Lead the implementation of new client launches, mapping out clinical workflows.
Provide ongoing oversight of client success by monitoring clinical KPIs and supply and demand needs.
Act as the central point of contact for Clinical Ops, Client Success, Training, Sales, and Credentialing.
Foodsmart is a telenutrition and foodcare solution backed by a network of Registered Dietitians designed to foster healthier food choices and drive lasting behavior change. The company has 2.2 million members and is committed to making nutritious food accessible and affordable for everyone, regardless of economic status.
Oversee & manage program KPIs for the frontline clinical staff working across the Virtual Primary Care (VPC) and Virtual Care Support (VCS) teams
Create and implement data-driven staffing and resource plans, partnering with relevant teams (Forecasting, Clinical Leadership, Recruitment, Licensing)
Drive a POV on the technical enablement and tooling optimization opportunities to drive operational efficiencies for scale and clinical outcomes
Included Health delivers integrated virtual care and navigation to raise the standard of healthcare for everyone. The company breaks down barriers to provide high-quality care for every person in every community, offering care guidance, advocacy, and access to personalized virtual and in-person care.
Establish and monitor performance metrics to measure the reliability and latency of payer data feeds.
Serve as the primary point of escalation for high-priority payer data issues, coordinating with various teams.
Oversee the documentation and submission processes for clinical data extracts to ensure audit readiness.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. As the largest network of independent primary care in the country, they focus on creating value-based contracts, strengthening care continuity, and aligning incentives to ensure physicians are paid for keeping patients healthy.
Design and build foundations for initiatives within the Clinical Operations function.
Collaborate cross-functionally to build scalable products and processes.
Assess and analyze data to develop strategies for accelerating progress.
Headway's mission is to build a new mental healthcare system accessible to everyone. They are a Series D company with over $325m in funding and have grown into a diverse, national network of over 60,000 mental healthcare providers across all 50 states.
Manage complex provider roster creation, submission, and record reconciliation.
Oversee resolution of moderate-scope issues by prioritizing tasks.
Serve as main contact for roster inquiries, collaborating with internal teams and external payers.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Own critical components of the provider lifecycle, driving readiness to see members on the platform and scalable growth.
Identify bottlenecks and implement improvements that accelerate time-to-platform and strengthen provider engagement.
Improve systems and workflows through automation and process design, reducing manual work and operational risk.
Maven is the world's largest virtual clinic for women and families, aiming to make healthcare accessible for everyone. With over 2,000 employers and health plans as clients, Maven provides comprehensive support spanning fertility, maternity, parenting, and menopause. He fosters an award-winning culture.
Partner across the EC Experience team to help operationalize the EC Lifecycle strategy and support key strategic priorities
Own and drive key operational initiatives and cross-functional programs from planning through execution
Support decision-making by developing analyses and structured insights that inform prioritization and trade-offs
Snorkel AI helps enterprises transform expert knowledge into specialized AI at scale. As a rapidly scaling company with market proven solutions and robust funding, they offer a unique combination of stability and the excitement of high growth.
Take ownership of complex, high-impact problems and drive them from definition through execution.
Lead strategic and operational initiatives; own key metrics, analyses, and business insights.
Drive product and go-to-market efforts for new initiatives; manage cross-functional product development and execution.
SentiLink provides innovative identity and risk solutions, empowering institutions and individuals to transaction with confidence. They are building the future of identity verification in the United States with real-time APIs that have helped verify hundreds of millions of identities.
Support clinical operations: Help build and maintain the workflows that get patients and therapists onto the platform smoothly and quickly.
Track key operational metrics: Monitor and report on the metrics that matter most — retention, NPS, clinical outcomes, and billing performance.
Contribute to care coordination and product feedback loops: Work with clinical and product teams to translate frontline data into insights.
Sailor Health aims to solve the mental health crisis among older adults by connecting them to therapists and AI-powered care agents covered by Medicare. They are growing quickly and partnered with Medicare to offer psychotherapy to hundreds of patients, backed by founders of large healthcare companies.
Drive initiatives that improve Gravie Care’s operational performance and enhance the member and provider experience.
Identify, prioritize, and size high-impact opportunities using a structured, data-driven approach.
Design and implement practical systems, process and operational enhancements to optimize efficiency and service delivery.
Gravie creates health benefits that actually benefit small and midsize businesses and their employees. The company's innovative benefit solutions and services are developed and delivered by a diverse group of unique people in a non-hierarchical, merit-driven, fast-paced environment.
Execute data analysis of trends and strategic opportunities for quality improvement.
Track project milestones, timelines, and deliverables from live and asynchronous engagements.
Maintain accurate records of program activities and outcomes.
Aledade empowers independent primary care practices. They are the largest network of independent primary care in the US, helping practices deliver better care and thrive in value-based care, with a collaborative, inclusive, and remote-first culture.
Analysis of operational and performance data within CPI programs and geographic markets, providing recommendations that directly inform strategic decision making.
Responsible for leading execution of ongoing process operations across department programs, ensuring efficiency, accuracy, and consistency.
Proactively identify areas of improvement and facilitate communication amongst key stakeholders to drive strategic alignment on opportunities for optimization and automation.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. They are the largest network of independent primary care in the country. They foster a collaborative, inclusive, and remote-first culture, driven by a passion for tackling complex healthcare issues with respect and open-mindedness.
Act as the data and program lead for Population Health Performance Improvement, informing the design and improving initiatives that advance health equity, quality, and cost outcomes.
Build and maintain complex datasets and population health analytics using Tableau and SQL.
Lead cross-functional projects that embed population health measures into operations and measure success.
Aledade empowers independent primary care to deliver better care to their patients and thrive in value-based care. They were founded in 2014 and have become the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Develop, implement, manage, and maintain operational systems and activities.
Serve as a liaison with all levels of the organization and outside community.
Manage multiple priorities and projects with competing deadlines.
Cleveland Clinic Health System is committed to excellence and transforming the patient experience. As a nonprofit multispecialty academic medical center with 70,800 employees worldwide, they integrate clinical and hospital care with research and education.
Responsible for the maintenance of relevant provider data for use in network development and contracting, provider relations, marketing & communications, contracting, and more.
This role will also work with other network development teams to support provider data management across the CommonSpirit enterprise, including contracting and credentialing teams, to complete requests and support network operations.
Collect, validate, and maintain provider data to support marketing, provider relations, network contracting, credentialing across all lines of business.
Dignity Health Management Services Organization (Dignity Health MSO) aims to establish a system-wide integrated physician-centric, full-service management service organization structure. They offer various management and business services, leveraging economies of scale and leading efforts in developing Dignity Health’s Medicaid population health care management pathways.
Help design retrospective and prospective projects to evaluate Maven’s impact on health outcomes
Quantitatively analyze data for projects assessing Maven’s influence on health outcomes using statistical analysis software (R preferred)
Communicate results from research projects to a diverse audience including the scientific community, clients, and internal cross-functional teams
Maven is the world's largest virtual clinic for women and families. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs.
Provides support to the Network Provider Operations department with daily operations, project initiatives, system updates, special projects, and all regulatory reporting and analysis.
Audits departmental operations with a focus on data integrity, improving accuracy, and identifying training opportunities for department.
Leads system upgrades and implementations for the department, and provide technical support as needed.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans that are expanding services in response to patients' and members' needs. They are part of MJHS, a supportive community committed to excellence, respect, and providing high-quality, personalized health care services.
Provide advanced analytical, reporting, and problem‑resolution support across various departments.
Partner with operational, technical, clinical, and compliance teams to analyze trends and optimize processes.
Leverage technical acumen, including FACETS and reporting tools, to drive improvements and ensure compliance.
Capital Blue Cross is committed to providing exceptional service to their team and the community. They foster a flexible work environment where health and well-being are prioritized, valuing professional and personal growth through investment in training and continuing education.
Analyze and support non-clinical workflows across CM, CDM, and UM programs.
Translate operational and clinical requirements into process maps, SOPs, and job aids.
Support workflow automation and system optimization initiatives.
Personify Health created a personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.