The manager oversees the operational success of Annual Wellness Visit programs, including scheduling, outreach, and billing compliance. They are responsible for leading a large team of staff and managing third-party vendor relationships to ensure high performance and quality outcomes.
The Sr. Director will lead enterprise-wide risk adjustment, clinical documentation improvement, and population health strategies to drive operational results and value-based care success. This role involves managing high-performing teams, overseeing vendor relationships, and ensuring regulatory compliance across multiple markets.
The Senior Analyst will own contract modeling for MA, Medicaid, and Commercial business while tracking financial performance and supporting payer negotiations. They will also build analytical infrastructure and conduct ad hoc analyses to drive operational improvements.
Lead MSSP and ACO quality reporting, ensuring accurate and timely submissions and compliance with program requirements. Use performance data to identify gaps, improve workflows, coordinate provider training, and lead cross-functional initiatives that support quality outcomes.
The Associate Director is responsible for driving membership and savings growth for the ACO business by recruiting independent primary care practices. This role involves building strategic relationships, negotiating participation agreements, and supporting the operational onboarding of new practices.
The Associate Director is responsible for driving membership and savings growth for the ACO business by recruiting independent primary care practices. This role involves building strategic relationships, negotiating participation agreements, and supporting the operational onboarding of new practices.
The Staff Software Engineer will set the technical direction for their domain, designing and building core systems while mentoring other engineers. They are responsible for evolving existing systems, managing technical debt, and ensuring high standards for data modeling and infrastructure.
Develop and implement comprehensive individual care plans while coordinating patient care across the continuum. Serve as a primary liaison with health plans and ensure accurate clinical documentation in compliance with HIPAA regulations.
The Certified Risk Coder reviews medical records and provider documentation to ensure accurate capture of risk-adjusting diagnoses in compliance with CMS guidelines. They also partner with clinical teams to improve documentation quality and deliver education on coding best practices.
The role involves managing end-to-end deal analytics, including valuation modeling, financial due diligence, and investment committee reporting. Additionally, the incumbent will lead post-close integration efforts and maintain the corporate development pipeline to support national growth.
The role involves owning the tracking, quantification, and reporting of performance and earned revenue across various health plan incentive programs. You will also partner with senior leadership to inform strategy, resource allocation, and data management pipelines.
The Customer Service Representative will handle inbound and outbound calls from members, providers, and health plans to assist with authorizations, claims, and general inquiries. They are responsible for documenting all interactions in the company system and facilitating member services such as appointment scheduling and transportation arrangements.
Develop high-quality data models and scalable ELT pipelines to support internal and external healthcare clients. Implement data quality checks and business intelligence dashboards to drive strategy and improve patient outcomes.
Lead and mentor a team of data engineers to design and implement scalable data pipelines and enterprise-grade ELT processes. Collaborate with cross-functional teams to ensure data quality and align technical solutions with business needs and healthcare regulatory requirements.
Lead the design and execution of the enterprise analytics roadmap, focusing on scalable BI solutions and data governance. Manage a team of professionals to deliver HEDIS quality measurement and Risk Adjustment Factor analytics to improve patient outcomes.
