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$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus In this role, you will have the ability to achieve work life balance. Flexible scheduling is offered where providers can flex their time between 8am-8pm over the 7-day work week. No on-call, no weekends and no holidays required. Optum Home & Community Care, part of the Optum family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Optum HouseCalls team, together in an interdisciplinary care environment, we help patients navigate the health care system and connect them to key support services. This preventive care can help patients stay well at home. We're connecting care to create a seamless health journey for patients across settings. Join us to start Caring. Connecting. Growing together. HouseCalls is an innovative, performance-driven program that brings care directly to members' homes. As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members. This is a non-prescribing, field-based role focused on improving health outcomes through education, gap closure, and collaboration with primary care providers (PCP). Primary Responsibilities: • Conduct comprehensive in-home assessments, including:, • Past medical history review, medication reconciliation, vital signs, and physical exam, • Evidence-based screenings and point-of-care testing (as appropriate), • Identify and document diagnoses for care management and treatment planning, • Communicate findings to members' PCPs to address gaps in care, • Recognize urgent/emergent situations and intervene appropriately, • Educate members on disease processes, medications, and compliance, • Address social determinants of health and provide referrals as needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • For NPs: Active ANCC or AANP certification in Family, Adult, Geriatric, or Adult-Gerontology Primary Care, • For PAs: Current NCCPA certification and state licensure, • Active, unrestricted licensure in the state you will be practicing in (or ability to obtain by start date) without current disciplinary actions or practice limitations, • Active and unrestricted driver's license, • In addition to a driver's license, access to reliable transportation to complete home visits, • Ability to navigate varied home environments; ability to sit/stand/kneel as needed to perform assessments, • If you're working in a state that allows NPs/PAs to practice independently (without Collaborative Agreement), you must get approval from your licensing board-if required. New hires who are eligible but haven't applied yet must do so within 1 month of starting. If you're not eligible at the time of hire, you must begin working toward eligibility within 1 month and apply for approval within 3 months of becoming eligible Preferred Qualifications: • 1+ years of clinical experience (family, geriatric, or home health preferred), • Proficiency with electronic medical records and technology, • Ability to transport equipment weighing up to 30 pounds and navigate stairs as part of home visits, • Proven communication skills with geriatric or Medicare populations Compensation for this specialty generally ranges from $125,000 to $175,000. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

" \n Licensed Mental Health Therapist (LMHT)\n \n Wage: Up to $121.8/hour \n \n \n \n \n Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. \n \n About you \n ● You’re a fully-licensed Mental Health Therapist at a Master’s level or above with LMHC, LPCMH, LIMHP, LMFT, LMFTS, LCMFT, LPC, LPCC, LCPC, LCPCS, LPCC-S, LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. \n ● You’re ready to launch a private practice, or grow your existing business by taking insurance. \n \n About Headway \n Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. \n \n How Headway supports providers \n • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. \n • Built-in compliance: Stay compliant from day one with audit support and ongoing resources. \n • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. \n • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. \n • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. \n • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. \n • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. \n \n How Headway supports your clients \n ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. \n ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. \n \n \n Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. \n \n \n \n \n \n \n \n "

" \n Licensed Mental Health Counselor (LMHC)\n \n Wage: Up to $121.8/hour \n \n \n \n \n \n \n Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. \n \n About you \n ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. \n ● You’re ready to launch a private practice, or grow your existing business by taking insurance. \n \n About Headway \n Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. \n \n How Headway supports providers \n • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. \n • Built-in compliance: Stay compliant from day one with audit support and ongoing resources. \n • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. \n • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. \n • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. \n • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. \n • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. \n \n How Headway supports your clients \n ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. \n ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. \n \n \n Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. \n \n \n \n \n \n \n \n "

This is an opportunity to become a key stakeholder and have a say in the strategic direction of the company. In this role, you will lead the Actuarial Team in driving financial business objectives through the delivery of high-impact, data-driven insights as well as work on complex actuarial projects such as financial modeling, data analysis, and visualization. The ideal candidate would be a FSA with 10+ years of actuarial experience, including experience with retiree health care benefits and individual insurance. Must be a strategic leader who can help the team grow and communicate effectively to the C-suite & other departments. Medicare Advantage, Med Supp and/or Life insurance experience a plus. (#58514) Compensation: • Salary range of $200-250K Location: • Fort Lee, NJ, • Remote

Job DescriptionMedicare Supplement Sales Agent W-2, Hourly + Residual Commission + Bonuses | In-Office Secaucus, NJ $20/hour base + $5 per member per month (residual) + bonuses We're a growing Medicare-focused agency hiring two closers who know how to sell to seniorsand want a W-2 seat with a base, real commission, and a book that pays you every month it stays on the books. You get a steady hourly base, leads, and a residual structure that rewards you for selling policies that stick. The cleaner your book, the bigger your monthly check. You'll thrive here if you: • Are life & health licensed (NJ; multi-state a plus) and AHIP-current or ready to get there. If you are not licensed we will help you get licensed., • Have sold Medicare Supplement, Medicare Advantage, or final expense and can speak to your numbers, • Know how to build trust with a 67-year-old in a 12-minute call, • Have a clean persistency/chargeback track record (we'll askand so should you), • Can reliably work in-office in Secaucus, NJ (this is not a remote role)What we offer:, • $20/hour W-2 base you get paid while you build your book, • $5 per member, per month residual commission recurring income that grows as your book grows, • Performance bonuses on top of base and commission, • Qualified leads provided we don't make you buy your own, • Carrier appointments across top Medicare Supplement lines, • A team that closes, not coastsThe math, plainly: Write 100 active members and that's $500/month in residual commission aloneevery month they stay on the bookson top of your hourly and bonuses. Build a book of 300+ and the residuals become the biggest part of your check. Hours are Monday- Thursday 11am to 7 pm, Fridays 9am to 5 pm To apply: Send your resume andthis mattersone line on your best production month and what you sold. Generic applications go to the bottom of the pile. Email agentservices@acmgsales.com

Job: Professional Coder I Duration: 6+ Months Location: Newark, NJ 07105 Pay Rate: $40 - $42/hr on W2 Job Description: Summary: This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction. Review may include inpatient, outpatient treatment and/or professional medical services, according to ICD-9/ICD-10 CM coding guidelines and risk adjustment model regulations. This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business. Responsibilities: • Can understand and translate CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction., • Review medical records for completeness, accuracy and compliance with applicable coding guidelines and regulations., • Identify, compile and code member/patient data, using ICD-9/ICD 10-CM and other standard classification coding systems., • Support the collection and distribution of documentation and coding improvement tools for designated practice units as applicable., • Support educational activities for internal stakeholders as necessary as subject matter expert on coding review/guidelines., • Actively participate & engage in program improvement discussions and activities., • Maintains department productivity and accuracy standards. Qualifications: • Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management (AHIMA), • Requires 2 - 5 years of Medical Coding experience, • Requires a minimum of 2 years’ experience in Health Insurance/quality chart audits and/or Utilization Review, • Bachelor's degree preferred Knowledge Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding Requires knowledge of medical terminology of medical procedures, abbreviations and terms Requires knowledge of the health care delivery system

Job Posting: Medical Director – Utilization Management (Remote) Position: Medical Director – Utilization Management Location: Remote (Anywhere in the US) Employment Type: 1099 Contract Hours: Full-Time, 40 hours/week Meaningful Payer-Side Impact: Work directly within a major national health plan, influencing decisions that impact member care quality, compliance, and operational strateg • y.Stable Full-Time Hours: Enjoy a fully remote, 40-hour work week that offers the professional autonomy and structural balance many physicians look for when transitioning to payer-side role, • s.Seamless Integration: Step into an established, well-oiled UM operation where your existing expertise is highly valued, featuring a streamlined 2-day training block to get you up to spee d.Key Responsibiliti esAs a Medical Director, you will provide clinical expertise and guidance on complex cases, ensuring high-quality, compliant review processe • s.Conduct utilization management reviews for medical necessity, appropriateness of care, and efficiency across commercial inpatient and outpatient service, • s.Review escalated cases utilizing established medical policy criteria and guidelines (e.g., MCG, InterQual, • ).Conduct peer-to-peer discussions with attending physicians and providers as neede, • d.Support appeals, grievances, and prior authorization review workflow, • s.Maintain a high-volume, efficient workflow, comfortably managing a production target of approximately 55+ cases per 8-hour da, • y.Ensure strict compliance with NCQA, CMS, URAC, and all applicable state and federal regulatory standard, • s.Collaborate cross-functionally with operational and clinical leadership team s.Position Requiremen ts### 🚨 ABSOLUTE MUST-HAVE REQUIREMENT: Candidates must possess direct health plan/payer-side utilization management experience. Hospital-only case management or health system review experience will not be considered for this rol e.Required Qualificatio • nsDegree: MD or DO from an accredited institutio, • n.Certification: Active Board Certificatio, • n.Licensure: Active, unrestricted medical license. Must hold a current license in at least one of the following states: New York (NY), Pennsylvania (PA), or West Virginia (WV, • ).Experience: Multiple years of dedicated payer-side/health insurance utilization management experience working specifically as a Medical Director or Physician Reviewe, • r.Systems: Experience working within managed care workflows, utilizing production queues, EMR platforms (Epic preferred), and strict turnaround time (TAT) metric, • s.Work Style: Ability to work completely independently and productively in a fast-paced, remote production environmen t.Preferred Experien • ceExperience supporting Medicare Advantage and/or Commercial lines of busines, • s.Multi-state medical licensur, • e.Prior experience heavily focused on prior authorizations, appeals, and grievance s.

Summary: We are seeking a hands-on Medicare Actuary to support pricing, forecasting, and bid development for Medicare Advantage (MA), Part D, and EGWP products. This role will support end-to-end bid season execution, Medicare forecasting, and deliver deep experience analytics to inform pricing, product strategy, and financial performance. The ideal candidate combines Medicare bid expertise, experience study rigor, and a builder mindset to improve processes, and elevate insights. Key Responsibilities: Bid & Pricing (MA/Part D/EGWP) • Own actuarial components of the annual Medicare Advantage and Part D bids, including benefit pricing, trend, risk score assumptions, admin load, and margins., • Be a collaborative partner across teams by pricing product scenarios., • Review ongoing CMS releases and refine assumptions to monitor a rapidly changing landscape. Forecasting • Deliver regular forecasting with clear drivers, risks, and variances vs. plan/budget. Requirements: • Bachelor’s degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required, • Associate of the Society of Actuaries (ASA) required, • 5 – 8+ years relevant professional work experience and/or education required, • 4+ years health insurance actuarial experience, preferably in the managed care industry required, • Prior management experience (processes and/or staff) preferred, • A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required, • Ability to communicate effectively with Business leaders required, • Expert level skills with database, spreadsheet, and analytical software required, • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required, • Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred, • Capable with data extraction, simulations, automation required

About the Role SafeRide Health is seeking a Senior Full-Stack Engineer to help design, build, and scale critical applications and platform services that support our mission of improving access to healthcare transportation nationwide. This role will partner closely with Engineering, Product, and Quality teams to deliver secure, scalable, and high-performing applications that directly impact healthcare operations and member experiences. This is an opportunity to work in a fast-paced, mission-driven environment where engineers are empowered to innovate, solve complex technical challenges, and contribute to meaningful healthcare technology solutions. Job Responsibilities • Deliver new features and build new applications for the SafeRide platform, • Contribute high-quality, maintainable code utilizing best practices including RESTful API patterns, SOLID principles, and event-driven architectures, • Collaborate directly with Engineering, Product, and QA teams in an agile development environment, • Design, build, and maintain scalable production web services and APIs, • Support cloud-native application development and infrastructure within AWS environments, • Help improve system reliability, security, performance, and scalability across applications and services, • Participate in code reviews, testing, debugging, and continuous improvement initiatives, • Innovate within a complex, regulated healthcare environment while maintaining security and compliance standards Required Qualifications: • 5+ years of experience delivering secure, scalable web applications, • 5+ years of experience with one or more of the following technologies: Node.js (JavaScript), React, or PHP, • 4+ years of experience building and supporting production-level web or API applications, • 3+ years of experience with modern build tooling such as Webpack and Babel, • Demonstrated experience building and maintaining production web services at scale, particularly using asynchronous patterns, • Experience designing and integrating RESTful APIs, • Experience with SQL and/or NoSQL databases including MySQL, PostgreSQL, or MongoDB, • Experience working with Docker containers and containerized application deployments, • Experience working within AWS cloud environments including services such as ECS/Fargate, Lambda, CloudFront, Redshift, and queuing technologies, • Experience working in agile development environments using tools such as Jira, GitHub, and collaboration platforms, • Experience with unit and integration testing, • Strong debugging, troubleshooting, and optimization skills, • Experience working in healthcare and/or highly secure, regulated environments Preferred Qualifications • Experience working within microservice architectures, • Experience with event-driven systems and WebSocket services, • Passion for learning new tools, technologies, workflows, and engineering philosophies, • Experience contributing to scalable distributed systems Benefits: We offer a remote-first work environment, competitive compensation, and comprehensive benefits including: Career growth and development opportunities in a mission-driven organization Competitive salary and annual bonus opportunities Remote with flexible hours Comprehensive medical, dental, and vision insurance 401(k) with company match Generous PTO, paid company holidays, and paid parental leave About Us: SafeRide Health is a technology and services company dedicated to reducing barriers to care by improving the delivery of non-emergency medical transportation to people across America. SafeRide employs proprietary technology, paired with a nationwide network of vetted transportation providers. This enables payers and health systems to deliver cost-effective, on-demand transportation intelligently, enhancing the patient experience in the process. SafeRide serves the largest Medicare Advantage, Medicaid, and provider programs in the country. Learn more at www.saferidehealth.com.

Job Description The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. The manager will coordinate multiple projects, oversee day-to-day staffing, and administer all standard operating procedures. Operational Data Store • Under guidance of Director, oversee project management for all operational data store activities., • Work closely with Analysts to create new functional specifications for enhancements or to improve existing logic based on changing business needs., • Owner of change control process and documentation for each approved modification., • Oversee test plan development, documentation and implementation process., • Oversee creation of training documentation for new or updated designs for day-to-day data usage. Operations Ad-Hoc Reporting • Under guidance of Director and in collaboration with business owners, manage projects and prioritize all new reporting needs for daily on-demand and auto-delivered data., • Oversee peer review process, ensuring quality and accuracy standards are met. Operations Standardized Reporting • Identify ad-hoc reporting that can be converted to standardized reporting for enhanced automation and increased efficiency., • Recommend technological enhancements for improved standardized reporting. Monitor Staff Productivity and System Performance • Obtain functional requirements from business users on how they want to monitor staff productivity. Prepare confidential reports to fulfill this need., • Time extracts and reports to oversee the length of time required for each. Merge with overall system performance metrics to provide recommendations to senior leadership.We truly value our staff and further acknowledge their contributions by offering:, • Employee and family health coverage, • Competitive salaries, • Employer contributed pension plan, • Generous time off, • Tuition reimbursement, • 403(b) retirement planBachelor's Degree in Statistics, Economics, Business or other related field required. Graduate Degree (MBA or CPA) in Statistics, Healthcare, Economics or Business preferred. 5 years experience in Healthcare Economics, Statistics, Data Analysis, Financial Reporting, Actuary, Managed Care, and/or Long Term Care operations experience required. Medicare and/or Medicaid Managed Care experience required. Experience with regulatory reporting required. Knowledge of CMS & NYS DOH regulations preferred. Experience calculating IBNR, BCR (Benefic Cost Ratios) and other metrics preferred. Experience formulating MMCOR and encounter data preferred. Experience developing rate filings including Medicare Advantage Part C & D and MLTC preferred. Management experience preferred. Excellent organizational skills. Ability to work on multiple projects. Excellent Word, Excel, Access, Project, Visio skills. Excellent SQL Server 2008R2 (or better) skills with Reporting Services preferred.

Job Description The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms. This position maintains up-to-date knowledge of Homefirst Managed Long Term Care Plan (MLTCP), Elderplan Medicaid Advantage Plan (MAP), and Elderplan FIDA Total Care, making outreach calls to prospects, explaining to them the benefits and eligibility, and appropriately scheduling RN visits for assessment and potential enrollment. Responsible for documenting updates and outcomes in Market Prominence, the enrollment tracking software program, and working closely with the RNs and Marketing Representatives to maintain high productivity and quality data for purposes of management and reporting. • Bachelor's Degree or 2 years health care experience; managed care/sales experience is a plus., • Valid Driver's License., • Excellent communication, time management, and presentation skills, strong telephone etiquette and comfort with the geriatric population., • Spanish, Cantonese or another language fluency may be required., • Requires ability to learn, understand and explain healthcare eligibility requirements, conduct business successfully over the phone, offer excellent customer service and express compassion while meeting the demands of high volume and high productivity. • Operates in accordance with regulatory agency contract guidelines.

Job Description Build Your Career with Us! SpecialtyRx is a full-service pharmacy. We are in need of Billing Technicians with Pharmacy experience in our Ridgefield Park, NJ facility. Please apply here https://secure3.saashr.com/ta/s6337.careers?CareersSearch * Take advantage of our 2nd Shift Differential* Billing Pharmacy Technician Responsibilities • Perform duties assigned by the Billing Supervisor., • Research and establish patient eligibility coverage with insurance providers (state and private), • Determine and process insurance rejections in accordance to the daily report., • Maintain and update patient billing and insurance information in the system., • Submit prior authorizations for State insurance., • Interact with insurance company on daily basis in regard to overrides, rejections and insurance updates., • Interact with client facilities staff, PDP (Medicare), CMS, NJM and NYM when necessary., • Follow up and resolved pending billing issues. Billing Pharmacy Technician Requirements • H.S. diploma or equivalent, • Courteous and polite phone skills, • Computer literate, • Ability to work nights and weekends, • Previous experience in Retail pharmacy a must, • Experience in Long Term Care Pharmacy (Preferred), • Must be able to work independently and as a team, • Ability to multitask and work in a fast-paced environment a must, • Experience in New York Pharmacy billing claims (Preferred), • Frameworks/ECM knowledge a plus, • Must be detail oriented Hours: 9am-5pm, 12-8pm and 3-11pm EEO Statement Specialty Rx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation and gender identity or any other status protected by federal, state or local law. EO/Minorities/Females/Disabled/Veterans

Job DescriptionPosition: Market Physician Executive (MPE) Monogram Market Physician Executive (MPE) are mission driven physician leaders who are dedicated to improving the well-being, quality of life, and health outcomes for our patients. The MPE will lead our in-home multi-specialty polychronic care model in an assigned market. Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses(RN), licensed clinical social workers (LCSW), and pharmacists (PharmD). The MPE will collaborate with Monogram Health’s Multi Specialty Platform to leverage employed specialists to deliver in-home specialty care. Monogram Health deploys a proven risk based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms to predict the appropriate level of care. Aligning with the quadruple AIM, the MPE will focus to improve patient experience, population health outcomes, provider satisfaction and lower costs. The primary goal of each MPE to deliver exceptional outcomes through disease detection and evidence based clinical pathways and disease treatment. This posting reflects an anticipated hiring need and is intended to build a pipeline of qualified candidates for future MPE opportunities that may become available within the posted location. Reporting to the Region President, the Market Physician Executive (MPE) is a key clinical leader within Monogram Health who contributes to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market. The MPE oversees the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market. In support of the advance practice providers the MPE is expected to review and approve care plans and direct the treatment plans for our patients. The MPE will collaborate with community physicians, facilities, and partners in peer to peer and direct patient care decision making. Roles and ResponsibilitiesClinical Guidelines Execution – 25% • Know, understand, and deliver on Monogram Health’s proprietary evidenced based clinical pathways., • Ensure adherence to established clinical guidelines and Monogram Model of Care., • Review and approve APP, RN, SW and PharmD plans of care., • Appropriate and timely patient document within Salesforce and Athena clinical activities, interventions, and tasks., • Review, approve and co-sign APP encounters., • Clinical and Operations Performance and Quality Improvement – 25%, • Overall accountability for reducing total cost of care and Medical Loss Ratio., • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient, • utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure, • Actively lead daily high risk and concurrent review rounds., • Direct supervision of front line clinical and operations team members., • Oversee and delegate operational responsibility to Market Manager, to deliver on daily operations, such as patient engagement, scheduling, administrative oversight, strategic implementations, and P&L management., • Regularly assess and present market performance and outcomes to Executive and Senior Leaders .Patient Care and Treatment – 25%, • Provide direct and indirect patient care (including diagnosis and treatment of disease)., • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways., • Conduct Peer to Peers with community, facility, and health plan partners., • Order labs, referrals, and complete actions to drive patient outcomes, close care gaps, and Clinical Intervention closure.Population Health Management (PHM) – 20%, • Provide clinical guidance and direction to Market teams to drive Population Health Management activities, including, • identifying and intervening on High-Risk Patients, formulating strategies to reduce admissions/readmissions, complete, • quality post hospital discharge visits, and improving the quality of visits., • Collaborate with Medical Economics, Finance and other stakeholders to root cause and action against utilization trends impacting care and outcomes., • Present and guide population health strategies in clinical and operational meetings., • Conduct patient reviews to target high utilizers, high risk and high opportunity patients and patient cohorts.Miscellaneous – <5%, • Participate in Monogram On-Call activities Needs will vary; 7 days on call minimum once/quarter., • Provide coverage for other MPEs, during PTO or vacancy, as needed.Position Requirements, • Must be willing and able to obtain hospital privileges at required facilities., • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel., • Demonstrated experience applying evidence based clinical criteria., • Experience in renal care and geriatrics., • Strong management and communication skills., • Active, unrestricted state medical license required in each state within the market., • Experience with high need Medicare Advantage and managed Medicaid populations., • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment., • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states., • MD (Medical Doctor) or DO degree from an accredited medical school., • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine,, • Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics., • This position offers a base salary range of $260,000–$340,000 per year, aligned to experience, skills, and market factors.Benefits, • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts, • Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources, • Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave, • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health: Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. #LI-BG1 #LI-Hybrid

Job Description [Position] Sr Manager, Patient Services [About Our Client] Company provides biosimilar and innovative biopharmaceutical medications to help increase patient access to advanced therapies around the world. [Job Summary] Reporting to the Director, Patient Services, responsible for ongoing management of all aspects of patient services and programs. [Job Description] KEY ROLES AND RESPONSIBILITIES • Contribute to the success of a best-in-class patient services programs to support Company’s commercial vision by ensuring close cross functional collaboration and subject matter expertise, • Provide program management across all patient support vendors, including HUB, copay, free drug programs, and creative agency of record., • Support contracting execution - coordinate the signing, tracking, revision and storage of all NDAs, MSAs, SOWs, BRDs, and SDEA documents in accordance with company guidelines., • Deliver an exceptional patient experience by assessing needs, developing action plans, and proactively addressing potential access barriers to support treatment initiation and support continuation of care., • Monitor HUB Services programs and competitive landscape to identify potential gaps and/or areas of competitive advantage for Company HUB Services, Copay and Patient Assistance Programs., • Support Field Reimbursement and Managed Care team needs with strong communication and timely customer service, • Consistently leverage reporting tools and data analytics to support strategic decision making and ongoing program monitoring. Requirements • Minimum of 5 years of experience working either within a HUB vendor program (at the Supervisor level), a manufacturer patient support program, and/or field reimbursement role, • Bachelor’s Degree required in healthcare, business, pharmacy, nursing or related field QUALIFICATIONS • Understanding of patient programs and HUB services at the case level. Knowledge or reimbursement through private payer insurance, Medicare Part B & D, Medicaid, Buy/Bill, and Specialty Pharmacy channels., • Strong problem solving/analytical skills and ability to prioritize under tight deadlines., • Demonstrated excellent interpersonal, written, verbal and visual communication and presentation skills., • Demonstrated effective working relations in a global work environment, • Ability to proficiently use Microsoft Excel, Outlook, and Word. Tableau and Salesforce CRM experience preferred., • Ability to travel periodically to Jersey City, NJ, Vendor sites, and meetings (10%), • Bilingual in Korean and English highly prefer CORE COMPETENCIES • PSP operations and strategy: Experience managing PSP operations across multiple brands., • Regulatory Compliance: Deep understanding of healthcare regulations, privacy laws (HIPAA) and pharmaceutical industry guidelines, • Data analysis and Reporting: Ability to track KPIs, identify patient journey bottlenecks (abandonment) and generate actionable insights for program enhancements., • Project Management: Skills to manage vendor performance, service level agreements and budget tracking., • Communication Skills: Strong oral and written, • Collaboration: Ability to communicate across functions and at all levels in the organization, • Technical Proficiency: Competence in CRM systems (Salesforce/Veeva), digital tools and date reporting software, • Patient Advocacy and Empathy: A patient centric focus with strong communication skills for handling complaints, resolving escalations and enhancing the patient experience. Benefits • Salary 160-170k + Annual Bonus, • Full Benefits - Medical, Dental, Vision with different package, • 401k 4.5 % match, • 15 days PTO & 6 Sick Days

Job Description About Us Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today! Regional Growth Director Fully Remote / Hybrid Remote in an Ennoble Care Office Location Reports to: Regional Vice President or Chief Growth Officer Position Overview Ennoble Care is seeking experienced Regional Growth Directors to lead our House Calls and/or Hospice Growth Teams (community liaisons) in our different regional markets. This leadership role focuses on managing and developing our liaison teams, building strategic relationships in regional, enterprise, and referral growth, and driving data-driven growth performance through robust reporting and analytics. The successful candidate will recruit, train, and manage growth team members (liaisons) to expand our market presence and drive sustainable revenue growth. Key Responsibilities Growth Team Management • Recruit, hire, and onboard growth professionals (community liaisons) to build referral partnerships., • Develop comprehensive training programs for new and existing growth staff on services, target markets, and growth methodologies., • Implement performance management systems, including goal setting, regular coaching, and performance reviews., • Establish territory assignments and coverage models to optimize market penetration. Regional & Enterprise Growth Relationship Development • Build and maintain strategic relationships with regional health systems, medical groups, and enterprise clients., • Develop partnerships with Medicare Advantage plans, Medicaid managed care organizations, and commercial insurance providers., • Cultivate relationships with senior living communities, assisted living facilities, and continuing care retirement communities., • Establish connections with physician practices, specialty clinics, and hospital discharge planning teams., • Represent Ennoble Care at regional healthcare conferences, medical society meetings, and industry events. Growth Analytics & Performance Reporting • Oversee growth reporting and analytics functions with support from the data analytics team., • Utilize key performance indicators (KPIs) and dashboards to track marketing team performance, pipeline health, and conversion rates., • Analyze market trends, referral patterns, and competitive intelligence to inform strategic decisions., • Create regular reporting cadences for executive leadership on growth performance, market opportunities, and growth projections., • Implement CRM systems and growth tracking tools to optimize lead management and follow-up processes. Revenue Growth & Performance Management • Drive consistent achievement of quarterly and annual revenue targets for the region., • Recommend pricing strategies and contract structures that ensure profitable growth., • Monitor market trends, competitive landscape, and customer feedback to inform strategic decisions., • Collaborate with clinical leadership to ensure service delivery capabilities align with growth commitments. Cross-Functional Collaboration • Partner with Clinical Operations to ensure seamless service delivery and client satisfaction., • Work closely with Marketing to develop lead-generation campaigns and growth-enablement materials., • Coordinate with Finance on contract terms, pricing models, and revenue recognition., • Collaborate with Quality and Compliance teams to maintain regulatory adherence and clinical standards. Qualifications Required Experience • 7+ years of growth leadership experience in hospice or house calls, home health, assisted living, long-term care, or skilled nursing facilities., • Home-based medical services or hospice experience strongly preferred., • Proven track record of recruiting, training, and managing growth teams., • Experience in performance management, coaching, and professional development of growth professionals., • Demonstrated success building relationships with healthcare executives, medical directors, and facility administrators., • Background in post-acute care settings and understanding of referral-based business models. Industry Expertise • Deep knowledge of house calls or hospice service delivery models and market dynamics (ideal)., • Understanding of hospice, home health, assisted living, skilled nursing, or long-term care growth processes and referral patterns., • Familiarity with Medicare, Medicaid, and managed care reimbursement for home-based services., • Knowledge of healthcare regulations affecting hospice or home-based medical practices and provider operations., • Experience with senior living communities, continuing care retirement communities, and post-acute care facilities. Education: Bachelor's degree, MBA, or advanced degree in healthcare administration, business, or related field preferred Travel: This role will require travel to Ennoble Care markets to recruit, train and market with employees. Full-time employees qualify for the following benefits: • Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity., • Paid Time Off, • Paid Office Holidays All employees qualify for these benefits: • Paid Sick Time, • 401(k) with up to 3% company match, • Referral Program, • Payactiv: pay-on-demand. Cash out earned money when and where you need it! Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended. Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.

Job Description About Us Greenbrook Medical is building the new standard in primary care. We deliver high-touch, relationship-based care through neighborhood clinics, grounded in a simple belief that every senior deserves the kind of care we would want for our own families. Our model emphasizes time with patients, coordination, and a personalized approach that improves outcomes while lowering total cost of care. We take full accountability for patient outcomes and overall cost of care, aligning clinical excellence with disciplined execution. The results speak for themselves, with a patient Net Promoter Score of 91 compared to 32 for typical healthcare organizations, reflecting our belief that happier patients are healthier patients. Rooted in Tampa Bay, our partnership with Tampa General Hospital has supported our growth as we expand across the region. Backed by strong unit economics, experienced operators, and a clear playbook, Greenbrook is entering its next phase of growth. We are looking for builders and operators who want to help scale a platform designed to deliver better care, better coordination, and better outcomes for seniors. About the Role The Vice President of Finance will serve as the organization's senior financial leader, responsible for financial strategy, planning, operations, and performance management across the business. As our first financial leader, you'll help guide the organization through its next stage of scale and complexity. This role will play a critical part in elevating the Finance function from a tactical function to a strategic driver of the business—bringing financial rigor, leadership, and insight. The ideal leader will help build the foundation for a world-class finance organization that can support the company's ambitious trajectory. This leader will guide the company through rapid growth, evolving risk-based contracts, and the complexities of value-based care economics. The VP of Finance will oversee all financial functions—FP&A, accounting, spend management, risk arrangements—and serve as a key thought partner to the CEO and executive team. As a VP of Finance, you'll report directly to the Chief Executive Officer. Location: New York City strongly preferred (Hybrid). Open to remote candidates in FL, VA, NY, NJ MO or TX. Key Responsibilities Financial Leadership & Strategy • Serve as a strategic advisor to the CEO and executive team on financial performance, growth planning, and operational decision-making., • Lead long-range financial planning, scenario modeling, and capital allocation strategies., • Partner directly with clinical, operations, and growth leaders to ensure financial sustainability within a full-risk, value-based care model., • Support fundraising activities through financial modeling, diligence support, and investor communications. Financial Planning & Analysis • Own the annual budgeting process, ongoing reforecasting, and long-term financial models., • Conduct deep FP&A analyses including:, • Budget vs. actual performance, • CAC:LTV modeling, • Churn and retention analysis, • J-curve and cohort performance analysis, • Provide strategic insights to guide market entry, capacity planning, and resource allocation. Financial Operations • Oversee all financial operations, including outsourced HR/Payroll support responsible for payroll processing, benefits administration, state tax filings, corporate insurance, and related compliance., • Ensure robust internal controls, financial accuracy, and compliance with federal, state, and payer requirements. Bookkeeping & Accounting Oversight • Manage the relationship with external bookkeeping and accounting partners., • Ensure timely and accurate month-end closes, reconciliations, and financial statements., • Improve systems, processes, and automation across accounting and reporting. Spend Management • Manage spend discipline across the organization, including:, • Budget adherence, • Hiring salary approvals, • Corporate credit card strategy, provisioning, rules, and controls, • Vendor onboarding and vendor management, • Receipt tracking and spend reporting, • Lead cost-optimization initiatives and ensure responsible financial stewardship. Risk-Based Contract Financial Management • Oversee financial operations related to full-risk and value-based care contracts., • Validate that capitation payments, stop-loss charges, and shared savings distributions are accurate., • Lead contestations and reconciliation processes with payers as needed., • Guide reserve fund allocation and risk corridor decision-making., • Partner with clinical and operational teams to understand drivers of performance and financial outcomes. What Success Looks Like • Financial Planning & Analysis: Deliver accurate forecasts and budget vs. actual performance, ensuring financial targets are met., • Operational & Spend Management: Maintain disciplined spend, optimize cost efficiency, and ensure compliance with internal policies., • Risk-Based Contract Oversight: Ensure accurate capitation, stop-loss, and shared savings payments while managing reserve funds effectively., • Strategic Leadership: Provide actionable financial insights that drive growth, operational decisions, and strategic initiatives., • Compliance & Controls: Ensure all financial operations meet regulatory, CPOM, and value-based care requirements. About You • Experience:, • 10+ years of FP&A, strategic finance, and accounting experience., • 5+ years of leadership experience building and scaling high-performing finance teams and overseeing strategic financial operations., • Strong experience with value-based care or risk-bearing payment models (e.g., Medicare Advantage, global capitation, ACO REACH), including understanding of drivers of medical spend, capitation flows, and performance economics., • Working knowledge of MSO–PC structures and corporate practice of medicine (CPOM) considerations, with the ability to ensure compliant financial operations in a multi-entity environment., • Skills:, • Proven ability to translate financial analysis into clear operational levers and strategic decisions across the organization, • Comfort operating in a fast-paced, scaling healthcare startup, with a track record of instilling financial discipline and building scalable processes., • Sound judgment and business acumen, with the ability to balance risk, investment, and long-term value creation, • Clear, confident communicator who can articulate financial strategy and insights to executive leadership, the Board, and investors, • Collaborative leadership style with the ability to influence across clinical and operational stakeholders., • Hands-on experience with accounting systems, reporting tools, or ERP platforms., • Strong judgment and business acumen, balancing financial risk with strategic opportunity., • Values: You embody our core values of Heart, Excellence, Accountability, Resilience, and Teamwork. Why You Should be Excited • Innovation: Be part of an innovative clinic setting the standard for senior-focused primary care. Work in a supportive, patient-first environment that values quality care., • Impact: Be part of a mission-driven team focused on transforming healthcare for underserved seniors., • Growth: We're building more than a company - we're building careers. As we grow, we're creating meaningful opportunities for you to expand your skills, take on new challenges, and shape your path forward., • Compensation & Benefits: Competitive base salary and performance-based bonus, paid time off, health, dental and vision benefits, and 401K with a company match. Executive Search Partnership Greenbrook Medical has partnered with Plenty Search to lead the search for this role. Candidates may engage directly with the Plenty Search team throughout the interview process, while remaining connected to the Greenbrook Medical leadership team and mission. Our Selection Process Our selection process typically includes an online application, initial interview, second round interview, values interview, case study submission and final interview, and reference check. Equal Employment Opportunity and Commitment to Diversity At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at recruiting@greenbrookmedical.com.

Job DescriptionDescription: The primary function of the HEDIS Retriever - Seasonal is to conduct onsite abstraction of services from medical charts in compliance with HEDIS/QARR, Medicare Advantage Star measure specifications. This position will be an integral part of the annual Medical Record Review project required to report HEDIS and QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS). The position requires the ability to travel within the five boroughs daily. Scope Of Role and Responsibilities: • Maintain knoowledge of medical record review and EMR systems, • Maintain up to date knowledge of HEDIS, QARR and STAR specifications., • Proficiency in MS Office applications, scanning and accurate Data entry into our systems, • Distibute requests for records and schedules appointments with provideroffices to ensure timely completion of duties to meet internaland regulatory standards and requirements., • Perform abstractions via EMR, in house paper medical records, on- site provider visits to collectdocumentationof easure complaince., • Data enter accurate and timely findings in the approproate systems in accordance with established documentation standards for our health plan to ensure integrity of memberservices provided overthe Requirements: Required Education, Training, and Professional Experience: • High School/GED with a minimum of two yeards HEDIS review experience. Clinical background preferred ( Medical Assistant, Nursing Assistant, Health Educator, LPN, RN, LMSW, or LCSW), • Experience with medical record working on HEDIS/QARR in a managed care, health plan and provider office setting., • Proficient in Microsoft Office applications including Work, Excel, PowerPoint and Access.

Job Description $15,000 Sign-on Bonus or Student Loan Assistance! MJHS is a large not-for-profit health system in the Greater New York area. Our range of health services include home care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers, and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans for Medicare and dual-eligible individuals. As a not-for-profit organization, many of our programs and services are made possible through the generosity of grateful families, corporate donors and grants, as well as our own employees. Our MJHS Medical Associates, P.C. is a group of Nurse Practitioners, Physician Assistants, RN Case Managers and LPN's who provide care to Elderplan members who are residents of assisted living and long term care facilities, as well as to those living at home. In collaboration with physician, provides and coordinates primary care services to an assigned panel of Advantage members who reside in participating long term care facilities. Insures development of care planning and access to preventive care services in accordance with member and Plan health outcome goals and objectives. Acts as clinical resource to the participating providers and facilities. • Provide and/or coordinate primary clinical care services for assigned Nursing Home Residents, • Acts as team member and clinical resource to participating providers/facilities, • Acts as resource and contact for member/designated representative regarding all aspects of Advantage member care plan, • Masters Degree in Nursing, graduate of accredited Nurse Practitioner program required, • One to two years clinical experience in role of nurse practitioner required, • Minimum one year in geriatric specialty, • Previous clinical RN experience in acute, subacute and/or long term care setting preferred, • Prior experience in manage care a plus, • NYS RN/NP License, Registration, DEA certificates

Job Description Hello, we're Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. We believe that only by recognizing individuals can we make communities strong. Belong Health. Kinder, more supportive care. If working in this type of organization appeals to you and the right position isn't posted already, send us your information here. We will review your resume for future opportunities. Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply. Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)

Job DescriptionDescription: Position Overview- SNF Billing Team Lead The SNF Billing Team Lead will oversee a team of billers and report directly to the MCS Billing Director. This is a high-visibility, client-facing role requiring a tech-first mindset and the ability to leverage reporting tools, EMR (specifically PCC and Matrix) systems, and clearinghouse technology to optimize billing performance, enhance client satisfaction, and drive team effectiveness. This role is responsible for ensuring accuracy, efficiency, and accountability across billing operations while proactively identifying opportunities to improve outcomes and support client retention. Key Results Area • Lead, mentor, and coach a team of billers to drive performance and accountability, • Assign workloads, monitor productivity, and ensure timely completion of billing cycles, • Conduct quality reviews and provide actionable feedback for continuous improvement, • Support onboarding, training, and ongoing development of team members, • Oversee end-to-end SNF billing and collections processes, • Ensure claims accuracy and compliance with CMS, state Medicaid, and payer requirements, • Review and manage appeals, claim edits, corrected claims, late charges, and reopenings, • Validate authorizations, payer IDs, and benefit information, • Supervise follow-up on unpaid, denied, or underpaid claims, • Monitor A/R aging and implement strategies to reduce aged balances, • Review ERA/EOBs to identify payment discrepancies and denial trends, • Ensure timely submission of appeals, redeterminations, and reconsiderations, • Oversee refunds and overpayment processing, • Maintain compliance with Medicare, Medicaid, HIPAA, and payer regulations, • Support internal and external audits and ensure audit readiness, • Track denial trends and recommend process improvements to reduce revenue leakage, • Prepare and present billing, A/R, and performance reports to leadership, • Serve as a subject matter expert and power user for SNF platforms (e.g., PointClickCare, MatrixCare, NetSmart), • Manage EDI workflows through clearinghouses (e.g., Ability, Waystar, Availity), including UB-04 claim requirements, • Analyze reimbursement trends across NTA, Nursing, and Therapy components to identify optimization opportunities, • Monitor first-pass clean claim rates and adherence to timely filing requirements specific to SNF billing, • Perform other duties as assignedRequirements: 5+ years in SNF Billing with at least 2+ years in a leadership or supervisory role Billing experience is a plus Expert knowledge of PointClickCare (PCC) and MatrixCare Advanced Excel skills including use of complex formulas for reconciliation and reporting Deep understanding of Medicare, Medicare Advantage, secondary payers, and state-specific Medicaid billing requirements Proven ability to communicate effectively with clients and leadership, including participation in QBRs and operational reviews Strong attention to detail with a high level of accuracy Ability to prioritize tasks and manage multiple tasks in a fast-paced environment Persistence and accountability in following up on outstanding claims and payments Ability to meet strict billing deadlines Strong organizational and time management skills Working Conditions/ Physical Demands Must be able to remain in a stationary position and move about the work area intermittently throughout the workday. Ability to observe details at close range. Frequent use of a computer and standard office equipment

About Brillio: Brillio is one of the fastest growing digital technology service providers and a partner of choice for many Fortune 1000 companies seeking to turn disruption into a competitive advantage through innovative digital adoption. Brillio, renowned for its world-class professionals, referred to as "Brillians", distinguishes itself through their capacity to seamlessly integrate cutting-edge digital and design thinking skills with an unwavering dedication to client satisfaction. Brillio takes pride in its status as an employer of choice, consistently attracting the most exceptional and talented individuals due to its unwavering emphasis on contemporary, groundbreaking technologies, and exclusive digital projects. Brillio's relentless commitment to providing an exceptional experience to its Brillians and nurturing their full potential consistently garners them the Great Place to Work® certification year after year. Product manager • CSPO, • Product Management: Senior Software Development Lead Job Description: Senior Product Manager – Payment IntegrityRole Overview· The Senior Product Manager – Payment Integrity will lead the strategy, roadmap, and execution for products and capabilities that ensure accurate, compliant, and cost efficient payments across the organization. This role drives initiatives that prevent incorrect payments, improve claims accuracy, optimize reimbursement processes, and enhance overall financial integrity. You will collaborate with engineering, operations, analytics, compliance, and external stakeholders to deliver solutions that reduce payment leakage and improve operational performance. Key ResponsibilitiesProduct Strategy & Vision· Define and own the end to end product vision and multi year roadmap for Payment Integrity products (pre payment, post payment, claims analytics, audit workflows, rules engines, etc.).· Identify market, regulatory, and industry trends to shape strategic product decisions.· Develop business cases, cost–benefit analyses, and value propositions for new capabilities.Execution & Delivery· Lead cross functional teams (engineering, data science, claims operations, finance) to deliver scalable Payment Integrity solutions.· Translate business needs into actionable product requirements, user stories, and acceptance criteria.· Prioritize the product backlog using a data driven approach while balancing long term strategy and short term wins.· Drive iteration planning, sprint reviews, and release cycles with engineering.Operational & Financial Impact· Ensure solutions reduce payment leakage, improve claims accuracy, and support audit effectiveness.· Partner with finance and operations to track product performance through KPIs such as overpayment recovery rate, detection yield, cost avoidance, and operational efficiency.· Continuously optimize rules engines, fraud/waste/abuse detection algorithms, and workflow systems.Stakeholder Management· Work closely with internal teams (Compliance, Legal, Provider Management, Medical Policy) to ensure solutions meet regulatory and audit requirements.· Partner with external vendors, payment integrity service providers, and technology partners.· Communicate product vision, updates, and performance metrics to senior leadership.User Experience & Product Quality· Advocate for intuitive user experiences for auditors, analysts, clinicians, and claims processors.· Ensure robust product documentation, training materials, and operational readiness.· Drive continuous improvement by collecting user feedback and monitoring adoption.Required Qualifications· 6+ years of product management experience, preferably in healthcare, insurance, payment integrity, claims processing, or fintech risk & controls.· Strong understanding of claims lifecycle, reimbursement methodologies, pre payment edits, post payment audits, and fraud/waste/abuse detection.· Experience working with engineering, analytics, and data science teams.· Proficient with data analysis, KPI development, and financial impact modeling.· Exceptional communication, stakeholder management, and leadership skills.· Ability to prioritize in a fast paced environment with competing demands. Preferred Qualifications· Experience with payment integrity platforms, claims adjudication systems, workflow tools, or rules engines.· Background in healthcare regulations (CMS, Medicare/Medicaid guidelines, ICD/CPT coding).· Exposure to machine learning based anomaly detection or predictive models.· Product certifications (CSPO, Pragmatic PM, AIPMM, etc.).· MBA or equivalent experience in strategy-heavy roles.Success Measures· Reduction in payment leakage and increase in cost avoidance.· Improved claims accuracy and audit efficiency.· Delivery of high impact features aligned with roadmap timelines.· Strong adoption$75 - $78 an hourKnow more about Brillio : https://www.brillio.com/join-us/ PPE: https://www.brillio.com/platform-and-product-engineering/ Equal Employment Opportunity DeclarationBrillio is an equal opportunity employer to all, regardless of age, ancestry, colour, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding, and related medical conditions), and sexual orientation. #LI-PS1 Know what it’s like to work and grow at Brillio: _We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Date Posted: June 18, 2025 The _ seeks a part-time contract SAS Programmer to support the Research and Cost Trends (RCT) department in updating and maintaining the data infrastructure used to prepare the All-Payer Claims Database (APCD), advise on structural changes to case-mix and evaluate existing tools used in analytic file creation. This is an opportunity for a detail-oriented, skilled SAS coder with previous experience working with health insurance enrollment files, medical claims, and pharmacy claims, as well as datasets maintained by the Massachusetts Center for Health Information and Analysis (CHIA). The SAS Programmer will join the Research and Cost Trends (RCT) department and will report directly to the Manager of Research and Cost Trends. Duties of the position may include, but are not limited to: Updating programs to allow for changes in new releases of the All-Payer Claims Database (APCD); Advising and creating best practices to integrate CHIA’s Master Patient Index (MPI) that is updated on a quarterly basis and allows linking across APCD and case-mix; Integrating the 3M Core Grouping Software into the analytic pipeline; Integrating the HHS-HCC risk adjustment model into the analytic pipeline; Validating HPC’s methods for processing MassHealth ACO/MCO/FFS claims; Helping integrate MassHealth MCO processing into commercial processing such that both sets of claims can be processed simultaneously; Identify and eliminate outdated SAS code in programs to help reduce confusion for future processors; Advising HPC on processing Medicare Advantage claims and make changes to existing programs as needed to allow for Medicare Advantage analytic file creation; and Providing ongoing on-demand support for technical issues The HPC operates a hybrid work schedule, with employees splitting their time between the downtown Boston office and remote work. Desired Qualifications: Advanced Degree in Computer Science, Information Systems Management, or related field; At least 5 years of experience with SAS programming, data infrastructure maintenance, and analytic file creation; Previous experience working with claims data such as Center for Health Information Analysis All-Payer Claims Database preferred; Excellent oral, written, and interpersonal skills and the ability to work in groups; The ability to balance multiple and competing priorities in a fast-paced work environment; A commitment to fostering an inclusive workplace that promotes collaboration amongst diverse viewpoints, facilitates cooperation and teamwork, and supports constructive resolution of conflicts; A strong interest in public service and desire to advance a more transparent, accountable, and equitable health care system for all Massachusetts residents. Candidates must be eligible to work in the United States. Compensation and Benefits Compensation Range $140-$155 per hour worked, up to 20 hours of work a week. An initial maximum contract obligation of 120 hours. Compensation is commensurate with experience. The HPC may adjust title, responsibilities, and compensation depending on the experience and expertise of the individual selected. This is a contract position for up to one year of work. This position is not eligible for benefits other than limited sick leave. Our Commitment: The HPC is committed to a policy of non-discrimination and equal employment opportunity. We recognize that diversity in the workplace is a source of strength, vital to its ability to effectively advance its mission. The HPC is committed to: Actively promoting diversity in our workforce, including greater racial and ethnic diversity, at all levels of the organization; Fostering a work environment in which all employees are inspired to do their best, strengthened by their different perspectives, backgrounds, and experiences; Ensuring that no employee’s growth, achievement, or advancement is hindered because of race, ethnicity, sex, sexual orientation, religion, age, genetic information, gender identity, pregnancy, veteran status, or disability; Holding ourselves to a high standard of inclusion and opportunity that will serve as a model for other public and private employers throughout the Commonwealth; Promoting our core values of equal opportunity, equal justice, and inclusion in HPC actions and initiatives.

About Us: Foodsmart is the leading Foodcare platform in the U.S., built to deliver nutrition-driven healthcare at scale. Powered by a national network of Registered Dietitians, Foodsmart combines personalized clinical nutrition care, behavior change tools, and food benefits to improve member health outcomes while lowering healthcare costs. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver sustainable health outcomes. Through our highly personalized, digital platform, we guide more than 3 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money. Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment helps us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment: 👥 Customer First - You start with the member and work backwards. 🚀 Make It Happen - You act with urgency, use data, and hold high standards. 🤝 One Team - You collaborate with respect and commit as a group. Working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food. About the Role: We're hiring a Staff Product Manager to own and scale Foodsmart's Food Access & Benefits platform — the product area that powers our expanding portfolio of food programs, health benefits management, and ancillary services that extend Foodsmart's impact beyond nutrition counseling. Health plans that service Medicaid and Medicare populations are increasingly looking to partners like Foodsmart who can manage the complexity of delivering complex and interconnected services associated with food benefit and food-as-medicine clinical intervention offerings to their members. Foodsmart is uniquely positioned to serve these client and member needs and we are aggressively building our product and service portfolio. As the product lead for Food Access & Benefits platform, you'll be responsible for the systems and capabilities that underpin how members access food benefits, how employers and health plans administer those benefits, and how Foodsmart launches and scales new service lines in an environment with multiple stakeholders, regulatory considerations, and operational dependencies. You'll translate messy, multi-party operational complexity into clean, scalable product — launching new services that create real value for members & clients while driving impact on the business. This role is ideal for a product leader who has launched products in operationally intensive domains — someone who can navigate the complexity of health benefits, food access programs, and partner ecosystems while bringing PM rigor and strategic clarity to a space that has historically been driven by operations alone. You’re also excited bringing new services to market, establishing product market fit, and driving meaningful impact for the business. Service Line Ownership & Product Execution • Own the roadmap for the Food Access & Benefits pod end-to-end — from discovery through launch and iteration — across food access programs, health benefits administration, and new service lines, • Have the skills and capabilities to (quickly) become an expert in the Food & Food Benefits ecosystem through research, interviews and building relationships with thought leaders., • Translate complex operational workflows and multi-party requirements into scalable, well-defined product capabilities — building for repeatability rather than one-off implementation, • Design and advocate for the member experience – turning something that can often times feel logistically burdensome into a moments of delight, • Partner with Engineering, Partnerships, and Operations to define the systems architecture that allows Foodsmart to configure, launch, and manage benefits programs at scale across diverse client types, • Balance the urgency of client-driven timelines with the discipline of building platform capabilities that compound over time Client & Operational Collaboration • Design and own the product systems that configure, launch, and manage benefits programs for members and clients, • Build the tools and workflows that Client Success, Partnerships, and Clinical Operations rely on to run food access and benefits programs, • Partner with product marketing and commercial teams to shape go-to-market for new services Platform & Strategic Contribution • Set the strategy for the Food Access & Benefits pod with full autonomy, while maintaining tight alignment with the CPO and cross-functional leadership, • Advocate for operational scalability and configurability across all product decisions — building Foodsmart's capacity to offer more services to more clients with less implementation overhead, • Influence adjacent pods and platform architecture to ensure food access and benefits capabilities are embedded appropriately in the broader member journey, • Contribute to cross-pod planning and portfolio prioritization, bringing the service line and operational lens into broader roadmap discussions, • Operationally fluent — you understand how complex, multi-party service programs actually run, and you build products that make them more reliable and scalable, not just more feature-rich, • A structured problem-solver who brings PM rigor to operationally heavy domains — you document requirements clearly and manage dependencies explicitly, • Comfortable with ambiguity in new service areas — you can define the problem space, identify what you don't know, and make progress with incomplete information, • A trusted partner to operational and commercial stakeholders — you earn credibility by understanding their world deeply and delivering solutions that actually reduce their burden, • Data-driven with strong execution instincts — you know when to move fast and when to slow down and validate, and you use metrics to tell the difference, • Collaborative and low-ego: you build strong relationships across a complex stakeholder landscape and know when to lead versus when to align, • A passion for addressing the chronic challenges associated with providing low income populations with proper food access and nutrition programs, • 7+ years of product management experience, with meaningful time spent in B2B or B2B2C environments where you owned operationally complex product areas, • A track record of launching new products or service lines end-to-end — not just iterating on existing features, but standing up net-new capabilities in complex operational environments, • Direct experience working alongside Implementation, Operations, or Client Success teams to build products that real operational users depend on, • Experience building and launching products in close partnership with commercial and go-to-market teams — including enablement, rollout planning, and post-launch iteration, • Experience in AI-enabled product development processes and tools, • Nice-to-Haves:, • Experience with benefits management platforms, employer health benefits, or government health program operations, • Exposure to food retail, food ordering, or supply chain partnerships in a digital health or consumer health context $165,000 - $205,000 a year Role: Staff Product Manager — Food Access & Benefits Location: Remote, USA Base Salary Range: $165,000 – $205,000 + bonus + benefits Our salary ranges are determined by role, level, and location. Individual pay is determined by work location, job-related skills, experience, and relevant education or training. About our benefits and perks: ✅ Remote-First Company ✅ Unlimited PTO ✅ Flexible & remote location ✅ Healthcare Coverage (Medical, Dental, Vision) ✅ 401k & bonus ✅ Registered Dietitian Sessions Foodsmart is an Equal Opportunity Employer. It is our firm policy to extend equal employment and advancement opportunity to all applicants and employees without regard to race, color, national origin, citizenship status, religious creed, age, sex (including pregnancy, childbirth, breastfeeding, medical conditions related to pregnancy, childbirth and/or breastfeeding), gender, gender identity and expression, sexual orientation, marital status, disability (physical or mental) and/or a medical condition, genetic information, ancestry, veteran status or service in the uniformed services, and any other characteristic protected by applicable federal, state or local law. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

About us: Foodsmart is the leading telenutrition and foodcare solution, backed by a robust network of Registered Dietitians. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver long-term health outcomes. Through our highly personalized, digital platform, we guide our 2.2 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money. Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment will help us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment: 👥 Customer First - You start with the member and work backwards. 🚀 Make It Happen - You act with urgency, use data, and hold high standards. 🤝 One Team - You collaborate with respect and commit as a group. Whether you're a dietitian, a commercial leader, or a technologist, working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food. About the role: Foodsmart is seeking compassionate and mission-driven Registered Dietitians (RDs) with active Certifications in New York to join our growing Foodsmart Nutrition Network. As a Foodsmart RD, you’ll deliver virtual Medical Nutrition Therapy (MNT) and personalized care to members—many of whom are Medicaid participants or facing food insecurity. This is a unique opportunity to make a measurable impact on health equity—empowering individuals and families to live healthier lives through access, affordability, and education. Candidates must reside in and work within the US. • Booked Schedule: We keep your calendar full and handle all the admin and billing, so you can focus on your sessions., • Paid Onboarding: Earn $600-850 for completing our training program for 1099s (paid after 60 days of seeing patients), • Mission with impact: Be part of a nationwide effort to make nutritious food accessible to all, including Medicaid and underserved populations., • Flexibility: 100% remote with scheduling options that fit your life., • Technology that empowers: Use our proprietary platform to connect with patients, track outcomes, and guide long-term success., • Collaborative community: Join a supportive network of RDs who share your passion for helping people live better through food., • Ongoing education: We offer CPEU webinars on a monthly basis for internal RDs., • Help members stretch their food budgets and make the most of what they have, • Guide access to affordable, healthy groceries through our online marketplace, • Connect members with local food and nutrition resources, • Support sustainable meal planning and healthy habits for families, • Deliver MNT to manage or prevent chronic conditions, • Provide personalized virtual nutrition care via secure video and messaging, • Active credentialing as a Registered Dietitian by the Commission on Dietetic Registration (CDR) and Licensed Dietitian, • An active state license in NY, • Willingness to obtain state licenses in high demand states (reimbursed by Foodsmart), • Ability to work in the U.S., • A computer, high speed internet and a smart phone, • At least 10 hours of weekly availability for patients (weekends and evenings count!), • $48 for a 1-hour visit; Most of our visits are scheduled for one hour., • $52 for those bilingual in English/Spanish or English/Vietnamese $48 - $52 an hour$48 for a 1-hour visit; $12 per 15-minute unit for Medical Nutrition Therapy (MNT). $52 for those bilingual in English/Spanish or English/Vietnamese ($13 per unit)Foodsmart is an Equal Opportunity Employer. It is our firm policy to extend equal employment and advancement opportunity to all applicants and employees without regard to race, color, national origin, citizenship status, religious creed, age, sex (including pregnancy, childbirth, breastfeeding, medical conditions related to pregnancy, childbirth and/or breastfeeding), gender, gender identity and expression, sexual orientation, marital status, disability (physical or mental) and/or a medical condition, genetic information, ancestry, veteran status or service in the uniformed services, and any other characteristic protected by applicable federal, state or local law.We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

About us: Foodsmart is the leading Foodcare platform in the U.S., built to deliver nutrition-driven healthcare at scale. Powered by a national network of Registered Dietitians, Foodsmart combines personalized clinical nutrition care, behavior change tools, and food benefits to improve member health outcomes while lowering healthcare costs. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver sustainable health outcomes. Through our highly personalized, digital platform, we guide more than 3 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money. Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment helps us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment: 👥 Customer First - You start with the member and work backwards. 🚀 Make It Happen - You act with urgency, use data, and hold high standards. 🤝 One Team - You collaborate with respect and commit as a group. Whether you're a dietitian, a commercial leader, or a technologist, working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food. About the role: We are seeking a Staff Data Scientist to own the analytical strategy across Foodsmart's Member growth engine. This role spans two tightly coupled domains: marketing analytics and product analytics. On the marketing side, you will own the end-to-end acquisition funnel — from marketable lives through initial visit completion — across both our outbound (call center) and inbound (scheduling referral) channels. On the product side, you will own the member-facing funnel: onboarding flow, sign-up conversion, and the in-app experience through a member's completed first appointment. These two domains are intentionally paired because growth and product are deeply interdependent — the effectiveness of our acquisition investment is shaped by what happens the moment a member enters our product experience, and optimizing the full funnel requires owning both sides of that handoff. This is a high-impact, dom ain-owning role reporting to the VP of Analytics & Data Science. You will own the executive narrative on marketing and product funnel performance, lead our experimentation and causal inference program across both domains, and build the attribution, lifecycle, and product analytics models that shape how Foodsmart invests in acquisition and member engagement. You will also be a core contributor to building out Foodsmart's event tracking infrastructure and product analytics foundation — including our Statsig implementation — establishing the measurement architecture that makes rigorous product experimentation possible. This is a full-stack data science role. We are not looking for a pure statistician or a pure analytics engineer — we need someone who operates across the entire analytical stack: from dbt source models and semantic layer design, to BI dashboards and self-service tooling, to predictive modeling, causal inference, and optimization work. At Foodsmart, durable insight requires owning the data foundation it sits on, and impactful models require the communication infrastructure to drive decisions. We expect this person to be strong across all of it. We are a small, flat, fast-moving team that leans hard into AI-native tooling. We use Hex and its AI Agent for analysis, Omni with deep context engineering to power stakeholder self-service through its AI Agent, and we are actively expanding our use of Claude and Claude Code across our workflows. We want someone who treats these tools as force multipliers for their own output and who actively engineers context into our data models so that stakeholders can self-serve — not someone who sees analytics as a hand-cranked request queue. • Own the analytical strategy for the end-to-end marketing funnel, from marketable lives to lead generation to omni-channel engagement strategy to visit completion and re-engagement. This includes our call center function (outbound rep allocation, inbound referral scheduling, ZCC data) and member lifecycle (Customer.io journey performance, reactivation, and initial visit completion optimization)., • Own the product analytics domain: onboarding funnel, sign-up conversion, in-app engagement, and the member experience through completed first appointment. Partner with the top-of-funnel product team as their embedded analytical lead, attending product cadences and co-owning the product analytics roadmap., • Serve as the executive-facing owner of the marketing and product performance narrative: explaining why marketable lives, funnel conversion, and initial visit completion moved, what levers drove the result, and what to double down on., • Design and lead Foodsmart's experimentation program across both marketing and product, including test design, causal inference methods, readout discipline, and the intake process for stakeholder-driven test ideas. Own the StatSig implementation and serve as the internal expert on experiment instrumentation, StatSig configuration, and results interpretation., • Own and evolve our attribution framework, including scheduling episode attribution, multi-touch attribution, and media mix modeling as Foodsmart's channel portfolio grows., • Partner with Growth Marketing leadership as the embedded analytical lead: attending marketing cadences, co-owning the analytics roadmap, and driving insight into action., • Own and evolve the dbt data models for the marketing and product domains — from raw source modeling through mart-layer metrics — ensuring data quality, test coverage, documentation, and a semantic layer that makes self-service trustworthy. This is a core craft expectation of this role, not a secondary responsibility., • Engineer context into our semantic layer and BI environment (Omni) so that stakeholders and AI agents can reliably self-serve answers across the marketing and product funnel. You treat context engineering — writing descriptions, defining metrics, curating what's exposed — as a first-class part of your job., • Drive the narrative, not just the numbers — translate findings into clear, actionable recommendations for executive and marketing leadership audiences., • Raise the bar for the analytics team on the craft areas central to this role — experimentation design, dbt modeling patterns, and context engineering. You don't manage anyone, but you operate as a technical leader: establishing best practices, reviewing work, and making the team around you better., • An operator who thrives in flat, fast-moving teams. You need minimal guidance to drive outcomes and default to taking ownership rather than waiting for direction., • A domain-owning IC who is comfortable being the single point of accountability for a critical business area and the executive-facing voice on its performance., • A rigorous experimentalist who treats causal inference as a core craft, not a buzzword — with a point of view on what makes a test trustworthy and how to teach causal thinking to business partners., • A strategic partner who can translate a high-level business problem into a concrete analytical roadmap and influence senior leaders across marketing, product, clinical, and finance., • A full-stack analytics practitioner — strong across analytics engineering (dbt, semantic layer), business intelligence and dashboarding, and data science (predictive modeling, causal inference, optimization) — who doesn't silo into pure stats/Python work and understands that durable insight requires owning the data foundation, not just the models on top of it., • Deeply fluent with AI-native tooling — you see tools like Claude, Claude Code, and in-BI AI agents as a core part of how you get leverage, and you have a point of view on how to engineer the context and semantic layer that makes AI-driven self-service trustworthy., • Bachelor's degree, ideally in a quantitative or technical field (e.g., Economics, Statistics, Computer Science, Operations Research, Applied Mathematics); Master's degree is a plus., • 8+ years of experience in data science, analytics, or experimentation, with a proven track record of driving measurable impact on growth, acquisition, or lifecycle outcomes., • Deep, hands-on expertise in experimentation and causal inference. You have designed and interpreted rigorous tests (A/B, quasi-experimental, geo-lift) and can defend methodology choices under scrutiny., • Strong background in attribution modeling (scheduling episode, multi-touch attribution, media mix modeling) and a clear point of view on the tradeoffs between approaches., • Experience owning lifecycle analytics, ideally including hands-on work with Customer.io, Braze, Iterable, or a similar platform., • Hands-on experience with product analytics instrumentation — event tracking, funnel analysis, and experimentation platforms (Statsig, Amplitude, Mixpanel, or equivalent) — and a point of view on what good product measurement infrastructure looks like., • Experience with call center or contact center analytics is a plus. We leverage Zoom Contact Center (ZCC) for our outbound and inbound scheduling teams., • Expert-level proficiency in SQL and strong proficiency in Python (pandas, scikit-learn, statsmodels, etc.)., • Deep, production-level experience with dbt — including source and mart-layer modeling, testing, documentation, and semantic layer design. You have owned a dbt project end-to-end, not just contributed to one., • Experience with context engineering for BI and AI self-service: writing semantic layer definitions, metric descriptions, and data model documentation that enables reliable AI-assisted querying (Omni, Looker, or equivalent)., • Proven fluency with AI-native developer and analyst tooling — Claude, Claude Code, Cursor, Hex AI Agent, Omni AI, or equivalent — used in production analytical workflows., • Experience working in marketplace business models and/or adjacent to healthcare, Medicaid, or a similarly regulated domain is a plus but not required., • Excellent communication skills. You can distill complex models, test results, and funnel diagnostics into clear, actionable recommendations for executive and marketing-leadership audiences. $170,000 - $200,000 a year Role: Staff Data Scientist, Growth Analytics Location: Remote, USA Base Salary Range: $170,000 - $200,000 base + bonus Our salary ranges are determined by role, level, and location. Individual pay is determined by work location, job-related skills, experience, and relevant education or training. About our benefits and perks: ✅ Remote-First Company ✅ Unlimited PTO ✅ Flexible & remote location ✅ Healthcare Coverage (Medical, Dental, Vision) ✅ 401k & bonus ✅ Registered Dietitian Sessions Foodsmart is an Equal Opportunity Employer. It is our firm policy to extend equal employment and advancement opportunity to all applicants and employees without regard to race, color, national origin, citizenship status, religious creed, age, sex (including pregnancy, childbirth, breastfeeding, medical conditions related to pregnancy, childbirth and/or breastfeeding), gender, gender identity and expression, sexual orientation, marital status, disability (physical or mental) and/or a medical condition, genetic information, ancestry, veteran status or service in the uniformed services, and any other characteristic protected by applicable federal, state or local law. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Hello, we’re Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. We believe that only by recognizing individuals can we make communities strong. Belong Health. Kinder, more supportive care. Medicare Advantage Field Sales Representative The Role As a Medicare Advantage Field Sales Representative, you can positively impact the health and wellbeing of neighbors, friends, and family who are age 65+ or who are disabled. This role requires you to generate new business (new customers) through direct outreach to Medicare eligible beneficiaries. Candidates assist prospective members by providing accurate information and education, and by enrolling members into regionally offered Medicare Advantage plans. Responsibilities • Responsible for conducting all phases of selling including identifying, qualifying and meeting with prospective clients located in the assigned territory., • Responsible for generating leads; developing and maintaining positive relationships with referral sources, including, but not limited to fraternal organizations, senior housing developments, politicians, social service agencies, financial planners, retiree groups, church groups, food shelves and physicians., • Deliver sales presentations to prospects one-on-one or in group settings according to regulated marketing guidelines., • Responsible for qualifying prospects onsite per CMS regulations., • Responsible for completing and submitting enrollment forms for closed sales., • Responsible for tracking sales calls and results through electronic CRM system., • Must communicate information accurately and timely to prospective customers – with patience, empathy and compassion., • Required to attend all planned sales meetings and department meetings. Requirements • Must be located in the counties of Albany, Columbia, Dutchess, Greene, Orange, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Sullivan, Ulster, Westchester in New York and be willing to travel throughout the service area., • Must possess compassion, empathy, and patience, as prospects include people over age 65 and people with disabilities., • Bachelor's degree in Business or Marketing preferred, or equivalent experience, • 2+ years of marketing, sales or community relations experience., • Previous managed care experience, preferably in Medicare, is preferred., • Experience working with underserved populations., • Insurance Licensure:, • NY Health Insurance License a plus., • If not licensed, candidates must obtain producer’s insurance license within 60 days of employment., • Must maintain a valid driver's license and own a vehicle (mileage reimbursement provided)., • Excellent presentation, written and oral communication skills including public speaking., • Respect for regulatory compliance., • Demonstrated time management and project planning skills., • Must be independent, confident and sensitive to the needs of Medicare eligible populations., • A high level of personal integrity and the ability to represent the company in a professional and courteous manner at all times, both internally and externally, is a must., • Familiarity with Outlook, Word for Windows, and basic data entry/typing skills., • Experience using a customer relationship management system., • Knowledge of PowerPoint and Excel (or comparable program) helpful. Benefits & Perks • Employer 401k match up to 4% (Immediate vesting), • Medical, dental and vision benefits employer contribution, • HSA and FSA Plans (Dependent Care and Commuter), • Fully covered memberships for EAP coverage, • Meaningful paid parental leave for all caregivers, • Employer paid short-term and long-term disability plans, • Life and AD&D insurance access, • Fully remote work environment, • Generous PTO, including vacation days, sick leave and company holidays, • Bi-annual company summits Salary Range • Pay Range $55,000 - $92,481 per year Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply. Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.)

About us: Foodsmart is the leading Foodcare platform in the U.S., built to deliver nutrition-driven healthcare at scale. Powered by a national network of Registered Dietitians, Foodsmart combines personalized clinical nutrition care, behavior change tools, and food benefits to improve member health outcomes while lowering healthcare costs. Our platform is designed to foster healthier food choices, drive lasting behavior change, and deliver sustainable health outcomes. Through our highly personalized, digital platform, we guide more than 3 million members—including those in employer-sponsored health plans, regional and national Medicaid managed care organizations, Medicare Advantage plans, and commercial insurers—on a tailored journey to eating well while saving time and money. Foodsmart seamlessly integrates dietary assessments and nutrition counseling with online food ordering and cost-effective meal planning for the entire family, optimizing ingredients both at home and on the go. We partner with national and regional retailers across the U.S., many of whom accept SNAP/EBT, making healthier food more accessible. Additionally, we assist members with SNAP enrollment and management, providing tangible access to nutritious food. In 2024, Foodsmart secured a $200 million investment from TPG’s Rise Fund, which supports entrepreneurs dedicated to achieving the United Nations’ Sustainable Development Goals. This investment helps us expand our reach, particularly to low-income workers who are disproportionately affected by diet-related diseases. At Foodsmart, our mission is to make nutritious food accessible and affordable for everyone, regardless of economic status. We are committed to a set of core values that shape our culture and work environment: 👥 Customer First - You start with the member and work backwards. 🚀 Make It Happen - You act with urgency, use data, and hold high standards. 🤝 One Team - You collaborate with respect and commit as a group. Whether you're a dietitian, a commercial leader, or a technologist, working at Foodsmart means being part of a team that is passionate, supportive, and driven by a shared purpose. Join us in transforming the way people access and enjoy healthy food. About the role: Referral volume is one of Foodsmart's most critical growth levers. Today, the company acquires members through three primary referral channels — healthcare system and clinical referrals (FQHCs, CHCs, pharma, hospital systems), food and retail ecosystem partners (food banks, SDOH organizations, enterprise retailers, food vendor marketplace participants), and community-based outreach (on-the-ground enrollment and awareness in high-density markets). These channels are currently managed across separate functions, creating alignment gaps and missed amplification opportunities. The VP of Partnerships will be the first leader to unify Foodsmart's three member referral-generating functions: institutional healthcare partnerships, food and retail ecosystem relationships, and community-based outreach under a single strategic architecture. As a foundational leader, the VP will guide and mentor the existing leads while strategically scaling the team's capabilities to support our expanding partnership ecosystem. Referral Growth Strategy Design and own the multi-year referral growth roadmap across all partnership verticals. Establish a shared volume framework that connects FQHC referrals, food ecosystem partnerships, and community enrollment into a unified measurement system. Identify which channels represent the highest-leverage bets by market and by population, and allocate resources accordingly. Institutional Partnership Development Personally lead the identification and structuring of new partnerships with Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), pharma organizations, hospital systems, FindHelp, UniteUs, and other SDOH-adjacent platforms. These are complex, multi-stakeholder negotiations requiring fluency in clinical workflows, procurement processes, and population health goals. Team Leadership & Development Serve as a visionary leader and mentor to a high-performing team. Foster a culture of high performance, accountability, and continuous professional development, while thoughtfully expanding team capacity to meet future growth demands. Food & Retail Ecosystem Provide executive oversight for Foodsmart's food vendor partnerships and marketplace strategy, including national retailer relationships (Walmart, Amazon, Instacart) as well as community-level food bank and SDOH organizations. Work with the Sr. Director of Food Partnerships to build a differentiated marketplace value proposition that deepens member engagement and drives referral volume. Community Engagement Oversight Oversee the Director of Community Engagement and a field team responsible for awareness campaigns and enrollment drives in high-density markets. This vertical requires both operational accountability and strategic direction — ensuring community-level activation is tied to measurable enrollment outcomes rather than solely awareness metrics. Distribution & Channel Partnerships Develop and manage relationships with distribution and channel partners — including supplemental benefit platforms (Soda Health, Nations Benefits), benefit management platforms (Lynx), and others — that create access to new member populations at scale. This requires an understanding of how benefit platforms price, structure, and distribute services. Operating Cadence & Pipeline Management Build the operational infrastructure for this team: a shared CRM-based pipeline, segment-level performance tracking, a partner health scorecard, and a forecasting methodology that can be trusted by leadership. The VP will bring rigor and accountability to this function. Cross-Functional Alignment Work closely with the CGO, Chief Clinical Officer, product, and payer/provider sales teams to ensure partnership structures are consistent with clinical quality standards, network requirements, and member experience expectations. Referral volume only creates value if it converts to engaged, retained members. In Year 1, the VP of Partnerships will: • Develop and present a partnership strategy that prioritizes channels by market, population type, and conversion potential with near-term and long-term growth targets, • Provide mentorship to the current team and map out a thoughtful capacity-building plan to support long-term partnership growth, • Stand up a shared pipeline management system and partner performance framework, • Directly secure or re-structure at least 2–3 high-value institutional referral partnerships, • Assess and sharpen the food vendor marketplace strategy, • Establish operating norms and team accountability frameworks, and a strong management culture focused on coaching and enablement A Partnership Architect — not a manager of existing relationships, but a builder of new ones. You identify structural opportunities and create the frameworks that make them repeatable. Mission-Aligned — genuinely motivated by the intersection of food access, health equity, and healthcare delivery. You can speak to SDOH fluently because you care about it. Strategically rigorous with executional discipline — you can move between market-level strategy and pipeline spreadsheet accountability in the same meeting. Highly politically fluent — able to navigate the complexity of FQHC leadership teams, retail procurement organizations, pharma corporate affairs teams, and community health stakeholders with equal ease. Leader, strong builder and developer of talent — you elevate the people around you and create clarity, not dependency. Comfortable with ambiguity at scale — you can design structure where none exists and iterate quickly without losing direction. 12+ years of experience in strategic partnerships, business development, or growth leadership — with at least half of that in healthcare, digital health, or health-adjacent verticals 5+ years of management experience with a proven track record of guiding, mentoring, and effectively scaling capabilities within growing, high-performing teams Deep familiarity with the SDOH ecosystem: FQHCs, CHCs, food banks, community health workers, and the platforms that connect them (FindHelp, UniteUs, etc.) Experience navigating both institutional healthcare (payers, health systems, Medicaid/Medicare) and non-traditional partners (retailers, food companies, community organizations) A demonstrated track record of building partnership ecosystems — not just managing inherited ones — with measurable referral, enrollment, or revenue outcomes Operational capability: you have built pipeline management systems, run performance reviews, and held teams accountable to volume metrics Management consulting background is a meaningful differentiator for this role given the complexity of the organizational design and market segmentation work required Bachelor's degree required; Master's, MBA, or MPH strongly preferred $230,000 - $250,000 a year Role: VP, Partnerships Location: Remote, USA Base Salary Range: $230,000 - $250,000 + bonus + benefits Our salary ranges are determined by role, level, and location. Individual pay is determined by work location, job-related skills, experience, and relevant education or training. About our benefits and perks: ✅ Remote-First Company ✅ Unlimited PTO ✅ Flexible & remote location ✅ Healthcare Coverage (Medical, Dental, Vision) ✅ 401k & bonus ✅ Registered Dietitian Sessions Foodsmart is an Equal Opportunity Employer. It is our firm policy to extend equal employment and advancement opportunity to all applicants and employees without regard to race, color, national origin, citizenship status, religious creed, age, sex (including pregnancy, childbirth, breastfeeding, medical conditions related to pregnancy, childbirth and/or breastfeeding), gender, gender identity and expression, sexual orientation, marital status, disability (physical or mental) and/or a medical condition, genetic information, ancestry, veteran status or service in the uniformed services, and any other characteristic protected by applicable federal, state or local law. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Your Opportunity The Quality Performance Specialist is responsible for supporting quality performance improvement across a network of practices participating in value-based care contracts, including MSSP, ACO REACH, Medicare Advantage, Commercial, and Medicaid programs. This role serves as a key partner to practices, providing education, performance insights, and strategic guidance to improve quality outcomes, documentation accuracy, and care delivery workflows. The Specialist works closely with internal teams and external stakeholders to ensure alignment between payer requirements, practice operations, and patient outreach efforts. What you will do Practice Performance & Improvement Planning Identify high-impact opportunities for improvement and develop actionable, practice-specific performance plans Lead quarterly quality performance reviews for assigned practices, with monthly engagements for prioritized or underperforming practices Implement targeted interventions for practices with gaps in quality performance or operational barriers Coordinate closely with Practice Transformation and other practice-facing teams to ensure aligned communication and strategy Education & Workflow Optimization Provide ongoing education to providers and practice staff on quality measures, value-based care requirements, and performance expectations Support CPT II coding education and adoption, particularly for private payer contracts Assist in the development and dissemination of educational materials, tip sheets, and training resources Guide practices in optimizing workflows related to preventive care, chronic disease management, and patient engagement Coach practices on gap closure strategies and integration of quality measures into daily operations Data Integrity & Quality Reporting Troubleshoot discrepancies between EHR data, internal reports, and payer-reported performance Identify and escalate EHR data integrity or feed issues to analytics and IT teams Conduct focused chart reviews to validate documentation accuracy and identify opportunities for improvement Support the collection and validation of quality data needed to close care gaps across all lines of business Assist with quality reporting and submission processes to ensure completeness, accuracy, and optimal performance Payer Alignment & Cross-functional Collaboration Work across all lines of business to ensure consistent understanding and execution of quality strategies Participate in payer-hosted quality meetings and incorporate updates into practice education and internal workflows Collaborate with internal teams to align patient outreach strategies with practice needs and priorities What Will Make You Successful Here Minimum of 3 years of experience in healthcare quality, population health, value-based care, or ambulatory practice operations Experience working with quality programs such as MSSP, ACO REACH, Medicare Advantage (HEDIS/Stars), or Commercial/Medicaid quality initiatives Experience supporting or engaging directly with primary care practices or provider groups Familiarity with EHR systems, clinical documentation workflows, and quality reporting processes Strong understanding of quality measures, gap closure strategies, and value-based care principles Ability to interpret data and translate insights into actionable recommendations for practices Excellent communication and presentation skills, with the ability to educate providers and clinical staff effectively Strong problem-solving skills with the ability to troubleshoot data and workflow issues Ability to manage multiple priorities and work independently in a remote environment Collaborative mindset with strong cross-functional partnership skills Preferred Qualifications Experience with CPT II coding and documentation optimization strategies Knowledge of eCQMs, digital quality measures, and electronic reporting requirements Experience conducting chart reviews or supporting quality audits Background in primary care clinical operations or care delivery workflows Advanced proficiency in Excel or experience with healthcare analytics and reporting tools Certification in healthcare quality (e.g., CPHQ) or a related field Perks/Benefits Competitive base compensation Annual bonus potential Health benefits effective on start date Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary 5 sick days and unlimited (or generous) paid "Vytal Time" after your first 90 days Company paid STD/LTD Technology setup Ability to help build a market leader in value-based healthcare at a rapidly growing organization Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we every interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @_

Job Title: Remote Medical Sales Representative Location: Remote (US-based) Job Type: 1099 Contract Position (Commission-based, no base salary) Job Summary Our client is seeking a motivated and experienced sales professional to join their team in promoting Remote Therapeutic Monitoring, Remote Patient Monitoring, and Remote Chronic Care Management solutions to healthcare providers. Key Responsibilities: • Share their remote care solutions with independent practices and pharmacies, • Collaborate with healthcare providers to improve patient care and outcomes, • Work with Medicare Plan B beneficiaries and advantage plans, • Set up in-person meetings and make sales calls, • Build and manage your own sales team (opportunity for growth) Requirements: • 2+ years of medical or pharmaceutical sales experience, • Excellent communication and sales skills, • Ability to work independently and remotely, • Four-year college degree (exceptional experience may be considered), • Passion for medical sales and helping people What We Offer: • Uncapped commissions with potential earnings of $300k to $2.1M, • Highest commission rates in the industry, • Opportunity to build your own sales team, • Salesforce support and 10 rolling leads to help you succeed, • Flexible work arrangement (full-time, part-time, or supplemental to current role)

Licensed Clinical Social Worker (LCSW) Wage: Between $95-$122 an hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ? You're a fully-licensed Clinical Social Worker at a Master's level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ? You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. Built-in compliance Stay compliant from day one with audit support and ongoing resources. Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. Built-in EHR features Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. Free continuing education Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.

Licensed Mental Health Counselor (LMHC) Wage: Up to $122 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It's all on one free-to-use platform, no commitment required. About you ? You're a fully-licensed Mental Health Counselor at a Master's level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ? You're ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who'd otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we've helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. Built-in compliance Stay compliant from day one with audit support and ongoing resources. Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. Built-in EHR features Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. Free continuing education Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can't support mental health professionals that aren't fully licensed. If your application was rejected for incomplete licensure, you're welcome to reapply once you have a valid license.

SafeRide serves the largest Medicare Advantage, Medicaid, and provider programs in the country. About the Role SafeRide Health is seeking a Data Engineer to design, build, and optimize scalable data systems that power critical business insights and operational workflows. You’ll work cross-function

As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members.

As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members.

A leading healthcare organization in the United States is seeking a Senior Quality Analyst to drive quality improvement initiatives within the Medicare Advantage STAR Program. The position offers a salary range of $71,700 to $103,732 per year, with a mostly remote work mode.

Customer Service Supervisor, Medicare Advantage - Aspire Remote Full-time $75k – $82k Overview The Customer Service Supervisor will be responsible for supervising and overseeing the customer service department, including monitoring and auditing the work performed by customer service.

As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members.

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. A Brief OverviewThe Senior Risk Adjustment Coder will perform code audits and

Conduct in‑home and telehealth visits for Medicare Advantage members, leveraging Clover Assistant and EMR to deliver high‑quality preventive care. Professional liability coverage, Clover‑branded scrubs, PPE, mileage reimbursement at IRS rate, license and certification renewal reimbursement, an

As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in‑home health assessments for Medicare Advantage and other plan members.

ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America's leading primary care provider, transforming care of the neediest population. The PCP leads their care

As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members.

Clover Health is seeking a motivated and relationship-driven Dental Network Growth Associate to support the growth and management of Clover's dental provider network for our Medicare Advantage business. About Clover: We are reinventing health insurance by combining the power of data with human empat

Job DescriptionIf you have a passion for helping others and enjoy interacting with the general public, FYZICAL, the leading physical therapy company in the country, has a Customer Service Representative opening in West Caldwell, NJ, that is a perfect fit for you! As the first and last person our amazing clients see when they enter and leave our cutting-edge facility, your role as Customer Service Representative is central to our daily operations. Here, you will join a champion team that works together to help grateful patients get back to the lives they love. We are committed to changing the PT industry by creating non-traditional, individualized treatment plans and want you along on that important journey. As part of the FYZICAL family, you can take advantage of advancement opportunities, state-of-the-art technology and grow your career under a practice leader who is fully invested in you. This excellent opportunity will not last long! Apply for FYZICAL's Customer Service Representative job opening today! Are you looking to join an innovative company where you can establish yourself and advance your career as part of a top-rated team? If so, you should consider our Customer Service Representative position in West Caldwell, NJ! We are an innovative physical therapy facility that bypasses traditional approaches to care. We work together, using the most modern technology and cutting-edge tools to provide our patients with the individualized care they need and deserve. As our Customer Service Representative, you will enjoy the easy flow of a supportive team that succeeds together. You also will have the chance to access our unparalleled continuing education opportunities, opening the door to further career growth. Start down your exciting career path today by applying for our Customer Service Representative job opening!Responsibilities • Handle patient scheduling, appointments, multi-phone line, • Gather new patient data; keep track of all patient referrals, • Disseminate information to patients; act as a go-between for patients and physicians, • Send and keep a log of all reports sent to doctors, • Collect all payments; insurance verification, • Collect/open mail; distribute mail to proper areas/people, • Send benefits paperwork to billing companies, • Handle all scheduling and ensuing communication, • Answer phones, act as a patient liaison, answer any questions from potential or current patients, • Schedule patients; coordinate evaluations, re-evaluations, appointment reminders and cancellations, • Collect new patient intake information; track all clinic referrals, • Fax reports to physicians; keep a log of incoming reports, • Verify Insurance and track insurance-covered visits; take copayments, • Check mail; keep track of Explanation of Benefits sent from mail and fax to billing company, • Communicate with the office manager and clinicians about scheduling/patient arrival, • Monitor marketing campaigns and schedule appointments from leads generated, • Work on credentialing new clinical staff with Medicare and various insurance providers, • Develop and update content on social media outlets, • Update marketing content and provide regular feedback to marketing campaign providers, • Other administrative tasks as neededRequired Skills, • High school diploma, GED certificate or equivalent, • Valid driver's license and reliable transportation, • Great communicator and multitasker, detail-oriented, • Positive attitude, good work ethic, integrity and empathetic toward people that are in pain, • Up-to-date DL and a dependable vehicle, • Experience with social media marketing, • EMR authorization and verification experience, • Medical reimbursements/billing, • Managing patient appointments and billing, • Managing marketing campaigns, • Processing medical credentialing

As a HouseCalls Advanced Practice Clinician (Nurse Practitioner or Physician Assistant), you will conduct annual in-home health assessments for Medicare Advantage and other plan members.

Job Title and Summary Medicare Compliance Project Manager – Temporary position (6 months).Focuses on leading compliance initiatives across Medicare Advantage, Prescription Drug Part D, and FIDE‑SNP regulatory requirements.Coordinates cross‑functional projects and ensures regulatory changes are

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Opportunity for advancement, • Training & development Benefits/Perks • Competitive Compensation, • Great Work Environment, • Career Advancement OpportunitiesOverview Are you a skilled salesperson looking for a high-earning opportunity in the booming Medicare market? American Central Marketing Group is expanding our Medicare call center team! We're seeking driven, coachable sales reps to become licensed Medicare agents and help seniors choose the right health plans. Whether you're already licensed or looking to get licensed, we provide everything you need to succeed. What We Offer: • Hourly pay plus Top-tier commissions:, • Warm inbound & outbound leads no cold calling, • Training + Licensing Support (if unlicensed), • CRM & Dialer system, • Career growth into team leads and managersResponsibilities:, • Make outbound and take inbound calls to Medicare-eligible individuals, • Educate clients on Medicare Advantage, Med Supp, and Part D options, • Use our CRM to manage leads and track client interactions, • Maintain CMS compliance and complete scopes of appointment, • Enroll clients into plans that meet their healthcare needsQualifications:, • Sales experience (phone sales preferred), • Health insurance license (preferred, not required), • Willing to complete licensing and AHIP certification, • Strong communicator with the ability to build rapport fast, • Motivated, coachable, and goal-orientedSchedule:, • Monday to Friday: 9:00 AM 6:00 PM EST, • Saturdays optional during AEP (Annual Enrollment Period)Location:, • In-office in Secaucus, NJReady to Join One of the Fastest Growing Medicare Teams in the Country? Apply today and start your journey toward a 6-figure career in Medicare sales. Join us as we strive to provide top-notch service while growing our business. If you are passionate about helping others and have the skills we are looking for, we encourage you to apply! Job Type: Full-time Pay: $18.00 - $20.00 per hour plus commission Expected hours: 40 per week Monday thru Friday 9 am to 5 pm est Benefits: • Paid time offSupplemental Pay:, • Bonus opportunities, • Commission payAbility to Commute:, • Secaucus, NJ 07094 (Required)Ability to Relocate:, • Secaucus, NJ 07094: Relocate before starting work (Required)Work Location: In person

Licensed Health Insurance Agent conducts both Inbound and Outbound calls, focused on selling Medicare Advantage, PDPs, and Supplemental plans from multiple carriers.