Responsible for Clinical Chart Validation (CCV) audit operation and talent management.
Oversee process improvement initiatives and the Natural Language Processing program.
Provide supervision and direction to audit Team Leads.
Cotiviti is focused on payment accuracy, helping clients avoid unwarranted payments in the complex healthcare environment. They offer a competitive benefits package and are an equal opportunity employer that values diversity and inclusion.
Serve as an SME for the clinical functionality of the EHR system.
Develop and deliver targeted training programs for new and existing clinical staff on EHR use.
Act as the clinical liaison to the Product and Technology teams, translating real-world workflow needs into technical specifications for new features or enhancements.
Synapticure is a patient and caregiver-founded company that provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support through a virtual care platform. Partnering with providers and health plans, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases.
Act as the compliance point of contact for new alternate payment model initiatives, providing compliance guidance.
Stay informed on legal and regulatory changes, ensuring organization departments align with them.
Coordinate across departments to implement compliance mechanisms, meeting contractual commitments.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. The final decision and next steps (interviews, assessments) are managed by their internal team.
Performs analysis of Alliance information security practices.
Identifies, investigates, and resolves security breaches.
Leads and performs staff training on information security.
Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors and people with disabilities. They currently serve more than 418,000 members with over 500 employees.
Serve as the primary point of contact for assigned clients, ensuring delivery of projects aligned to strategic objectives, timelines, and budget expectations
Provide strategic guidance on optimizing EHR workflows, data capture, and clinical decision support
Engage with life science organizations and their leadership to align on Health IT initiatives
PrecisionAQ is a company that focuses on optimizing Electronic Health Record (EHR) capabilities, workflow enhancements, and technology-enabled care delivery solutions. The company seems to have a collaborative culture with cross-functional teams.
Oversee prior authorization and financial assistance workflows.
Drive quality and productivity across team members.
Ensure work is compliant and meets quality standards.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within the hospital. They focus on improving medication access, adherence, and overall patient outcomes, operating in a high-growth environment.
Lead translation and governance of IT, clinical staff, patients, and leadership.
Provide leadership on clinical application strategy, anticipating future technical needs.
Lead workflow development that support clinicians, patients, and organizational goals
Fred Hutchinson Cancer Center provides adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. They are the only National Cancer Institute-designated cancer center in Washington and value collaboration, compassion, and innovation.
Translate patient safety requirements into data models and implementation guides.
Manage OCI solution architectures, including the individual MOIP feature structures for OCI workstreams and the ART (Agile Release Train) backlog.
RESPEC tackles complex challenges in energy transition, infrastructure resilience, digital transformation, and sustainability. They are a 100% employee-owned company where employee ideas drive real solutions.
Ensure departmental compliance with all applicable global regulations and Sarah Cannon SOPs.
Establish and lead the clinical operations strategy, setting departmental goals.
Promote strong cross‑functional collaboration with internal stakeholders.
McKesson delivers products to healthcare providers. Every day, McKesson’s employees deliver products to healthcare providers that make a difference in the care and life of a patient, focused on creating an inclusive environment with strong values.
Assist in the development, implementation, and maintenance of compliance programs.
Support HIPAA and patient privacy initiatives, including risk assessments.
Partner cross-functionally to evaluate compliance and privacy impacts of new initiatives.
Wisp puts healthcare back in patients’ hands by connecting patients with hassle-free sexual + reproductive care online, with discreet and convenient treatment that saves them time, money, and stress. They are a growing, fully-remote team in the United States.
Track project deliverables, manage risks and issues using appropriate tools.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and corporate headquarters in Dublin, Ireland.
Manage prior authorizations and related administrative paperwork.
Input patient information, medical records (CPT, ICD-10, HCPCS), and billing data into EMR/EHR systems.
Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.
Wing is redefining the future of work for companies worldwide. They aim to be a one-stop shop for companies looking to build world-class teams and place their operations on autopilot.
Lead the company’s U.S. regulatory strategy for digital health, telemedicine, pharmacy, and consumer products.
Oversee all regulatory filings, submissions, and registrations, including FDA establishment registrations and product listings.
Provide regulatory intelligence—monitoring federal and other regulatory activity and synthesizing developments into clear, actionable insights for internal teams.
Hims & Hers is a health and wellness platform with a mission to improve health around the world. They are customer-centric, and focused on affordability, access, and personalized care. Hims & Hers is a public company traded on the NYSE under the ticker symbol “HIMS”.
Leads and contributes to the team that develops EHR solutions.
Engages with Life Sciences customers in Marketing, Market Access and Brand roles to help determine EHR strategy and solutions.
Develops and consults on EHR strategies to our Life Sciences customers.
Precision Medicine Group is a company that works with life sciences companies. They have a large number of employees and aim to foster a workplace where employment decisions occur without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.
Conduct investigations of privacy incidents involving members, providers, and employees.
Analyze data, contract terms, and documentation to substantiate privacy allegations.
Jobgether is a platform that uses AI-powered matching to connect candidates with companies. Our system identifies top-fitting candidates and shares them with hiring companies.
Lead and oversee a team on execution of all aspects of regulatory and client audits.
Interface with external clients and regulatory bodies to address inquiries.
Coordinate across teams to document and ensure timely completion of corrective actions.
We are currently looking for a Compliance Manager - REMOTE. As part of the Audit and Corrections team, the Compliance Manager will oversee audit engagements and corrective actions while driving a culture of compliance throughout the organization.
Lead, coach, and develop a team of Ops Associates.
Oversee the design and implementation of payor builds or process improvements.
Work closely with the Managers to identify process breakdowns and implement solutions.
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.
Serve as the lead architect for complex Salesforce Data 360 implementations, ensuring solution integrity.
Configure and test key Data 360 components, including data streams and data model objects.
Troubleshoot ingestion, mapping, and harmonization issues, ensuring smooth integration with Salesforce and external systems.
Bounteous is a digital transformation consultancy partnering with brands to create digital solutions. They have over 4,000 expert team members across the Americas, APAC, and EMEA, delivering innovative and strategic solutions.