Source Job

• Conduct objective medical case reviews for the Department of Veterans Affairs using standardized assessment criteria.
• Evaluate the timeliness and appropriateness of care to identify quality improvement opportunities and assess medical decision-making.
• Provide expert medical opinions by analyzing complex clinical scenarios from an impartial, evidence-based perspective.

Broadway Ventures is a service-disabled veteran-owned small business that provides expert program management, technology, and consulting solutions to government and private sector clients. With a focus on integrity and collaboration, the firm is a certified 8(a) and HUBZone contractor dedicated to operational success and growth.

• Conduct independent medical case reviews for the Department of Veterans Affairs to assess quality of care and adherence to standards.
• Evaluate the timeliness and appropriateness of care, identifying opportunities for improvement in clinical practices.
• Provide expert medical opinions by analyzing complex clinical scenarios from an impartial, evidence-based perspective.

Broadway Ventures provides expert program management, technology, and consulting solutions to government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, it operates with a culture built on integrity, collaboration, and excellence.

• Review and audit clinical documentation for accuracy, timeliness, and regulatory compliance.
• Ensure documentation meets Medicare Conditions of Participation, state regulations, and accreditation standards.
• Lead and support Quality Assurance and Performance Improvement initiatives, tracking key clinical and operational indicators.

They are fixing US healthcare by building an AI-native physical care platform, starting with home health. The company is automating administrative work with AI to create a fundamentally different cost structure than incumbents, enabling them to serve more patients.

• Lead Headway's clinical quality strategy, developing protocols and processes that uphold safety, efficiency, and effectiveness standards for the practice.
• Build and scale our Professional Practice Evaluation programs, directly improving clinical outcomes across our provider network of NPs and MDs/DOs.
• Conduct routine chart reviews and monitoring, providing feedback to clinicians and creating remediation plans for documentation concerns

Headway is building a new mental healthcare system everyone can access by solving the biggest barrier to care: insurance. They are a Series D company with $325M+ in funding, looking for exceptional people to help them achieve their mission.

• Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
• Assess payment determinations using clinical information and established guidelines.
• Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.

Broadway Ventures delivers tailored solutions that drive operational success, sustainability, and growth for government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), they empower clients with expert program management, cutting-edge technology, and innovative consulting solutions.

• Leads a team of clinicians and serves as a senior clinical owner for care delivery workflows.
• Provides clinical support for program development and customer-facing clinical work.
• Partners closely with Operations, Product, Member Success, Clinical Outcomes, Legal, Commercial, Customer Success, Solutions Consulting, and Marketing.

Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause.