The Billing Specialist manages the full revenue cycle, including claim submission, collections, and the resolution of outstanding claims. They also lead cross-functional meetings to resolve consumer liability account issues and ensure accurate cash applications.
Careforth
27 Remote Job Openings at Careforth
Build and improve digital products and interfaces for family caregivers using modern JavaScript frameworks and CMS. Provide technical leadership, mentor junior engineers, and ensure high-quality delivery through testing and Agile practices.
The specialist supports consumers and caregivers in navigating Medicaid and Waiver enrollment to ensure continuity of services. They build relationships with state agencies and case managers while documenting processes and resolving coverage loss events.
Provide comprehensive administrative and calendar support to the President, CGO, and Leadership Team while managing general office operations. Act as the primary liaison for the Board of Directors and internal/external stakeholders to ensure smooth organizational leadership.
The specialist ensures the execution of Annual Compliance and Privacy Plans while tracking privacy incidents and complaints. They are also responsible for maintaining organizational policies, contracts, and assisting with external governmental audits.
Lead and manage a team of care coaches and advisors providing remote support to family caregivers of Medicare Advantage members. Oversee daily business operations, referral workflows, and the implementation of coaching programs to improve caregiver and recipient outcomes.
The Senior Relationship Manager is responsible for cultivating and expanding client relationships with healthcare stakeholders to drive revenue and service utilization. This includes managing complex accounts, conducting Quarterly Business Reviews, and collaborating internally to influence product strategy.
The specialist provides administrative and operational support to the care management team, focusing on care coordination and community resource referrals. They are also responsible for maintaining compliance with credentialing, state requirements, and managing internal audits.
The Care Management Lead supports clinical quality and compliance while serving as the primary escalation point for clinical issue management. They coach care teams, manage case conferences, and ensure adherence to documentation standards and regulatory requirements.
The Care Management Lead supports clinical quality and compliance by overseeing care management services and acting as the primary escalation point for clinical issues. They also coach and mentor care team members while ensuring adherence to documentation standards and regulatory requirements.
The Care Management Lead supports clinical quality and compliance by serving as the primary escalation point for clinical issues and managing case conferences. They also coach and mentor care team members while ensuring adherence to documentation standards and regulatory requirements.
The Care Coach II manages complex cases by providing coaching, education, and support to family caregivers via phone and digital technology. They collaborate with interdisciplinary teams to assess needs, create care plans, and ensure compliance with regulatory requirements.
The RN Care Manager will conduct home visits to assess health status and provide clinical coaching to caregivers. They will also develop individualized care plans and maintain accurate documentation to ensure regulatory compliance.
The Care Coach II provides dedicated support, education, and guidance to family caregivers through telephony and digital technology. They manage complex caseloads, assess care needs, and collaborate with stakeholders to ensure effective care plan implementation.
The Senior Software Engineer will build and scale the Careforth App Platform by developing features such as chat-enabled collaboration, dashboards, and triage workflows. They will also mentor junior team members and partner with cross-functional teams to ensure high-quality, secure, and scalable software delivery.
The Enrollment Specialist manages the documentation retrieval process and coordinates with medical offices to ensure timely service activation. They also perform quality assurance audits and maintain relationships with referral partners to optimize the customer experience.
The Director of Security & IT will lead and mature the organization's information security and IT infrastructure programs within a regulated healthcare environment. This role involves overseeing security strategy, compliance, vendor risk management, and IT operations while partnering with executive leadership.
Conduct home visits to assess health status and safety while providing clinical coaching and support to caregivers. Develop and maintain individualized care plans and document records to ensure regulatory compliance.
Conduct home visits to assess needs and provide clinical coaching and support. Develop individualized care plans and maintain documentation for compliance.
The Care Coach II supports family caregivers through coaching, education, and guidance using technology, focusing on improving the psychosocial, physical, and environmental health of caregivers and recipients. This role involves managing a caseload, assessing needs, assisting with care plan goals, and collaborating with stakeholders while documenting activities according to regulatory requirements.
The Senior Account Executive is responsible for driving referral growth and activation performance across contracted health plan partners within assigned states by blending strategic account leadership with sales execution. This role involves serving as the primary new sales lead for health plan relationships, strengthening executive partnerships, and identifying growth opportunities.
The Senior Machine Learning Engineer will design and implement scalable NLP architectures, including Transformers and Generative AI frameworks, to transform unstructured caregiver notes into production-grade AI models. Responsibilities also include building robust preprocessing pipelines, fine-tuning LLMs, and leading the adoption of MLOps best practices for CI/CD.
The Senior Software Engineer will be responsible for building and scaling the Careforth App Platform, delivering features like care plans, calendars, and chat engineered for reliability and scalability, primarily using Golang and Python for back-end development. This role also involves partnering with cross-functional teams, writing and reviewing code/tests, deploying improvements via modern CI/CD, and mentoring junior engineers.
The Learning Experience Partner is responsible for designing, curating, and delivering scalable learning experiences to support employee development and engagement, including managing the LMS and new hire onboarding programming. This role involves creating engaging learning materials, facilitating sessions, and collaborating with subject matter experts to identify and address learning needs.
The Manager, Care Management directs care management operations and leads a team to deliver services that engage, motivate, and educate family caregivers supporting complex individuals, ensuring high-quality service delivery compliant with all state, program, and accreditation requirements. This role involves managing clinical and non-clinical care managers across the continuum of care, including assessment, planning, coordination, and evaluation of services.
The Business Development Specialist is responsible for expanding Careforth’s presence across underserved rural Ohio communities by building new referral infrastructure and developing relationships with agencies. This role includes conducting market research and executing localized business development strategies.
The Learning Experience Specialist designs, curates, and delivers scalable learning experiences to support employee development and engagement. This role includes administering the LMS, creating engaging learning materials, and facilitating onboarding programming.
