations.
  • Leverage an established consultant network to increase awareness and generate new employer partnership opportunities.
  • Position products and capabilities to maximize inclusion in employer opportunities, RFIs, and RFPs.

Our partner is a mission-driven organization focused on expanding access to high-quality healthcare. They are a growth-oriented, collaborative company with a remote-first culture.

$75,000–$105,000/yr
US 3w PTO

  • Manage client medical payment policies to ensure accuracy and compliance with CMS and payer guidelines.
  • Conduct periodic reviews and analyses of policy updates, coordinating with Medical Directors and presenting recommendations to clients.
  • Serve as the primary client liaison, addressing inquiries and maintaining detailed documentation of policy nuances.

Cotiviti is a healthcare data analytics company specializing in payment accuracy and medical policy management. The company fosters a collaborative remote culture and offers competitive benefits to support its team.

US

  • Serve as a strong advocate for customers and end users, representing their needs within the organization.
  • Build trusted day-to-day relationships with customer stakeholders and ensure they fully leverage Lightning Bolt Scheduling.
  • Lead process improvement and optimization initiatives that drive measurable value for customers.

PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. The company has 400+ employees, 30,000+ customers, and $100M+ in annual revenue, fostering a collaborative culture focused on innovation.