Provide advanced expertise and leadership for hospital billing and accounts receivable operations.
Ensure compliance with payer rules and regulatory requirements through quality assurance and audits.
Analyze payer trends and collaborate on process improvements to optimize revenue recovery.
Emory Healthcare is a healthcare system providing comprehensive medical services. They foster a supportive culture with benefits, mentorship, and leadership programs for employees.
Apply expertise in health economics and econometrics to complex Medicaid policy challenges.
Design and conduct quantitative analyses, develop economic models, and evaluate policy options.
Collaborate with multidisciplinary teams and lead analytic workstreams to support Medicaid decision-makers.
BerryDunn is a professional services firm that provides tax, advisory, and consulting services to businesses, nonprofits, and government agencies. The firm is known for its diverse and inclusive workplace culture and focuses on learning, development, and well-being.
Analyze current and future state VHA business processes for Elevated Risk Care Management to improve suicide prevention efforts.
Design and implement improved workflows across VHA Medical Centers and VISNs, ensuring alignment with policy and Veteran-centered care.
Serve as a trusted advisor to VHA program offices, delivering high-quality reports and recommendations to senior leadership.
Aptive partners with federal agencies to improve performance, streamline operations, and enhance service delivery. Founded in 2012, the company has over 300 employees nationwide and fosters a collaborative, mission-driven culture.
Conduct quality assurance and audit planning for the WTC Health Program, reviewing claims and analyzing data to identify trends and issues.
Research federal payer coverage policies and develop program policies and procedures, maintaining the health plan codebook.
Collaborate with clinicians and subject matter experts to support medical management and claims review, ensuring accurate application of medical coding standards.
Advanced Technologies & Laboratories International (ATL) provides expertise in quality assurance, claims processing, medical coding, and audit for the World Trade Center Health Program. The company offers a competitive total compensation package including paid leave, medical, dental, vision, and a 401(k) retirement plan.
Serve as a subject matter expert for specialty value-based programs, establishing evidence-based approaches and priorities.
Lead strategic program delivery, coordinating implementation plans, timelines, and stakeholder commitments.
Evaluate program performance, translate findings into actionable recommendations, and advise executives.
The partner company is a healthcare organization focused on advancing strategic value-based programs within a complex healthcare environment. It operates with a remote-first culture and emphasizes collaboration, innovation, and executive-level impact.
Lead the day-to-day operations of Luna's Remote Therapeutic Monitoring (RTM) Care Navigation team.
Manage, coach, and develop team members to ensure operational excellence and quality standards.
Partner with cross-functional teams to optimize workflows, drive performance, and support scalable RTM operations.
Luna is a physical therapy company that delivers care to patients in their homes or via remote monitoring. They are a growing startup with a supportive leadership culture and a focus on innovation.
Manage provider and coach assignments to ensure accurate care team operations.
Maintain operational data quality and perform analysis to identify inefficiencies.
Collaborate with cross-functional teams to optimize workflows and support scalable care models.
The company is an innovative healthcare organization that leverages technology to improve clinical operations and patient outcomes. It fosters a collaborative, remote-first culture with a global team.
Support daily provider and coach assignments based on licensure and operational requirements.
Monitor care team panels and ensure compliance with program type and changes.
Provide prompt responses to assignment requests and resolve discrepancies with stakeholders.
Twin Health empowers people to improve and prevent chronic metabolic diseases like type 2 diabetes and obesity using AI Digital Twin technology. With over $100 million raised and a team passionate about metabolic health, Twin Health is recognized as an innovator and a top most loved workplace, scaling rapidly across the U.S. and globally.
Lead strategic initiatives to improve STARS, CAHPS, PWP, and HEDIS performance across the health plan.
Manage a team of 3-6 direct reports and collaborate with cross-functional teams.
Design and evaluate outreach programs to enhance member experience and close care gaps.
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. It is part of Sentara Health, a not-for-profit integrated healthcare provider with nearly 30,000 employees and a family-friendly culture.
Manage client medical payment policies to ensure accuracy and compliance with CMS and payer guidelines.
Conduct periodic reviews and analyses of policy updates, coordinating with Medical Directors and presenting recommendations to clients.
Serve as the primary client liaison, addressing inquiries and maintaining detailed documentation of policy nuances.
Cotiviti is a healthcare data analytics company specializing in payment accuracy and medical policy management. The company fosters a collaborative remote culture and offers competitive benefits to support its team.