Work in a partially remote environment, collaborating with team members virtually each day.
Serve as a Subject Matter Expert (SME) on quality improvement measures, customer needs, and payer‑specific quality initiatives across commercial and government programs.
Conduct proactive patient outreach to identify and close quality gaps—educating patients, scheduling screenings, supporting treatment plan adherence, and improving outcomes.
Strengthening the connection between the patient and their primary care physician/medical practice staff, as well as improving the patient’s health and well-being.
Engaging patients and helping them navigate their care, solve their healthcare issues, and improves communication with their medical practice.
Assisting the patient in achieving better health outcomes by addressing their questions and concerns, connecting them with the medical practice.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Their goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Responsible for serving as the connector between patients, provider practices, and internal teams to identify, manage, and close quality gaps.
Manages a defined patient and provider panel, delivers actionable performance insights, and drives improvement across HEDIS and Medicare Stars measures.
Effective across patient engagement, provider coaching, workflow optimization, and cross functional teamwork.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.
Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
Support for the development and deployment of audit procedures applied to payer data sets.
Partner across teams and with payers to resolve data discrepancies.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Enhance healthcare quality by overseeing performance improvement initiatives.
Ensure compliance with regulations and support data analysis.
Monitor quality metrics and drive projects to improve healthcare outcomes.
Jobgether is a platform that connects job seekers with potential employers, using AI to match candidates with roles. They focus on ensuring applications are reviewed fairly and efficiently.
Support the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program.
Provide hands-on technical assistance and quality improvement (QI) support to healthcare providers.
Collaborate with providers to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs).
Health Services Advisory Group (HSAG) is dedicated to transforming healthcare delivery in the United States. They are a growing team focused on improving healthcare quality, safety, and outcomes.
Assisting with provider credentialing by collecting documentation, entering provider data, submitting required materials to the health plan, tracking completion, and updating internal records.
Maintaining and updating provider records from various sources in internal systems to ensure accuracy and completeness.
Supporting reporting requirements, including completing health plan reports on assigned schedules.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine for providers. Powered by AI and Healthguides™, Guidehealth builds connections with patients and providers.
Take inbound calls from patients, providers and members
Support members with their insurance needs, questions or concerns
Answer inquiries on benefit claims, appeals, and authorizations
Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.
Working with a team of Intake Coordinators and Utilization Review Nurses to ensure quality and timely determinations.
Striving for continuous improvement and an excellent work-life balance to produce top-notch results.
Coordinating and providing care management that is timely, effective, efficient, equitable, safe, and member centered.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers.
Provide high-quality, evidence-based primary care via telehealth.
Help establish and maintain a QA program.
Serve as a Pod Lead for a group of clinicians.
Vitable is a health benefits platform that makes healthcare better for employers of everyday workers, bringing accessible, high-quality care to millions. They are growing rapidly and looking for eager team members who are hungry for change and passionate about delivering better care.
Regularly monitor and conduct evaluations of interactions.
Provide in-the-moment coaching to Advocates to improve their performance.
Ivy Rehab provides world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Their culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient.
Serve as primary contact for patients, families, and providers
Schedule and coordinate medical appointments
Manage patient documentation and EMR updates
Pine Park Health is a value-based primary care practice redesigning how residents of senior living communities get or stay healthy and lead a life they love. They aim to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved.
Conduct thorough research on attributed patients to better understand their healthcare needs and utilization.
Perform telephonic outreach to the caregivers of attributed patients with the goal of enrolling their child in care and ensuring a seamless onboarding experience.
Collaborate with Provider Engagement Specialists to conduct embedded outreach to support the enrollment process.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that reimagines care for children with special health care needs. They deliver 24/7 virtual-first and in-home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care.
Manage 100+ outbound and inbound calls to and from our members in a timely manner.
Deliver effective and enthusiastic communication to encourage and motivate potential members to utilize services.
Provide concierge level service with every member we connect with and establish a successful rapport to instill trust.
Transcarent is the One Place for Health and Care that brings medical, pharmacy, and point solutions together with a WayFinding experience, a generative AI-powered health and care platform. More than 1,700 employers and health plans rely on them to provide information, guidance, and care to 21 million Members.
As the first point of contact, you'll assist patients and providers.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They aim to set the standard for the industry and help patients live their best lives and is committed to diversity, equity, and inclusion.
Provide accurate assistance to support the administrative needs of Brokers and Admins across phone and email.
Assist with the administrative side of onboarding and system needs for new and renewing Sana plans.
Address and resolve complaints or problems, such as billing discrepancies and coverage denials.
Sana is a health plan solution built for small and midsize businesses — designed around their integrated primary care service, Sana Care. They've been remote-first since day one, with a fully distributed team across the U.S., and value curiosity, ownership, and speed—building in the open, together.
Provide top-tier administrative support across Clinical, Regulatory and Safety and Quality teams.
Collaborate with a passionate team to drive impactful projects, manage exciting events, and support diverse activities.
Ensure excellence and quality, helping create a culture of innovation and continuous improvement.
PortmanDentex is a leading dental group where skills and ambitions make a real difference. They support over 370 practices across the UK and Ireland and are united by a passion for great dentistry, putting patients first, and helping each other grow both at work and beyond.
Connect with patients on the Medsien platform, build rapport quickly, and communicate program benefits with clarity and empathy.
Listen to patient concerns, handle objections with compassion, and help them feel supported as you guide patients step-by-step through the enrollment process with patience and professionalism.
Manage your patient call pipeline, follow up as needed to ensure smooth enrollment, accurately document all interactions and outcomes in Medsien’s systems, and collaborate with the clinical operations team to ensure patients are welcomed into ongoing care programs.
Medsien is transforming how healthcare is delivered beyond the hospital walls. They are the leading provider of scalable Remote Care Management solutions, blending innovative technology with compassionate human connection and help providers offer continuous, proactive care to patients with chronic conditions.
Evaluates certification requests by reviewing group specific requirements.
Triage the call to determine if a Utilization Review Nurse is needed.
Cottingham & Butler sells a promise to help clients through life’s toughest moments by hiring, training, and growing the best professionals. The company culture is guided by the theme of “better every day” constantly pushing themselves to be better than yesterday.
Serve as primary contact for patients, families, and providers.
Schedule and coordinate medical appointments; manage patient documentation and EMR updates.
Process urgent care calls and STAT tasks; participate in mandatory after-hours shift rotation.
Pine Park Health is a value-based primary care practice redesigning how residents of senior living communities get or stay healthy and lead a life they love. They aim to dramatically improve healthcare for seniors by building a new model of care designed around everyone involved. They work with over 185 communities across Arizona, California, and Nevada.
Team members will perform outbound calls to enroll the person into their food box program or to reauthorize the person into the program.
Have a passion for helping members make decisions that will enhance their healthcare experience
You will be making a difference in someone’s life!
Carenet Health has pioneered advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.