Assists in managing the day-to-day operations of the IntelliCenter utilizing quality, cost effective patient care principles.
Supervises a team of call center agents, which may include clinical and nonclinical staff.
Monitors queue and keeps call center staff aware of inbound calls, calls waiting, queued calls in order to help navigate appropriate staff into different areas to support volume needs.
Help scale and execute a community-oriented primary care model.
Lead the team responsible for eligibility list outreach, inbound patient call support, and scheduling operations.
Oversee daily operations, performance metrics, quality assurance, and workflow optimization.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Leading the Personal Support and Nursing Management team.
Providing professional knowledge and support to the team.
Supporting daily operations of client services, case management, and human resources.
CarePartners is one of Ontario’s largest accredited home health care providers, providing nursing, personal support, therapy and rehabilitation support services for patients of all ages. They care for approximately 72,000 patients each year in homes, schools, clinics, workplaces and retirement homes, through their 24 locations and 24 nursing clinics.
Lead, coach, and mentor a team of Customer Operations Specialists to meet and exceed performance expectations.
Monitor daily workflows and queues to ensure timely, accurate resolution of provider and client inquiries.
Track and analyze team performance against key metrics, including OKRs and productivity KPIs.
Grow Therapy is a technology-powered marketplace that empowers therapists, augments insurance payors, and serves patients in need of mental healthcare. They have raised more than $178mm of funding and have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.
Provides front-line support to community callers seeking healthcare-related information.
Triages the caller's condition/needs, giving appropriate protocol-driven guidance and directs callers to the most appropriate level of care.
Communicates effectively and efficiently to other members of the care team to ensure caller needs are met in a timely manner.
Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. Teammates live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other.
Oversees four teams, leading, supporting, and developing them to succeed.
Ensures operational excellence through consistent processes, reporting, and communication.
Drives performance, quality, and continuous improvement across all teams.
BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945. They empower their employees to thrive both independently and collaboratively, creating a collective impact on the lives of their members.
Answer inquiries with problem solving and empathy.
Aid team members with HR requests and maintain confidential information.
Provide customer service to team members in all stages of employment.
UnityPoint Health is committed to its team members and has been 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, honoring the ways people are unique and embracing what brings us together.
Manage a team of SLPs through regular meetings focused on clinical coaching, skill refinement, mentorship, and career development.
Serve as the primary contact for SLPs on change communication, and encouraging productive feedback and improvement opportunities while simultaneously ensuring effective information comprehension and transmission.
Conduct evaluations and sessions with appropriate clinical caseload, flexibly with the needs of the organization.
Expressable's mission is to expand access to family-led online speech therapy, empowering caregivers to be active participants in their loved one’s communication journey. They are certified by The Joint Commission and backed by 3,000+ 5-star reviews, redefining how speech therapy is delivered.
Supervise a team of appeals and grievances coordinators; develop/implement strategies to improve team performance and efficiency.
Receive, document, and manage member and provider appeals and grievances in accordance with Dignity Health MSOs policies and standards. Prepare and present reports on appeals and grievances activity.
Maintain detailed and accurate records of all appeals and grievances, including documentation of investigations, outcomes, and communications.
Dignity Health MSO offers management and business services that leverage economies of scale across provider types and geographies, leading the effort in developing Dignity Health’s Medicaid population health care management pathways. They focus on coordinating patient care while containing costs and improving quality of service. The company offers a Total Rewards package that integrates competitive pay with flexible Health & Welfare benefits and a generous employer-matched 401k retirement plan.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Provide 24/7 Triage Support and assign priority for a Registered Nurse to provide health advice
Carenet Health pioneers advancements in healthcare consumer experience, interacting with 1 in 3 Americans daily. They integrate human touch with data-driven technology to improve healthcare, offering best-in-class clinical expertise and personalized solutions.
Provide direct supervision, coaching, and performance oversight to clinical managers.
Serve as a primary operational liaison between clinical teams and health plan care management teams.
Oversee onboarding and training for care teams and clinical managers.
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. They cultivate a dynamic and inclusive team environment.
Answers calls and provides information, resolving customer requests or transferring them appropriately.
Schedules, reschedules, and cancels appointments according to guidelines.
Gathers and updates patient demographic, financial, and insurance information.
Denver Health is an integrated, high-quality academic health care system that includes a Level I Trauma Center and a 555-bed acute care medical center. They are a mission-driven organization that has provided billions in uncompensated care for the uninsured, caring for more than 185,000 individuals and 67,000 children a year.
Provides after hours support to members and leaders seeking services.
Problem-solves and assists with high touch and escalated/sensitive calls.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people.
Responsible for the Care Coordination staff for case reviews and UR appeals.
Coordinates worklists and completion of cases on audit review, retro authorization and appeals.
Northside Hospital is an award-winning and state-of-the-art healthcare provider that is constantly growing. They are expanding the quality and reach of their care to patients and communities, creating more opportunity for healthcare professionals in Atlanta and beyond.
Ensure service level targets are met; maintain the right headcount, and calculate call capacity
Undertake majority of call forecasting and agent scheduling for the contact center
Monitor Contact Center telephony platforms Implementation, workflows, and manage new technologies
Curana Health is a national leader in value-based care, offering solutions to senior living communities and skilled nursing facilities. Founded in 2021, they serve over 200,000 seniors in 1,500+ communities across 32 states with a team of 1,000+ clinicians and professionals.
Improve end-to-end patient support workflows, from first contact through resolution and follow-up.
Analyze support and call center metrics to uncover trends, pain points, and operational gaps — and turn insights into action.
Champion and evolve our QA program — ensuring we’re not just scoring interactions, but using them to elevate performance and consistency.
Midi Health's mission is to redesign care for women in midlife. They are growing fast and seeking purpose-driven people to help them build a best-in-class team.
Oversee the RN Reviewer team including one RN Team Lead
Manage the daily timeliness report and ensure all cases meet expected turnaround times
Monitor the nurse productivity reports daily and provide feedback to the nurses, managing performance to ensure consistency
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. They work with over 660,000 providers and handle over 12 million prior authorization requests annually.
Evaluates certification requests by reviewing the group specific requirements.
Triage the call to determine if a Utilization Review Nurse is needed to complete the call.
Cottingham & Butler sells a promise to help their clients through life’s toughest moments. Their culture is guided by the theme of “better every day” constantly pushing themselves to be better than yesterday.
Coordinates and oversees all direct and indirect patient services provided by clinical organization personnel.
Provides guidance and counseling to coordinators and Clinical Supervisors to assist them in continually improving all aspects of home health care services.
Assists the Executive Director in the preparation and administration of the organization's budget.
Mission Healthcare, located in seven states, is the largest home health and hospice company in the western United States. They provide services that meet the needs of patients and families across the healthcare continuum and believe their people deserve care delivered with Compassion, Accountability, Respect, Excellence and Service.
Lead the daily work of a 10+ member Support Technician team to deliver strong productivity, quality, and customer experience results.
Improve customer outcomes and team effectiveness by setting clear technician‑level goals and communicating insights.
Build a resilient, high‑performing support organization by recruiting, developing, and retaining talent while growing future support leaders.
Applied Systems is transforming the insurance industry with innovative software and services. They have 40+ years of experience and a culture built on values that make them indispensable to each other.
Provide compassionate support and expert guidance to Medicaid recipients.
Address inquiries and resolve issues to impact the health and satisfaction of clients.
Join a dynamic team dedicated to making a difference in the lives of underserved communities.
Avesis has been providing essential ancillary benefit solutions since 1978. Today, their programs cover more than 8.5 million members throughout the country. They strive for excellence in all that they do and their benchmark performance in terms of member satisfaction and client retention underscores this singular focus.