Owning client onboarding, operational support, and service delivery for assigned clients from go-live through steady state.
Managing delegated services including Eligibility, UM, PHM, Claims, Quality, CX, and Credentialing, ensuring compliance.
Tracking SLA performance, preparing report-outs, and serving as escalation owner for client operational issues.
Guidehealth is a data-powered healthcare company using AI and predictive analytics to make great healthcare affordable and improve patient outcomes. It is a physician-led, fully remote organization that values empathy, collaboration, and continuous learning.
Utilize Press Ganey and client data assets to consult with healthcare stakeholders on experience improvement and growth.
Partner with health plans and medical groups to conduct data analysis, interpretation, and process design to solve business problems.
Manage client relationships, prepare deliverables including data analyses, training, and presentations, and coordinate project activities.
Press Ganey is a leading experience measurement, data analytics, and insights provider for complex industries, helping organizations improve the human experiences at the heart of their business. The company has world-class talent, a collaborative work ethic, and a passion for the work, earning trusted advisor status among the world's most recognized brands.
Apply statistical, epidemiological, and econometric expertise to research and client deliverables.
Collaborate with cross-functional teams to analyze US healthcare datasets and create compelling, client-ready presentations.
Contribute to scientific publications, thought leadership, and business development while mentoring junior team members.
Avalere Health is a global healthcare advisory firm dedicated to ensuring every patient is identified, treated, and supported through advisory, medical, and marketing services. We have major hubs in London, Manchester, Washington DC, and New York, with a culture that emphasizes inclusion, flexibility, and professional growth.
Identify and investigate financial opportunities to improve margin performance and support sustainable operations.
Develop comparative methodologies, monitoring logic, and analytical tools to uncover performance gaps.
Translate complex financial data into actionable recommendations for operational leaders.
The company operates in the healthcare sector, focusing on financial sustainability and operational outcomes. It is a mission-driven organization with a collaborative culture that encourages continuous improvement and employee contributions.
Handle a wide range of analytic needs across internal teams and external clients, from quick questions to ongoing engagements.
Work with healthcare data, including claims and clinical sources, to build reliable, well-documented datasets and analyses.
Support value-based care initiatives by analyzing quality measures, risk adjustment, and cost-of-care trends.
Guidehealth is a data-powered healthcare company leveraging AI and predictive analytics to make healthcare affordable and improve patient outcomes. It is a growing, physician-led organization with a collaborative, mission-driven culture that values agility and continuous learning.
Build and maintain reporting on scheduled visits and show rates, segmented by various factors.
Analyze appointment, outreach, and attendance data to identify patterns in missed visits.
Develop dashboards and present findings to both technical and non-technical audiences.
CareTalk Health is a fully remote, nationwide virtual medical practice that partners with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. The company fosters a collaborative, cross-functional team environment and is an equal opportunity employer.
Serve as a strategic advisor to enterprise healthcare customers, building relationships with C-suite executives and driving outcomes, adoption, and growth.
Develop and execute account plans, lead executive business reviews, and identify improvement opportunities through data analysis.
Collaborate with internal teams and facilitate stakeholder collaboration to advance care coordination and network performance.
PointClickCare is a leading healthcare technology company that provides software solutions for care coordination across acute, post-acute, and payer settings. With a focus on value-based care, the company serves a large enterprise client base and fosters a culture of innovation and customer partnership.
Partner with Customer Success to deliver measurable 340B outcomes for a portfolio of clients.
Lead implementations, manage timelines, and ensure consistent execution across client workflows.
Analyze data to surface trends, optimize referral capture, and drive client performance.
NuvemRx helps community health providers simplify pharmacy operations with software, intelligence, and expert support. It is a fast-growing, mission-driven company that values ownership, collaboration, integrity, and service.
Cultivate deep understanding of clinical content and UM products to drive program effectiveness.
Lead clinical analytics projects with multi-disciplinary partners to build analytical solutions.
Independently conduct in-depth analyses using statistical modeling and data mining on healthcare data.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The company works with over 660,000 providers and handles over 12 million prior authorization requests annually.
Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the LTSS program.
Transform complex healthcare, operational, and financial data into actionable insights for program oversight and improvement.
Partner with cross-functional teams to monitor performance indicators, support compliance, and drive data-informed decisions.
The hiring partner is a healthcare organization supporting a large-scale Long-Term Services and Supports (LTSS) program. The role offers substantial autonomy and cross-functional collaboration in a fully remote environment.
Design and maintain complex financial models to track cost-saving initiatives and provide insights.
Perform advanced data analysis to assess prior authorization trends, claims trends, and cost drivers.
Lead post-implementation assessments to measure the impact of cost-saving initiatives and ensure sustainability.
Cohere Health's clinical intelligence platform and agentic AI-powered solutions optimize the speed, cost, and quality of care. The company is a growing organization with a supportive, growth-oriented environment and has been recognized as a top startup.
Actively assess health plan core administration and operations to identify root-cause drivers of cost, quality, and compliance gaps.
Translate findings into a future-state roadmap and business blueprint that positions BPaaS as a path to improved efficiency and compliance.
Quantify the opportunity with financial models (ROI, IRR, cost-benefit) and build the business case for operations leadership.
HealthEdge provides a BPaaS operating model for health plans to improve efficiency, compliance, and operational outcomes. The company operates remotely and values transformation expertise and collaborative advisory engagements.
Spearhead cross-functional projects driving Rula's growth, from strategic planning to operational execution.
Leverage analytical skills (Excel, SQL) to decompose problems and make data-driven recommendations.
Partner with senior leaders to align teams and ensure end-to-end project ownership for measurable impact.
Rula is a remote-first mental healthcare company dedicated to providing evidence-based and compassionate care. They aim to destigmatize mental health and empower individuals, hiring in most US states with a focus on diversity and inclusion.
Serve as a trusted advisor to strategic healthcare clients, building relationships and driving adoption.
Develop and implement customer success plans to ensure measurable outcomes and retention.
Analyze customer data to provide insights and drive product improvements.
Luma Health builds technology to simplify healthcare access and delivery. They are a growth company with a fast-paced startup environment that values inclusivity.
Drive development and implementation of data capture and analysis strategy from multiple sources.
Synthesize data to build evidence supporting clinical, financial, and operational strategy.
Lead cross-functional financial performance analyses and present actionable insights to leadership.
Dignity Health MSO provides managed care administrative and clinical services to medical groups and hospitals. As part of CommonSpirit Health, it focuses on improving population health and quality of care through data-driven strategies.
Lead strategic reviews and resolve operational frictions for top US health insurance clients.
Build relationships with client leaders in Claims, Quality, and Member Experience.
Collaborate with sales to identify expansion opportunities and maintain high Net Promoter Scores.
Smile Digital Health makes it easy for healthcare stakeholders to collect and exchange data with our leading FHIR-based data liberation platform. We were #19 on Deloitte's Technology Fast 50 Ranking for 2024, and our solutions are used in over 20 countries.
Assess client needs and teach them their options while maintaining the relationship after the first meeting.
Handle administrative tasks such as notes, appointments, and CRM hygiene.
Work from home with no cold calling and a qualified-interest pipeline.
Global Elite Empire Consultants is a consulting firm that specializes in needs analysis and client education. The company operates with a performance-driven culture, offering full training and remote work opportunities.
Lead complex analyses across Care Operations to identify trends and drive actionable strategies.
Monitor business performance and KPIs to proactively identify risks and opportunities.
Partner with cross-functional teams to translate operational insights into product and process improvements.
Hims & Hers is the leading health and wellness platform on a mission to help people feel great through better health. The company is publicly traded and fosters a talent-first flexible/remote work culture.
Turn every customer message into clear, owned, and due-dated work using an internal scoping process.
Reproduce data and metric issues, gather evidence, and resolve directly or hand Engineering a clean, actionable ticket.
Monitor account KPIs, product usage, and trends to identify low engagement, risks, and opportunities for proactive follow-up.
Kairon is the execution layer for healthcare, turning fragmented claims and clinical data into workflows for ACOs and health networks to capture shared savings. We are a seed-stage team of under 10, AI-native by construction, working with live customers managing real patient populations.
Analyze complex healthcare claims and eligibility data to identify trends, anomalies, and opportunities for improvement.
Develop and maintain dashboards using Tableau, Power BI, or QlikView to provide clear insights for business decisions.
Collaborate with cross-functional teams to translate business questions into analytical solutions and present findings to non-technical audiences.
This company specializes in healthcare data analytics, turning complex claims and eligibility data into actionable insights. The size and culture of the organization are not disclosed in the posting.