Collaborates with clinical documentation team to review inpatient accounts.
Assesses DRG, PDx, secondary Dx, PCS, POA and all documentation components impacting quality metrics.
Continually assures coding practices remain compliant with coding guidelines and regulations.
Northwestern Medicine strives for a positive workplace for every patient interaction. They are a leader in the healthcare industry, offering competitive benefits such as tuition reimbursement, loan forgiveness, and 401(k) matching.
Lead the Heart Valve Initiative integration across the enterprise.
Drive progress across Key Performance Indicators.
Identify and engage with strategic alliance partners.
The American Heart Association is dedicated to fighting cardiovascular diseases and strokes. With nearly a century of experience, they have significantly reduced cardiovascular disease deaths and continue to drive breakthroughs in science, policy, and care for healthier lives. They have several thousand employees and foster a culture of work-life harmonization, valuing employees' personal and professional growth.
Support the end-to-end screening & credentialing process for new and existing pharmacy partners.
Manage all administrative aspects of pharmacy credentialing and recredentialing processes from start to finish.
Offer crucial daily administrative and clerical assistance, alongside other delegated responsibilities.
SmithRx is a rapidly growing, venture-backed Health-Tech company. Their mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. They pride themselves for their mission-driven and collaborative culture that inspires their employees to do their best work.
Own end-to-end operations for your care team while partnering closely with Nurse Practitioner Managers.
Foster belonging and team connection to drive clarity, consistency, and reliability in daily workflows.
Conduct regular 1:1s and performance check-ins to reinforce expectations, accountability, and development.
Midi is a fast-scaling virtual care company on a mission to transform how healthcare is delivered—starting with women’s health and whole-person care. Their distributed clinical teams deliver high-quality, evidence-based care through a modern, tech-forward platform built for scale, safety, and reliability.
Support the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network–Quality Improvement Organization (QIN-QIO) Program by providing hands-on technical assistance and quality improvement (QI) support to nursing homes.
Collaborate with nursing homes to assess performance, conduct root cause analyses, and co-develop Quality Action Plans (QAPs) aligned with CMS priorities.
Play a vital role in driving the adoption of evidence-based interventions, guiding providers through regulatory requirements, and helping them improve safety, care quality, and outcomes for Medicare beneficiaries.
Health Services Advisory Group (HSAG) is dedicated to transforming healthcare delivery in the United States. They achieve this through quality improvement initiatives and technical assistance. They are a growing team focused on making healthcare better for everyone and also giving back to the community.
Set and uphold expectations for clinical quality and performance.
Own escalation pathways and clinical decision support.
Enforce standards for protocol adherence and documentation.
Midi is a virtual care company delivering women’s health care through a tech-enabled platform. Their distributed clinical workforce operates at scale in a regulated environment, supported by clinical governance, standards, and operational discipline.
Administer and organize various types of projects within the Healthcare Development team.
Support project teams on meetings and logistics coordinating virtual and in-person meetings and education.
Assist with preparing reports and deliverables per project requirements.
The American Heart Association's mission is to be a relentless force for a world of longer, healthier lives. They have cut cardiovascular disease deaths in half since 1924, and they continue to strive for progress with a team of passionate individuals.
Perform medical record analysis for accurate coding and sequencing.
Maintain quality and productivity standards.
CorroHealth helps clients exceed their financial health goals by providing scalable solutions and clinical expertise across the reimbursement cycle. They utilize leading technology and analytics to guide their solutions and achieve goals, building long-term careers by investing in employee development and growth.
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Provide medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
Perform medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.
Centene is committed to helping people live healthier lives. They provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well. Centene values diversity and is an equal opportunity employer.