Supervise daily activities of QA specialists across multiple operational areas.
Review completed audits for accuracy and consistency.
Conduct calibration sessions to ensure scoring alignment.
Machinify is a leading healthcare intelligence company delivering unmatched value, transparency, and efficiency to health plan clients. They are deployed by over 85 health plans and are reimagining what’s possible in the industry to maximize financial outcomes and drive down healthcare costs.
Supervise day-to-day operations of assigned Utilization Management staff.
Provide full people management for assigned Utilization Management teams, including hiring and performance management.
Drive team performance against key metrics, including engagement, productivity, and quality scores.
Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.
Lead, manage, and hold accountable the team of GUIDE Program Coordinators.
Own day-to-day compliance with the CMS GUIDE Model, ensuring eligibility and alignment.
Monitor and operationalize new and updated CMS GUIDE rules into clear workflows.
Ceresti Health provides personalized coaching, care coordination, and care planning to families. They are a quickly scaling company, focused on innovation and supporting caregivers of people living with dementia.
Own clinical quality strategy for a rapidly scaling network spanning 20+ states, 400+ clinicians, and multiple care models.
Build clinical compliance policy infrastructure that anticipates growth rather than reacts to it.
Lead and develop a team that grows with the organization.
Cartwheel builds a new kind of mental health program for kids that puts schools at the center, supporting school staff. They are an early-stage company backed by top investors and looking for mission-driven teammates.
Oversee data infrastructure and systems, ensuring integrity and supporting evolving operational and contractual requirements.
Lead data analysis, visualization, and reporting, translating complex findings into actionable insights for stakeholders.
Supervise the CQI Specialist, provide team leadership, and build data capacity through training and fostering a data-informed culture.
Postpartum Support International promotes awareness, prevention, and treatment of mental health issues related to childbearing. It is a dedicated and passionate non-profit organization that supports families, trains providers, and connects families to informed resources.
Support daily pharmacy operational workflows and administrative tasks to ensure timely and accurate prescription processing.
Provide frontline operational support to clinicians and internal teams for routine pharmacy workflow questions and requests.
Collaborate with the CX team to assist with basic prescription-related member issues and inquiries.
Lifeforce is the world's largest longevity medicine program. They bring together diagnostics, clinical experts, health coaches, and customized protocols to help people understand and optimize their bodies, functioning now and decades to come. They seem to have a modern and proactive company culture.
Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.
They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.
Monitor the shared HR inbox and respond to routine employee questions.
Process new hire records, terminations, and standard employee updates.
Maintain electronic and physical employee files in compliance with retention requirements.
The Princeton Review is a leading tutoring, test prep, and college admission services company. Every year, it helps millions of students achieve their education and career goals through online and in-person courses. The company is headquartered in New York, NY.
Drive quality, safety, and compliance through systems by identifying issues and implementing process improvements.
Execute order management and EMR workflows by reviewing and approving new orders and supporting clinical escalations.
Manage end-of-episode processes, hospital holds, and monitor patient status and quality compliance through dashboards and alerts.
They are building an AI-native physical care platform to fix US healthcare, starting with home health. The company has assembled a team of AI experts from leading firms and paired them with healthcare veterans to operate at the speed of an AI company.
Directly lead and manage a team of Patient Support Associates to ensure medication adherence or timely prior authorization.
Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
Shields Health Solutions is a specialty pharmacy management service provider. They are a fast-growing company that values motivated self-starters with a positive outlook and a focus on high-quality work.
Ensure compliance with company policies and regulatory requirements.
Maintain accurate and detailed records of all account documentation.
Coordinate with the VCC Support teams for remote technical support, downtime reporting.
Verra Mobility is a company that focuses on high performance and breakthrough outcomes. The company values integrity, courage, collaboration, and growth, fostering an engaging work environment.
Zus is a shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data via API, embedded components, and direct EHR integrations. They are determined to help change the world and have fun doing it.
Oversee prior authorization technicians and administrative PA functions.
Analyze data and provide staffing, workflow, and system enhancement recommendations.
Investigate/resolve escalated issues from clients and providers.
Judi Health is an enterprise health technology company providing a suite of solutions for employers and health plans. They have a comprehensive Enterprise Health Platform that consolidates all claim administration-related workflows in one scalable, secure platform.
Driving recovery team’s daily productivity, ensuring team is adhering to goals and SLAs.
Effectively collaborating with Management and teams to ensure departmental needs are met.
Machinify is a leading healthcare intelligence company delivering value, transparency, and efficiency to health plan clients. They are deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives.
Support the administration, implementation, and continuous improvement of the company's Safety Management System and associated safety programs.
Assist with hazard identification, risk management, event investigation, corrective action tracking, safety data analysis, and audit preparedness across operational departments.
Work collaboratively across departments to help maintain regulatory compliance, operational discipline, and a proactive safety culture.
Solairus is a private aviation services company assisting aircraft owners with the safe, reliable, and efficient management and operation of their aircraft. Headquartered in the California Wine Country, it is a nationwide employer offering a stimulating work environment, modern benefits, and a commitment to diversity, inclusion, and an exceptional employee experience.