Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
Support for the development and deployment of audit procedures applied to payer data sets.
Partner across teams and with payers to resolve data discrepancies.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Build Maven’s ability to drive sales through payer channels through strategic and analytic support to identify potential clients for all Maven programs and build a business case for them.
Lead end‑to‑end outcome evaluations for payer clients, designing robust methodologies and performing hands‑on analyses of medical and pharmacy claims, eligibility files and Maven platform data.
Own technical and clinical relationships with payer stakeholders, serving as their primary point of contact for study design, data sharing, results interpretation and ongoing analytic support.
Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all. 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.
First line of defense on data quality and accuracy issues with existing payer data ingestion feeds.
Provide operational support needed to ensure continuity of data exchange between Aledade and payer partners.
Assist in data analysis requests to support net new integrations and investigate investments for new data-based projects.
Aledade empowers independent primary care practices. They are the largest network of independent primary care in the country, helping practices deliver better care and thrive in value-based care.
The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system.
You will ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims and patient estimates and collaborate with senior team members to process new client implementations.
Independently manages routine maintenance cases, ensuring compliance with enterprise standards and client expectations.
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 where their corporate headquarters are in Dublin, Ireland.
Collaborate with implementation teams and external customers to ensure data integrity and interface validation for symplr software solutions.
Analyze and manage patient healthcare data for consistency and accuracy while configuring system software during implementation projects.
Leverage analytical, technical, and communication skills to define processes for clinical data management and assist customers in achieving their organizational goals.
Symplr is revolutionizing healthcare operations with a first-of-its-kind platform that drives effective, efficient, and connected workflows, increasing operational benefits and scaling clinical, financial, and quality outcomes. We are a remote-first company with employees across the United States, India, and the Netherlands.
Initiate, negotiate, and execute contracts with physicians and healthcare providers.
Analyze financial impacts and maintain documentation within a tracking system.
Advise leadership on functional strategies regarding provider contracts.
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 share this shortlist directly with the hiring company.
Lead support for business initiatives through data analysis and user acceptance testing
Identify and analyze user requirements to improve processes
Perform detailed analysis on projects and recommend business solutions
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.
Assisting with provider credentialing by collecting documentation, entering provider data, submitting required materials to the health plan, tracking completion, and updating internal records.
Maintaining and updating provider records from various sources in internal systems to ensure accuracy and completeness.
Supporting reporting requirements, including completing health plan reports on assigned schedules.
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. They aim to make healthcare affordable, improve patient health, and restore fulfillment in practicing medicine for providers. Powered by AI and Healthguides™, Guidehealth builds connections with patients and providers.