Icon Health

• Set up process and workflow to obtain insurance prior authorizations (primary responsibility) • Receive, track, and process incoming referrals from primary care providers and partner organizations. • Process insurance authorizations for outbound referrals, including submitting documentation and managing denials or appeals. • Verify insurance and referral information to ensure completeness, accuracy, and compliance. • Communicate updates to referring providers and maintain clear, timely feedback loops to support continuity of care. • Schedule patient appointments with OrthoPass clinicians, ensuring alignment between provider availability and patient needs. • Manage scheduling logistics for urgent or complex cases requiring additional coordination. • Maintain up-to-date and accurate records in the EHR and referral tracking systems. • Partner closely with operations, clinical, and provider relations teams to ensure smooth handoffs and proactive issue resolution. • Identify and escalate barriers to care access or workflow bottlenecks, recommending process improvements as needed. • Support reporting and quality improvement initiatives related to referral timeliness, patient engagement, and access metrics.

• Develop and manage multi-channel outreach campaigns • Create personalized education materials and automated communication strategies • Lead patient journey mapping initiatives • Optimize first-call resolution models • Address and resolve patient complaints and concerns • Support hiring, training, and management of a team of patient outreach coordinators • Conduct regular call audits and quality reviews • Review quality management frameworks • Train and mentor staff on patient interaction protocols • Work with product and clinical leadership to improve patient outreach workflows • Monitor and report on key engagement and operational metrics

Icon Health is breaking barriers as an orthopedic telehealth and care navigation company. We are a group of experienced healthcare professionals and clinicians passionate about improving the way orthopedic care is delivered. We are on a mission to transform value based care initiatives to align the patient experience, patient outcomes, and a top tier provider network. Job Title: Collaborating Sports Medicine Physician We are seeking a collaborating board certified Family Medicine: Sports Medicine Fellowship trained physician for our APP providers. This candidate must live and practice physically in the state of Nevada. This individual will be needed solely for licensing and credentialing and collaboration only as required by Nevada law. This individual must be willing to move quickly for our staff to update CAQH profiles in preparation for credentialing submissions REQUIREMENTS: - Education: MD or DO degree from an accredited medical school - Licensure: Florida (licensed and practice in) - Certifications: Board certification in Family Medicine: Sports Medicine - Credentialing CAN NOT be credentialed with Careplus in SE Florida Work Conditions: - Hours: 2/month - Location: Remote - Compensation: paid per APP Job Type: Contract Schedule: - Monday to Friday Work Location: Remote

Currently hiring a fully remote Credentialing SpecialistIcon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners. Responsibilities - Manage the full lifecycle of credentialing and recredentialing for telehealth providers across multiple states including: - Verifying provider credentials including state licenses, board certifications, DEA registrations, education and training, work history, malpractice coverage, National Practitioner Data Bank (NPDB) queries - Ensuring credentialing processes meet NCQA, Joint Commission, and CMS standards where applicable. - Maintaining accurate credentialing records in the credentialing database or provider management system. - Tracking and managing state licensure applications and renewals for telehealth providers. - Maintaining a comprehensive database of provider licenses and expiration dates. - Monitoring and ensuring compliance with state-specific telehealth regulations and licensing requirements. - Coordinating payer credentialing and enrollment with commercial and government payers across multiple states. - Completing and submitting payer enrollment applications and maintain follow-up until approval. - Maintaining CAQH profiles and ensure provider information is current and attested - Assisting with credentialing audits and prepare documentation for internal and external reviews. - Collaborating with provider recruitment, medical staff services, compliance, and operations teams to ensure timely onboarding. - Providing credentialing status updates to internal stakeholders. - Assisting providers with documentation requirements and application completion. - Maintaining credentialing data in provider management systems. - Generating reports on credentialing status, expirations, and compliance. - Monitoring credentialing timelines to ensure providers are approved before service delivery. Required Qualifications: We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact. - 5+ years of credentialing experience in healthcare. - Demonstrated experience credentialing telehealth providers across multiple states. - Experience with payer enrollment and provider credentialing applications. - Familiarity with CAQH, NPDB, NPI registry, and state licensing boards. - Knowledge of telehealth regulatory requirements and multi-state licensure processes. - Strong organizational skills with the ability to manage multiple providers and deadlines simultaneously. - Proficiency in credentialing databases, Microsoft Office, and provider management systems. Preferred Qualifications: - Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred. - Experience credentialing for virtual care or digital health organizations. - Experience with multi-state Medicaid and commercial payer enrollment. - Familiarity with credentialing platforms such as Modio, MedTrainer, Verity, symplr, or similar systems. Compensation: - $50K-$60K Annually - Yearly Salary Commensurate with Experience - Hours: Full Time (Hours are Monday-Friday no nights or weekends) - Benefit Package Available - Employee funded 401K This is a fully remote position.

Job Description Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners. Responsibilities: - Manage email traffic and professional correspondence; serve as the primary point of contact by screening and directing inquiries to the appropriate departments. - Coordinate complex calendars, including the scheduling of meetings, appointments, and comprehensive travel arrangements for team members. - Draft, edit, and proofread high-quality professional documents, including memos, detailed reports, invoices, and presentations. - Maintain rigorous documentation systems and oversee vendor contract management. - Act as a strategic bridge between payers, providers, and management to ensure clear communication and alignment. - Proactively identify workflow bottlenecks and recommend strategic improvements to partner and internal processes. - Assist with essential bookkeeping functions, including accounts payable/receivable (AP/AR), invoice processing, and accurate data entry. - Lead the planning and execution of company events, conferences, and large-scale meetings, managing all logistical requirements. - Execute diverse administrative projects and ad-hoc tasks as required to support evolving business needs. Requirements: - Bachelor’s degree in Business Administration or a related field preferred; equivalent professional experience will be considered. - 2–3 years of proven experience in operations, logistics, or administrative functions. - Advanced knowledge of Google Workspace (Gmail, Docs, Sheets, and Slides). - Ability to analyze operational data and financial reports (e.g., expense tracking) to identify trends and drive process improvements. - Demonstrated ability to anticipate potential bottlenecks and independently implement effective solutions. - Strong interpersonal skills with the ability to act as a primary liaison between departments to ensure seamless workflows. - A high-energy, positive collaborator with the capacity to lead special projects - Proven ability to handle sensitive information with the highest level of confidentiality and professionalism. - Exceptional organizational skills with a track record of managing competing priorities in a fast-paced environment. Job Type: Full-time - Yearly Salary Commensurate with Experience - Benefits Package Available Icon Health is proud to be an Equal Opportunity Employer. We are committed to building a diverse and inclusive team. We welcome candidates from diverse backgrounds; however, this position requires U.S. Location and U.S. work authorization. We are not able to provide visa sponsorship at this time. This is a fully remote position.

Job Description Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners. Responsibilities - Answering, screening, and directing incoming calls, taking messages, and handling voicemail inquiries. - Booking, canceling, and rescheduling patient appointments - Collecting and updating demographic and insurance information, verifying patient eligibility, and registering new patients. - Processing referrals, preparing and scanning medical records, and performing data entry. - Acting as a liaison between patients, medical staff, and other departments. - Other Duties as assigned Competencies - HS Diploma or Equivalent - Healthcare Experience a Plus! - Excellent verbal and written skills, with a focus on empathy, professional phone etiquette, and clear diction. - Comfort with technology including phone systems, email, documentation management systems, EHR systems Job Type: Full-time - Yearly Salary Commensurate with Experience - Benefits Package Available Icon Health is proud to be an Equal Opportunity Employer. We are committed to building a diverse and inclusive team. We welcome candidates from diverse backgrounds; however, this position requires U.S. work authorization and we are not able to provide visa sponsorship at this time.

Job description: Please read entire description for hours and bilingual requirements About the Role As a member of the Clinical Team, you will be responsible for supporting the Icon Orthopedic PA or NP in the execution of a patient’s treatment plan. This will involve both direct patient contact via text/email/phone as well as administrative task completion in multiple digital platforms. You will become the right hand person of the Clinician and a trusted advocate for the patient. Responsibilities - Build trust with patients with an empathetic attitude and working knowledge of healthcare - Communicate and collaborate with external office staff as well as other members of the Icon clinical team - Prioritize the patient experience navigating their MSK care journey with unparalleled customer service - Complete tasks as directed by clinician in a fast paced environment You May Be The Ideal Candidate if You Have... - At least 3 years of customer service in a healthcare setting - Ability to use multiple digital tools for record keeping and patient care directives - Excellent interpersonal skills and ability to engage patients - Ability to effectively communicate with other members of the Icon Team - Hard-working, flexible and able to handle the pressure of a fast-paced quickly evolving environment - Minimum 1 year of experience working in a fully remote or hybrid environment - Ability to problem solve independently and “think on your feet” as needs arise - MUST BE BILINGUAL ENGLISH/SPANISH - Several openings in both EST and CST Full benefits package on hire Fully Remote Salary 52k per year Job Type: Full-time Pay: $52,000.00 per year Benefits: - 401k - Dental insurance - Employee discount - Health insurance - Life insurance - Paid time off - Vision insurance Language: - Spanish and English (Required) Work Location: Remote

About Us: Icon Health is breaking barriers as an orthopedic telehealth and care navigation company. We are a group of experienced healthcare professionals and clinicians passionate about improving the way orthopedic care is delivered. and are on a mission to transform value based care initiatives to align the patient experience, patient outcomes, and a top tier provider network. If you want to be part of a fast moving team that provides you with the tools and support to enhance your current skill set and the opportunity to grow in all facets of healthcare delivery we want to talk to you. Responsibilities: - Perform initial orthopedic telehealth visits including but not limited to diagnosis, ordering imaging, and referring patients for in person care when appropriate. - Build trust with patients through empathy, knowledge, experience, and shared decision making - Communicate and collaborate with physical therapists, physicians, and other members of the Icon clinical team - Create the patient’s personalized treatment plan and along with your dedicated care coordinator, determine next steps and navigate the patient through the journey - Participate in Icon product enhancement through feedback on the current technology platform Competencies: We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact. - Preferred candidate is licensed in both Nevada and Texas, and if not both, can become licensed in both within a short amount of time. - Minimum of 5 years as a PA practicing in outpatient orthopedics with experience in multiple subspecialties - Excellent interpersonal skills and ability to engage patients in an empathetic manner - Excellent clinician to clinician interpersonal skills to engage and coordinate with other providers - Comfortable learning and utilizing several technology and telehealth platforms - Hard-working and able to handle the pressure of a fast-paced environment Compensation: Yearly Salary Commensurate with Experience Malpractice and Supervising MD will be provided State Licensing and NCCPA Fees are covered $500/year for CME Hours: Full Time (Hours are Monday-Friday or 8-4 or 9-5 in local time zone) Fully Remote No nights, weekends, or call Full Benefits Employee funded 401k Job Type: Full-time

About Us: Icon Health is breaking barriers as an orthopedic telehealth and care navigation company. We are a group of experienced healthcare professionals and clinicians passionate about improving the way orthopedic care is delivered. and are on a mission to transform value based care initiatives to align the patient experience, patient outcomes, and a top tier provider network. If you want to be part of a fast moving team that provides you with the tools and support to enhance your current skill set and the opportunity to grow in all facets of healthcare delivery we want to talk to you. Responsibilities: - Perform initial orthopedic telehealth visits including but not limited to diagnosis, ordering imaging, and referring patients for in person care when appropriate. - Build trust with patients through empathy, knowledge, experience, and shared decision making - Communicate and collaborate with physical therapists, physicians, and other members of the Icon clinical team - Create the patient’s personalized treatment plan and along with your dedicated care coordinator, determine next steps and navigate the patient through the journey - Participate in Icon product enhancement through feedback on the current technology platform Competencies: We are always looking for new team members who will add to our company’s DNA and have a strong passion for impact. - Preferred candidate is licensed in both Nevada and Texas, and if not both, can become licensed in both within a short amount of time. - Minimum of 5 years as a PA practicing in outpatient orthopedics with experience in multiple subspecialties - Excellent interpersonal skills and ability to engage patients in an empathetic manner - Excellent clinician to clinician interpersonal skills to engage and coordinate with other providers - Comfortable learning and utilizing several technology and telehealth platforms - Hard-working and able to handle the pressure of a fast-paced environment Compensation: Yearly Salary Commensurate with Experience Malpractice and Supervising MD will be provided State Licensing and NCCPA Fees are covered $500/year for CME Hours: Full Time (Hours are Monday-Friday or 8-4 or 9-5 in local time zone) Fully Remote No nights, weekends, or call Full Benefits Employee funded 401k Job Type: Full-time

Job Title: Data Analyst, Actuarial or Medical Economics Location: Remote Reports To: SVP, Data and Technology Who We Are Icon Health is a leading provider of value-based musculoskeletal (MSK) care, collaborating with payers and providers to enhance outcomes and experience for individuals. The company partners with health plans and risk-bearing providers to assume accountability for reduced total cost of care. By combining technology-enabled MSK providers with proactive care coordination and decision support services, Icon Health delivers multidisciplinary, evidence-based care. We founded Icon Health on the conviction that every patient should be genuinely delighted with their care experience. By prioritizing patient-centered practices, ensuring clear care goals across the entire clinical team, and placing clinicians at the heart of care delivery, we aim to transform a fragmented system into one that truly serves patients. Our model uses a team-based approach to care, integrating musculoskeletal expertise and primary care to achieve better patient outcomes. At Icon Health, we foster a culture that embraces bold thinking, rapid iteration, and practical problem-solving. We seek team members who relish challenging the status quo and thrive in vertically integrated roles—where ideas can swiftly move from concept to execution without layers of red tape. Above all, we value individuals who are eager to roll up their sleeves, tackle obstacles head-on, and create innovative solutions that improve the lives of our patients and our clinical partners. Who You Are We are seeking a Data Analyst with an actuarial background or medical economics focus who is passionate about transforming healthcare through data-driven insight. You bring rigor, precision, and creativity to quantitative analysis—balancing technical expertise with a deep understanding of healthcare economics, risk modeling, and population health. You’re comfortable navigating complex datasets, developing predictive models, and translating analytics into actionable recommendations for clinical, operational, and financial stakeholders. You thrive in cross-functional environments, collaborating with product, operations, clinical, and payer-facing teams to inform strategy and measure impact. You are motivated by solving complex problems that connect real human outcomes to financial and operational performance. What You’ll Do Data Analysis & Modeling - Design and execute analyses that evaluate clinical, operational, and financial performance across markets and programs. - Build and maintain actuarial models that estimate total cost of care, risk adjustment, savings performance, and value-based contract projections. - Support quarterly and annual reconciliation processes for shared savings and cost containment programs. - Develop predictive models to identify high-risk populations and opportunities for intervention. Performance Measurement & Reporting - Own key dashboards and reporting tools that track MSK performance across cost, utilization, access, and outcomes metrics. - Partner with operations and market management teams to analyze referral volumes, patient engagement, and care pathway efficiency. - Collaborate with the clinical team to assess patient-reported outcomes (PROs), treatment effectiveness, and adherence patterns. Collaboration & Communication - Serve as a key partner to the sales and contracting teams by providing actuarial input for payer proposals and renewals. - Work closely with the data engineering team to ensure data integrity, accuracy, and accessibility across claims, EMR, and operational systems. - Translate complex analyses into clear, actionable insights for leadership and external partners. Continuous Improvement - Identify gaps or inconsistencies in existing analytics workflows and propose improvements to enhance automation, accuracy, and interpretability. - Stay current with CMS, Medicare Advantage, and commercial payer methodologies related to risk adjustment, cost benchmarking, and value-based payments. What You’ll Bring Experience - 5–7 years of experience in data analytics, actuarial analysis, or healthcare financial modeling. - Prior experience with healthcare claims data, risk adjustment, or value-based care analytics strongly preferred. - Experience supporting shared savings programs, MA performance analysis, or population health contracts a plus. Technical Skills - Advanced proficiency in SQL, Python, or R for data extraction, analysis, and modeling. - Design, build, and maintain automated data pipelines to extract, transform, and load (ETL) claims and supporting data from multiple sources into analytics-ready formats - - Familiarity with actuarial modeling tools (e.g., SAS, Excel VBA, Prophet) preferred. - Strong understanding of cost and utilization measures, HCC risk adjustment, and episode-based performance. Analytical & Communication Skills - Ability to synthesize complex data into concise insights and compelling visualizations. - Strong written and verbal communication skills, particularly for translating analytical findings for non-technical audiences. - Comfort presenting to senior leadership and external partners. Mindset - Detail-oriented and highly organized, with a focus on accuracy and reproducibility. - Curious, proactive, and driven to improve systems and outcomes through data. - Deeply aligned with Icon’s mission to make high-quality, value-based MSK care accessible and affordable. What We Offer - Direct Impact: Play a pivotal role in shaping analytics that directly inform care delivery and business strategy. - Agile Environment: A small, vertically integrated team that empowers quick decisions and nimble execution. - Competitive Benefits: Comprehensive benefits package including health insurance, retirement plans, and paid time off. - Yearly Salary: Commensurate with experience - Full Benefits and Employee-Funded 401(k)