Offer field-based reimbursement education and patient access expertise to leading HAE centers and the healthcare provider community.
Act as the primary contact for all reimbursement and access-related inquiries.
Collaborate with Regional Business Managers, HCPs, specialty pharmacies, payers, patients, and our HUB vendor partner.
KalVista is a global pharmaceutical company dedicated to delivering life-changing oral therapies for individuals affected by rare diseases with significant unmet needs. They are working closely with the global HAE community to improve treatment and care for this disease around the world.
Lead and develop high-performing Field Reimbursement Managers and Nurse Case Managers.
Oversee the comprehensive field-based Nurse Case Management and Access Program for Dyne.
Foster a coaching culture that enables deeper connection with patients, caregivers, and HCPs.
Dyne Therapeutics is focused on delivering functional improvement for people living with genetically driven neuromuscular diseases. They are advancing clinical programs for myotonic dystrophy type 1 (DM1) and Duchenne muscular dystrophy (DMD), and preclinical programs for facioscapulohumeral muscular dystrophy (FSHD) and Pompe disease.
Develops value proposition resources and key messages aligned with Brand strategy.
Supports Payer Accounts team in strategic and tactical business planning for payers and hospitals.
Iovance is dedicated to developing and delivering novel cancer immunotherapies. They are an equal-opportunity employer committed to cultivating a diverse and inclusive work environment.
Manages the entire lifecycle of payer enrollment, credentialing, and re-enrollment of healthcare providers and facilities.
Maintains provider databases, ensuring accurate, timely submission of documentation to secure billing privileges and network participation.
Resolves claim denials, verifying insurance and performing billing related tasks to ensure timely and accurate reimbursement.
Plumas District Hospital (PDH) provides compassionate care with exceptional customer service. They are located in Quincy, California with a team that puts community first.
Execute US Market Access activities to optimize market access and commercialization.
Develop and execute national reimbursement, coding, and coverage strategies with government and commercial payers.
Maintain strong relationships with AWM cross-functional stakeholders to advance business objectives.
Smith+Nephew is a global medical technology company. They design and manufacture technology that takes the limits off living, supporting healthcare professionals to return their patients to health and mobility, helping them to perform at their fullest potential. The company embodies a culture of Care, Collaboration and Courage.
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
Expressable is a virtual speech therapy practice with a mission to transform care delivery and expand access to high-quality services. They are passionate advocates of parent-focused intervention, serving thousands of clients since their inception in late 2019.
Manage end-to-end provider contracting and credentialing processes.
Maintain accurate and up-to-date provider records and documentation.
Assist with billing setup for newly credentialed providers.
Understood Care helps older adults by providing them with Medicare-covered patient advocacy services. They pair each person with a dedicated advocate who helps them navigate care, reduce costs, and make confident healthcare decisions.
Researching overpayments in instances where payors have paid more than the amount due, and fulfilling refund requests to our payors
Initiating and managing refunds once verified, and ensuring the appropriate steps are taken to return funds
Maintaining accurate records and keeping detailed documentation for transparency, audits, and process improvement
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients and have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.
Lead one of Rula’s most critical operational functions.
Own end-to-end credentialing and enrollment outcomes.
Partner across the company to ensure providers are credentialed and enrolled accurately, compliantly, and efficiently.
Rula is dedicated to treating the whole person, not just the symptoms and aim to create a world where mental health is no longer stigmatized or marginalized, but rather is embraced as an integral part of one's overall well-being. Rula is a remote-first company that values diversity, equity, and inclusion.
Directly lead and manage a Patient Support team to ensure medication adherence or provide timely prior authorization and financial assistance.
Proactively manage support in assigned hospitals/clinics to ensure patients receive medications on time and that all service level goals are met.
Manage all aspects of ADP, Paid Time Off (PTO), and Time Reports for team members while completing audits of the team in supported systems.
Shields Health Solutions provides specialty pharmacy management services, helping patients get medications on time. They are a fast-growing company that values motivated self-starters focused on high quality.
Manage the insurance claims process and provide customer service to clients.
Analyze and approve claims and determine coverage based on medical necessity.
Resolve discrepancies, secure proper reimbursement, and follow regulations and guidelines.
CommuniCare Family of Companies delivers person-centered care as a national leader in post-acute care. They operate over 150 facilities, employing more than 19,000 employees across six states, and are dedicated to improving the lives of seniors.
Assisting with provider credentialing by collecting documentation, entering provider data, submitting required materials to the health plan, tracking completion, and updating internal records.
Maintaining and updating provider records from various sources in internal systems to ensure accuracy and completeness.
Supporting reporting requirements, including completing health plan reports on assigned schedules.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine for providers. Powered by AI and Healthguides™, Guidehealth builds connections with patients and providers.
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.
Develop and execute targeted HCP and consumer marketing strategies aligned with brand positioning and commercial objectives.
Create compelling, compliant educational content and promotional materials for HCP audiences that translate clinical data into practical insights.
Lead omnichannel marketing strategy across digital, in-person, and virtual touchpoints to deliver personalized HCP experiences.
Compass Pathways plc is a biotechnology company dedicated to accelerating patient access to evidence-based innovation in mental health. They are pioneering a new paradigm for treating mental health conditions and envisioning a world where mental health means not just the absence of illness but the ability to thrive.
Builds and executes a territory plan for regional health plans.
Prospects and qualifies using multichannel outreach to create a high-quality pipeline.
Leads complex sales cycles end-to-end, delivering accurate forecasts and maintaining metrics.
NASCO is focused on reshaping how health plans drive affordability. They are a nimble and collaborative commercial team that values entrepreneurial and data-driven sales professionals.
Communicate clearly, empathetically, and professionally with patients and families.
Shriners Children’s respects, supports, and values each other. They are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. Shriners Children's was named as the 2025 best mid-sized employer by Forbes.