Manage and support a team of RN quality reviewers, providing day-to-day people management, performance feedback, and coaching.
Identify and report on clinical quality trends by analyzing chart audit findings and quality data to inform improvement priorities.
Collect, organize, and maintain quality audit data, ensuring accurate records and dashboards for real-time visibility into team performance.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to deliver better outcomes and lower costs for cancer patients. As a tech-native organization with a focus on human connection, they employ a team of dedicated professionals committed to reimagining cancer care.
Lead Omada's Clinical Quality department with end-to-end accountability for program integrity, performance, and continuous improvement across cardiometabolic programs.
Define and drive the near-term roadmap for program quality, accreditation readiness, quality analytics, and AI bias monitoring.
Build durable quality infrastructure that supports a growing portfolio of clinical products and care experiences, partnering across teams.
Omada Health is a virtual-first healthcare company on a mission to bend the curve of chronic disease by combining human-led care teams, connected devices, and AI-enabled technology. The company has served over two million members across 2,000+ employers and health plans, and fosters a culture of trust, context, boldness, and collaboration.
Serves as primary contact for national and state cardiac/vascular registry data management.
Reviews medical records to identify patient care and quality issues, analyzing trends to improve outcomes.
Develops quality improvement initiatives and presents findings to departmental committees.
The University of Rochester is a leading research university in western New York. It employs thousands in higher education and health care, fostering a culture of inclusion and excellence.
Develop and evolve a clinical governance framework adaptable across markets, including policies, standards, and oversight structures.
Design quality monitoring programs and track key clinical quality metrics to ensure consistent, safe telehealth services.
Partner with regional teams on regulatory compliance, risk mitigation, and continuous improvement initiatives.
HeliosX is a healthcare platform that makes healthcare faster and more accessible, operating proprietary brands like MedExpress and Dermatica with vertical integration. With over 1.7 million patients treated in 2025 and £781m in revenue, we are a fast-growing, profitable company with a culture of discipline and clinical excellence.
Serve as Team Lead for the WV-QIP Phase II, providing executive-level VA subject matter expertise on Medical Center and VISN operations.
Lead development and implementation of quality improvement frameworks tailored to women Veterans' healthcare programs.
Coordinate stakeholder engagement activities and oversee assessment of performance data and site visit findings.
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Founded in 2012 with over 300 employees nationwide, the company applies technology, creativity, and human-centered services to optimize mission delivery for agencies including the VA.
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.
Provide medical leadership and clinical oversight for physician onboarding, ordering workflows, and clinical experience initiatives.
Serve as a senior physician resource, bridging clinical practice and operational execution to reduce friction in the ordering process.
Partner with cross-functional teams to improve end-to-end clinical and operational processes and drive test utilization and retention.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions who care deeply for their work and each other.
Provide executive oversight of all clinical programs, including Behavioral Health and EAP services, establishing strategic direction and quality frameworks.
Lead and supervise AVP-level clinical leaders, ensuring accountability and cross-functional alignment across clinical operations.
Develop clinical strategies, policies, and procedures, oversee utilization management, and drive quality improvement initiatives.
Uprise Health transforms the delivery and accessibility of mental and behavioral healthcare, bringing whole person care to individuals worldwide. The company values compassion, integrity, collaboration, velocity, and advocacy, and seeks to foster a culture of care and support.
Lead and manage clinician teams, drive clinical excellence, and contribute to continued growth and success.
Oversee 3-5 Clinical Leads and their teams totaling up to 30-40 clinicians.
Provide critical management infrastructure to support high quality care delivery and clinician well-being.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, the company is a venture-backed innovative startup with an experienced clinical and leadership team.
Accountable for driving market-wide quality and savings targets by supporting the development of strategies and overseeing the execution of core ACO transformation strategies.
Lead a team of Practice Transformation Specialists (PTS) to ensure high-quality service delivery within the Explorer Market.
Provide frontline feedback to the Program Director to help build and refine the service delivery model while standing up the program.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Lead the Prior Authorization and Financial Assistance team in a remote setting.
Oversee large-scale healthcare operations and drive operational excellence.
Develop and mentor high-performing teams to enhance patient support outcomes.
Shields Health Solutions provides specialty pharmacy management services to health systems, focusing on prior authorization and financial assistance. They are a rapidly growing organization committed to operational excellence and patient-centered care.
Direct and oversee operations of the Enhanced Care Management program, including CalAIM performance and staff supervision.
Refine program policies, manage P&L, and develop KPIs to align performance with business objectives.
Collaborate cross-functionally with other departments and represent the organization externally.
Vynca provides comprehensive care for more quality days at home for individuals with complex needs. It is a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity, fostering a transformative movement.
Provide day-to-day guidance, training, and support to credentialing associates.
Design, document, and implement scalable credentialing workflows and standard operating procedures.
Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.
BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.
Lead and manage daily performance of assigned frontline teams, ensuring adherence to quality, productivity, and service standards.
Analyze key operational metrics and trends to identify risks and improvement opportunities.
Foster employee growth through structured coaching, mentoring, and ongoing performance feedback.
Carenet Health is a healthcare services company that provides patient engagement and care coordination solutions. The company operates with a focus on delivering a seamless member experience through its BPO operations, though specific size and culture details are not provided.
Lead multiple Nurse Team Leads and nursing teams to deliver high standards of clinical care and efficiency.
Coach and mentor Nurse Team Leads, setting goals, providing feedback, and fostering accountability.
Champion NCQA-compliant workflows and use data to drive performance and compliance across teams.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization of several hundred employees, it combines high-touch human support with technology and AI, fostering a culture of compassion, trust, and growth.
Own and maintain the integrated program plan across multiple major initiatives, tracking milestones and dependencies across a dozen-plus functional teams.
Connect strategic growth initiatives with operational reality, ensuring product, billing, and communication changes align with marketing and user-acquisition goals.
Drive alignment and sequence workflows across Operations, Product, Clinical, Commercial, Finance, Marketing, Legal, and Client Success teams.
Vida is a virtual, personalized obesity care provider using evidence-based treatment to help patients manage obesity and related conditions. Trusted by Fortune 100 companies and major payers, it combines advanced technology with healthcare providers to break down barriers to care.
Lead end-to-end interoperability programs supporting Risk Adjustment and payor-provider data exchange.
Develop and manage relationships with provider organizations and external stakeholders to ensure effective data connectivity.
Build, maintain, and enhance project plans, dashboards, and operational strategies to drive measurable program impact.
Our partner is a technology-driven healthcare company focused on improving data connectivity and interoperability between provider systems and payor networks. They operate in a fast-moving environment with a remote team, emphasizing high-impact initiatives and cross-functional collaboration.
Lead and develop a team of 10–12 operations professionals in a fully remote environment.
Oversee operational execution, process optimization, and implementation of new programs.
Drive talent management, compliance, and cross-functional project coordination.
Jobgether is a platform that uses AI-powered matching to connect candidates with hiring companies. They focus on efficient, fair recruitment processes and support a diverse range of job opportunities.
Architect and execute the strategic roadmap for provider data management, credentialing, and network adequacy, acting as the enterprise authority on data integrity.
Lead a high-performing remote team, establishing rigorous metrics for third-party vendors and integrating AI/LLMs to automate and optimize provider data processes.
Oversee the accuracy and compliance of the Provider Directory, partner with the Chief Medical Officer on credentialing, and drive cross-functional collaboration across Clinical, Claims, and Product teams.
Clover Health is redefining health insurance by leveraging data and technology to deliver personalized, high-quality care for Medicare Advantage members, aiming to make healthcare easier and more accessible. As a mission-driven company with a remote-first culture, they prioritize diversity and inclusion, fostering a team of passionate individuals focused on improving lives through innovation.
Oversee the development and continuous improvement of Quality Assurance and Training programs within Channel Services.
Foster a positive, professional, and engaging work environment that encourages collaboration and excellence.
Serve as a subject matter expert in credit union policies and member interaction channels to align quality standards with strategic goals.
Peak Credit Union is a financial institution focused on member service and community engagement. They deliver a respectful, professional culture and emphasize employee engagement and development.