Hire, manage, and develop a team of Enrollment Specialists, building a repeatable playbook for ramping new hires quickly and implementing coaching for long-term performance standards.
Own the enrollment funnel end to end in partnership with clinical and market leadership, continuously refining based on what the data shows is working.
Build and maintain the team’s Salesforce instance to ensure every patient interaction is captured accurately and enrollment is integrated seamlessly into our new patient workflows.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. It is a venture-backed startup led by experienced leaders in oncology and value-based care.
Supervise a team of 10-15 ECM staff to ensure high-quality care management services.
Oversee client outreach, enrollments, and Individual Care Plans, serving as escalation point.
Drive team to meet KPIs, collaborate on process improvements, and provide clinical oversight 30% of the time.
Vynca provides comprehensive care for individuals with complex needs, focusing on more quality days at home. The company fosters a close-knit community culture guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Conduct targeted telephonic outreach to patients and families to educate them on palliative care.
Complete structured eligibility screenings to identify patients with chronic illness and functional decline.
Schedule eligible patients for an initial visit with a nurse practitioner and coordinate logistics.
Vynca provides comprehensive care for individuals with complex needs, aiming for more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Review Home Health prior authorization requests using CMS guidelines and clinical judgment.
Lead and mentor the Home Health UM nursing team, ensuring quality and compliance.
Collaborate with cross-functional partners to optimize care and improve utilization.
Clover Health provides high-quality, affordable healthcare for America's seniors by combining data, technology, and preventive care. They are a mission-driven team with diverse expertise, focused on improving members' lives through innovation and empathy.
Directly manage a team of registered nurses and clinical staff, overseeing hiring, coaching, and performance management.
Own scheduling, coverage, and workflow management to ensure smooth clinic operations.
Serve as the operational owner of Carrot's EMR, including configuration and clinical content.
Carrot is a global fertility and family care platform that provides clinical guidance and support to members worldwide. The company serves over a thousand multinational clients and millions of members across 195 countries, and is recognized for its innovative workplace culture and awards.
Serve as a key liaison between patients, providers, and pharmacies to ensure seamless care coordination.
Own a queue of active clinical cases, reviewing them and driving each to resolution through persistent follow-up.
Use sharp clinical judgment to separate real issues from noise and communicate clearly with all stakeholders.
GoldenScript is an AI-native pharmacy services platform that optimizes medication management for patients. The company is a small startup focused on clinical care coordination and patient outcomes.
Oversee daily operations of the Patient Connection team, including referral tracking, outreach, and quality assessment.
Design and optimize workflows for referral intake, outreach, enrollment, and follow-up to drive efficiency and scale.
Set and achieve team performance targets, develop individuals, and collaborate cross-functionally to improve patient experience.
Concert Health is a national behavioral health medical group integrating the Collaborative Care model into healthcare practices to improve patient lives. They are a diverse and inclusive Equal Opportunity Employer focused on providing high-quality behavioral health support.
Manage care for high-risk members by identifying needs and coordinating clinical, community, and in-network resources.
Perform utilization management reviews, ensure quality oversight, and support accreditation readiness.
Collaborate with multidisciplinary teams to analyze member outcomes and drive continuous improvement.
They are a health plan focused on improving outcomes for high-risk members through care coordination and quality initiatives. Their team values collaboration, clinical excellence, and mission-driven work to enhance community health.
Lead and support a remote clinical support team to ensure exceptional patient service and operational excellence.
Coach and mentor team members while overseeing performance, quality audits, and provider workflows.
Drive continuous improvement initiatives and maintain adherence to clinical and quality standards.
Ways2Well is redefining healthcare through regenerative and preventive medicine, offering data-driven personalized care. They operate as a remote clinical support team with a focus on high-impact healthcare and patient empowerment.
Set daily direction for your UM team, establishing priorities and reinforcing expectations.
Coach reviewers on criteria application, guiding consistent use of medical-necessity criteria.
Monitor workflow health daily, tracking intake volume and turnaround risk.
Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together. The team is on a mission to empower people to lead healthier lives.
Oversee all nursing activities for clinical research studies in the Southeast region, ensuring compliance with regulations and protocols.
Manage per diem mobile research nurses, including training, documentation, and quality control of data collection.
Serve as the nursing subject matter expert for assigned studies, collaborating cross-functionally to support study execution.
Science 37 accelerates clinical research by enabling universal trial access for patients through Direct-to-Patient Site and Patient Recruitment solutions, powered by a proprietary technology stack. The company employs in-house medical and operational experts to enhance quality and streamline study orchestration, fostering a culture of innovation and teamwork.
Manage a defined patient caseload while overseeing the clinical performance and compliance of an assigned team of Care Managers.
Conduct proactive outreach, device data review, care plan updates, and care coordination consistent with team standards.
Lead client-facing engagements, performance reviews, and escalation calls, representing Welby Health with clinical authority.
Welby Health is a San Diego-based healthcare organization that transforms complex condition management through technology-enabled care coordination and data-driven insights. The company partners with physicians and health systems to deliver scalable solutions improving quality of care.
Provide clinical education, focused interventions, and care transition support for members with low-acuity needs.
Conduct in-person and virtual clinical exams, medication reconciliation, and chart reviews.
Triage referrals and collaborate with care team to ensure timely follow-up and handoffs.
Cityblock Health is a tech-driven provider for communities with complex needs, offering personalized primary care, behavioral health, and social services. Founded in 2017 and backed by Alphabet, the company has a diverse, inclusive culture and is growing rapidly.
Lead a pod of Credentialing or Enrollments Associates, setting priorities and ensuring quality.
Own complex payer enrollment and credentialing programs end to end.
Build scalable workflows and use metrics to manage capacity and execution risk.
Nourish is an AI-native digital health clinic that connects patients with dietitians and provides insurance-covered metabolic care. Founded four years ago, it has completed millions of appointments, tripled year-over-year, and partnered with health plans covering 200M+ Americans, with $215M in total funding.
Provide direct operational oversight and support of teams, ensuring performance and service standards are met.
Lead scheduling, staffing, and queue management to maintain 24/7 coverage while leveraging data analytics for KPI monitoring.
Collaborate with clinical leadership to optimize workflows, implement innovations, and support value-based care goals.
Privia Health is a technology-driven physician enablement company collaborating with medical groups, health plans, and health systems to optimize practices and improve patient care. It is led by top industry talent and physician leadership, focusing on scalable operations and cloud-based technology.
Manage high volume of outbound and inbound new patient onboarding calls.
Build trust with patients and clinical care team through exceptional omnichannel customer service.
Collaborate with interdisciplinary care team to schedule visits and support patient goals.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered approach. They are a growing, innovative organization focused on interdisciplinary teamwork and improving patient outcomes.
Manage patients assigned to your Care Team, ensuring visit frequencies align with acuity.
Communicate with patients via phone and video conferencing as per care plan.
Provide patient care within scope of practice and per provider orders.
Vynca is a healthcare company transforming care for individuals with complex needs, providing comprehensive care for more quality days at home. They are a close-knit community guided by core values of Excellence, Compassion, Curiosity, and Integrity.
Build and strengthen credentialing structures to ensure timely and compliant provider credentialing.
Serve as subject matter expert for payer enrollments with health plans.
Coach and lead a team of specialists to achieve performance standards.
We are a comprehensive women's health provider specializing in expert, longitudinal care for women. Trusted by over 60,000 women, we are one of the fastest-growing women's health platforms in the U.S.
Oversee the Complex Clinical Bill Review team, managing production expectations, SLAs, client communication, and team performance.
Analyze and track internal business requirements, continuously evaluate functionality across programs, and perform requirements gathering to solve process issues.
Monitor team performance metrics, identify growth opportunities, and coordinate system enhancements including JIRA and UAT testing.
Machinify is a leading healthcare intelligence company providing an AI-powered platform for health plan clients. They are deployed by over 85 health plans, representing more than 270 million lives, with a culture of innovation and efficiency.
Manage a portfolio of clients, providing clinical support, education, advocacy, and care coordination throughout their healthcare journey.
Conduct clinical intakes, collaborate with internal teams, and ensure smooth transitions across care delivery.
Communicate clearly and compassionately with clients, caregivers, providers, and internal partners.
Private Health Management guides patients and families through serious medical care, acting as an independent advocate to orchestrate the best treatment and support. The company is a mission-driven organization with a team of experts that provides compassionate, high-quality care coordination.