Lead the preparation and submission of comprehensive provider rosters to Managed Medicare, Medicaid, and commercial payers.
Audit internal provider data against database records to ensure 100% accuracy before submission.
Serve as the primary point of contact for health plans to resolve roster discrepancies, rejections, or paneling delays.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. The Privia Platform consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs.
Assist the bidding team with proposal pre-work, including gathering feasibility, pricing, and other required data. Support documentation, system updates, and internal coordination. The role requires compliance with ISO 20252:2019 and ISO 27001 standards.
m360 Research is a full-service market research agency specializing in the healthcare space, with proprietary panels including over 1 million physicians.
Manage the day-to-day tasks of processing provider credentials, licenses and payor enrollment applications.
Work cross-functionally with many teams to guarantee the smooth running of operations.
Research, interpret, and evaluate information relevant to provider licensure and continuing medical education in the United States
CertifyOS is building the infrastructure that powers the next generation of provider data products, making healthcare more efficient, accessible, and innovative.
Conduct surveys to collect valuable data from stakeholders directly engaged in US healthcare and management & to gain insights into market trends and competitive positioning.
Collect, organize, and disseminate significant amounts of information with attention to detail and accuracy; ensure data accuracy and address any issues that arise.
Collaborate with US-based teams to analyze findings, develop insights and implications, and create client presentations that tell a coherent, evidence-based story.
Precision Medicine Group is a provider of precision medicine solutions. They integrate therapeutic, clinical, and commercial expertise to help clients make informed decisions.
Lead consultative sales processes with companies navigating complex benefits needs.
Act as a trusted advisor to executive-level buyers, aligning their needs to Thatch’s solutions.
Build relationships with existing and new broker partners across the East Coast.
Thatch is an early-stage company revolutionizing American healthcare using technology. As a fully distributed company, they foster a happy, friendly, and high-velocity team environment.
Conduct investigative assignments primarily by phone and online research. Plan investigative strategies by reviewing case documentation and client instructions. Write detailed, accurate, and unbiased reports that clearly document findings and conclusions.
CoventBridge Group is a global leader in full-service investigations providing Surveillance, SIU and Compliance, Claims Investigation, and Counter-Fraud Programs.
The ideal candidate will support the growth of Privia Health by assisting the Physician Development, New Provider Recruitment, and Business Development teams. Assist marketing and sales operations, with a focus on CRM data integrity. Review, clean, and analyze data for current and new markets in Salesforce.
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems.
Define research scope and angles of Directed Content projects.
Understand expert profiles relevant to client interest in your sectors of coverage.
Ensure day-to-day productivity of Analysts on your team.
AlphaSense empowers professionals to make smarter decisions through AI-driven market intelligence, offering insights from a universe of public and private content.
Leads high-stakes consultative sales processes with companies navigating complex benefits needs. Acts as a trusted advisor to executive-level buyers, uncovering deep needs and aligning them to Thatch’s solutions. Builds relationships with existing and new broker partners.
We’re a fully distributed early stage company using technology to change the way America does healthcare.
Be the primary point of contact for all providers.
Provide professional, accurate and timely responses to all provider inquiries.
Maintain a current knowledge of all contract requirements and objectives.
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plans.
Support the day-to-day data needs of internal clients. Clarify requests and prepare data. Perform list matches using in-house tools and MS Excel.
M3 is a Japanese global leader providing technological and research solutions to the healthcare industry, with over 5.8 million physician members globally.
Serve as a subject matter expert on life sciences market access and commercialization priorities. Conceptualize solutions around critical market access challenges, such as launch planning, pricing and contracting strategy. Interact regularly with clients as recognized expert; participate in public panels and forums to increase firm and personal visibility.
At Avalere Health, we ensure every patient is identified, treated, supported, and cared for equally.
Develop deep understanding of the clinical data needs and data usability requirements across Devoted Health Plans and Devoted Medical.
Analyze clinical data availability across geographical areas to develop insights about data gaps, the reasons data is not available, and opportunities to obtain data.
Implement technical integrations with Health Information Exchanges (HIEs), Labs, Electronic Health Record (EHR) systems, and other sources of clinical data and ensure quality of data received.
Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. Founded in 2017, they've grown fast and now serve members across the United States.
Analyze claims data and develop cost-of-care projections for existing customer renewals and new business opportunities.
Responsible for cost pricing, including evaluating data, building underwriting, and evaluating profitability.
Manage team of pricing and reporting analysts.
Magellan Health, Inc. is committed to making a difference in the health care industry and in the communities where they work and live. They value professional growth and development, total health and wellness, rewards and recognition as well as employee unity.
Active search for qualified candidates using channels like LinkedIn and job boards, screening CVs and updating the recruiting system, and maintaining internal databases and generating reports.
Miratech is a global IT services and consulting company that brings together enterprise and start-up innovation to support digital transformation.
Identify high-quality leads using LinkedIn, Google, Crunchbase, and social platforms. Enrich data, validate lists, and build lead research from scratch. Dive into clients' products, industries, and ideal buyers to understand who to target and why.
Revit believes in a future where high-end, results-driven lead generation services are accessible and adaptable to companies of all sizes and life stages.
The Clinic/Provider Partnerships Analyst leads the gathering and interpretation of contact center performance and quality data. The analyst collaborates with department and clinic leadership to develop proactive action plans for MCV departments and clinics. As a member of the Provider Relations Team, the analyst helps to foster a world-class customer service environment.
VCU Health is a comprehensive system of care and a pioneer of health, driven to learn more, dig deeper, teach passionately and never rest.
Provide strategic leadership and expert oversight for payer relations and contracting.
Manage a team responsible for negotiating and monitoring contracts with payers.
Analyze contract terms and financial performance to influence strategic pricing strategies.
CommonSpirit Health is building a healthier future for all through its integrated health services as one of the nation’s largest nonprofit Catholic healthcare organizations.
Conduct strategic research initiatives that shape company direction.
Build and maintain research repository and insight management system.
Train product managers and designers on research methods.
CoinTracker makes cryptocurrency portfolio tracking and tax compliance simple, enabling users and businesses to seamlessly track their cryptocurrency portfolio and taxes.