Lead end-to-end payer enrollment operations for a large enterprise client, standing up teams and workflows from day one.
Manage delivery against SLAs, run performance reviews, and own the client relationship and escalations.
Drive automation and process improvements, own account economics, and scale to a portfolio of enterprise clients.
Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance for healthcare organizations. They are a fast-growing healthcare technology company backed by $130M in funding and recognized as a best place to work, on a mission to transform healthcare at scale.
Build and sustain relationships with health plan executives to drive mutual success in value-based care.
Lead partnership governance structures, presenting Aledade's value proposition and aligning on shared strategic goals.
Direct a high-performing team, translating organizational goals into actionable targets and optimizing resource allocation.
Aledade PBC is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the country, fostering a collaborative, inclusive, and remote-first culture.
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.
Manage the full lifecycle of network partnerships, from vetting to contracting and amendments.
Build dashboards and maintain structured frameworks for network evaluation and performance monitoring.
Collaborate with clinical, operations, and finance teams to align contract terms with quality standards.
Maven Clinic is the world's largest virtual clinic for women and families, partnering with employers and health plans to provide end-to-end family health programs. Founded in 2014 and backed by over $425 million in funding, Maven has an award-winning culture and is recognized as a top workplace in healthcare.
Provide education and self-management support based on the patient's unique learning style, and coordinate care as an advocate and resource.
Conduct comprehensive assessments of medical, behavioral, pharmaceutical, and social needs, and collaborate with the care team to design care plans.
Support population health initiatives and measure quality outcomes to reduce unnecessary utilization and improve patient health.
Aledade PBC empowers independent primary care by creating value-based contracts and flipping the script on fee-for-service. Founded in 2014, it is the largest network of independent primary care in the country, with a remote-first, collaborative, and inclusive culture.
Prepare and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans.
Maintain accurate provider files including CAQH profiles, NPI information, state licenses, and other required documentation.
Monitor credentialing statuses through payer portals and communicate updates to leadership and providers.
Modena Health is a physician-led, hospitality-focused medical practice specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. The company values collaboration, positivity, and growth, aiming to hire great people and help them find meaning in its mission.
Leads and develops a team of Medical Directors and Clinical Directors driving clinical strategy across enterprise value-based care contracts.
Owns clinical performance outcomes, resource deployment, and strategic market relationships.
Recruits and mentors clinical leaders while representing the clinical voice in company-wide strategy.
Aledade PBC is a public benefit corporation that empowers independent primary care practices by building value-based care contracts and technology. Founded in 2014, it is the largest network of independent primary care in the U.S. and fosters a collaborative, inclusive, remote-first culture.
Manage administrative and scheduling support for the CareMind Inpatient practice, including provider onboarding, training, and credentialing.
Develop staffing models, create 90-day schedules, and coordinate with payroll for accurate provider pay.
Track provider PTO, oversee FPPE/OPPE reviews, and ensure performance against outcome measures.
CareMind Health is a captive clinical services entity of Mindoula Health and a national provider of virtual psychiatry and behavioral health care. We are a patient-centered team focused on supporting mental health and delivering comprehensive solutions for hospitals and partners.
Own claims tracking, provider activation support, and reporting to keep field teams focused on provider relationships.
Monitor payment exceptions, contract signature workflows, and activation milestones, routing escalations to appropriate internal stakeholders.
Maintain dashboards and tracking tools to ensure accurate, on-time reporting and smooth operational handoffs.
Counterpart Health develops Counterpart Assistant, an AI-enabled clinical tool that supports primary care physicians in diagnosing and managing chronic conditions. It is a subsidiary of Clover Health with a remote-first culture and a team focused on value-based care.
Lead end-to-end management of strategic third-party partnerships for healthcare benefits administrators and payers.
Oversee implementation processes, partner relationships, and cross-functional coordination.
Drive continuous improvement, performance monitoring, and scalable integration strategies.
The company provides innovative virtual care solutions that help individuals manage obesity and related health conditions through personalized, evidence-based care. It is a fast-paced, technology-driven organization with an inclusive culture focused on improving healthcare access and patient outcomes.
Manage negotiation, implementation, and maintenance of commercial and government payor agreements.
Analyze reimbursement terms and financial impacts to support organizational financial goals.
Collaborate with payors, leadership, revenue cycle, legal, and clinical operations to optimize contracts.
Together Women's Health is a rapidly growing network of OBGYN clinics on a mission to improve the lives of healthcare partners and patients. The company invests in its teams, lives its core values daily, and offers a supportive culture with smart, friendly coworkers.
Own relationships with commercial and government health plans, serving as primary escalation contact.
Support contract negotiations and renewals with financial analysis, tracking deadlines and rate changes.
Partner with revenue cycle to resolve denials and underpayments, and report payer performance to leadership.
Adaptive Home Health is fixing US healthcare with an AI-native physical care platform, starting with home health. It pairs one of the best AI teams in the world with healthcare veterans, valuing innovation and problem-solving in a fast-growing environment.
Manage day-to-day operations and provide strategic direction for the Operations Team.
Oversee personnel actions including hiring, training, performance management, and compensation recommendations.
Collaborate with cross-functional teams and vendors to improve processes and resolve escalated issues.
HealthEquity empowers healthcare consumers by providing health savings accounts and financial solutions. The company values diversity, inclusion, and authenticity, fostering a culture where every person is valued.
Prepare, submit, and track payer applications for new health plan partnerships, including follow-up, deficiency resolution, and revalidations.
Audit provider directory listings and reconcile rosters against payer records to ensure members can actually find and access care.
Partner with Revenue Cycle to triage denials, research payer policy, and codify requirements into durable internal references.
Allara is a comprehensive women's health provider offering expert, longitudinal care for hormonal, metabolic, and reproductive health. Trusted by thousands of women and one of the fastest-growing women's health platforms in the U.S., it fosters a collaborative, mission-driven culture focused on improving patient care.
Supports credentialing and enrollment teams by managing data across Monday.com, Airtable, and Credential Stream.
Drives process improvement initiatives and develops progress reports to keep stakeholders informed.
Collaborates with enterprise stakeholders to maintain accurate data sharing and best practices.
United Vein & Vascular Centers is a leading provider of comprehensive vein and vascular care with over 60 clinics across multiple states. The company emphasizes minimally invasive procedures, cutting-edge technology, and a patient-centric approach to deliver superior outcomes.
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.
Lead a complex commercial account with strategic and operational leadership.
Build trusted client partnerships and deliver integrated communications programs across multiple channels.
Oversee budgets, forecasting, profitability, and team development to drive account growth.
Ashfield MedComms is a global leader in the medical communications space, serving clients across medical affairs, publications, and commercial. It is part of Inizio Medical, an international network, and is committed to an inclusive culture where diverse employees can flourish.
Lead strategic and operational oversight for Medicaid external quality review contracts, ensuring compliance, quality, and timely deliverables.
Serve as the senior relationship manager for state Medicaid agencies and stakeholders, proactively resolving concerns and driving customer satisfaction.
Direct project planning, budgets, staffing, and team development while identifying risks and supporting business development initiatives.
Health Services Advisory Group (HSAG) is a national healthcare quality consulting organization that partners with states to improve healthcare delivery through external quality reviews and data-driven solutions. The company fosters a mission-driven, collaborative culture dedicated to making healthcare better for communities and clients.
Own and continuously improve operational processes that support Ro's frontline teams, partnering cross-functionally to increase efficiency and consistency.
Run day-to-day onboarding for clinical and non-clinical frontline teams, delivering a seamless new hire experience with multiple internal teams.
Own and operate the support desk for frontline teams, resolving tickets within SLA and strengthening self-service to reduce recurring needs.
Ro is a direct-to-patient healthcare company providing telehealth, labs, and pharmacy services nationwide. Since 2017, it has helped millions of patients and is consistently recognized as a top workplace in Health Care, New York, and for Women and Parents.
Manage benefit eligibility checks and prior authorization requests end-to-end.
Coordinate staffing, shipping, and document follow-up with provider offices and partners.
Build and improve workflows for member activation in a fully remote setting.
Leap is a benefits solutions company pioneering employer specialty pharmacy, reshaping how life-changing therapies are delivered and financed. They partner with Fortune 500 companies and leading TPAs, and are building an outlier company with focus, energy, and commitment.