The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system. You will ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims and patient estimates and collaborate with senior team members to process new client implementations and independently manages routine maintenance cases, ensuring compliance with enterprise standards and client expectations.
The Program Director will build best in class teams to deliver a successful Population Health Management Program (SPHMP) across multiple partners/locations for all stakeholders - individual members, health plan partners, and Mindoula. They will attract, train, and motivate a talented team to implement and deliver Mindoula’s SPHMP and the expected outcomes. Implementation and delivery includes executing on all contractual, legal, and regulatory requirements, as well as delivering on partner and company clinical and business goals and objectives. The Program Director also will provide clinical oversight to the team, to ensure that all interventions, interactions, and services are delivered to meet and exceed quality expectations.
Join our client's team as a Clinical Director and AI Trainer, where you'll play a crucial role in advancing healthcare AI systems. Use your leadership and expertise in clinical operations to design AI models that enhance medical and health services management for leading organizations. This unique opportunity lets you shape the future of healthcare technology, working collaboratively and flexibly from any location.
Seeking a detail-oriented and tech-savvy Provider Maintenance / Network Specialist to join our growing team. In this role, you’ll manage the accuracy of provider data, support network updates, and ensure that claims process correctly through accurate provider and network configuration.