Define quality performance standards, instrument measurement systems, and report on metrics across teams.
Run continuous quality monitoring, report weekly findings, and own the coaching framework for consistent feedback.
Partner with Product and Tech to embed quality into workflows, identify recurring issues, and create data-backed product requirements.
Dearest Care combines smart software and human advocacy to guide Medicare patients through diagnoses, medical bills, and care plans. It is a Series A company with a lean, impact-focused team that values conscious leadership and rapid iteration.
Execute daily Data Quality checks across multiple VA sites using DMM/IRIS tools.
Investigate data-quality discrepancies, identify root causes, and coordinate corrective actions.
Validate migration queries, extracts, and transformed data for completeness and correctness.
VetsEZ provides data management and support services for the Department of Veterans Affairs, focusing on Electronic Health Record Modernization. The company size and culture are not specified in the posting.
Own quality performance across all clinical tiers, including call and documentation quality for RNs, providers, and PSS Engagers, plus organization-wide clinical outcomes.
Lead and develop a team of Quality Reviewers, setting standards, conducting calibrations, and coaching to ensure consistent, defensible scoring.
Build and analyze quality dashboards and datasets to identify trends, root causes, and improvement opportunities, presenting findings to executive leadership.
CareTalk Health is a fully remote, nationwide virtual medical practice partnering with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. We are a growing, collaborative team focused on making virtual care simple, reliable, and human.
Handle a wide range of analytic needs across internal teams and external clients, from quick questions to ongoing engagements.
Work with healthcare data, including claims and clinical sources, to build reliable, well-documented datasets and analyses.
Support value-based care initiatives by analyzing quality measures, risk adjustment, and cost-of-care trends.
Guidehealth is a data-powered healthcare company leveraging AI and predictive analytics to make healthcare affordable and improve patient outcomes. It is a growing, physician-led organization with a collaborative, mission-driven culture that values agility and continuous learning.
Drive development and implementation of data capture and analysis strategy from multiple sources.
Synthesize data to build evidence supporting clinical, financial, and operational strategy.
Lead cross-functional financial performance analyses and present actionable insights to leadership.
Dignity Health MSO provides managed care administrative and clinical services to medical groups and hospitals. As part of CommonSpirit Health, it focuses on improving population health and quality of care through data-driven strategies.
Partner with Medical Affairs to define KPIs and build dashboards for clinical outcomes.
Conduct exploratory analyses to identify trends and recommend improvements.
Collaborate with data science, product, and engineering teams to ensure data access and integrity.
Spring Health is a global mental health company using an AI-native platform to eliminate barriers to mental health care. They serve over 170 million people worldwide through employers and health plans, with a culture focused on innovation and using AI tools to enhance care.
Develop and maintain operational, clinical, quality, compliance, and executive dashboards supporting the LTSS program.
Transform complex healthcare, operational, and financial data into actionable insights for program oversight and improvement.
Partner with cross-functional teams to monitor performance indicators, support compliance, and drive data-informed decisions.
The hiring partner is a healthcare organization supporting a large-scale Long-Term Services and Supports (LTSS) program. The role offers substantial autonomy and cross-functional collaboration in a fully remote environment.
Own key driver metrics (Part A, B, D, or Revenue) and make performance observable through reporting.
Improve clinical and operational processes by embedding with teams, documenting workflows, and piloting enhancements.
Build functional tooling using agentic coding tools and shape the quarterly roadmap with your functional leader.
Greenbrook Medical is building the new standard in primary care, delivering high-touch, relationship-based care through neighborhood clinics for seniors. Rooted in Tampa Bay and partnered with Tampa General Hospital, they are entering an exciting phase of growth backed by strong unit economics and experienced operators.
Analyze complex healthcare claims and eligibility data to identify trends, anomalies, and opportunities for improvement.
Develop and maintain dashboards using Tableau, Power BI, or QlikView to provide clear insights for business decisions.
Collaborate with cross-functional teams to translate business questions into analytical solutions and present findings to non-technical audiences.
This company specializes in healthcare data analytics, turning complex claims and eligibility data into actionable insights. The size and culture of the organization are not disclosed in the posting.
Own the SQL and DBT layer that transforms raw clinical and claims data into trusted, production-grade datasets.
Serve as the quality authority for the data, triaging and classifying data quality alerts.
Partner with Data Engineering on table design, partition strategy, and incremental patterns.
Arcadia helps healthcare organizations transform complex data into a unified foundation for health, enabling better care and lower costs. The company is a team of fiercely driven individuals committed to making healthcare more sustainable, and they are growing fast as a market leader in population health management.
Cultivate deep understanding of clinical content and UM products to drive program effectiveness.
Lead clinical analytics projects with multi-disciplinary partners to build analytical solutions.
Independently conduct in-depth analyses using statistical modeling and data mining on healthcare data.
Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The company works with over 660,000 providers and handles over 12 million prior authorization requests annually.
Support analysis, maintenance, and optimization of pharmacy and client networks through detailed data analysis and system updates.
Conduct research on claims, pricing, and reimbursement discrepancies, and develop operational audit tools.
Assist with network contract implementation, policy development, and building collaborative relationships with internal departments.
PDMI provides pharmacy data processing and flexible, scalable solutions for private label PBMs, health plans, and hospital systems. The company has been voted Best Employer in Ohio for six consecutive years and offers a collaborative, fully remote work environment.
Leads HEDIS performance strategy and quality improvement initiatives.
Manages a team focused on care gap closure and payer incentive programs.
Serves as EMR quality expert to optimize workflows and documentation.
Praxis Health is a family of medical groups providing high-quality healthcare throughout the state of Oregon. We have been serving communities for over 50 years, fostering a collaborative culture with innovative operational excellence.
Triage and resolve data quality issues across 1,200+ payer data feeds.
Collaborate with internal teams and payers to ensure end-to-end data integrity.
Maintain SOPs and lead cross-functional data initiatives to optimize processes.
Aledade PBC empowers independent primary care practices to thrive in value-based care. Founded in 2014, it is the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Own mapping and governance of payer/plan and HCP/provider records into DecodeRx hierarchies.
Conduct content research to enrich records and assign confidence ratings for senior validation.
Monitor data quality, create dashboards, and support data governance policies and best practices.
Precision AQ maintains governed payer and provider intelligence assets that support healthcare market access decisions. The company emphasizes data accuracy, collaboration, and continuous improvement across global product, engineering, and delivery teams.
Design and execute reporting and analysis by cleaning, compiling, and analyzing data to generate actionable insights for stakeholders.
Support data collection, quality assurance, and verification processes to ensure high-quality data for decision-making.
Collaborate with program teams and contribute to team culture and equity development through ad-hoc data requests and planning.
KIPP Public Schools is a national network of tuition-free public charter schools that prepares students with the skills and confidence to create the future they want. With 279 schools, nearly 16,500 educators, and 210,000 students and alumni, the organization values excellent results, collective impact, and courageous action.
Convert raw medical claims (837 EDI, UB-04, CMS-1500) into canonical models applying healthcare coding standards.
Perform data quality audits and write SQL/Spark SQL queries to validate pipeline output and detect overpayment patterns.
Act as SME on claims coding, adjudication rules, and payer policy, mentoring analysts and collaborating with cross-functional teams.
Machinify is a healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients across the US. Deployed by over 85 health plans and representing more than 270 million lives, the company combines an AI-powered platform with industry expertise to maximize financial outcomes and reduce healthcare costs.
Interpret federal and state regulations to ensure compliance and drive process improvements.
Analyze data in Excel to identify trends, savings, and process improvements.
SIHO Insurance Services provides health insurance administration and related services, focusing on payment integrity and regulatory compliance. The company operates in a managed care environment and emphasizes collaboration, professionalism, and adaptability among its employees.
Manage designated Medicaid, EQR, compliance, and quality improvement projects through all stages from planning to completion.
Coordinate with internal teams, external partners, and stakeholders to ensure project milestones and deliverables are met.
Prepare reports, workplans, and presentations while monitoring project progress and identifying risks.
Health Services Advisory Group (HSAG) is a healthcare organization dedicated to improving the quality of healthcare delivery. The company is a growing team that transforms healthcare in the United States, fostering a culture of community and fun.
Lead the design, development, and scaling of Healthie's data warehouse and analytics platform.
Enforce database-level isolation so customers only access their own data.
Partner with engineering, support, and customer success teams to build automated, compliant reporting systems.
Healthie is an AI-native, ONC-certified EHR platform that powers clinical care for over 40,000 providers and supports 21 million patients. The company has raised $42M, is profitable, and fosters a fast-paced, customer-obsessed culture with a focus on quality and collaboration.