Oversee day‑to‑day clinical operations for UM, CM, and DM teams.
Ensure operational workflows meet productivity, quality, and turnaround time expectations.
Partner with the VP of Care Management on operational priorities and process improvements.
Personify Health created the first and only personalized health platform bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. It serves employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes.
Identify, implement, and evaluate information systems and operational processes.
Collaborate with diverse stakeholders to elicit, analyze, communicate, and validate requirements.
Determine resource needs and ensure efficient and effective use of resources to support the EMR.
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. CommonSpirit has more than 157,000 employees and contributes more than $4.2 billion annually in charity care.
Lead complex customer implementations and develop clinical workflows.
Build customer relationships to ensure programs meet requirements.
Train and educate customers on product offerings and value proposition.
BioIntelliSense is decoding human physiology and pioneering proactive monitoring to improve healthcare outcomes. They are a remote-first, lean start-up with a global BioTeam that is growth-oriented, collaborative, and passionate about their mission.
Monitors work volume and work distribution to maintain optimal efficiency.
Reviews and reconciles reports and assigned work queues, troubleshooting problem accounts.
Researches coding questions and provides coding training as needed.
Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care and support. As the region's only independent healthcare system dedicated to children, they offer rewarding career opportunities and encourage employees to be their best.
Partner with RCM leadership to monitor performance trends and identify revenue cycle opportunities.
Support payer contracting activities, including onboarding clinical network agreements.
Act as program manager for strategic payer partnership initiatives and drive implementation.
Headspace provides access to lifelong mental health support. They combine content, clinical care, and technology to help millions of members around the world get support. Their culture is collaborative, inclusive, and grounded in their values.
Perform outbound calls to obtain appropriate information and document accurately.
Answer in-bound calls and assist customers with pharmacy related services.
Contact insurance companies for benefit investigation and coverage eligibility.
IQVIA is a global provider of clinical research services, commercial insights, and healthcare intelligence to the life sciences and healthcare industries. They create connections that accelerate the development and commercialization of innovative medical treatments to improve healthcare and patient outcomes.
Codes complex inpatient acute care discharges using ICD-10-CM and ICD-10-PCS codes.
Reviews provider notes and clinical documentation to assign accurate codes.
Collaborates with CDI on discharges, regulatory guidelines, and coding conventions.
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. They deliver modern, patient-first care supported by innovation with state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Serves as a primary interface between clinical services and other departments to ensure multi- and inter-disciplinary vendor project coordination.
Assists clinical department directors and others in the interpretation and use of data for decision-making.
Improves and innovates the use of technology within clinical practice and workflows.
Capital Blue Cross promises to go the extra mile for their team and community. They are an independent licensee of the Blue Cross Blue Shield Association that values professional and personal growth by investing heavily in training and continuing education.
Overseeing coding services across domestic and global teams.
Ensuring high-quality service delivery for health plans and provider clients.
Managing relationships, ensuring adherence to SLAs, and improving operational outcomes.
Virtix Health partners with health plans across the country to drive clinical, financial, and operational results. They offer virtual wellness visits, in-home health risk assessments, retrospective chart review, HCC Coding, medical record repository, retrieval workflow technology, health risk assessments, and member engagement services.
Oversee day-to-day operations of the facility to meet State and Federal regulations.
Supervise all department managers to ensure the facility is in compliance.
Ensure customer service while facilitating the resolution of resident care issues.
Tutera Senior Living & Health Care aims to live the YOUNITE philosophy in every decision, every day, emphasizing respect and personalized care for residents and team members. Founded in 1985, it is a family-owned company which offers stability, competitive wages, and benefits, while also growing and developing its employees.