The Clinical Programs Lead manages a portfolio of clinical programs, overseeing operations from implementation through performance management and KPI development. They serve as the primary point of contact for internal and external partners to ensure effective integration into clinical workflows and drive corrective actions.
The Senior Manager oversees successful transitions and supports acquisitions across the organization. They collaborate with enterprise leaders to align operational strategies with organizational objectives while fostering continuous performance optimization.
The Regional Quality Lead serves as a subject-matter expert directing complex clinical quality initiatives across multiple care settings. They are responsible for establishing quality methodologies, interpreting regulatory requirements, and advising senior leadership on performance risks and improvement priorities.
Executes compliance audit activities including document review, data testing, and drafting audit findings. Supports audit planning, tracks corrective action plans, and communicates audit status to management.
Executes compliance audit activities including document review, data testing, and interviews with process owners. Drafts audit findings and supports the preparation of audit reports while maintaining organized work papers.
The Coding Educator provides interactive training and support to clinical and clerical staff regarding medical record documentation and coding compliance. They also analyze claims data and denial trends to develop educational materials and facilitate professional development for providers.
The Advanced Practice Provider is responsible for providing complex clinical medical management to patients in their homes to improve outcomes and prevent unnecessary hospitalizations. They will document medical conditions, manage quality measures, and collaborate with the medical director and interdisciplinary teams.
The Director oversees risk adjustment program strategies, data analysis, and vendor relationships to ensure optimal performance and revenue capture. They also lead the BOI team in improving documentation compliance and provider engagement within value-based care initiatives.
The Customer Success Consultant will serve as a strategic partner to clients, managing a portfolio to drive engagement, program adoption, and measurable healthcare outcomes. They will lead business reviews, translate data into actionable insights, and collaborate cross-functionally to ensure long-term partnership success.
The Medical Economics Lead serves as the primary analytics expert, owning the end-to-end delivery of data, reporting, and actionable insights for a large client. This role involves designing scalable reporting solutions, managing complex data integration, and advising senior leadership on healthcare cost trends and performance strategies.
The Transitional Care Management Nurse provides telephonic outreach and assessment for patients discharged from hospitals or skilled nursing facilities. They coordinate care, facilitate follow-up appointments, and educate patients on treatment regimens and medication management.
The Regional Director of Operations oversees the operational, clinical, and financial performance of multiple healthcare practices to drive value-based care initiatives. They are responsible for leading integration efforts, monitoring key performance indicators, and ensuring compliance with healthcare regulations.
The Clinical Excellence Trainer is responsible for coaching clinical and clerical staff on medical practice workflows, EHR systems, and organizational best practices. They will analyze operational data to identify inefficiencies and implement improvements to enhance provider experience and medical margins.
The Case Management Manager leads and oversees daily operations of outpatient case management and care coordination programs. This role directs a multidisciplinary team to improve patient outcomes, reduce hospitalizations, and support value-based care initiatives.
The Sr. Financial Analyst manages incentive pool calculations, audit preparedness, and financial reporting for value-based care arrangements. They also collaborate with accounting and treasury departments to ensure accurate revenue tracking and payment integrity.
The Clinical Excellence Trainer provides on-the-job coaching and training to clinical and clerical staff to improve operational efficiency and medical margins. They analyze workflows, facilitate workshops, and collaborate with leadership to implement best practices across various medical practice locations.
The Director of Finance leads strategic financial initiatives and complex analyses to drive executive decision-making and enterprise strategy. They partner with senior leadership to manage cross-functional projects, develop sophisticated financial models, and improve operational effectiveness.
Supports broker engagement and marketing activities by coordinating outreach and managing event logistics for agents and brokers. Maintains broker databases and compiles engagement metrics to drive member and patient acquisition.
The Associate Regional Medical Director will oversee a team of Advanced Practice Registered Nurses across Florida, ensuring high-quality care for geriatric populations. This role includes direct patient care, clinical leadership, and maintaining quality standards.
