Review payer financial reconciliations for accuracy and adherence to agreed-upon methodologies.
Support for the development and deployment of audit procedures applied to payer data sets.
Partner across teams and with payers to resolve data discrepancies.
Aledade empowers independent primary care practices to deliver better care to their patients and thrive in value-based care. They are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Develop & implement long-term, comprehensive clinical operations strategies focused on member experience, clinical quality, team efficiency, and employee experience.
Cultivate a strong, cohesive clinical operations leadership team that effectively oversees day to day operations, ensures clinical safety & compliance.
Lead operational excellence within clinical operations including continuous improvement strategies/projects, operating metrics review/improvement, and standardization where appropriate.
Omada Health is a between-visit healthcare provider that addresses lifestyle and behavior change elements for individuals managing chronic conditions. They strive to build an inclusive culture where differences are celebrated and leveraged to inform better design and business decisions.
Lead the business strategy and execution for HEDIS outcomes.
Establish and manage incentive structures and provider engagement models.
Develop and oversee cross-functional initiatives that translate measure logic into actionable programs.
Clover Health is dedicated to improving the lives of seniors through high-quality, data-driven physician enablement technology. They have built an innovative technology platform designed to put actionable clinical insights into the hands of physicians at the point of care.
Partner with stakeholders to understand operational challenges and opportunities.
Create a product strategy that drives improved scale of the organization.
Manage a team of Product Managers to develop solutions to drive business goals.
Aledade empowers independent primary care practices, health centers, and clinics to deliver better care to their patients and thrive in value-based care. They were founded in 2014 and have become the largest network of independent primary care in the country with a collaborative, inclusive and remote-first culture.
Aledade, a public benefit corporation, empowers independent primary care, and is the largest network of independent primary care in the country. They help practices, health centers and clinics deliver better care to their patients and thrive in value-based care, with a collaborative and inclusive remote-first culture.
Lead payor contract implementations, requiring both internal and external cross-functional stakeholder management
Drive revenue cycle issue resolutions (claims processing, credentialing), which includes coordination with payors and internal operations teams
Spearhead cross-functional strategic initiatives that have an impact on revenue (implementation of new product/service lines, as an example)
Ophelia is a venture-backed healthcare startup that provides medication and clinical care through a telehealth platform to help individuals with OUD (opioid use disorder). They are a team of physicians, scientists, entrepreneurs, researchers and White House advisors working to re-imagine and re-build OUD treatment in America.
Architect the systems and processes that power Form Health’s patient experience.
Build the infrastructure needed to support growth while preserving clinical quality, efficiency, and empathy.
Drive operational transformation by designing scalable workflows, data-supported resource models, and technology-enabled efficiencies.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Founded in 2019, Form Health is a venture-backed innovative startup with an experienced clinical and leadership team.
Serve as primary relationship lead for assigned health plan partners
Own internal revenue and performance targets tied to your payer markets
Analyze operational and program data to identify risks and growth opportunities
Mae is a venture-backed digital health solution on a mission to improve the health and quality of life for mothers, babies, and those who love them. Mae has created a space where complete digital care meets culturally-competent on-the-ground support.
Lead change-management strategies for new processes and technologies.
Serve as a strategic advisor to senior leaders and business functions.
Direct and develop the Business Solutions Analyst (BSA) team.
HealthEquity's mission is to save and improve lives by empowering healthcare consumers. They aim to make HSAs as widespread and popular as retirement accounts, providing solutions that connect health and wealth.
Set the strategic direction for federal and state quality measurement initiatives.
Provide executive oversight across the full measurement lifecycle.
Serve as a senior strategic advisor to federal and state clients.
American Institutes for Research (AIR) is a nonpartisan, not-for-profit institution that conducts behavioral and social science research and delivers technical assistance. They solve urgent challenges in the U.S. and worldwide by generating evidence and applying data-driven solutions, with headquarters in Arlington, VA.
Lead health plan partnerships across Medicaid and related lines of business.
Serve as the senior relationship owner for a portfolio of managed care health plan partners.
Identify performance risks early and lead cross-functional action plans to improve outcomes.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the healthcare system. Founded in 2021, the company is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.
Own the enterprise objective to achieve 2X annual engagement growth across all Digital Health Network programs.
Architect and embed engagement principles into digital program design, workflows, and user experiences across the portfolio.
Optimize performance across the full consumer lifecycle: awareness → activation → enrollment → onboarding → sustained engagement → adherence → re-engagement.
Solera Health accelerates enterprise-wide consumer engagement across our Digital Health Network. They have a remote-first work culture with team events and community building.
Design and execute roadmap to decouple ticket volume from headcount.
Act as a strategic partner to internal stakeholders to ensure support requirements are integrated into the broader company roadmap.
Cultivate radical accountability and hold everyone to a high standard.
Aledade is a public benefit corporation that empowers independent primary care practices. Founded in 2014, they are the largest network of independent primary care in the country, with a collaborative, inclusive, and remote-first culture.
Provide executive leadership and strategic oversight for enterprise operations and quality initiatives.
Own enterprise-wide HEDIS strategy, execution, and performance outcomes.
Build and lead a centralized PMO delivering weekly performance metrics across all sites.
Vanna Health aims to improve overall health and wellbeing for individuals with serious mental illness by fostering a sense of belonging. They promote collaboration across healthcare providers through innovative payment models and technology and are committed to culturally competent care.
Manage a significant region of the US and generate payor leads.
Build and maintain relationships with key decision-makers in payors.
Develop strategic account plans that identify growth opportunities.
Evermore is a technology company that administers Smart Benefits to connect people to products and services they need, when they need them, so they can live healthier lives. Evermore is a Series B stage company, backed by leading investors.
Build Maven’s ability to drive sales through payer channels through strategic and analytic support to identify potential clients for all Maven programs and build a business case for them.
Lead end‑to‑end outcome evaluations for payer clients, designing robust methodologies and performing hands‑on analyses of medical and pharmacy claims, eligibility files and Maven platform data.
Own technical and clinical relationships with payer stakeholders, serving as their primary point of contact for study design, data sharing, results interpretation and ongoing analytic support.
Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs.
Shapes vital subfunction with strategic leadership and operational oversight.
Builds scalable processes for accuracy, timeliness, and quality of authorizations.
Collaborates across functions for data discrepancies and continuous process improvement.
Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with their leading healthcare partners, including Kaiser Permanente. They build engaged, fulfilled care teams to deliver personalized care in their centers and in the home.
Develop and execute a scalable broker partnership strategy to drive Medicare Advantage patient acquisition.
Build and maintain relationships with high-performing captive and independent Medicare Advantage brokers and agencies.
Train Community Liaisons and field teams on broker engagement best practices, relationship management, and referral development.
They focus on driving Medicare Advantage patient growth across the primary care clinic network operating in a value-based care model. The company fosters high-value relationships with Medicare Advantage brokers and agencies within the Growth team.
Own and drive strategic health partnerships and cross-functional programs.
Create structure in ambiguous situations and drive programs from idea to execution.
Improve alignment, communications, and processes between teams.
Modern Health is a mental health benefits platform for employers, offering access to various resources for emotional, professional, social, financial, and physical well-being. They are a fully remote workforce known for its excellence and have a unique culture centered around empathy and accountability.
Own the care delivery product strategy by identifying and prioritizing high-impact opportunities.
Set vision and investment direction for how care is delivered on the Maven platform.
Lead and mentor a team of Product Managers , supporting their growth.
Maven is the world's largest virtual clinic for women and families. They provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. Maven has over 2,000 employees and is recognized for innovation and industry leadership, with multiple workplace awards.