Supervise daily activities of QA specialists across multiple operational areas.
Review completed audits for accuracy and consistency.
Conduct calibration sessions to ensure scoring alignment.
Machinify is a leading healthcare intelligence company delivering unmatched value, transparency, and efficiency to health plan clients. They are deployed by over 85 health plans and are reimagining what’s possible in the industry to maximize financial outcomes and drive down healthcare costs.
Perform inpatient coding audits and review services remotely.
Identify trends and suggest corrective action plans.
Provide in-service education to clients on coding trends.
UASI has over 40 years of experience and enduring partnerships with its valued clients. The company was recognized as a Top Workplace by the Cincinnati Enquirer in 2022, 2023 and 2024, with a dedicated team and long-term success.
Direct audit service delivery and manage teams to meet client needs and exceed expectations.
Drive audit productivity, cost management, and continuous improvement through metrics and innovation.
Lead staffing, people management, and contract negotiations to ensure compliance and growth.
Cotiviti provides payment accuracy and analytics solutions for healthcare and retail industries. The company is an equal opportunity employer and offers competitive benefits to a diverse team of professionals.
Lead and inspire a team of Patient Support Specialists.
Establish and refine team KPIs related to outreach volume and scheduling conversions.
Partner with clinical, engagement, and product teams.
Zócalo Health is the first tech-driven provider built specifically for Latinos, by Latinos. They are developing a new approach to care that is designed around shared and lived experiences and brings care to the community. The company was founded in 2021 and is backed by leading healthcare and social impact investors.
Perform Skilled Nursing Facility (SNF) medical claims audit reviews for Government and Commercial Payers.
Document findings referencing medical review guidelines and support audit findings during the appeals process.
Work collaboratively with the audit team to identify vulnerabilities and improve medical policies and workflows.
Machinify is a leading healthcare intelligence company that delivers value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans and representing more than 270 million lives, the company uses a configurable, AI-powered platform combined with industry expertise to maximize financial outcomes and reduce healthcare costs.
Directly lead and manage a team of Patient Support Associates to ensure medication adherence or timely prior authorization.
Proactively manage support in assigned hospitals and/or clinics to ensure patients receive medications on-time.
Provide front-line supervision and ongoing coaching and performance management to Patient Support team.
Shields Health Solutions is a specialty pharmacy management service provider. They are a fast-growing company that values motivated self-starters with a positive outlook and a focus on high-quality work.