Heritage Health Network

• Manage and optimize cloud infrastructure (AWS, RDS/Aurora), including databases, storage, and system performance • Administer and support eClinicalWorks (EHR), ensuring data accuracy, user access, and system integrations • Develop and maintain data integrations and automation workflows (APIs, ETL processes, Power Automate) across platforms (eCW, Zoho, RingCentral, etc.) • Ensure compliance with HIPAA, HITECH, and data security protocols, maintaining audit readiness • Monitor system performance, troubleshoot issues, and resolve user support requests • Partner with leadership on data strategy, reporting needs, and system improvements • Maintain clear documentation for systems, workflows, and data processes • Support system upgrades, implementations, and ongoing optimization projects

This is a remote position. The Supervisor, Revenue Cycle oversees day-to-day billing coordinator operations and directly contributes to claim submission, denial resolution, and AR follow-up. Reports to the Manager, Revenue Cycle. Accountable for team-level delivery on clean claim rate, denial management, timely filing, and AR targets. Hands-on, active RCM billing experience is a non-negotiable requirement for this role. Responsibilities - Supervise billing coordinators daily — queue assignments, workflow oversight, and productivity. - Conduct first-line quality review on flagged claims; enforce documentation and coding standards. - Monitor payer timely filing windows; ensure no claim expires due to late submission. - Own denial triage, assignment, and resubmission workflow; escalate systemic trends to the Manager with root cause documentation. - Drive AR follow-up across the team with focus on 30+ and 90+ day buckets. - Support weekly AR reconciliation, rate validation, and month-end close activities. - Enforce note-lock compliance with Clinical Operations; run month-end sweep to close with zero unbilled encounters. - Lead daily huddles and weekly 1:1s; deliver coaching, written feedback, and performance documentation. - Partner with the Manager on coordinator onboarding and ongoing training. - Step in to produce claims, work denials, and follow up on AR when volume or staffing requires; maintain audit-ready records. Skills Required - Production-level proficiency in Office Ally and Availity — able to step into any coordinator queue and execute. - Working knowledge of eClinicalWorks (eCW) or comparable EHR. - Full command of the claim lifecycle: eligibility, coding, modifiers, submission, denial, appeal, and posting. - Medi-Cal billing rules; experience across ECM, CalAIM, and managed care programs. - Microsoft Excel and Google Workspace for AR, production, and denial reporting. - Proven ability to supervise, coach, and hold staff accountable while maintaining personal production. - Written communication for coaching documentation, denial appeal letters, and payer correspondence. ​ Preferred Qualifications - Direct experience in ECM, CalAIM, or Community Supports. - Familiarity with IEHP, Molina, CalOptima, Health Net, and Anthem portals and requirements. - Experience with capitated PMPM and per-encounter billing models. - Experience reading Power BI or comparable BI dashboards. Competencies - Team leadership — holds coordinators to production and quality standards; models expectations through direct execution. - Operational discipline — runs the queue, closes the day, owns the week. - Payer fluency — maintains current knowledge of each health plan’s rules and timelines. - Analytical rigor — reads production and denial reports; identifies patterns and proposes fixes. - Execution under pressure — month-end close, payer deadlines, audit requests. - Integrity — will not submit or allow a claim that cannot be supported by documentation. ​ Requirements Job Requirements - Education: Associate’s degree in business, healthcare administration, or related field required; Bachelor’s preferred. Equivalent RCM experience considered. - Experience: Minimum 3 years of current, hands-on RCM billing experience required — claim submission, denials, appeals, and AR. Minimum 1 year supervisory or team lead experience over billing staff required. Medi-Cal or managed care experience preferred. - Certification (preferred): Revenue cycle or billing credential preferred. - Schedule: Monday through Friday, 8:30 AM – 5:00 PM PST (required, non-negotiable). - Travel: None. Fully remote within California. - Location: California residency preferred. - Compensation & Benefits: Range set by People Team, commensurate with experience. Full benefits included. Benefits - Medical, dental, and vision insurance - Paid time off + holidays - Competitive pay - Remote work flexibility - Professional growth and development opportunities

Senior Business Analyst (Power BI & Data Analytics) – Remote Heritage Health Network (HHN) Drive Data. Influence Strategy. Make an Impact. Join Heritage Health Network as a Senior Business Analyst and play a critical role in shaping how data drives decision-making across the organization. In this role, you will own the design, development, and optimization of Power BI dashboards and reporting infrastructure, supporting key areas such as enrollment, revenue cycle, clinical operations, and payer performance. You’ll work directly with executive leadership to define KPIs, uncover insights, and build reporting that fuels growth, accountability, and operational excellence. What You’ll Do - Design, build, and maintain Power BI dashboards across enrollment, revenue cycle, clinical operations, and performance metrics - Write and optimize SQL queries to extract, validate, and transform data from AWS RDS (PostgreSQL/MySQL) - Develop reporting for revenue cycle management (RCM) including claims, denials, A/R, and payer performance - Build enrollment and attribution dashboards, tracking growth, churn, and member trends - Create and maintain incentive and compensation dashboards tied to KPI performance - Partner with executive leadership, finance, operations, and clinical teams to define reporting needs and business insights - Develop data models, DAX measures, and row-level security to ensure accurate and secure reporting - Identify data gaps and recommend process improvements to enhance reporting quality and reliability Requirements What You Bring - 4+ years of experience in business analysis, data analytics, or BI reporting (healthcare preferred) - Advanced expertise in Power BI (data modeling, DAX, Power Query, dashboard design) - Strong SQL skills and experience working with cloud databases (AWS RDS preferred) - Knowledge of Revenue Cycle Management (RCM) including claims, billing, denials, and payer data - Experience building performance or incentive-based reporting models - Ability to translate complex data into clear, actionable insights for executive audiences - Strong analytical, problem-solving, and cross-functional collaboration skills Nice to Have - Experience with eClinicalWorks (eCW) or healthcare EHR systems - Familiarity with Medi-Cal, CalAIM, or ECM programs - Experience with AWS services (RDS, S3, Redshift) - Background in healthcare analytics or population health Role Details - Schedule: Monday–Friday, 8:30 AM – 5:00 PM PST - Location: Fully remote (must reside in California) Benefits Compensation & Benefits - Competitive salary (DOE) - Medical, dental, and vision insurance - Paid time off + holidays - Opportunities for growth and advancement Why Join HHN? At Heritage Health Network, you’ll be part of a mission-driven organization transforming care for high-need populations. Your work will directly influence strategy, improve operational performance, and support better outcomes for the communities we serve. Apply today and help turn data into meaningful impact.

Heritage Health Network (HHN) Build the Systems That Power Better Care Join Heritage Health Network as a Cloud Systems & Data Administrator and play a critical role in maintaining and optimizing the technology and data infrastructure that supports our care teams and members. In this role, you will own cloud systems, data integrity, and reporting infrastructure, ensuring our platforms are secure, reliable, and scalable. You’ll work cross-functionally with operations, clinical, billing, and executive leadership to deliver accurate, actionable data that drives decision-making and improves outcomes for the communities we serve. What You’ll Do - Manage and optimize cloud infrastructure (AWS, RDS/Aurora), including databases, storage, and system performance - Administer and support eClinicalWorks (EHR), ensuring data accuracy, user access, and system integrations - Develop and maintain data integrations and automation workflows (APIs, ETL processes, Power Automate) across platforms (eCW, Zoho, RingCentral, etc.) - Ensure compliance with HIPAA, HITECH, and data security protocols, maintaining audit readiness - Monitor system performance, troubleshoot issues, and resolve user support requests - Partner with leadership on data strategy, reporting needs, and system improvements - Maintain clear documentation for systems, workflows, and data processes - Support system upgrades, implementations, and ongoing optimization projects Requirements What You Bring - 3+ years of experience in systems administration, cloud infrastructure, or data analytics (healthcare preferred) - Strong experience with AWS (RDS/Aurora), cloud environments, and database management - Proficiency in SQL and data integration (ETL) - Experience supporting or working with EHR systems (eClinicalWorks preferred) - Knowledge of healthcare data, compliance, and security standards (HIPAA/HITECH) - Ability to manage multiple systems and translate technical data into business insights - Strong problem-solving, organization, and cross-functional collaboration skills Nice to Have - Experience with Zoho CRM/ATS, RingCentral, or similar platforms - Familiarity with Medi-Cal, CalAIM, or ECM programs - Certifications in AWS, cybersecurity, or healthcare IT - Experience in startup or high-growth healthcare environments Role Details - Work Arrangement: Fully remote - Schedule: Monday – Friday, standard business hours (PST) - Location Requirement: Must reside in California Benefits Benefits - Competitive salary (DOE) - Medical, dental, and vision insurance - Paid time off + holidays - Opportunities for growth and advancement Why Join HHN? At Heritage Health Network, you’ll be part of a mission-driven organization transforming care for high-need populations. Your work behind the scenes will directly enable better care delivery, stronger operations, and improved health outcomes. Apply today and help build the systems that power meaningful impact.

Role Description Join Heritage Health Network as a Senior Business Analyst and play a critical role in shaping how data drives decision-making across the organization. In this role, you will own the design, development, and optimization of Power BI dashboards and reporting infrastructure, supporting key areas such as enrollment, revenue cycle, clinical operations, and payer performance. You’ll work directly with executive leadership to define KPIs, uncover insights, and build reporting that fuels growth, accountability, and operational excellence. What You’ll Do: - Design, build, and maintain Power BI dashboards across enrollment, revenue cycle, clinical operations, and performance metrics. - Write and optimize SQL queries to extract, validate, and transform data from AWS RDS (PostgreSQL/MySQL). - Develop reporting for revenue cycle management (RCM) including claims, denials, A/R, and payer performance. - Build enrollment and attribution dashboards, tracking growth, churn, and member trends. - Create and maintain incentive and compensation dashboards tied to KPI performance. - Partner with executive leadership, finance, operations, and clinical teams to define reporting needs and business insights. - Develop data models, DAX measures, and row-level security to ensure accurate and secure reporting. - Identify data gaps and recommend process improvements to enhance reporting quality and reliability. Qualifications - 4+ years of experience in business analysis, data analytics, or BI reporting (healthcare preferred). - Advanced expertise in Power BI (data modeling, DAX, Power Query, dashboard design). - Strong SQL skills and experience working with cloud databases (AWS RDS preferred). - Knowledge of Revenue Cycle Management (RCM) including claims, billing, denials, and payer data. - Experience building performance or incentive-based reporting models. - Ability to translate complex data into clear, actionable insights for executive audiences. - Strong analytical, problem-solving, and cross-functional collaboration skills. Requirements - Experience with eClinicalWorks (eCW) or healthcare EHR systems (nice to have). - Familiarity with Medi-Cal, CalAIM, or ECM programs (nice to have). - Experience with AWS services (RDS, S3, Redshift) (nice to have). - Background in healthcare analytics or population health (nice to have). Benefits - Salary: $100,000 – $125,000 annually (DOE). - Medical, dental, and vision insurance. - Paid time off + holidays. - Opportunities for growth and advancement. Company Description At Heritage Health Network, you’ll be part of a mission-driven organization transforming care for high-need populations. Your work will directly influence strategy, improve operational performance, and support better outcomes for the communities we serve.

This is a remote position. Position Summary Reports to: Clinical Member Manager (RN) and Licensed Clinical Social Worker (LCSW) Location: Fully Remote (California residents only) Hours: Per diem, estimated 10–15 hours/week (starting closer to 10 hours/month, with potential to expand) Heritage Health Network (HHN) is seeking a compassionate and flexible Licensed Psychologist (PhD/PsyD) to join our Behavioral Health and Enhanced Care Management (ECM) team on a per diem, fully remote basis. The Psychologist will provide telehealth therapy, psychological evaluations, and clinical consultation for high-need Medi-Cal members, working closely with HHN’s interdisciplinary team. This is an exciting opportunity to shape HHN’s Behavioral Health Division, launching in January 2025. Key Responsibilities - Conduct telehealth psychological assessments for Medi-Cal members referred by the care team. - Provide individual and group therapy (when applicable) to members with behavioral health needs. - Collaborate with LCSWs, RNs, and care managers to develop integrated care plans. - Participate in case conferences and interdisciplinary team huddles. - Document all services in eClinicalWorks (ECW) EMR according to payer and DHCS requirements. - Assist in designing and reviewing clinical protocols and escalation pathways for the Behavioral Health Division. Requirements Qualifications - Licensed Psychologist (PhD or PsyD) in California. - 2+ years of behavioral health clinical experience, preferably with Medi-Cal or underserved populations. - Experience with telehealth delivery. - Strong collaboration skills and cultural humility. - Familiarity with ECM or Whole Person Care programs preferred. Benefits Commitment & Compensation - Per diem, remote role – starting ~10 hours/month, scaling up to 10–15 hours/week. - Flexible scheduling. - Compensation: $65–$85/hour

This is a remote position. Position Summary Reports to: Clinical Member Manager (RN) and Licensed Clinical Social Worker (LCSW) Location: Fully Remote (California residents only) Hours: Per diem, estimated 10–15 hours/week (starting closer to 10 hours/month, with potential to expand) Heritage Health Network (HHN) is seeking a Board-Certified/Board-Eligible Psychiatrist (MD/DO) to join our Behavioral Health and Enhanced Care Management (ECM) team on a per diem, fully remote basis. The Psychiatrist will provide psychiatric evaluations, medication management, and clinical consultation for high-need Medi-Cal members. This role will play a key part in expanding HHN’s Behavioral Health Division in 2025. Key Responsibilities - Conduct telehealth psychiatric evaluations for Medi-Cal members. - Prescribe and manage psychiatric medications as clinically appropriate. - Provide psychiatric consultation to LCSWs, RNs, and care managers on member treatment plans. - Participate in case reviews and interdisciplinary care team meetings. - Document all encounters in eClinicalWorks (ECW) EMR in line with DHCS and payer requirements. - Contribute to the development of clinical policies, escalation pathways, and prescribing protocols Requirements Qualifications ​ - Licensed Psychiatrist (MD/DO) in California. - Board-Certified or Board-Eligible. - 2+ years of psychiatric practice, ideally with Medi-Cal or underserved populations. - Experience with telepsychiatry. - Strong communication and collaboration skills. - Familiarity with ECM or integrated behavioral health preferred. Benefits Commitment & Compensation - Per diem, remote role – starting ~10 hours/month, scaling up to 10–15 hours/week. - Flexible scheduling. - Compensation: $150–$200/hour