Lead, coach, and develop Team Leads and Member Services Associates.
Own performance outcomes for medication access including resolution time, pharmacy turnaround, quality scores, and member satisfaction.
Serve as the primary operational partner for pharmacy vendors, owning escalation patterns, performance issues, and workflow alignment.
Maven is the world's largest virtual clinic for women and families with a mission to make healthcare work for all. They have raised more than $425 million in funding and have been recognized as a Time 100 Most Influential Company and a Fast Company Most Innovative Company.
Manage the full enrollment process for Medicare and Medicaid across applicable states.
Prepare, complete, and submit all required enrollment applications and documentation.
Track application status and follow up with agencies to drive timely approvals.
BetterHelp aims to improve mental health and make mental healthcare accessible. They are the world’s largest online therapy service with over 30,000 licensed therapists, and they value employee mental health, investing in their team’s well-being and professional development.
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.
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.
Execute payer enrollment applications from credentialing approval through payer confirmation.
Coordinate CAQH profile maintenance and attestations in alignment with Medallion workflows and payer requirements.
Track enrollment status, follow up with payers, and escalate delays or issues to the Payer Enrollment Manager.
Spring Health aims to eliminate barriers to mental health by delivering the right care at the right time through their clinically validated technology, Precision Mental Healthcare. They partner with over 450 companies and are valued at $3.3 billion.
Support outreach and engagement with local primary care providers in the community with the goal of increasing PCN membership.
Manages schedules for the PCN leadership, including complex meeting coordination and urgent needs related to PCN affairs.
Develops presentations, briefing notes, memos, meeting agendas and formal/informal minutes for the PCN based on direction of the PCN leadership, Manager, Integrated Health Systems, and/or director/executive lead.
William Osler Health System (Osler) provides a safe and supportive health care network to grow your career. Osler is nationally recognized for its commitment to patient safety and is Accredited with Exemplary Standing. As a major Ontario hospital system, Osler serves the 1.3 million residents of Brampton, Etobicoke and surrounding communities. Guided by our accomplished senior leadership team, we are driving our vision of world-class health care inspired by our people and communities.
Monitor real-time demand and key performance metrics.
Deploy resources according to plan and manage service levels.
Communicate workforce deployment and schedules updates.
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings and they are looking for teammates to join them in building their company and culture.
Prepare and submit credentialing and enrollment packets.
Maintain accurate provider files and track expirations.
Provide assistance to the billing team during staff absences.
Modena Health and Modena Allergy & Asthma are leading medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona and plans for national expansion. They are physician-led and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Set and execute Medicare agency strategy, partnering with the GM of Healthcare and Strategy & Ops to define a 3-year plan, annual OKRs, and a GTM strategy that drives 5–7x enrollment growth by 2026
Build and scale the brand and growth engine, partnering with Marketing to establish the agency brand and drive top-of-funnel demand across digital, advisor-assisted, and partner channels
Lead cross-functional operations and execution, aligning product, operations, and growth roadmaps while scaling efficiently through automation and AI
Propel empowers low-income Americans by simplifying access to government benefits with modern technology. They are a passionate team of 100 Propellers, all working to help their users get through the month, every month.
Oversees daily operations of the Care Management unit and ensures process implementation.
Facilitates staff development, provides regular performance feedback, and identifies areas of improvement.
Evaluates performance metrics, supports staff in care planning, and promotes interdisciplinary collaboration.
Capital Blue Cross promises to go the extra mile for our team and our community. They offer a caring team of supportive colleagues and invest heavily in training and continuing education. Employees consistently vote them one of the “Best Places to Work in PA.”
Responsible for Clinical Chart Validation (CCV) audit operation and talent management.
Oversee process improvement initiatives and the Natural Language Processing program.
Provide supervision and direction to audit Team Leads.
Cotiviti is focused on payment accuracy, helping clients avoid unwarranted payments in the complex healthcare environment. They offer a competitive benefits package and are an equal opportunity employer that values diversity and inclusion.
Work with Transportation Providers and resolve service issues.
Coordinate and conduct monthly provider performance evaluations.
Manage day-to-day vendor interactions and ensure satisfaction.
Jobgether uses an AI-powered matching process to ensure your application is 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.
Lead day-to-day communication for assigned health plan clients
Manage requests and deliverables with tight tracking
Build client reports, dashboards, and status updates
Urrly uses AI to review every application against the same clear requirements for the role. This means every candidate is evaluated on job-related factors like skills, certifications, and experience—not on personal attributes such as gender, race, age, or background.
Enter new cases in the Agency Management System and monitor the New Business email inbox.
Review applications, submit offers, order medical exams, and track case progress.
Maintain relationships with agents and underwriters, and seek ways to improve processes.
Modern Life is a technology-enabled brokerage that uses digital tools and expert support to empower advisors with life insurance. They are backed by $35M from top-tier investors including Thrive Capital, New York Life, and Northwestern Mutual, and are experiencing high growth.
Oversee day-to-day operations of the Patient Accounts teams.
Resolve high-level issues for systems, patients, and vendors.
Identify and continuously improve patient account processes and integrate them into the hospital system.
Vail Health is the world’s most advanced mountain healthcare system. It consists of an updated hospital facility and provides exceptional care to patients with beautiful views, centrally located in Vail. Some roles may be based outside of our Colorado office (remote-only positions).
Lead, coach, and develop a team of Ops Associates.
Oversee the design and implementation of payor builds or process improvements.
Work closely with the Managers to identify process breakdowns and implement solutions.
Grow Therapy aims to be the trusted partner for therapists growing their practice, and patients accessing high-quality care. They are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients, and have empowered more than ten thousand therapists and hundreds of thousands of clients across the country.
Serves as a lead to Clinical Business Operations Representatives and facilitates the prompt resolution of highly complex problems related to pre and post care that arise in daily clinical operations.
Performs administrative and receptionist functions, to include answering incoming calls, efficient management of patients, and the acquisition of necessary patient care and records.
Assists patients in a courteous, efficient, and professional manner and ensures adherence to divisional and departmental service standards.
The University of Miami and UHealth have become one of the nation’s top research universities and academic medical centers. With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.
Support clinical staff by gathering data to complete the medical necessity review process.
Create and send letters to providers and/or members to communicate information.
Collaborate with care management teams and stakeholders to provide optimal service.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, and they’ve built their reputation on over 80 years’ worth of trust. They are motivated by the well-being of their members, putting them first and committing to sustainability and innovation.
Responsible for economic credentialing and provider enrollment with contracted managed care and governmental plans.
Communicating provider participation information to internal and external customers.
Ensures compliance with regulatory agencies and maintains a working knowledge of statues and laws.
The West Virginia University Health System is West Virginia’s largest health system and the state’s largest employer. They have more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues.
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.