Own and evolve the operating model for Maven’s Client Support function.
Lead and develop a team of Client Support Associates.
Bring the operational perspective into Product and Engineering conversations.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. They provide clinical, emotional, and financial support through a digital platform, trusted by over 2,000 employers and health plans, and they have an award-winning culture.
Interpret medical rules, regulations, fee schedules, and edits that payers post.
Understand and manipulate payer data to build federal, state, and commercial coding and financial tables.
Maximize the efficiency and use of product solutions by properly maintaining payer specific edits.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets and have an amazing team of 25,200 people in 32 countries.
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.
Help build and manage the day-to-day operations of a partner network across multiple states and several partners.
Identify, engage, and negotiate with prospective clinical vendors.
Lead and support implementation tasks and timelines in connection with new partner network launches, including in collaboration with internal and external stakeholders.
Heartbeat Health is a virtual-first cardiovascular care company. They provide patients with convenient, high-quality heart care through telemedicine, diagnostics, and virtual care programs, and they are considered the leader in their field. They are fast-paced, agile, remote-first, value diversity, and care about each other.
Serve as the primary contact for CM/UM programs and operational questions related to the MyCare Platform.
Build relationships with provider offices through outreach and timely follow-up, resolving issues within defined turnaround times.
Educate providers on submission requirements, documentation, timelines, and available CM/UM resources.
Personify Health created a personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while improving health outcomes.
Conduct high-volume calls with patients, providers, and pharmacies using established protocols.
Collaborate with patients to remove barriers to medication adherence and escalate clinical barriers to a pharmacist.
Accurately document all interactions, outcomes, and identified barriers in appropriate systems.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Drive the creation of payer-specific marketing materials.
Serve as the primary owner for a portfolio of payer products and specialized payer projects.
Report on product and campaign performance and provide recommendations for product enhancement.
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.
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.
Prepare materials such as board presentations and practice communications.
Coordinate key events such as ACO retreats and board meetings.
Assist in designing and implementing key financial reports and KPIs.
Aledade empowers the most transformational part of our health care landscape - independent primary care. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Develop product requirements supporting CMS Medicare FFS provider data standards including NPI validation, taxonomy classification and provider file maintenance aligned to HIPAA requirements.
Ensure provider configuration capabilities align with CMS enrollment, credentialing and revalidation mandates including PECOS data alignment and provider directory accuracy obligations.
Translate CMS provider data regulatory updates into structured product requirements and backlog items while partnering with implementation teams to identify and remediate compliance gaps.
HealthEdge provides an integrated platform of solutions that enables health plans to converge their data and harness insights to improve outcomes. The company has a team of visionary, empathetic people who believe technology should remove friction from healthcare and operate with agility as the regulatory landscape evolves.
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.
Executes user and license management, including new user setup/deactivation.
Performs Salesforce configuration changes, including Flow, page layouts, and reports.
Identifies requirements and translates them into scalable solutions with exceptional user experience.
Tenna provides a comprehensive platform to control mixed assets anytime, anywhere. They value quality, grit, continuous learning, and collaboration, fostering a dynamic and innovative culture.
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.
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.
Conduct in-depth analysis for orders and tasks management and associated service documentation solutions.
Stay abreast of changing customer needs and industry trends.
Prioritize product investments and trade-offs using data-driven analysis and good judgement to create a compelling business case.
PointClickCare helps providers deliver exceptional care. As a leading health tech company, PointClickCare empowers employees to push boundaries, innovate, and shape the future of healthcare. They serve over 30,000 provider organizations.
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.
Manage the provider data ticketing queue, ensuring timely resolution of requests.
Partner with team members to obtain required data elements and validate completeness.
Identify and implement opportunities to streamline provider data structure and workflows.
Curana Health is committed to radically improving the health, happiness, and dignity of older adults. They serve 200,000+ seniors in 1,500+ communities across 32 states, with over 1,000 clinicians, care coordinators, analysts and professionals.
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.
Drive collaboration and coordination with business functions to resolve escalated patient needs.
Manage a team that entails issuing tickets, responding to tickets, and escalating ticket issues.
Lead operational programs, projects, and initiatives that drive the sustaining business forward through patient resolution.
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions.
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.