Theoria Medical

Compliance

• Conduct coding audits: Perform reviews of medical record documentation and coding to ensure accuracy, completeness, and adherence to regulatory requirements and coding guidelines (e.g., ICD-10-CM, CPT, HCPCS).
• Identify and mitigate risks: Analyze audit data to identify trends, potential compliance risks, and areas for improvement. Recommend and implement corrective action plans.
• Provide education and training: Develop and deliver educational programs, presentations, and one-on-one training sessions for physicians, and other staff on coding best practices and compliance issues.
• Stay up to date on regulations: Maintain expert knowledge of evolving federal and state regulations, CMS guidelines, and industry coding standards. Research and interpret new rules and policies.
• Respond to inquiries: Serve as a resource for internal and external questions related to coding, billing, and documentation compliance.
• Prepare reports: Document audit findings and present clear, concise reports to management, explaining risk areas and compliance issues.
• Investigate issues: Conduct investigations into potential non-compliant activities or billing discrepancies to determine root causes and recommend solutions.
• Collaborate across departments: Work closely with billing, revenue cycle management, and clinical departments to ensure seamless and compliant workflows.

Medical Coding Compliance Specialist

Accounting Manager

• Providing accounting and clerical assistance to the Finance department.
• Preparing bank deposits, general ledger postings, and statements.
• Perform basic office tasks, such as filing, data entry, answering phones, and emails, etc.
• Handling communications with other departments and vendors via slack, email, etc.
• Processing transactions, updating monthly reports.
• Preparing financial reports and payroll computation.
• Assisting with audits, fact checks, and resolving discrepancies.
• Reports to Accounting Officers, and Accounting Managers.
• Perform ad hoc tasks as needed.

Accounting Associate

General Counsel

• Provide strategic advice on employment law issues, including performance management, terminations, accommodations, leaves of absence, and workplace policies.
• Lead or oversee internal investigations involving employee complaints or potential legal exposure.
• Recommend corrective actions or legal strategies to mitigate risk and ensure compliance with applicable laws and company policies.
• Stay current on federal, state, and local employment laws and advise HR and management on compliance.
• Assist in the development and implementation of company policies and training programs related to employment practices.
• Manage and oversee employment litigation, including claims involving discrimination, harassment, retaliation, wage and hour disputes, wrongful termination, and other employment-related matters.
• Develop and execute litigation strategy in coordination with outside counsel and internal stakeholders.
• Supervise and monitor case progress, including reviewing pleadings, discovery, motions, and trial preparation.
• Manage budgets and billing related to litigation matters.
• Manage and coordinate employment practices liability insurance (EPLI) and other relevant coverages in collaboration with Risk Management.
• Provide input on policy renewals, claims handling, and coverage analysis related to employment disputes.
• Ensure timely and appropriate notification and coordination with insurers on covered claims.
• Assist in managing insurer relationships and optimizing insurance recoveries related to litigation.
• Serve as a trusted advisor to HR, management, and executive leadership.
• Collaborate with cross-functional teams including HR, Compliance, and Risk Management.

Associate General Counsel – Employment

Product Manager

• Define and communicate a product vision aligned with Theoria’s clinical and company goals.
• Prioritize features based on impact, ROI, and customer feedback.
• Lead sprint planning, backlog grooming, and release management in partnership with engineering leads.
• Translate complex clinical workflows into intuitive, scalable digital solutions.
• Work closely with clinicians, operations leaders, and partner facilities to gather insights and validate requirements.
• Present product updates and metrics to executive leadership.
• Mentor junior product managers and establish best practices for product discovery, experimentation, and measurement.
• Evaluate and implement AI where necessary to meet the company goals.

Lead Product Manager

Data Analyst

• Support and execute analytics initiatives and ensure timely delivery of data projects.
• Contribute to establishing and upholding coding standards and development best practices.
• Participate in decisions related to data solution architecture and tool selection.
• Help define and implement development methodologies for analytics workflows.
• Review peer code and provide constructive feedback to improve solution quality.
• Work with stakeholders and the Data & AI team to gather requirements, deliver insights, and communicate project progress.

Mid-Level Data Analyst

• Own end-to-end product strategy for Theoria Medical’s digital clinical platform, including care-navigation tools and partner-facing applications.
• Translate the company’s mission into a clear product roadmap and prioritize features based on impact, ROI, and customer feedback.
• Drive execution across engineering and design, lead sprint planning, backlog grooming, and release management.
• Translate complex clinical workflows into intuitive, scalable digital solutions and evaluate/implement AI where necessary.
• Work closely with clinicians, operations leaders, and partner facilities to gather insights and validate requirements.
• Present product updates and metrics to executive leadership and ensure releases measurably improve patient outcomes and operational efficiency.
• Mentor junior product managers and establish best practices for product discovery, experimentation, and measurement.

Data Engineer

• Lead the end-to-end design and development of robust, scalable data pipeline projects across multiple platforms and data sources.
• Optimize data systems for high performance, reliability, and scalability.
• Conduct thorough code reviews and provide constructive feedback to ensure best practices and maintain high coding standards.
• Mentor and guide junior data engineers, supporting their technical growth and development.
• Collaborate with cross-functional teams to understand data requirements and translate them into efficient engineering solutions.
• Troubleshoot complex data issues and implement solutions to ensure data quality, availability, and consistency.
• Advanced data engineering and pipeline architecture
• Data performance tuning and system optimization
• Technical leadership and mentorship
• Cross-functional collaboration and support
• The Senior Data Engineer will independently make technical decisions regarding data system design, architecture, and optimization strategies. They will be responsible for setting engineering standards and determining the best tools and technologies for each project.
• This role requires close coordination with the Data Engineering Lead and regular interaction with other technical and business teams to ensure alignment on data needs, project progress, and system design. Strong communication skills are essential to translate complex technical requirements into actionable engineering tasks.
• Bachelor’s or Master’s degree in Computer Science, Engineering, or related field

Senior Data Engineer - Remote

• Senior Data Engineer
• Position Type: Full time
• Compensation: Up to ₱100,900.00
• Job Location: Remote, PH
• High Compensation Tied to Business Outcomes: You will be well-rewarded for meeting critical objectives and deadlines.
• Empowerment & Resources: We will provide the right tools and teams to help you succeed on your own terms.
• Flexibility & Accountability: You will have autonomy to structure your approach, but must deliver results.
• Paid Time Off: Relax and recharge with paid vacation and sick leaves.
• Bonus Boost: Enjoy an extra bonus with our 13th month pay.
• Health Matters: Get comprehensive HMO coverage upon regularization.
• Work-Ready: We provide the essential work device for seamless productivity.
• Work From Home: Enjoy the flexibility and convenience of a fully remote position—work from anywhere in the world without ever needing to commute to an office.
• Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum.
• Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care.
• We are looking for a highly experienced and detail-oriented Senior Data Engineer to lead the design, development, and optimization of complex data systems. This role is instrumental in building reliable, scalable data pipelines and infrastructure to support advanced analytics and data-driven decision-making across the organization. The ideal candidate is a technical leader with deep expertise in data architecture, performance tuning, and mentoring junior engineers.
• Shift Structure: Night shift (9 AM to 6 PM EST)
• Responsibilities:
• Lead the end-to-end design and development of robust, scalable data pipeline projects across multiple platforms and data sources.
• Optimize data systems for high performance, reliability, and scalability.
• Conduct thorough code reviews and provide constructive feedback to ensure best practices and maintain high coding standards.
• Mentor and guide junior data engineers, supporting their technical growth and development.
• Collaborate with cross-functional teams to understand data requirements and translate them into efficient engineering solutions.
• Troubleshoot complex data issues and implement solutions to ensure data quality, availability, and consistency.
• Primary Focus Areas:
• Advanced data engineering and pipeline architecture
• Data performance tuning and system optimization
• Technical leadership and mentorship
• Cross-functional collaboration and support
• Decision-Making Authority:
• The Senior Data Engineer will independently make technical decisions regarding data system design, architecture, and optimization strategies. They will be responsible for setting engineering standards and determining the best tools and technologies for each project.
• Communication & Collaboration:
• This role requires close coordination with the Data Engineering Lead and regular interaction with other technical and business teams to ensure alignment on data needs, project progress, and system design. Strong communication skills are essential to translate complex technical requirements into actionable engineering tasks.

Full Time Senior Data Engineer - Remote (PH)

Manager

• Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with emphasis on post-acute care and primary care.\n• Theoria’s Clinical Operations Department seeks an experienced Director to oversee CCM program, including supervision of clinical staff, program development and evaluation, and coordination with other healthcare providers.\n• Shift Structure: Monday-Friday 9am-5pm EST Remote.\n• Employment Type: Full-time, Exempt.\n• Essential Functions & Responsibilities: Oversee and manage the day-to-day operations of the CCM program; Supervise and mentor the clinical staff, including pharmacists, nurses, and other healthcare providers; Develop and implement strategies to improve the CCM program; Coordinate with interdisciplinary teams on patient care; Participate in tech development projects to streamline CCM processes; Ensure adherence to regulatory guidelines and maintain up-to-date knowledge of developments in the field; Analyze patient data to guide improvements in the CCM program.\n• Requirements and Qualifications: Bachelor’s degree in Healthcare Administration, Public Health, Nursing, or a related field required; Master’s degree preferred; Experience overseeing a chronic care or similar program; Strong leadership and management skills; Excellent interpersonal and communication skills; Strong computer and technical skills; experience with telehealth platforms preferred; Understanding of the role of a CCM program in healthcare delivery.

Medical Coding Compliance Specialist

Accounting Associate

Associate General Counsel – Employment

Lead Product Manager

Mid-Level Data Analyst

Lead Product Manager

Senior Data Engineer - Remote

Full Time Senior Data Engineer - Remote (PH)

Manager of Chronic Care Management, CCM - Remote, US