The Senior Systems Analyst will design, implement, and maintain software applications while managing project implementation tasks under minimal supervision. They will also collaborate with global teams, troubleshoot production issues, and mentor junior staff to ensure operational excellence.
Acentra Health, LLC
34 Remote Job Openings at Acentra Health, LLC
Transition & Assessment Coordinator, Mid
Acentra Health, LLC
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Full Time
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6 days ago
Acentra Health, LLC
The Transition & Assessment Coordinator facilitates nursing home transitions and conducts comprehensive needs assessments to support participant outcomes. They also serve as an educational liaison to nursing facilities regarding specialized services and regulatory requirements.
The Developer, Specialist will design and implement complex software solutions while serving as a technical lead on development projects. They are responsible for creating technical specifications, evaluating new technologies, and guiding the development team through the software development lifecycle.
The Program Director manages and oversees complex healthcare programs to ensure they are executed effectively, on time, and within budget. They serve as a primary point of contact for stakeholders and collaborate with cross-functional teams to improve program efficiency and outcomes.
Machine Learning/AI Engineer, Associate
Acentra Health, LLC
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Full Time
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11 days ago
Acentra Health, LLC
Support the design, development, and deployment of machine learning solutions to improve healthcare patient outcomes. Responsibilities include building data pipelines, training models, and collaborating with DevOps for production deployment.
The Manager of Contracts serves as a subject matter expert overseeing the full contract lifecycle and managing agreements, amendments, and non-disclosure agreements. They are responsible for ensuring contract compliance, managing risk, and collaborating with procurement representatives and internal stakeholders.
The Business Operations Manager leads day-to-day delivery for provider screening, enrollment, and monitoring while overseeing a team of 35-50 resources. They are responsible for ensuring compliance with client SLAs and driving continuous improvement through metrics and operational best practices.
Lead day-to-day business operations for provider screening, enrollment, and monitoring while managing a team of 35-50 resources. Ensure compliance with client Service Level Agreements (SLAs) and drive continuous improvement initiatives to enhance organizational performance.
EAP Consultant Full-Time Remote (Licensed in Texas)
Acentra Health, LLC
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Full Time
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18 days ago
Acentra Health, LLC
Provide comprehensive tele-mental health EAP services, including direct counseling and outreach to employees and their families. Manage a clinical caseload while collaborating with stakeholders to optimize product enhancement and ensure high-quality client care.
Oversee daily provider network and recruitment operations, including the establishment of enrollment and credentialing teams. Manage a multi-disciplinary team of up to 15 staff members while ensuring contract deliverables and SLA performance are met.
Oversee daily provider network recruitment and enrollment operations while maintaining internal databases and client communications. Manage a multi-disciplinary team of up to 15 coordinators and specialists to ensure contract deliverables and deadlines are met.
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.
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.
Business Analyst (Claims), Senior
Acentra Health, LLC
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Full Time
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2 months ago
Acentra Health, LLC
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.
Business Analyst (Oracle E-Business Suite (EBS)), Specialist
Acentra Health, LLC
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Full Time
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2 months ago
Acentra Health, LLC
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.
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.
Artificial Intelligence Engineer, Specialist
Acentra Health, LLC
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Full Time
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2 months ago
Acentra Health, LLC
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
EAP Program Manager / Senior Account Manager - Full-time (must be Licensed in Virginia OR Washington, DC) (Remote U.S.)
Acentra Health, LLC
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Full Time
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3 months ago
Acentra Health, LLC
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.
Clinical Social Worker / Part-time (REMOTE)
Acentra Health, LLC
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Full Time
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3 months ago
Acentra Health, LLC
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.
EAP Case Worker, Senior - Substance Abuse Professional (SAP) Full-time (Remote U.S., Preferred in GA, MD, NC, SC, VA)
Acentra Health, LLC
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Full Time
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3 months ago
Acentra Health, LLC
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.
EAP Case Manager, Senior - Substance Abuse Professional (SAP) Full-time (Remote U.S., Preferred in GA, MD, NC, SC, VA)
Acentra Health, LLC
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Full Time
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3 months ago
Acentra Health, LLC
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.
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.
Clinical Social Worker - REMOTE (LCPC / LCSW)
Acentra Health, LLC
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Full Time
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4 months ago
Acentra Health, LLC
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.
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.
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.