Review and configure executed provider contracts and amendments for completeness and accuracy.
Coordinate with cross-functional teams to resolve issues and manage downstream dependencies.
Manage an assigned caseload while maintaining service delivery, productivity, and quality standards.
Oscar is a health insurance company built on a full-stack technology platform, focused on serving its members. The company values collaboration and innovation, with a team dedicated to transforming healthcare.
Support the execution of local network strategy and provider outreach to drive membership growth.
Meet defined metrics and SLAs including provider outreach and contract completion.
Support contract negotiations and document provider feedback to improve processes.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving members. The company started in 2012 to create a health insurance experience that behaves like a doctor in the family.
Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
Conduct routine audits of task boards and triage inquiries to improve process efficiency.
Develop and distribute reporting on credentialing status for cross-functional stakeholders.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.
Provide data management and develop procedures for effective data management across departments.
Collect and interpret data from multiple sources to support strategic decision-making and required actions.
Work with cross-organizational teams to establish business needs and define new data collection and analysis processes.
UnityPoint Health is a healthcare system providing coordinated care and services across multiple hospitals and clinics. It is a large organization recognized as a Top 150 Place to Work in Healthcare, with a culture that values belonging, support, and development for its team members.
Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the LTSS program.
Transform complex healthcare, operational, and financial data into actionable insights for program oversight and improvement.
Partner with cross-functional teams to monitor performance indicators, support compliance, and drive data-informed decisions.
The hiring partner is a healthcare organization supporting a large-scale Long-Term Services and Supports (LTSS) program. The role offers substantial autonomy and cross-functional collaboration in a fully remote environment.
Execute day-to-day provider enrollment, credentialing, and licensing tasks under the guidance of Specialists and Team Leads.
Accurately input, maintain, and update provider data across credentialing databases and internal systems.
Identify and escalate issues, discrepancies, or complex cases to the appropriate team member in a timely manner.
Allara is a comprehensive women’s health provider specializing in expert, longitudinal care for hormonal, metabolic, and reproductive health. It is one of the fastest-growing women’s health platforms in the U.S., with a mission-driven, collaborative culture focused on bridging gaps in healthcare.
Respond to service requests from internal and external customers accurately and on time.
Maintain case documentation with precision to keep records audit-ready.
Compile and distribute monthly reports and data summaries for leadership.
Personify Health offers a personalized health platform combining health plan administration, wellbeing solutions, and care navigation. The company serves employers and health plans with data-driven solutions, fostering a mission-driven culture focused on improving health outcomes.
Lead complex customer-facing consulting engagements for health plan customers, owning strategy from discovery to executive readout.
Analyze data to quantify operational, financial, and product adoption impact for customers.
Mentor consultants and develop reusable assets to advance the consulting practice.
NASCO provides technology solutions and consulting services for healthcare payers, helping health plans realize value from its product portfolio. The company supports a fully remote workforce and offers comprehensive benefits, with a focus on work-life balance.
Hire and manage a team of Oscar colleagues with direct responsibility for performance management, growth, and development.
Monitor operational KPIs, conduct root-cause analysis, and construct action plans to drive team performance.
Serve as a central communicator by leading team huddles and connecting colleagues to Oscar's mission, vision, and values.
Oscar is a health insurance company built around a full stack technology platform and a relentless focus on serving members. They started in 2012 to create a kind of health insurance company that behaves like a doctor in the family, fostering an inclusive culture where people can be their most authentic selves.
Maintain and update provider information in Provider Data Management systems, ensuring data accuracy and completeness.
Verify provider data from external sources, coordinate with partners to obtain missing information, and resolve discrepancies.
Collaborate with internal teams and support audits to maintain compliance with industry standards and regulations.
Curana Health is a national leader in value-based care, offering solutions to senior living communities and skilled nursing facilities. Founded in 2021, the company has grown to serve over 200,000 seniors in 1,500+ communities across 32 states, with a team of more than 1,000 clinicians and support staff.
Manage and negotiate contracts with healthcare providers to build and maintain a robust network.
Utilize data and analytics to inform negotiation decisions and optimize costs.
Oversee team performance and collaborate with provider services to ensure best-in-class member care.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
Provide non-clinical administrative support for utilization management operations.
Maintain accurate records and documentation across relevant systems.
Collaborate with internal teams to support operational objectives.
They support utilization management operations that help members access appropriate care and services. The company offers a structured, remote work environment with established processes and quality standards.
Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.
Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.
Execute daily operational processes, review issues, and track to completion.
Manage materials, workflows, and vendor relationships to ensure efficient operations.
Develop process documentation and use data to drive continuous improvement.
NeueHealth is a value-driven healthcare company that makes healthcare accessible and affordable across ACA Marketplace, Medicare, and Medicaid. They operate clinics and partner with providers, focusing on coordinated care and performance-based arrangements.
Handle a wide range of analytic needs across internal teams and external clients, from quick questions to ongoing engagements.
Work with healthcare data, including claims and clinical sources, to build reliable, well-documented datasets and analyses.
Support value-based care initiatives by analyzing quality measures, risk adjustment, and cost-of-care trends.
Guidehealth is a data-powered healthcare company leveraging AI and predictive analytics to make healthcare affordable and improve patient outcomes. It is a growing, physician-led organization with a collaborative, mission-driven culture that values agility and continuous learning.
Support analysis, maintenance, and optimization of pharmacy and client networks through detailed data analysis and system updates.
Conduct research on claims, pricing, and reimbursement discrepancies, and develop operational audit tools.
Assist with network contract implementation, policy development, and building collaborative relationships with internal departments.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. The company has been voted Best Employer in Ohio for six consecutive years and offers a collaborative, fully remote work environment.
Provide accurate and timely service for investment operations, transactions, and stakeholder inquiries.
Analyze operational data to identify trends, resolve issues, and recommend process improvements.
Support regulatory compliance and contribute to operational initiatives in a structured remote environment.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies through objective application review. It supports remote and diverse roles while maintaining an inclusive and equitable recruitment process.
Collect and organize data from various sources, perform data entry, and ensure accuracy.
Support MSC onboarding and CMDB development with ServiceNow reconciliation and updates.
Assist with data quality control, vendor contract reconciliation, and testing for tool sets.
ePlus believes technology is a people business, delivering solutions that make a real difference. The company values collaboration, innovation, and extraordinary results, with a culture that prioritizes respectful communication and work-life balance.
Own the analytical core of advisory engagements, from data collection through quantitative analysis and financial impact modeling.
Manage day-to-day project execution for 16-24 week engagements, including workplans, client meetings, and deliverables.
Support building and scaling new advisory offerings by capturing feedback and creating repeatable delivery assets.
MRO is a healthcare company providing clinical data registries and advisory solutions to improve performance. Its MRO Advisory Solutions team is expanding with a build-focused, collaborative culture.