15 results
FiltersConduct outreach to educate members on available clinical programs and screenings, ensuring they remain connected to care. Schedule initial appointments and reschedule visits for the team, thoughtfully adjusting calendars to meet urgent care needs. Provide inbound call support/call routing for patients with clinical or administrative questions.
Drives clinical and administrative support functions across the market, such as customer service, scheduling, registration, referrals, and prior authorizations. Serves as a Synapticure’s representative to our members, external healthcare organizations, payer partners, and other partners to ensure that our members have the care and assistance they need to thrive.
Serve as the executive leader for the Health Policy and Patient Access Research (HPPAR) Center of Excellence (COE) within the Global Access Value and Economics (GAVE) organization at Intuitive, managing and providing leadership oversight to the COE and three key supporting functions within the center. This leader will work cross-functionally with various teams to execute strategies and tactics within operating plans, including programmatic development and execution of the COE.
The Medical Records & Referrals Specialist plays a key role in delivering an outstanding patient experience by managing medical records and guiding the referral process. You’ll support both clinical providers and administrative teams by securely handling documentation, keeping patients and partners informed about referral progress, and ensuring all workflows comply with HIPAA and organizational standards. We’re looking for someone who is detail-oriented, highly organized, and comfortable communicating with patients, providers, and external healthcare partners in a professional, empathetic manner.
Seeking a compassionate, detail-oriented, and experienced APC Manager who thrives in a fast-paced clinical environment and is motivated by the opportunity to expand access to high-quality, patient-centered care. In this role, you will lead and manage a team of nurse practitioners and certified midwives, ensuring the delivery of safe, compliant, and compassionate care across all aspects of our services.
The Medical Director (Utilization Management) plays a critical role in leading and supporting the clinical integrity of the utilization management function, with a specific focus on inpatient and post-acute care reviews. This physician leader ensures timely and appropriate care determinations for Medicare Advantage members, guided by clinical criteria, CMS regulations, and evidence-based practices.
Oversee demand management process and ensure content creation quality and delivery timelines. Job requires excellent client communication and stakeholder management across multifunctional teams. Must be skilled in project management (planning, budgeting, and risk management with focus on quality, timeliness, and cost efficiency and be able to analyze medical data.
Shape the implementation and customer success of FDA-cleared digital treatments in the US health system. The Client Implementation Lead drives revenue growth and patient impact by ensuring health systems, provider groups, and other healthcare organizations are engaged with, understand, and have a smooth experience supporting their patients to use Big Health’s FDA-cleared treatments.
The Utilization Management Representative will process clinicals to send to payers while the patient is in house, enter authorizations and enter concurrent denials for the RNs. During your 8hr shift you will work with your team to manage the phone queue. A separate workspace, separate from noise between 8:30am-5pm AZ time will be required.
Seeking a proactive and detail-oriented team member to help keep our clinician payer enrollment process moving smoothly. You will submit payer enrollments, track statuses, follow up with payers to resolve blockers, and request fee schedules to support operational planning, ensuring clinicians are paneled quickly, especially in NY, NJ, CA, TX, FL, PA, and CO.