Accountable for the implementation and maintenance of the WelbeHealth Quality Operations program, this role assists with audits, as well as monitors staff compliance with state and federal regulations and WelbeHealth policies and procedures. Driving quality and compliance across multiple markets, partnering closely with leaders and interdisciplinary teams (IDTs) to elevate care delivery and ensure regulatory excellence. This role shape quality strategy, leads root cause analyses (RCAs), and mentoring new specialists.
Involved in supplier performance review meetings. Review existing supplier situation and achieve better buying position through consolidation and optimization. Keep up to date with market trends and supplier products and reach. Support the supplier evaluation, selection and corresponding entry of new suppliers. Define demand and portfolio with stakeholders and team manager. Manage key supplier relationships.
The Process and Systems Specialist, Clinical Delivery supports the design, implementation, and continuous improvement of operational processes and systems that enable the successful execution of patient-centered programs. This role will primarily contribute to the Future of Medicine Program and work closely with Clinical Delivery leadership and cross-functional teams.
Drives continuous improvement and operational excellence across all procurement functions, focusing on enhancing procurement policies, processes, governance, and compliance to improve efficiency, reduce risk, and ensure regulatory adherence. Leads transformation initiatives, performance monitoring, and change management delivering strategic value and strengthen procurement capabilities.
As the Senior Project Manager, you will work directly with the agency account teams and functional departments across all channels to ensure all client work is delivered on time and on budget. You will serve as the key point-person who understands the scope of a client engagement and will manage how work gets done within the agency.
The Coding and Billing Specialist (Care Center Biller) is responsible for complete, accurate and timely processing of all designated claims, reviewing and responding to daily correspondence from physician practices in a timely manner, and providing information as requested or properly authorized. This person has strong follow up skills, attention to detail, a solutions focused mindset, and a driving work ethic.
As a Payer Relations Coordinator, you're responsible for managing relationships with insurance payers to ensure accurate and timely reimbursement for skilled nursing services. This role involves verifying patient insurance benefits, obtaining prior authorizations, and resolving any issues related to insurance coverage. The coordinator will work closely with the admissions, billing, and clinical teams to ensure compliance with insurance requirements optimize revenue cycle outcomes.
Implement sourcing strategies for low-risk projects to reduce costs, identify, evaluate, and manage relationships with vendors to ensure quality and cost-effectiveness, and track departmental cost-saving opportunities. Work closely with internal teams to understand their needs and ensure sourcing strategies align with business objectives. Utilize P2P system and other sourcing software to streamline processes and enhance efficiency.
As a Strategic Purchaser (m/f/d), you will play a key role in shaping the pharmaceutical procurement strategy for Germany. You will conduct important negotiations, optimize conditions and build long-term partnerships with key players in the industry. In doing so, you will use the new dynamics in the market created by the e-prescription to jointly identify and strategically expand innovative business opportunities with manufacturers.
Support business aspects of vendor and site agreements across defined clinical service providers and other outsourcing needs for current and future clinical trials. Responsibilities include contract negotiations, budget management, contract quality control through the support the Clinical Operations, Biometrics and Medical Affairs departments in the oversight of service provider performance. Drive effective vendor selection and contract lifecycle management in partnership with multiple functions.