Provider Quality Associate

Carrum Health•,

13d•$70,000 - $85,000•Remote

About The Position

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. 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.

Requirements

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.
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
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.
Experience handling deadlines, keeping many balls in the air, and prioritizing work in a fast-paced, dynamic environment.
Passion for collaborating cross-functionally with operations, data, and engineering teams to ideate, complete projects, and drive impactful results.
See blockers as an opportunity, rather than a deterrent. When challenges arise, 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.

Nice To Haves

coding language knowledge or CPC status is a bonus

Responsibilities

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.

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