The Document Retrieval Specialist enters, reviews, and validates healthcare claim information to ensure accuracy and completeness for the bill review process. They also research discrepancies and communicate with healthcare providers to obtain missing documentation while maintaining compliance with HIPAA standards.
The SVP of Client Success will lead the strategy and performance of the existing client portfolio, focusing on retention, growth, and relationship health. They will manage Client Success and Strategic Account Management teams to ensure an integrated approach that demonstrates value and drives long-term client partnerships.
The Product Manager will lead the strategy, roadmap, and evolution of the Pharmacy Solutions portfolio to reduce pharmacy spend and improve member outcomes. They will collaborate across clinical, technology, and operations teams to identify market opportunities and drive product adoption.
Own the product vision, strategy, and roadmap for client-facing reporting and analytics across the Valenz Health portfolio. Lead cross-functional teams to translate business and client needs into scalable, actionable reporting solutions.
The Credentialing Services Specialist supports credentialing and sanction monitoring services by performing verification activities and managing compliance reporting. They also provide client support by resolving system issues and maintaining accurate documentation for healthcare organizations.
The Appeals Analyst reviews provider appeals by applying plan documents, network contracts, and regulatory requirements to ensure accurate claim determinations. They also negotiate settlement offers, document agreements, and communicate resolution statuses to clients and providers.
Develop and maintain scalable data pipelines to ingest, transform, and integrate healthcare data within a cloud-based lakehouse architecture. Collaborate with cross-functional teams to translate business requirements into effective data solutions while ensuring data quality and performance.
Serve as a primary non-clinical point of contact for members to provide end-to-end support across healthcare programs and services. Coordinate scheduling, resolve routine issues, and maintain accurate case documentation while collaborating with clinical and internal teams.
Lead full-cycle recruiting for professional and technical roles across various functions while partnering with hiring managers to define needs and sourcing strategies. Manage candidate pipelines, conduct screenings, and guide hiring teams through the selection and offer process.
Drive new business growth by developing strategic relationships with third-party administrators (TPAs) and executing territory strategies. Position the Valenz Health platform as a solution for cost management and quality improvement while meeting revenue goals.
Drive new business growth by developing strategic relationships with health plans and payer organizations to improve payment accuracy and reduce healthcare costs. Execute territory plans and manage the full consultative sales cycle from prospecting to closing revenue goals.
Lead enterprise revenue planning and long-range growth modeling to drive financial outcomes across multiple product lines. Partner with executive leadership and sales operations to translate commercial strategies into actionable financial insights and investment decisions.
