Serve as a key team member across multiple projects on topics that include payer strategy, process improvement, compliance, quality, and evidence generation.
Conduct qualitative and quantitative research on a diverse array of healthcare issues.
Translate research into actionable business insights for health plans, including through strategic roadmaps, presentations, white papers, and workshops.
Execute data analysis of trends and strategic opportunities for quality improvement across Aledade’s value based care portfolio.
Track key performance indicators (KPIs) relating to risk, quality, and affordability for all health plan payer contracts.
Support ad-hoc reporting and data analysis requests for field teams specifically relating to MSSP.
Aledade empowers independent primary care practices to succeed in value-based care. Founded in 2014, they've become the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Partner with the Sir Dir of CSPBD to develop and drive the company’s long range strategy process.
Support the enterprise-level integrated planning process, including assessing competitive landscapes.
Identify and execute on deals and novel partnerships that advance our business objectives.
Omada Health inspires and engages people in lifelong health, one step at a time. They have over a decade of experience and data, and 29 peer-reviewed publications showcasing clinical and economic proof points. Omada strives to build an inclusive culture where differences are celebrated.
Conduct outreach to providers to gather accurate pricing and market data.
Become an expert in the provider landscape for your assigned market or service category.
Build and maintain comprehensive provider guides that support internal teams and member-facing resources.
Sidecar Health is redefining health insurance with a mission to make excellent healthcare affordable and attainable. The company is made of passionate people from various backgrounds, united by the desire to fix the healthcare system.
Provides policy expertise related to systems or products.
Communicates Medicaid program insight to UX researchers and designers.
Analyzes laws and policy documents and explains their impact.
A1M Solutions is a woman-owned small business focused on providing value to customers, employees, partners, and the community, while remaining aligned to its guiding principles. A1M’s mission is to preserve and improve government healthcare programs for underserved people in the United States, focusing on projects with nation-wide impact at the intersection of policy, data, and user experience design.
Source, interpret, and scope new payment integrity policies.
Prioritize policy updates based on savings potential and client impact.
Quantify and communicate policy value through data-driven analysis.
Rialtic, Inc. focuses on healthcare payment expertise, client strategy, and product innovation. They seem to have a culture that values collaboration and impact, although the job post doesn't specify size/employees.
Lead payer-focused marketing initiatives to improve reach and pipeline performance.
Build understanding of payer partners' business models to inform GTM strategies.
Partner with marketing to elevate Maven’s relevance in the payer market.
Maven is the world's largest virtual clinic for women and families, dedicated to making healthcare accessible for all. With over 2,000 employers and health plans trusting their platform, Maven provides clinical, emotional, and financial support through innovative digital programs.
Implementing HEOR strategy, aligned with the Access Strategy Lead (ASL), for assets across the life cycle.
Generating payer-relevant evidence, patient reported outcomes (PRO) and economic models.
Maintaining strong working relationships with top-10 countries, including the United States.
Amgen discovers, develops, manufactures, and delivers innovative human therapeutics for patients suffering from serious illnesses. They are a biotechnology pioneer since 1980 and has grown to be one of the world's leading independent biotechnology companies.
Serve as the executive source and day-to-day contact from Modern Health to executive-level stakeholders, subject matter experts, and lead consultants at our partners
Support the growth of Modern Health by driving qualified opportunities from Consultant Partners to the Sales team
Build, customize and present our solutions and capabilities, and expand the broader conversation around mental health strategies with key innovation leaders in the benefits broker space
Modern Health is a mental health benefits platform for employers, offering access to resources for emotional, professional, social, financial, and physical well-being. They are a fully remote workforce that has raised more than $170 million in less than two years, and are known for their unique culture centered around empathy and accountability.
Provides complex compensation support to leadership for assigned areas.
Designs and implements market competitive pay solutions, strategies and programs.
Conducts benchmarking and data analysis to formulate recommendations for legally compliant compensation programs.
Legacy Health is a non-profit health system serving the Portland-Southwest Washington and mid-Willamette Valley areas. They have six hospitals, more than 70 primary care, specialty and urgent care clinics, and employ nearly 3,000 doctors and providers and more than 13,000 employees. The People & Culture organization prioritizes people so that they can prioritize patients, fostering a spirit of curiosity and innovation.
Answer a high volume of inbound calls and chats from members, providers, and vendors.
Own the member's journey, including researching and resolving complex cases.
Explain all available benefits and help members understand their healthcare options.
Included Health delivers integrated virtual care and navigation. They break down barriers to provide high-quality care for every person, offering care guidance, advocacy, and access to personalized virtual and in-person care. They are an equal opportunity employer.
Develop and implement strategy for Commercial and Medicaid contracts.
Lead and develop Managers/Sr. Managers, driving operational excellence.
Establish strong relationships with payer partners to ensure deliverables are met.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they've grown into the largest network of independent primary care in the US, fostering a collaborative, inclusive, and remote-first culture.
Lead consultative sales processes with companies navigating complex benefits needs.
Act as a trusted advisor to executive-level buyers, aligning their needs to Thatch’s solutions.
Build relationships with existing and new broker partners across the East Coast.
Thatch is an early-stage company revolutionizing American healthcare using technology. As a fully distributed company, they foster a happy, friendly, and high-velocity team environment.
The Payer Partnerships Lead will oversee the development, execution, and refinement of Trial Library's payer vertical strategy, owning the go-to-market motion for health plans and other entities. This role involves defining and executing the payer go-to-market strategy, leading end-to-end partnerships, and developing value propositions for payers and employers. The lead will also oversee partnership activities, collaborate with cross-functional teams, and establish KPIs to measure success with payer partners.
Trial Library is a mission-driven health technology company dedicated to improving health equity in cancer care by expanding access to precision medicine through clinical trials.
Cultivate a deep understanding of clinical content and use analytics to produce insights.
Build and maintain analytical and reporting solutions to support strategy and program decision making.
Identify optimization opportunities using statistical analysis and data mining methods.
Cohere Health's clinical intelligence platform delivers AI-powered solutions. They streamline access to quality care by improving payer-provider collaboration and cost containment. The company works with over 660,000 providers and handles over 12 million prior authorization requests annually.
Deliver comprehensive care navigation and access support for Sana members, ensuring they receive the right care at the right time, place, and cost.
Collaborate with cross-functional teams, including our virtual care practice and customer support, to provide seamless care navigation services.
Educate members on their care referral options, empowering them to make informed healthcare decisions.
Sana Benefits is building affordable health plans designed around Sana Care, their integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. They've compiled an innovative team with top talent from across the healthcare and technology industries to deliver engaging, modern, concierge-style healthcare for their members.
The Director will manage strategic payer portfolios, build relationships with payer partners, and contribute to health plan contracting for value-based contracts. Develop and lead a team for strong execution and effective storytelling with data. Influence collaboration with internal and external stakeholders.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care arrangements.
Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
Develop strategies to improve health plan performance, operational efficiency, and payer experience.
Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.
Develop a strong understanding of client business and communication needs.
Translate research and data into clear implications and strategic recommendations.
Present strategic recommendations and research takeaways to internal teams and clients.
P10 was born of the idea that if something isn’t working—or could work better—change it, meaning they are not another agency but driven by palpable passion.