This is a key role on the Network Management team, reporting to the Provider Network Manager, with opportunity to scale the credentialing and enrollment function while making a significant impact on women's mental healthcare. The Enrollment Specialist submits accurate enrollment applications, manages enrollments across multiple states and provider types, and utilizes Salesforce for enrollment management.

As a Lead Care Manager you will serve as the client’s primary point of contact and work with all their providers to make sure everyone is in agreement about the client’s needs and care. The LCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner.

As a dynamic manager, you will develop and enhance SonderMind’s payor relationships nationwide. You will lead negotiations with payors and health plans and develop contract negotiation strategies that align with the financial objectives of SonderMind. You will also investigate payor market dynamics to enhance partnerships with payors.

Coordinate reporting/analytical talents pipeline & manage projects in concert with other work stream Directors within the Analytics Organization (AO). Advise leaders & operators on the prioritization of projects and business implications of reporting/analytics to the organization. Manage and develop reporting/analytical approaches to identify, measure and evaluate health-related solutions and services.

The Epic Reimbursement Contract Specialist is responsible for building and maintaining the HB (Hospital Billing) and PB (Professional Billing) expected reimbursement contracts in Epic while acting as a subject matter expert in variance reporting and reimbursement analysis. This position will work incoming flagged underpayments and overpayments, collaboratively appeal confirmed underpayment instances, and continuously build and maintain system contract configuration to ensure accuracy against payer reimbursement terms.

You’ll be at the center of a wide range of mission-critical initiatives, helping Heartbeat make rapid progress in the experiences we deliver and optimizing the supporting systems. Own all patient communication, including outreach, engagement, data entry into internal and external systems, scheduling, appointment coordination, pre-authorizations, and billing follow-up.

The Clinical Documentation Improvement (CDI) Auditor will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. Responsible for identification of patterns, trends, and opportunities for CDI staff to improve accuracy and outcomes. Provides education to CDI team members and physicians, if needed and assists with denial management.

Scholar Rock is seeking a director-level subject matter expert to build and lead a clinical operations team focused on advancing our immuno-oncology clinical programs while upholding our core values and staying true to our mission. The Sr. Director, Clinical Operations will play a key role in the operational planning, oversight, and delivery for one or more clinical programs.

As a Care Coordinator, play a vital role in ensuring members receive seamless and efficient care through their childbirth journey. Assist all Pacify departments with support as the Pacify Doula Program is re-released in 2025 and onward. Conduct member intake, schedule appointments, and provide ongoing support and resources to families throughout their pregnancy, birth, and postpartum period.

Accurately and efficiently access a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services, while working fully remotely in FL, GA, AZ, TX, AL.