Perform retrospective medical chart reviews to pinpoint areas for improvement.
Interpret performance data to uncover learning opportunities.
Lead diagnosis documentation education for clinical audiences.
Aledade empowers independent primary care practices. Founded in 2014, they are the largest network of independent primary care in the country, focusing on value-based care and a collaborative, inclusive, remote-first culture.
Oversee the Care Navigation program, ensuring efficient operation and successful implementation of new programs.
Manage relationships with health plan partners and oversee internal policies and procedures for care navigation activities.
Provide telephonic care navigation services to individuals receiving services through various programs as needed.
Mom's Meals is a provider of home-delivered meals. They focus on delivering medically tailored meals to individuals with chronic health conditions. The company values its team members and strives to show it through benefits and other offerings.
Lead, manage, and hold accountable the team of GUIDE Program Coordinators.
Own day-to-day compliance with the CMS GUIDE Model, ensuring eligibility and alignment.
Monitor and operationalize new and updated CMS GUIDE rules into clear workflows.
Ceresti Health provides personalized coaching, care coordination, and care planning to families. They are a quickly scaling company, focused on innovation and supporting caregivers of people living with dementia.
Communicating with providers regarding claims, service issues and general network provider complaints.
Developing an adequate provider network in assigned geographical areas (currently Texas metroplex areas).
Building and maintaining relationships with contracted providers, including inquiries related to contract status, roster corrections and information accuracy.
Evry Health, a Globe Life company, aims to bring humanity to health insurance. They are a high-technology health plan expanding benefits and access, and feature a personalized, human approach. Globe Life has 16.8 million policies in force, with more than 3,000 corporate employees and 15,000 agents.
Participate in end-to-end implementation activities.
Develop an understanding of Experian Health's product suite and apply best‑practice workflows.
Facilitate requirements gathering, workflow mapping, configuration reviews, and user acceptance testing.
Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange, they have a team of 23,300 people across 32 countries.
Lead Headway's clinical quality strategy, developing protocols and processes that uphold safety, efficiency, and effectiveness standards for the practice.
Build and scale our Professional Practice Evaluation programs, directly improving clinical outcomes across our provider network of NPs and MDs/DOs.
Conduct routine chart reviews and monitoring, providing feedback to clinicians and creating remediation plans for documentation concerns
Headway is building a new mental healthcare system everyone can access by solving the biggest barrier to care: insurance. They are a Series D company with $325M+ in funding, looking for exceptional people to help them achieve their mission.
Monitor and ensure the visibility and integrity of Headway's provider network by tracking key indicators of network health.
Expand and lead the clinical education function: define the vision, develop quarterly roadmaps, secure resources, and oversee end-to-end execution of all provider education initiatives.
Develop targeted education and remediation programs that upskill Headway's 60,000+ providers on clinical standards, documentation quality, and regulatory compliance.
Headway is building a new mental healthcare system that everyone can access by solving the biggest barrier to care: insurance. Over 75,000 providers across all 50 states run their practice on their software, serving over 1 million patients.
Collaborate on program execution and process implementation aligned with overall Medical Education strategy.
Lead all aspects of program planning to execution, including agenda creation and logistics coordination.
Develop and analyze program metrics, attendee feedback, and educational outcomes.
Penumbra, Inc. is a global healthcare company focused on innovative therapies. They design, develop, manufacture, and market novel products and has a broad portfolio that addresses challenging medical conditions.
The Senior Consultant works collaboratively within a team of highly qualified Advisory consultants to deliver performance improvement to healthcare systems.
This position actively leads and participates in engagement work streams, identifying issues, forming hypotheses and conducting interviews.
The Senior Consultant participates in Premier internal activities including practice development, required, and approved educational opportunities throughout the year and learning the various technologies Premier offers to its clients.
Premier, Inc. is a technology-driven healthcare improvement company, providing solutions to two-thirds of all healthcare providers in the U.S. They unite providers, suppliers, and payers to make healthcare better with national scale, smarter with actionable intelligence and faster with novel technologies, employing both full and part time positions as well as contingent work.
Supervise day-to-day operations of assigned Utilization Management staff.
Provide full people management for assigned Utilization Management teams, including hiring and performance management.
Drive team performance against key metrics, including engagement, productivity, and quality scores.
Personify Health has created a personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together. Their data-driven solutions aim to reduce costs while improving health outcomes, empowering people to lead healthier lives.