Lead strategic development of clinical quality measures for cardiovascular care.
Oversee measure stewardship, compliance, and collaboration with stakeholders.
Drive quality improvement initiatives using data and evidence-based guidelines.
The American Heart Association is a nonprofit dedicated to reducing cardiovascular disease and stroke deaths. It employs thousands and fosters a culture of work-life harmonization and professional development.
Lead clinical performance and drive quality outcomes across assigned ACOs, aligning with national strategy on value-based care initiatives.
Serve as a national clinical champion, influencing best practices and workflows for hypertension and risk management among partner practices.
Act as a thought partner to market leadership, contributing to growth and policy initiatives while representing the clinical voice in strategic workgroups.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care. Founded in 2014, we are the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Lead quality monitoring initiatives across multi-channel crisis and support services.
Develop and implement performance measurement frameworks and operational audits.
Drive continuous improvement through data analysis and AI-enabled quality solutions.
The company provides behavioral health and crisis support services at scale through national service networks. It is a mission-driven organization with a collaborative culture focused on professional growth and innovation.
Provides visionary leadership and strategic direction for care coordination and service delivery teams.
Drives transformational initiatives to scale operations, enhance quality, and improve patient outcomes.
Uses data analytics and key performance indicators to monitor program effectiveness and guide evidence-based decision-making.
WellSky is a technology company that provides software, analytics, and services for intelligent, coordinated care across health and community care. The company fosters a culture of independent thinking, collaboration, and innovation, with a focus on improving outcomes and lowering costs.
Engage in fully remote patient outreach to identify and address quality gaps, educating patients on preventive care.
Collect quality data from EMR systems, claims, and provider outreach, managing multiple systems for daily work.
Prioritize tasks to meet quality reporting deadlines and communicate performance internally and with customers.
Guidehealth is a data-powered, performance-driven healthcare company focused on making healthcare affordable and improving patient health. As a growing, physician-led organization, we prioritize operational excellence and a collaborative, flexible culture.
Drive day-to-day operational execution of Medicare Advantage and ACA Risk Adjustment initiatives, ensuring milestones and deadlines are met.
Develop and maintain integrated project plans, operational calendars, and risk logs to support program execution.
Monitor program performance through dashboards, KPIs, and operational metrics, and recommend data-driven improvements.
Capital Blue Cross is a health insurance company and an independent licensee of the Blue Cross Blue Shield Association. They are consistently voted one of the 'Best Places to Work in PA' and foster a flexible environment with a focus on employee wellbeing.
Own end-to-end operating model and outcomes for provider engagement and growth programs, ensuring timelines, milestones, and intended results are met.
Track program performance through data, translate into concise reports for senior leadership, and provide recommendations for prioritization.
Collaborate with cross-functional teams and engage directly with providers and practice staff to maintain momentum and drive program success.
Counterpart Health transforms healthcare with an AI-enabled primary care tool, Counterpart Assistant, that supports earlier diagnosis and management of chronic conditions. As a subsidiary of Clover Health, they have a remote-first culture with a focus on diversity and inclusion, and thousands of practitioners using their tool.
Supervise and coach a team of Outreach Specialists to meet engagement targets.
Conduct call audits and manage performance metrics like schedule rate and show rate.
Partner with market teams and drive adoption of new AI tools.
Accompany Health is a primary, behavioral, and social care provider for patients with complex needs, offering at-home and virtual care. They are a fast-paced startup with an empathetic care team, guided by proven care models.
Supervise and lead a clinical team delivering virtual EAP mental health services, ensuring high-quality, timely care and operational performance.
Monitor team caseloads and metrics, implement workflows, and drive performance to meet internal SLAs.
Deliver case audit feedback, coaching, and clinical consultation to ensure adherence to quality standards.
Spring Health is a global mental health company on a mission to eliminate every barrier to mental health. Their AI-native platform reaches over 170 million people worldwide, and they foster a collaborative, mission-driven culture.
Lead and supervise program management activities to align with strategic objectives and customer needs.
Provide leadership, coaching, and mentorship to team members while managing workloads and performance.
Monitor program performance using data-driven insights and implement continuous improvement initiatives.
Our partner is a healthcare organization focused on improving outcomes for healthcare organizations and communities. They foster a collaborative, mission-driven culture with emphasis on innovation and continuous learning.
Lead healthcare equity strategy and performance improvement initiatives across the organization.
Partner with cross-functional teams to design, implement, and scale interventions that reduce clinical disparities.
Develop metrics, reports, and decision-support tools to track outcomes and drive continuous improvement.
Aledade is a public benefit corporation that empowers independent primary care by creating value-based contracts and strengthening continuity of care. Founded in 2014, it has become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Monitor denial volumes, aging, and identify trends to improve coding quality processes.
Develop and implement new programs, processes, and standards to streamline workflows and enhance efficiency.
Collaborate with leadership to support annual and long-term strategy planning and execute departmental goals.
UnityPoint Health is a healthcare system dedicated to providing quality care and has been recognized as a Top 150 Place to Work in Healthcare. They foster a culture of belonging and offer support and development opportunities for their team members.
Develop and execute comprehensive GTM launch blueprint for all new and renewing value-based care contracts.
Construct explicit implementation timelines and operational workflows from signed contract to active status in the field.
Partner with Analytics, Outreach, Provider Networks, and Strategic Payer Partnerships to align priorities and execution.
Aledade, a public benefit corporation, empowers independent primary care practices to thrive in value-based care. Founded in 2014, it has become the largest network of independent primary care in the US, with a collaborative, inclusive, and remote-first culture.
Provide strategic leadership and operational oversight for care management functions across the assigned region.
Ensure alignment with systemwide standards and regulatory requirements for hospital Care Management.
Collaborate with leadership to formulate strategies that drive organizational objectives and patient-centered outcomes.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services through a network of hospitals, clinics, and care sites across 24 states. With over 157,000 employees and 25,000 physicians, it is one of the largest nonprofit healthcare systems, committed to creating a more just and equitable healthcare delivery system.
Contribute to the design, development, testing, and maintenance of electronic clinical quality measures (eCQMs) aligned with QDM and FHIR standards.
Support the CMS eCQM Annual Update process by coordinating across measure teams and developing supporting documentation.
Provide project planning and implementation support by managing tasks, tracking milestones, and contributing to client meetings.
The American Institutes for Research (AIR) is a nonpartisan, not-for-profit organization that conducts behavioral and social science research and delivers technical assistance to address pressing challenges. AIR is a large organization with a collaborative culture focused on improving lives through evidence-based solutions.
Lead and manage multiple healthcare integration projects simultaneously, ensuring alignment with data specifications and service level agreements.
Serve as the communication link between Integrations and internal partners, managing issues, decisions, risks, and escalations.
Apply technical expertise in HL7, APIs, and interoperability standards to solve project blockers and maintain project continuity.
Aledade is a public benefit corporation that empowers independent primary 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, coach, and develop a team of Engagement Specialists through regular feedback and performance management.
Conduct compassionate outreach to patients, explain services, and guide them through onboarding with accurate EHR documentation.
Oversee daily operations, optimize PRM workflows, and collaborate with clinical teams for seamless care transitions.
The employer is a mission-driven healthcare organization dedicated to improving access to behavioral health support for individuals navigating complex medical journeys. It is a fast-growing, startup-like company with a collaborative culture focused on continuous learning and innovation.
Lead managers and supervisors responsible for member enrollment and billing operations.
Drive achievement of client SLAs, quality metrics, productivity, and financial targets.
Partner with clients and internal stakeholders to identify operational improvements and foster a culture of accountability.
Sutherland leverages artificial intelligence, automation, and cloud engineering to drive digital transformation for iconic brands. With over 200 patents and a focus on human-machine collaboration, the company delivers measurable results through a seamless 'as a service' model.
Answer inbound calls and make outbound calls to participants enrolled in the Condition Management Program.
Assist participants via email and online messaging, and accurately document all participant communications.
Work independently and in a team environment with strong customer service skills; no experience required as training is provided.
Cottingham and Butler's Health and Wellness division focuses on reducing medical costs while increasing employee engagement and productivity through onsite screenings, technology, and condition management programs. They value an open-door culture where team opinions are appreciated.
Lead end-to-end operating models and drive provider engagement and growth programs in a healthcare tech environment.
Monitor program performance using data insights, identify risks, and ensure alignment with strategic goals.
Partner with cross-functional teams and external healthcare providers to create scalable processes and improve outcomes.
Jobgether is an AI-powered job matching platform that connects candidates with opportunities. They use technology to streamline hiring, and this role is listed on behalf of a partner company.