Lead and manage a team of Regional Directors, providing coaching and performance feedback.
Oversee the delivery of consulting services to specialty provider practices.
Develop and implement strategies to support the needs of specialty customers.
The company is looking for a Lead Director, Managed Care. They value creating an inclusive culture by empowering employees to bring their unique and diverse selves to work.
Provide lead-level support and day-to-day oversight for Patient Services operations, including workflow coordination, issue escalation, and support for patient coordinator team members.
Serve as a key operational partner for the Salesforce implementation and migration, helping support requirements gathering, user acceptance testing, workflow validation, data review, training, adoption, and post-launch stabilization.
Partner with internal stakeholders to translate patient services workflows, coordinator needs, provider interactions, and program requirements into clear business and functional requirements.
PRO-spectus aims to break down access barriers and support patients in receiving the care they need. They have created a culture that is supportive, dedicated, and teamwork driven, celebrating each other’s joys in personal life and professional accomplishments, promoting meaningful relationships and friendships.
Monitor compliance with assigned responsibilities and coordinate with patient financial services.
Conduct initial and continued clinical authorization reviews.
Jobgether uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly. They identify the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Plan, lead, and manage clinical trials, developing comprehensive project plans for timelines, budgets, and deliverables.
Ensure regulatory compliance by working with the Compliance Team and preparing for audits, adhering to GCP guidelines and company SOPs.
Serve as a primary communication point for sponsors and internal teams, providing regular updates and building client relationships for future business.
Paradigm Health is a company rebuilding the clinical research ecosystem by enabling equitable patient access to trials and enhancing trial efficiency. The team, backed by leading investors like ARCH Venture Partners, is multidisciplinary and committed to creating equitable access to clinical trials for any patient, anywhere.
Review doctor-patient messages to ensure clear, medically appropriate, and empathetic communication aligned with standards.
Ensure all communication complies with clinical guidelines, company policies, and regulatory requirements, flagging any risks.
Provide structured feedback to providers and internal teams to identify patterns and recommend improvements to workflows.
Willow is a telehealth company providing personalized, responsible cosmetic weight loss care by combining medical expertise with a patient-centered approach. The company is a diverse, global team focused on making high-quality care accessible and thoughtful.
Support the implementation, monitoring, and reporting of quality improvement activities for a national maternal mental health hotline.
Track program performance, maintain compliance documentation, and contribute to quality reports for federal stakeholders.
Assist in coordinating meetings, developing training materials, and building a culture of continuous quality improvement across a remote team.
Postpartum Support International works to promote awareness, prevention, and treatment of mental health issues related to childbearing. The organization is composed of dedicated and passionate individuals and operates a federally funded national hotline.
Evaluate current-state radiology operations, including workflows, staffing, and service reliability.
Assess enterprise imaging technical support structures, PACS/RIS environments, and interoperability.
Provide recommendations to improve workflow scalability, efficiency, and quality oversight.
Aptive partners with federal agencies to improve performance, streamline operations, and enhance service delivery. It has over 300 employees nationwide and specializes in applying technology, creativity, and human-centered services.
Oversee enrollment and billing operations across all Government Programs including Medicare Advantage, Medicare Supplement, CHIP, and ACA products to ensure accuracy and operational performance.
Lead Medicare Advantage appeals and grievances operations to ensure timely, compliant resolution and audit readiness in accordance with CMS requirements.
Drive process improvement initiatives and cross-functional coordination to enhance regulatory outcomes, member experience, and operational efficiency.
Capital Blue Cross is a health insurance company and independent licensee of the Blue Cross Blue Shield Association that promises to go the extra mile for its team and community. It is consistently voted one of the 'Best Places to Work in PA,' fosters a flexible environment prioritizing health and wellbeing, and invests heavily in employee training and continuing education.
Lead the development of predictive models to identify care gaps and design segmentation strategies for high-impact interventions.
Translate analytical findings into actionable recommendations and establish frameworks to measure the effectiveness and ROI of HEDIS initiatives.
Design enterprise performance dashboards, ensure data quality, and partner with cross-functional teams to align analytics with business needs.
Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association focused on improving the health and well-being of its members and their communities. It is voted one of the best places to work in PA, fostering a flexible and supportive culture that prioritizes employee health, wellbeing, and community volunteering.
Audits clinical documentation and coding for inpatients, emphasizing mortality reviews to identify improvement opportunities and ensure compliance with guidelines.
Collaborates with clinical teams and medical staff as an expert educator to develop strategic plans and teaching tools that improve quality metrics and outcomes.
Manages advanced project work including Risk Adjustment and Quality Abstraction, while partnering with departments like IT and Analytics to design new workflow solutions.
Northwestern Medicine is a leader in the healthcare industry focused on a patient-first approach to cultivate a positive workplace. The organization provides competitive benefits like tuition reimbursement, loan forgiveness, and 401(k) matching to take care of its employees as part of a large health system.