Manage data of all manufacturers, suppliers, or group purchasing organization (GPO) clients.
Monthly accounting and reconciliation of financial activities of current and future contracts.
Assist in contract implementation process and development.
Sodexo creates a better everyday for everyone and builds a better life for all. They improve the quality of life for those they serve and contribute to the economic, social, and environmental progress in the communities where they operate. Sodexo values employees, embracing diversity and inclusion as core values.
Responsible for strategic and operational support through analysis of clinical, financial, and coding claims data.
Leverage abstraction and analysis of datasets to benchmark performance and identify areas for improvement in CDI, coding and provider documentation practices.
Play a key role in driving improvements in case mix index (CMI), risk adjustment, and departmental focus on identified trends.
Emory Healthcare is fueling professional journeys with better benefits, valuable resources, ongoing mentorship and leadership programs, and a supportive environment. They enable employees to reach new heights in their careers and be what they want to be.
Manage the provider data ticketing queue, ensuring timely resolution of requests.
Partner with team members to obtain required data elements and validate completeness.
Identify and implement opportunities to streamline provider data structure and workflows.
Curana Health is committed to radically improving the health, happiness, and dignity of older adults. They serve 200,000+ seniors in 1,500+ communities across 32 states, with over 1,000 clinicians, care coordinators, analysts and professionals.
Collaborate with business partners to gather business reporting and analytics requirements.
Understand and validate the accuracy and quality of the data.
Utilize visualization tools to design and create analytics dashboards and operational reports.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.
Onboard new user groups and validate workflows/permission models.
Manage and operate AD access approvals workflows, ensuring compliant and auditable provisioning.
Utilize data to produce Power BI dashboards and reports to measure organizational KPIs.
Liberty Mutual delivers customers peace of mind every day by helping them protect what they value most. Operating as a tech startup within a Fortune 100 company, they are leading a digital disruption that will redefine how people experience insurance.
Research and document new payment integrity concepts by analyzing medical policies, billing regulations, and reimbursement logic.
Translate complex billing rules into precise technical specifications for automated claim auditing algorithms.
Conduct hands-on data analysis using Microsoft Excel to explore datasets and quantify savings potential for clients.
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. They work with over 660,000 providers and handle over 12 million prior authorization requests annually. The Coherenauts who succeed here are empathetic teammates who are candid, kind, caring, and embody their core values and principles.
Interpret medical rules, regulations, fee schedules, and edits that payers post.
Understand and manipulate payer data to build federal, state, and commercial coding and financial tables.
Maximize the efficiency and use of product solutions by properly maintaining payer specific edits.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. They operate across a range of markets and have an amazing team of 25,200 people in 32 countries.
Onboarding and integration of various payer feeds, including eligibility and claims data.
Analyze data from external payer sources and internal systems into the enterprise data model.
Define and implement data quality rules and monitoring frameworks for all critical data pipelines.
WellBe Senior Medical delivers personalized healthcare, partnering with health plans and provider groups to provide comprehensive support to seniors. We are committed to building a great place to work, with opportunities for impact and advancement.
Primarily responsible for performing compliance reporting reviews and audits to ensure compliance with federal and state regulations, NCQA, URAC and client contractual requirements.
Assist with data collection, analysis and reporting for process improvement efforts.
Plan, coordinate, and conduct compliance reporting audits at the direction of the Manager, Compliance Programs, the Chief Compliance Officer and the Quality, Security and Compliance Committee.
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. Cohere Health has a supportive, growth-oriented environment and diverse, inclusive teams.
Works as a positive team member to deliver quality applications within scope.
Gathers user requirements and creates technical documentation.
Develops complex reports from disparate systems and ensures their accuracy.
Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. They welcome candidates who can contribute to the excellence of their academic community.
Lead complex data analyses to identify trends, risks, and opportunities that support business decisions.
Design and develop advanced reports, dashboards, and analytical models to measure operational and financial performance.
Proactively identify areas for process improvement and drive recommendations based on data insights.
EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging industry expertise and its unified E360 RCM intelligent automation platform. It's among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies.
Lead and perform end-to-end SOX testing, from planning to execution and reporting.
Recommend and assist in implementing solutions to strengthen controls and streamline processes.
Partner with cross-functional teams to ensure timely resolution of control issues.
Groupon's purpose is to build strong communities through thriving small businesses, operating the world’s largest local ecommerce marketplace. They connect consumers with merchants just about anywhere, anytime with a global spectrum of talents and industry specializations.
Serve as the team's primary Workday reporting subject matter expert.
Enable cross-functional teams to access Workday data at an appropriate level of detail through scalable solutions.
Consult with department leaders to build and deliver data-driven recommendations.
Included Health is a healthcare company delivering integrated virtual care and navigation. We are on a mission to raise the standard of healthcare for everyone and break down barriers to provide high-quality care for every person in every community.
Supports Medical Policy Directors (MPD) through various aspects of the New Policy processes.
Performs multi-faceted data and report analytics to provide accurate client or policy information.
Researches and examines client questions and drafts accurate responses.
Cotiviti provides payment accuracy and analytics-driven healthcare solutions. They have a large team, and cultivate an inclusive and equitable environment for all employees.
Working with Arcadia customers to help solve complex business needs within the platform
Helping a customer gain trust in our data by explaining the transformations taking place
Partnering with technical operators to build complex customizations
Arcadia.io helps innovative providers and payers across the country transform healthcare to reduce cost while improving patient health. They are growing fast and have emerged as a market leader in the highly competitive population health management software market.
Analyze healthcare data and generate actionable insights.
Support Prompt's enterprise clients on the Prompt BI platform.
Spearhead the sales efforts for the Prompt BI platform.
Prompt is transforming healthcare by providing highly automated software to rehabilitation therapy businesses. They are the fastest-growing company in this sector and seek to be the new standard in healthcare technology.
Translate complex datasets into actionable insights that guide campaign strategy and optimize performance.
Function as a trusted consultant for internal and external stakeholders, translating data into meaningful strategic recommendations.
Manage campaign reporting, measurement, and insights generation, building compelling client-facing narratives that communicate impact.
Phreesia is dedicated to transforming the healthcare experience and empowering healthcare organizations. They are committed to helping healthcare organizations succeed by digitizing appointment check-ins and offering tools to engage patients. Phreesia values inclusivity, professional development, and growth opportunities.
Aggregates data, prepares and analyses as it relates to assessment and roadmap development and execution.
Produces detailed analysis that facilitates internal team discussion and client facing deliverables.
Uses, evaluates, and improves internal templates, tools, and processes.
Merkle is focused on exploring new ways to reach, engage and nurture relationships with audiences. It has over 120 years of innovation and drives a multiplier effect for clients at a global scale through Integrated Growth Solutions.
Responsible for processing insurance claims accurately and efficiently.
Analyze claim data to identify trends, errors, and potential irregularities.
Serve as a liaison between departments to support seamless claims resolution and continuous process improvement.
Curana Health is dedicated to radically improving the health, happiness, and dignity of older adults. They are a fast-growing company serving over 200,000 seniors in 1,500+ communities across 32 states.