Leads analysis of clinical and technical denials, using analytics tools to identify patterns and trends.
Performs root cause analysis on denied accounts and uses process improvement expertise to guide subject matter experts.
Oversees denial prevention committee reports and summaries, maintaining client relationships to drive best practice implementations.
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. They believe their people are the most important part of who they are and empower them to challenge the status quo.
Lead the development of rigorous economic analyses to quantify the impact of Twin’s model on healthcare costs, utilization, and outcomes.
Participate in payer and employer discussions to explain and defend Twin’s methodology for calculating PMPM savings, cost offsets, and ROI.
Lead the development of economic and outcomes analyses that strengthen the evidence base supporting Twin’s clinical and financial impact.
Twin Health empowers people to improve and prevent chronic metabolic diseases with a new standard of care using AI Digital Twin technology. With recent funding, Twin is scaling rapidly across the U.S. and globally, building a passionate, talented team united by a shared purpose.
Partner with physicians, surgeons, and operational leaders to analyze productivity, access, utilization, quality, and financial performance.
Conduct feasibility analyses for new programs, service line expansions, and strategic initiatives.
Extract and analyze data from EHR systems (EPIC preferred), financial systems, and operational databases.
Shriners Children's is the premier pediatric burn, orthopedic, spinal cord injury, cleft lip and palate, and pediatric subspecialties healthcare system. With multiple hospitals, outpatient clinics, ambulatory care centers and outreach locations across the globe, they provide excellent care to children up to age 18 regardless of their family’s ability to pay or insurance status.
Lead or contribute to the design and execution of Medicaid‑focused research and evaluation projects.
Apply appropriate quantitative methods to collect, manage, analyze, and interpret Medicaid administrative data.
Translate complex analytic findings into clear, actionable insights for state and federal Medicaid stakeholders.
American Institutes for Research (AIR) is a nonpartisan, not-for-profit organization. It conducts behavioral and social science research and delivers technical assistance to address some of the most pressing challenges in the United States and globally, expanding opportunities and improving lives for all.
Serve as the subject matter expert in interpreting payer agreements.
Collaborate with the Provider Network Operations team to support the build of standard operating procedures.
Maintain reconciliation trackers to measure contract performance and support audit requests.
Aledade empowers independent primary care practices to deliver better care and thrive in value-based care. They are the largest network of independent primary care in the country, creating value-based contracts across various health plans.