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Headquarters: Remote

About Carrot:

Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member’s life. More than a thousand multinational employers, health plans, and health systems trust Carrot to support millions of members across 195 countries – from pre-pregnancy through menopause and major life moments in between. Carrot's comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide.

Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several top-tier awards, including Fast Company's 'Most Innovative Companies' and CNBC's '100 Barrier Breaking Startups'. The company is regularly cited by leading global outlets — including The Economist, Bloomberg, The Wall Street Journal, NPR, ABC News, and Harvard Business Review — as a leading voice on digital health, the future of work, and family health. Learn more at get-carrot.com.

The Opportunity

Carrot is looking for a Fertility Medical Expert (RN, NP, or PA) to join our Medical Experts team on a contract basis for approximately a 3-month engagement, working a minimum 15 hours per week in a fully remote role. In this role, you will serve as a clinical resource for members navigating fertility and family-building, providing evidence-informed information and guidance that helps people understand their options and make confident, informed choices.

Day to day, you will meet with members by video to talk through their fertility questions and goals, offering clear, practical information without diagnosing, prescribing, or directing care..

This is a chance to put your fertility experience to work in a fast-growing digital health environment, with the flexibility of a contract schedule. You will work alongside a diverse team of medical experts across fertility, pregnancy, urology, mental health, and nutrition who share a passion for continuous learning and an evidence-based approach.

 

What You’ll Own

In this role, you will:

• Provide members with evidence-informed information and guidance on fertility topics, such as fertility evaluation and testing, treatment options, and family-building pathways
• Conduct one-on-one virtual sessions (video) that educate and present options without diagnosing, prescribing, or directing care
• Stay current on reproductive and fertility regulatory trends and clinical practice guidelines in the US
• Participate in quality assurance initiatives and audits to help ensure a safe, compliant member experience that meets the highest standards
• Collaborate with the broader Medical Experts team and cross-functional partners to deliver a consistent, high-quality member experience
• Maintain a reliable, flexible schedule within ~15 hours per week range to meet member demand throughout the engagement

 

What Success Looks Like

In your first 30 Days, you will have:

• Delivered consistently high-quality, well-rated fertility sessions that help members feel informed and supported
• Stayed within Carrot’s non-diagnostic, non-directive scope of practice and met documentation and quality standards across member interactions
• Met your agreed weekly hours and availability, communicating proactively about scheduling and capacity
• Ramped up quickly and worked independently with minimal oversight in a confidential, remote environment
• Built trusted working relationships with the Medical Experts team and cross-functional partners

 

About You

You likely have:

• An active US license as a Registered Nurse (RN), Nurse Practitioner (NP), or Physician Assistant (PA)
• 3+ years of experience providing patient care in a fertility clinic or a hospital clinic that addresses reproductive health
• Superb listening skills and the ability to empathetically discuss fertility and family-building topics
• The ability to work independently and to distinguish good clinical judgment from non-directive guidance
• The ability to work from a confidential and private remote environment with reliable internet and digital resources
• Flexibility to adapt to evolving business needs and availability for 15 per week for a 3-month engagement

 

Nice to Have ⭐

While not required, we would be especially excited if you bring:

• Experience in third-party reproduction (e.g., gestational surrogacy, donor gametes), urology, pregnancy, or menopause
• Experience in digital health or telehealth settings, including virtual member or patient education
• Prior contract or consulting experience with a quick ramp-up
• Fluency in an additional language

 

Why This Role Matters

Fertility journeys are deeply personal, and members often arrive with more questions than answers. As a Fertility Medical Expert, you will be the knowledgeable, compassionate clinical voice who helps them understand their options and feel prepared for the conversations they have with their own care teams.

Your expertise helps make Carrot’s clinical program one that members trust and rely on, and it strengthens the confidence of the employers and health plans who count on Carrot to deliver high-quality, whole-person care. Even in a focused 3-month engagement, your work will make a direct, visible difference for the people we serve.

 

Interview Process

We believe in a thoughtful and transparent interview process designed to create alignment for both candidates and our team.

For this role, candidates can expect:

• Recruiter Screen — 30 minutes
• Hiring Manager Interview — 30–45 minutes
• Mock Chat- 45 Minutes 

Throughout the process, we will share additional context about the team, business priorities, customer landscape, and what success looks like in this role.

 

Why Candidates Join Carrot

Carrot offers the opportunity to do meaningful work in service of a deeply human mission.

Highlights include:

• A mission-driven company focused on expanding access to fertility and family-forming care globally.
• A high-growth environment where leaders are empowered to shape strategy and drive impact.
• Competitive compensation, equity, and comprehensive benefits.
• Flexible Time Off and a culture that actively encourages employees to recharge.
• Comprehensive parental leave and family-forming benefits.
• A collaborative, inclusive, and values-driven culture.
• The opportunity to work alongside passionate, thoughtful teammates committed to improving healthcare outcomes worldwide.

 

Compensation

 The starting base hourly for this position will range from $70-$90/hr. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.

 

Fraud and Security Notice: Please note that all communication regarding job opportunities at Carrot will come exclusively from an @get-carrot.com email address. If you receive messages from any other domain, please disregard them and report the incident to: securityreporting@get-carrot.com

 

A Note on AI

At Carrot, we believe AI can help us work smarter, move faster, and create more meaningful experiences for our members, customers, and each other. While not every role requires deep technical AI expertise, we value people who are curious, eager to learn, and excited to thoughtfully incorporate AI into their day-to-day work.

For some roles, AI fluency is a core requirement—and we'll call that out clearly in the qualifications. For everyone else, we're looking for people who embrace new ways of working, use AI responsibly to improve quality and efficiency, and continue to learn as the technology evolves.

Why Carrot?

Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare’s Innovators. Carrot’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com. 

 

To apply: https://weworkremotely.com/remote-jobs/carrot-medical-expert-fertility-contractor

Licensed Mental Health Professional (LCSW/LMFT/LPC) $60K-$85K/yr Position Requirement: Remote Full-Time and Part-time Positions Available FLSA Status: ExemptLocation: Canton, OHSalary: 60K - 85K+Work from Home!

Licensed Mental Health Professional (LPC/LCSW/LMFT/LMHC) 60K-75K/yr Position Requirement: Remote Full-Time and Part-time Positions Available FLSA Status: ExemptLocation: Kalispell, MTSalary: 60K - 75K+Work from Home!

Headquarters: Remote

Cadence is the clinical AI company automating the treatment of chronic disease. Its Clinical Intelligence takes on the routine, high-volume work of chronic care – monitoring patients, surfacing risks, and coordinating action – so clinicians can focus on the decisions that require them. Grounded in partnerships with more than 20 leading health systems, deep EMR integrations, dedicated medical group, and experience serving a population of more than 100,000 patients, the system learns from real-world care delivery, improving as it scales. Cadence has been recognized by TIME as one of the Top 100 HealthTech Companies and by LinkedIn as a Top Startup (#4, 2025).

The Role

We’re hiring a Bilingual/Spanish Speaking Clinical Navigator (Health Coach) to deliver virtual chronic care support for Medicare patients enrolled in Cadence care programs.

Clinical Navigators deliver proactive, patient-centered outreach and follow-through. Depending on program needs, this role includes structured patient check-ins, coaching and goal-setting, care coordination to close gaps in care, and addressing barriers such as access to resources, transportation, or medication refills. Clinical Navigators document patient interactions in the Cadence platform and collaborate closely with the clinical team to escalate concerns and coordinate next steps, ensuring patients feel supported, informed, and engaged throughout their care journey.

Schedule

This is a full-time, remote position based in the United States. Standard working hours are Monday through Friday, with the following schedule options:

• Mountain, Arizona, or Pacific Time: 8am to 5pm or 9am to 6pm
• Central Time: 9am to 6pm CT only

What You’ll Do

• Conduct outbound telephonic patient outreach and provide one-on-one coaching and support to patients managing chronic conditions, including but not limited to type 2 diabetes, hypertension, and cardiovascular disease.
• Help patients execute personalized care plans and achieve their goals by providing education and coaching focused on behavior modification, nutrition, physical activity, and self-management strategies using evidence-based techniques such as motivational interviewing and SMART goals.
• Conduct comprehensive assessments of patients' health status, lifestyle behaviors, nutritional habits, and readiness to change.
• Educate patients on disease management, medication adherence, symptom recognition, and prevention strategies, and execute care delivery tasks in accordance with Cadence clinical policies and established protocols, under appropriate clinical supervision.
• Monitor patients' progress, adherence to treatment plans, and health outcomes through regular check-ins and remote monitoring tools.
• Document patient interactions, outcomes, and follow-up plans in the Cadence platform; identify barriers to care (including social needs) and connect patients with resources or internal support pathways.
• Collaborate in real time with clinicians and patient support teams using tools such as our Cadence Platform, Google Workspace, and Slack, and contribute feedback to improve workflows in a fast-moving, change-oriented environment.

These responsibilities are intended to describe the general nature and level of work being performed by personnel assigned to this job classification. They are not to be construed as an exhaustive list of job duties performed by personnel in this classification. Other job related duties may be assigned by management.

Who You Are

• A clinician who thrives at the intersection of rigorous care standards and a care delivery model that is still being built.
• Skilled in patient education, coaching, and care coordination - you meet patients where they are in life, considering their age, lifestyle, and diet.
• Disciplined in documentation and follow-through, with the attention to detail required for accurate clinical records in a remote environment.
• Reliable and consistent in schedule adherence, with the interpersonal communication skills to build trust with patients over the phone.
• Comfortable working independently in a remote, fast-paced environment with evolving workflows, and tech-savvy enough to navigate and troubleshoot multiple systems simultaneously while keeping patients engaged.
• Comfortable using AI-assisted clinical tools (such as Gemini or Open Evidence) to support patient interactions and surface relevant clinical context, while maintaining clinical judgment as the primary guide for every patient decision.
• Biased toward action - you bring clinical authority to every interaction, make the call when it counts, and take ownership of outcomes.

What You Need

• An active NBHWC health coaching certification is required.
• At least 1 year of experience as a health coach is required.
• Experience providing patient education and support to individuals managing chronic conditions is required.
• Remote work readiness (including stable high-speed WiFi) is required.
• Fluency in Spanish is required.
• Fluency with AI-assisted clinical tools (such as Gemini, Open Evidence, or comparable platforms) and the ability to speak credibly with providers and patients about where AI supports care delivery and where human judgment remains non-negotiable.

Compensation

The anticipated salary range for this role is $22 - $26 per hour, which is based on role scope, level, and location. In addition to base compensation, this role may be eligible for incentive compensation as part of the overall total rewards package. This position is remote and based in the United States. Actual compensation will be determined based on factors including experience, skills, internal equity, and applicable law.

Benefits & Perks

• Competitive pay & equity*
• Fully remote
• Comprehensive health coverage: Medical, dental & vision
• Paid time off
• 401k plan + matching
• Paid parental leave
• Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

If you require a reasonable accommodation during the hiring process, please contact people@cadencerpm.com

Candidate Privacy Notice & SMS Terms

When you apply for a position with Cadence, we may collect and process personal information related to your application and candidacy, including your name, contact information, resume/CV, work history, education, qualifications, interview notes, job preferences, compensation expectations, availability, and any other information you choose to provide during the application process.

We use this information to evaluate your qualifications, communicate with you about your application, schedule interviews, provide updates on your candidacy, maintain recruiting records, and consider you for current or future opportunities.

We may share candidate information with internal hiring teams and trusted service providers that support our recruiting process, including our Applicant Tracking System, Greenhouse, and our text messaging platform, Grayscale by Paylocity, as applicable. These service providers process information on our behalf and in accordance with our instructions.

We retain candidate information for as long as necessary to support our recruiting process, comply with legal obligations, resolve disputes, and maintain appropriate business records.

SMS/Text Messaging Communications

If you provide your mobile phone number and consent to receive text messages, Cadence may contact you by SMS for recruiting-related purposes. These messages may include application status updates, interview scheduling and confirmations, reminders, follow-ups, and offer-related communications.

We do not use recruiting SMS messages for marketing purposes. We do not sell, rent, or share your mobile phone number, SMS opt-in data, or SMS consent with third parties or affiliates for marketing or promotional purposes. Text messaging originator opt-in data and consent will not be shared with any third parties, except with service providers that help us deliver recruiting-related SMS communications.

By opting in to receive SMS messages from Cadence, you agree to receive recruiting-related text messages. Message frequency may vary. Message and data rates may applyYou may opt out of SMS messages at any time by replying STOP, STOPALL, OPTOUT, CANCEL, END, QUIT, UNSUBSCRIBE, or REVOKE. After you opt out, we may send one final message confirming that you have been unsubscribed. No further recruiting SMS messages will be sent unless you opt in again.

To opt back in, reply START, UNSTOP, or YES. For help, reply HELP or contact us at TAHealth@cadencerpm.com.

Carriers are not liable for delayed or undelivered messages. For questions about this notice or how we handle candidate information, please contact us at TAHealth@cadencerpm.com.

To apply: https://weworkremotely.com/remote-jobs/cadence-health-bilingual-spanish-speaking-health-coach

Headquarters: Remote

Cadence is the clinical AI company automating the treatment of chronic disease. Its Clinical Intelligence takes on the routine, high-volume work of chronic care – monitoring patients, surfacing risks, and coordinating action – so clinicians can focus on the decisions that require them. Grounded in partnerships with more than 20 leading health systems, deep EMR integrations, dedicated medical group, and experience serving a population of more than 100,000 patients, the system learns from real-world care delivery, improving as it scales. Cadence has been recognized by TIME as one of the Top 100 HealthTech Companies and by LinkedIn as a Top Startup (#4, 2025).

The Role

We’re hiring a Bilingual/Spanish Speaking Clinical Navigator (Licensed Practical Nurse) to deliver virtual chronic care support for Medicare patients enrolled in Cadence care programs.

Clinical Navigators deliver proactive, patient-centered outreach and follow-through. Depending on program needs, this role includes structured patient check-ins, coaching and goal-setting, care coordination to close gaps in care, and addressing barriers such as access to resources, transportation, or medication refills. Clinical Navigators document patient interactions in the Cadence platform and collaborate closely with the clinical team to escalate concerns and coordinate next steps, ensuring patients feel supported, informed, and engaged throughout their care journey.

Schedule

This is a full-time, remote position based in the United States. Standard working hours are Monday through Friday, with the following schedule options currently available:

• Central Time: 9am to 6pm CT only
• Mountain, Arizona, or Pacific Time: 8am to 5pm or 9am to 6pm

What You’ll Do

• Conduct outbound telephonic patient outreach and provide one-on-one coaching and support to patients managing chronic conditions, including but not limited to type 2 diabetes, hypertension, and cardiovascular disease.
• Help patients execute personalized care plans and achieve their goals by providing education and coaching focused on behavior modification, nutrition, physical activity, and self-management strategies using evidence-based techniques such as motivational interviewing and SMART goals.
• Conduct comprehensive assessments of patients' health status, lifestyle behaviors, nutritional habits, and readiness to change.
• Educate patients on disease management, medication adherence, symptom recognition, and prevention strategies, and execute care delivery tasks in accordance with Cadence clinical policies and established protocols, under appropriate clinical supervision.
• Monitor patients' progress, adherence to treatment plans, and health outcomes through regular check-ins and remote monitoring tools.
• Document patient interactions, outcomes, and follow-up plans in the Cadence platform; identify barriers to care (including social needs) and connect patients with resources or internal support pathways.
• Collaborate in real time with clinicians and patient support teams using tools such as our Cadence Platform, Google Workspace, and Slack, and contribute feedback to improve workflows in a fast-moving, change-oriented environment.

These responsibilities are intended to describe the general nature and level of work being performed by personnel assigned to this job classification. They are not to be construed as an exhaustive list of job duties performed by personnel in this classification. Other job related duties may be assigned by management.

Who You Are

• A clinician who thrives at the intersection of rigorous care standards and a care delivery model that is still being built.
• Skilled in patient education, coaching, and care coordination - you meet patients where they are in life, considering their age, lifestyle, and diet.
• Disciplined in documentation and follow-through, with the attention to detail required for accurate clinical records in a remote environment.
• Reliable and consistent in schedule adherence, with the interpersonal communication skills to build trust with patients over the phone.
• Comfortable working independently in a remote, fast-paced environment with evolving workflows, and tech-savvy enough to navigate and troubleshoot multiple systems simultaneously while keeping patients engaged.
• Comfortable using AI-assisted clinical tools (such as Gemini or Open Evidence) to support patient interactions and surface relevant clinical context, while maintaining clinical judgment as the primary guide for every patient decision.
• Biased toward action - you bring clinical authority to every interaction, make the call when it counts, and take ownership of outcomes.

What You Need

• An active compact multi-state LPN/LVN license in the state where you currently reside is required.
• At least 5 years of clinical experience as a Licensed Practical Nurse is required.
• Remote work readiness (including stable high-speed WiFi) is required.
• An active CA state LVN license is highly preferred.
• Fluency in Spanish is required.
• Experience providing patient education and support to individuals managing chronic conditions is preferred.
• Fluency with AI-assisted clinical tools (such as Gemini, Open Evidence, or comparable platforms) and the ability to speak credibly with providers and patients about where AI supports care delivery and where human judgment remains non-negotiable.

Compensation

The anticipated salary range for this role is $26 - $30 per hour, which is based on role scope, level, and location. In addition to base compensation, this role may be eligible for incentive compensation as part of the overall total rewards package. This position is remote and based in the United States. Actual compensation will be determined based on factors including experience, skills, internal equity, and applicable law.

Benefits & Perks

• Competitive pay & equity*
• Fully remote
• Comprehensive health coverage: Medical, dental & vision
• Paid time off
• 401k plan + matching
• Paid parental leave
• Home office stipend

*benefit offerings may vary depending on job profile, job level and worker type

Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws. 

A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team.  Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.

If you require a reasonable accommodation during the hiring process, please contact people@cadencerpm.com

Candidate Privacy Notice & SMS Terms

When you apply for a position with Cadence, we may collect and process personal information related to your application and candidacy, including your name, contact information, resume/CV, work history, education, qualifications, interview notes, job preferences, compensation expectations, availability, and any other information you choose to provide during the application process.

We use this information to evaluate your qualifications, communicate with you about your application, schedule interviews, provide updates on your candidacy, maintain recruiting records, and consider you for current or future opportunities.

We may share candidate information with internal hiring teams and trusted service providers that support our recruiting process, including our Applicant Tracking System, Greenhouse, and our text messaging platform, Grayscale by Paylocity, as applicable. These service providers process information on our behalf and in accordance with our instructions.

We retain candidate information for as long as necessary to support our recruiting process, comply with legal obligations, resolve disputes, and maintain appropriate business records.

SMS/Text Messaging Communications

If you provide your mobile phone number and consent to receive text messages, Cadence may contact you by SMS for recruiting-related purposes. These messages may include application status updates, interview scheduling and confirmations, reminders, follow-ups, and offer-related communications.

We do not use recruiting SMS messages for marketing purposes. We do not sell, rent, or share your mobile phone number, SMS opt-in data, or SMS consent with third parties or affiliates for marketing or promotional purposes. Text messaging originator opt-in data and consent will not be shared with any third parties, except with service providers that help us deliver recruiting-related SMS communications.

By opting in to receive SMS messages from Cadence, you agree to receive recruiting-related text messages. Message frequency may vary. Message and data rates may applyYou may opt out of SMS messages at any time by replying STOP, STOPALL, OPTOUT, CANCEL, END, QUIT, UNSUBSCRIBE, or REVOKE. After you opt out, we may send one final message confirming that you have been unsubscribed. No further recruiting SMS messages will be sent unless you opt in again.

To opt back in, reply START, UNSTOP, or YES. For help, reply HELP or contact us at TAHealth@cadencerpm.com.

Carriers are not liable for delayed or undelivered messages. For questions about this notice or how we handle candidate information, please contact us at TAHealth@cadencerpm.com.

To apply: https://weworkremotely.com/remote-jobs/cadence-health-bilingual-spanish-speaking-licensed-practical-nurse

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you’ll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?

Job Description

The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. Possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics. Has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology.

RESPONSIBILITIES:

\* Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II’s typically see average CMI’s of 2.2609. This index score demonstrates higher patient complexity and acuity.

\* Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.

\* Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.

\* Utilizes resources within CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.

\* Reviews Discharge Planning and nursing documentation to validate and correct when necessary, the Discharge Disposition which impacts reimbursement under Medicare’s Post-Acute Transfer Policy.

\* Utilizes knowledge of MS-DRG’s, APR-DRG’s, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement and NM’s ranking in US News and World Report.

\* Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.

\* Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.

\* Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.

\* Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, Coding Clinic for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.

\* Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.

\* Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.

\* Meets established coding productivity and quality standards.

Qualifications

Minimum Requirements:

Certification:

• RHIA, RHIT or CCS credential

• AHIMA membership

Experience:

• 3 years of inpatient coding experience in an acute healthcare setting

Preferred:

• Associate’s degree in related field
• RHIA, RHIT with CCS or CDIP/CCDS credential
• 4 years of inpatient coding experience in a teaching hospital

Additional Information

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.  Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.

Click on or copy and paste URL to your browser to view detailed benefits information https://jobs.nm.org/benefits

Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings.

If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception: New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.

OverviewJoin Our Team as a Remote School Occupational Therapist, OT(R) in California!

About Clarity Pediatrics Clarity Pediatrics is building a new model for pediatric chronic care — one that brings affordable, science-backed care to the 1 in 3 kids with chronic conditions.

About the RoleWe are seeking a Arizona-licensed Pediatrician to support the launch of our behavioral health and medical services in Arizona.

Suvoda is looking for a Quality Engineer to join our team and help ensure the quality, reliability, and performance of our solutions. In this role, you’ll collaborate with cross-functional teams to support quality assurance activities, identify opportunities for improvement, and contribute to delivering high-quality products that meet our standards and customer expectations.

Responsibilities:

• Manages and facilitates all stages of the Quality Event Management process, including but not limited to, conducting incident/issue investigations, assessing risk/impact, conducting trend analyses, and defining and tracking corrective and preventive actions and associated effectiveness checks.
• Conducts Quality Event Investigations by facilitating and completing root cause analyses: working internally with cross-functional teams to collect and analyze relevant data, utilizing and applying RCA tools (such as flowcharts, fish bone diagrams, 5-Why’s analysis, etc.) and ensuring that investigations are conducted in accordance with a GCP-regulated environment. Applies CAPA disciplines to develop effective corrective and preventive action plans.
• Performs quality event trend reviews and facilitates analyses, escalating observations whendeemed warranted by QMS process.
• Produces client-facing documents/communications, such as Quality Event Investigation Reports; adapting highly technical investigation details for a non-technical audience and communicating investigation progress updates to stakeholders when needed.
• Conducts risk assessments and facilitates impact analyses in response to Quality Event Investigations.
• Attends weekly Issue Management Team meetings. Prepares slides for the meetings, takes notes during meetings, and follows up on actions from the meeting, as required.
• Prepares and eEvaluates data pertaining to quality events in preparation of audits and in response to audit findings, workingand works cross functionally with teams to implement process improvements as needed.
• Develops and maintains key performance indicators (KPIs) and calculates performance based on data from available sources to support the continuous improvement of the quality management system.
• Works with teams to develop new processes in the form of SOPs, Work Instructions, Guidelines, Forms, Templates and knowledgebase articles. Likewise, performs reviews and revisions of current processes in the form of SOPs, Work Instructions, Guidelines, Forms, Templates and knowledgebase articles to ensure continuous improvement of the Quality Management System.
• Creates internal reports for stakeholders that provide insight and value regarding product and process performance and/or the status of Quality Event Investigation activities using a combination of Excel and PowerPoint.

Requirements:

• Bachelor’s degree in science-related field preferred
• High-achieving personality
• Desire to learn, grow, and develop
• Strong work ethic and sense of ownership
• Highly analytical with fine attention to detail
• Proactive attitude
• Strong time management and organization skills
• Ability to practice risk-based judgement
• Excellent oral and written communication skills and technical writing capabilities; Proficient in English.
• Knowledge of Process Improvement techniques preferred

Experience:

• 1-3 years of experience in a GxP compliance and/orquality-related role preferred

We are aware that an individual(s) are fraudulently representing themselves as Suvoda recruiters and/or hiring managers. Suvoda will never request personal information such as your bank account number, credit card number, drivers license or social security number — or request payment from you — during the job application or interview process. Any emails from the Suvoda recruiting team will come from a @suvoda.com email address. You can learn more about these types of fraud by referring to this FTC consumer alert.

As set forth in Suvoda’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

If you are based in California, we encourage you to read this important information for California residents linked here.

Headquarters: United States of America : Remote
URL: http://abbott.com

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.

     

JOB DESCRIPTION:

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with a high employer contribution ·
• Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as the best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity

This position is a field-based position based in Mobile, AL in the Cardiac Rhythm Management division. As a global leader in Cardiac Rhythm Technologies, we focus on innovative technologies that can improve the way doctors treat people with heart arrhythmias or irregular heartbeats.

What You’ll Work On

Under general direction, the Cardiac RM Product Support Specialist provides comprehensive engineering, sales, educational, and technical support. This role responds to field inquiries from physicians, healthcare professionals, patients, and field sales staff regarding CRM (Cardiac Rhythm Management) products.

Key Responsibilities:

• Clinical Interface: Acts as a clinical interface between the medical community and the business.
• Relationship Building: Demonstrates the ability to build and sustain credible business relationships with customers and share product expertise accordingly.
• Comprehensive Support: Provides engineering, sales, education, and clinical support in response to field inquiries on an as-needed basis. Demonstrates a thorough command of all CRM products, related product and technical knowledge, trends, and players.
• Training and Education: Develops, leads, and/or facilitates training sessions and other programs on CRM products for healthcare professionals.
• Sales Support: Provides additional back-up support to CRM Sales Representatives.

Required Qualifications

• Bachelor’s degree in Bio-Medical Engineering, related field or equivalent healthcare experience. 
• A minimum of 2+ years of related experience or a program certification from an accredited cardiac training program.
• Must have the capability to obtain certification in CRM products.
• Demonstrated knowledge of cardiology, electro-physiology, or cardiac electro-physiology procedures.
• Familiarity with cath lab and operating room procedures and protocol
• Demonstrate advanced knowledge of cardiac pacing systems. 
• Must apply engineering skills and abilities to interpret and solve complex clinical problems.
• Must possess strong written and verbal communication skills, along with excellent interpersonal, presentation, analytical, and organizational abilities. Additionally, must be able to meet deadlines effectively.
• Must be detail-oriented and capable of working independently.
• Must be able to collaborate effectively with engineers, technical specialists, vendors, and customers to achieve assigned goals. Additionally, must be capable of managing multiple assignments simultaneously and efficiently.
• Must have extensive personal computer skills, including experience with Microsoft Office or equivalent software, for tasks such as graphics, word processing, databases, and authoring programs, to develop presentation materials.

Apply Now

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com.

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews.

     

The base pay for this position is

$61,300.00 – $122,700.00

In specific locations, the pay range may vary from the range posted.

     

JOB FAMILY:

Support Services

     

DIVISION:

CRM Cardiac Rhythm Management

        

LOCATION:

United States of America : Remote

     

ADDITIONAL LOCATIONS:

     

WORK SHIFT:

Standard

     

TRAVEL:

Yes, 20 % of the Time

     

MEDICAL SURVEILLANCE:

Not Applicable

     

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment

     

Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.

     

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf

     

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

To apply: https://weworkremotely.com/remote-jobs/abbott-clinical-specialist-crm-mobile-al

Headquarters: New York, NY (Remote)

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health. Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the hands of everyone!

We are looking for an experienced Care Coordinator to join our Referral Management team. This role would be responsible for supporting patients throughout their care journey, monitoring patient engagement, identifying potential barriers to care, and coordinating with Talkspace providers and facilities when patients require additional support or a transition to a higher level of care. We are looking for someone who is highly organized, patient-focused, proactive, comfortable managing multiple patients and priorities, and is passionate about making a meaningful impact and bringing their talents into a “for purpose” space. To work at Talkspace, you need to be as passionate as we are about our work, and excited to partner with us on delivering quality mental healthcare.

This is a remote position based on Eastern or Central time. Talkspace Headquarters is located in NYC.

What You’ll Do

• Patient Support & Activation
• Monitor patient lead-up requirements and paperwork to help ensure patients are prepared for their first appointment.
• Follow up on outstanding patient requirements and identify barriers that may prevent timely activation.
• Ensure patient accounts are activated and ready for care in accordance with established workflows.
• Provide patients with clear information regarding next steps, appointments, and care coordination processes.
• Respond to patient questions and concerns and ensure appropriate follow-through.
• Patient Engagement & Care Journey
• Monitor patients throughout their initial care journey and support continued engagement with care.
• Conduct outreach and follow-up activities to monitor patient engagement during the first 30 days of care.
• Identify patients who may be at risk of disengagement and take appropriate action to support continued participation in care.
• Follow up on missed appointments and coordinate with appropriate internal teams to address barriers to care.
• Monitor and help ensure patients are not incorrectly billed for missed first appointments by following established processes and escalating issues as needed.
• Maintain accurate and timely documentation of patient outreach, engagement, and follow-up activities.
• Escalation & Step-Up in Care
• Support the identification and coordination of patients who may require escalation or transition to a higher level of care.
• Coordinate with Talkspace providers and patients to facilitate a safe and smooth transition back to an appropriate UHS facility when additional or higher-level care is needed.
• Work with internal stakeholders to identify the appropriate UHS facility based on the patient's needs and circumstances.
• Contact UHS facilities to coordinate scheduling and facilitate the transition of care.
• Communicate relevant information, next steps, and expectations clearly to patients, providers, and facility stakeholders.
• Track outstanding transition activities and ensure timely follow-through through completion.
• Escalate complex patient, scheduling, or operational issues to the Care Coordinator Manager or appropriate clinical team members.
• Team Collaboration
• Work closely with Care Coordinators, Care Coordinator Managers, providers, and internal operational teams to support patient needs.
• Collaborate with Talkspace providers and UHS facility partners to facilitate patient access and continuity of care.
• Communicate patient engagement trends, barriers, and operational issues to appropriate team members.
• Follow established workflows and contribute feedback and recommendations to improve patient support and care coordination processes.
• Participate in team meetings, training, and ongoing process improvement initiatives.
• Documentation & Quality
• Maintain accurate, complete, and timely documentation of patient outreach, activation, engagement, and care transitions.
• Follow established policies, procedures, and workflows related to patient communication, care coordination, and escalation.
• Protect patient confidentiality and handle sensitive patient information in accordance with applicable privacy and compliance requirements.
• Support team performance and quality goals by completing assigned outreach and follow-up activities within established timelines.
• Identify recurring barriers or issues impacting patient engagement and communicate opportunities for improvement to leadership.
• Other Responsibilities
• Performs other related duties as assigned.
• Provides operational and patient support to the Care Coordination team as needed.

About You 

• High school diploma or equivalent required; associate or bachelor's degree in healthcare, social services, business, or a related field preferred.
• 1–2 years of experience in care coordination, patient support, customer support, or case management.
• Strong written and verbal communication skills, with the ability to communicate effectively with patients, providers, and facility stakeholders.
• Strong organizational skills and demonstrated ability to manage multiple patients, tasks, and competing priorities.
• Ability to work independently while following established processes and escalating issues appropriately.
• Strong attention to detail and commitment to accurate documentation and follow-through.
• Strong problem-solving and critical-thinking skills, with the ability to identify barriers and determine appropriate next steps.
• Ability to handle sensitive patient interactions with professionalism, empathy, and discretion.
• Comfortable working with technology and navigating multiple systems and platforms.
• Comfortable working in a fast-paced, evolving environment and adapting to changing priorities.

Bonus Points

• Experience working directly with patients or members in a healthcare or service-oriented environment preferred.
• Experience with healthcare, behavioral health, telehealth, or provider networks preferred.
• Familiarity with patient engagement, care transitions, or coordination between levels of care preferred.

Benefits 

• Comprehensive Medical, Dental and Vision plans
• Pre-tax benefits: HSA/ FSA
• 401k Retirement Savings Program with matching up to 4%
• Voluntary benefits including disability, basic life or pet insurance, etc.
• Monthly Wellness Stipend to promote mental and physical self-care
• PTO and Remote First Environment
• Regular team events, including Wellness Workshops and Team Building Events
• Free access to Talkspace products for you and one household member, as well as access to a friends and family discount! 

Compensation

At Talkspace, we believe that pay transparency during the interview process is a critical part of diversity, equity, and inclusion. Our salary bands are based on internal and external compensation benchmarks, which we regularly evaluate to ensure we pay competitively.

The hourly range for this role is between $20 - $25/hr. Within the range, leveling corresponds to each candidate’s relevant experience, skills as assessed during the interview process, education, and applicable certifications. 

Why Talkspace? 

Talkspace is the world’s leading online therapy company, serving over 2 million users looking to begin their wellness journey through tele-health. According to the World Health Organization, close to 1 billion people worldwide live with a mental disorder, and on average more than 75% with mental, neurological, and substance use disorders receive no treatment for their condition at all. Additionally, one-third of the world’s population – 2 billion people – live in countries that spend less than 1% of their health budgets on mental health. Therapy is an universal need and it's our mission here to change the world by cultivating an intentional space for people to feel supported through quality care that is simple and accessible.

Combining our passion for innovation along with our desire to help others overcome the stigma behind “getting help,” we are transforming the way patients find the right care provider, making an otherwise impossible feat easily conquerable. Our network of licensed, accredited, and board-certified clinicians are increasing access to mental health for our members through a myriad of high quality therapy services: anytime and for a fraction of the price. Dedicated to our mission, we are looking for candidates that want to bring their talents into a diverse  “for purpose” space. If you’re equally as passionate about making quality mental healthcare accessible to all then Talkspace is the right place for you!

EQUAL OPPORTUNITY EMPLOYER

Talkspace welcomes and celebrates talent from all backgrounds, perspectives, and walks of life to foster an innovative and diverse workforce. We encourage you to apply, even if you don’t meet every qualification or if your path has been nontraditional — such as not completing a formal degree program, taking a career break, or having a prior criminal record — if you believe you could make a great addition to this team. Come as you are and learn about the exciting opportunities on our team.

Individuals seeking employment at Talkspace are considered without regard to race, color, religious creed, sex, national origin, citizenship status, age, physical or mental disability, sexual orientation, marital, parental, veteran or military status, unfavorable military discharge, or any other status protected by applicable federal, state or local law.

How do we define Diversity, Equity, Inclusion, and Belonging at Talkspace? 

Diversity

Diversity encompasses the unique attributes of our employees as individuals. We value and embrace the richness arising from their varied backgrounds, perspectives, and experiences, which include, but are not limited to, age, ability, ethnicity, gender, race, and cultural background.

Equity

Equity refers to a fair and impartial workplace, aiming to ensure equal growth and advancement opportunities for all employees. This involves amplifying underrepresented voices, addressing unconscious biases, and providing inclusive, culturally competent mental health care.

Inclusion

Inclusion signifies the practice of granting equal access to opportunities and resources for all employees, particularly those who might otherwise be excluded or marginalized. It ensures that everyone feels a sense of belonging, value, support, and respect as an individual.

Belonging

Belonging reflects the affinity and positive relationships that develop among employees from diverse backgrounds when businesses actively promote diversity, equity, and inclusion in the workplace.

To apply: https://weworkremotely.com/remote-jobs/talkspace-care-coordinator

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Who We Are: Interra Health is a fast-growing healthcare technology company transforming how providers and patients navigate the prescription journey.

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

• Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
• Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
• Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

Joining SmithRx’s clinical team, the Clinical Review Pharmacist plays a key role in enhancing clinical offerings and improving outcomes for our members and clients. Operating in a collaborative and fast-paced environment, this position pairs clinical expertise with service excellence to review prior authorization requests, support clinical programs, and offer guidance to providers, pharmacies, and members.

What you will do:

• Review and make timely, evidence-based decisions on prior authorizations and appeals using clinical guidelines and benefit criteria.
• Ensure compliance with federal, state, and internal regulations across applicable lines of businesses .
• Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards.
• Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries, demonstrating professionalism, active listening, and a patient-centered approach.
• Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities.
• Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security.
• Identify and report potential fraud, waste, and abuse (FWA).
• Support training and development of new and existing team members as needed.
• Assist leadership with special projects, process improvements, and operational initiatives

What you will bring to SmithRx:

Minimum Qualifications:

• Doctor of Pharmacy (PharmD.) or Bachelor of Science in Pharmacy (B.S. Pharm) from an ACPE-accredited school of pharmacy
• Active, unrestricted, pharmacist license in state of residence
• Minimum of 2 years of pharmacy practice experience
• Strong communication, writing, and organizational skills
• Ability to manage multiple priorities in a high-volume, metric-driven environment
• General understanding of drug information, clinical guidelines, formulary design, and utilization management strategies
• Flexible and adaptable to changes
• Availability to work after hours, weekends, and holidays on a rotating or fixed schedule

Preferred Qualifications:

• One year of prior authorization or utilization management experience
• One year experience in managed care or pharmacy benefit management (PBM)
• Direct experience conducting prior authorization reviews, clinical appeals, formulary exceptions, step therapy evaluations, and quantity limit reviews
• Experience in Google Workspace (Gmail, Docs, Sheets, and Drive)

Location: US - Remote

Zone A includes the following locations:

• San Francisco Bay Area - California
• Metro New York City - Connecticut, New Jersey, New York and Pennsylvania

Zone A Pay Range

$64—$66 USD

Zone B includes the following locations:

• California - outside of San Francisco Bay Area
• Metro Denver / Boulder - Colorado
• Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
• Metro Boston / Cambridge - Massachusetts and New Hampshire
• Metro Austin - Texas
• Metro Seattle - Washington

Zone B Pay Range

$63—$65 USD

Zone C includes all other locations not listed above, including:

• Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
• Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia

Zone C Pay Range

$63—$65 USD

Compensation & Benefits

• Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
• Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.

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Role Title: Medical Communications Manager Role Type: Contractor Location: Remote Required Skills• Medical Communications • Medical Writing • Regulatory Compliance • Medical Education • Scientific Writing • HCP Communications • Content Review • Scientific Literature Review • Clinical Data Interpretation • Critical Thinking • Written Communication • Editorial Review Job SummaryWe are seeking experienced Medical Communications Managers to support a project focused on evaluating and improving AI-generated medical communications content.

At CareAllies, our employees are the cornerstone of our business and the foundation to our success.

About Synapticure

Synapticure is the largest, most comprehensive specialty care and life sciences company in the country for those living with neurodegenerative diseases. Founded by patients and caregivers living with these diseases, we are redefining the care and the research paradigm for conditions like Alzheimer’s, Parkinson’s, and ALS in all 50 states.

Our business is powered by two connected engines.

The CARES Engine (Clinical Operations)

A scalable, 50-state virtualized clinical network providing timely access to expert neurologists and cutting edge treatments with wraparound care coordination and behavioral health support. Our team creates personalized care plans focused on education and empowerment, connecting patients with a multidisciplinary team of subspecialty neurologists, geriatricians, psychologists, and care coordinators who collaborate to deliver comprehensive care.

The CURES Engine (Research & Innovation)

Leveraging our deeply engaged, well characterized national patient cohort, CURES partners with life science, pharma, biotech, and medical device companies to accelerate the development of neurodegenerative treatments, spanning discovery stage lab services, clinical trial services, and real world evidence data and analytics.

Partnering with providers, health plans, and life sciences companies, including CMS’ GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases.

About the Role

We’re hiring a Manager, Licensing & Credentialing to lead our licensing, credentialing, and payer enrollment function. You’ll combine operational leadership and direct ownership of complex, high-priority licensing and credentialing workflows (including the full provider onboarding and offboarding process and license pathway determinations) with day-to-day leadership of our L&C team. You will ensure providers stay licensed and credentialed as we grow into new states and payer relationships. It’s behind-the-scenes work, but it supports every patient in its own way: every license kept current and every enrollment completed on time is what lets a patient see their provider without interruption.

The Day-to-Day

Provider Onboarding & Offboarding

• Own the full onboarding sequence end-to-end: execute license pathway determinations, perform compact licensure assessments (IMLC/PSYPACT/NLC/APRN), manage start-date sequencing, transcript/employment verification, and COI tracking.
• Run sanction/exclusion screening at onboarding and set up DEA registration where applicable.
• Own the offboarding and termination process end-to-end: deactivating licenses, payer enrollments, and supervision agreements, notifying payers, and archiving records.

Licensing & Credentialing Operations Support

• Support and oversee multi-state provider licensing applications and renewals (executed by State Licensing leads), maintaining the Master Licensing Sheet and State Coverage Maps to prevent lapses.
• Support and oversee payer enrollment and credentialing across Medicare, Medicaid, and commercial payers (executed by Payer Enrollment leads), including CAQH/Availity management, revalidations, and re-credentialing cycles.
• Monitor APP restrictions, practice authority, and state board notifications to ensure ongoing regulatory compliance.
• Serve as the go-to escalation point for complex or unusual licensing, credentialing, and billing/care operational questions.

Collaboration Agreements & Credentialing Committee

• Execute and maintain collaboration/supervision agreement tracking and routine drafting, transitioning toward full operational ownership under the Director’s coaching.
• Execute Credentialing Committee logistics, managing scheduling, agendas, and documentation while partnering with the Director on committee discussions.
• Support payer contracting, denials, and appeals, coordinating with the Director on escalation pathways.

Team Leadership & Coaching

• Manage and coach the L&C team: workload distribution, regular feedback, performance management, and professional development.
• Set team priorities, process standards, quality checks, and SOP Playbooks for licensing and credentialing work.
• Hold regular 1:1s with your team.
• Partner with the Director of Practice Operations on team capacity, staffing needs, and workflow design as the team grows.

Reporting, Compliance & Process Improvement

• Own regulatory and compliance documentation to keep the organization audit-ready and support internal/external audits.
• Maintain routine tracking and metrics (license status, credentialing turnaround time, expirables, payer rosters) for leadership visibility.
• Spot inefficiencies in L&C workflows and drive continuous improvement by leveraging tracking technology, systems optimization, and automation to accelerate onboarding timelines.
• Lead internal and external operational communications regarding licensing and enrollment status.

Minimum Qualifications

• 5+ years of direct, hands-on experience in state provider licensing, credentialing, and payer enrollment/revalidation workflows.
• 2-3+ years of team leadership or people management experience managing a licensing and credentialing team or operational function.
• Solid understanding of the broader U.S. healthcare landscape: payers, regulatory environment, and care delivery models within telehealth.
• Working knowledge of compact licensure pathways (IMLC, PSYPACT, NLC, APRN Compact).
• Strong organizational and documentation skills, with comfort owning ambiguous, detail-heavy processes independently.
• Familiarity with credentialing/licensing tracking software and CAQH/PECOS.

Preferred Qualifications

• Experience supporting CMS reimbursement programs or PC-MSO structures.
• CPCS or CPMSM certification, or actively pursuing.
• Background in a multi-market, high-growth, or telehealth healthcare environment.
• Familiarity with leveraging automation or technology integrations to optimize credentialing workflows.

$90,000 - $110,000 a year

Compensation

Final compensation will be determined based on location, experience, and qualifications.

Our Values

We are a remote-first company. While our team is located all across the United States, these core principles tie us together around a common identity:

• Relentless focus on patients and caregivers: We are determined to provide an exceptional experience for every patient we have the privilege to serve, and we put our patients first in everything we do.
• Embody the spirit and humanity of those living with neurodegenerative disease: Inspired by our founders, families, and personal experiences, we recognize the seriousness of our patients’ circumstances and meet that challenge every day with empathy, compassion, kindness, joy, and hope.
• Seek to understand, and stay curious: We start by listening to one another, our partners, our patients, and their caregivers. We communicate with authenticity and humility, prioritizing honesty and directness while recognizing we always have something to learn.
• Embrace the opportunity: We are energized by the importance of our mission and maintain a strong bias toward action.

Benefits & Perks

Full time employees are eligible for:

• Remote First: Work from anywhere in the 50 United States, with home office technology provided.
• Comprehensive Healthcare: Medical, dental, and vision insurance options for you and your family.
• Financial & Retirement Support: 401(k) plan with employer matching, plus short and long-term disability, and basic and supplemental life insurance.
• Time Off & Leave: 15 vacation days, 5 sick days, 12 paid holidays, and 2 floating holidays, plus a fully paid end-of-year company holiday break (typically Christmas through New Year’s).
• Wellness & Family Growth: Comprehensive family-building and fertility services through Kindbody (where available) at a 20% discount, 24⁄7 mental health support via Health Advocate and Talkspace (including 12 free on-demand sessions per year), and access to One Medical.

Travel Requirements & Remote Workplace Setup

We’re a remote-first company and provide the necessary technology to work from home. Most roles involve only occasional travel, such as for team meetings or professional collaboration events, unless otherwise specified in the job-specific details above.

Equal Opportunity Employer

Synapticure is an equal opportunity employer and a remote-first workplace. We believe that embedding equity, inclusion, compliance, and operational excellence across all aspects of our employee lifecycle directly reflects our core values. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications.

At this time, Synapticure is unable to provide work visa sponsorship.

If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected].

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. 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.