Source, interpret, and scope new payment integrity policies.
Prioritize policy updates based on savings potential and client impact.
Quantify and communicate policy value through data-driven analysis.
Rialtic, Inc. focuses on healthcare payment expertise, client strategy, and product innovation. They seem to have a culture that values collaboration and impact, although the job post doesn't specify size/employees.
Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
Address and resolve assigned inquiries with a sense of urgency; Ensure timely closure of escalation cases using email, phone, or salesforce.com
Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
Supervise a team of approximately 10-15 Lead Care Managers.
Oversee the creation of Individual Care Plans.
Drive the team to meet key performance indicators (KPIs) effectively.
Vynca is passionate about transforming care for individuals with complex needs. They are a close-knit community guided by core values, aiming to provide comprehensive care for more quality days at home for their clients.
Supervise a team of approximately 10-15 Lead Care Managers to ensure high-quality care management services.
Oversee the creation of Individual Care Plans, assessing if clients' needs can be managed by an ECM Lead Care Manager.
Drive the team to meet key performance indicators (KPIs) effectively.
Vynca is dedicated to transforming care for individuals with complex needs, fostering a close-knit community. They are guided by core values such as Excellence, Compassion, Curiosity, and Integrity, committed to providing comprehensive care for more quality days at home.
Serve as a primary field-based scientific subject matter expert supporting Medical Affairs and Market Access.
Build, cultivate, and enhance professional relationships with key payor and population health decision makers.
Provide timely, accurate clinical, scientific, and economic updates—proactively or in response to unsolicited requests.
Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities. Mineralys is a fully remote company headquartered in Radnor, Pennsylvania.
Lead and develop a high-performing regional team of Medical Science Liaisons (MSLs).
Translate Medical Affairs strategy into effective field execution and scientific exchange.
Act as a strategic partner to internal cross-functional teams to align on priorities.
Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease. Mineralys is a fully remote company with Medical Affairs Field team expanding and hiring experienced Regional Field Directors.
Place a high volume of calls daily to enroll members.
Share information about Mae's support, emphasizing doula support.
Guide members through the enrollment process.
Mae is a venture-backed digital health solution focused on improving the health and quality of life for mothers and babies. They provide complete digital care with culturally-competent on-the-ground support, addressing access gaps and bolstering well-being through continuous engagement and a community-led support model.
Oversee clinical budgets and develop monitoring plans for effective study oversight.
Train and mentor Clinical Research Associates (CRAs) to optimize their performance.
Drive enrollment and lead study start-up activities, adhering to timelines.
Jobgether employs AI to match candidates to job openings, ensuring fair and objective reviews. They connect top candidates with hiring companies, who then manage the final decisions and interview process.
Oversee prior authorization and financial assistance workflows.
Drive quality and productivity across team members.
Ensure work is compliant and meets quality standards.
Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within the hospital. They focus on improving medication access, adherence, and overall patient outcomes, operating in a high-growth environment.