Lead and develop a clinical quality team, setting standards for provider quality and documentation integrity.
Own provider quality outcomes, termination process, and payor audit readiness across a network of 26,000+ providers.
Serve as clinical subject matter expert for cross-functional teams, ensuring clinical standards are applied in product and operations.
Grow Therapy is a three-sided marketplace that empowers therapists, insurance payors, and patients to improve mental healthcare access. The company has raised over $328 million, serves thousands of therapists and clients, and fosters an entrepreneurial, mission-driven culture.
Coordinate quality improvement plans and monitor performance across a network of crisis centers.
Analyze data, prepare reports, and lead QI meetings to ensure compliance with program goals.
Collaborate with teams to develop proactive quality improvement activities and investigate complaints.
Vibrant Emotional Health delivers high quality mental health services and support through technology-enabled programs and community wellness initiatives. For over 50 years, the organization has been a leader in promoting emotional well-being and operates with a staff dedicated to innovation and advocacy.
Support ongoing documentation quality monitoring by reviewing provider notes for clinical completeness, risk, and payor compliance.
Serve as a clinical point of contact for providers, conducting outreach on documentation best practices and supporting a culture of quality.
Support complaint, grievance, and payor quality review workflows, including intake, clinical review, and resolution documentation.
Grow Therapy is a three-sided marketplace that empowers therapists, augments insurance payors, and serves patients, addressing the need for accessible mental healthcare. Since launching in February 2021, they have empowered over ten thousand therapists and hundreds of thousands of clients, raising over $328 million in funding at a $3 billion valuation from top investors.
Support quality, safety, and compliance by identifying documentation and workflow improvements.
Process physician orders within the EMR and ensure verbal orders meet documentation requirements.
Manage end-of-episode documentation, including discharge reports and OASIS visits.
Adaptive Home Health is an AI-native physical care platform transforming US healthcare, starting with home health. The company combines a world-class AI team with healthcare veterans to build a new type of healthcare company that delivers care at the speed of an AI company.
Coordinate and support CMS Hospital Quality Reporting Program activities, including work plans, timelines, and contractor oversight.
Develop training materials, presentations, and reports while facilitating cross-functional meetings and stakeholder communication.
Identify workflow improvements using AI tools in accordance with data privacy and quality standards.
HSAG is a healthcare consulting firm dedicated to improving the quality of healthcare delivery in the United States. As a growing team, we foster a collaborative culture focused on making healthcare better for everyone while having fun at work.
Provide clinical oversight and mentorship to a team of mid-level clinicians and behavior technicians
Ensure quality ABA programming and meaningful client progress while collaborating with families and caregivers
Supervise, train, and guide staff while championing the latest ABA technology and clinical approaches
Center for Social Dynamics provides evidence-based ABA therapy for individuals with autism and other developmental needs. As a fast-growing leader in the field, the company is known for its vibrant culture, hands-on training, and career pathways that support growth.
Review BCBA and behavioral health provider credentialing packets for completeness and accuracy.
Maintain audit tools, dashboards, and checklists to ensure compliance with regulatory standards.
Support training development and delivery for internal staff and delegated entities on credentialing requirements.
AnswersNow is trailblazing the future of autism therapy with an innovative virtual ABA therapy platform designed by clinicians. The team operates fully remote, fostering a culture of flexibility and impact.
Perform quality assurance monitoring for inbound and outbound customer interactions across multiple departments.
Identify areas for improvement and develop metrics for excellence to measure performance.
Create and track accurate quality-monitoring reports and recommend policy changes.
Above Lending is a next-generation financial services company helping everyday Americans break the cycle of high-cost debt and achieve financial well-being through customized lending solutions. The company is growing quickly and values collaboration, with a culture grounded in compliance and ethics.
Provide face-to-face clinical supervision and chart review for Washington state LMHC Associate employees.
Audit charts for compliance, assist clinical team with CEU requirements, and create competency trainings.
Ensure all counseling services are within competent parameters and maintain confidentiality.
Northpoint Recovery Holdings is a behavioral healthcare provider offering evidence-based treatment for substance use and co-occurring disorders in adults and mental health treatment for adolescents. Since 2009, it has grown from two facilities to seventeen across the Western U.S., guided by core values of humility, heart, inspiration, and conviction.
Support professional practice evaluation programs to improve clinical outcomes across a network of NPs and MDs/DOs.
Conduct chart reviews, provide clinician feedback, and create remediation plans for documentation and evidence-based practices.
Collaborate with operations, product, and engineering teams to develop automated quality monitoring systems.
Headway is building a new mental healthcare system by automating insurance admin and providing software for over 75,000 providers across all 50 states. They are a Series D company with over $325M in funding, focused on scaling platform foundations to improve access to therapy.
Conduct quality control reviews of participant visits and source documentation in the CRIO eSource system to ensure compliance with GCP, ALCOA principles, and client standards.
Identify missing documentation, inconsistencies, protocol deviations, and transcription errors, and document findings in tracking systems.
Collaborate with site personnel to communicate findings, support corrective actions, and contribute to continuous improvement initiatives.
UniTriTeam is a women-owned global workforce solutions organization specializing in clinical research operations, technology, and strategic staffing support. The team is collaborative, accountable, and committed to delivering excellence and integrity.
Conduct medical claim reviews using clinical information and established criteria to determine medical necessity and appropriate reimbursement.
Educate internal and external staff on medical reviews, coding procedures, and coverage determinations.
Participate in quality control activities and provide guidance to LPN team members.
Palmetto GBA is a healthcare service administrator and one of the nation's largest providers of high-volume medical claims and transaction processing. The company offers a diverse workforce, training programs for leadership, tuition assistance, and financial incentives.
Supports quality improvement infrastructure across PACE centers, maintaining data systems and regulatory reporting.
Tracks participant safety events, ED and inpatient admissions, and facilitates Quality Improvement Committee operations.
Executes internal quality audits and prepares data summaries to drive measurable improvement.
Habitat Health empowers older adults through the Program of All-Inclusive Care for the Elderly (PACE), providing comprehensive medical care and daily support. Supported by leading healthcare investors, we are entering a period of significant growth and seek exceptional teammates.
Manage and support a team of RN quality reviewers, providing day-to-day people management, performance feedback, and coaching.
Identify and report on clinical quality trends by analyzing chart audit findings and quality data to inform improvement priorities.
Collect, organize, and maintain quality audit data, ensuring accurate records and dashboards for real-time visibility into team performance.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to deliver better outcomes and lower costs for cancer patients. As a tech-native organization with a focus on human connection, they employ a team of dedicated professionals committed to reimagining cancer care.
Support PBA account teams with day-to-day client requirements and benefit management.
Analyze client requests and coordinate with internal and external teams to execute plan documentation.
Lead quality assurance testing, claim reviews, and resolve sponsor and member issues.
Judi Health is an enterprise health technology company providing a comprehensive suite of PBM and health benefit management solutions for employers and health plans. They value diversity and are committed to rebuilding trust in healthcare in the U.S.
Serves as primary contact for national and state cardiac/vascular registry data management.
Reviews medical records to identify patient care and quality issues, analyzing trends to improve outcomes.
Develops quality improvement initiatives and presents findings to departmental committees.
The University of Rochester is a leading research university in western New York. It employs thousands in higher education and health care, fostering a culture of inclusion and excellence.
Support the Clinical Quality team through project-based deliverables and operational tasks.
Lead an end-to-end overhaul of the provider resource library, including auditing and refreshing content.
Provide weekly operational support including triaging tickets, preparing reports, and coordinating quarterly planning.
Maven is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support through a digital platform. With over 2,000 employer and health plan clients and more than $425 million in funding, Maven has been recognized as a top workplace and innovator.
Identify, research, process, and resolve customer inquiries regarding health insurance benefits, claims, and eligibility.
Analyze medical records and apply medical necessity criteria to determine the appropriateness of benefit requests.
Maintain accurate records, meet quality and timeliness standards, and coordinate with internal departments and external organizations.
Blue Cross Blue Shield of Arizona provides health insurance products and services to individuals, families, and businesses, aiming to inspire health and make it easy. The company has been recognized as a Healthiest Employer and has transformed healthcare for over 80 years with teams in Phoenix, Tucson, Chandler, and Flagstaff.
Review BCBA and behavioral health provider credentialing packets for completeness, accuracy, and primary source verification.
Conduct routine and ad hoc audits of delegated credentialing files to ensure compliance with payer, accreditation, and regulatory requirements.
Support pre-delegation and annual delegation audits, maintain tracking systems, and collaborate with teams to improve processes.
The partner company focuses on improving access to high-quality behavioral healthcare services through credentialing and provider network management. They operate in a mission-driven remote environment with a collaborative team culture committed to innovation and quality.
Support the clinical team with administration of cases, including creation, distribution, and follow-up of case progress and status reports.
Monitor administrative accuracy of new cases and assist with processing invoices for clinical interventions.
Collaborate with internal and external stakeholders to ensure accurate case documentation and efficient processes.
Lyra Health is the leading provider of mental health solutions for employers, supporting over 20 million people globally. The company has delivered 13 million sessions of mental health care and is transforming access to care through an AI-powered platform.