Zócalo Health is seeking an Implementations Manager to support the operational launch and oversight of new Medicare, Medicaid and Commercial contracts during the first year of implementation. This person will serve as the single point of contact between Zócalo Health and health plans, ensuring alignment with contractual requirements and the successful operationalization of program components.
Maven is seeking a Manager of Care Delivery to lead a team of dynamic Care Advocates and Care Coaches. You will conduct regular one-on-ones, performance reviews, and development planning to promote employee growth. You will be responsible for achieving key performance indicators and coaching individual team members to drive clinical outcomes and engagement.
The Coordinator is primarily responsible for providing data and reports in support of the Coding and Compliance Department. They will compile billing and revenue data from internal systems upon request for the Coding Compliance team to review and analyze. The role involves preparing data summaries for Leadership and other departments, including the Executive leadership team.
The Supervisor, HCC Risk Adjustment Coding is responsible for performing HCC risk adjustment coding and developing and executing risk adjustment coding education, auditing, compliance initiatives, and clinical documentation improvement strategies. The Supervisor will supervise HCC risk adjustment coders and will collaborate with providers, coding teams, and leadership to drive performance improvement, mitigate compliance risks, and enhance HCC coding accuracy.
Lead comprehensive clinical quality initiatives and measurement-based care programs across BetterHelp's global platform. This role involves defining, measuring, and continuously improving the quality of care we deliver to millions of clients worldwide, positioning BetterHelp as the clinical quality leader in the virtual mental health space. Drive the development and implementation of sophisticated quality measurement frameworks, clinical outcome assessments, and evidence-based improvement initiatives.
Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts to support Revenue Cycle goals for timely billing. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Examines the complete medical record to accurately determine the diagnoses, procedures, and complications.
Shape the work care advocates perform and consider how to scale a rapidly growing business while maintaining the highest standards of quality and ensuring Solace’s patients receive comprehensive, life-improving services, reporting to the Chief Medical Officer. You will develop and execute a framework for advocate operational and clinical quality that takes into account advocate behavior and patient feedback. You will also develop and implement policies, procedures, and clinical protocols to support advocates to perform their best work on behalf of patients.
This role helps develop and operationalize value-based care programs and initiatives that contribute meaningfully and measurably to the overall success of Privia’s value-based care strategy. The Sr. VBC Manager will also play a significant role in owning a critical domain, attribution, in our company’s value-based care strategy.
Acts as a liaison between patients, providers, and insurance companies to ensure appropriate data collection, compliance with third party payers and federal and state regulations. Obtains benefits, eligibility and preauthorization, and acts as a financial counselor when explaining insurance and payment options.
This position acts as the clinical coding subject matter expert and lead coding resource across the organization, providing education to providers on clinical coding standards and coordinating the Alliance Coding Workgroup.