The RN Case Manager acts as a liaison between physician practices and patients to create and manage personalized care plans for those with chronic or serious conditions. Responsibilities include conducting telephonic clinical outreach, coordinating with healthcare teams, and guiding patients through the healthcare system to improve health outcomes.
Vytalize Health
15 Remote Job Openings at Vytalize Health
Responsible for designing and implementing secure cloud architecture and embedding security controls into engineering workflows. The role focuses on vulnerability management, threat modeling, and leveraging AI to scale security operations.
The role focuses on designing and implementing security mechanisms to protect data and information systems, including cloud security strategies and architecture. Key duties include conducting risk assessments, managing incident responses, and ensuring compliance with healthcare security regulations.
The Regional Medical Officer provides strategic clinical leadership by overseeing Market Medical Directors and driving value-based care transformation across a designated geographic area. The role focuses on optimizing practice performance, improving health outcomes, and aligning clinical programs with organizational objectives.
The role involves reviewing clinical documentation to accurately assign medical codes and ensuring compliance with regulatory standards. Additionally, the coder will analyze claim denials and collaborate with billing teams to optimize reimbursement and reduce errors.
The Medical Biller manages the revenue cycle by following up on outstanding insurance claims and resolving denied claims through appeals. They are responsible for maintaining accurate documentation and minimizing accounts receivable aging to ensure financial stability.
Lead the development of agentic connector pipelines to automate data profiling, mapping, and dbt model generation. Design and maintain AI-assisted data ingestion workflows and observability frameworks to scale clinical and claims data coverage.
Drive documentation quality and provider education at the practice level by delivering targeted training and conducting concurrent clinical reviews. Develop clinical content libraries and collaborate cross-functionally to align documentation with risk adjustment and CMS standards.
Provide frontline technical support for hardware and software while managing identity and access management (IAM) for internal tools and external EMR systems. Coordinate with external medical practices to install necessary software and ensure seamless system access for users.
Senior Manager- Quality Reporting and Data Analytics
Vytalize Health
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Full Time
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a month ago
Vytalize Health
Manage technology-driven initiatives to optimize clinical workflows and ensure accurate quality reporting for ACO and value-based care programs. Design data collection workflows and utilize SQL to analyze large healthcare datasets for performance insights.
Lead the implementation of value-based care models and population health strategies within provider practices to improve patient outcomes. Drive clinical workflow improvements and manage relationships with practice administrators and providers to ensure sustainable change.
Process and adjudicate value-based care claims while ensuring compliance with internal policies and regulatory standards. Collaborate with finance and provider relations departments to resolve discrepancies and optimize claims processing workflows.
The role focuses on translating business requirements into technical specifications and executing system configurations and reporting using SaaS tools. Additionally, the analyst will triage technical issues, coordinate with vendors, and participate in QA and UAT testing during release cycles.
Provide Level 1 and Level 2 technical support for internal users in a cloud-first environment using Jira Service Management. Manage endpoint provisioning, identity access, and security configurations while adhering to ITIL and Change Management policies.
Lead the implementation of value-based care models and population health strategies within provider practices to improve patient outcomes. Drive clinical workflow improvements and manage relationships with practice administrators and providers to ensure sustainable change.