Zócalo Health is seeking an Implementations Manager to support the operational launch and oversight of new Medicare, Medicaid and Commercial contracts during the first year of implementation. This person will serve as the single point of contact between Zócalo Health and health plans, ensuring alignment with contractual requirements and the successful operationalization of program components.
PingWind is seeking a qualified Healthcare Operations Access Specialist to support the Department of Veterans Affairs (VA). This role will support the adoption of operational processes to meet patient needs. The ideal candidate will have experience in healthcare operations and technical solutions, with strong communication skills.
Maven is seeking a Manager of Care Delivery to lead a team of dynamic Care Advocates and Care Coaches. You will conduct regular one-on-ones, performance reviews, and development planning to promote employee growth. You will be responsible for achieving key performance indicators and coaching individual team members to drive clinical outcomes and engagement.
The Coordinator is primarily responsible for providing data and reports in support of the Coding and Compliance Department. They will compile billing and revenue data from internal systems upon request for the Coding Compliance team to review and analyze. The role involves preparing data summaries for Leadership and other departments, including the Executive leadership team.
The Supervisor, HCC Risk Adjustment Coding is responsible for performing HCC risk adjustment coding and developing and executing risk adjustment coding education, auditing, compliance initiatives, and clinical documentation improvement strategies. The Supervisor will supervise HCC risk adjustment coders and will collaborate with providers, coding teams, and leadership to drive performance improvement, mitigate compliance risks, and enhance HCC coding accuracy.
Drive the success of the Patient Engagement Specialist team, focusing on coaching and meeting key performance indicators. Take ownership of the team, ensuring expertise in patient activation and exceeding goals. Monitor, coach, and identify improvements to scale operational excellence. Create best-in-class patient experiences as the patient ambassadors.
Provide quality improvement focused work for all delegated entities and support ACO quality reporting to improve patient health outcomes. Conduct proactive patient outreach and address quality gaps by educating them on preventative care. Leverage quality related resources and communicate performances and improvement strategies with customers.
Lead comprehensive clinical quality initiatives and measurement-based care programs across BetterHelp's global platform. This role involves defining, measuring, and continuously improving the quality of care we deliver to millions of clients worldwide, positioning BetterHelp as the clinical quality leader in the virtual mental health space. Drive the development and implementation of sophisticated quality measurement frameworks, clinical outcome assessments, and evidence-based improvement initiatives.
Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts to support Revenue Cycle goals for timely billing. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Examines the complete medical record to accurately determine the diagnoses, procedures, and complications.
This role is critical in ensuring the successful implementation of new clinical services and maintaining the highest standards of quality and compliance. You will oversee new client launches with any Population Health services, including Care and Case Management (CCM), Utilization Management (UM), Specialty, and Navigation services. Additionally, you will drive quality assurance efforts, support continuous improvement initiatives, and provide client audit and accreditation support.