Develop the provider network through contract negotiations, relationship development, industry analysis and servicing.
Analyze, review, and project financial impacts of network contract arrangements.
Implement reimbursement strategies designed to control healthcare costs.
Blue Cross of Idaho is an Idaho-based health insurance company that has been around since 1945. As a not-for-profit, they are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services with the help of customer-centric professionals.
Lead advanced coding education for individual providers and large provider groups, utilizing remote methods such as E/M and Medicare Preventive services.
Design, implement, and lead specialty-specific documentation and coding training programs to address unique needs and challenges.
Monitor market trends and emerging issues related to documentation and coding, ensuring timely and relevant updates to training programs.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems. They optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care. Their platform is led by top industry talent and consists of scalable operations and end-to-end, cloud-based technology.
Independently lead day-to-day operations of assigned patient access and affordability programs.
Ensure that all program operations are running smoothly and in accordance with program business rules and all safety, legal and regulatory requirements.
Lead execution of affordability strategies in alignment with brand strategic imperatives and financial goals
Azurity Pharmaceuticals focuses on innovative products for underserved patients. They are a privately held, specialty pharmaceutical company that delivers accessible, high-quality medications, and has a broad commercial product portfolio and robust late-stage pipeline.
Conducts outbound and inbound calls to educate patients about Advanced Care Planning ultimately scheduling an appointment.
Overcome Patient concerns and objections by clearly articulating the importance of Advanced Care Planning and how it benefits their healthcare journey.
Respond to multimodal and outgoing calls, texts, and emails by providing direction to Patients’ questions and/or concerns.
Aledade exists to empower independent primary care by creating value-based contracts across a wide variety of health plans. They were founded in 2014 and have become the largest network of independent primary care in the country. They have a collaborative, inclusive, and remote-first culture.
Respond to inquiries, providing expert guidance and support via in-app chat and phone.
Use AI-powered tools to efficiently research plan details and synthesize information for users.
Conduct comprehensive comparisons of Medicare Advantage plans, ensuring users understand their options.
Propel builds technology that strengthens the social safety net in America. Over 5.5 million Americans trust Propel today and they've grown revenue 35% YoY, reinventing entire benefit categories, including Medicare, around the real needs of low-income Americans.
Help hospitals and health systems understand how AI-powered CDI can improve documentation, boost revenue, and drive quality care.
Work closely with Customer Success to refine documentation workflows and help clients maximize their CDI programs.
Help design, implement, and refine comprehensive educational materials, guidelines, and curricula for CDI specialists, ensuring they can accurately review AI-driven query recommendations and maintain compliance standards.
SmarterDx builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, their platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial.
Conduct timely reviews of clinical trials relying on external IRBs or where Cooper serves as the reviewing IRB.
Ensure research upholds ethical standards, complies with SOPs, and supports clinical trial start-up.
Execute reliance agreements with support from the HRPP Director and Legal, when applicable.
Cooper University Health Care is committed to providing extraordinary health care. They are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.
Creates and delivers education to the Coding Team, Clinical Documentation Nurses, Physicians, and other licensed providers to improve documentation quality.
Collaborates with CMOs to ensure the integrity of the Health Record is established through best practices in Clinical Documentation and Coding.
Monthly monitoring of the clinical dashboard demonstrating improvement in statistical targets.
At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.
Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types
Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans
Perform necessary research to provide to the client to support findings.
UASI is recognized as a Top Workplace. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team.
Conducts audits of clinical documentation reviews to ensure compliance and regulatory requirements.
Develop and deliver training sessions based on audit findings to support CDI team competency.
Oversee the accuracy, specificity, and completeness of clinical documentation.
Adventist HealthCare is a faith-based, not-for-profit organization dedicated to improving the health and well-being of people and communities. They employ over 6,000 professionals and are one of the longest serving healthcare systems in the Washington, D.C., area.