Manage the member's clinical experience from request through desired outcome, including account activation and medical history drafting.
Coordinate video or phone consults with specialists and schedule monitors in advance, troubleshooting issues as needed.
Conduct ongoing follow-up post-consult and facilitate local recommendations, communicating with primary care physicians or specialists.
Transcarent is a health and care platform that combines medical, pharmacy, and point solutions with a generative AI-powered experience for health consumers. With over 1,700 employer and health plan clients serving 21 million Members, they foster a culture of People First, Care, Resilience, Results, and Humble and Human.
Collects, compiles, and analyzes data to support cancer research and clinical operations.
Performs statistical analysis, maintains databases, and generates reports on findings.
Assists in presenting analysis results to internal teams and stakeholders.
Winship Cancer Institute of Emory University is Georgia's only NCI-designated Comprehensive Cancer Center, dedicated to discovering cures for cancer and inspiring hope. It is a leading research university that fosters excellence and attracts world-class talent.
Responsible for strategic and operational support through analysis of clinical, financial, and coding claims data.
Leverage abstraction and analysis of datasets to benchmark performance and identify areas for improvement in CDI, coding and provider documentation practices.
Play a key role in driving improvements in case mix index (CMI), risk adjustment, and departmental focus on identified trends.
Emory Healthcare is fueling professional journeys with better benefits, valuable resources, ongoing mentorship and leadership programs, and a supportive environment. They enable employees to reach new heights in their careers and be what they want to be.
Perform audits and quality control checks on study calendar builds and financial data entry.
Interpret complex clinical trial protocols into actionable electronic study calendars within the OnCore CTMS.
Build, configure, and maintain study calendars and financials.
City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S.
Collaborate with Nurse Coordinators to support patients and manage testing logistics.
Assess patient needs with a focus on customer support, problem solving, and relationship management.
Use business system tools like QlikView and Salesforce to influence ongoing testing and drive revenue.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team consists of highly dedicated professionals from world-class institutions, caring deeply for their work and each other.
Deal directly with internal and external customers via telephone and electronic channels.
Track sample collection kits and answer questions regarding test status.
Assist CLS/MLS Data Reviewers in answering questions from clinics and customer support.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women’s health, and organ health. Natera's team consists of statisticians, geneticists, doctors, laboratory scientists, business professionals, and software engineers from world-class institutions.
Apply correct coding, regulatory and compliance guidelines, including ICD-10-CM, CPT, APC, and E&M codes.
Maintain 95% coding accuracy while meeting department productivity standards.
Participate in staff discussions and provide valuable input to the coding team.
Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, it is the only National Cancer Institute-designated cancer center in Washington, with eight clinical care sites and a reputation as one of the world's leading cancer research centers.
Provides front desk support and customer service for the Admissions Department.
Assists with pre-screening and pre-qualifying potential students to ensure smooth admissions processing.
Performs clerical, data entry, and record-keeping tasks while maintaining confidentiality.
American Career College has educated students for careers in healthcare for over 40 years. The company has a collaborative, student-centric culture focused on professional growth.
Manage and support a team of RN quality reviewers, providing day-to-day people management, performance feedback, and coaching.
Identify and report on clinical quality trends by analyzing chart audit findings and quality data to inform improvement priorities.
Collect, organize, and maintain quality audit data, ensuring accurate records and dashboards for real-time visibility into team performance.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to deliver better outcomes and lower costs for cancer patients. As a tech-native organization with a focus on human connection, they employ a team of dedicated professionals committed to reimagining cancer care.
Provide timely, efficient, and accurate triage response and documentation according to nursing standards and physician protocols.
Evaluate patient needs, perform triage, and coordinate with the clinical team in an ambulatory practice setting.
Maintain accurate documentation in medical records, schedule patient visits, and provide education on patient care and health promotion.
Piedmont Healthcare is a healthcare provider offering services across Georgia. It is a large organization with a focus on patient care and corporate operations.
Lead and evolve the electronic patient-reported outcomes (ePRO) program to deliver measurable outcomes for members.
Serve as a clinical resource for the frontline care team, providing education, guidance, and collaboration on complex cases.
Drive strategic initiatives including clinical protocol development, clinical trials access, and external partner engagement.
Thyme Care is a technology-driven cancer care navigation company enabling value-based care, with a mission to transform the cancer experience for patients and caregivers. They are building a diverse team in a fast-paced, collaborative startup environment.
Conduct proactive patient outreach initiatives to identify and address quality gaps.
Collect quality data using various methods of data sourcing-EMR, claims, provider outreach.
Communicate quality performances, barriers and improvement strategies both internally and with customers.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Manage daily hospital census of engaged members, reviewing alerts and updating information in the EMR system.
Communicate with hospital/discharge planners, notifying patients of WellBe's awareness of their hospitalization, and track admissions.
Engage in telephonic conversations with patients and families, explaining the WellBe program and aiming to schedule post-discharge appointments.
WellBe is pioneering a new way of healthcare that is revolutionizing the industry. They have a patient-focused environment that ensures patients can live a fulfilling life, offering growth and development opportunities across expanding markets and celebrating success globally.
Lead and manage the clinical operations team, setting and executing departmental strategy.
Oversee clinical trial agreements, budgets, expenditures, and ensure timely execution of clinical programs.
Establish and maintain good working relationships with clinical study site personnel and oversee study conduct.
Iovance Biotherapeutics is a biotechnology company focused on developing tumor infiltrating lymphocyte (TIL) therapy for cancer. The company is pioneering a transformational approach to treating cancer and is committed to continuous innovation in cell therapy, including gene-edited cell therapy.
Lead multiple Nurse Team Leads and nursing teams to deliver high standards of clinical care and efficiency.
Coach and mentor Nurse Team Leads, setting goals, providing feedback, and fostering accountability.
Champion NCQA-compliant workflows and use data to drive performance and compliance across teams.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to improve outcomes and lower costs for people with cancer. As a tech-native organization of several hundred employees, it combines high-touch human support with technology and AI, fostering a culture of compassion, trust, and growth.
Consistently practices Patients First philosophy, responding to questions, forwarding issues, and maintaining patient confidentiality per HIPAA.
Collects patient demographic information, schedules appointments, performs medical necessity checks, and provides out-of-pocket cost estimations.
Utilizes online systems for order retrieval, insurance verification, and accurate documentation in Epic; proactively analyzes account activity and suggests process improvements.
Northwestern Medicine is a leader in the healthcare industry, putting patients first in every interaction. It offers competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, and fosters a collaborative workplace.
Manage the provider data ticketing queue, ensuring timely resolution of requests.
Partner with team members to obtain required data elements and validate completeness.
Identify and implement opportunities to streamline provider data structure and workflows.
Curana Health is committed to radically improving the health, happiness, and dignity of older adults. They serve 200,000+ seniors in 1,500+ communities across 32 states, with over 1,000 clinicians, care coordinators, analysts and professionals.
Provide day-to-day guidance, training, and support to credentialing associates.
Design, document, and implement scalable credentialing workflows and standard operating procedures.
Maintain accurate provider information, track application statuses, and analyze data to improve efficiency.
BetterHelp aims to remove traditional barriers to therapy and make mental health care more accessible. Founded in 2013, it is the world’s largest online therapy service, with a network of over 30,000 licensed therapists and a team of clinicians, engineers, marketers, and business leaders committed to expanding access.