Acentra Health, LLC

Supervisor of Clinical Review

Acentra Health, LLC · Full Time · 6 hours ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Oversee Utilization Management activities, including prior authorizations and clinical reviews, to ensure regulatory and contractual compliance. Lead and develop a team of nurse reviewers while maintaining strong relationships with customers and stakeholders.

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Java & PL/SQL Developer, Senior

Acentra Health, LLC · Full Time · 10 hours ago

Acentra Health, LLC

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

The Senior Developer is responsible for the end-to-end execution of software features, enhancements, and the modernization of legacy code. They will collaborate with architects to re-architect products for cloud frameworks and mentor junior team members.

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Clinical Reviewer-SCA

Acentra Health, LLC · Full Time · 14 hours ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer utilizes clinical expertise to review medical records against contract requirements and appropriate criteria. Responsibilities include managing daily workloads, monitoring quality, and acting as a liaison for providers to resolve customer service issues.

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Instructional Design & Trainer, Specialist

Acentra Health, LLC · Full Time · a day ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Design

Lead a team of instructional designers to create scalable learning experiences and manage the end-to-end development of training programs. This role involves writing learning content, overseeing classroom training, and aligning educational strategies with organizational goals.

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Finance, Director

Acentra Health, LLC · Full Time · 5 days 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.

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Clinical Care Coordinator - RN (Remote within Florida) Template FL UM/CM

Acentra Health, LLC · Full Time · 5 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Care Coordinator ensures seamless care coordination and advocacy for patients by conducting medical record reviews and assessing medical necessity. They collaborate with interdisciplinary teams and provide education to beneficiaries and providers to optimize patient outcomes.

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Director of Public Outreach & Engagement

Acentra Health, LLC · Full Time · 7 days 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.

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

Acentra Health, LLC · Full Time · 8 days 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.

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Business Analyst (Claims), Senior

Acentra Health, LLC · Full Time · 8 days 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.

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Clinical Reviewer

Acentra Health, LLC · Full Time · 8 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 maintain current knowledge of clinical practices to support internal nurse reviewers.

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Developer, Senior

Acentra Health, LLC · Full Time · 10 days 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.

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Artificial Intelligence Engineer, Specialist

Acentra Health, LLC · Full Time · 11 days 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.

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Banking Operations Analyst

Acentra Health, LLC · Full Time · 11 days 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.

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Case Manager, Associate

Acentra Health, LLC · Full Time · 11 days 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.

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Operations, SVP

Acentra Health, LLC · Full Time · 12 days 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.

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Operations, VP

Acentra Health, LLC · Full Time · 12 days ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Others

The VP is accountable for the operational, financial, and strategic performance of state healthcare assessment programs, ensuring contractual obligations and SLAs are met. This includes driving revenue growth, managing client relationships, and leading RFP responses to expand business opportunities.

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Data Engineer, Mid

Acentra Health, LLC · Full Time · 12 days 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.

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Case Manager RN

Acentra Health, LLC · Full Time · 12 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Case Manager RN provides personalized care coordination and management for beneficiaries to ensure optimal health outcomes and compliance with payer standards. This includes conducting health assessments, collaborating with multidisciplinary teams, and advocating for beneficiary needs across various health services.

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Peer Reviewer (Subcontractor)

Acentra Health, LLC · Full Time · 16 days 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.

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Medical Coder - Inpatient (DRG Reviewer)

Acentra Health, LLC · Full Time · 18 days ago

Acentra Health, LLC

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

Review inpatient medical records to ensure the accuracy of diagnoses, procedures, and DRG assignments. Validate clinical documentation and compliance with CMS regulations to support appropriate reimbursement and audit outcomes.

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Systems Analyst, Specialist

Acentra Health, LLC · Full Time · 18 days 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.

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Peer Reviewer (Subcontractor)

Acentra Health, LLC · Full Time · 19 days 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.

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Pricing Manager

Acentra Health, LLC · Full Time · 19 days 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.

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Behavioral Health Case Manager

Acentra Health, LLC · Full Time · 20 days 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.

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Clinical Reviewer - RN - PRN (Remote U.S.)

Acentra Health, LLC · Full Time · 21 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Review medical records against regulatory standards and criteria to determine the medical necessity and appropriateness of care. Coordinate with physician consultants for denials and ensure all documentation aligns with NCQA, URAC, and CMS benchmarks.

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Capture Management, Manager

Acentra Health, LLC · Full Time · 21 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Lead the identification, pursuit, and securing of new organic business opportunities while retaining incumbent business. Develop capture strategies, win themes, and lead cross-functional teams to create compelling proposals.

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Project Manager, Mid

Acentra Health, LLC · Full Time · 22 days 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.

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PRN Clinical Reviewer - Substance Use (LPCC, LMFT, LICSW)

Acentra Health, LLC · Full Time · 23 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The role involves reviewing patient medical records against ASAM criteria to determine the medical necessity and appropriateness of substance use care. The reviewer acts as a liaison for providers and ensures all cases are processed accurately and timely according to contract requirements.

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Clinical Reviewer (LMFT or LCSW) - Remote in CA

Acentra Health, LLC · Full Time · 25 days ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Reviewer is responsible for reviewing medical records to ensure alignment with clinical criteria, guidelines, and contractual requirements. They also serve as a liaison to healthcare providers and participate in quality monitoring and performance improvement initiatives.

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Transformation / Change Management Analyst

Acentra Health, LLC · Full Time · 25 days 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.

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Talent Acquisition Partner, Mid

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Recruitment

The Talent Acquisition Partner collaborates with business leaders to develop recruiting strategies and identify top candidates for open positions. They manage the full recruitment lifecycle, from sourcing and screening to maintaining applicant flow within the HR system.

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Program Director IHS

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Product

Lead and oversee healthcare programs of moderate complexity to ensure they are delivered on time, within budget, and meet contractual requirements. Coordinate cross-functional teams and maintain strong relationships with clients and stakeholders to drive program efficiency and quality.

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VP of Sales

Acentra Health, LLC · Full Time · a month 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.

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Service Support Facilitator

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Support

The role involves conducting initial and annual assessments to determine medical eligibility for members. It also requires coordinating service delivery, documenting data in web systems, and conducting educational sessions for families and agencies.

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Labor & Timesheet Management Coordinator

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Administer timekeeping and labor charging compliance for a large government contracting workforce using UKG and Deltek Costpoint. Ensure accurate labor coding, resolve timekeeping discrepancies, and maintain documentation to meet DCAA and SCA audit standards.

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Payroll Accountant

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

The Payroll Accountant manages payroll accounting, reconciliations, and financial reporting for a large government contracting environment. Key duties include preparing journal entries in Costpoint and ensuring compliance with SCA and CMS audit standards.

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Project Director, PMO

Acentra Health, LLC · Full Time · a month 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.

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PHP Developer, Mid

Acentra Health, LLC · Full Time · a month 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.

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Attorney

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The In-House Counsel provides legal support across the organization, focusing on contracting, compliance, risk management, and corporate governance. This role partners with internal stakeholders to integrate legal considerations into business decisions and manages various legal agreements and regulatory research.

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Director, Contracts and Contracting Services

Acentra Health, LLC · Full Time · a month ago

Acentra Health, LLC

🌎 United States ⭐ 10+ yrs exp 💼 Others

Lead the contracting function by overseeing the drafting, negotiation, and management of diverse agreements to align with business objectives. Establish standardized processes and mentor a team of contracting professionals to ensure efficiency and risk mitigation.

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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.

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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.

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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.

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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.

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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.

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SQA Test Engineer, Senior

Acentra Health, LLC · Full Time · 2 months ago

Acentra Health, LLC

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

The Senior SQA Test Engineer will develop and execute comprehensive test plans, automation scripts, and test cases while managing defects and performing root cause analysis. They will also collaborate with cross-functional teams and mentor junior staff to ensure high-quality software delivery in alignment with project standards.

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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.

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RN Chronology (Remote U.S.)

Acentra Health, LLC · Full Time · 2 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.

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Developer, Specialist (AI)

Acentra Health, LLC · Full Time · 2 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.

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Clinical Social Worker - REMOTE (LCPC / LCSW)

Acentra Health, LLC · Full Time · 2 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.

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Manager of Artificial Intelligence Solutions

Acentra Health, LLC · Full Time · 3 months ago

Acentra Health, LLC

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

The Manager of Artificial Intelligence Solutions leads AI initiatives beyond early-stage intake, focusing on pilot definition and execution planning. This role coordinates cross-functional efforts and ensures responsible AI practices are embedded in pilot designs.

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Machine Learning Engineer/AI Engineer

Acentra Health, LLC · Full Time · 3 months ago

Acentra Health, LLC

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

The role involves building, optimizing, and integrating Machine Learning (ML) and Large Language Model (LLM) solutions, focusing heavily on Generative AI, RAG, and NLP to improve healthcare outcomes and efficiency. Key tasks include designing and deploying LLM-powered applications, building RAG pipelines, supporting MLOps/LLMOps practices, and mentoring other engineers.

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Clinical Reviewer (SCA-Remote)

Acentra Health, LLC · · 4 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.

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Clinical Reviewer (SCA-Remote)

Acentra Health, LLC · Full Time · 4 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.

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Behavioral Health, Supervisor - Arkansas Fully Licensed, Unrestricted Social Work or Counseling (Remote within Arkansas)

Acentra Health, LLC · Full Time · 5 months ago

Acentra Health, LLC

🌎 United States 💵 $69760 - $87200 per year ⭐ 5-10 yrs exp 💼 Healthcare

The Behavioral Health Supervisor oversees clinical staff performing Utilization Management Review services for Medicaid members, ensuring compliance with state and federal guidelines. They also assess workloads, analyze productivity, and develop training plans for clinical staff.

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