Responsible for serving as the connector between patients, provider practices, and internal teams to identify, manage, and close quality gaps.
Manages a defined patient and provider panel, delivers actionable performance insights, and drives improvement across HEDIS and Medicare Stars measures.
Effective across patient engagement, provider coaching, workflow optimization, and cross functional teamwork.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. They are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.
Leads practice day to day strategy and execution by implementing operational frameworks, policies and performance systems that drive quality and scalability.
Own program delivery end-to-end, including existing and new service implementations, ensuring projects are completed on time and aligned with strategic goals.
Drive cross-functional collaboration with clinical, product, finance, commercial and senior leadership teams to align services with patient needs and client commitments.
SimpliFed is a digital solution in maternal and child healthcare, enabling continuous, expert care throughout the perinatal period. They have raised over $6M+ in venture capital from world class investors to execute on democratizing access to maternal child healthcare in the perinatal period as related to infant nutrition.
Lead, mentor, and manage a team of clinical managers and clinicians to deliver mental health support.
Serve as a Subject Matter Expert, collaborating with teams to optimize programs and processes.
Develop strong relationships with customer success partners and other internal stakeholders.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies, from startups to multinational Fortune 500 corporations, providing care for 10 million people and are valued at $3.3 billion.
Oversee and manage a team of outreach and intake associates including training, onboarding and people management.
Ensure compliance with client and CMS standards across all workflows, ensuring quality of each caller interaction in alignment with Isaac Health’s standards.
Manage service level agreements (SLAs) and performance metrics including managing individual campaign staffing and reporting on KPIs.
Isaac Health aims to improve brain health at the population level by providing access to specialty brain health and dementia care services. Since launching in 2022, Isaac Health has scaled to provide services to more patients and families across the US.
Oversees daily operations of the Care Management unit and ensures process implementation.
Facilitates staff development, provides regular performance feedback, and identifies areas of improvement.
Evaluates performance metrics, supports staff in care planning, and promotes interdisciplinary collaboration.
Capital Blue Cross promises to go the extra mile for our team and our community. They offer a caring team of supportive colleagues and invest heavily in training and continuing education. Employees consistently vote them one of the “Best Places to Work in PA.”
Nurture & Grow: Take ownership of existing accounts and drive increased patient referral volume.
Success Management: Act as the primary point of contact for clinical partners, answering questions, providing updates.
Process Implementation: Work with clinics to refine their internal referral processes, making it easier for them to send patients to our platform.
Carda Health is building the world’s first patient-centered virtual heart and lung platform, starting with cardiac and pulmonary rehab. They are a team of clinicians, mathematicians, entrepreneurs, and engineers who believe technology and data, when applied ethically, can transform healthcare.
Stand up and run the daily clinical operations for PIN/CHI delivery.
Define the care team structure, supervision ratios, and operating cadence.
Ensure billing-ready documentation is completed correctly every time. Partner with Compliance + RCM support to prevent leakage/denials caused by ops errors.
Carewell is focused on providing the most trusted and reputable retail source for caregiving products. They have been recognized as one of the fastest-growing companies in the US.
Own the design, execution, and ongoing improvement of in-person care delivery operations.
Build scalable workflows that support field-based visits, including care package delivery and care plan check-ins.
Translate health plan and payer requirements into clear operational processes for care teams.
Jobgether uses AI powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Utilize advanced clinical judgment to triage patient symptoms per protocol.
Conduct thorough reviews of refill requests and abnormal lab results.
Lead follow-up care for positive PHQ-9 screenings, ensuring patients are safely navigated to the appropriate level of care.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team, deeply invested in creating a culture where every employee is valued and we learn and improve together.
Own and drive strategic health partnerships and cross-functional programs.
Create structure in ambiguous situations and drive programs from idea to execution.
Improve alignment, communications, and processes between teams.
Modern Health is a mental health benefits platform for employers, offering access to various resources for emotional, professional, social, financial, and physical well-being. They are a fully remote workforce known for its excellence and have a unique culture centered around empathy and accountability.
Supervise, direct and evaluate a diverse group of health care professionals to assure effectiveness of care coordination activities.
Develop audit plans and tools for teams to ensure compliance with state contracts on performance metrics and to ensure member needs are met.
Interview, hires, mentors, evaluates, coaches and manage performance for a diverse care coordination team.
Humana Inc. is committed to putting health first for its teammates, customers, and company. Through Humana insurance services and CenterWell healthcare services, they aim to make it easier for the millions of people they serve to achieve their best health.
Own scope, schedule, dependencies, risk, and delivery outcomes across multiple workstreams.
Interface regularly with CORs, program executives, contracting officers, and senior federal leadership.
Translate legislation, policy mandates, and program objectives into structured implementation plans.
Artemis Connection is a strategic management consultancy working across the for-profit, public and social sectors. They help clients around the world identify their most pressing strategic issues and staff teams of strategy consultants to deliver impact.
Oversee full operational execution of the Thera Nurse Navigator Program, ensuring alignment with program goals, compliance standards, and client expectations.
Deliver high‑quality patient education on therapy, disease state, expectations, and adherence support.
Provide coaching, guidance, and ongoing mentorship to Nurse Navigators to ensure adherence to program protocols, SOPs, and quality standards.
EVERSANA is committed to creating and delivering next-generation commercialization services to the life sciences industry, serving more than 650 clients. Their global team of more than 7,000 employees are grounded in their cultural beliefs and dedicated to improving patient lives around the world.
Manage a high volume of outbound and inbound new patient onboarding calls
Build trust with patients and clinical care team members through exceptional omnichannel customer service
Actively listen during patient conversations to activate personalized support for new patients and provide appropriate next steps including visit scheduling
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Set, track, and achieve engagement and enrollment goals.
Lead and manage Community Engagement Specialists.
Develop and execute regional outreach strategy.
Zócalo Health is a tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared and lived experiences. Founded in 2021, they are backed by leading healthcare and social impact investors to bring their vision to life, aiming to improve the lives of communities with culturally competent primary care, behavioral health, and social services.
Own and manage the end-to-end Patient and Provider Experience.
Lead the implementation and optimization of a new Electronic Health Record (EHR) system.
Partner with the clinical operations team and clinical providers to identify workflow inefficiencies and translate them into product improvements.
Vitable Health is a health benefits platform making healthcare better for employers of everyday workers, bringing accessible, high-quality care to over 85 million uninsured and underinsured Americans. They are growing rapidly and looking for eager team members who are hungry for change.
Partner with the executive team to lead implementation and optimization of key enterprise systems.
Serve as the operational expert for Greenhouse, PayCom, and Salesforce systems.
Produce executive-level reporting that drives decision-making across the organization.
Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. As a leading edge, innovative, and quality driven physician group, we continue to expand nationally.
Provide executive leadership and strategic oversight for enterprise operations and quality initiatives.
Own enterprise-wide HEDIS strategy, execution, and performance outcomes.
Build and lead a centralized PMO delivering weekly performance metrics across all sites.
Vanna Health aims to improve overall health and wellbeing for individuals with serious mental illness by fostering a sense of belonging. They promote collaboration across healthcare providers through innovative payment models and technology and are committed to culturally competent care.
Architect the systems and processes that power Form Health’s patient experience.
Build the infrastructure needed to support growth while preserving clinical quality, efficiency, and empathy.
Drive operational transformation by designing scalable workflows, data-supported resource models, and technology-enabled efficiencies.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team.
Act as the primary strategic and operational contact for assigned GI practice partners.
Own and optimize critical workflows across referrals, onboarding, RPM requirements, logistics, eligibility, and clinical communication.
Collaborate closely with Clinical Ops, Product, Engineering, RCM, and Engagement teams.
Salvo Health focuses on chronic gut health and metabolic conditions, such as IBS and obesity. They assign patients a care team and offer app-based care with Remote Patient Monitoring, partnering with the patient’s local doctor for continuous care.