Supervise daily revenue recovery team activities to ensure SLAs, quality, and performance goals are met.
Lead, coach, and mentor team members to strengthen capabilities and support professional growth.
Monitor operational metrics, prepare reports, and identify opportunities to reduce risk and improve processes.
The company provides healthcare revenue recovery and operational performance improvement services. It fosters a collaborative culture focused on innovation, inclusion, and employee development.
Lead the strategic development and optimization of physician and APP compensation programs and contracting processes.
Oversee quality assurance, fair market value assessments, and compliance with regulatory requirements.
Collaborate with executive leaders and cross-functional teams to resolve complex workforce and financial challenges.
The partner company is a healthcare organization that specializes in physician and APP compensation and contracting. It offers a supportive and collaborative work environment focused on employee well-being and professional growth.
Lead managers and supervisors responsible for member enrollment and billing operations.
Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.
Sutherland leverages artificial intelligence, automation, and cloud engineering to drive digital transformation for iconic brands. With over 200 patents and a focus on human-machine collaboration, the company delivers measurable results through a seamless 'as a service' model.
Lead strategic initiatives to improve STARS, CAHPS, PWP, and HEDIS performance across the health plan.
Manage a team of 3-6 direct reports and collaborate with cross-functional teams.
Design and evaluate outreach programs to enhance member experience and close care gaps.
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. It is part of Sentara Health, a not-for-profit integrated healthcare provider with nearly 30,000 employees and a family-friendly culture.
Lead daily enrollment and billing cash operations, ensuring accurate payment posting and strong accounts receivable performance.
Coach, mentor, and develop team members through regular feedback, training, and performance management.
Partner with internal teams, payers, and vendors to improve workflows, reduce issues, and enhance service delivery.
Our partner is a healthcare organization focused on improving financial operations and patient outcomes. They foster a supportive, remote-first environment with a collaborative culture and commitment to employee well-being.
Oversee daily operations of the revenue recovery team to ensure accurate resolution of claims and reimbursement issues.
Monitor team performance, prepare reports for leadership, and collaborate with compliance, finance, and payer representatives.
Develop policies, provide training and mentorship, and lead initiatives to improve efficiency and reduce risk.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They are a five-time winner of "Best in KLAS" and have been recognized as a Great Place to Work, with a culture rooted in collaboration, growth, and innovation.
Lead execution of Medicaid contracts with PBMs, coordinating with Marketing, Finance, and Area Access teams.
Serve as subject matter expert for Medicaid legislation and develop strategies balancing patient access and business goals.
Proactively identify risks and opportunities, and build standardized dashboards to ensure contract compliance.
AbbVie discovers and delivers innovative medicines and solutions to address serious health issues across immunology, oncology, neuroscience, and aesthetics. As a large global biopharmaceutical company, they foster a collaborative culture focused on innovation and patient impact.
Lead the care, case, and utilization management programs, setting clinical direction and owning performance targets.
Evolve clinical operating models and partner with Product and Engineering to integrate AI tools into workflows.
Manage, develop, and retain clinical leaders while collaborating cross-functionally to coordinate care for members.
Included Health is a healthcare company delivering integrated virtual care and navigation. They are on a mission to raise the standard of healthcare for everyone, with a remote-first culture and a focus on breaking down barriers to high-quality care.
Lead and coach a team of Patient Access Case Managers to achieve departmental KPIs and service levels.
Oversee daily operations, coordinate with vendors and internal teams, and ensure compliance with reimbursement workflows.
Drive process improvements, develop training materials, and foster a patient-focused culture.
Noctrix Health develops clinically validated therapeutic wearables for chronic neurological disorders. Their team combines medical device specialists, neuroscientists, and engineers to deliver prescription-grade, drug-free therapy.
Lead clinical performance and drive quality outcomes across assigned ACOs, aligning with national strategy on value-based care initiatives.
Serve as a national clinical champion, influencing best practices and workflows for hypertension and risk management among partner practices.
Act as a thought partner to market leadership, contributing to growth and policy initiatives while representing the clinical voice in strategic workgroups.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, we are the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Oversee the execution of complex technical assistance contracts, ensuring all deliverables and milestones are met on time and within scope.
Design and implement a centralized delivery model, including governance, intake, triage, and operational workflows.
Drive cross-functional collaboration and continuous improvement initiatives to enhance service quality and scalability.
This partner company delivers large-scale technical assistance programs that strengthen healthcare organizations and improve community outcomes. They foster a collaborative, mission-driven culture focused on innovation and continuous improvement.
Lead digital application strategies to improve patient outcomes and operational performance.
Oversee implementation, integration, and support of applications like Epic Ambulatory and Healthy Planet.
Manage budgets, vendor relationships, and ensure compliance with healthcare regulations like HIPAA.
Emory Healthcare is a leading healthcare system affiliated with Emory University, focused on providing comprehensive medical care and improving patient outcomes. It employs over 24,000 people and fosters a culture of support, ongoing mentorship, and leadership development.
Lead one or more client policy initiatives with a team, including policy analysis, client communications, and project tracking.
Drive your development through an annual growth process in partnership with your supervisor and the learning and development team.
Participate in new business development through research, proposal content, and marketing materials.
BerryDunn is a professional services firm that has helped businesses, nonprofits, and government agencies since 1974. The firm is client-centered and people-first, with a focus on learning, development, and well-being, and has been recognized for its diverse and inclusive workplace culture.
Lead a high-performing team responsible for scheduling, patient communications, and call center operations.
Develop scalable workflows and monitor operational KPIs to ensure operational excellence.
Partner cross-functionally with clinical, product, and operations teams to improve patient experience and drive continuous improvement.
Heartbeat Health is revolutionizing cardiovascular care delivery with a remote-first, high-autonomy team. They are a small, lean, and mission-driven company focused on improving patient experience through operational excellence.
Oversee specialized teams supporting revenue integrity ROI activities, ensuring compliance with policies and timely completion.
Act as liaison between MRO and client audit and PFS leaders, managing workflow and client relationships.
Manage labor and expenditures to budget, and conduct performance reviews for direct reports and area managers.
MRO is the industry leader in Release of Information (ROI) and Health Information Management (HIM) services, partnering with hospitals and health systems nationwide. The company emphasizes compliance, operational excellence, and client-focused service.
Shape the strategy and operational performance of a large Patient Service Center organization.
Oversee complex services spanning patient access, contact center operations, data management, reimbursement, education, and copay assistance.
Lead innovation, strengthen operational excellence, and develop high-performing teams in a fully remote U.S. role.
Jobgether is a recruitment platform using AI-powered matching to streamline job applications. The company focuses on efficient, objective candidate screening and partners with hiring companies to manage the hiring process.
Provide strategic leadership and operational oversight for care management functions across the assigned region.
Ensure alignment with systemwide standards and regulatory requirements for hospital Care Management.
Collaborate with leadership to formulate strategies that drive organizational objectives and patient-centered outcomes.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services through a network of hospitals, clinics, and care sites across 24 states. With over 157,000 employees and 25,000 physicians, it is one of the largest nonprofit healthcare systems, committed to creating a more just and equitable healthcare delivery system.
Provides oversight of coding teams, holding them accountable to enterprise established KPIs, including DNFC.
Manages staff to ensure coding team meets productivity and quality standards, developing performance improvement plans as needed.
Acts as a liaison between CDI, physicians, clinical quality, and patient financial services to ensure accuracy and integrity of inpatient medical records.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, it has more than 157,000 employees and operates across 24 states, delivering over 20 million patient encounters annually.
Lead the sales and account management strategy for the Under 100 commercial market, including Small Group and Large Group segments.
Drive new business growth, membership retention, and enrollment targets while ensuring strong broker and customer experience.
Oversee direct reports, including Account Executives and general agents, and collaborate cross-functionally to execute sales strategy.
Blue Cross & Blue Shield of Rhode Island is a health insurance company dedicated to providing high-quality, affordable care to Rhode Islanders. They foster a culture of belonging with a diverse workforce and offer flexible work arrangements, while actively engaging in community service.
Oversee multiple functional areas within the RCM department including scheduling, eligibility, prior authorizations, and billing.
Review daily and monthly performance metrics to ensure service level agreements are met.
Collaborate with regional and line management to provide seamless interface with patients and external customers.
Hanger, Inc. is the world's premier provider of orthotic and prosthetic (O&P) services and products, offering advanced O&P solutions and clinically differentiated programs. With 160 years of clinical excellence, Hanger's employees touch thousands of lives daily, helping people achieve new levels of mobility and freedom.