Provide medical coding, system configuration, and administrative support for medical policy functions.
Perform coding analyses and utilization reporting to recommend updates to medical policies and system configuration.
Participate in cross-functional meetings to align with enterprise strategic priorities and support team operations.
Wellmark is a mutual insurance company owned by policy holders across Iowa and South Dakota, built on over 80 years of trust. We prioritize member well-being over profits, with a focus on sustainability and innovation.
Lead day-to-day execution of clinical quality programs and manage Quality Improvement Specialists.
Oversee care gap closure, HEDIS, Medicare Stars, CKCC performance, and NCQA accreditation compliance.
Partner cross-functionally with Clinical Ops, Analytics, and Market Ops to drive quality initiatives.
Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic approach. We are a growing company committed to improving patient outcomes and quality of life, fostering a culture of innovation and compassion.
Manage and support a team of RN quality reviewers, providing day-to-day people management, performance feedback, and coaching.
Identify and report on clinical quality trends by analyzing chart audit findings and quality data to inform improvement priorities.
Collect, organize, and maintain quality audit data, ensuring accurate records and dashboards for real-time visibility into team performance.
Thyme Care is a market-leading value-based oncology care enabler that partners with health plans, providers, and employers to deliver better outcomes and lower costs for cancer patients. As a tech-native organization with a focus on human connection, they employ a team of dedicated professionals committed to reimagining cancer care.
Communicate and refine health economic and outcomes research evidence to support payer engagement activities.
Partner with Market Access and Government Affairs teams as a scientific and economic subject matter expert.
Translate complex clinical, economic, and real-world evidence into clear, payer-relevant insights.
GRAIL is a healthcare company pioneering new technologies to advance early cancer detection using next-generation sequencing, population-scale clinical studies, and data science. It is headquartered in the Bay Area with locations in Washington, D.C., North Carolina, and the UK, supported by leading global investors.
Analyze data and generate monthly KPI reports for executive leadership.
Collaborate with physicians, coding, and clinical quality to ensure accuracy and integrity of inpatient medical records.
CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, it delivers more than 20 million patient encounters annually with over 157,000 employees across 24 states.
Provides onsite and remote clinical documentation integrity support to CDI programs as part of the System Office CDI Float Pool.
Reviews and audits medical records to ensure accurate documentation of medical necessity, severity of illness, and level of services.
Trains end users on CDI software systems and communicates with healthcare teams to improve documentation practices.
Trinity Health is a large not-for-profit, faith-based health care system with 121,000 colleagues and nearly 36,500 physicians and clinicians serving communities across 27 states. The system includes 101 hospitals and invests heavily in community benefit programs.
Participate in a systematic review of drug consumption measurement via wastewater and serve as liaison between CDC divisions.
Assist in developing an ethical framework and technical standards for wastewater analysis for drug consumption.
Support project management including key objectives, deliverables, timelines, and stakeholder coordination.
The CDC Foundation helps the CDC save and improve lives by collaborating with partners to protect health. It is a nonprofit that has raised over $1 billion and launched over 1,000 programs since 1995, with a culture focused on mission-driven public health work.
Manage day-to-day project operations as principal investigator or project director, ensuring deliverables are on time and within budget.
Design and implement rigorous applied research studies, including aligned research questions, methodologies, and analytic plans.
Lead proposal development and build strong client and stakeholder relationships.
American Institutes for Research (AIR) is a nonpartisan, not-for-profit organization that conducts behavioral and social science research and delivers technical assistance to address pressing challenges. Founded in 1946 and headquartered in Arlington, Virginia, AIR employs a multidisciplinary team of economists, data scientists, public health experts, clinicians, and policy researchers, fostering a collaborative and evidence-driven culture.