Coordinates cross-functional client teams to achieve client plans, revenue retention, satisfaction and growth.
Serves as the primary client contact and trusted advisor for operational representatives, identifying needs.
Manages client initiatives and projects, monitors program performance, and provides root cause analysis and recommendations.
Cotiviti provides payment accuracy and analytics-driven solutions, helping clients discover value from their healthcare data. They are committed to diversity and inclusion, offering employees a wide range of personal and family needs.
Supervise daily activities of QA specialists across multiple operational areas.
Review completed audits for accuracy and consistency.
Conduct calibration sessions to ensure scoring alignment.
Machinify is a leading healthcare intelligence company delivering unmatched value, transparency, and efficiency to health plan clients. They are deployed by over 85 health plans and are reimagining what’s possible in the industry to maximize financial outcomes and drive down healthcare costs.
Lead and manage a team of Credentialing Specialists and Operational Analysts to ensure timely and accurate credentialing file processing.
Oversee credentialing workflows to ensure compliance with NCQA guidelines, state regulatory requirements, and client-specific policies.
Partner with internal stakeholders to resolve escalations, streamline workflows, and improve operational outcomes.
CertifyOS is building the data infrastructure that powers modern healthcare. They value authenticity, accountability, collaboration, results, and openness to feedback, fostering a high-ownership team focused on solving real infrastructure problems.
Own the full premium audit lifecycle for WC and GL lines of business, ensuring adherence to regulatory requirements.
Lead, coach, and develop a high-performing organization of managers and QA staff.
Enhance the audit customer journey to reduce friction, improve clarity, and increase audit completion rates.
ERGO NEXT's mission is to help entrepreneurs thrive by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. They have helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage.
Own the development and maintenance of clinical and reimbursement policies, ensuring perfect alignment with CMS regulations.
Design and oversee a robust audit program that monitors adjudication system output against clinical policies, pricing, benefit rules, and provider contract terms.
Lead the implementation of AI initiatives to automate the monitoring of reimbursement policies and contract validation.
Clover Health aims to improve the health of its members by leveraging technology and data-driven insights to provide personalized, high-quality care. They are a mission-driven team of individuals, who are passionate about solving healthcare's most complicated problems, and strive to put members first.
Improve key performance metrics for the focused area within the revenue cycle.
Conduct audits of all revenue cycle processes, vendors, and technology.
Determine root cause of issue and appropriateness of actions taken, assist in corrective action plan development.
ATI Physical Therapy partners with business leaders to improve healthcare. They focus on positive change throughout the revenue cycle and offer competitive benefits.
Leads a team of clinicians and serves as a senior clinical owner for care delivery workflows.
Provides clinical support for program development and customer-facing clinical work.
Partners closely with Operations, Product, Member Success, Clinical Outcomes, Legal, Commercial, Customer Success, Solutions Consulting, and Marketing.
Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause.
Lead, inspire, and mentor a high-performing team, fostering a culture of excellence and continuous learning.
Own commercial outcomes including net revenue retention, growth, and enrollment target achievement.
Collaborate cross-functionally to drive quick resolutions that showcase our commitment to member satisfaction.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for all. It's a company of over 2,000 employees and is known for its award-winning culture and commitment to innovation and providing equity in benefits programs.
Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.
They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.
Lead and inspire a team of Patient Support Specialists.
Establish and refine team KPIs related to outreach volume and scheduling conversions.
Partner with clinical, engagement, and product teams.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.
Manage IT audit and assurance engagements, including SOC 1, SOC 2, SOC 3, SOC for Cybersecurity, HITRUST, HIPAA, and other compliance assessments.
Collaborate with senior team members and Partners on risk assessments, audit planning, and reporting.
Lead day-to-day engagement activities, providing guidance, oversight, and feedback to staff and seniors.
Insight Assurance is a global audit firm transforming how organizations achieve cybersecurity and compliance. Founded by former Big 4 (EY) professionals, they are one of the fastest-growing global audit firms with 170+ professionals supporting nearly 2,000 clients across the Americas, EMEA, and APAC.
Supervise day-to-day operations of assigned Utilization Management staff.
Provide full people management for assigned Utilization Management teams, including hiring and performance management.
Drive team performance against key metrics, including engagement, productivity, and quality scores.
Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.
Lead account operations, overseeing Member Services, Claims Operations, and Account Management.
Build executive relationships and drive clinical cost strategy through data-driven insights.
Ensure client satisfaction and monitor contractual obligations, contributing to the leadership team.
Personify Health aims to simplify and personalize the health experience to improve health and reduce costs for companies and their people. They offer total rewards, flexible opportunities, and a diverse inclusive community, where every voice matters.
Primarily responsible for performing compliance reporting reviews and audits to ensure compliance with federal and state regulations, NCQA, URAC and client contractual requirements.
Assist with data collection, analysis and reporting for process improvement efforts.
Plan, coordinate, and conduct compliance reporting audits at the direction of the Manager, Compliance Programs, the Chief Compliance Officer and the Quality, Security and Compliance Committee.
Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. Cohere Health has a supportive, growth-oriented environment and diverse, inclusive teams.
Serve as operational partner and right hand to the Head of Services, overseeing daily workflows and ensuring consistency across advisors and coaches.
Own the end-to-end billing process, including invoicing, reconciliation, audits, and revenue tracking, automating whenever possible.
Maintain and manage the compliance calendar, ensuring timely completion of filings, annual reviews, and required testing.
Boldin believes that financial power belongs in the hands of individuals — not institutions. They exist to democratize financial confidence, to give millions of people the clarity, tools, and courage to take control of their money and their time, and to live more meaningful lives. They have raised over $20M from top investors and are seeing tremendous growth.
Define and evolve the Client Success service model for a portfolio-based segment.
Lead, coach, and develop a team of Client Success Managers responsible for a large portfolio of clients.
Partner cross-functionally with Sales, Product, Marketing, Operations, and Finance to improve the end-to-end client experience.
Included Health delivers integrated virtual care and navigation. They aim to raise the standard of healthcare for everyone by breaking down barriers to provide high-quality care. They are an equal opportunity employer.
Lead and manage operations across multiple regions, geographies, and client programs.
Serve as the senior operational point of contact for key client relationships.
Lead, mentor, and develop a multi-layered team of Directors, Senior Managers, Managers, and frontline supervisors.
InteLogix is a leading provider of integrated solutions, utilizing cutting-edge technology to provide exceptional customer experiences. They are committed to excellence and innovation, enabling them to redefine industry standards and create brighter futures for their clients and their customers.
Responsible for managing and growing client relationships through hands on partnership and collaboration with both EnableComp operations and sales leadership.
Focuses on delivering exceptional service, aligning client expectations with internal capabilities, and driving satisfaction and retention through consistent, proactive communication.
Acts as an extension of the client, translating needs into actionable plans, resolving challenges, and identifying opportunities to enhance performance and expand market share.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations. With over 24 years of experience, they leverage their unified E360 RCM™ intelligent automation platform to improve financial sustainability. EnableComp is a multi-year recipient the Top Workplaces award.
Perform inpatient coding audits and review services remotely.
Identify trends and suggest corrective action plans.
Provide in-service education to clients on coding trends.
UASI has over 40 years of experience and enduring partnerships with its valued clients. The company was recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024, with a dedicated team and long-term success.
Own clinical quality strategy for a rapidly scaling network spanning 20+ states, 400+ clinicians, and multiple care models.
Build clinical compliance policy infrastructure that anticipates growth rather than reacts to it.
Lead and develop a team that grows with the organization.
Cartwheel builds a new kind of mental health program for kids that puts schools at the center, supporting school staff. They are an early-stage company backed by top investors and looking for mission-driven teammates.