WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. SCOPE OF ROLE The Director, Clinical Performance is responsible for the management of clinical capabilities related to Delegated Utilization Management and Delegated Care Management across multiple health plan clients in the California Medi-Cal, Medicaid delegated services markets. The role is responsible for overseeing day to day clinical operations. This is a work from home position based in California or the Pacific Time Zone. ROLE RESPONSIBILITIES - Ensure clinical review criteria (e.g., evidence-based guidelines) are applied consistently in authorization and review processes. - Support and engage in daily UM workflows, including case review processes, turnaround time management, and staffing models, while helping maintain performance standards for authorizations, denials, and appeals. - Participate in internal and health plan audits, assist in maintaining UM policies and procedures, and support accurate medical necessity determinations in accordance with clinical guidelines. - Partner with medical directors to resolve complex cases and appeals. - Oversee day-to-day UM operations and lead the team, including case review workflows, turnaround times, and staffing models. - Actively participate in day-to-day utilization management (UM) operations, including direct involvement in clinical reviews and authorization decision-making - Maintain performance standards for authorization decisions, denials, and appeals management. - Ensure UM processes meet regulatory, accreditation, and contractual requirements. - Maintain policies and procedures governing UM processes. - Manage workflows, staffing models, and case assignments to maintain appropriate review turnaround times in and accurate medical necessity determinations in accordance with clinical guidelines and regulatory requirements. - Ability to collaborate with analytics to support the development and maintenance of the data governance structure for clinical outcome measures - Identify trends in overutilization, underutilization, and inappropriate site-of-care decisions. - Work closely with Compliance to ensure appropriate operational responses to regulatory changes and ensures policy repository is updated based on state specific requirements or regulatory changes - Adhere to the Policies and Procedures set forth by NeueHealth and performs all additional duties as assigned EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE - Master’s degree in nursing, business, or other related Healthcare field preferred - Minimum 10 years’ experience in the population health management arena - Experience managing a team in a remote work environment - Experience in program development and management LICENSURES AND CERTIFICATIONS - Active and unrestricted license as a Registered Nurse (RN) in California is required. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

Role Description As Nucs AI's clinical partnerships expand and our products move toward commercial deployment, this role drives the clinical execution engine of the medical team: scientific communications, clinical enablement and education, medical intelligence, and the clinical-AI quality and data work that underpins our products. This role can be scoped at either Lead or Specialist level depending on experience and domain expertise. You'll be the connective tissue between our clinical partners, users, the product and engineering teams, and the broader medical function. You'll translate clinical insights and evidence into compelling publications, educational programs, and intelligence assets; build relationships with key external experts and clinical collaborators; support clinical users through pilots, training, and adoption; and shape product-market fit from a clinical lens. You'll also manage the medical annotation team and contribute to medical's end-to-end ownership of the data pipeline — the clinicians, specialists, and data flows that produce the ground truth and validation evidence underpinning our AI models. If you're energized by translating clinical science into impact — through publications, training programs, clinician engagement, and the data work that makes AI-powered diagnostics trustworthy — this is the role. What You'll Do - Scientific Communications & Evidence Production - Prepare scientific summaries, abstracts, posters, manuscripts, and conference materials - Coordinate publication planning and execution in partnership with the Medical Director, Associate Director, and external collaborators - Review all external-facing materials for clinical and scientific accuracy - Support integrated evidence generation pipelines (regulatory, reimbursement, and other downstream applications) and documentation with clinical content, summaries, and scientific context - Clinical Enablement & User Adoption - Develop and deliver educational programs, training materials, and onboarding resources for clinical users of Nucs AI products - Design and support clinical pilot programs, including engagement frameworks, training materials, and structured metric capture for workflow integration - Serve as the day-to-day clinical and scientific point of contact for users; capture structured feedback to inform product and medical priorities - Evaluate clinical workflows and surface opportunities to strengthen product-market fit - Build internal learning programs and provide ongoing clinical support to deepen clinical fluency across cross-functional teams - Annotation Team Management & Data Pipeline - Manage and coordinate the medical annotation team — clinicians and imaging specialists responsible for ground-truth labeling and expert annotation of medical imaging data - Define annotation protocols, quality standards, and review workflows in collaboration with the Medical Director and ML team - Oversee annotator onboarding, training, calibration, and performance monitoring to ensure consistency and accuracy - Support end-to-end ownership of the data pipeline — from vendor coordination and clinical requirements through QC, distribution, and internal tooling - Liaise between the annotation team, medical team, and engineering/ML teams to ensure data outputs meet training, validation, and study requirements - Clinical Operations & Investigations - Build and maintain relationships with key external experts, academic partners, and clinical collaborators - Lead operational coordination of clinical investigations and evidence programs in partnership with academic and clinical sites - Coordinate internal reader validation studies, including reader recruitment, read-out logistics, and performance data capture, to verify product performance and feed findings into product and medical teams - Organize and support advisory board meetings, clinical workshops, and scientific symposia - Manage conference logistics and produce structured intelligence reports from scientific meetings - Drive cross-functional alignment, milestone tracking, and operational delivery across medical team programs - Medical Intelligence & Knowledge Management - Drive medical intelligence activities, including literature surveillance, conference synthesis, and clinical trial monitoring - Conduct evidence synthesis, competitive intelligence, and clinical landscape analysis to inform medical and product strategy - Build and maintain medical knowledge hubs, repositories, and reference resources to make scientific content discoverable across the team - Translate clinical insights from key external expert engagement, conferences, partnerships, and user interactions into actionable briefs for the medical team and broader organization Qualifications - Bachelor's or advanced degree in medical imaging, medical sciences, life sciences, or a related field - Domain expertise in oncology and/or radiology/nuclear medicine highly preferred - This role will be scoped as Lead or Specialist based on experience. Candidates with 4+ years of directly relevant experience will be considered at the Lead level; candidates with fewer years but strong domain expertise or an exceptional relevant background will be considered at the Specialist level - Strong scientific writing and data presentation skills, including experience contributing to peer-reviewed publications - Experience building relationships with key external experts, clinicians, and clinical research communities - Excellent communication skills, with the ability to bridge clinical, product, and commercial audiences Bonus Points - Experience managing or coordinating clinical annotation, labeling, or data review teams - Direct experience with PET/CT imaging or radioligand therapy - Familiarity with AI/ML-driven clinical tools or health-tech products - Experience with medical image annotation platforms or ground-truth data pipelines for AI training - Experience supporting FDA or CE regulatory submissions - Published research or conference presentations in relevant domains Benefits - Mission with real impact – Your work directly improves how cancer patients are diagnosed and treated. - Ground-floor opportunity – Early-stage company, meaningful equity, and outsized influence on the direction we take. - World-class collaborators – Work alongside leading oncologists, nuclear medicine physicians, and AI researchers globally. - Massive market tailwinds – Radioligand therapy and AI-driven oncology are multi-billion dollar growth markets. - Autonomy and flexibility – Remote-first, flexible working. We hire great people and trust them to deliver. - Equity upside – Competitive equity package. We’re building something big and want you to share in it. How to Apply Submit your resume and a brief note on why this role and Nucs AI excite you. Equal Opportunity Nucs AI is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all team members. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The position has responsibility for the daily planning, work scheduling and coordination, and operational performance of the defined Clinical Documentation Integrity program. Delegates, supervises personnel, solves problems, makes decisions and develops systems and processes for successful integration and implementation. Participates in interviewing, hiring, scheduling, training and evaluation of staff. Ensures the quality, consistency and timeliness of the facility medical record documentation that complies with federal and state regulations. Seeks guidance from the Director and/or upper management for unusual or unanticipated circumstances that require deviation from policy/practice or allocation of funds to resolve. Collaboration with the CDI Educator and Outpatient CDI Manager as a part of the system CDI Leadership Team. Qualifications - Registered Nurse (RN) license. - Bachelor of Science in Nursing (BSN) - Three (3) years’ experience as Clinical Documentation Specialist - Five years acute care experience - CCDS or CDIP Certification Preferred Qualifications - Master’s Degree - Five (5) years’ experience as Clinical Documentation Specialist Duties and Responsibilities - Manages, develops and coaches the system-wide CDS team, motivating and supporting others in overcoming barriers to understanding. - Helps develop a collaborative team, and manages multiple priorities simultaneously. - Provides ongoing feedback to CDS team, physicians, administration from reports. - Assists with performing staff evaluations, promoting longevity of program, providing feedback and conflict resolution to CDS team. - Works in conjunction with Coding Liaison, CDI Educator and CDI Director to provide in-services and continuing education to the CDI team, physicians and clinical departments, providing highly complex information to audiences with a varied level of understanding of severity of illness and risk of mortality in an effort to ensure optimal reimbursement. - Serves as a subject matter expert and authoritative resource. Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency. - Serves as support for the Director providing backup as necessary. Participates in job interviewing, assessment and selection of new employees. Maintains positive morale maintenance with clinical documentation improvement and contributes to and promotes departmental performance improvement initiatives and employee engagement. Maintains confidentiality of employees', patients', and administrative and medical staff's information with no infractions and performs other duties as assigned. - Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance. Physical Requirements - Work environment: professional office environment with typical office requirements such as computers, phones, photocopiers, filing cabinets, etc. - This is largely a sedentary role, which involves sitting most of the time, but may involve movements such as walking, standing, reaching, ascending / descending stairs and operating office equipment. - Frequently required to speak, hear, communicate and exchange information. - Able to see and read computer displays, read fine print, and/or normal type size print and distinguish letters, numbers and symbols. - Occasionally lift and/or move up to 25 pounds. - Ability to work in confined or open environments. - Ability to work independently or in a team environment. Skills & Abilities - Demonstrated leadership experience. - Expertise in CDI, coding, and clinical medicine to serve as a subject matter expert for CDI program. - Knowledge of ICD-10-CM / PCS, quality initiatives and specificity of documentation changes. - Proficiency with Microsoft Office Suite and virtual meeting platforms. - Excellent oral and written communication skills. - Experience working collaboratively with HIM/Coding departments in partnership to improve reimbursement accuracy. - Proven record of managing successful CDI programs with proven metrics and value add to the organization (preferred). Job Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following CDI related duties: Facilitates improvement in overall quality, completeness, and accuracy of medical record documentation, obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff to ensure that documentation reflects the level of service rendered to patients is complete and accurate, and serves as a resource to all team members on documentation guidelines, provides guidance and support as well as assisting in the education and training related to improving clinical documentation. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that manages experienced professionals who exercise latitude and independence in assignments. Responsibilities typically include: policy and strategy implementation for short-term results (1 year or less), problems faced are difficult to moderately complex, and influences others outside of own job area regarding policies, practices and procedures. Pay Range $122,301.82 - $155,933.24

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Clinical Operations Lead supports the execution and delivery of global clinical trials within a cross-functional, matrixed clinical development organization. This role collaborates with global teams to drive operational activities that support study delivery, improve clinical trial processes, and enhance patient, investigator, and site experiences. - Support operational execution of clinical trials and development programs across disease areas. - Provide operational and strategic input to cross-functional study teams. - Collaborate with global stakeholders to support study management, process improvements, and clinical operations initiatives. - Ensure compliance with ICH, GCP, and regulatory guidelines and maintain high standards of data integrity. - Partner with investigators and clinical sites to strengthen relationships and improve trial delivery. - Contribute to innovation, digital adoption, and continuous improvement initiatives within clinical operations. - Support global and local initiatives aligned with clinical development priorities. Qualifications - 2–5 years of experience in clinical operations, drug development, or related field. - Knowledge of clinical trial processes and regulatory guidelines (ICH/GCP). - Strong organizational, problem-solving, and communication skills. - Ability to collaborate across cross-functional and global teams in a dynamic environment. - Experience supporting clinical studies, enabling projects, or operational initiatives preferred. Requirements - Job Duration: Long Term Contract (Possibility Of Extension) - Pay Rate: $81/hr on W2 DOE Benefits - Medical - Dental - Vision - Paid Sick leave - 401K