• Apply quantitative analysis to underwrite risk across various value-based care contracts, including but not limited to P4Q, professional fee capitation, two-sided shared savings models, and global capitation arrangements. • A strong understanding of healthcare terminology and principles, including medical coding, claims data, and broader medical economic trends, including Part A, B, and D segments. • Strong proficiency in being able to use databases and tools to query, interpret, and build sensitivity models to evaluate risk propensity. • Ability to take claims data and develop IBNR models to inform a prediction of future paid claims experience. • Partner cross-functionally with internal stakeholders on legal implications of managed care negotiations, financial forecasting and budgeting, and operational delivery tactics. • Effective verbal, written, and presentation skills to wide audiences, including physicians, executive management, and external stakeholders. • Responsible for participating in payor JOC meetings to facilitate alignment on performance targets and goals.

• Lead the organization’s efforts to analyze complex data to ensure its integrity and accuracy • Define data quality vision and standards, drive organizational trust in reporting and analytics, and ensure adherence to regulatory requirements • Collaborate with engineering, data excellence, pricing and analytics, and finance teams to improve data quality • Define data quality KPIs, develop tools to monitor and improve data quality, and establish an issue management and resolution process • Lead a team tasked with proactively querying databases, reviewing data and dashboards, understanding data flow processes, and supporting implementation of data initiatives • Work closely with the Chief Product and Data Officer as the team builds out data quality capabilities and support all data integrity work.

Role Description As a Virtual Primary Care Physician, you will have the opportunity to work within an innovative, integrated care model designed to deliver high-quality, relationship-based primary care through a virtual-first platform. You will practice as part of Firefly's multidisciplinary Care Team, collaborating closely with: - Nurse Practitioners (NPs) - Registered Nurses (RNs) - Health Guides - Behavioral Health Specialists - Other clinical partners Your responsibilities will include: - Providing comprehensive primary care to a diverse patient population in a fully virtual care environment. - Conducting virtual consultations to assess medical concerns, diagnose conditions, develop treatment plans, and coordinate ongoing care, including asynchronous care. - Serving as the supervising physician for Nurse Practitioners through collaborative practice agreements, including structured chart review, documentation review, coaching, clinical consultation, and professional development. - Contributing to total cost of care initiatives by supporting the management of high-complexity patients, promoting evidence-based care, and guiding appropriate utilization across the care continuum. - Participating in clinical quality improvement, peer review, and chart audit activities to promote consistent, evidence-based care delivery across assigned pod(s). - Ensuring accurate, complete, and clinically supported documentation that reflects patient complexity and supports quality measurement, care management, population health initiatives, and value-based care programs. - Utilizing population health data, quality metrics, and care gap reporting to proactively improve outcomes across assigned patient panels and pod. - Contributing to the development, implementation, and ongoing refinement of evidence-based clinical programs, care pathways, and practice standards. - Taking on-call shifts on a predictable schedule to support urgent patient needs after practice hours. - Participating in daily huddles and cross-functional care team activities to ensure coordinated, patient-centered care. - Thriving in a fast-paced, high-growth environment focused on innovation, collaboration, and continuous improvement. - Maintaining multi-state licensure and associated CME requirements. Qualifications - Graduate of an accredited MD or DO residency program in Family Medicine or Internal Medicine. - At least five years of experience practicing in a primary care setting. - Current board certification in Family Medicine or Internal Medicine. - Active unrestricted physician license in MA and an additional 35+ states is highly desired. - Reside in the United States. - Experience working collaboratively with Nurse Practitioners and interdisciplinary care teams. - Demonstrated experience providing clinical oversight, mentorship, or supervision of advanced practice providers. - Experience participating in clinical quality initiatives, peer review programs, chart audits, or quality improvement activities. - Experience delivering care within value-based care models, including commercial risk arrangements or other risk-bearing care models. - Excellent written and verbal communication skills with patients, colleagues, and cross-functional partners. - Experience working at the intersection of healthcare delivery, technology, and innovation. Requirements - Prior experience in virtual-first or telehealth enabled primary care models is preferred. - Hold a current Massachusetts Controlled Substance Registration and federal DEA registration. - Experience in a rapidly scaling healthcare or digital health organization is a plus. Benefits - Salary range: $300,000 to $325,000 annually. - Health insurance. - 401k. - Bonus opportunities. Company Description Firefly Health is building a revolutionary new type of comprehensive health "care and coverage,” powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform. Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care. We are intensely focused on optimizing the physical + mental + financial wellbeing of those who want (and deserve) something better than the status quo. Firefly is an equal opportunity employer. We value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect. All employment is decided on the basis of qualifications, merit, and business need. Firefly is an E-Verify employer.

Role Description Oversee all aspects of patient access and partners with stakeholders across the enterprise to create and sustain programs enhancing access to care. - Work closely with other corporate and ministry leaders to ensure optimal patient access strategies are developed and implemented that support collective transformational goals. - Provide leadership to support and build standardized compliant patient access practices across the organization. - Monitor and update revenue cycle procedures and ensure compliance with regulatory agencies. - Work to improve strategic operational efficiency and an industry leading metric performance by leading technology and process improvement initiatives. - Collaborate with Information Technology (IT) and embed consumerism technology within patient access workflows that drive patient engagement. - Develop options, make recommendations and communicate with staff to allow the organization to operate in a changing environment. - Ensure that affiliates receive high quality care and satisfaction. - Develop a high performing team as measured through the achievement of benchmark process outcomes, audit and compliance results, financial goals, employee and leadership engagement. - Manage revenue cycle vendor relationships and supplier contracts to maintain business effectiveness, continuity and growth. - Develop organization-wide disaster recovery plans in concert with internal and external partners. Qualifications - Licensure / Certification / Registration: - Finance Professional specializing in Revenue Cycle preferred. - Licensed Reimbursement Specialist credentialed from the Healthcare Financial Management Association preferred. - Education: - Associate's degree/Bachelor's degree with 7 years of applicable cumulative job specific experience required, with 4 of those years being in leadership/management. Benefits - Paid time off (PTO) - Various health insurance options & wellness plans - Retirement benefits including employer match plans - Long-term & short-term disability - Employee assistance programs (EAP) - Parental leave & adoption assistance - Tuition reimbursement - Ways to give back to your community