Acentra Health, LLC

Quality Improvement Coordinator

Acentra Health, LLC · Full Time · 10 hours ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role focuses on supporting contract growth by developing educational opportunities and establishing a culture of continued learning. Key duties include maintaining performance measurement systems, conducting quality improvement studies, and preparing data analysis reports for senior management.

APPLY

IT Systems Implementation Analyst, Mid (Remote)

Acentra Health, LLC · Full Time · 10 hours ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Coordinate and manage IT system implementation projects from initiation to delivery, ensuring they meet scope, quality, and scheduling targets. This includes gathering specifications, configuring system rules, and serving as the primary point of contact for stakeholders.

APPLY

Supervisor of Clinical Review

Acentra Health, LLC · Full Time · 3 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Oversee and manage Utilization Management activities, including prior authorizations and clinical reviews, to ensure regulatory and contractual compliance. Lead a team of nurse reviewers by monitoring productivity, providing coaching, and managing quality assurance activities.

APPLY

Customer Service Representative

Acentra Health, LLC · Full Time · 3 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The role involves answering incoming calls and emails to resolve customer questions and complaints while adhering to internal policies. Responsibilities include performing healthcare service verifications and acting as a liaison between internal teams and external partners.

APPLY

I/DD Waiver Provider Educator (Remote in West Virginia)

Acentra Health, LLC · Full Time · 3 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Teaching

Develop and deliver training programs for waiver providers to ensure compliance with Medicaid regulations and the WV IDDW Policy Manual. Conduct provider reviews, including onsite and desk audits, and provide ongoing technical assistance to improve service delivery.

APPLY

Medical Coder - Inpatient (DRG Reviewer)

Acentra Health, LLC · Full Time · 5 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The Medical Coder reviews inpatient medical records to ensure the accuracy and clinical validity of reported diagnoses and procedures. They validate MS-DRG assignments and conduct clinical validation reviews to ensure compliance with CMS regulations and payer policies.

APPLY

Clinical Reviewer

Acentra Health, LLC · Full Time · 6 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer reviews medical records against specific criteria to determine medical appropriateness and ensures accuracy and timeliness of cases. They also act as a provider liaison and collaborate with supervisors to monitor quality and implement improvements.

APPLY

Customer Service Representative - SCA

Acentra Health, LLC · Full Time · 11 days ago

Acentra Health, LLC

🌎 United States ⭐ 0-2 yrs exp 💼 Support

The representative assists state benefit system members and providers with inquiries regarding eligibility, benefits, claims, and program policies. They are responsible for handling incoming communications, performing healthcare service verifications, and maintaining accurate data entry in automated systems.

APPLY

Behavioral Health Case Manager (HRSN)

Acentra Health, LLC · Full Time · 11 days ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Case Manager evaluates beneficiary needs to develop individualized care plans and coordinates healthcare teams to optimize client outcomes. They manage caseloads, ensure regulatory documentation compliance, and work to stabilize health to avoid long-term care placement.

APPLY

Machine Learning Engineer/AI Engineer

Acentra Health, LLC · Full Time · 15 days ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Design, develop, and deploy LLM-powered applications and RAG pipelines to improve healthcare outcomes and operational efficiencies. The role also involves implementing MLOps/LLMOps practices and mentoring other engineers on AI strategies.

APPLY

Clinical Reviewer-SCA

Acentra Health, LLC · Full Time · 18 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer utilizes clinical expertise to communicate medical appropriateness and ensure cases meet contract and regulatory standards. They act as a liaison for providers and collaborate with supervisors to monitor quality and implement improvements.

APPLY

Clinical Reviewer-SCA

Acentra Health, LLC · Full Time · 18 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer ensures the accuracy and timeliness of review cases while managing daily workloads and call queues. They act as a liaison for providers and collaborate with supervisors to monitor quality and implement process improvements.

APPLY

Development Manager

Acentra Health, LLC · Full Time · 18 days ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Others

Manage the day-to-day supervision of developers and oversee the delivery of application support and maintenance for assigned projects. Provide technical leadership, enforce coding standards, and handle administrative employee functions such as performance evaluations.

APPLY

VP of Strategic Pricing

Acentra Health, LLC · Full Time · 20 days ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Others

The VP of Strategic Pricing will set the vision for the pricing function and lead the development of complex cost models and pricing strategies for RFP responses. This role involves partnering cross-functionally to ensure competitive, compliant, and profitable pricing aligned with enterprise objectives.

APPLY

Finance, Director

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

The Finance Director provides strategic financial leadership and operational oversight for state healthcare programs, focusing on budgeting, forecasting, and pricing support. The role ensures the effective stewardship of public funds through compliance monitoring and collaboration with executive leadership and state stakeholders.

APPLY

Director of Public Outreach & Engagement

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Design and execute a statewide outreach and engagement strategy to support a large Assessment Program for Medicaid members and stakeholders. Lead communications, develop stakeholder relationship maps, and ensure all activities comply with state and Department of Health requirements.

APPLY

Business Analyst (Oracle E-Business Suite (EBS)), Specialist

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Responsible for the logical design and functional behavior of complex information systems for Provider Payments using Oracle Financials. The role involves eliciting requirements from stakeholders, developing 'to-be' operating models, and ensuring alignment with strategic business visions.

APPLY

Business Analyst (Claims), Senior

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Senior Business Analyst is responsible for the logical design and functional behavior of complex information systems involving Claims, Provider Enrollment, and Prior Authorization. This includes eliciting requirements from stakeholders, creating business process models, and delivering integrated solutions aligned with strategic business visions.

APPLY

Developer, Senior

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Lead the design, development, and support of complex enterprise .NET applications, ranging from legacy monolithic systems to modern microservices. Focus on improving performance, reliability, and modernization while collaborating with infrastructure teams in cloud environments.

APPLY

Artificial Intelligence Engineer, Specialist

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The AI Engineer will productize AI Proof of Concepts by building production-grade LLM services, RAG pipelines, and agentic workflows. They will also implement evaluation guardrails, MLOps practices, and ensure healthcare-grade security and observability.

APPLY

Banking Operations Analyst

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

The Banking Operations Analyst manages cash flow, payment processing, and bank account activity to ensure the integrity of financial operations. This includes overseeing treasury functions, performing reconciliations, and serving as the primary liaison with banks and fiscal offices.

APPLY

Case Manager, Associate

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Case Manager provides trauma-informed, person-centered care coordination for individuals with behavioral health or functional needs. Key duties include developing service plans, coordinating across medical and social service systems, and ensuring compliance with OHA and CMS regulations.

APPLY

Operations, SVP

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Others

The SVP of Operations provides executive oversight for state assessment programs, ensuring operational, financial, and strategic performance meets contractual obligations. The role focuses on driving digital transformation through AI and automation while managing P&L and high-level client partnerships.

APPLY

Data Engineer, Mid

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Design, develop, and maintain scalable data pipelines to integrate healthcare and enterprise data from various sources. Transform raw data into meaningful insights while ensuring data quality, integrity, and compliance with healthcare regulations.

APPLY

Peer Reviewer (Subcontractor)

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Review medical records to make standard of care determinations and provide quality improvement recommendations. Reports must discuss clinical disease processes, published guidelines, and overall care provided.

APPLY

Systems Analyst, Specialist

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Systems Analyst Specialist provides advanced expertise in Medicaid software products to deliver technical solutions and improve processes for complex business requirements. They act as a subject matter expert throughout the software development lifecycle, coordinating implementation and providing technical support to global teams.

APPLY

Peer Reviewer (Subcontractor)

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Others

Review medical records to make standard of care determinations and provide quality improvement recommendations. Reports must discuss clinical disease processes, published guidelines, and overall care provided.

APPLY

Pricing Manager

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

Develop and analyze pricing strategies, cost models, and financial estimates to support profitable growth and competitive positioning. Collaborate with cross-functional teams to create compliant pricing solutions for government healthcare proposals and contract modifications.

APPLY

Behavioral Health Case Manager

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Case Manager evaluates beneficiary needs to develop individualized care plans and coordinates with healthcare teams to optimize outcomes. They manage caseloads and ensure all documentation adheres to regulatory requirements and CMSA principles.

APPLY

Project Manager, Mid

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Product

Manages the end-to-end delivery of small to moderately complex projects within defined scope, schedule, and budget. Coordinates cross-functional teams and maintains project documentation while ensuring alignment with organizational strategy and client objectives.

APPLY

Transformation / Change Management Analyst

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Recruitment

The analyst supports enterprise transformation by planning and executing change management activities to ensure stakeholder adoption. This includes developing communication plans, conducting impact assessments, and guiding leaders through the ADKAR model.

APPLY

VP of Sales

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Sales

Develop and execute sales strategies to expand Health Tech and Integration solutions within the State HHS market. Drive revenue growth by building relationships with state Medicaid and HHS agencies while collaborating cross-functionally to align product offerings with market needs.

APPLY

Project Director, PMO

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Product

The Project Director leads enterprise-wide project delivery for complex healthcare and technology initiatives, managing PMO managers, project managers, and schedulers. This role focuses on establishing delivery frameworks, aligning portfolios with strategic goals, and providing executive-level reporting to senior leadership.

APPLY

PHP Developer, Mid

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Develop and maintain PHP-based applications while managing server infrastructure and database optimization. Responsibilities include implementing security remediations, managing AWS cloud services, and utilizing Docker for containerization.

APPLY

Developer, Specialist (FHIR)

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Developer Specialist is responsible for designing and implementing complex software solutions and framework components as a technical lead. This includes creating technical specifications, performing code reviews, and integrating applications with third-party systems.

APPLY

EAP Program Manager / Senior Account Manager - Full-time (must be Licensed in Virginia OR Washington, DC) (Remote U.S.)

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Manage the full lifecycle of EAP programs and contracts, serving as the primary liaison for client stakeholders to ensure deliverables meet SOW and SLA requirements. Oversee cross-functional teams to integrate services, monitor performance metrics, and drive continuous program improvement.

APPLY

Clinical Social Worker / Part-time (REMOTE)

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Perform needs-based eligibility determinations and level of care assessments for Medicaid-funded patients. Conduct comprehensive assessments with youth and guardians to ensure appropriate service delivery based on clinical needs.

APPLY

EAP Case Worker, Senior - Substance Abuse Professional (SAP) Full-time (Remote U.S., Preferred in GA, MD, NC, SC, VA)

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The EAP Case Worker provides expert clinical consultation and case management to support comprehensive Employee Assistance Programs. They are responsible for assessing workplace behavioral health issues, coordinating care, and ensuring regulatory compliance across diverse customer bases.

APPLY

EAP Case Manager, Senior - Substance Abuse Professional (SAP) Full-time (Remote U.S., Preferred in GA, MD, NC, SC, VA)

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The EAP Case Manager provides expert clinical consultation and case management for workplace behavioral health issues. They coordinate care, ensure regulatory compliance, and support organizational leadership through clinical reviews and risk assessments.

APPLY

Peer Reviewer (Subcontractor)

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The peer reviewer will conduct medical record reviews to make standard of care determinations and provide quality improvement recommendations. They are responsible for discussing clinical disease processes and adhering to all corporate policies, including HIPAA regulations.

APPLY

RN Chronology (Remote U.S.)

Acentra Health, LLC · Full Time · 3 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The RN Chronology generates comprehensive medical chronology reports for federal health center programs by reviewing medical records and legal documents. They also collaborate with team members to input diagnoses and risk management codes into claims software while ensuring adherence to HIPAA policies.

APPLY

Developer, Specialist (AI)

Acentra Health, LLC · Full Time · 3 months ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The Developer, Specialist will design and implement complex software solutions while serving as a technical lead on development projects. They are responsible for evaluating new technologies, conducting code reviews, and collaborating with teams to ensure high-quality system integration.

APPLY

Clinical Social Worker - REMOTE (LCPC / LCSW)

Acentra Health, LLC · Full Time · 3 months ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Social Worker will conduct comprehensive, needs-based eligibility assessments for individuals applying for Medicaid-funded personal care services. They will evaluate level-of-care criteria and collaborate with treatment teams to ensure appropriate service delivery while maintaining privacy and documentation standards.

APPLY

Clinical Reviewer (SCA-Remote)

Acentra Health, LLC · · 5 months ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer uses clinical expertise during beneficiary interaction to communicate medical appropriateness while meeting production goals and quality assurance standards. Responsibilities include assessing daily workload, collaborating on quality monitoring, acting as a liaison for providers, and maintaining current knowledge of review processes.

APPLY

Clinical Reviewer (SCA-Remote)

Acentra Health, LLC · Full Time · 5 months ago

Acentra Health, LLC

🌎 United States 💵 $28.37 - $32 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer uses clinical expertise during beneficiary interaction, alongside contract requirements and critical thinking, to communicate medical appropriateness while meeting production and quality assurance standards. Responsibilities include assessing daily workload, performing various review types, acting as a provider liaison, and ensuring adherence to NCQA and regulatory standards.

customer-service security call-center medical qa communication training behavioral-health critical-thinking organization talent-acquisition

APPLY