Theoria Medical

👥 1001-5000 Electronic Health Record (EHR)Hospital Health Care Home Health Care💼 Private Company

Theoria Medical is a healthcare technology company focused on improving medical processes and patient care, currently seeking to fill positions for a QA Engineer and a QA Tech Lead.

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Jobs at this company:

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🔥 VP of Value-Based Care Operations - Remote (US)

Posted 4 days ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

5+ years of operational leadership experience in healthcare, with a strong emphasis on value-based care models, ACOs, or post-acute care.
Demonstrated success in developing ACO partnerships and value-based care strategies.
Deep understanding of CMS models (GUIDE, MSSP, Medicare Advantage, ACOs, and value-based reimbursement frameworks).
Experience with provider engagement and care coordination workflows in post-acute or transitional care settings.

💡 Responsibilities

Lead the operational execution of Theoria Medical’s value-based care strategy, ensuring alignment with CMS GUIDE Model, ACOs, Medicare Advantage, and other VBC frameworks.
Oversee key initiatives, including risk stratification, care coordination workflows, and provider engagement strategies to drive improved patient outcomes and financial performance.
Develop and manage operational performance metrics, identifying areas for process improvement, cost reduction, and quality enhancement.
Optimize patient engagement strategies to increase adherence to value-based care programs and initiatives.
Partner with the VP of Clinical Operations to ensure seamless execution of GUIDE Model requirements, including care navigation and respite service implementation.
Lead cross-functional teams in data analytics, provider education, and operational efficiency efforts to enhance Theoria Medical’s position in VBC programs.
Ensure compliance with CMS and payer requirements, tracking key performance indicators (KPIs) tied to reimbursement and quality benchmarks.
Drive operational excellence in post-acute care coordination, managing provider workflows to reduce hospital readmissions and improve care transitions.
Develop and execute strategies to integrate Theoria Medical’s services into value-based contracts with ACOs, Hospitals, Medicare Advantage plans, and payer networks.
Identify and engage strategic partners to position Theoria Medical as a premier post-acute care provider.
Monitor financial performance under risk-based contracts, working closely with finance and analytics teams to optimize shared savings and quality incentives.
Serve as the operational lead in contract negotiations, data reporting, and VBC program implementation.
Oversee the collection, analysis, and reporting of operational and financial data to measure the success of VBC initiatives.
Utilize predictive analytics and technology solutions to enhance care delivery, streamline workflows, and improve provider efficiency.
Develop operational best practices to enhance provider engagement, patient adherence, and overall quality performance within Theoria Medical’s VBC framework.

LeadershipData AnalysisPeople ManagementCross-functional Team LeadershipOperations ManagementBusiness OperationsCommunication SkillsAnalytical SkillsProblem SolvingCustomer serviceComplianceTeamworkClient relationship managementRisk ManagementStrategic thinkingProcess improvementFinancial analysisBudget management

Posted 4 days ago

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🔥 Full Time Medical Records Specialist - Remote (PH)

Posted 11 days ago

🧭 Full-Time

💸 20000.0 - 30000.0 PHP per month

🔍 Healthcare

🔧 Requirements

Knowledge in medical terminology and electronic health records is a plus
Excellent interpersonal, communication, and organizational skills
Computer proficiency and attention to detail
Healthcare/Medical background
Knowledgeable in call handling

💡 Responsibilities

Maintain physical medical records
Update patients' electronic health records (EHR)
Respond to ROI (release of information) requests for medical records
Validate requests and authorizations for the release of medical information
Ensure that clinical documentation of the services provided to our patients is correct
Prepare schedules for patient visits
Follow all HIPAA regulations
Perform other clerical duties as needed
Will be handling inbound and outbound calls

Posted 11 days ago

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🔥 Strategic Physician Recruiter - Remote (US)

Posted 13 days ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Bachelor's degree in Human Resources, Business Administration, or a related field.
2+ years of experience in physician recruiting and the healthcare industry.
Proven track record of successfully recruiting physicians and meeting recruitment goals.
Strong understanding of physician compensation models and contract negotiations.
Excellent communication, interpersonal, and presentation skills.
Ability to work independently and as part of a team.
Proficiency in applicant tracking systems (ATS) and other recruitment technologies.
Strong networking and relationship-building skills.
Knowledge of healthcare regulations and compliance requirements related to physician recruitment.

💡 Responsibilities

Manage recruitment lifecycle for strategic physician roles
Develop innovative recruitment strategies
Targeted sourcing from high referral rate hospitals
Build relationships with key stakeholders
Conduct thorough candidate assessments
Negotiate competitive offer packages
Track recruitment metrics for optimization
Stay informed about industry trends and competitor activities
Partner with Business Development and Operations to identify target hospitals with the highest referral rates.
Proactively source and identify qualified physician candidates within those target hospitals, focusing on those with existing relationships and a high propensity to convert.
Create and maintain a pipeline of qualified physician candidates for future opportunities.

HR ManagementCommunication SkillsNegotiationNetworkingRelationship buildingRecruitmentSales experienceStrategic thinkingCRM

Posted 13 days ago

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🔥 Regional Director of Clinical Operations - Illinois

Posted 13 days ago

📍 Illinois

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Minimum 5 years of leadership experience in Skilled Nursing Facilities (SNF), such as Director of Nursing, administrator, or department director.
Must possess a clinical education credential
Strong understanding of SNF quality measures, regulations, and expectations.
Experience in employee management and team leadership.
Proficiency in managing work Relative Value Units (wRVU) and productivity metrics.
Tech-savvy with strong computer skills.
Excellent problem-solving skills, including root cause analysis.
Autonomous, independent worker with a strong understanding of healthcare staffing and needs.

💡 Responsibilities

Oversee day-to-day clinical operations for Theoria-partnered facilities, ensuring efficiency and compliance.
Track and manage provider timeliness, quality, productivity, and compliance with facility responsibilities.
Collaborate on facility metrics, including Five-Star measures, QAPI initiatives, and reducing rehospitalizations.
Provide superior customer service by addressing partner issues comprehensively and diligently.
Conduct regular check-ins with facility partners
Participate in new facility education, training, and retraining as needed.
Navigate multiple computer systems, including Monday.com, Slack, Gmail, and Zoom, to manage operations.
Work closely with the VP of Clinical Operations and other team members to ensure smooth operations.
Perform other associated clinical operations tasks as assigned.

LeadershipOperations ManagementCommunication SkillsAnalytical SkillsCollaborationProblem SolvingCustomer serviceMicrosoft OfficeMentoringComplianceTeamworkReportingTrainingStrategic thinkingFinancial analysis

Posted 13 days ago

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🔥 Corporate Recruiter

Posted 23 days ago

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Strong computer skills including experience with G Suite tools such as Google Docs, Sheets, and Slides
Proficiency in using applicant tracking systems
Background in recruiting Physician Assistants, Nurse Practitioners and Physicians in the United States
Experience in hiring for administrative positions in the Philippines.
Exceptional English written and verbal communication skills

💡 Responsibilities

Manage job postings across multiple job boards such as LinkedIn, Indeed and other commonly used job boards
Employing novel sourcing strategies to source qualified candidates
Developing candidate pipelines for assigned requisitions
Managing active candidates and facilitating the recruitment process
Developing a pool of passive candidates to fill requisitions
Managing a panel of requisitions and filling open jobs in a reasonable timeframe
Contacting applicants for preliminary screening via phone, email, and other methods
Scheduling candidate interviews and schedule coordination of hiring managers
Coordinating overall corporate recruiting efforts and staffing needs

Posted 23 days ago

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🔥 VP of Clinical Operations - Remote (US)

Posted 24 days ago

📍 United States

🧭 Full-Time

💸 160000.0 - 250000.0 USD per year

🔍 Healthcare

🔧 Requirements

Advanced degree in healthcare, nursing, or a related field (e.g., MD, DO, NP, PA).
Minimum of 10 years of clinical experience, with at least 5 years in a leadership role overseeing clinical operations.
Proven track record in managing multi-site clinical operations, preferably within post-acute or primary care settings.
Strong knowledge of healthcare regulations, including CMS guidelines, HIPAA, and accreditation standards, with a demonstrated ability to ensure compliance.
Demonstrated ability to lead, mentor, and inspire clinical teams, with a strong focus on quality improvement, patient safety, and operational efficiency.
Excellent communication and interpersonal skills, with the ability to collaborate effectively across various departments and levels of the organization.
Willingness and ability to travel as needed, including periodic reporting to the Miami office.
Strong analytical and problem-solving skills, with the ability to make critical decisions under pressure in a fast-paced healthcare environment.
Experience with telemedicine, remote patient monitoring, and other healthcare technologies is a plus.

💡 Responsibilities

Lead and oversee all clinical operations across Theoria Medical facilities, ensuring the delivery of exceptional patient care and consistent service quality.
Design, implement, and continually refine clinical protocols, policies, and procedures to maintain uniformity and uphold the highest standards across the organization.
Collaborate with the executive team to align clinical operations with the organization's strategic goals, driving growth and ensuring operational excellence.
Ensure full compliance with federal, state, and local healthcare regulations, as well as accreditation standards, to safeguard patient safety and institutional integrity.
Monitor, evaluate, and enhance clinical performance metrics, including patient outcomes, satisfaction, and operational efficiency, through data-driven decision-making.
Lead, mentor, and develop a team of clinical leaders, including medical directors, nurse practitioners, and other healthcare professionals, fostering a culture of excellence and continuous improvement.
Oversee the implementation and seamless integration of new clinical programs and service lines into existing operations, ensuring smooth transitions and optimal resource utilization.
Serve as the primary point of contact for clinical operations during mergers, acquisitions, and other strategic initiatives, ensuring successful integration and alignment with organizational goals.
Lead initiatives to enhance patient care through the adoption of evidence-based practices and the development of innovative care models that meet evolving healthcare needs.
Work closely with other departments, such as IT and finance, to support clinical operations, optimize resource allocation, and drive organizational efficiency.
Proactively address and resolve clinical operational issues in collaboration with facility leaders and clinical staff, ensuring minimal disruption to patient care.
Stay informed of the latest healthcare trends, innovations, and best practices to ensure Theoria Medical remains a leader in clinical excellence.
Perform all other duties as assigned, contributing to the overall success and growth of Theoria Medical.

LeadershipProject ManagementPeople ManagementHR ManagementCross-functional Team LeadershipOperations ManagementStrategic ManagementCommunication SkillsAnalytical SkillsComplianceProblem-solving skillsTeam management

Posted 24 days ago

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🔥 Full Time Executive Assistant - Remote (US)

Posted about 1 month ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

8+ years supporting C-level executives, ideally in a high-growth, fast-paced environment.
Bachelor’s degree preferred, but track record matters more than credentials.
Must master Microsoft Office, Google Workspace, and productivity tools (Monday, Slack).
The executive should never have to double-check your work.
High-pressure situations? You thrive in them.
You don’t wait for instructions—you see what needs to be done and execute.
You will handle highly sensitive information—zero leaks, zero drama.
This is a 24/7 mentality—not a 9-to-5 job.

💡 Responsibilities

Manage and coordinate complex calendars, scheduling meetings, travel, and appointments while anticipating conflicts.
Prepare and organize executive meetings, including agendas, materials, minutes, and follow-ups.
Handle sensitive and confidential information with discretion and professionalism.
Draft, proofread, and edit emails, presentations, reports, and internal communications on behalf of executives.
Maintain organization of digital files, contracts, and key business documents.
Track executive priorities and ensure key deadlines and initiatives stay on schedule.
Assist in managing projects across departments by following up on action items and deliverables.
Conduct research and summarize findings to support executive decision-making.
Act as a liaison between executives and internal/external stakeholders, ensuring effective communication.

Project CoordinationAdministrative ManagementCommunication SkillsAnalytical SkillsMicrosoft ExcelMicrosoft OfficeAttention to detailOrganizational skillsPresentation skillsTime ManagementWritten communicationMultitaskingProblem-solving skillsClient relationship managementStrategic thinkingResearch skillsFinancial analysisBudget management

Posted about 1 month ago

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🔥 Vice President of Credentialing & Regulatory Compliance

Posted about 1 month ago

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

Bachelor’s or Master’s degree in Human Resources, Business Administration, or a related field.
Minimum of 10 years of credentialing experience, including leadership in a healthcare setting.
Strong expertise in compliance, provider enrollment, and onboarding processes.
Ability to create and enforce credentialing policies while ensuring alignment across departments.
Strong leadership, communication, and problem-solving skills.
High attention to detail and the ability to manage multiple priorities effectively.

💡 Responsibilities

Oversee the entire credentialing function, ensuring all provider enrollments, renewals, and state expansions are completed accurately and on time.
Ensure compliance with all regulatory and accreditation requirements for internal providers and external partners.
Develop and enforce credentialing policies and procedures aligned with federal, state, and payer regulations.
Lead and manage the onboarding credentialing process for new providers, ensuring they are fully credentialed before their start date.
Manage ongoing provider credentialing, including COI (Certificates of Insurance), DEA registration, license renewals, recredentialing.
Oversee credentialing for new state launches to ensure smooth expansion into new markets.
Continuously improve credentialing systems and processes, leveraging automation and technology to enhance efficiency.
Serve as the primary liaison between Human Resources, Legal, Compliance, and Clinical teams to align credentialing efforts.
Maintain strong relationships with external payors and credentialing partners to ensure compliance with all requirements.

Posted about 1 month ago

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🔥 Telemedicine Nurse Practitioner - Compact State License - Night Shift

Posted about 1 month ago

📍 United States

🧭 Full-Time

🔍 Healthcare

🔧 Requirements

FT telemed providers are required to maintain a minimum of 5 licenses in states where Theoria actively provides care.
The provider is responsible for timely documentation of all patient care/encounters
Timely attendance is imperative.
Reliable Wi-Fi is required.

💡 Responsibilities

Manage the clinical care of the population at the assigned SNFs.
Monitor message boards, answering calls, and communicating with assigned SNFs during shifts.
Provide high-quality, patient-centered, comprehensive primary care services to patients residing in SNFs.
Ensure timely documentation of all patient care/encounters
Be available for phone/secure messaging consultations with facility nursing staff.

Communication SkillsTime ManagementDocumentationTeamwork

Posted about 1 month ago

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🔥 Senior Vice President (SVP) of Business Development - Remote (US)

Posted about 1 month ago

📍 United States

🧭 Full-Time

💸 200000.0 - 350000.0 USD per year

🔍 Healthcare

🔧 Requirements

10+ years in business development leadership
Experience in healthcare, SNFs, post-acute, or related fields
Demonstrated ability to scale a BD team in a hypergrowth setting

💡 Responsibilities

Develop and execute a structured sales strategy
Lead a metrics-driven BD team to exceed revenue targets
Directly manage all VPs and BD team members

LeadershipBusiness DevelopmentData AnalysisCRM

Posted about 1 month ago

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