The Revenue Cycle Analyst supports the full revenue cycle continuum by managing billing operations, resolving denials, and ensuring compliance with payer requirements. They are also responsible for creating reports, monitoring KPIs, and analyzing financial data to identify trends and improve operational efficiency.
The Senior Analyst will lead reporting and analytics programs to identify and prevent healthcare fraud, waste, and abuse. They will also partner with clinical strategy teams to perform population health analysis and evaluate the financial impact of operational initiatives.
The provider will conduct in-home visits to perform assessments, manage chronic conditions, and develop individualized treatment plans for patients. They will also collaborate with interdisciplinary teams to ensure coordinated care and maintain accurate EMR documentation.
The provider will conduct in-home patient visits to perform assessments, manage chronic conditions, and develop individualized treatment plans. They will collaborate with an interdisciplinary team to ensure coordinated care and maintain accurate EMR documentation.
The Peer Support Specialist provides recovery-oriented support to members with mental health or substance use challenges by developing wellness plans and facilitating community engagement. They also act as a member advocate, assisting with transitions between care levels and coordinating aftercare appointments.
The Care Navigator serves as the primary point of contact for members and providers, handling behavioral health inquiries and facilitating access to care. They are responsible for accurate documentation, call routing, and ensuring high-quality, empathetic support while maintaining HIPAA compliance.
The Software Quality Analyst ensures the quality and reliability of web-based applications by designing and executing comprehensive test strategies throughout the SDLC. This role collaborates with cross-functional teams to identify defects, manage risks, and support high-quality releases within an Agile environment.
The provider will conduct in-home visits to perform assessments, manage chronic conditions, and develop individualized treatment plans for patients. They will also collaborate with interdisciplinary teams and maintain accurate EMR documentation to ensure coordinated care.
The Care Manager coordinates and oversees behavioral health services to ensure members receive appropriate, high-quality care while promoting engagement and recovery. They act as a central point of contact to integrate care management, utilization management, and collaborative partnerships.
The Engagement Coordinator is responsible for conducting outbound calls to schedule annual wellness and benefit exams for insured members. They must also maintain accurate documentation of member interactions and provide clear guidance to patients regarding their scheduled services.
The Senior Data Scientist will create strategic solutions by analyzing large datasets and interpreting results for stakeholders. They are responsible for leading data-driven projects, ensuring psychometric rigor, and communicating actionable insights to cross-functional teams.
The Care Access Coordinator manages administrative tasks, processes authorizations, and ensures efficient access to behavioral health services. They serve as a frontline resource for members and providers while triaging cases for clinical teams.
The Medical Coding Auditor conducts concurrent and retrospective audits to ensure coding accuracy and compliance. They provide feedback and collaborate with stakeholders to improve coding practices.
The Data Informatics Analyst transforms complex clinical and payer datasets into actionable insights to drive data-informed decision-making. They lead analytical initiatives, ensure data quality, and contribute to the evolution of enterprise data architecture.
