Work closely with the DWP in the Independent Audit & Observation Program, playing a key part in the challenge and calibration process.
Engage with key stakeholders to support clinical policy change and effectively roll out updates to the business.
Drive data-driven MI solutions that promote a culture of continuous improvement and advance service delivery.
Ingeus is a leading human services provider helping people, businesses, and communities thrive through employment, skills, and health & wellbeing services. They are a trusted partner to government and industry, delivering services that create positive social impact and transform lives.
Develop and maintain audit concepts by researching regulatory, coding, or payer policy changes and updating rule documents and code lists.
Perform QA reviews to ensure audit concepts comply with coding standards, payment methodologies, and payer policies prior to deployment.
Collaborate with cross-functional teams including operations, clinical, and client services to support policy execution and drive concept quality.
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering value and efficiency to health plan clients. Deployed by over 85 health plans representing more than 270 million lives, we are a digital-first, AI-powered platform that reimagines what's possible in healthcare.
Investigate and resolve Coordination of Benefits denials by working with insurance carriers and members.
Conduct outreach to members to collect, verify, and update insurance information, providing clear guidance on benefits.
Maintain accurate member account records by documenting verified insurance details and coverage changes.
The company is a mission-driven healthcare organization focused on improving access to care. The size and culture are not specified, but the environment emphasizes teamwork, continuous improvement, and meaningful impact.
Provide personalized onboarding and ongoing adherence support to patients and caregivers throughout their treatment journey.
Coordinate insurance coverage verification, reimbursement support, and financial assistance enrollment for eligible patients.
Serve as the primary point of contact for healthcare providers, resolving access barriers and ensuring seamless coordination with internal teams.
The partner company provides comprehensive non-clinical patient support for individuals managing rare and ultra-rare diseases. They foster a collaborative, patient-focused culture with a remote work environment and a commitment to improving healthcare access.
Support the Genetic Counseling team by collecting follow-up data and liaising with other departments.
Assist with data collection for internal projects, product development, and abstracts.
Coordinate student rotation schedules and handle sample collection kits and patient queries.
Natera is a global leader in cell-free DNA testing for oncology, women's health, and organ health. The team includes highly dedicated professionals from world-class institutions, fostering a hardworking and collaborative culture.
Provide virtual gynecology and reproductive health care, including contraceptive counseling, menopause management, and treatment for conditions like PCOS and endometriosis.
Determine when care can be safely managed via telehealth versus requiring in-person examination, lab testing, or referral.
Collaborate with a multidisciplinary team to ensure seamless, whole-person care and contribute to clinical innovation.
Tia is building a new model for women's healthcare, integrating primary care, mental health, gynecology, and wellness across in-person and virtual settings. They are a Series D, venture-backed company trusted by more than 120,000 women across four markets, committed to improving outcomes and creating a better experience for patients and providers.
Provide clinical expertise during product demonstrations and evaluations to drive product adoption.
Partner with Field Sales to support customer appointments and train clinical teams on airway and respiratory products.
Facilitate training sessions for sales teams and create training content for clinical settings.
Verathon is a global medical device company focused on supporting customers by delivering high-quality products for bladder volume measurement and airway management. As a subsidiary of Roper Technologies, the company has international subsidiaries and is a market leader in its fields.
Categorize, code, and calculate registry data from patient medical records with high accuracy.
Manage multiple tasks and deadlines while flagging obstacles and proposing solutions.
Contribute to best practices, data dictionaries, and process improvement opportunities.
Q-Centrix delivers quality solutions to hospital partners across the country by applying clinical expertise to advance patient outcomes and research. The company is large and values making a meaningful impact.
Accept incoming calls and perform triage, routing clinical inquiries to providers.
Prepare for patient visits by ensuring lab results and records are available; call patients to reduce no-shows.
Assist with forms, letters, and reports, and make referrals for social services.
Imagine Pediatrics is a tech-enabled, pediatrician-led medical group that provides virtual-first and in-home care for children with special health care needs. The company values children first, earning trust, innovating, embracing humanity, and diverse perspectives.
Conduct clinical audits, risk assessments, and process reviews to identify compliance gaps and improvement opportunities.
Manage multiple client engagements and collaborate with healthcare client teams to ensure successful project execution.
Prepare and present audit results and recommendations to clinical, operational, and executive leadership.
Kodiak Solutions provides technology-driven solutions for healthcare finance, risk management, and revenue cycle management. The company's size and culture are not disclosed in the posting.