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reveleer


Reveleer is a SaaS company first. Our philosophy is to provide our clients with an unrivaled software platform that provides the functionality, scalability, real-time analytics, flexibility, and security that allow health plans to quickly launch, monitor and manage critical initiatives around medical records review and analysis. Our software platform allows our customers to select the solutions optimally suited for their needs without compromising on features, visibility, and results.

reveleer is hiring a Remote Sr. Manager, Growth Marketing

Sr Manager, Growth Marketing 
Glendale, CA / New Albany, OH / Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes. 

We are looking for a Sr Manager, Growth Marketing with a proven track record in managing and executing strategic initiatives and campaigns to drive new business acquisition, retention, and revenue growth. You will leverage your expertise in driving growth through data-driven strategies, optimizing the customer journey, and building scalable marketing programs. In this role, you’ll collaborate cross-functionally to accelerate revenue and deliver measurable results in a fast-paced, mission-driven environment.

This position will report to the VP, Demand Generation Marketing. 

RESPONSIBILITIES:

  • Develop and execute growth marketing strategies to drive customer acquisition, engagement, and retention across multiple channels.
  • Lead and manage multi-channel marketing campaigns (email, paid search, display, social, SEO) to achieve qualified lead, pipeline, and revenue goals.
  • Design and execute targeted ABM and segmented campaigns, tailoring strategies to decision-makers and high-value accounts to drive engagement and conversion.
  • Analyze and report on campaign performance, using data to optimize funnels, increase conversion rates, and maximize ROI.
  • Conduct A/B testing and experiment with new marketing tactics to continuously improve user acquisition and retention strategies.
  • Efficiently manage and execute various campaigns and programs, ensuring timely execution, resource allocation, and alignment with marketing goals.
  • Oversee and implement strategies for customer retention and expansion, focusing on nurturing existing relationships, increasing customer lifetime value, and driving upsell/cross-sell opportunities.

QUALIFICATIONS:

  • 5-7+ years of growth marketing or demand generation experience in an enterprise B2B SaaS environment, healthcare preferred.
  • 2+ years of management or leadership experience preferred.
  • Bachelor’s degree in marketing, business, or related field.
  • Proven success in developing and executing data-driven growth strategies.
  • Proficient with marketing and sales tech stack (e.g., Hubspot, Marketo, Salesforce).
  • Excellent communication and project management skills, with the ability to clearly articulate marketing strategies and present data-driven insights.
  • Expertise in A/B testing, conversion rate optimization (CRO), and performance metrics to optimize the marketing funnel.
  • Analytical mindset with a focus on continuous improvement, testing, and scaling successful growth initiatives.
  • Willingness and ability to travel for industry events, company meetings, or team collaboration, as needed to support marketing initiatives.

ABOUT YOU:

  • You are a data-driven marketer with a strong analytical mindset.
  • You are a collaborative team player with a willingness to learn.
  • You are adaptable and innovative.
  • You are results-oriented, strategic thinker.
  • You are highly organized, with attention to detail, and the ability to meet deadlines.


WHAT YOU'LL RECEIEVE:

  • Competitive pay
  • Medical, Dental and Vision benefits including HSA/FSA
  • 401k with Employer Match
  • 100% paid short term and long-term disability insurance
  • PTO plan and 10 paid company holidays

SALARY RANGE: $120,000 - $160,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Healthcare Data Acquisition & Interoperability Analyst

Healthcare Data Acquisition & Interoperability Analyst
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

Position Overview: The Healthcare Data Acquisition & Interoperability Analyst will be responsible for leading data acquisition strategies and processes for risk-based projects, ensuring compliance with regulatory requirements and industry best practices. This role will also focus on driving the development of prospective quality and risk programs, creating cross-functional strategies to aid in interoperability, and managing day-to-day operations.

Key Responsibilities:

  • Lead data acquisition strategies and processes for risk-based projects, ensuring compliance with regulatory requirements and industry best practices.
  • Support day-to-day operations, including managing vendors and service providers, and assist with project management.
  • Embrace interoperability to fill data gaps, driving the development of prospective quality and risk programs.
  • Develop and implement quality assurance programs to ensure that products and services meet or exceed customer expectations.
  • Manage merger and acquisition due diligence needs and help formulate a strategy for execution.
  • Build and maintain strong customer relationships, acting as the primary point of contact for customer inquiries and requests.
  • Aid in maintaining customer relations and building new products like prospective quality.
  • Create cross-functional strategies to aid in interoperability.
  • Build out and lead a team from implementation to operations and product improvement.

Qualifications:

  • Bachelor's degree in Data Science, Business Administration, Project Management, or a related field. Advanced degree preferred.
  • Proven experience in data acquisition, management, and healthcarewith a strong understanding of regulatory requirements and industry best practices.
  • Demonstrated ability to develop and implement quality assurance programs.
  • Experience in managing merger and acquisition due diligence and data strategy formulation.
  • Strong project management skills, including the ability to manage vendors and service providers.
  • Excellent customer relationship management skills.
  • Ability to create and execute cross-functional strategies to improve interoperability.
  • Strong leadership skills, with experience building and leading teams.

Skills:

  • Excellent analytical and problem-solving skills.
  • Strong communication and interpersonal skills.
  • Proficiency in data management tools and software.
  • Ability to work independently and as part of a team.
  • Detail-oriented with strong organizational skills.

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with Employer Match
  • Generous PTO plan

Salary Range: $90,000 - $110,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

Apply for this job

reveleer is hiring a Remote JIRA & Confluence Specialist

JIRA & Confluence Specialist
Glendale, CA / New Albany, OH / Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

Duties and Responsibilities:

  • Manage and configure various Atlassian tools like JIRA and Confluence for Agile Development in the organization. Discuss with different teams to find out their requirements and suggest ways they can use tools effectively. Discovering and evaluating different Add ons and tolls to fit requirements of teams.
  • Project Management and oversight; project planning and execution; scope and risk management; meeting facilitation and /or conducting JAD sessions to gather business requirements and meeting facilitation
  • Act as JIRA application administrator for Onboarding / Project Management team. Successfully lead, deliver and maintain JIRA workflows, project plans and reporting.
  • Act as Confluence service owner and manager, developing and maintaining internal and external customer pages/spaces to manage projects throughout their lifecycle.
  • Establish SOPs for change, maintenance and project requests.
  • Coach, mentor and guide team members on kanban, project plans, and JIRA/Confluence customizations.
  • Works with appropriate internal customers to capture business requirements.
  • Assists in the configuration of various aspects of implementations and managing test cases/testing.
  • Prepares and presents oral and/or written reports and presentations.

Qualitfiactions:

  • Possess Bachelor’s Degree from an accredited college or university or equivalent experience.
  • Have 5+ years or more of full-time experience managing the implementation and support of projects.
  • Experience in utilizing JIRA for Project Management methodologies, requirements gathering, and documentation to successfully implement customer engagements.
  • Strong communication and liaison skills with an emphasis in coordination and interdepartmental interactions.
  • Have experience in the Healthcare industry.
  • Considerable ability to establish and maintain effective working relationships with other employees and customer representatives.N
  • Considerable problem solving and decision-making skills.

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits including HSA/FSA
  • 401k with Employer Match
  • 100% paid short term and long-term disability insurance
  • PTO plan and 10 paid company holidays

Salary Range:$75,000 - $100,000 / annually

Please note: This range is based on our market pay structures. However, individual salaries are determined by a variety of factors including, but not limited to: business considerations, local market conditions, and internal equity, as well as candidate qualifications, such as skills, education, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

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reveleer is hiring a Remote Clinical Operations Quality Manager

Clinical Operations Quality Manager
Reveleer

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

As a Clinical Operations Quality Manager, you will be a vital member of the team responsible for ensuring all clinical resources are trained and enabled to perform their job duties with good productivity and quality.

ESSENTIAL FUNCTIONS:

  • Clinical Quality Program Design: Design, develop and deploy A quality program that sets quality expectations, monitors results and assists the operation managers with executing.
  • Quality Development: Validate that all coders on DQA are improving and have on-going QA and development. Make sure all coders have a level of QA.
  • On-boarding:Provide on boarding overread
  • Review Data:review daily reports for QA scores and issues and work with training on education for employees who need it.
  • Provide continued feedback to leaders regarding quality trends, and additional training needs.
  • Provide in depth analysis of quality issues and create an action plan to set up company for success.
  • Ensure collaboration among cross functional teams for the roll out of product releases.
  • Additional duties as necessary to meet the obligations to our customers.

CORE COMPETENCIES

  • Caring – Warm, sincere, calm, cool and collected energy and presence with the ability to develop relationships.
  • Analytical Skills and Attention to DetailReviewing clinical documentation and coding .
  • Effectively Communicates– Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information
  • Interpersonal Skills - Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
  • Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Adaptability – Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
  • Cultural Sensitivity –Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments and customers to build more effective relationships
  • Computer Skills – Essential to be skilled in with all Microsoft Suite products (e.g. Excel, Word, Powerpoint, etc.)

SUCCESS CRITERIA

  • All staff have a combined quality score of over 96%
  • Customers are satisfied with our clinical quality

QUALITFICATIONS – EDUCATION- CERTIFICATIONS – SPECIALIZED SKILLS

  • Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA etc.) through AAPC and/or AHIMA
  • Minimum of 2 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC)
  • Bachelor’s degree preferred
  • Travel as needed

SALARY RANGE:$80,000 - $95,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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reveleer is hiring a Remote Product Marketing Manager

Product Marketing Manager
Glendale, CA / New Albany, OH / Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

As the industry’s pioneering value-based care (VBC) enablement technology, Reveleer’s VBC platform is built to solve the most pressing challenges face by risk-bearing organizations today. By unifying retrieval, clinical intelligence, risk adjustment, quality improvement and member management solutions into one powerful AI-enabled platform, Reveleer breaks down data silos and streamlines fragmented workflows to supercharge productivity and care quality for better financial performance and clinical impact.

As a product marketing manager for Payer Solutions, you are responsible for telling the story for our products and solutions that resonates with our buyers and users, and positions Reveleer as a leader in the next evolution in value-based care.

This role is not about doing demos or presenting product features (although these may sometimes occur). Rather, this role is the glue that binds our products to our solutions to drive success in sales and marketing and to achieve revenue results. You will be the solution evangelist and will play an integral role in organizing product launches, sales enablement, market and competitive research and play a large role in the direction of our content strategy.

You know our competitors like the back of your hand: what they do today and what they plan to do in the future. You also know our buyers better than they know themselves, including how they make their buying decisions. This isn’t guesswork. You back up strategic insights with market evidence and then use that knowledge to drive the development of positioning and messaging that resonates with buyers and empowers our revenue teams to be successful.

You will collaborate with our marketing team to develop innovative programs that drive demand. An attention to detail and eye for quality are critical to your success, along with an ability to grasp and present our product’s value proposition in a way that resonates and clearly articulates how we solve our buyers’ problems. You are obsessed with tracking user adoption and market insights and have the data to prove what’s working and what isn’t.

In addition to the marketing team, you will regularly collaborate with product managers and sellers, subject matter experts and ; it’s a balancing act that requires strong diplomatic skills, including knowing when to push back and when to dive in.

Product Marketing Manager Key Responsibilities:

  • Market intelligence—be the expert on our buyers, who are they, how they buy and their key buying criteria.
  • Understand the competitive landscape—be an expert on our competition and how they are positioned.
  • Collaborate with product management, sales, subject matter experts and marketing communications to develop product positioning and messaging that resonate with our target buyer and personas.
  • Create and manage a library of messaging frameworks that serve as a single source of truth for our products and solutions
  • Understand and document our buyer’s process, including where they get information, and the who, what, when and why behind the decisions they make. Then drive changes to our sales and marketing processes based on what you learn.
  • Plan the launches of net-new products and releases of existing products and manage the cross-functional implementation of the plan.
  • Understand and support our sellers; train them on the problems we solve for our buyers and users; develop internal tools and external collateral and teach them how and when to use it.

Product Marketing Manager Requirements:

  • 5+ years of product marketing experience with at least 2 years of experience in Healthcare focused on the Payer Market
  • Proficient in productivity applications such as Microsoft Office, Asana,
  • Comfortable using collaboration and CRM tools such as Teams and Hubspot.
  • Exceptional ROI-tracking skills, able to prove what is –or isn’t—working
  • Must be a strong public speaker, comfortable in front of large, senior groups, and a solid writer.
  • Excellent people and management skills to interact with staff, colleagues, cross-functional teams and third parties. Team player!

Bonus Points:

  • PMA or Pragmatic certified
  • Experience with sales enablement tools like HighSpot or Seismic

About You:

  • You are passionate about healthcare and have a keen eye for detail
  • You are a creative problem solver
  • You have a strong ability to conceptualize and execute ideas
  • You are a team player with a positive attitude and a willingness to learn
  • You are highly organized and able to manage multiple projects simultaneously

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits including HSA/FSA
  • 401k with Employer Match
  • 100% paid short term and long-term disability insurance
  • PTO plan and 10 paid company holidays

Salary Range: $125,000 - $150,000 / annually

Reveleer E-Verifies all new hires.

Please note: This range is based on our market pay structures. However, individual salaries are determined by a variety of factors including, but not limited to: business considerations, local market conditions, and internal equity, as well as candidate qualifications, such as skills, education, and experience.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

If you are a passionate and results-oriented designer who thrives in a fast-paced environment and is passionate about creating impactful designs and contributing to the growth of a rapidly expanding healthcare technology company, we encourage you to apply!

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+30d

HCC Risk Adjustment Coder

reveleerUnited States - Remote

reveleer is hiring a Remote HCC Risk Adjustment Coder

HCC Risk Adjustment Coder (Clinical Operations Specialist)
Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

This is a Full-Time (FT, 40 Hours a week) remote position to perform duties for Risk Adjustment Coding and related Audit initiatives.

Essential Duties and Responsibilities:

  • Review of medical records as needed (MRR, OR1, any backlog) and assist platform clients as needed with backlog, larger chart page counts
  • Work population of clinical pends, with goal to clear within 72 hours
  • Updating and maintaining training course material for medical record abstraction and data entry (HEDIS, RISK, IVA)
  • Reviewing training test scores and sending feedback if necessary
  • Assigning and overreading disciplinary charts- (this is a chart move back) all projects
  • Reviewing reports daily for QA scores during the season(s) (abstractors, coders, HPs)
  • Maintaining an accuracy score of 95% on all work submitted (all projects)
  • Ability to adapt to changing priorities in managing a wide range of projects.
  • Must be able to work independently and in a team environment
  • Remote mentoring/ coaching (for all projects) in a group or 1:1 session with staff and leadership
  • Client trainings (Reveleer technology, if needed)
  • Over read challenges for all projects (reviewing abstractor/coder OR1 feedback challenges)
  • Oversite and coordination of IVA documentation audits: ENR/RXC/ATT/DOB/GEN-
  • Assist in training and successful adoption of Natural Language Processing/” Bot” -assisted coding reviews and relating tools/reporting
  • Reviewing reports for workload assignments, looking at inventory by project to make sure sufficient headcount are assigned per workload (all projects) multi time zone coverage/ shift coverage- evening/ weekends/holidays
  • Managing and addressing questions and clarifications that coders submit to a designated online communication forum and “Q&A” email mailbox while reviewing charts
  • Works actively to monitor and maintain minimum 95% accuracy in all coding projects by providing coaching/feedback to coders, as well as researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s).
  • Stay up to date with Risk/IVA protocols (coding clinics, coding guidelines)
  • Maintain ongoing communication with Clinical Management team regarding coding workload, turnaround time expectations and deliverables
  • Additional duties as necessary to meet the obligations to our clients

Qualification Requirements:

  • Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS) through AAPC and/or AHIMA.
  • Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC)
  • Additional experience in facility (OPPS/IPPS) coding experience is preferred
  • Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred

Experience and Skills:

  • Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
  • Ability to interact with management and remote coding personnel
  • Possess strong organizational skills and attention to detail
  • Ability to adapt to changing priorities while managing a wide range of projects
  • Adaptive and flexible to new ideas and change
  • Advanced knowledge of medical terminology, anatomy and pharmacology
  • Advanced skills utilizing official coding resources for research and problem solving
  • Advanced skills and knowledge of computers, use of required software to perform job functions
  • Excellent written and communication skills and the ability to explain complex information

What You'll Receive:

  • Competitive pay
  • Medical, Dental and Vision benefits including HSA/FSA
  • 401k with Employer Match
  • 100% paid short term and long-term disability insurance
  • PTO plan and 10 paid company holidays

Hourly Rate: $31.25 / hour

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

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reveleer is hiring a Remote Clinical Operations Risk Adjustment Coder

Clinical Operations Specialist
Remote

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

This is a Full-Time (FT, 40 Hours a week) remote position to perform duties for Risk Adjustment Coding and related Audit initiatives. As a Clinical Operations Specialist, you will be responsible for, supervisory duties and management support of a team of part-time remote coders. enabling their review of medical records. The Coders facilitate chart assignment, assist with client calls (if necessary), drive Risk and IVA program and project readiness. The main goal of this position is to ensure timely, accurate, and quality review of medical records by Coders.

Hourly Rate:$31.25/hour

Essential Duties and Responsibilities:

  • Review of medical records as needed (MRR, OR1, any backlog) and assist platform clients as needed with backlog, larger chart page counts
  • Work population of clinical pends, with goal to clear within 72 hours
  • Updating and maintaining training course material for medical record abstraction and data entry (HEDIS, RISK, IVA)
  • Reviewing training test scores and sending feedback if necessary
  • Assigning and overreading disciplinary charts- (this is a chart move back) all projects
  • Reviewing reports daily for QA scores during the season(s) (abstractors, coders, HPs)
  • Maintaining an accuracy score of 95% on all work submitted (all projects)
  • Ability to adapt to changing priorities in managing a wide range of projects.
  • Must be able to work independently and in a team environment
  • Remote mentoring/ coaching (for all projects) in a group or 1:1 session with staff and leadership
  • Client trainings (Reveleer technology, if needed)
  • Over read challenges for all projects (reviewing abstractor/coder OR1 feedback challenges)
  • Oversite and coordination of IVA documentation audits: ENR/RXC/ATT/DOB/GEN-
  • Assist in training and successful adoption of Natural Language Processing/” Bot” -assisted coding reviews and relating tools/reporting
  • Reviewing reports for workload assignments, looking at inventory by project to make sure sufficient headcount are assigned per workload (all projects) multi time zone coverage/ shift coverage- evening/ weekends/holidays
  • Managing and addressing questions and clarifications that coders submit to a designated online communication forum and “Q&A” email mailbox while reviewing charts
  • Works actively to monitor and maintain minimum 95% accuracy in all coding projects by providing coaching/feedback to coders, as well as researching literature and attending professional seminars, workshops and conference as required by AAPC and/or AHIMA to maintain professional certification(s).
  • Stay up to date with Risk/IVA protocols (coding clinics, coding guidelines)
  • Maintain ongoing communication with Clinical Management team regarding coding workload, turnaround time expectations and deliverables
  • Additional duties as necessary to meet the obligations to our clients

Qualification Requirements:

  • Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS) through AAPC and/or AHIMA.
  • Minimum of 5 years coding experience with specific knowledge of Medicare and Commercial Risk Adjustment such as Hierarchical Condition category (HCC)
  • Additional experience in facility (OPPS/IPPS) coding experience is preferred
  • Additional experience in Health Plan Risk Adjustment Data Validation Audit (RADV) experience is preferred

Experience and Skills:

  • Ability to work independently in a fast-paced remote environment with minimal supervision and guidance
  • Ability to interact with management and remote coding personnel
  • Possess strong organizational skills and attention to detail
  • Ability to adapt to changing priorities while managing a wide range of projects
  • Adaptive and flexible to new ideas and change
  • Advanced knowledge of medical terminology, anatomy and pharmacology
  • Advanced skills utilizing official coding resources for research and problem solving
  • Advanced skills and knowledge of computers, use of required software to perform job functions
  • Excellent written and communication skills and the ability to explain complex information

Hourly Rate: $31.25 / hour

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

Apply for this job

reveleer is hiring a Remote Data Acquisition & Interoperability Project Manager

Data Acquisition & Interoperability Project Manager
Reveleer

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

Position Overview: The Data Acquisition/Management and Project Manager of Interoperability will be responsible for leading data acquisition strategies and processes for risk-based projects, ensuring compliance with regulatory requirements and industry best practices. This role will also focus on driving the development of prospective quality and risk programs, creating cross-functional strategies to aid in interoperability, and managing day-to-day operations.

Key Responsibilities:

  • Lead data acquisition strategies and processes for risk-based projects, ensuring compliance with regulatory requirements and industry best practices.
  • Embrace interoperability to fill data gaps, driving the development of prospective quality and risk programs.
  • Develop and implement quality assurance programs to ensure that products and services meet or exceed customer expectations.
  • Manage merger and acquisition due diligence needs and help formulate a strategy for execution.
  • Support day-to-day operations, including managing vendors and service providers, and assist with project management.
  • Build and maintain strong customer relationships, acting as the primary point of contact for customer inquiries and requests.
  • Aid in maintaining customer relations and building new products like prospective quality.
  • Create cross-functional strategies to aid in interoperability.
  • Build out and lead a team from implementation to operations and product improvement.

Qualifications:

  • Bachelor's degree in Data Science, Business Administration, Project Management, or a related field. Advanced degree preferred.
  • Proven experience in data acquisition and management, with a strong understanding of regulatory requirements and industry best practices.
  • Demonstrated ability to develop and implement quality assurance programs.
  • Experience in managing merger and acquisition due diligence and data strategy formulation.
  • Strong project management skills, including the ability to manage vendors and service providers.
  • Excellent customer relationship management skills.
  • Ability to create and execute cross-functional strategies to improve interoperability.
  • Strong leadership skills, with experience building and leading teams.

Skills:

  • Excellent analytical and problem-solving skills.
  • Strong communication and interpersonal skills.
  • Proficiency in data management tools and software.
  • Ability to work independently and as part of a team.
  • Detail-oriented with strong organizational skills.

What You’ll Receive:

  • Competitive salary
  • Medical, Dental and Vision benefits
  • 401k with Employer Match
  • Generous PTO plan

Salary Range: $90,000 - $110,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

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+30d

Full Stack Software Engineer

reveleerUnited States - Remote

reveleer is hiring a Remote Full Stack Software Engineer

Full Stack Software Engineer
Reveleer
Remote Opportunity

Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

About the team:

You will be joining a team recently acquired by Reveleer, in charge of the prospective risk adjustment. As a full stack software developer in our team, you will be working in a unique environment of a small team with large scale impact to enable the expansion of our product and fast growth of our users.

Responsibilities:

  • Create beautiful web surfaces and interactive dashboard experiences using technologies such as React, JavaScript, CSS
  • Build the backend & APIs that power these experiences, defining composable data models and durable interfaces
  • Debug production issues across services and multiple levels of the stack with an eye towards improving maintainability over the long term
  • Scope, design, and lead technical projects, laying the groundwork for early-stage products to iteratively evolve and scale
  • Solve product problems and build delightful user experiences for our users
  • Partner closely with other engineers and scientists to build highly scalable, ML driven system(s), help run experiments, and surface insights across all points of customer interactions
  • Resolve problems and provide daily troubleshooting, analysis, and problem definition for production issues

Qualifications:

  • 3+ years of professional hands-on software development experience
  • You are an expert at building web applications using HTML, CSS, and at least one JavaScript framework like React.js, AngularJS or Backbone.js
  • You have implemented server-side APIs in dynamic languages like NodeJS, Python, working with document and relational datastores (especially Mongo)
  • You enjoy spelunking through new datasets
  • You have excellent oral and written communication
  • You have proven ability to thrive in a collaborative environment involving different stakeholders and subject matter experts
  • You are a first principle thinker and enjoy putting yourself in the shoes of the target customer
  • Highly motivated, self-learner with great attention to details
  • Thrive in a collaborative environment involving different functions, stakeholders, and subject matter experts

Additional desired skills:

  • Typescript
  • Use of MongoDB at scale
  • Python
  • Serverless architectures
  • Understanding of ML, LLMs & Vector databases
  • UI/UX Design using Figma

What You’ll Receive:

  • Competitive Salary
  • Medical, Dental and Vision benefits
  • 401k plan with Employer Match
  • Generous PTO Plan

Salary Range: $125,000 - $175,000 / annually

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

Apply for this job

reveleer is hiring a Remote Customer Success Manager

Customer Success Manager
Remote Opportunity


Reveleer is a healthcare data and analytics company that uses Artificial Intelligence to give health plans across all business lines greater control over their Quality Improvement, Risk Adjustment, and Member Management programs. With one transformative solution, the Reveleer platform enables plans to independently execute and manage every aspect of enrollment, provider outreach and data retrieval, coding, abstraction, reporting, and submissions. Leveraging proprietary technology, robust data sets, and subject matter expertise, Reveleer provides complete record retrieval and review services so health plans can confidently plan and execute risk, quality, and member management programs to deliver more value and improved outcomes.

POSITION SUMMARY:

As a Customer Support Manager, you will own a group of clients and play a key role in driving customer goals, business transformation, and revenue expansion by ensuring the engagement, success, and growth of Reveleer’s customers. The Customer Success Manager will ensure Reveleer customers successfully adopt the platform with a positive experience, driving growth for Reveleer through renewals and expansion.

ESSENTIAL FUNCTIONS:

  • Responsible for developing a strategy for your client including relationship mapping, value outcomes, product adoption, customer experience, customer satisfaction and expansion.
  • Assure the customer’s overall successful adoption of Reveleer platform technology and Reveleer’s timely fulfillment of related services throughout project lifecycle: onboarding to project close/billing.
  • Be the one point of contact for the customer and coordinate and communicate cross functionally to resolve issues, relay feedback and expand opportunities.
  • Monitor tickets and manage resolution through customer support and engineering groups. Do not manage or communicate on technical issues without technical support.
  • Improve engagement approaches based on customer segmentation while leading a culture of continuous improvement.
  • Provide strategic direction on revenue expansion in accounts, working closely with sales management to align strategies through cross sell and up sell opportunities through cross sell and up sell opportunities.
  • Lead day to day management of multiple projects including, but not limited to, creating work plans, identifying, and resolving critical project issues, client meeting coordination, assisting in monitoring project progress through analytic reports and other administrative tasks.
  • Monitor Client vital signs using data to identify potential growth opportunities or account risks.
  • Conduct business reviews by demonstrating Reveleer performance through project outcome data, as well as packaging enhancements for areas needing improvement.
  • Articulate changes to Reveleer’s technology product roadmap and support Clients through new feature/function adoption
  • Act as the main POC, defining a success plan, ensuring mutually understood and agreed expectations and communicating issues clearly.
  • Rally Reveleer’s internal teams and resources to drive our execution in-line with customer's business goals.
  • Influence future lifetime value through higher product adoption, customer satisfaction, and overall health scores.
  • Discover and understand early churn signals and drive process throughout the organization to reduce churn and increase customer advocacy.
  • Ensure processes for escalating client issues happen with speed and urgency, orchestrating resources across the company as appropriate.
  • Develop and foster executive level relationships within clients.
  • Deliver quarterly partnership reviews.
  • Participates in departmental and organizational meetings regularly.
  • Follow the company’s code of conduct.
  • Additional duties and responsibilities as assigned.

KEY METRICS:

  • Health score
  • Retention
  • NPS
  • Referenceable
  • Same store growth
  • Platform Usage

CORE COMPETENCIES:

  • Caring – Warm, sincere, calm, cool and collected energy and presence with the ability to develop relationships.
  • Results Driven – Focus on achievement, motivated by results and outcomes, goal oriented.
  • AnalyticalCan look at data and determine any changes in trending or key performance indicators that could identify risk.
  • Effectively Communicates– Speaks clearly, listens effectively, and responds well to questions; Writes clearly and informatively; Edits work for errors; Varies writing style to meet needs; Able to read and interpret information; Documents are accurate and delivered on time; Uses good judgement when communicating information.
  • Problem Solver-Expertise managing client relationships and accounts for technically complex products and platforms with the ability to lead a resolution towards mutual success.
  • Continuous Quality Improvement – Evaluates polices, programs, and services; Implements strategies for continuous quality improvement; Assesses the use of evaluation findings for improving policies, programs, and services; Looks for ways to improve and promote quality; Demonstrates accuracy and thoroughness.
  • Customer Focus - Follows through; Courteous; Helps internal and external customers; Understands customer perspectives and needs; Assesses the effects of decisions on different customers and services; Facilitates collaborations among Kemberton teams and the customer; Develops and maintains partnerships that will increase customer satisfaction and decrease risk.
  • Interpersonal Skills - Builds strong relationships; Flexible and open minded; Receptive to feedback; Motivates employees and peers for the purpose of achieving organizational goals.
  • Professionalism – Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Adaptability – Adapts to changes in the work environment; Adjusts methods to best fit the situation; Able to deal with change, delays, or unexpected events. Can work with diverse groups of customers and internal stakeholders.
  • Cultural Sensitivity –Models behaviors that reflect the culture of Reveleer; Awareness of the similarities and differences that exist between employees, teams, departments and customers to build more effective relationships.

QUALITFICATIONS – EDUCATION- CERTIFICATIONS – SPECIALIZED SKILLS:

Required

Education

Bachelor’s Degree Required

Experience

5+ years managing Risk Adjustment projects, specific to Medicare, Medicaid and Commercial lines of business

Travel

Ability to Travel


WHAT YOU'LL RECEIVE:

  • Competitive Salary
  • Medical, Dental and Vision benefits
  • 401k with Employer Matching
  • PTO Plan

Our compensation reflects the cost of labor across several US geographic markets. Pay is based on several factors including market location and may vary depending on job-related knowledge, skills, and experience.

Reveleer E-Verifies all new hires.

Reveleer is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, disability status or genetic information, in compliance with applicable federal, state and local law.

See more jobs at reveleer

Apply for this job