Oversee the entire claims submission and follow-up process, ensuring accuracy and timeliness.
Lead and manage large payer projects and care center support, updating leadership on opportunities.
Manage accounts receivable, analyze denial patterns, and implement process improvements.
Privia Health is a technology-driven national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. The company is led by top industry talent and exceptional physician leadership, and fosters an inclusive work environment.
Provide study oversight as primary liaison between CRAs, internal staff, site staff, client personnel, and external vendors.
Ensure clinical monitoring activities comply with SOPs, regulations, GCP, KPIs, and study-specific requirements.
Develop and manage clinical plans and guidelines, including the clinical monitoring plan and study timelines.
ProTrials is a women-owned, WBENC-certified Contract Research Organization (CRO) that has been a trusted partner in clinical research since 1996, supporting research behind innovative treatments in pharmaceutical, biotech, and medical device industries. They foster a collaborative community where team members feel valued, supported, and empowered to make a meaningful impact on global health.
Analyze clinical and operational data to identify trends and drive quality improvements.
Develop and monitor corrective action plans and quality initiatives.
Collaborate with leadership to ensure compliance and enhance care delivery outcomes.
Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic healthcare facilities. We leverage our global network to connect clients with qualified professionals, offering tailored services to meet unique business needs.
Own and scale the patient engagement and recruitment strategy across a national site network, evolving the operating model to improve enrollment performance and patient experience.
Establish KPIs, dashboards, and reporting rhythms to drive recruitment performance across the patient funnel, using data to identify trends and resourcing needs.
Lead and develop the patient recruitment team, building a high-performing culture rooted in accountability, collaboration, and continuous improvement.
Profound Research partners with community physicians to offer clinical trials as a therapeutic option for their patients. As a growing organization, they foster a culture of compassion, urgency, solution orientation, and excellence, prioritizing patient-centered care and operational efficiency.
Lead strategic development of clinical quality measures for cardiovascular care.
Oversee measure stewardship, compliance, and collaboration with stakeholders.
Drive quality improvement initiatives using data and evidence-based guidelines.
The American Heart Association is a nonprofit dedicated to reducing cardiovascular disease and stroke deaths. It employs thousands and fosters a culture of work-life harmonization and professional development.
Lead the development and refinement of clinical cost containment strategies, including vendor evaluation and claims data analysis.
Provide clinical oversight and sales support to broker/consultant partners, TPAs, and employer clients.
Monitor medical cost trends and regulatory changes to proactively advise clients and internal teams.
Strategic Benefit Resources (SBR) is a self-funded benefits consulting firm focused on providing clinical cost containment and stop-loss solutions to the wholesale distribution market. As part of HUB International, a leading global insurance broker, SBR offers a collaborative environment with extensive resources and expertise across North America.
Coordinate care for adolescent and young adult patients, including outreach, chart scrubbing, and panel management.
Provide medical assistant duties and support the care team with referrals, follow-ups, and documentation.
Communicate with patients and families via phone, MyChart, and email to ensure compliance and care coordination.
Oregon Health & Science University is a public academic health center in Portland, Oregon, providing patient care, groundbreaking research, and training for healthcare professionals. It is the largest employer in Portland, operating hospitals and clinics across Oregon and Southwest Washington, and is committed to being an anti-racist, multicultural institution.
Support quality assurance and audit planning for the WTC Health Program
Analyze claims data to identify trends and recommend improvements
Maintain health plan codebook and ensure accurate medical coding standards
Advanced Technologies & Laboratories International, Inc. (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit activities for the WTC Health Program. The company offers a competitive total compensation package and invests in professional growth through tuition reimbursement and certification programs.
Identify, analyze, and resolve clinical data quality issues across a multi-vendor EHR ecosystem to ensure accuracy and standardization.
Map clinical data elements to standardized code systems and validate mapping accuracy across clinical domains.
Support quality measure programs by ensuring data completeness and accuracy, and serve as clinical subject matter expert for AI-assisted data extraction and interoperability initiatives.
Aledade is a public benefit corporation that empowers independent primary care practices to thrive in value-based care, forming the largest network of its kind in the US since 2014. The company fosters a collaborative, inclusive, and remote-first culture focused on strengthening continuity of care and aligning incentives for patient health.
Lead deep-dive analyses of clinical and technical denials to uncover root causes affecting hospital reimbursement and operational efficiency.
Partner with hospital leadership and revenue cycle teams to present findings and support operational transformation initiatives.
Design and deliver training and documentation to improve denial prevention practices across teams and departments.
Our partner is a healthcare services organization operating in revenue cycle management and analytics. It is a growing company with strong client relationships and a focus on operational transformation.