Develop and implement Freenome’s enterprise-wide revenue cycle strategy.
Build, coach, and develop a high-performing team and foster a culture of accountability.
Establish and oversee all processes related to coding, claims submission, reimbursement, and accounts receivable management.
Freenome is an equal-opportunity employer that values diversity. They are committed to building a career with their company and offer future opportunities via email alerts.
Be accountable for long term strategy, relationships, and growth of a dedicated book of key health plan partners.
Lead, mentor, and advocate for a team of Payor Partnership Managers, ensuring they have the tools, training, and strategic guidance to exceed their individual goals.
Own contract strategy & renewals to optimize partnership structure and success.
Equip is a virtual, evidence-based eating disorder treatment program focused on ensuring access to effective treatment. Founded in 2019, Equip is a fully virtual company with a highly-engaged, passionate, and diverse culture.
Support multiple health plan partners from implementation through ongoing value delivery.
Serve as intermediary to fairly represent partner interests and needs to internal stakeholders.
Accountable for health plan satisfaction, renewals & expansion opportunities to new markets, states, and lines of business, contract adherence, contract P&L, contract utilization.
Equip is the leading virtual, evidence-based eating disorder treatment program, ensuring everyone with an eating disorder can access effective treatment. Founded in 2019, Equip has been a fully virtual company with a highly-engaged, passionate, and diverse culture.
Own and maintain a centralized payer rulebook across all health plans.
Interpret payer requirements and translate them into clear operational workflows.
Own performance outcomes at the health plan level (KPIs, compliance, documentation).
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. They partner with health plans, providers, and community organizations to deliver culturally competent care and are scaling rapidly across states and populations.
Maintain and deepen senior-level relationships across national and regional payers.
Wheel is evolving the traditional care ecosystem by equipping the nation's most innovative companies with a premier platform to deliver high-quality virtual care at scale. They offer proven strategies and cutting-edge technologies to foster consumer engagement, build brand loyalty, and maximize return on investment.
Build and manage relationships with key stakeholders across health plans.
Design and implement referral pathways within health plan workflows to connect members.
Monitor referral trends and proactively engage case managers to increase appropriate referrals.
Ophelia is a healthcare startup that provides medication and clinical care through a telehealth platform to help individuals with OUD. They are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by technology and healthcare investors.
Own and deepen relationships with a portfolio of 5–10 enterprise healthcare customers.
Serve as a strategic advisor to C-suite and VP-level stakeholders.
Develop and execute comprehensive account strategies and success plans.
Collectly is a fast-growing healthcare technology company transforming revenue cycle management (RCM) through AI-driven automation. The company has millions of patients navigating inefficient billing systems every day, while providers face delayed payments, rising administrative burden, and operational complexity.
Drive new business growth and ensure ongoing success in our strategic health plan partnerships.
Deepen external payer relationships to identify new product opportunities and drive further alignment.
Responsible for growth relationships with MCOs and capturing new business opportunities.
Nadia Care is working to drastically change the experience of affected communities by reimagining how we deliver meaningful and compassionate care to expectant moms. Our team is focused on building trust-based engagement and wrap-around support for expectant moms at home, in person and virtually to ensure they have all the social support they need for a successful and joyful pregnancy journey.
Serve as the product expert and mental health advocate for a book of business of Spring Health’s health plan customers.
Develop and maintain positive working relationships with multiple health plan customers.
Consistently demonstrate Spring Health’s value proposition and link to health plan customer’s defined success metrics.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies and have a valuation of $3.3 billion.
Serves as principal lead on a defined number of providers for negotiation, strategy, and market intelligence.
Assist in the establishment of contract-related criteria and contracting guidelines to optimize financial performance and minimize Plan risk.
Responsible for understanding provider partners’ service needs and incorporating contract solutions to support providers and Capital Blue Cross in reaching shared goals.
Capital Blue Cross aims to go the extra mile for their team and community. Employees consistently vote them one of the “Best Places to Work in PA” due to their supportive colleagues and focus on professional and personal growth.
Own end-to-end contract lifecycle for extensive contract portfolio.
Partner directly with practices to ensure successful contract onboarding and ongoing compliance.
Act as the SME of the Explorer market with all relevant groups such as Payer Networks, SPP, Withdrawal, Legal, and Growth teams.
Aledade, a public benefit corporation, empowers independent primary care. Founded in 2014, they've become the largest network of independent primary care in the country, helping practices deliver better care and thrive in value-based care with a collaborative, inclusive, and remote-first culture.
Responsible for managing and growing client relationships through hands on partnership.
Delivering exceptional service, aligning client expectations with internal capabilities.
Driving satisfaction and retention through consistent, proactive communication.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations. They leverage industry expertise and a unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals and surgery centers. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024. They are also among the top one percent of companies to make the Inc. 5000 list for the last eleven years.
Establish and monitor performance metrics to measure the reliability and latency of payer data feeds.
Serve as the primary point of escalation for high-priority payer data issues, coordinating with various teams.
Oversee the documentation and submission processes for clinical data extracts to ensure audit readiness.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. As the largest network of independent primary care in the country, they focus on creating value-based contracts, strengthening care continuity, and aligning incentives to ensure physicians are paid for keeping patients healthy.
Partner with cross functional leaders to ensure internal processes and care delivery are in accordance with health plan needs across commercial and Medicaid lines of business
Translate health plan contracts, provider manuals, and regulatory requirements into scalable operational workflows
Serve as the internal subject-matter expert on credentialing and payor operational requirements
Equip is a virtual, evidence-based eating disorder treatment program. They aim to provide accessible and effective treatment. Founded in 2019, Equip has been a fully virtual company and has a highly-engaged, passionate, and diverse culture.
Spearhead strategy, operations, and contracting for VIVIO’s Medical Specialty Drug Carve-Out.
Proactively identifying, fostering, and overseeing partnerships, optimizing mutual value.
Collaborate across various functional areas of the partnerships as well as within VIVIO.
VIVIO Health, a Public Benefit Corporation, is revolutionizing pharmacy benefits management through data and technology. Since 2016, our evidence-based approach has delivered superior health outcomes while reducing costs for self-insured employers and health plans.
Lead the development and execution of Clover’s provider network strategy in New Jersey.
Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
Lead a team to deliver high-quality and data-driven contracting operations.
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.
Develop the provider network through contract negotiations, relationship development, industry analysis and servicing.
Analyze, review, and project financial impacts of network contract arrangements.
Implement reimbursement strategies designed to control healthcare costs.
Blue Cross of Idaho is an Idaho-based health insurance company that has been around since 1945. As a not-for-profit, they are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services with the help of customer-centric professionals.
Lead a designated book of business aligned to HealthJoy’s most strategic broker partners.
Be a key driver of HealthJoy’s revenue goals through proactive account management, strategic expansion, and world-class retention efforts.
Build strong, consultative relationships across all levels of a customer organization, from day-to-day champions to C-Suite stakeholders.
HealthJoy guides employees to affordable, high-quality healthcare by consolidating clients’ health and wellness strategies into the HealthJoy Benefits OS, a simple, unified digital experience, leading to healthier employees and a healthier bottom line. With over $100M in fundraising to date, HealthJoy has garnered workplace awards and grown globally to over 300 team members.
Support development and execution of Willow’s long-term strategic plan
Develop and maintain reports and dashboards to track performance across Willow’s key performance indicators (KPIs)
Prepare presentations for leadership, investors, and Board of Directors
Willow Health is a behavioral health company that is backed by Andreessen Horowitz (a16z), Seae Ventures and Emerson Collection. They are dedicated to transforming the lives of individuals experiencing mental health crises by providing innovative, personalized care programs accessible from the comfort of home.
Lead a team of professionals across billing, collections, and denials management.
Build SOPs and scalable processes to ensure consistent and high-quality execution.
Create feedback loops to identify pain points and implement improvements across billing workflows.
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.