Oversee and manage the CareConnect Clinical Triage and Treat team, ensuring timely, high-quality remote patient care 7 days a week.
Analyze operational data, lead performance improvement initiatives, and communicate staffing and operational needs to Market Leadership.
Provide backup clinical coverage and support recruitment, onboarding, training, and professional development of team members.
WellBe provides comprehensive healthcare services focused on helping patients lead healthier, more meaningful lives. They are a value-based care organization with a patient-first approach, operating across multiple states with a culture centered on teamwork and clinical excellence.
Lead and develop the Care Coordination team, ensuring SLA targets are met across all patient communication channels.
Oversee the high-volume inbound patient chat queue, establishing coverage models, escalation protocols, and quality standards.
Create and maintain conversation guides and coaching materials that equip Care Coordinators to educate patients on programs, insurance coverage, and care pathways.
Oshi Health is a virtual digestive health practice on a mission to transform GI care by combining compassionate, multidisciplinary care with innovative technology. They are a remote-first, mission-driven team focused on improving patient lives and transforming GI care.
Serve as both a practicing clinician and clinical leader, managing Clinical Leads and driving clinical quality and performance.
Chair the Credentialing Committee, act as a collaborating/supervising physician for nurse practitioners, and participate in direct patient care with a 1-in-2 on-call schedule.
Collaborate across Operations, Product, Engineering, Legal, and Compliance to support safe and effective AI integration into clinical care.
Curai Health is an AI-enabled, fully virtual medical group making high-quality, asynchronous primary care accessible at scale. They are a mission-driven team of talented colleagues committed to living their values and driving meaningful impact in healthcare.
Perform concurrent and retrospective reviews on all facility and appropriate home health services.
Monitor level and quality of care and proactively manage acutely and chronically ill patients.
Act as liaison to Plan Medical Director and coordinate interdisciplinary approach.
Curana Health is a national leader in value-based care for senior living communities and skilled nursing facilities. Founded in 2021, they serve 200,000+ seniors in 1,500+ communities across 32 states with a team of over 1,000 clinicians.
Must have at least 5 years' RN experience with current licensure, a bachelor's degree or equivalent, and at least 1 year of leadership with direct reports.
Responsible for overseeing RN denials management specialists, pre-bill utilization reviews, payer calls, workflow optimization, and collaboration with internal RCM teams.
Blends clinical expertise with revenue cycle management to protect the organization's bottom line, decrease A/R, and ensure compliance.
Banner Health is one of the largest nonprofit health care systems in the country, providing hospital services, primary care, research, and physician practices across multiple states. With 31 facilities and a focus on innovation, they recently earned Great Place To Work certification, reflecting their investment in employee happiness and fulfillment.
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.
Oversee operational excellence across Integrated Care services, leading a team of 10-12 direct reports.
Manage special projects and strategic initiatives from planning through execution.
Drive process optimization and continuous improvement to enhance efficiency and service quality.
The company provides integrated care services with a focus on behavioral health and human services. It is a large organization that fosters a mission-driven culture and values employee engagement.
Lead, coach, and develop a team of Engagement Specialists through regular feedback and performance management.
Conduct compassionate outreach to patients, explain services, and guide them through onboarding with accurate EHR documentation.
Oversee daily operations, optimize PRM workflows, and collaborate with clinical teams for seamless care transitions.
The employer is a mission-driven healthcare organization dedicated to improving access to behavioral health support for individuals navigating complex medical journeys. It is a fast-growing, startup-like company with a collaborative culture focused on continuous learning and innovation.
Develop and execute comprehensive GTM launch blueprint for all new and renewing value-based care contracts.
Construct explicit implementation timelines and operational workflows from signed contract to active status in the field.
Partner with Analytics, Outreach, Provider Networks, and Strategic Payer Partnerships to align priorities and execution.
Aledade, a public benefit corporation, empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.
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.
Collaborate with primary care providers to coordinate care for patients with multiple chronic conditions, ensuring high-quality care through telephonic and in-person outreach.
Conduct transitional care management including post-discharge follow-up and provide education on lifestyle coaching and dietary improvements.
Operate independently to achieve goals, attend regular care team meetings, and perform other duties as assigned.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups and health systems to optimize practices and improve patient care. The company is led by top industry talent and focuses on scalable operations and cloud-based technology to reduce healthcare costs and improve outcomes.
Lead execution and optimization of integrated clinical service operations across behavioral health, pharmacy, and nursing service lines.
Oversee workforce planning, capacity management, and performance tracking against key clinical and operational metrics.
Manage unit economics and translate growth strategies into operational roadmaps for new markets and payer partnerships.
Our partner is a mission-driven, high-growth healthcare organization focused on improving outcomes for complex patient populations through coordinated, value-based care. They operate in a fast-paced, remote-first environment with a strong focus on professional growth and cross-functional collaboration.
Lead and inspire a remote team of Nurse Practitioners across multiple states, ensuring high-quality patient care and compliance.
Oversee provider performance, documentation quality, and risk adjustment accuracy while fostering a supportive team culture.
Guide training, coaching, and development, collaborating cross-functionally to refine workflows and drive operational success.
Sprinter Health is an on-demand mobile health service that sends medical professionals to patients' homes for blood draws, diagnostics, and wellness visits. The company has a rapidly growing team of visionary leaders passionate about increasing access to care and lowering healthcare costs.
Lead and oversee the Group Health Operations Management team, ensuring effective execution of utilization management services and operational workflows.
Drive achievement of key client performance metrics, including turnaround time, quality indicators, peer-to-peer success rates, and overturn rates.
Manage overall division profitability, including ownership of P&L performance and financial objectives.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They operate remotely and emphasize efficient, data-driven hiring processes.
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.
Provide clinical and operational leadership to support timely, evidence-based coverage determinations in Utilization Management.
Coach reviewers on consistent application of medical-necessity criteria, medical policy, and benefit plan language.
Monitor daily workflow health, coordinate coverage plans, and communicate barriers and risks to the UM Manager.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. The company serves employers, health plans, and health systems with data-driven solutions and is on a mission to empower people to lead healthier lives.
Build meaningful relationships with patients and families to understand their goals and barriers.
Create personalized care plans addressing medical, behavioral, and social needs.
Coordinate care across providers and settings, ensuring safety, quality, and continuity.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to making great healthcare affordable and improving patient health. As a physician-led organization with a high degree of agility, it employs a remote team and fosters a collaborative, mission-driven culture focused on continuous learning.
Perform utilization review including precertification and concurrent reviews using medical necessity criteria.
Collaborate with medical directors and providers on complex cases and integrate AI tools into workflow.
Initiate referrals to disease management programs and participate in quality improvement initiatives.
Guidehealth is a data-powered healthcare company that uses AI and predictive analytics to improve healthcare affordability and patient outcomes. It is a physician-led organization with a culture of accountability, learning, innovation, and empathy.
Provide case management addressing medical, social, psychological, physical, and spiritual needs of members.
Develop, implement, and monitor care plans in collaboration with PCP, caregivers, and team members.
Ensure members' needs are met through coordinated care and support.
Elderplan offers Medicare and Medicaid managed care health plans designed to keep members independent and living life on their own terms. As part of MJHS, it is a supportive community committed to excellence, respect, and high-quality personalized health care services.
Coordinate care for adolescent and young adult patients, including outreach, chart scrubbing, and panel management.
Provide medical assistant duties and support the care team with referrals, follow-ups, and documentation.
Communicate with patients and families via phone, MyChart, and email to ensure compliance and care coordination.
Oregon Health & Science University is a public academic health center in Portland, Oregon, providing patient care, groundbreaking research, and training for healthcare professionals. It is the largest employer in Portland, operating hospitals and clinics across Oregon and Southwest Washington, and is committed to being an anti-racist, multicultural institution.