Lead the UK & EU Clinical Operations team, ensuring successful trial delivery on time, on budget, and in compliance.
Scale UK & EU operations, including hiring, training, and developing high-performing teams and efficient processes.
Utilize AI tools and work with product teams to reshape clinical operations and design innovative trial technology.
It is a company powering radically faster and more reliable clinical trials to accelerate new treatments for patients. With over 100 clinical trials powered since 2021, it is a high-growth, VC-funded startup backed by Balderton Capital and others, featuring a collaborative, no-ego culture focused on impact and ownership.
Abstracts and codes physician professional services and diagnosis codes (inpatient, outpatient, diagnostic) using CPT and ICD9 coding.
Trains physicians and staff on documentation, billing, and coding, and provides feedback to ensure compliance and accuracy.
Resolves pre-accounts receivable edits, monitors billing opportunities, and works with Revenue Cycle staff to correct codes and coordinate appeals.
Northwestern Medicine is a leader in the healthcare industry, distinguished by a patient-first approach that cultivates a positive workplace. The organization provides competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, and takes care of its employees across its system.
Partner with physician offices to translate healthcare documentation into standardized codes, ensuring accurate billing and regulatory compliance.
Conduct audits and issue queries to clarify ambiguous documentation, and provide ongoing education to clinical staff on best practices.
Analyze complex medical records, stay updated on coding guidelines, and collaborate with departments like compliance and revenue cycle to optimize processes.
Evergreen Nephrology partners with nephrologists to deliver value-based, person-centered kidney care aimed at improving patient outcomes and quality of life. The company fosters a collaborative culture focused on innovation and holistic patient support, with a team dedicated to transforming the healthcare delivery model.
Facilitate detailed design sessions with clients and stakeholders to successfully design and implement patient reimbursement support programs.
Gather operational and IT requirements, build design documentation, and coordinate the distribution of implementation deliverables to internal and external stakeholders.
Serve as a Subject Matter Expert in Market Access, managing program design from scoping to final sign-off and integrating lessons learned into best practices.
Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions spanning the entire healthcare value chain. The company is a merger of PharmaCord and Valeris, serving over 500 life sciences customers and providing access support to millions of patients, with a culture that supports well-being, diversity, and personal growth.
Provide oversight and manage patient care delivery across designated hospice markets to ensure high-quality care.
Triage phone inquiries and medical concerns, facilitate Interdisciplinary Group meetings, and ensure accurate care planning and documentation.
Coach, evaluate, and support team members to ensure compliance with regulatory requirements and clinical best practices.
Gentiva is a national leader providing hospice care, palliative care, home health care, and advanced illness management through nearly 600 locations across 38 states. The company is a family of trusted brands that fosters a collaborative and rewarding career environment where kindness and achievements are celebrated.
Review the statutory framework governing Employer Group Waiver Plans (EGWPs) to identify constraints and flexibilities for model implementation.
Provide expertise on EGWP payment structure and advise on policy options supporting model design and implementation.
Conduct policy research, environmental scanning, and analysis to inform model design decisions and advise on regulatory drafting.
The CMS Innovation Center (CMMI) designs, tests, and expands innovative payment and service delivery models in healthcare to reduce costs while preserving quality of care. It is a U.S. government center operating under Section 1115A of the Social Security Act.
Conducts benefits investigations to determine insurance coverage for enteral nutrition products and services for new and existing patients.
Ensures all required patient documentation is accurately completed, legible, and filed in compliance with Enteral Nutrition Requirements.
Coordinates the timely dispensing of enteral formulas and supplies, manages inventory, and monitors active insurance authorizations and physician orders.
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company that provides complex pharmaceutical products and clinical services to patients outside of the hospital. It combines the efficiencies of a large organization with the flexible, responsive, and entrepreneurial spirit of a local provider to deliver excellent service.
Review patient medical records and utilize clinical knowledge and payer requirements to determine denial reasons and complete comprehensive appeals.
Prepare compelling appeal arguments using clinical evidence, regulatory guidelines, and pre-existing criteria to overturn denials professionally and concisely.
Analyze data on denied claims, share trends with leadership, and provide feedback to hospitals while ensuring compliance with HIPAA regulations.
PAM Health provides specialty post-acute healthcare services through a network of long-term acute care and rehabilitation hospitals, wound clinics, and outpatient physical therapy locations across 17 states. It is a large organization with over 70 facilities, fostering a collaborative and mission-driven culture focused on compassionate patient care, staff loyalty, and professional growth.
Reduce the enterprise master patient index (EMPI) through duplicate record reconciliation and respond to provider requested chart corrections.
Assist patients with portal activation and proxy access via Customer Service Management (CRM) and provide phone support for the Portal Help Desk.
Ensure patient safety and data integrity by adhering to healthcare compliance, HIPAA privacy laws, and utilizing health information systems.
CommonSpirit Health operates a network of over 700 care sites across the United States, providing clinical, hospital, home-based, and virtual care services. The organization emphasizes compassion, community health, and innovation in care delivery, valuing employees' commitment to a greater cause within a supportive team environment.
Strategically leverage quality trends and data to drive end-to-end performance improvement of the content development process.
Lead the maintenance and coding compliance of the policy library, ensuring accuracy with medical code updates and regulatory guidelines.
Grow and lead a high-performing team, serving as a player-coach while embedding process improvement and automation solutions.
Rialtic is an enterprise software platform empowering health insurers and healthcare providers to run their most critical business functions. The company, founded in 2020 and backed by leading investors, is a high-growth startup with a collaborative, inclusive environment that values high integrity and pursuit of excellence.