This is a key role on the Network Management team, reporting to the Provider Network Manager, with opportunity to scale the credentialing and enrollment function while making a significant impact on women's mental healthcare. The Enrollment Specialist submits accurate enrollment applications, manages enrollments across multiple states and provider types, and utilizes Salesforce for enrollment management.

As a dynamic manager, you will develop and enhance SonderMind’s payor relationships nationwide. You will lead negotiations with payors and health plans and develop contract negotiation strategies that align with the financial objectives of SonderMind. You will also investigate payor market dynamics to enhance partnerships with payors.

Coordinate reporting/analytical talents pipeline & manage projects in concert with other work stream Directors within the Analytics Organization (AO). Advise leaders & operators on the prioritization of projects and business implications of reporting/analytics to the organization. Manage and develop reporting/analytical approaches to identify, measure and evaluate health-related solutions and services.

The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB (Hospital Billing) and PB (Professional Billing) expected reimbursement contracts in Epic while acting as a subject matter expert in variance reporting and reimbursement analysis. This position will work incoming flagged underpayments and overpayments, collaboratively appeal confirmed underpayment instances, and continuously build and maintain system contract configuration to ensure accuracy against payer reimbursement terms.

The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. Responsible for identification of patterns, trends, and opportunities for CDI staff to improve accuracy and outcomes. Provides education to CDI team members and physicians, if needed and assists with denial management.

Accurately and efficiently access a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services, while working fully remotely in FL, GA, AZ, TX, AL.

This role ensures the success of customer facing events with Fujifilm’s endoscopic and/or endosurgical technologies. It requires understanding clinical needs, proactively planning for events, and soliciting feedback to continually improve event success. The role involves managing equipment, coordinating with sales and marketing, and ensuring compliance with regulations.

Lead a dedicated team to deliver exceptional Palliative Care services for patients and families, driving clinical operations and taking ownership of the Palliative Care Program’s P&L. Collaborate with operational leaders to uncover new market opportunities and execute forward-thinking strategies to achieve organizational goals. Must be able to travel up to 25% as needed.

The Authorization Specialist will submit approval requests using paper forms, printed documentation, fax, payer portals or other means to obtain authorization for services and will complete follow up to ensure timely turnaround and escalate problem accounts for resolution. They will have regular contact with patients, insurance plans, physician offices, and other personnel.

The Medical Director provides clinical leadership for the Disability Evaluation Services (DES) Program and is responsible for supervising the physician advisors and quality assurance consultants as well as ensuring compliance for contracted network consultative examination providers. The director leads internal Clinical Consultation Committee for the handling and decision making of contested cases.