Lead and manage daily prior authorization operations across all locations.
Oversee workload distribution and productivity; Track and mitigate revenue at risk.
Hire, train, coach, and develop authorization supervisors and authorization staff.
Metro Vein Centers specializes in state-of-the-art vein treatments. With over 60 clinics across 7 states, they deliver compassionate, results-driven care in a modern, patient-first environment.
Lead day-to-day census, enrollment, eligibility, and Medicaid re-eligibility operations.
Develop, maintain, and enforce department policies, procedures, workflows, and monitoring routines.
Supervise, mentor, and develop staff while setting clear expectations and maintaining accountability for performance and quality.
Habitat Health aims to help older adults experience an independent and joyful aging journey. They provide clinical and social care through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with healthcare partners like Kaiser Permanente.
Submit, track, and manage all Community Supports, Enhanced Care Management and Community Health Worker authorizations/reauthorizations/referrals
Update Athena with authorization information and For Community Supports: add members to the outreach assignment tracker and ensure compliance with the 24-hour assignment standard
Ensure workflow alignment with referral/authorization processes and Conduct internal checks for compliance, quality assurance, and clinical alignment
Zócalo Health is a tech-driven provider built specifically for Latinos, by Latinos, developing a new approach to care designed around shared and lived experiences. Founded in 2021, they are backed by leading healthcare and social impact investors, aiming to improve the lives of communities that have dealt with generations of poor experiences.
Lead and manage a team of revenue cycle and/or eligibility specialists.
Serve as the primary subject matter expert for insurance eligibility verification and billing requirements.
Oversee day-to-day revenue cycle operations, including patient billing support and claim resolution.
Midi Health is focused on scaling billing operations. They have a fast-paced, growth-focused environment that supports teamwork and continuous improvement.
Oversees daily operations of the Care Management unit and ensures process implementation.
Facilitates staff development, provides regular performance feedback, and identifies areas of improvement.
Evaluates performance metrics, supports staff in care planning, and promotes interdisciplinary collaboration.
Capital Blue Cross promises to go the extra mile for our team and our community. They offer a caring team of supportive colleagues and invest heavily in training and continuing education. Employees consistently vote them one of the “Best Places to Work in PA.”
Oversee teams of Claims Analysts and ensure high standards of quality and service are met.
Guide team members through complex claims processing and customer service inquiries.
Foster team development and drive improvements within the department.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Supervision and management of a team of Claim Analysts.
Achievement of team quality, production and service expectations.
Answering complex claim or customer service questions.
Luminare Health empowers employees with curated development plans that foster growth and promote rewarding, fulfilling careers. The company helps clients and brokers design custom self-funded Luminare Health plans that manage costs—without compromising benefits—by offering innovative solutions, flexibility, complete data transparency, and member-centered support.
Oversee the daily operations of the Enrollment Specialist team, including planning daily team coverage for various tasks.
Ensure the efficient and accurate execution of all new patient onboarding processes, including effective management of incoming communications.
Lead, coach, and develop a team of Enrollment Specialists, providing ongoing performance feedback, conducting regular one-on-one meetings, and completing annual performance evaluations to ensure high-quality service and productivity.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Form Health is a venture-backed innovative startup with an experienced clinical and leadership team deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together.
Assist in developing the strategic plan for the team and implement operational measures.
Assign claims and monitor caseloads for 10-15 employees, resolving escalated claims promptly.
Lead team development through hiring, training, and performance management.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Manage fax and mail intake, process medical records requests, and complete insurance pre-authorizations.
Strengthen the operational foundation of our fast-growing digital sleep clinic by handling documentation and correspondence.
Collaborate closely with cross-functional teams in a tech-enabled care environment, contributing to accessible sleep health.
Dreem Health, managed by the Sunrise Group, is America's leading digital sleep clinic that's fixing the broken sleep care patient journey. They connect patients with sleep specialists through a straightforward telehealth platform, eliminating lengthy wait times and complicated in-lab testing.
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.
Secures prior authorizations for outpatient imaging and in-office scheduled services.
Acts as a liaison between the payer and clinic schedulers/medical support staff.
University of Utah Health enhances the health and well-being of people through patient care, research, and education. They seek staff committed to compassion, collaboration, innovation, responsibility, integrity, quality, and trust, with five hospitals and eleven clinics.
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.
Oversee the daily operations of a team or multiple teams.
Play a crucial part in achieving team quality and facilitating staff development.
Provide support and guidance on complex claims and customer service inquiries.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Lead day-to-day communication for assigned health plan clients
Manage requests and deliverables with tight tracking
Build client reports, dashboards, and status updates
Urrly uses AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience—not on personal attributes such as gender, race, age, or background.
Manage day-to-day operations of the Revenue Integrity department.
Lead project planning sessions and ensure timely and accurate delivery of outcomes.
Cultivate relationships within the healthcare community and manage client interactions.
They are a company working with partner companies. They use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Oversee operational and clinical performance of contracted provider partners.
Drive execution on economic, clinical, and population health strategies.
Proactively analyze population health data to identify opportunities for improvement.
Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.
Responsible for preparing and submitting medication prior authorization requests and renewals.
Monitor and ensure procedural compliance for virtual Direct Observed Toxicology collections via oral swabs, troubleshooting and escalating issues as they arise.
Audit and maintain member information within the EMR system to ensure data integrity and compliance.
They play a vital role in ensuring the accuracy, timeliness, and efficiency of key operational workflows that support member care. The company's culture promotes a seamless care experience, with a focus on organizational standards and regulatory requirements.
Oversee a team responsible for handling claims efficiently.
Ensure adherence to quality standards and enhance customer service.
Foster a high-performance environment through training and evaluations.
Jobgether is a company that helps connect job seekers with employers through an AI-powered matching process. The company uses AI tools to support parts of the hiring process but does not replace human judgment.