Provides programmatic support for APHL’s US Centers for Disease Control and Prevention (CDC)-funded work to strengthen the state and local chemistry and radiochemistry laboratory workforce. This role involves project management, strategic thinking, and administrative support to implement and execute radiochemistry and analytical chemistry workforce activities. The Specialist will collaborate with various partners, manage committees, and develop communication materials.
Drive change in behavior as a seasonal health coach on our telephonic health coaching team. This role, lasting from September to December, focuses on impacting positive lifestyle choices. Help individuals set and achieve goals targeting fitness, nutrition, weight, stress, health, and life management through telephonic and e-coaching interventions guided by Health Risk Assessment results.
The Risk Adjustment Coding Oversight Specialist is responsible for conducting vendor oversight and quality assurance audits for risk adjustment purposes, including conducting oversight chart audits and internal quality assurance of risk adjustment projects. This role requires good communication skills with attention to detail, flexibility, and ability to manage multiple demands concurrently with ease. This position will facilitate efficient and effective interventions to ensure accurate and complete coding.
This role will lead the strategy and execution of cost-savings models and RWE studies, while collaborating closely with external actuaries, internal data teams, and commercial leaders. The Director of HEOR will be Solera’s internal expert on clinical and economic outcomes evaluation. You will build payer-ready economic models and oversee rigorous claims-based analyses.
As a Member Onboarding Specialist, you'll be the crucial bridge between oncology referrals and life-changing behavioral health support. You'll engage with prospective members at a vulnerable time, helping them understand how the Collaborative Care Model can address their behavioral health needs. This role requires empathy, communication skills, and adaptability in a seed-stage startup environment. You'll directly impact our mission and refine our member acquisition process.
Lead the team responsible for all credentialing, privileging, licensing, and peer review activities. Set strategic goals and operational plans to ensure efficient and compliant processes. Drive continuous process improvement and achieve significant efficiency gains within clinician services. Ensure compliance with NCQA standards and delegated credentialing agreements for various health plans.
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.
Drive the success of the Patient Engagement Specialist team, focusing on coaching and meeting key performance indicators. Take ownership of the team, ensuring expertise in patient activation and exceeding goals. Monitor, coach, and identify improvements to scale operational excellence. Create best-in-class patient experiences as the patient ambassadors.
The Care Coordination Manager leads a team of Care Guides to ensure high-quality, person-oriented care for members navigating complex health and social needs. This role is responsible for operational oversight, regulatory compliance, team development, training, and strategic alignment with organizational goals.