The medical coder translates diagnostic and procedural phrases into numeric codes to facilitate accurate billing and reimbursement. They review medical records, query physicians for documentation clarification, and ensure compliance with coding guidelines.
This role provides leadership for the MedInsight Payer Analytics platform and oversees a portfolio of analytics functions including underwriting support and value-based care contracting. The director is responsible for setting analytic direction, ensuring quality deliverables, and partnering with business leaders to translate data into actionable insights.
The representative resolves enrollment and eligibility issues while providing education and support to health plan members and providers. They also manage membership data, process terminations, and assist in the resolution of suspended claims.
The manager provides strategic leadership and operational oversight for teams responsible for enterprise-wide patient access and capacity optimization initiatives. They are responsible for managing large-scale projects, mentoring staff, and ensuring the delivery of efficient, patient-centric ambulatory access services.
Directs IT team activities and collaborates with leadership to develop and implement organizational IT strategy. Manages departmental budgets, vendor relationships, and staff development while ensuring project delivery meets established standards.
The pharmacy technician is responsible for medication delivery, inventory management, and facilitating patient care through the pharmacy computer system. They also perform medication labeling, maintain pharmacy records, and assist in the onboarding and training of new personnel.
The Marketing Coordinator Senior is responsible for the end-to-end implementation and evaluation of marketing and communication plans, including digital campaigns and educational programs. They manage day-to-day project timelines, coordinate with external vendors, and ensure all deliverables meet brand and compliance standards.
The developer is responsible for the full software development life cycle, including designing, coding, testing, and debugging applications. They must also collaborate with teams to ensure technical alignment, document system changes, and provide ongoing post-live support.
The physician will interview patients to obtain medical histories, perform diagnostic tests, and design comprehensive treatment plans. They are responsible for prescribing medications and maintaining accurate patient records within a clinical environment.
The consultant is responsible for designing, implementing, and monitoring enterprise pharmacy growth and improvement programs. They lead cross-functional initiatives to ensure operational, clinical, and financial performance improvements while managing digital health application integrations.
The Program Manager leads the maturation of the Enterprise Risk Management framework and serves as a strategic advisor to executive leadership on risk mitigation. They are responsible for designing advanced analytics, dashboards, and KPIs to inform decision-making and ensure alignment with organizational strategy.
The Director of Pharmacy Services provides strategic oversight and leadership for all pharmacy practice areas, ensuring optimized patient care and operational efficiency. They are responsible for financial performance, staff mentorship, regulatory compliance, and the development of cost-effective medication management protocols.
The specialist is responsible for billing, collecting, and adjudicating professional and hospital accounts to ensure efficient revenue management and cash flow. They also analyze trends, resolve credit balance issues, and implement quality initiatives to improve departmental operations.
The Community Health Worker provides outreach to patients with complex medical and social needs while assisting them in navigating the healthcare system. They collaborate with multidisciplinary teams to implement care plans, conduct home safety evaluations, and facilitate medication adherence.
The Strategic Clients Manager is responsible for retaining and growing membership by managing relationships with key strategic business partners and large employer groups. They serve as the primary liaison to coordinate renewals, implement service enhancements, and facilitate interdepartmental collaboration.
Responsible for application implementation, adoption, enhancement, and ongoing support including testing and documentation. Participates in team on-call rotations and provides remote or on-site support to end-users.
Develop and maintain scalable Databricks data models and PySpark/SQL pipelines that transform clinical and genomic data for research applications, including modernizing legacy SQL Server ETL processes for the cloud. Optimize and monitor data quality, performance, and reliability while contributing to architecture, code reviews, documentation, user support, and team mentoring.
Provides strategic and operational financial support to assigned business units, including forecasting, financial modeling, month-end reviews, variance analysis, capital investment analysis, and performance improvement. Leads projects and reporting initiatives, partners with operational and finance leaders, and mentors Finance Partners to support team development and achievement of department goals.
Develop, implement, and evaluate health and wellness programs for facility-based and community populations, including screenings, education, coaching, and outreach. Coordinate on-site activities and stakeholder communications, maintain program records and databases, and report participation and outcomes.
The supervisor is responsible for directing and planning the functions of the coding program, including staff management, training, and performance reporting. They ensure accurate billing practices and compliance with documentation standards and regulatory guidelines.
The Reimbursement Coordinator serves as a consultant to staff regarding reimbursement methodologies, coding compliance, and strategic savings initiatives. They are responsible for analyzing billing statistics, maintaining fee schedules, and providing actionable recommendations to leadership.
Conduct independent and collaborative research evaluating precision screening and prevention strategies using large healthcare datasets, statistical methods, machine learning, AI, and health economic analyses. Publish and present findings, contribute to grants and scientific reporting, and collaborate with multidisciplinary research partners.
The role involves assessing patient needs, developing treatment plans, and providing individual, family, and group psychotherapy. Additionally, the therapist will collaborate with psychiatry teams to provide crisis intervention and case management services.
The counselor assesses patient needs to develop and implement individualized treatment plans including psychotherapy and case management. They also collaborate with psychiatric and outpatient teams to provide crisis intervention and triage evaluations.
The Associate BI Analyst assists in collecting, cleaning, and interpreting data sets to support business or clinical decision-making. They collaborate with internal partners to develop reporting solutions and provide analytic insights while managing projects under supervision.
The role involves partnering with product managers to quantify AI opportunities, conduct exploratory data analysis, and build measurement frameworks for AI performance. You will also maintain feature datasets and translate complex analytical findings into clear narratives for leadership.
The Senior Project Manager supports Data Core leadership by managing projects across data infrastructure, software engineering, and health care data analytics. They are responsible for assembling project teams, defining project scope and objectives, managing budgets, and ensuring timely delivery of project milestones.
The Application Administrator Team Lead oversees quality assurance activities, manages testing resources, and ensures the delivery of high-quality, business-aligned software solutions. Additionally, the role involves managing the application administration team, developing performance metrics, and creating roadmaps for new software tools and platforms.
The Lead BI Analyst serves as a subject matter expert for Medicare 5-star methodology, partnering with stakeholders to provide data-driven insights and strategic vision. They are responsible for leading complex analytic studies, mentoring junior developers, and ensuring high-quality reporting to support organizational decision-making.
The Sourcing Specialist III identifies and implements supply chain expense opportunities while collaborating with clinical and operational leadership to optimize product selection. They conduct advanced analytics, manage vendor negotiations, and ensure contract compliance to deliver value-based decisions for the organization.
