Remote Healthcare administration Jobs · Healthcare

• Review and verify insurance information and patient eligibility for prior authorizations.
• Communicate with healthcare providers to gather necessary medical documentation and information.
• Submit prior authorization requests to insurance companies following established protocols.

Conduct outreach to educate members on available clinical programs and screenings, ensuring they remain connected to care. Schedule initial appointments and reschedule visits for the team, thoughtfully adjusting calendars to meet urgent care needs. Provide inbound call support/call routing for patients with clinical or administrative questions.

• Seeking a Senior Director to lead global and domestic network operations in fertility and women’s health, overseeing the provider ecosystem. Responsibilities include leading network development and maintenance, overseeing network strategy, and ensuring relationships with fertility network partners.
• Own global fertility network strategy.
• Lead provider partnerships across fertility, women’s health, and ancillary services.
• Oversee network economics and contracting.

The Electronic Health Record (EHR) Specialist will optimize EHR solutions that enable partner practices to improve patient outcomes, reduce healthcare costs, and increase efficiency. The EHR Specialist will collaborate with practice stakeholders along with the multi-disciplinary Aledade team to identify, develop, and implement EHR solutions to support strategic ACO initiatives. Additionally, this role will facilitate the collection of practice-generated data that can be used for population-based analytics.

This role will shape and communicate the value of our clinical AI solutions across major health systems and integrated delivery networks (IDNs). As the Director of Market Value & Health Outcomes, you will translate clinical and operational performance into strategic business value—accelerating revenue growth, supporting payer and provider engagement, and enabling system-wide transformation through ROI frameworks, economic modeling, and executive partnerships.

The National Director, Network Management leads the execution of Privia's comprehensive network roadmap, which is focused on reducing the total cost of care. This role leverages clinical and financial data to guide local primary care physicians and market teams in selecting preferred specialists and other high-value acute/post-acute network partners.

Seeking a compassionate, detail-oriented, and experienced APC Manager who thrives in a fast-paced clinical environment and is motivated by the opportunity to expand access to high-quality, patient-centered care. In this role, you will lead and manage a team of nurse practitioners and certified midwives, ensuring the delivery of safe, compliant, and compassionate care across all aspects of our services.

Shape the implementation and customer success of FDA-cleared digital treatments in the US health system. The Client Implementation Lead drives revenue growth and patient impact by ensuring health systems, provider groups, and other healthcare organizations are engaged with, understand, and have a smooth experience supporting their patients to use Big Health’s FDA-cleared treatments.

As the Manager, Provider Engagement, East you will lead the Provider Engagement team to drive network growth, strengthen provider relationships, and ensure Imagine Pediatrics meets enrollment and performance goals. This role requires a balance of team leadership, hands-on process improvement, and relationship management.

Deliver an exceptional experience to clinicians providing care to Pomelo Care customers, measured by Clinician Net Promoter Score, quality metrics, and retention rates. Act as the primary internal point of contact for clinicians, design onboarding and training programs, and maintain the clinician handbook. Ensure clinicians meet client expectations, use data to identify improvements, and build relationships with clinician groups.