Lead enterprise-wide quality strategy and compliance excellence, driving design, implementation, and continuous improvement of the PACE quality program.
Partner cross-functionally with Analytics, Compliance, and Operations to turn complex data into actionable insights and elevate quality.
Oversee Quality Operations teams, regulatory reporting, and corrective action plans to ensure participant safety and readiness.
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.
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.
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.
Lead a production-focused pod of Operations Analysts and Credentialing Specialists, owning day-to-day credentialing operations.
Drive team performance by monitoring speed, quality, and efficiency metrics, ensuring SLAs are consistently met.
Coach, mentor, and train team members, conducting daily standups and weekly performance reviews.
CertifyOS builds the data infrastructure for modern healthcare, automating provider licensing, credentialing, and network monitoring. It is backed by leading investors and values authenticity, accountability, collaboration, results, and openness to feedback.
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.
Manage a patient and provider panel to identify and close HEDIS and Medicare Stars quality gaps through targeted outreach and education.
Partner with nephrology and primary care practices to interpret quality data and implement actionable improvement workflows.
Collaborate cross-functionally with clinical, coding, and pharmacy teams to drive performance, compliance, and patient well-being.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. The company is committed to improving outcomes for patients with kidney disease by providing interdisciplinary resources, analytics, and services.
Lead credentialing and payer enrollment functions, setting strategic objectives and performance standards.
Manage vendor relationships and resolve enrollment-related revenue cycle issues.
Develop scalable processes, dashboards, and compliance initiatives to reduce backlogs and improve efficiency.
Jobgether is a platform that uses AI to match job seekers with opportunities. They partner with companies to manage applications and next steps, aiming to streamline the hiring process.
Develop, implement, and monitor outcome-based reporting systems for high-risk diagnoses, patient groups, and care processes.
Collaborate with interdisciplinary teams to prepare quality reports for clinical departments and regulatory bodies.
Apply performance improvement methods like Lean Six Sigma and Rapid Cycle PDSA to enhance patient care outcomes.
Cooper University Health Care is a leading healthcare provider committed to extraordinary care and clinical innovation. With a large team of professionals, it offers competitive benefits and opportunities for career growth.
Collaborate with health plan leaders to develop quality data strategies and reporting on HEDIS and CAHPS performance.
Oversee data ingestion, validation, and documentation to improve accuracy across EHR, HIE, and supplemental data.
Support regulatory compliance and HEDIS audit readiness while monitoring quality programs and reporting risks.
This organization is a healthcare quality partner focused on national performance initiatives, including HEDIS, CAHPS, and data analytics. It provides a highly collaborative, matrixed environment with opportunities for cross-functional exposure and remote work.
Drive daily performance of operations teams to exceed service and quality levels while within budget.
Design and implement robust operations processes, quality programs, and continuous improvement initiatives.
Collaborate with Product, Sales, and Technology teams on services, incident response, and reporting.
Nearmap provides aerial imagery, AI-driven analytics, and geospatial tools that reshape understanding of the built environment. The company fosters an inclusive, supportive culture where employees move fast, work smart, and embrace remote work.
Maintain the portfolio operating rhythm and governance across initiatives.
Translate operational data into executive dashboards and actionable insights.
Coordinate cross-functional teams to drive execution discipline and measurable outcomes.
This company is a healthcare-focused organization that manages complex portfolios and drives operational excellence. It offers a remote-first culture and supports broad societal impact through healthcare initiatives.
Lead multiple Team Leads overseeing credentialing operations, ensuring efficiency, accuracy, and compliance.
Own client health KPIs, drive performance metrics, and resolve escalations to ensure SLAs are met.
Partner with internal teams to optimize workflows, implement process improvements, and ensure business continuity.
CertifyOS builds the data infrastructure that powers modern healthcare by automating provider licensing and credentialing. Backed by leading investors, they have a high-ownership team focused on solving real infrastructure problems for millions of patients.
Ensure the Enrollment Team delivers high-quality, compassionate interactions with prospective members through call audits and evaluation reviews.
Lead calibration sessions and identify trends, opportunities, and improvements for QA rubrics and processes.
Use data and AI technology to surface insights, optimize quality platforms, and advance strategic quality initiatives.
Thyme Care is a market-leading value-based oncology care enabler that partners with national and regional health plans, providers, and employers to deliver better outcomes and lower costs for people with cancer. They are a tech-native organization with a culture centered on human connection, innovation, and continuous improvement, serving thousands of patients across the country.
Audit participant electronic health records to ensure complete, accurate, and timely documentation.
Identify documentation gaps and collaborate with clinical teams to improve processes and regulatory readiness.
Reconcile regulatory logs and assist with audits and investigations to maintain data integrity.
WelbeHealth is a value-based healthcare organization that provides all-inclusive care to vulnerable seniors, keeping them in their communities. The company emphasizes a supportive team culture with work-life balance and comprehensive benefits.
Lead enterprise compliance program execution, including strategy, risk assessments, and policy governance.
Oversee compliance investigations, monitoring, auditing, and regulatory change management.
Provide guidance on federal and state healthcare regulations and emerging risks, partnering with senior leaders.
Oscar is a health insurance company built on a full-stack technology platform, focused on serving members. We started in 2012 and foster a culture of authenticity and belonging, with a mission to change healthcare.
Lead enterprise training and operational excellence across Patient Experience, aligning learning strategy with business outcomes.
Own training strategy, curriculum design, team leadership, BPO oversight, and process standardization.
Use data analytics and KPIs to measure training ROI, drive continuous improvement, and report to executive leadership.
Natera is a global leader in cell-free DNA testing, dedicated to oncology, women's health, and organ health. The team includes statisticians, geneticists, doctors, and engineers from world-class institutions, with a culture that values hard work, growth, and collaboration.
Oversee CMS and state audit readiness, live audit management, and corrective action plans.
Build internal monitoring, training, and reporting to foster a culture of compliance.
Collaborate with clinical and operations teams to integrate audit findings into improvements.
Habitat Health empowers older adults to experience more good days through the Program of All-Inclusive Care for the Elderly (PACE), delivering coordinated medical and social care in homes and communities. Supported by leading healthcare organizations and investors, the company is expanding its scalable model with a mission-driven culture focused on participant well-being.
Lead cross-functional operational initiatives from intake to implementation, managing stakeholders, dependencies, risks, and outcomes.
Partner with business leaders and technology teams to drive execution, adoption, and operational readiness across the organization.
Provide leadership, coaching, and accountability for assigned resources while supporting continuous improvement and post-launch stabilization.
The company is a US-based organization focused on improving service delivery and operational transformation. It fosters a collaborative, results-oriented culture with an emphasis on professional development and measurable business impact.
Manage administrative operations and team members across multiple senior living communities.
Develop community budgets and business plans to drive census growth and profitability.
Ensure highest quality resident care and regulatory compliance across all communities.
Monarch develops customized lifestyle options for senior living with a focus on health and wellness. The team is committed to building progressive communities and supporting future generations, though company size is not specified.
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.