Remote Healthcare administration Jobs · Microsoft Office

• Lead and oversee Prior Authorization Operations across all lines of business.
• Manage Prior Authorization processes ensuring optimal efficiency and compliance.
• Drive cross-functional collaboration to align with organizational goals.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans. They are rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve.

• Provides data management support services to Dignity Health’s CI/ACO Networks, Employer Relations and Valued Based Operations (VBO).
• Within the Salesforce platform, this individual gathers and maintains accurate provider data, performs periodic provider data reconciliations with multiple data sources.
• Maintains and transmits fee schedules, as necessary, to third-party administrators (TPA's) and other appropriate stakeholders.

Dignity Health MSO builds a system-wide integrated physician-centric, full-service management service organization structure. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers.

• Manage a team of Clinical Specialists and independent contractors.
• Develop and deliver clinical education to sales, clinical specialists, marketing, surgeons, and OR staff.
• Collaborate with Quality, Regulatory, Marketing, and R&D to develop clinical education around new product development.

Calyxo, Inc. is a medical device company founded in 2016 to address the profound need for improved kidney stone treatment.