Lead and nurture a dynamic team of clinical pharmacists and technicians.
Create and uphold robust policies and procedures for utilization management review.
Generate and deliver comprehensive reports on prior authorization metrics.
Judi Health is an enterprise health technology company providing solutions for employers and health plans, including pharmacy benefit management and health benefit management. Judi Health values diversity and provides equal employment opportunities to all employees and applicants.
Guide healthcare providers through the reimbursement process, including prior authorizations and appeals.
Work with insurance companies and third-party administrators to address coverage issues.
Provide education regarding insurance benefits and financial assistance programs.
Amplity is a full-service go-to partner of biopharma companies that delivers flexible + specialized medical + commercial services. Amplity transforms how breakthrough treatments reach the people who need them with expert-led teams delivering contract medical, commercial + communications excellence for 40+ years.
Serve as primary contact for patients, families, and providers
Schedule and coordinate medical appointments
Manage patient documentation and EMR updates
Pine Park Health is a value-based primary care practice redesigning how residents of senior living communities get or stay healthy. They aim to dramatically improve healthcare for seniors with a new model designed around patients, families, community staff, providers, and payers.
The System Senior Vice President (SSVP), Quality and Safety, is a transformational senior healthcare executive charged with advancing an unparalleled culture of clinical excellence, safety, and patient-centered care.
This leader will be the principal architect and executive champion for system-wide strategies and initiatives that elevate performance, reduce unwarranted variation, and eliminate preventable harm.
The SSVP will ensure impeccable regulatory compliance, guide critical decision-making with expert counsel, and position CommonSpirit Health as a national leader in clinical quality and patient-safety innovation.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually.
Own the clinical education and practitioner enablement strategy for treatment planning.
Translate emerging clinical research into clear, actionable insights for practitioners.
Build scalable education frameworks that support practitioner decision-making and prescribing behavior.
Fullscript is an industry-leading health technology company on a mission to help people get better by creating a platform that powers every part of care. More than 125,000 practitioners use Fullscript and over 10 million patients rely on them to stay connected to their care plans and follow through on treatment.
Drive and own Evergreen's performance across CKCC quality measures
Establish the reporting structure, performance cadence, and accountability required to manage quality performance across the organization
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home and accelerating kidney transplants.
Review incoming referral orders to assess patient’s needs based on diagnosis, insurance coverage or lack thereof, and previous treatments.
Verify patient information including demographics, insurance coverage and financial status; confirm patient eligibility for health care coverage and clarify any managed care arrangements.
Contact the patient prior to service to inform them of their estimate and collect any pre-payments at that time.
OHSU is Oregon's only public academic health center, caring for patients and leading groundbreaking research. As Portland's largest employer, they offer opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.
Identify and implement best-in-class practices for da Vinci Surgery.
Work in partnership with hospital leadership and cross-functional teams.
They are committed to minimally invasive care through ingenuity and intelligent technology. Intuitive has been built by great people from diverse backgrounds and strives to foster an inclusive culture built around diversity of thought and mutual respect.
Perform comprehensive reviews of patient charts to identify gaps in documentation.
Collaborate with providers and clinical staff to educate them on accurate documentation.
Maintain accurate records of chart reviews, coding opportunities identified, and outcomes.
Bluestone delivers exceptional care to patients living with complex, chronic conditions and disabilities. Our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver preventative, proactive and tailored care. Bluestone has been named to the Star Tribune's Top Workplace list for the 13th year in a row and also achieved Top Workplace USA 2021-2025!