Review doctor-patient messages across platforms to ensure quality.
Ensure all communication aligns with clinical guidelines and company policies.
Provide structured feedback to providers and internal teams.
Homera Health builds tech, marketing, and growth engines for successful telehealth brands. As they expand into new verticals, they are hiring talent across various domains to build the next generation of virtual healthcare experiences.
Evaluates certification requests by reviewing the group specific requirements.
Triage the call to determine if a Utilization Review Nurse is needed to complete the call.
Cottingham & Butler sells a promise to help their clients through life’s toughest moments. Their culture is guided by the theme of “better every day” constantly pushing themselves to be better than yesterday.
Conducts outbound and inbound calls to educate patients about Advanced Care Planning ultimately scheduling an appointment.
Overcome Patient concerns and objections by clearly articulating the importance of Advanced Care Planning and how it benefits their healthcare journey.
Respond to multimodal and outgoing calls, texts, and emails by providing direction to Patients’ questions and/or concerns.
Aledade exists to empower independent primary care by creating value-based contracts across a wide variety of health plans. They were founded in 2014 and have become the largest network of independent primary care in the country. They have a collaborative, inclusive, and remote-first culture.
Work with clients performing coding audit and/or review services on a variety of Inpatient facility record types
Identify trends based on coding audit and review findings and formulate recommendations for corrective action plans
Perform necessary research to provide to the client to support findings.
UASI is recognized as a Top Workplace. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we’ve built and the long-term success of our dedicated team.
Oversees four teams, leading, supporting, and developing them to succeed.
Ensures operational excellence through consistent processes, reporting, and communication.
Drives performance, quality, and continuous improvement across all teams.
BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945. They empower their employees to thrive both independently and collaboratively, creating a collective impact on the lives of their members.
Serve as primary contact for patients, families, and providers
Schedule and coordinate medical appointments
Manage patient documentation and EMR updates
Pine Park Health is a value-based primary care practice redesigning how residents of senior living communities get or stay healthy and lead a life they love. They've expanded to over 185 communities across Arizona, California, and Nevada with investments from firms like First Round Capital and Google’s AI fund.
Manage complex multi-workstream projects and oversee junior team members
Analyze data to implement performance improvement and organizational change
Collaborate with team members and clients to align with business objectives
Jobgether is a company that uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.
Develop national disease area field medical strategy.
Provide leadership and direction of customer engagement tactics.
Develop organizational talent for future leadership positions.
Kardigan is a heart health company working to make cardiovascular disease preventable and curable. Led by Tassos Giannakakos and others, Kardigan's co-founders reunited after leading MyoKardia to discover and develop mavacamten, resulting in an acquisition by Bristol Myers Squibb in 2020.
Responsible for planning and executing quality and oversight activities to ensure operational compliance.
Responsible for internal and external case audits for Capital and our delegated UM vendors.
Responsible for educating staff on findings, and the audit tool ensuring a consistent approach.
Capital Blue Cross promises to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”