Own outcomes measurement and savings analysis to quantify the impact of RightMove's care model on total cost of care and patient outcomes.
Analyze medical claims, referral patterns, and provider performance to identify savings opportunities and guide patients to high-value care.
Communicate findings through executive-ready reports and presentations to support commercial teams and customer stakeholders.
RightMove is redefining musculoskeletal (MSK) care by shifting from fragmented, volume-driven care to a coordinated, expert-led model powered by AI and data. Backed by leading investors and built in partnership with the Hospital for Special Surgery, the company is a rapidly expanding startup with a high-performing team that values impact, direct communication, and collaboration.
Investigate potential payment inaccuracies using Medicare Advantage claims and reimbursement knowledge to interpret data and explain payment outcomes.
Review claims populations identified through SQL analysis, distinguishing supported discrepancies from exceptions and correctly adjudicated claims.
Document validated findings clearly and support downstream recovery, Compliance/Legal review, and recurring audits.
Clover Health provides healthcare plans for seniors, using data and technology to improve care and lower costs. The company is a remote-first, mission-driven organization focused on diversity and inclusion.
Own claims adjudication, denials management, and EDI workflows to ensure accurate payment and compliance.
Build reporting dashboards and KPIs to track claims performance and drive process improvements.
Collaborate with prior auth, finance, and client teams to close the loop between authorization and payment.
OneImaging is a concierge radiology service that connects patients with a network of over 5,000 vetted providers across 48 states, reducing imaging costs by 60-80%. We are a high-growth company building the infrastructure for fair and transparent medical imaging, with a focus on employer and payer ROI.
Drive rapid decision-making within Tier 1 of the Tiered Resolution Pathway.
Facilitate and document meetings for VHA EHRM Tier 1 SME Teams and stakeholders.
Support project management, strategic communications, and change management efforts.
Aptive partners with federal agencies to improve performance, streamline operations, and enhance service delivery. Based in Alexandria, VA, we support more than a dozen agencies and have 300+ employees nationwide.
Lead complex customer-facing consulting engagements for health plan customers, owning strategy from discovery to executive readout.
Analyze data to quantify operational, financial, and product adoption impact for customers.
Mentor consultants and develop reusable assets to advance the consulting practice.
NASCO provides technology solutions and consulting services for healthcare payers, helping health plans realize value from its product portfolio. The company supports a fully remote workforce and offers comprehensive benefits, with a focus on work-life balance.
Triage and resolve data quality issues across 1,200+ payer data feeds.
Collaborate with internal teams and payers to ensure end-to-end data integrity.
Maintain SOPs and lead cross-functional data initiatives to optimize processes.
Aledade PBC empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Lead end-to-end payer enrollment operations for a large enterprise client, standing up teams and workflows from day one.
Manage delivery against SLAs, run performance reviews, and own the client relationship and escalations.
Drive automation and process improvements, own account economics, and scale to a portfolio of enterprise clients.
Medallion builds a provider operations platform that automates licensing, credentialing, payer enrollment, and compliance for healthcare organizations. They are a fast-growing healthcare technology company backed by $130M in funding and recognized as a best place to work, on a mission to transform healthcare at scale.
Own insights generation and follow-up for a major business unit, as first point of contact for senior managers.
Analyze data to support business decisions and present findings clearly to non-technical teams.
Identify opportunities to create models and tools that surface healthcare inefficiencies.
Oscar is a health insurance company built around a full stack technology platform and a focus on serving members. Founded in 2012, it aims to create a health insurance experience that behaves like a doctor in the family.
Analyze large US healthcare claims datasets to identify patterns, data quality issues, and product improvement opportunities.
Write and optimize SQL queries for data extraction, profiling, reconciliation, and impact analysis.
Collaborate with product owners, engineering, engagement, and account teams to support validation, testing, and documentation.
Precision AQ is a healthcare data and analytics company that builds data products supporting US healthcare market access and patient outcomes. It operates as part of the Precision Medicine Group, with a collaborative, cross-functional culture focused on delivery and innovation.
Drive strategic analytics and insights for sales and partner management teams by deep-diving into complex data sets to understand marketplace dynamics.
Define and build reporting infrastructure, dashboards, and KPIs to improve visibility and performance tracking for sales leaders.
Partner with sales executives on operational and analytical requests, including goal setting, forecasting, and territory planning.
iRhythm is a leading digital healthcare company that creates wearable biosensors and cloud-based data analytics to detect, predict, and prevent cardiac disease. The company values innovation, collaboration, and patient care, and offers opportunities for growth and impact in a rapidly evolving field.
Monitor partner performance against key metrics and investigate deviations to ensure SLA adherence.
Build and maintain scorecards and dashboards for real-time and historical visibility into partner health.
Support dispute, credit, and escalation workflows with data-driven analysis and cross-functional collaboration.
Super.com is a high-growth tech company that helps maximize lives for customers and employees. We care about our people, take career progression seriously, and offer a remote-first culture.
Analyze, research, and resolve issues related to the creation and submission of paper and electronic claims.
Monitor claim errors, identify opportunities for new edits, and collaborate with the Business Systems Department to implement clearinghouse edits.
Validate daily imports, balance hash totals, and report system issues to IS to ensure timely resolution.
Pediatrix Medical Group is one of the nation’s largest providers of prenatal, neonatal and pediatric services, led by physicians. They offer a diverse range of opportunities, competitive salaries, and a commitment to clinical excellence, focusing on a team approach to improve patient lives.
Manage day-to-day credentialing workflows and lead data analysis projects for payer enrollment.
Conduct routine audits of task boards and triage inquiries to improve process efficiency.
Develop and distribute reporting on credentialing status for cross-functional stakeholders.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The company comprises highly dedicated professionals from world-class institutions, who care deeply for their work and each other, fostering a culture that values hard work and growth.
Provide data management and develop procedures for effective data management across departments.
Collect and interpret data from multiple sources to support strategic decision-making and required actions.
Work with cross-organizational teams to establish business needs and define new data collection and analysis processes.
UnityPoint Health is a healthcare system providing coordinated care and services across multiple hospitals and clinics. It is a large organization recognized as a Top 150 Place to Work in Healthcare, with a culture that values belonging, support, and development for its team members.
Perform billable consulting work to drive performance improvement for healthcare systems.
Lead data analysis, interpretation, and development of client deliverables and recommendations.
Collaborate with engagement teams, oversee analysts, and support practice development.
Premier, Inc. is a leading technology-driven healthcare improvement company that unites providers, suppliers, and payers to transform American healthcare. Serving two-thirds of U.S. healthcare providers, it offers a collaborative culture and is recognized as a Best Company to Work For.
Lead external customer audits and utilization management oversight activities as a subject matter expert.
Analyze complex UM data, investigate findings, and prepare evidence-based responses for regulators and accreditation organizations.
Collaborate with operational, technical, and client-facing teams to drive compliance and process improvements.
This company is a healthcare organization specializing in utilization management and regulatory compliance. It operates with a remote team across the United States, fostering a collaborative and improvement-driven culture.
Respond to service requests from internal and external customers accurately and on time.
Maintain case documentation with precision to keep records audit-ready.
Compile and distribute monthly reports and data summaries for leadership.
Personify Health offers a personalized health platform combining health plan administration, wellbeing solutions, and care navigation. The company serves employers and health plans with data-driven solutions, fostering a mission-driven culture focused on improving health outcomes.
Analyze data to support business teams in making data-driven decisions and present findings clearly.
Oversee creation and maintenance of dashboards, creating models to identify inefficiencies.
Collaborate across the organization to monitor initiative impact and support strategic projects.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving members. The company fosters a culture where people can be their most authentic selves, with a commitment to diversity and inclusion.
Design, build, and maintain production-ready data models and semantic layers using advanced SQL and analytics engineering best practices.
Ingest and blend diverse healthcare datasets, including payer claims, EMR/clinical data, and operational logs.
Execute fast-turnaround ad-hoc SQL queries and deep-dive analyses to support operational, clinical, and financial decisions.
Privia Health is a national physician platform transforming the healthcare delivery experience by providing tailored solutions for physicians and providers. The company partners with health plans, health systems, and employers to align reimbursements with quality and outcomes, and fosters an inclusive work environment.