Support Headway’s health plan relationships and payer strategy to continue expanding Headway’s provider network impact, working cross-functionally with teams. As the only tech-enabled behavioral health Managed Services Organization built with entirely in-house software, Headway has an unprecedented opportunity in the clinical space.
We are seeking a proactive and solutions-oriented Senior Specialty Benefit Navigator, adept at navigating prior authorizations, intricate pharmacy logistics, clinical protocols, and evolving payer requirements. This role ensures seamless patient access to vital treatments by expertly resolving escalated prior authorization challenges.
The APAC Healthcare Research contractor will support our coverage of healthcare industry developments across Asia-Pacific, with a particular focus on Mainland China, Taiwan, and Hong Kong. The contractor will help track and analyze healthcare policy reforms, healthcare payment and reimbursement policies, and compile and update public healthcare datasets monthly. We are seeking a diligent and proactive researcher who is comfortable handling information in both Chinese and English.
The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families through personalized resource and referral facilitation, issue resolution and healthcare navigation. Utilizing motivational interviewing and guided approaches, the family health advocate will play a critical role in supporting members to achieve their health goals, reduce costs and optimize quality care.
You will act as the patient concierge for telehealth, meeting patients, exploring their goals, matching them with the right Bold provider, answering questions about cost and coverage, and managing their appointments. You’ll help ensure a seamless, empathetic, and patient-centered experience for patients from first contact through ongoing care.
The Care Coordination Manager leads a team of Care Guides to ensure high-quality, person-oriented care for members navigating complex health and social needs. This role oversees operations, regulatory compliance, team development, training, and strategic alignment with organizational goals. Responsibilities include team leadership, program oversight, and ensuring quality and compliance.
Acts as a resource and role model for the team, which includes training, providing work direction, and giving input on performance. Codes routine to complex procedures and diagnoses using ICD, CPT, and HCPCS coding guidelines. Performs quality reviews, assists with provider education, and resolves billing compliance issues. Serves as a liaison and participates in department projects.
We are seeking Texas barred Healthcare Attorneys to join our team and support our clients. This role offers an opportunity to work with a national healthcare organization. Responsibilities include advising clinical and operational leaders on legal, regulatory, and compliance issues, reviewing agreements, and supporting the development of compliant clinical operations policies.
The Director will oversee a distributed credentialing and compliance team, architect scalable workflows, and drive implementation of new technology solutions that elevate speed, accuracy, and regulatory compliance. This is a hands-on leadership role in a fast-paced, low-ego, high-output environment. Looking for a process-driven leader who thrives on building structure from complexity.
The (Senior) Consulting Director will sit within the Health Sciences Service Line and will perform professional environmental and health-related consulting services for a wide range of clients including industrial, maritime, commercial, and legal clients. You will develop client business relationships through building trust and open communication. The (Senior) Technical Director will be a thought leader in identifying regulatory or economic or social trends.