Conduct clinical audits for suspected fraud, waste, and abuse with high autonomy.
Document findings in formal reports, graphs, and audit logs, aligning with unit goals.
Develop and present FWA-related education to Oscar teams, ensuring compliance with regulations.
Oscar is a health insurance company built on a full stack technology platform, focused on serving members like a doctor in the family. Founded in 2012, it is a forward-thinking company that values diversity and innovation, with a culture of fostering belonging and support.
Assess member needs across physical health, mental health, SUD, oral health, and social supports.
Develop and oversee client care plans, set SMART goals, and evaluate progress.
Coordinate with healthcare providers, connect clients to community services, and advocate on their behalf.
Vynca is a healthcare company dedicated to transforming care for individuals with complex needs, focusing on providing comprehensive care for more quality days at home. They are a close-knit community committed to core values of Excellence, Compassion, Curiosity, and Integrity, fostering an inclusive workplace.
Serve as a liaison between Medicaid members, providers, and community organizations.
Conduct outreach to educate members on preventive care and address health-related social needs.
Build community partnerships and support members in navigating healthcare services.
Jobgether is an AI-powered job matching platform that connects candidates with hiring companies. It uses AI to review applications and share top candidates with employers, while the hiring company manages the final decisions.
Own quality performance across all clinical tiers, including call and documentation quality for RNs, providers, and PSS Engagers, plus organization-wide clinical outcomes.
Lead and develop a team of Quality Reviewers, setting standards, conducting calibrations, and coaching to ensure consistent, defensible scoring.
Build and analyze quality dashboards and datasets to identify trends, root causes, and improvement opportunities, presenting findings to executive leadership.
CareTalk Health is a fully remote, nationwide virtual medical practice partnering with Medicare Advantage plans to deliver Annual Wellness Visits and close care gaps. We are a growing, collaborative team focused on making virtual care simple, reliable, and human.
Coordinate tissue donation cases from referral to recovery, ensuring no opportunity is missed.
Conduct compassionate donation discussions with grieving families to obtain authorization.
Train and mentor Donation Coordinators, serving as a subject matter expert in donation best practices.
Donor Network West is dedicated to saving and healing lives through organ and tissue donation for transplantation and research. The organization fosters a collaborative environment with values of passion, excellence, equity, and inclusion, and employs a team committed to service.
Develop evidence-based educational and training materials for target audiences, including curricula for workshops and sessions.
Conduct in-person and online training sessions and support dissemination strategies including outreach and partnership development.
Assess program impact by gathering and analyzing data and metrics, and provide consultative support to leadership.
Culmen International enhances global safety and security by supporting government operations in challenging environments. With experience in over 150 countries, the company is dedicated to advancing humanitarian missions and optimizing government operations.
Lead cross-functional trial teams to execute global clinical trials from start-up to closeout.
Oversee CRO/vendor selection, budget management, and operational risk mitigation.
Ensure compliance with regulations and GCP, and foster team development and mentorship.
Alnylam Pharmaceuticals is a biopharmaceutical company that translates RNA interference (RNAi) into a new class of innovative medicines for rare and prevalent diseases. With a people-first culture and core values of innovation and excellence, Alnylam is a top employer recognized globally.
Guide and develop coders to ensure accuracy and compliance in inpatient coding.
Promote coding excellence and mentor the next generation of coding professionals.
Support patient care, quality reporting, reimbursement, and regulatory compliance through accurate coding.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care including primary, specialty, virtual care, pharmacy, home health, and more. With 12 hospitals and hundreds of ambulatory care locations, they are headquartered in Detroit and have a culture of purpose, collaboration, and belonging, empowering team members to grow and make a difference.
Process and reconcile hospital payments, including patient and insurance transactions, to ensure accurate posting and bank deposit balancing.
Research and resolve payment exceptions, denied claims, and billing issues, supporting appeals to maximize reimbursement.
Maintain productivity and quality standards while handling multiple priorities and serving as a resource for team projects.
The company specializes in healthcare revenue cycle management, focusing on hospital payment posting and reconciliation. As a US-based remote team, they emphasize work-life balance and offer comprehensive benefits.
Manage patient engagement through telephonic outreach and enrollment while carrying your own monthly targets.
Lead and coach a small patient engagement team, building playbooks and scaling processes.
Coordinate with operations, clinical, and site leadership to align outreach priorities.
Atlas Oncology Partners provides oncology practices with staff, contracts, and tools to deliver whole-person, value-based care to cancer patients. The company is a startup that prioritizes collaboration and a tight-knit team culture.