The VP of Sales is responsible for driving annual revenue growth exceeding 20% by managing the end-to-end sales process and building long-term relationships with healthcare payer organizations. This role involves collaborating with clinical and operations teams to execute sales strategies, manage pipelines, and deliver effective product demonstrations.
Conduct independent utilization reviews for interventional radiology cases. Engage in peer-to-peer conversations as required during daytime hours.
The Business Intelligence Analyst will deliver strategic reporting and insights to executive leadership while partnering with functional heads to develop and monitor key performance indicators. This role involves data stewardship, creating dashboards, and supporting strategic initiatives through advanced data analysis and financial modeling.
The Quality Assurance Engineer is responsible for ensuring the quality, reliability, and release-readiness of software products, including cloud-native and AI/ML-enabled applications. Key duties include developing automated test suites, performing manual testing, validating data accuracy, and collaborating with developers to ensure high-quality code releases.
The Principal Cloud Engineer will design, govern, and optimize Azure cloud infrastructure while providing technical leadership and mentoring for the Systems Administration and Information Security teams. They are responsible for end-to-end cloud project delivery, establishing engineering standards, and ensuring compliance with healthcare security frameworks.
The Principal Cloud Engineer will design, govern, and optimize Azure cloud infrastructure while providing technical leadership and mentorship to the Systems Administration and Information Security teams. They will lead end-to-end cloud projects, establish engineering standards, and ensure compliance with healthcare regulatory frameworks like HITRUST and SOC2.
The Quality Assurance Engineer will design and execute validation strategies for software applications, including AI/ML and RAG-enabled features. They are responsible for maintaining automated test suites, performing code reviews, and ensuring release readiness through rigorous testing and defect management.
Conduct independent utilization reviews for family medicine cases as a board-certified physician. Participate in peer-to-peer conversations during daytime hours as required.
The Principal Cloud Engineer will serve as the senior technical authority for Azure cloud infrastructure, designing, governing, and optimizing platforms across the organization. They will also lead complex cloud initiatives, mentor technical teams, and ensure compliance with healthcare security standards.
The Quality Management Specialist will design and implement quality procedures while leading structured improvement initiatives to meet regulatory and accreditation requirements. They will also manage the Quality Management System, perform internal audits, and collaborate with leadership to analyze performance data and drive systemic improvements.
Conduct independent utilization reviews for ophthalmology cases. Perform peer-to-peer conversations during daytime hours to evaluate medical necessity.
The Clinical Pharmacy Coordinator manages the end-to-end pharmacy review process, including screening requests and preparing materials for reviewers. They act as a primary liaison between clients, medical professionals, and reviewers to ensure timely and accurate outcome notifications.
Conduct independent utilization reviews as a board-certified oral surgeon. Perform peer-to-peer conversations during daytime hours to manage clinical medical reviews.
Conduct independent utilization reviews as a Board-Certified Psychiatrist. Perform peer-to-peer conversations during daytime hours to manage clinical medical reviews.
Conduct independent utilization reviews for vascular surgery cases. Perform peer-to-peer conversations during daytime hours to evaluate medical necessity.
Serve as the senior technical authority for Azure cloud architecture, designing and governing secure infrastructure and platforms. Lead complex cloud initiatives from design to delivery while mentoring systems administration and security teams.
Conduct independent utilization reviews for medical cases. Perform peer-to-peer conversations during daytime hours to evaluate clinical necessity.
Conduct independent utilization reviews for child and adolescent psychiatry cases. Perform peer-to-peer conversations during daytime hours to evaluate medical necessity.
Design and implement quality management procedures and lead structured improvement initiatives to reduce errors and meet regulatory requirements. Manage Quality Improvement Projects (QIPs) and CAPAs while serving as a liaison between clients and the quality department.
The specialist is responsible for managing and overseeing quality standards within the organization. They ensure that processes and outputs meet established quality benchmarks.
The Medical Director performs clinical utilization management, peer review, and clinical quality management activities. Responsibilities include conducting case reviews, maintaining productivity and quality scores, and participating in company committees.
Conduct independent utilization reviews and clinical medical reviews. Perform peer-to-peer conversations during daytime hours.
Conduct independent utilization reviews for oncology cases as a board-certified physician. Participate in peer-to-peer conversations during daytime hours.
The physician will conduct independent utilization reviews for rheumatology cases. This role requires participating in peer-to-peer conversations and adhering to HIPAA regulations.
The Medical Director reviews medical records and leverages clinical expertise to determine the authorization of requested services and levels of care. They also conduct peer-to-peer communications with providers and ensure all decisions align with national guidelines and regulatory standards.
The Radiologist will conduct independent Utilization Reviews. This role requires adherence to HIPAA regulations and company policies regarding sensitive health information.
Conduct independent Utilization Reviews as a Board-Certified physician in Rheumatology. The role requires adherence to HIPAA regulations and company policies regarding sensitive health information.
The role involves conducting independent Utilization Reviews for oncology patients. Physicians will be required to engage in peer-to-peer conversations during daytime hours.
The physician will conduct independent Utilization Reviews in Gastroenterology. This role requires only 1-2 hours of work per week.
The physician will conduct independent Utilization Reviews in Dermatology. This role requires only 1-2 hours of work per week.
The physician will conduct independent Utilization Reviews in Rheumatology. This role requires only 1-2 hours of work per week.
The physician will conduct independent Utilization Reviews in Oncology. This role requires only 1-2 hours of work per week.
The Medical Director will perform clinical coverage reviews and interpret benefit language to support accurate determinations. They will also document review outcomes and engage in peer-to-peer discussions with treating providers.
Conduct independent Utilization Reviews for Gastroenterology. The role requires 1-2 hours of work per week with no minimum commitment.
The role involves conducting independent Utilization Reviews for oncology cases. It requires adherence to HIPAA regulations and company policies regarding sensitive health information.
Conduct independent Utilization Reviews in Dermatology. Adhere to HIPAA regulations and company policies regarding sensitive health information.
