Coordinate end-to-end provider onboarding and offboarding processes, managing cross-functional tasks and deliverables to ensure a seamless provider experience.
Develop and maintain standardized workflows and documentation, collaborating with compliance, training, and communications teams to support regulatory adherence and operational readiness.
Serve as a subject matter expert for system modernization, process improvement, and project risk management to enhance provider lifecycle management and satisfaction.
Own and lead the end-to-end provider strategy for the Northeast market.
Act as the primary voice of the market and provider network, translating on-the-ground insights.
Define, track, and continuously evolve key operational KPIs.
RightMove is redefining how value-based musculoskeletal (MSK) care is delivered in partnership with the Hospital for Special Surgery (HSS). They partner with PCPs, Orthopedic specialists, and health plans to deliver high-value, patient-centered MSK care and are a startup with enterprise-grade rigor.
Recruit and contract Medicare-compliant physicians and ancillary healthcare providers within assigned geographies to build a network ensuring care access for seniors.
Clearly communicate contract terms, payment structures, and reimbursement rates to prospective and existing network providers while maintaining up-to-date documentation in tracking systems.
Build and sustain productive, long-term relationships with provider partners, aligning contracting activities with departmental strategy and organizational objectives.
Curana Health is a national leader in value-based senior healthcare, offering on-site primary care, Accountable Care Organizations, and Medicare Advantage plans to senior living communities. The company has over 1,000 clinicians and professionals serving more than 200,000 seniors across 32 states with a collaborative mission to improve health outcomes.
Define and execute the long-term vision for credentialing and enrollment, transitioning from manual processes to a tech-enabled, scalable operation.
Oversee the end-to-end enrollment process for Medicare, Medicaid, and Commercial payers. Be the primary liaison for enterprise contract activations.
Lead the internal Credentialing Committee, presenting provider files and ensuring all primary source verifications (NPDB, OIG, SAM) are flawless.
Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Their platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. At Foodsmart, their mission is to make nutritious food accessible and affordable for everyone, regardless of economic status.
Own the full implementation process from contract signing to post-launch stabilization, developing customized launch plans.
Educate frontline care staff on Meela’s value and how to champion it with residents and families.
Track adoption metrics and act on findings, flagging issues early and working cross-functionally to resolve them.
Meela builds phone-based AI tools for older adults and their caregivers, addressing loneliness and caregiver burnout. They are backed by tier-one venture capital and live in senior living communities across the U.S., with a focus on scaling responsibly and improving the product in partnership with users.
Supervise, train, and support provider enrollment staff responsible for licensing, credentialing, and payer enrollment activities.
Monitor work quality and quantity, develop performance standards, and conduct audits on specific accounts or individual work.
Interpret complex healthcare regulations and draft departmental processes while managing employee relations, schedules, and performance reviews.
Ventra Health is a leading business solutions provider specializing in Revenue Cycle Management for facility-based physicians in fields like anesthesia and emergency medicine. The company partners with practices and hospitals to deliver transparent, data-driven financial solutions, fostering a culturally diverse and inclusive workplace where mutual respect is paramount.
Own the end-to-end credentialing and payer enrollment process for behavioral health providers across multiple states.
Manage internal credentialing onboarding for newly hired providers by collecting and validating required documentation.
Design and maintain credentialing and enrollment tracking systems to monitor application status, renewal timeliness, and enrollment milestones as the company scales.
Willow Health aims to significantly improve the mental health care experience by expanding affordable access to high-quality, evidence-based intensive behavioral health care. The co-founding team of Cityblock and Oscar alums has two decades of collective experience working in healthcare and healthcare tech, and they are backed by Andreessen Horowitz.
Own the successful execution of implementation projects.
Collaborate with customers to gather requirements and align on the solution design.
Serve as a product expert to customers and internal teams.
Radicle Health offers human services software products designed to foster collaboration and innovation, helping organizations better serve their communities. They have a home for mission-driven products that support organizations in delivering essential services, where teams learn from each other and test ideas faster.
Lead the full lifecycle of new business implementation, from contract close through the first 12 months of delivery.
Develop and manage comprehensive implementation plans, covering the first 12 months post-contract execution, ensuring actionable plans are executed with precision.
Serve as the central point of coordination across internal teams, funders, and stakeholders, ensuring a seamless transition from sales to operations.
The American Heart Association is dedicated to fighting cardiovascular diseases and strokes. With over 100 years of experience, they focus on driving breakthroughs in science, policy, and care to build healthier communities.
Own critical components of the provider lifecycle, driving readiness to see members on the platform and scalable growth.
Identify bottlenecks and implement improvements that accelerate time-to-platform and strengthen provider engagement.
Improve systems and workflows through automation and process design, reducing manual work and operational risk.
Maven is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. With over 2,000 employers and health plans as clients, Maven provides comprehensive support spanning fertility, maternity, parenting, and menopause. He fosters an award-winning culture.
Primary owner of imaging center relationships after contract signing.
Lead onboarding, drive engagement, and manage Single Case Agreements (SCAs).
Resolve complex issues across scheduling, billing, and referral workflows.
Scan.com is a digital health scale-up that makes diagnostics accessible, fast, and transparent. Their technology speeds up diagnoses for timely treatments, improving healthcare outcomes for hundreds of patients each day. The company has raised over $70m in VC funding, reached profitability, and has a growth trajectory of over 100% YoY.
Manage multiple software implementation projects, owning client onboarding from sales to full product use to ensure timely, in-scope, and budget-conscious delivery.
Serve as a product expert, configuring solutions, testing functionality, and providing best-practice consultation to customers and internal teams like Customer Success and Sales.
Build strong client relationships through proactive risk mitigation, regular check-ins for feedback, and process improvement to refine onboarding and contribute to product development.
Radicle Health is a collection of human services software products designed to foster collaboration and innovation, helping organizations better serve their communities. It is a home for mission-driven products where teams learn from each other and think holistically about the individuals and communities served.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Oversee daily operations and performance of Provider Enrollment Specialists.
Monitor team performance against standards and address gaps.
Provide coaching and development to strengthen team capability.
EnableComp provides specialty revenue cycle management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability. They are a multi-year recipient of the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Coordinate the end-to-end medical provider enrollment process.
Prepare and submit enrollment applications to Medicare, Medicaid, and other payers.
Maintain accurate provider data within internal systems to ensure consistency.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults through value-based care. Founded in 2021, it has quickly grown to serve over 200,000 seniors in 1,500+ communities across 32 states with a team of 1,000+ clinicians and other professionals.
Own the education process and provider relationship for assigned client organizations.
Contribute to improving the Provider Success team operations by identifying inefficiencies.
Ensure an outstanding experience with Regard, working closely with multiple teams.
Regard is an AI-powered Proactive Documentation platform that advances how care is delivered by reviewing all patient data in the EHR to recommend diagnoses and surface clinical evidence. They work closely with some of the top health systems in the country and are leading the change that healthcare needs.
Drive the high-level project lifecycle, ensuring workstreams are sequenced correctly.
Facilitate the "handshake" between departments, ensuring alignment.
Consolidate status updates and escalate critical risks to the Account Lead and stakeholders.
Imagen Technologies is building the AI-enabled teleradiology practice of the future. They operate the first vertically integrated medical practice and AI development platform focused on reducing diagnostic error. With over $200 million in funding from investors, they are rapidly expanding this platform across the U.S. and are the fastest-growing teleradiology group in the U.S.
Provide project management and subject matter expertise to help Medicaid agencies design, develop, and implement waiver and state plan amendments.
Build relationships and communicate project status with client contacts, stakeholders, federal partners, and vendor contacts.
Oversee and mentor junior staff while participating in business development activities like writing blog posts and reviewing RFPs.
BerryDunn is a professional services firm providing tax, advisory, and consulting services to businesses, nonprofits, and government agencies. It is a client-centered, people-first firm recognized for its diverse, inclusive culture and focus on learning, development, and well-being.
Lead the implementation experience for add-on customers.
Identify and mitigate risks throughout the implementation project.
Keep customers informed about the progress of their implementation.
RealPage provides software and data analytics to the real estate industry. They are committed to creating an inclusive environment for all employees and offer professional development opportunities.
Oversee initial implementation and support ongoing management of new and existing Strategic Health Plan Alliances.
Work hand in hand with the Strategic Alliance Manager to support go to market efforts and ensure ongoing execution success.
Conduct regular business reviews with health plan partners and internal stakeholders to assess progress against plans.
Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. They strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions.