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.
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.
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.
Provide structured, clear, clinically relevant feedback on ~90 articles.
Flag inaccuracies, outdated information, and missing high-risk content.
Optional: Lead 1–2 brief educational sessions focusing on clinical decision-making.
AMBOSS empowers medical professionals to provide the best possible care. They are committed to fostering an inclusive, respectful, and supportive environment where everyone is valued and given equal opportunity to thrive.
Drive quality, safety, and compliance through systems by identifying issues and implementing process improvements.
Execute order management and EMR workflows by reviewing and approving new orders and supporting clinical escalations.
Manage end-of-episode processes, hospital holds, and monitor patient status and quality compliance through dashboards and alerts.
They are building an AI-native physical care platform to fix US healthcare, starting with home health. The company has assembled a team of AI experts from leading firms and paired them with healthcare veterans to operate at the speed of an AI company.
Review clinical documentation and treatment trajectory to ensure care meets medical necessity standards.
Synthesize clinical documentation, medical record information, and outcomes data to make recommendations on next steps in care.
Partner cross-functionally to support high-quality, clinically appropriate care across the network.
Rula is dedicated to treating the whole person and aims to create a world where mental health is no longer stigmatized. They are a remote-first company committed to providing quality, evidence-based, and compassionate care, empowering individuals to take charge of their mental health.
Conduct proactive patient outreach initiatives to identify and address quality gaps.
Collect quality data using various methods of data sourcing-EMR, claims, provider outreach.
Communicate quality performances, barriers and improvement strategies both internally and with customers.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Receive and review complaints related to medical devices.
Communicate directly with customers to solicit information, address concerns, and provide updates on complaint resolution.
Collaborate with cross-functional teams to resolve complaints.
Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Their team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience.
Draft and copyedit submissions for abstracts, posters and peer-reviewed manuscripts.
Work collaboratively with other team members and actively participate in pub planning activities.
Perform fact/data check on writing documents (manuscripts, white papers, dossiers, etc.).
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 professionals from world-class institutions, who care deeply for our work and each other.
Support the implementation, monitoring, and reporting of quality improvement activities for a national maternal mental health hotline.
Track program performance, maintain compliance documentation, and contribute to quality reports for federal stakeholders.
Assist in coordinating meetings, developing training materials, and building a culture of continuous quality improvement across a remote team.
Postpartum Support International works to promote awareness, prevention, and treatment of mental health issues related to childbearing. The organization is composed of dedicated and passionate individuals and operates a federally funded national hotline.
Develop and execute strategic communications plans to support health plan contract transitions and enhance member education.
Audit and improve existing member communications, design new materials, and coordinate cross-functional activities.
Perform technical edits, QA checks, and Section 508 compliance reviews on publications and manage stakeholder engagement.
ATL is a contractor supporting federal health programs, including the WTC Health Program, focusing on medical monitoring and treatment for eligible members. It is a company that invests in employee professional growth and maintains a culture of consistent, professional communication.
Build caring connections with every member by always leading with empathy, patience, and respect, ensuring members feel heard, supported, and valued.
Own each member interaction end-to-end, taking accountability to resolve inquiries during the initial contact and ensuring clear follow-through when additional steps are required.
Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures in a clear, confident, and member-friendly manner.
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and the chronically ill. It is a fast-growing company with a team passionate about transforming lives through high-quality, low-cost care.
Review, annotate, and amend publication manuscript drafts to tight deadlines.
Work on rapid turnaround deliverables following guidance set by Sci Comms Solutions Lead.
Liaise with Authors to take manuscripts to submission.
Sorcero's medical AI platform transforms life sciences decision-making, accelerating patient access to life-saving treatments. Sorcero is a Certified B Corp headquartered in Washington, DC, recognized by over a dozen awards, including Fast Company's Most Innovative companies of 2024.
Performs utilization review to determine medical necessity criteria compliance and facilitates resolution of escalated cases.
Collaborates with clients and physician reviewers, ensuring adherence to all HIPAA, state, federal, and regulatory standards like URAC & NCQA.
Utilizes various computer systems to manage cases, engages in provider communication, and participates in quality management programs while prioritizing independent work.
WNS, part of Capgemini, is an AI-powered leader in intelligent operations and transformation, serving over 700 clients across industries like Healthcare and Financial Services. It is a large global company with over 66,000 employees, combining deep domain expertise with AI platforms to create lasting business value.
Provide supervisory oversight for Physician Assistants in a primary care setting.
Serve in a collaborative, non‑clinical capacity focused on supervision and compliance.
Maintain availability and responsiveness to supervised providers.
Optima Medical is an Arizona-based medical group with 30 locations and over 130 medical providers, caring for more than 200,000 patients statewide. We aim to improve the quality of life throughout Arizona by helping communities live better and longer through personalized healthcare.
Review and edit promotional content/materials for grammar and consistency.
Fact check/Cross-check and proofread existing content.
Retain medical, legal, and regulatory guidance to ensure consistency and accuracy.
P10 was born of the idea that if something isn’t working—or could work better—change it. P10 brings together a team of diverse, remote-only seasoned professionals to deliver exceptional value for clients.
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.
Primarily responsible for making outbound calls to healthcare providers.
Accepting inbound calls from healthcare providers.
Answer questions about participation requirements, registration, assessment completion and scoring results.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With over 66,000 employees, we combine scale, expertise and execution to create meaningful, measurable impact.
Audits clinical documentation and coding for inpatients, emphasizing mortality reviews to identify improvement opportunities and ensure compliance with guidelines.
Collaborates with clinical teams and medical staff as an expert educator to develop strategic plans and teaching tools that improve quality metrics and outcomes.
Manages advanced project work including Risk Adjustment and Quality Abstraction, while partnering with departments like IT and Analytics to design new workflow solutions.
Northwestern Medicine is a leader in the healthcare industry focused on a patient-first approach to cultivate a positive workplace. The organization provides competitive benefits like tuition reimbursement, loan forgiveness, and 401(k) matching to take care of its employees as part of a large health system.
Conduct objective medical case reviews using standardized assessment criteria.
Evaluate the timeliness and appropriateness of care provided.
Identify quality improvement opportunities.
Broadway Ventures transforms challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. It is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB).