Gain a deep understanding of Cohere’s product and our health plan partners
Provide general supervision over the nursing staff including hiring, training, and coaching
Assist in addressing any case escalations or provider issues
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 works with over 660,000 providers and handles over 12 million prior authorization requests annually. They foster a supportive, growth-oriented environment.
Assist in developing the strategic plan for the team and implement operational measures.
Assign claims and monitor caseloads for 10-15 employees, resolving escalated claims promptly.
Lead team development through hiring, training, and performance management.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Manages clinical aspects of patient-centered medical home care.
Coordinates medical care of patients identified as high risk.
Identifies resources for patient self-management skills.
The University of Rochester is committed to fostering an inclusive and welcoming culture. They strive to uphold the values of equity, leadership, integrity, openness, respect, and accountability to set the highest standards for how they treat each other and ensure that their community is welcoming to all.
Directly manage a remote team of Care Partners, providing guidance and support.
Design and improve operational processes to ensure high clinical quality.
Monitor key performance indicators to measure success across different teams.
Medsien provides scalable remote care management for a quality patient experience. Hundreds of organizations trust Medsien's technology solutions to implement remote care management programs, personalize every interaction, and improve the lives of the people who need it most.
Oversee a team responsible for handling claims efficiently.
Ensure adherence to quality standards and enhance customer service.
Foster a high-performance environment through training and evaluations.
Jobgether is a company that helps connect job seekers with employers through an AI-powered matching process. The company uses AI tools to support parts of the hiring process but does not replace human judgment.
Supervision and management of a team of Claim Analysts.
Achievement of team quality, production and service expectations.
Answering complex claim or customer service questions.
Luminare Health empowers employees with curated development plans that foster growth and promote rewarding, fulfilling careers. The company helps clients and brokers design custom self-funded Luminare Health plans that manage costs—without compromising benefits—by offering innovative solutions, flexibility, complete data transparency, and member-centered support.
Develop and implement strategy for Commercial and Medicaid contracts.
Lead and develop Managers/Sr. Managers, driving operational excellence.
Establish strong relationships with payer partners to ensure deliverables are met.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, they've grown into the largest network of independent primary care in the US, fostering a collaborative, inclusive, and remote-first culture.
Oversee teams of Claims Analysts and ensure high standards of quality and service are met.
Guide team members through complex claims processing and customer service inquiries.
Foster team development and drive improvements within the department.
Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. The system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Oversee the daily operations of the Enrollment Specialist team, including planning daily team coverage for various tasks.
Ensure the efficient and accurate execution of all new patient onboarding processes, including effective management of incoming communications.
Lead, coach, and develop a team of Enrollment Specialists, providing ongoing performance feedback, conducting regular one-on-one meetings, and completing annual performance evaluations to ensure high-quality service and productivity.
Form Health is a virtual obesity medicine clinic delivering multi-disciplinary evidence-based obesity treatment through telemedicine. Form Health is a venture-backed innovative startup with an experienced clinical and leadership team deeply invested in our core value to put patients first, and also deeply committed to creating a culture where every employee is valued and we learn and improve together.
Maintain oversight over a specified panel of members by performing ongoing assessments.
Create comprehensive care plans addressing members' needs and conducting regular follow-ups.
Ensure achievement of targeted goals related to patient outcomes and care plan realization.
Jobgether is a company that uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Supervise a team of approximately 10-15 Lead Care Managers to ensure high-quality care management services.
Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager.
Drive the team to meet key performance indicators (KPIs) effectively.
Vynca is dedicated to transforming care for individuals with complex needs, fostering a close-knit community. They are guided by core values such as Excellence, Compassion, Curiosity, and Integrity, committed to providing comprehensive care for more quality days at home.
Oversee project management and implementation of FORUM installations and upgrades.
Collaborate with various teams to meet timelines and customer expectations.
Mentor a dynamic team and promote the brand's visibility in the market.
Jobgether is a company that helps connect job seekers with employers through an AI-powered matching process. They focus on quickly and fairly reviewing applications against core role requirements, ensuring top candidates are identified and shared with hiring companies.
Support the Chief Performance Officer on team goals and KPIs.
Own all communications for the Office of the Chief Performance Officer.
Project manage company and team-level goals for key senior leaders.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. Founded in 2014, we've grown into the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Review claim files for quality and monitor performance indicators of Claims Reps.
Provide coaching and timely feedback to employees on performance.
Manage recruitment and development of team members.
Jobgether is a platform that connects job seekers with companies. They use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.
Oversee and manage a team of outreach and intake associates including training, onboarding and people management.
Ensure compliance with client and CMS standards across all workflows, ensuring quality of each caller interaction in alignment with Isaac Health’s standards.
Manage service level agreements (SLAs) and performance metrics including managing individual campaign staffing and reporting on KPIs.
Isaac Health aims to improve brain health at the population level by providing access to specialty brain health and dementia care services. Since launching in 2022, Isaac Health has scaled to provide services to more patients and families across the US.
Oversee prior authorization and financial assistance workflows.
Drive quality and productivity across team members.
Ensure work is compliant and meets quality standards.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within the hospital. They focus on improving medication access, adherence, and overall patient outcomes, operating in a high-growth environment.
Provide case management to members, addressing medical, social, psychological, physical, and spiritual needs.
Develop, implement, and monitor care plans in conjunction with PCPs, caregivers, and team members.
Help meet member's needs through coordinated care and support.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans expanding services to meet patient needs. At MJHS, they foster collaboration, celebrate achievements, and promote fairness, offering comprehensive compensation, career development, and work-life balance.
Oversee operational and clinical performance of contracted provider partners.
Drive execution on economic, clinical, and population health strategies.
Proactively analyze population health data to identify opportunities for improvement.
Apree Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. They seem to have a fast-paced evolving environment.
Ensure departmental compliance with all applicable global regulations and Sarah Cannon SOPs.
Establish and lead the clinical operations strategy, setting departmental goals.
Promote strong cross‑functional collaboration with internal stakeholders.
McKesson delivers products to healthcare providers. Every day, McKesson’s employees deliver products to healthcare providers that make a difference in the care and life of a patient, focused on creating an inclusive environment with strong values.