Manage the provider data ticketing queue, ensuring timely resolution of requests.
Partner with team members to obtain required data elements and validate completeness.
Identify and implement opportunities to streamline provider data structure and workflows.
Curana Health is committed to radically improving the health, happiness, and dignity of older adults. They serve 200,000+ seniors in 1,500+ communities across 32 states, with over 1,000 clinicians, care coordinators, analysts and professionals.
Review assigned TEFCA directory entries against authoritative corroboration sources and apply the approved review methodology.
Research, validate, and reconcile healthcare directory data across multiple reference sources, documenting findings in Jira.
Classify entries using a four-tier disposition taxonomy and escalate exception-path entries to the Lead Analyst.
Broadway Ventures is an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB) that provides expert program management, technology, and consulting solutions to government and private sector clients. As a small business, they emphasize integrity, collaboration, and excellence in their tailored solutions.
Onboarding and integration of various payer feeds, including eligibility and claims data.
Analyze data from external payer sources and internal systems into the enterprise data model.
Define and implement data quality rules and monitoring frameworks for all critical data pipelines.
WellBe Senior Medical delivers personalized healthcare, partnering with health plans and provider groups to provide comprehensive support to seniors. We are committed to building a great place to work, with opportunities for impact and advancement.
Interpret medical rules, regulations, fee schedules, and edits that payers post.
Understand and manipulate payer data to build federal, state, and commercial coding and financial tables.
Maximize the efficiency and use of product solutions by properly maintaining payer specific edits.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets and have an amazing team of 25,200 people in 32 countries.
Monitor and interpret CMS guidance for Medicare, Medicaid, and other healthcare programs.
Partner with internal teams to ensure compliance with regulations and contract obligations.
Maintain regulatory tracking documentation and support development of training materials.
HealthEdge provides healthcare software and services to payers and providers. It is a growing company with a focus on compliance and innovation, fostering a collaborative and remote-friendly culture.
Demonstrate AcuityMD’s approach to data, data quality, and algorithms to prospects.
Collaborate with prospects and customers to define business requirements related to AcuityMD core data or algorithms.
Serve as the primary point of contact for prospects on all data-related questions.
AcuityMD is a software and data platform that accelerates access to medical technologies, helping MedTech companies understand product usage and identify opportunities for better patient care. They're a high-growth AI and Data company scaling rapidly, backed by Benchmark, Redpoint, ICONIQ Growth, and Ajax Health.
Transform complex healthcare data into clear, compelling stories for partners.
Design reliable reporting systems and present easy-to-understand insights to external stakeholders.
Automate foundational reports to uncover deeper trends in care and operational success.
Rula is a mental healthcare company dedicated to providing evidence-based, compassionate care to empower individuals. As a remote-first organization with a culture of inclusion, we hire in most U.S. states and strive to make mental healthcare work for everyone.
Proactively identify and monitor healthcare facilities that generate high-quality clinical documents to precisely locate data gaps.
Conduct deep-dive analyses mapping facility-specific data across disparate sources to uncover patterns of missingness or incongruence.
Establish and maintain reporting on ADT coverage across geographic, organizational, and technological dimensions.
Counterpart Health is an AI-powered physician enablement platform that delivers clinical insights to providers at the point of care. They are a subsidiary of Clover Health, a company committed to diversity and inclusion, and their team includes value-based care and technology experts.
Facilitate client calls related to contracting and payer enrollments.
Run and analyze client KPIs, providing regular reports.
Manage the full contracting and payer enrollment process.
Experity transforms on-demand healthcare across the U.S. by empowering urgent care clinics with industry-leading software. The company fosters a team-first culture with opportunities for flexible work and career development.
Extract and analyze data to tell compelling stories about the subscription economy; introduce novel analyses by leveraging creative, strategic data analysis methods.
Present findings external clients and internal stakeholders; translate complex datasets into clear, persuasive data stories.
Support Client Service objectives by owning the production of Antenna’s monthly syndicated reports and crafting custom analyses in response to customer questions.
Antenna provides data and analytics for subscription media services in the U.S. They are a remote-first company with a dedicated group of individuals who are intellectually curious, passionate about service, and committed to supporting the needs of Antenna clients and each other.
Responsible for the review and processing of claims within the claims transactional system, according to plan benefits and contractual reimbursement terms.
Follows established policies and procedures to pay, pend for additional information, or deny claims.
Accountable to meet and maintain established department production and quality standards.
Evry Health is on a mission to bring humanity to health insurance by expanding benefits, increasing access and transparency, and featuring a personalized, human approach. Evry Health is the major medical division of Globe Life (NYSE:GL) with more than 3,000 corporate employees and 15,000 agents.
Lead data analytics for internal audits, including large-scale financial and clinical data analysis.
Manage excluded provider/vendor/employee testing and evaluate internal controls.
Communicate audit results to leadership and recommend process improvements.
UnityPoint Health is a healthcare system committed to providing exceptional care. It has been recognized as a Top 150 Place to Work in Healthcare, with a focus on team member well-being and culture.
Working with Arcadia customers to help solve complex business needs within the platform
Helping a customer gain trust in our data by explaining the transformations taking place
Partnering with technical operators to build complex customizations
Arcadia.io helps innovative providers and payers across the country transform healthcare to reduce cost while improving patient health. They are growing fast and have emerged as a market leader in the highly competitive population health management software market.
Responsible for ensuring accuracy and efficiency of custodial reconciliation processes with a focus on automation and compliance.
Manages source data, resolves automation errors, and proposes enhancements to meet investor and client SLAs.
Acts as single point of contact for audit requests and coordinates cross-functional responses.
LoanCare is a leading national provider of full service subservicing and interim subservicing to the mortgage industry, servicing over 1.8 million loans. Backed by Fidelity National Financial, a Fortune 500 company, they offer a culture of integrity, innovation, and collaboration.
Ensure client files are accurately and efficiently ingested into Hint.
Act as the internal Autosync technical subject matter expert.
Implement, manage, and maintain our data feeds.
Hint Health is a digital health company dedicated to supporting the growth and success of the Direct Primary Care (DPC) movement. The Hint Core platform supports thousands of clinics and networks across the nation, providing care for over a million members.
Develop and close new health plan contracts to drive sustainable revenue growth.
Bring deep understanding of the health plan market and a proven track record in complex B2B sales.
Position AnswersNow as the preferred ABA partner for health plans through value-based care expertise.
AnswersNow is a fully remote company that provides virtual ABA therapy for autism, designed by clinicians. They are a growing team reshaping autism therapy with a focus on accessibility and effectiveness.
Collaborate with the data modeling team to gather detailed data and reporting requirements.
Document source-to-target transformation rules in Excel.
Analyze source systems and datasets using SQL to understand structure, content, and quality.
Lovelytics helps complex enterprises modernize their data and put AI to work in Media & Entertainment, Manufacturing, Retail & CPG, Healthcare & Life Sciences, and Financial Services. They've grown from 50 to 500+ people in three years, which has allowed them to keep the technical depth and low-ego culture.
Manage the delivery of healthcare data integration projects to enable partner practices to use Aledade's population health platform.
Provide strategic planning, roadmap creation, and prioritization for the data integration portfolio.
Coordinate day-to-day activities of the integration project management team and collaborate with internal teams and external vendors.
Aledade empowers independent primary care practices to thrive in value-based care. As the largest network of independent primary care in the country, we foster a collaborative, inclusive, and remote-first culture.
Responsible for processing insurance claims accurately and efficiently.
Analyze claim data to identify trends, errors, and potential irregularities.
Serve as a liaison between departments to support seamless claims resolution and continuous process improvement.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. They are a fast-growing company serving over 200,000 seniors in 1,500+ communities across 32 states.
Analyze financial, market, and industry data using internal and external sources.
Collaborate with cross-functional teams to gather business information and provide actuarial insights.
Perform pricing, reserving, and research activities to support property & casualty actuarial functions.
Horace Mann provides insurance and financial products tailored for educators, helping them protect their assets and plan for retirement. Founded in 1945 by teachers, the company is publicly traded on NYSE, has over $12 billion in assets, and serves more than 4,100 school districts nationwide.