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.
Manage insurance account workflows and ensure accurate resolution of billing and reimbursement issues.
Investigate, resolve, and appeal insurance denials while documenting actions in compliance with standards.
Monitor aged accounts receivable and prioritize workloads to optimize collections and reduce outstanding balances.
Our partner is a healthcare services organization focused on revenue cycle management. They offer a collaborative and mission-driven environment with a comprehensive benefits package.
Answer inbound and outbound patient calls professionally and schedule appointments.
Verify insurance eligibility, assist with prior authorizations, and coordinate referrals.
Maintain accurate patient records in SimplePractice EHR and ensure HIPAA compliance.
The client operates in the behavioral health space and is focused on delivering high-quality patient-centered care. SnappyCX is a remote staffing company that connects healthcare professionals with US-based clients.
Leads patient safety investigations and proactive risk-reduction strategies using science-based safety methods.
Collaborates with clinical teams to address system vulnerabilities and drive culture of safety.
Analyzes event data to identify patterns and provides education on high reliability principles.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group reimagining care for children with special health care needs, delivering 24/7 virtual and in-home medical, behavioral, and social care. The company values diversity and inclusion, fostering a one-team culture with diverse perspectives.
Lead engagement with NASTAD members and health departments, providing technical assistance on systems coordination.
Design and facilitate meetings and virtual learning opportunities to foster collaboration among stakeholders.
Manage project workplans, track metrics, and develop resources to support jurisdictional efforts.
NASTAD is a non-partisan non-profit association that represents public health officials administering HIV and hepatitis programs in the U.S. The organization has a national reach with members across all 50 states, DC, and territories, and fosters a collaborative culture.
Lead on-site implementation training and process improvement initiatives for patient access operations across new and existing health system sites.
Execute structured operational reviews, analyze site-level metrics, and develop targeted action plans with site leadership.
Ensure deployment of standardized registration, financial, and compliance workflows while providing performance updates to the Director.
Intuitive Health pioneered the combined emergency room and urgent care model, partnering with leading health systems nationwide. Serving more than 1 million patients annually, the company is ranked among the top 1% of global retailers in customer satisfaction.
Serve as the primary health informatics liaison between business owners and development teams, translating clinical workflows into technical requirements.
Apply clinical expertise in obstetrics and gynecology to inform health IT system design and deployment within VA healthcare.
Collaborate with stakeholders to analyze clinical data quality and support evidence-based quality improvement initiatives.
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Founded in 2012, they employ 300+ nationwide and specialize in applying technology, creativity, and human-centered services to optimize mission delivery.
Serve as Team Lead for the WV-QIP Phase II, providing executive-level VA subject matter expertise on Medical Center and VISN operations.
Lead development and implementation of quality improvement frameworks tailored to women Veterans' healthcare programs.
Coordinate stakeholder engagement activities and oversee assessment of performance data and site visit findings.
Aptive partners with federal agencies to achieve their missions through improved performance, streamlined operations and enhanced service delivery. Founded in 2012 with over 300 employees nationwide, the company applies technology, creativity, and human-centered services to optimize mission delivery for agencies including the VA.
Conducts training for staff members related to Utilization Review process, clinical guidelines, and workflows.
Creates educational material by collaborating with key resources to incorporate clinical scenarios.
Reviews monthly quality audit findings and provides one-on-one coaching to staff for performance improvement.
WNS, part of Capgemini, is an Agentic AI-powered leader in intelligent operations and transformation, serving more than 700 clients across 10 industries. With three global headquarters across four continents, operations in 13 countries, 65 delivery centers and more than 66,000 employees, the company combines scale, expertise and execution to create meaningful, measurable impact.
Provide clinical review and correspondence for utilization management, including medical necessity reviews and member communications.
Collaborate with Medical Directors to ensure evidence-based decisions that meet NCQA and CMS standards.
Maintain productivity and quality while working 100% remotely in a fast-paced environment.
Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With over 250 employees, the company fosters a supportive, growth-oriented environment and has been named to the Inc. 5000 list and a Top 5 LinkedIn Startup.