Lead and develop a team of RN Care Coordinators and non-clinical Care Coordinators.
Ensure timely progression of members through the surgical review and COE pathways.
Identify workflow issues and recommend process improvements.
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings.
Develop and execute market access strategies to implement digital therapeutics in NHS Scotland services.
Provide clinical guidance and support to NHS teams, including training and educational materials.
Build and maintain an active community of highly engaged NHS referrers and clinical champions.
Big Health aims to help millions return to good mental health by delivering digital, non-drug treatments for mental health conditions. They work with healthcare organizations, including Scotland’s NHS, to improve lives across the country through science-led product innovation.
Deliver comprehensive care navigation and access support for Sana members, ensuring they receive the right care at the right time, place, and cost.
Collaborate with cross-functional teams, including our virtual care practice and customer support, to provide seamless care navigation services.
Educate members on their care referral options, empowering them to make informed healthcare decisions.
Sana Benefits is building affordable health plans designed around Sana Care, their integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them. They've compiled an innovative team with top talent from across the healthcare and technology industries to deliver engaging, modern, concierge-style healthcare for their members.
Conduct regular one-on-ones, performance reviews, and development planning.
Act as the primary escalation point for member issues and complex fertility-related financial and billing issues.
Use your continuous improvement mindset to define and iterate on processes, making positive enhancements to drive efficiency, value, and accountability toward KPIs.
Maven Clinic is the world's largest virtual clinic for women and families, aiming to make healthcare work for everyone. The company has over 2,000 employers and health plans trusting their platform, and they've won multiple awards for their culture and innovation.
Oversee day-to-day operations of a Team of Analysts and/or Specialists, fostering a high-performing team.
Lead quality improvement initiatives by managing analytics to determine the greatest areas for quality and cost interventions.
Develop strategies to improve health plan performance, operational efficiency, and payer experience.
Aledade partners with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care. They offer a comprehensive, value-based care solution that includes data analytics, guided workflows, and user-friendly technology, supported by on-the-ground experts.
Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types
Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures.
Collaborates with Orders Management Unit (OMU) and other coding divisions for NCD/LCD edit resolution.
Northwestern Medicine is committed to cultivating a patient-first approach within a positive workplace and is a leader in the healthcare industry. They offer competitive benefits and aim to care for their employees during their quest for better healthcare.