Acts as the clinical coding subject matter expert and lead coding resource across the organization.
Acts as a resource and provides education to providers on clinical coding standards.
Coordinates and leads the Alliance Coding Workgroup.
Central California Alliance for Health is a regional non-profit health plan that provides accessible, quality health care. The company has over 500 employees and fosters a respectful, diverse, professional, and fun culture where employees are empowered to do their best work.
Manage schedules and provide administrative support.
Review payroll and assist with benefits and timesheets.
Support patient satisfaction and handle communications.
They operate a busy U.S.-based home care agency, providing support to patients and caregivers across various administrative and operational needs. The agency is seeking a reliable, detail-oriented, and compassionate Virtual Care Coordinator who can manage day-to-day communication and logistics.
Produce healthcare research products and provide advisory support for executives covering Argentina, Chile, and Uruguay.
Contribute to FrontierView’s broader LATAM-level healthcare narrative.
Extensive advisory work for clients, including ability to present to senior decision makers with P&L responsibilities across a variety of healthcare companies
FiscalNote (NYSE: NOTE) is a leader in policy and global intelligence. They combine data, technology, and insights, FiscalNote empowers customers with critical insights and the tools to turn them into action.
Lead EMEA medical affairs strategy and activities.
Foster relationships with key opinion leaders and healthcare professionals.
Support evidence generation and scientific communication.
Scholar Rock is a biopharmaceutical company focused on discovering, developing, and delivering therapies for serious diseases with unmet needs. The company is known for its work in transforming growth factor beta (TGFβ) superfamily biology and has a pipeline targeting neuromuscular disease, cardiometabolic disorders, and cancer.
Lead and oversee Prior Authorization Operations across all lines of business.
Manage Prior Authorization processes ensuring optimal efficiency and compliance.
Drive cross-functional collaboration to align with organizational goals.
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.
Deliver comprehensive care navigation and access support for Sana members, ensuring they receive the right care at the right time, place, and cost.
Collaborate with cross-functional teams, including our virtual care practice and customer support, to provide seamless care navigation services.
Educate members on their care referral options, empowering them to make informed healthcare decisions.
Sana Benefits is building affordable health plans designed around Sana Care, their integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. They've compiled an innovative team with top talent from across the healthcare and technology industries to deliver engaging, modern, concierge-style healthcare for their members.
Serve as the vendor’s lead clinical subject matter expert on clinical denials management and prevention.
Partner with provider clients to design and implement best practices for denial prevention and appeal workflows.
Conduct complex clinical case reviews for DRG validation, identifying and defending clinically appropriate DRG assignments.
EnableComp offers specialty revenue cycle management solutions for healthcare organizations, leveraging industry expertise and its E360 RCM intelligent automation platform. EnableComp has received the Top Workplaces award multiple times and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years.
Conduct regular one-on-ones, performance reviews, and development planning.
Act as the primary escalation point for member issues and complex fertility-related financial and billing issues.
Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. The company has over 2,000 employers and health plans trusting their platform, and they've won multiple awards for their culture and innovation.
Support development and communication of medical plans.
Lead the development and dissemination of scientific and medical data.
Build and maintain strong relationships with KOLs, researchers, and patient advocacy groups.
Jade Biosciences is focused on developing innovative therapies for autoimmune diseases. They are developing JADE101 to treat IgAN and have a second development candidate as well as an undisclosed antibody discovery program in preclinical development.
Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
Develop strategies to improve health plan performance, operational efficiency, and payer experience.
Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.