Oversee the provider performance and escalations team.
Conduct audits and quality assurance reviews to promote quality of care.
Work closely with cross-functional partners to strengthen and improve quality of care systemically through innovation.
Spring Health is on a mission to revolutionize mental healthcare by removing every barrier that prevents people from getting the help they need, when they need it. They partner with over 450 companies and provide care for 10 million people and their valuation has reached $3.3 billion.
Handle communications via phone, email, voicemail, faxes, and chat.
Conduct thorough intake assessments to understand patient needs and match them with an appropriate provider.
Ensure all patient interactions and transactions are accurately documented in the Electronic Health Record (EHR) system.
LifeStance Health is a mental healthcare provider striving to help individuals, families, and communities with their mental health needs. They are the fastest-growing mental health practice group in the country, valuing belonging, empathy, courage, and teamwork.
Provides policy expertise related to systems or products.
Communicates Medicaid program insight to UX researchers and designers.
Analyzes laws and policy documents and explains their impact.
A1M Solutions is a woman-owned small business focused on providing value to customers, employees, partners, and the community, while remaining aligned to its guiding principles. A1M’s mission is to preserve and improve government healthcare programs for underserved people in the United States, focusing on projects with nation-wide impact at the intersection of policy, data, and user experience design.
Conduct research and analysis to develop factsheets, issue briefs and other educational resources.
Attend relevant briefing and seminars, providing support for webinars.
Assist with committee and partner meetings.
The American Public Health Association aims to influence public policy at all levels of government and within the private sector, and to serve as a catalyst for positive change. They create innovative, analytical and informative resources on a range of public health disciplines and topics.
Acts as the clinical coding subject matter expert and lead coding resource across the organization.
Acts as a resource and provides education to providers on clinical coding standards.
Coordinates and leads the Alliance Coding Workgroup.
Central California Alliance for Health is a regional non-profit health plan that provides accessible, quality health care. The company has over 500 employees and fosters a respectful, diverse, professional, and fun culture where employees are empowered to do their best work.
Lead EMEA medical affairs strategy and activities.
Foster relationships with key opinion leaders and healthcare professionals.
Support evidence generation and scientific communication.
Scholar Rock is a biopharmaceutical company focused on discovering, developing, and delivering therapies for serious diseases with unmet needs. The company is known for its work in transforming growth factor beta (TGFβ) superfamily biology and has a pipeline targeting neuromuscular disease, cardiometabolic disorders, and cancer.
Deliver comprehensive care navigation and access support for Sana members, ensuring they receive the right care at the right time, place, and cost.
Collaborate with cross-functional teams, including our virtual care practice and customer support, to provide seamless care navigation services.
Educate members on their care referral options, empowering them to make informed healthcare decisions.
Sana Benefits is building affordable health plans designed around Sana Care, their integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. They've compiled an innovative team with top talent from across the healthcare and technology industries to deliver engaging, modern, concierge-style healthcare for their members.
Support development and communication of medical plans.
Lead the development and dissemination of scientific and medical data.
Build and maintain strong relationships with KOLs, researchers, and patient advocacy groups.
Jade Biosciences is focused on developing innovative therapies for autoimmune diseases. They are developing JADE101 to treat IgAN and have a second development candidate as well as an undisclosed antibody discovery program in preclinical development.
Lead planning and coordination of climate–health activities in close collaboration with PATH and AIIB.
Lead the design of an integrated climate–health EWS for extreme heat and air pollution in Brazil.
Support the development of a practical climate–health risk communication strategy for state and municipal health authorities.
PATH is a global nonprofit dedicated to achieving health equity. With more than 40 years of experience forging multisector partnerships and with expertise in science, economics, technology, advocacy, and dozens of other specialties, PATH develops and scales up innovative solutions to the world’s most pressing heath challenges.
Assists with medical record documentation requests and leverages medical management system to initiate case and/or authorization to support clinical processes.
Conducts fax and telephonic outreach; and written communications to members and/or providers to communicate status of UM/CM processes.
Actively participates in supporting department compliance and performance through administrative activities such as report monitoring/distribution, and other tasks as assigned by leadership.
Capital Blue Cross promises to go the extra mile for their team and community. Employees consistently vote it one of the “Best Places to Work in PA”.