Own the eligibility and enrollment product area: ingestion, validation, enrollment lifecycle, payer data integrations, and cross-platform eligibility signals
Build and improve the tools, campaigns, and workflows that drive member activation and engagement — not just data plumbing, but the experiences that turn eligibility into impact
Partner with engineering, operations, payer partnerships, and marketing to deliver compliant, resilient, and extensible solutions
Execute credentialing and enrollment workflows for new providers.
Maintain accurate provider and practice data in credentialing database.
Complete Medicare revalidations, Medicaid recredentialing, and commercial recredentialing per payer schedules.
Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. The culture at ID is filled with hard-working, dynamic individuals who come together to ensure the success of our partner dermatologists.
Work cross-functionally to ensure smooth partner onboarding.
Own client eligibility file setup, monitoring, and accuracy.
Document client business requirements and liaise with technical teams.
Foodsmart is a leading telenutrition and foodcare solution, supported by a network of Registered Dietitians. Their platform promotes healthier food choices and behavior change, serving 2.2 million members across various health plans and insurers, and values customer focus and teamwork.
Own the day-to-day tracking and progress of clinician credentialing and payer enrollment workflows.
Identify and resolve blockers across credentialing, enrollment, and re-credentialing processes.
Support clinicians directly by guiding them through credentialing and enrollment requirements.
Wheel is evolving the traditional care ecosystem by equipping companies with a premier platform to deliver virtual care at scale. They offer strategies and technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Lead one of Rula’s most critical operational functions.
Own end-to-end credentialing and enrollment outcomes.
Partner across the company to ensure providers are credentialed and enrolled accurately, compliantly, and efficiently.
Rula is dedicated to treating the whole person, not just the symptoms and aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. Rula is a remote-first company that values diversity, equity, and inclusion.
Own maintenance and improvement of existing eligibility and claims data integration feeds
Conduct in-depth data analysis and error reporting to validate feed performance and troubleshoot discrepancies
Collaborate with external feed providers to gather technical requirements, map files, test integrations, and resolve issues for renewing clients
Garner Health is transforming the healthcare economy by delivering high-quality and affordable care. They partner with employers to redesign healthcare benefits using incentives and data-driven insights and are one of the fastest-growing healthcare technology companies in the country.
Engage and enroll eligible health plan members in supportive care services.
Educate members on Tuesday Health’s service offerings and support ongoing engagement.
Provide ongoing telephonic customer service to members and their caregivers.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers and are shaping the future of community-based palliative care nationwide.
Own end-to-end census integrity and member coverage continuity
Accountable for the design, performance, and scalability of enrollment and eligibility operations
Set the roadmap for process maturity, risk controls, audit readiness, and cross-functional operating model alignment
Habitat Health envisions a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. They are growing and looking for new team members who wish to join their mission of redefining aging in place.
Own and prioritize the backlog for your product area.
Manage the full feature lifecycle and develop comprehensive release plans.
Partner with clinical, operations, and business teams to simplify workflows.
InStride Health's mission is to deliver specialty anxiety and OCD care. They combine research-backed clinical care and innovative technology to eliminate major problems in care. They aim to be the nation’s most trusted provider of pediatric anxiety and OCD care.
Track and manage prior authorization requests, renewals, and extensions.
Verify member eligibility and benefits to confirm coverage requirements.
Upload, organize, and maintain member records and clinical documentation accurately and timely.
Leap is a benefits solution company focused on reshaping how life-changing therapies are delivered and financed. They are a fast-growing company that partners with Fortune 500 companies and leading TPAs, focusing on lower costs, improved access, and better care.
Promptly and accurately record all provider information.
Monitor status of payer applications to ensure completion.
Initiate and follow through on all aspects of provider credentialing.
UnityPoint Health is committed to team members and is recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare. They champion a culture of belonging where everyone feels valued and respected, and provide employees with support and development opportunities.
Own the end-to-end development of product features that improve member follow-through.
Define problem statements, hypotheses, and success metrics by synthesizing member feedback.
Drive cross-functional launch planning for new features and enhancements, partnering with various teams.
Modern Health is a mental health benefits platform for employers, providing access to various resources for employees' well-being. They are known for their "It Takes a Village" culture, emphasizing empathy, accountability, and a drive to make mental health a priority.
Develop and execute lifecycle marketing programs that support provider acquisition and engagement.
Design personalized messaging strategies tailored to different provider cohorts.
Analyze campaign performance and provider behavior data to identify engagement opportunities.
BetterHelp is on a mission to remove traditional barriers to therapy and make mental health care accessible. Founded in 2013, they are the world’s largest online therapy service with over 30,000 therapists helping millions globally.
Design and implement cutting-edge strategies to maximize consumer enrollment.
Leverage performance marketing data to inform strategic recommendations and optimize campaigns.
Collaborate with internal teams—Design, Growth Marketing, Marketing Operations, and Commercial—to execute successful enrollment campaigns.
Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. With insights from connected devices and AI-supported tools, Omada care teams deliver care that is rooted in evidence and unique to every member, unlocking results at scale. Omada is proud to be an equal opportunity workplace and affirmative action employer, carefully hiring the best talent and seeking diversity.
Support the discovery and documentation needed for payer data integrations.
Transition payer data integrations from reactive troubleshooting to proactive monitoring.
Support key business functions including MA Stars, MA Risk, and financial monitoring.
Aledade empowers independent primary care practices to deliver better care to their patients. They are the largest network of independent primary care in the country, focusing on value-based contracts across various health plans.
Own the product strategy for integrating all lifecycle marketing channels.
Define and manage the technical infrastructure and data foundation required to understand member behavior.
Lead the product development for Lifecycle Automation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help members get support. At Headspace, their values shape decisions, guide collaborations, and define their culture to build a human-centered team.
Work within Salesforce system to ensure integrity of data is clean
Complete specific payer forms when the Clinic has a change of demographics
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering the most advanced O&P solutions, clinically differentiated programs and unsurpassed customer service. They have 160 years of clinical excellence and innovation, and their vision is to lead the orthotic and prosthetic markets by providing superior patient care, outcomes, services and value.
Define Joint Product Strategy: Develop and drive the end-to-end product strategy between ServiceNow and AWS across AI + Data + Workflows + Security.
Drive Cross-Portfolio Product Integrations: Coordinate with multiple ServiceNow product teams to prioritize and deliver integrations with AWS services.
Enable Customer Adoption: Partner with product teams, product marketing and field teams to ensure integrations are supported with strong sales enablement and deployment guidance.
ServiceNow started in 2004 and stands as a global market leader, bringing innovative AI-enhanced technology to customers. They have over 8,100 customers, including 85% of the Fortune 500®, and their intelligent cloud-based platform connects people, systems, and processes.
Own end-to-end member engagement strategy to design, execute, test, and optimize campaigns.
Build and maintain a content calendar in partnership with cross-functional teams.
Direct all creative production through external vendors including email templates and print materials.
Evry Health is on a mission to bring humanity to health insurance with high-technology health plans 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.
Manage Medicare and Medicaid enrollment activities.
Oversee state-level entity enrollment for all jurisdictions.
Manage the vendor contract workflow.
Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers; through their leading-edge care model they are shaping the future of community-based palliative care nationwide.
Drive discussions and resolve operational frictions and Client relations matters in a timely manner.
Lead regular strategic reviews that map technical delivery to the client’s business outcomes.
Build strong relationships with Client business leaders in Claims, Quality, and Member Experience.
Smile Digital Health supports #BetterGlobalHealth through its innovative health data platform and data management solutions, used in over 20 countries. They make it easy for healthcare stakeholders to collect and exchange data with their leading FHIR-based data liberation platform.