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  • Drive day-to-day operational execution of Medicare Advantage and ACA Risk Adjustment initiatives, ensuring milestones and deadlines are met.
  • Develop and maintain integrated project plans, operational calendars, and risk logs to support program execution.
  • Monitor program performance through dashboards, KPIs, and operational metrics, and recommend data-driven improvements.

Communication Project Management Analytical Skills Vendor Management Microsoft Office

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  • Own end-to-end operating model and outcomes for provider engagement and growth programs, ensuring timelines, milestones, and intended results are met.
  • Track program performance through data, translate into concise reports for senior leadership, and provide recommendations for prioritization.
  • Collaborate with cross-functional teams and engage directly with providers and practice staff to maintain momentum and drive program success.

Counterpart Health transforms healthcare with an AI-enabled primary care tool, Counterpart Assistant, that supports earlier diagnosis and management of chronic conditions. As a subsidiary of Clover Health, they have a remote-first culture with a focus on diversity and inclusion, and thousands of practitioners using their tool.

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  • Drive high-priority cross-functional initiatives from strategy through execution, spanning clinical operations, commercial growth, and revenue cycle.
  • Translate executive strategy into structured plans, align senior stakeholders, and anticipate risks before they become blockers.
  • Build analytical models, operational metrics, and business cases to equip leadership with data-driven decision-making.

InStride Health delivers specialty anxiety and OCD care for children, teens, and young adults by combining research-backed clinical care with innovative technology. As a Series C company scaling nationally, they foster a culture of heart, smart work, humility, and community.

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  • Lead end-to-end operating models and drive provider engagement and growth programs in a healthcare tech environment.
  • Monitor program performance using data insights, identify risks, and ensure alignment with strategic goals.
  • Partner with cross-functional teams and external healthcare providers to create scalable processes and improve outcomes.

Jobgether is an AI-powered job matching platform that connects candidates with opportunities. They use technology to streamline hiring, and this role is listed on behalf of a partner company.

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  • Manage implementations for small and mid-market health plan groups as the primary operational contact during onboarding.
  • Maintain project plans, timelines, and deliverables; coordinate execution across internal and external teams.
  • Coordinate technical and operational launch requirements including eligibility validation, marketing readiness, and client configuration.

Virta Health is on a mission to reverse metabolic disease in one billion people through technology, personalized nutrition, and virtual care. They have raised over $350 million from top-tier investors and partner with major health plans, employers, and government organizations.

  • Translate risk adjustment performance data into clear financial insights, including revenue impact, payment accuracy, ROI, and forecasting.
  • Analyze CMS data to identify opportunities for increasing operational efficiency and interpret trends to assess program and policy impacts.
  • Prepare and deliver clear reports and presentations to senior leadership, translating technical findings into actionable business recommendations.

Strive Health is on a mission to transform chronic conditions by identifying risk earlier and coordinating thoughtful care to reduce emergency visits and improve outcomes. The company offers a hybrid-remote flexibility model with comprehensive benefits and a culture described as passionate, one-team oriented, and focused on making an impact.

$155,000–$165,000/yr
US

  • Plan, develop, and direct all aspects of onshore and offshore BPaaS activities to ensure operational efficiency and customer success.
  • Establish operational objectives, policies, and procedures in compliance with contracts and regulations, and develop strategies to achieve key performance measures.
  • Provide executive-level briefings to senior leadership and build collaborative relationships with client leadership to drive continuous improvement.

UST HealthProof is on a mission to reshape healthcare insurance by reducing administrative costs and building better healthcare experiences for health plans and their members. The company is run by leaders with strong health plan and technology backgrounds, fostering a supportive, start-up-like environment that nurtures individual growth.

US Unlimited PTO

  • Drive execution of business and partnership programs across internal and external teams.
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  • Coordinate cross-functional stakeholders to ensure alignment and accountability.

Modern Health is a mental health benefits platform for employers. It is a hyper-growth, female-founded company with over $170M raised and a fully remote workforce.

US

  • Lead operational improvement strategies and transformation programs across healthcare service operations.
  • Drive end-to-end program delivery including planning, risk management, and executive communications.
  • Conduct operational assessments, root cause analysis, and design enablement materials to support process adoption.

This partner company in the healthcare technology sector drives operational excellence and transformation across complex service environments. It is a remote-first organization with a supportive culture focused on innovation and continuous improvement.

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  • Drive high-priority initiatives as a project manager embedded within the Hospital and Health Systems team, deploying structured project management frameworks and executing critical workstreams.
  • Manage the operational cadence of our ACO, organizing cross-functional meetings and maintaining internal documentation, compliance records, and practice relationship data.
  • Serve as a bridge between centralized subject-matter experts and field teams to eliminate information silos, ensuring alignment on project objectives and timelines.

Aledade is a public benefit corporation that empowers independent primary care by creating value-based contracts across health plans. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.

US 4w PTO 12w maternity 12w paternity

  • Prepare materials for ACO board meetings and coordinate key events for providers and field teams.
  • Assist in designing and implementing financial and KPI reports using business intelligence tools.
  • Monitor compliance activities and support special projects and data requests as needed.

Aledade empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.

$73,000–$125,000/yr
US

  • Support the Associate Director in managing day-to-day operations of the External Audit Program, ensuring alignment with program goals and regulatory timelines.
  • Serve as a versatile operational resource across workstreams, identifying process improvements and implementing changes to enhance scalability, transparency, and quality.
  • Communicate updates, risks, and recommendations clearly to cross-functional stakeholders, and support AI-native monitoring of program-wide KPIs.

Devoted Health is on a mission to improve the health and well-being of older Americans through an integrated care platform combining data and AI with clinical and service experiences. The company is an equal opportunity employer that values diversity and collaboration, with a team dedicated to a supportive work environment.

US

  • Leads end-to-end project management for strategic revenue cycle access initiatives, including scope definition, timelines, and stakeholder alignment.
  • Develops KPIs and dashboards to track access operations performance and supports data-driven decision-making for growth and revenue integrity.
  • Translates strategic objectives into operational plans and manages concurrent high-impact projects across multiple locations.

VCU Health is an academic medical center and health system that provides comprehensive care, research, and education. It includes multiple hospitals, a cancer center, and over 800 physicians, with a focus on innovation and discovery.

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  • Launch Chamber’s ACO and own its performance, proving a specialty-focused model in cardiology.
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  • Partner with Finance and Network teams to design payment operations and improve network performance.

Chamber rebuilds the system for cardiology, partnering with independent cardiologists to improve outcomes through technology, data, and operational tools. The company fosters a culture of low ego, empathy, courage, ownership, and grit.

$120,000–$140,000/yr
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  • Lead and develop the Care Coordination team, ensuring SLA targets are met across all patient communication channels.
  • Oversee the high-volume inbound patient chat queue, establishing coverage models, escalation protocols, and quality standards.
  • Create and maintain conversation guides and coaching materials that equip Care Coordinators to educate patients on programs, insurance coverage, and care pathways.

Oshi Health is a virtual digestive health practice on a mission to transform GI care by combining compassionate, multidisciplinary care with innovative technology. They are a remote-first, mission-driven team focused on improving patient lives and transforming GI care.

US

  • Lead daily operations of the Agency Service Center, ensuring service level agreements and quality standards are met.
  • Develop and coach supervisors and service professionals to build a high-performing team.
  • Drive operational excellence through continuous improvement, data-driven decisions, and cross-functional collaboration.

Horace Mann provides insurance and financial products to educators. They serve over 4,100 school districts nationwide, have over $12 billion in assets, and are publicly traded on the NYSE.

  • Lead managers and supervisors responsible for member enrollment and billing operations.
  • Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
  • Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.

Sutherland leverages artificial intelligence, automation, and cloud engineering to drive digital transformation for iconic brands. With over 200 patents and a focus on human-machine collaboration, the company delivers measurable results through a seamless 'as a service' model.

US

  • Evaluate program effectiveness and identify risks to improve operations across ORIS surge-support and workforce modernization.
  • Use qualitative and quantitative analytical skills to assess program status and make recommendations for business process improvements.
  • Demonstrate understanding of Lean Agile principles to drive value and sustain organizational change through high-performing Agile teams.

Aptive partners with federal agencies to improve performance, streamline operations, and enhance service delivery. With 300+ employees nationwide, the company specializes in applying technology, creativity, and human-centered services to optimize mission delivery.

$130,000–$160,000/yr
US Unlimited PTO 12w maternity 12w paternity

  • Own client performance reporting, building recurring packages and performance-review materials from analytics data.
  • Translate performance data into actionable narratives for health plan and provider executives, ensuring disciplined distinctions between submitted and closed.
  • Support growth by identifying expansion opportunities and building business cases for additional services and populations.

Covera Health improves healthcare by making every diagnosis more accurate using clinical expertise, AI, and radiology quality data. Backed by Insight Partners, the company supports nearly 6 million people across Fortune 100 employers and national health plans, with a culture of ambitious, meaningful work.

US

  • Support the Engagement Center Operations team with day-to-day operations, new site implementations, and strategic initiatives.
  • Organize and maintain documentation such as workflows, action plans, and KPI reports to enable operational success.
  • Assist with performance metric tracking, audit processes, and troubleshooting growth opportunities.

Shields Health Solutions partners with health systems to improve patient care through specialty pharmacy services. The company fosters a collaborative, data-driven culture with a close-knit team.

US

  • Coordinate and support CMS Hospital Quality Reporting Program activities, including work plans, timelines, and contractor oversight.
  • Develop training materials, presentations, and reports while facilitating cross-functional meetings and stakeholder communication.
  • Identify workflow improvements using AI tools in accordance with data privacy and quality standards.

HSAG is a healthcare consulting firm dedicated to improving the quality of healthcare delivery in the United States. As a growing team, we foster a collaborative culture focused on making healthcare better for everyone while having fun at work.