knownwell

Accounts Receivable

• Monitor overall payer A/R performance, including aging trends, denial rates, and collection metrics.
• Serve as the primary liaison between internal leadership and outsourced billing partners for payer-related workflows.
• Review and escalate unresolved or systemic claim issues (e.g., underpayments, incorrect denials, recurring rejection codes).
• Identify and prioritize high-value or at-risk accounts for targeted resolution.
• Process and reconcile payments, EOBs, and ERAs, accurately posting to patient accounts and the A/R system.
• Review payer denials and correspondence to identify patterns and recommend process improvements.
• Work with coding, charge entry, and credentialing teams to resolve root causes of denials or payment delays.
• Track payer policy updates and reimbursement changes that impact claim outcomes.
• Coordinate corrected claims, appeals, and retroactive adjustments as needed.
• Process and reconcile payments, EOBs, and ERAs, accurately posting to patient accounts and the A/R system.

Senior Payer Accounts Receivable Specialist

Financial Planning and Analysis

• Prepare and analyze monthly, quarterly, and annual financial statements across all business units.
• Conduct in-depth analysis of financial and operational performance against budgets, forecasts, and prior periods, providing clear and concise variance explanations.
• Help identify trends and insights in KPIs, highlighting opportunities for improvement and efficiency gains.
• Partner with operational leaders to provide financial guidance, decision support, and recommendations for cost optimization and revenue enhancement.
• Perform ad-hoc financial analysis and modeling to support strategic initiatives and business development activities.
• Support due diligence efforts, coordinating with cross-functional teams, maintaining data rooms, and tracking transaction timelines.
• Collaborate with cross-functional teams to streamline data gathering, enhance reporting, and maintain data integrity.
• Contribute to the development of scalable, efficient financial processes and controls.

Corporate Finance Associate

Director

• Define and own the enterprise-wide strategy for payor contracting, credentialing, and licensing to support scalable growth across 50 states.
• Serve as a key member of the leadership team, regularly engaging with C-suite executives to align on business goals, clinical partnerships, and market expansion strategy.
• Design and implement a scalable operational infrastructure (people, process, technology) for contracting, credentialing, and licensing functions.
• Lead contracting strategies to secure competitive terms with Commercial, Medicare Advantage, and Managed Medicaid plans, including Value-Based Care models.
• Partner closely with legal, operations, growth, and clinical leadership to support service line expansion, new market entry, and integration with CINs/IPAs.
• Lead national and regional negotiations with health plans, managing relationships across multiple geographies and payor types.
• Develop robust payor segmentation and targeting strategies based on value, access, and growth priorities.
• Oversee contract lifecycle management, including pipeline development, rate analysis, renewals, escalations, and performance monitoring.
• Establish consistent and compliant contract templates, reimbursement standards, and term guidelines in collaboration with legal and finance teams.
• Serve as subject matter expert on health plan dynamics, market access trends, and reimbursement innovation.
• Build and oversee a centralized team responsible for timely and accurate credentialing of providers and licensure across all 50 states and telehealth requirements.
• Ensure regulatory and payor compliance across all provider enrollment and maintenance workflows.
• Optimize systems, tools, and reporting to increase efficiency, reduce turnaround time, and proactively manage renewals and expirations.
• Act as the enterprise liaison between growth, clinical operations, revenue cycle, compliance, and legal to ensure seamless alignment on contract execution and provider access.
• Provide timely, data-driven updates and insights to executive leadership regarding network coverage, payor performance, credentialing timelines, and strategic risks/opportunities.
• Hire, lead, and mentor a high-performing team with expertise in payor contracting, credentialing, and regulatory compliance.
• Establish clear OKRs and performance metrics for individual and team success.
• Foster a mission-driven, inclusive culture focused on collaboration, accountability, and continuous improvement.

Senior Director – Credentialing

Medical Director

• Monitor and evaluate performances by tracking provider access, tracking key performance indicators (KPIs) and collaborating with knownwell teammates to ensure sufficient clinic staffing.
• Representing the rights of both providers and patients to ensure they are all treated with respect and dignity.
• Provide clinical leadership and support by mentoring and coaching clinical staff, ensuring that they are up-to-date on the latest medical advancements and practices.
• Drive clinical initiatives by leading the development and implementation of new clinical programs, policies, and procedures to improve patient care and outcomes.
• Build relationships with providers and stakeholders by establishing strong relationships with physicians and advanced practice clinicians.
• Participate in educational sessions and presentations to local healthcare professionals about the practice's services and benefits.
• Attend networking events, medical conferences and community health fairs to increase visibility and create referral opportunities.
• Collaborate with marketing teams to create promotional materials and campaigns that highlight the practice's unique offerings and advantages.
• Practice exceptional medicine within knownwell
• See adults ages 16+ for primary care and metabolic health
• See pediatric patients ages 12+ for metabolic health only, if appropriately licensed and experienced.
• Remote patient care dependent upon clinic needs.
• Remote care using audio and visual technology to complete patient examinations, evaluation, assessments, diagnoses and treatment plans.
• Embodies the knownwell mission and values of patient inclusivity in how you deliver care.
• Coordinates with the broader care team to ensure the patient has the support they need.
• Documents as necessary to ensure accurate billing, including review of remote patient monitoring data.
• Communicates with patients in a timely manner through our portal for questions and concerns that have been pre-screened to necessitate a clinician response.
• Ensure patients feel known well
• Ensure your patient panel is open to any individual, regardless of their current health status and comorbidities.
• Listen to the aspirations of the patient and ensure care is tailored to the patient’s unique health journey.
• Provide an environment in which patients feel comfortable and free from judgment.
• Offer exceptional encouragement as patients reach their goals.
• Coordinate across the collaborative care team
• Escalate any concerns to your dedicated site leadership team.
• Provide clinical guidance to advance practice clinicians, medical assistants, and nursing teams as assigned.
• Stay current with licensure and appropriate re-certifications.
• Willingness to flex clinical or administrative time based upon patient or organizational needs.

• Monitor and evaluate performance by tracking provider access, tracking key performance indicators (KPIs) and collaborating with knownwell teammates to ensure sufficient clinic staffing.
• Represent the rights of both providers and patients to ensure they are all treated with respect and dignity.
• Support the Regional Senior Medical Director in development or adaptation and implementation of market specific operational procedures and protocols for existing and any new practice(s) to ensure efficient, effective, and safe operations.
• Provide clinical leadership and support by mentoring and coaching clinical staff, ensuring that they are up to date on the latest medical advancements and practices.
• Drive clinical initiatives by leading the development and implementation of new clinical programs, policies, and procedures to improve patient care and outcomes.
• Build relationships with providers and stakeholders by establishing strong relationships with physicians and advanced practice clinicians.
• Support the development of referral relationships with local healthcare providers, including primary care, specialists, and health system networks.
• Participate in educational sessions and presentations to local healthcare professionals about the practice's services and benefits.
• Attend networking events, medical conferences and community health fairs to increase visibility and create referral opportunities.
• Collaborate with marketing teams to create promotional materials and campaigns that highlight the practice's unique offerings and advantages.
• See adults ages 16+ for primary care and metabolic health.
• See pediatric patients ages 12+ for metabolic health only, if appropriately licensed and experienced.
• Remote patient care dependent upon clinic needs.
• Remote care using audio and visual technology to complete patient examinations, evaluation, assessments, diagnoses and treatment plans.

Account Manager

• Develop and maintain strong relationships with primary and specialty care clinicians to facilitate referrals
• Engage providers and office staff through regular visits, presentations, calls, and communications to educate them on knownwell's weight management programs and services
• Train and empower office staff (schedulers, medical assistants, nurses) as referral drivers and provide referral workflow handouts and patient registration tools
• Act as the primary point of contact for clinicians to address questions, concerns, and feedback about knownwell's services
• Conduct presentations and informational sessions for clinicians and staff, leveraging specialty-specific value propositions and outcomes data
• Own referral management including meeting weekly and monthly referral growth targets and managing activity pipeline
• Collaborate with clinical and operations teams to streamline referral and onboarding processes for referred patients
• Track referral data, analyze trends, and optimize outreach strategies
• Contribute to development and refinement of the PRM playbook and targeted outreach campaigns
• Maintain accurate CRM records of clinician interactions, referrals, and engagement activities and provide regular reports on referral trends and outreach effectiveness

Provider Relations Manager

• Develop and maintain strong relationships with primary and specialty care clinicians (focus on OBGYN, fertility, pediatrics, psychology/psychiatry, orthopedics, cardiac, sleep, bariatric surgery) and their offices
• Engage providers and office staff through regular visits, lunch & learns, calls, and communications to educate on knownwell's weight management programs
• Train and empower office staff (schedulers, medical assistants, nurses) as referral drivers and provide referral workflow handouts and patient registration tools
• Act as primary point of contact for clinicians to address questions, concerns, and feedback about knownwell's services
• Conduct presentations and informational sessions to increase awareness of obesity treatment options and knownwell's comprehensive approach
• Leverage specialty-specific value propositions, outcomes data, case studies, and local referral success metrics to support provider education
• Responsible for meeting and exceeding weekly and monthly referral growth targets; own activity pipeline including new provider meetings, expansion meetings, and active referral conversations
• Collaborate with clinical and operations teams to streamline the referral process and ensure effective patient onboarding
• Track referral data, analyze trends to optimize outreach strategies, and maintain accurate CRM records of clinician interactions and referrals
• Contribute to development and refinement of the PRM playbook, identify new clinician partnership opportunities, develop targeted outreach campaigns, and participate in industry events