Collective Health

Growth Marketing

• Execute a go-to-market strategy to sell our health plan administration solutions directly to 'Payviders' (health systems that own or administer their own health plans) and support Sales in closing hospital customers
• Identify key decision-makers and drive the sales cycle of business development initiatives focusing on systems in need of operational efficiency
• Clearly articulate how our capabilities provide a competitive advantage and partner with product teams to advocate for new features that meet the needs of this market
• Work with Sales, Marketing, and other teams to ensure a unified go-to-market strategy and provide market feedback to improve service delivery
• Equip commercial and product teams with insight to support closing and onboarding provider systems clients
• Directly contribute to revenue growth by expanding distribution and bringing provider systems clients onto new channels, in partnership with cross-functional teams

Senior Director, Healthcare Markets and Growth

QA Engineer

• Lead comprehensive quality reviews of Member Claims Advocates' work, specifically targeting complex cases, high-dollar claims, and new hire performance to rigorously assess accuracy and decision-making.
• Manage and support responses to external audit requests, ensuring data integrity and compliance.
• Actively participate in Quality team meetings and calibration sessions, championing consistent scoring methodologies and a deep understanding of key metrics.
• Consistently maintain and strive to exceed an acceptable Claim Review Accuracy level.
• Contribute significantly to data-driven trend analysis, identifying root causes and actionable insights.
• Execute ad hoc claim reviews and perform in-depth deep-dive analyses to uncover systemic issues.
• Collaborate closely with Team Leads to develop and support training initiatives.
• Ensure strict adherence to all documented QA workflows and best practices.

Senior Director, Healthcare Markets and Growth

Senior Quality Assurance Specialist, Member Claims