Provides programmatic support for APHL’s US Centers for Disease Control and Prevention (CDC)-funded work to strengthen the state and local chemistry and radiochemistry laboratory workforce. This role involves project management, strategic thinking, and administrative support to implement and execute radiochemistry and analytical chemistry workforce activities. The Specialist will collaborate with various partners, manage committees, and develop communication materials.
Drive change in behavior as a seasonal health coach on our telephonic health coaching team. This role, lasting from September to December, focuses on impacting positive lifestyle choices. Help individuals set and achieve goals targeting fitness, nutrition, weight, stress, health, and life management through telephonic and e-coaching interventions guided by Health Risk Assessment results.
This level 3 coding position supports the Enterprise Coding Department by coding highly specialized services, requiring advanced coding experience and certification with AAPC or AHIMA. The role involves abstracting information from patient medical records, assigning correct codes, and ensuring compliance with federal and state laws.
Responsible for the development of patient recruitment and retention strategies and tactics that meet the unique needs of BlueRock clinical studies, programs and the patients we serve. This individual will ensure the collection of patient and clinical insights, application to clinical trial planning and execution, the identification and management of niche vendors to support patient-centric trial collateral and communications and the oversight and management of patient inquiries.
The Risk Adjustment Coding Oversight Specialist is responsible for conducting vendor oversight and quality assurance audits for risk adjustment purposes, including conducting oversight chart audits and internal quality assurance of risk adjustment projects. This role requires good communication skills with attention to detail, flexibility, and ability to manage multiple demands concurrently with ease. This position will facilitate efficient and effective interventions to ensure accurate and complete coding.
As the primary owner of the provider escalations workflow, this role is essential to supporting ability to efficiently manage and resolve provider escalations. You’ll play a key role in maintaining quality of care and driving scalable clinical processes in collaboration with Customer Support, Legal, Compliance, Clinical and Credentialing partners.
As an Associate Chief Medical Officer, you will oversee a digitally integrated and in-home care model for children with special healthcare needs. You'll lead provider teams, set clinical quality standards, ensure regulatory compliance, and support clinical recruitment and development. You will also support organizational initiatives, improve virtual care platforms, and support regional growth.
This role will lead the strategy and execution of cost-savings models and RWE studies, while collaborating closely with external actuaries, internal data teams, and commercial leaders. The Director of HEOR will be Solera’s internal expert on clinical and economic outcomes evaluation. You will build payer-ready economic models and oversee rigorous claims-based analyses.
As a Member Onboarding Specialist, you'll be the crucial bridge between oncology referrals and life-changing behavioral health support. You'll engage with prospective members at a vulnerable time, helping them understand how the Collaborative Care Model can address their behavioral health needs. This role requires empathy, communication skills, and adaptability in a seed-stage startup environment. You'll directly impact our mission and refine our member acquisition process.
Lead the team responsible for all credentialing, privileging, licensing, and peer review activities. Set strategic goals and operational plans to ensure efficient and compliant processes. Drive continuous process improvement and achieve significant efficiency gains within clinician services. Ensure compliance with NCQA standards and delegated credentialing agreements for various health plans.