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Provider Quality Associate

$70k - $85k

Carrum Health, Inc.

At Carrum Health, we have built a unique marketplace for specialty care with unparalleled patient experience Since 2014, we have been rewiring a fundamentally broken healthcare system. By connecting large employers directly with the nation’s top-tier providers, our platform replaces a flawed fee-for-service model with one that actually works. If you are passionate about solving complex economic problems, driving systemic change in our healthcare system, and thriving in a people-first culture, we want you on our team. As a high-growth health tech company, we are seeking high-performing, exceptional talent to scale our platform and ensure that anyone in the country facing a specialty procedure has access to the life-changing Carrum benefit. Our marketplace creates massive value for all stakeholders: For Employers (Demand): Predictable, transparent pricing that slashes specialty care costs by up to 45% and eliminates waste For Providers (Supply): Ability to gain market share while reducing administrative burden, empowering top-tier doctors to focus completely on delivering optimal care. For Members (Users): A life-changing benefit with dedicated concierges, VIP access to the nation’s best specialists, and little-to-no out-of-pocket costs. The salary range for this role is $70,ooo-$85,000 depending on geography and level of experience, plus equity and an annual bonus. We are looking for a Provider Quality Associate to help us maintain and grow our high quality network. The Provider Quality Associate will play a critical role in our success. Reporting to the Head of Provider Quality, you will own surgical quality reviews and be crucial in the development of our network; helping us ensure that Carrum patients receive the highest level of care. You’ll be responsible for analyzing large data sets, becoming a subject matter expert, and providing recommendations to our Quality Committee. You’ve hustled, you’ve created, you’ve implemented, and you love the intensity of a startup in high-growth mode. You’re excited about this opportunity because you will… Always put medical quality and patient safety first. “Crunch the numbers” on some of the most well-known provider brands in the country, supporting our Quality Committee in making certification decisions Maintain the high quality bar of our existing CoEs through annual provider recertifications and post-operative complication tracking & monitoring Prioritize accuracy and quality control when working with significant amounts of nuanced data across multiple sources. Collaborate with prospective CoEs to enable them to complete and submit the quality evaluation in a timely and complete fashion Regularly collaborate with the provider business development and account management, clinical, and data science teams to maintain and expand our best in class network Balance creativity, discipline, and research to identify best practices in evaluating physician performance. Utilize our vast data resources to find new ways to deliver quality-related value to our clients. We’re excited about you because… You have 1-2 years of experience analyzing large data sets that will help us make informed decisions required to provide our patients with the highest quality providers. You love data, are experienced with healthcare billing and coding, and have intermediate- to-advanced skills with Excel/GSheets and data analysis; coding language knowledge or CPC status is a bonus You are entrepreneurial and resourceful — as an early member of a startup, we need people who can find creative ways to make a big impact quickly and without much direction. You have experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment. You have a passion for collaborating cross-functionally with operations, data, and engineering teams to ideate, complete projects, and drive impactful results. You see blockers as an opportunity, rather than a deterrent. When challenges arise, you get excited about finding solutions to not only fix but improve situations. Entrepreneurial and resourceful — you’re a problem solver. Experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment. Passion for collaborating cross-functionally with sales, operations, client success, data, and product teams to ideate, complete projects, and drive impactful results. Why you’ll love working with us… We’re a hard-working, humble, and compassionate group motivated to solve the hard problems in healthcare today. You’ll work with talented, experienced co-workers from companies like Booz & Company, Teladoc, Hinge Health, Accolade, Angi, and Optum. We champion a collaborative environment where team members can be autonomous, receive support and healthy feedback, and bring their authentic selves to work. We carve out time to celebrate our successes and have fun. We’re a remote-first company with employees all over the United States. We offer holistic employee support with flexible working hours, generous time off, paid parental leave, opportunities to connect virtually and in-person, and more. We embrace our team’s diversity of thought, experience, and interests and know that doing so makes us stronger as a company. Carrum has an active employee-led Diversity, Equity, Inclusion, and Justice (DEIJ) committee alongside several employee resource groups (ERGs) that support parents, women, and various underrepresented groups. You’ll feel proud that the work you do each day directly impacts people’s lives in big and meaningful ways. Carrum is remote-first, but we believe the best work often happens in person. This role may include occasional travel for team offsites, client events, or company gatherings. Other benefits Stock option plan and performance bonus for eligible employees Flexible schedules and remote work Chicago and San Francisco offices available as an option Flexible PTO, within reason Summer Fridays (sign off @ 1pm local time) 15+ paid holidays, including Juneteenth, World Mental Health Day, and Carrum Health Day Annual holiday shutdown in December Paid parental leave Health, vision, and dental insurance Employee Assistance Programs (EAP) 401K retirement plan About Carrum Carrum Health’s mission is to change how we pay for and deliver specialty care. We offer self-insured employers and plan sponsors a value-based specialty care platform that connects their members with a rigorously vetted network of specialty care providers. Carrum’s transparent, all-inclusive bundled pricing, award-winning technology, and dedicated care navigation team help lower costs for both members and employers while delivering a superior member experience. Carrum is independently validated to reduce unnecessary procedures by as much as 30%, lower readmissions by 80%, and save employers up to 45% per episode of surgical care. Learn more at carrumhealth.com. Since launching in 2014, we’ve partnered with top-quality providers across the nation including Cleveland Clinic, Johns Hopkins, Mayo Clinic, Stanford Health Care, and a growing network of 1,400+ COEs. We serve hundreds of self-insured employers including Fortune 50 companies, such as United Airlines, US Foods, and Prudential, and public sector clients such as the States of Maine, Nevada, Tennessee, and Self-Insured Schools of California. The impact of our platform has been validated by a landmark RAND Corporation study, honored with prestigious awards from institutions like Harvard Business School & Harvard Medical School, and featured as a Harvard Business School case study. As a recognized digital health leader, Carrum is frequently covered by national media, including Bloomberg, Fast Company, Fierce Healthcare, Fortune, Los Angeles Times, Reuters, TechCrunch, and U.S News & World Report. Backed by $96M from top-tier investors including OMERS, Tiger Global Management, Revelation Partners and Wildcat Ventures, we’re only scratching the surface of our opportunity. Come join us. Carrum Health is an equal opportunity employer and encourages all applicants from every background and life experience. A Note on Recruitment Safety To protect yourself against recruitment fraud, please note that Carrum Health will only communicate via an @ carrumhealth.com email address. We do not conduct interviews via text or messaging apps, nor do we ever request financial information or fees during the hiring process. All authentic job openings are posted at carrumhealth.com/careers. If you are unsure about the legitimacy of a communication, please verify it via View email address on click.appcast.io. #J-18808-Ljbffr Carrum Health, Inc.

Vacancy posted 5 days ago
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