Supervise and develop a team of Support Coordinators to ensure high-quality, person-centered service delivery for ECF CHOICES program members.
Monitor staff performance, ensure compliance with TennCare and BlueCare requirements, and provide coaching and issue resolution.
Support workforce development through onboarding, mentoring, and continuous education while maintaining regulatory compliance and quality standards.
Volunteer State Health Plan, Inc, part of BlueCross BlueShield of Tennessee, is a health benefit plan company serving Tennesseans since 1945. As the largest health plan in Tennessee, they foster a remote-first culture with a focus on innovation, collaboration, and member well-being.
Support Medicaid program integrity activities including fraud, waste, and abuse prevention, provider oversight, and compliance monitoring.
Translate claims analytics and audit findings into practical monitoring approaches, system requirements, and corrective action recommendations.
Coordinate with stakeholders, vendors, and project leadership to support reporting, documentation, training, and quality assurance.
BerryDunn is a professional services firm providing tax, advisory, consulting, and attest services to businesses, nonprofits, and government agencies. It is a client-centered, people-first firm focused on learning, development, and well-being.
Lead a multidisciplinary clinical team in a remote telemedicine environment.
Oversee Nurse Practitioners, clinical decision-making, and day-to-day operations.
Combine hands-on clinical expertise with people leadership, quality assurance, and regulatory compliance.
They provide remote telemedicine services focused on patient-centered, personalized health care. The company is a growing virtual care environment offering a collaborative and purpose-driven culture.
Apply ICD-10-CM/PCS coding to assign accurate diagnostic and procedural codes for inpatient services.
Sequence diagnoses and procedures following official guidelines to ensure optimal reimbursement and compliance.
Query providers for clarification and support reporting of healthcare data elements for quality and research.
Albany Medical Center is the centerpiece of medicine, research, and medical education in New York's Capital Region. It is the area's largest private employer with more than 10,000 employees, offering a wide range of career opportunities in patient care and administration.
Perform quality audits on clinical documentation across clinical departments.
Collaborate with leadership to develop corrective action plans and provide 1:1 coaching.
Support organizational readiness for NCQA and other regulatory audits.
Oscar is the first health insurance company built around a full stack technology platform, focusing on serving members with a concierge-level experience. It started in 2012 and is an Equal Opportunity Employer cultivating an authentic, inclusive environment.
Verify insurance eligibility, benefits, and patient liability to ensure accurate financial clearance.
Collaborate with providers, authorization teams, and payers to resolve coverage questions.
Maintain accurate records and communicate financial expectations to patients.
Jobgether is a platform that uses AI-powered matching to connect candidates with job opportunities. They partner with companies to manage applications and provide a collaborative hiring process.
End-to-end credentialing and payer enrollment for multi-state providers across commercial and Medicaid plans.
Vendor governance and SLA performance management to ensure timely provider onboarding.
Delegated credentialing and audit readiness, including NCQA and MCO compliance.
Blackbird Health provides virtual and in-person mental health services for children across Pennsylvania, Virginia, New Jersey, and Maryland, focusing on a whole-child approach that integrates brain, body, and behavior. The company is clinician-founded and owned, with a collaborative, supportive, and innovative team that is expanding into new markets in 2027.
Conduct clinical documentation reviews to ensure compliance with coding guidelines and regulations.
Provide education and training to providers and coding staff on documentation standards.
Analyze data and report findings to leadership to improve coding accuracy.
UnityPoint Health is a healthcare system serving Iowa, Illinois, and Wisconsin. It has been recognized as a Top 150 Place to Work in Healthcare and fosters a culture of belonging.
Generate, review, and transmit claims for hospital-based services to third-party payors.
Collaborate across Revenue Cycle departments to resolve billing edits and other up-front issues efficiently.
Report to the Manager of Hospital Billing and support daily billing operations.
Piedmont Healthcare is a healthcare organization providing hospital-based services in Georgia. The company operates a corporate revenue cycle team focused on billing and claims management.