Partner with the National Director to design and implement strategic plans for patient care transitions and high-risk patient management. Collaborate with analytics teams to develop performance dashboards and manage special projects to support care integration goals.
CenterWell
37 Remote Job Openings at CenterWell
The Nurse Practitioner will call members to discuss care gaps, place necessary orders, and manage patient records within Athena. They will also coordinate social needs and transportation to facilitate gap closure for patients.
The Nurse Practitioner will call members to discuss care gaps, place necessary orders, and manage patient records within Athena. They are also responsible for gathering medical histories and coordinating social needs to facilitate gap closure.
Integrate programs to improve health outcomes focusing on prescription drug optimization and medication therapy. Conduct comprehensive medication reviews, provide patient counseling, and lead health awareness campaigns.
Lead the strategic direction and execution of Care Integration programs, focusing on High Risk Patient Management and Transitions of Care. Collaborate with IT, Product, and Analytics teams to develop and manage the tooling and platforms that support care delivery for high-complexity senior patients.
The role focuses on analyzing consumer experience data and translating insights into actionable improvements for end-to-end customer journeys. It involves collaborating with cross-functional partners and providing guidance to other CX professionals to drive consumer-centered outcomes.
The pharmacist will manage medications for high-risk patients with chronic conditions and collaborate with multidisciplinary healthcare teams to optimize patient outcomes. Key duties include conducting medication reconciliations, providing disease state education, and supporting CMS Stars and HEDIS quality measures.
The Referral Coordinator schedules and pre-registers patients for exams and procedures with external specialists and providers. They are responsible for gathering and communicating all necessary preparation instructions to patients and referring providers.
The pharmacist will manage medications for high-risk patients with chronic conditions and collaborate with multidisciplinary healthcare teams to improve patient outcomes. Responsibilities include conducting medication reconciliations, providing patient counseling, and supporting quality measures like CMS Stars and HEDIS.
The role focuses on identifying and investigating drug utilization and cost trends to inform financial forecasts and profitability for Medicaid plans. Responsibilities include conducting spend analysis, monitoring pharmaceutical sector developments, and contributing to formulary strategies to mitigate costs.
Prepare and process managed care referral paperwork and schedule patients for exams with outside specialists. Maintain referral records, respond to patient inquiries, and ensure strict adherence to HIPAA guidelines.
The Strategy Advancement Advisor provides data-driven strategic direction to identify business opportunities and address complex organizational issues. This role involves leading multi-functional initiatives and advising executives on functional strategies to align with corporate vision.
Lead the design, execution, and scaling of clinical programs focused on value-based care for seniors, specifically managing eConsults and referral optimization. The role involves translating clinical strategy into operational reality while aligning stakeholders to improve quality, cost, and access.
Manage and optimize the organization's CRM platform, serving as the primary product owner to align technology capabilities with business objectives. Collaborate with cross-functional teams to deliver scalable solutions for lead management, workflow automation, and customer engagement.
The Lead Product Manager identifies and develops automation opportunities across CenterWell segments to improve operational and clinical outcomes. This involves designing AI-enabled solutions, mapping processes to find inefficiencies, and partnering with cross-functional teams to implement scalable capabilities.
The Business Intelligence Engineer solves complex business problems by analyzing raw data from internal and external sources to provide insights for decision-makers. They are responsible for describing tools and practices used to create insightful business information aligned with organizational strategy.
The Senior Consultative Pharmacist provides patient care through medication therapy consultation and the design of medication care plans. They act as medication experts in proactive health campaigns to improve patient outcomes and influence departmental strategy.
Manage a sales territory in Washington to influence physicians to route specialty drug prescriptions to Humana Specialty Pharmacy. Build relationships with medical clinic staff and provide education on pharmacy benefits and patient options.
Develop scalable data processing architectures to transform structured and unstructured data into enterprise insights. Ingest data from internal and external sources using cloud-native platforms and AI/ML techniques to enhance member service delivery.
Provide strategic and operational oversight of vehicle fleet and transportation programs to support home health clinicians and sales associates. Manage the full vehicle lifecycle, optimize costs, and ensure regulatory compliance and safety across a distributed workforce.
Lead strategic initiatives focused on productivity, pay structure, and workforce management to drive performance and engagement. Act as a bridge between data, operations, and HR to translate quantitative insights into actionable business strategies.
The Lead Data Engineer oversees data processing architectures to convert structured and unstructured data into enterprise-scale insights. Key duties include leading the development of the PCO Analytics data warehouse using Medallion architecture and establishing governed information architecture and data governance frameworks.
The Certified Pharmacy Technician supports pharmacists by dispensing Specialty Rx medications and processing prescription orders. They handle inbound calls from patients and providers while ensuring adherence to operational processes to optimize health outcomes.
The pharmacist evaluates pharmacotherapy for high-risk patients with chronic conditions and collaborates with multidisciplinary teams to optimize patient care. Responsibilities include medication reconciliation, patient counseling, and supporting CMS Stars and HEDIS quality measures.
Handle incoming calls from patients and providers to perform administrative tasks and medication research. Coordinate medication therapy management programs and schedule review sessions with consultative pharmacists.
Responsible for the accurate and timely dispensing of prescribed medications to patients via mail operations. Ensures adherence to quality assurance standards and performs reviews prior to shipping medications.
Analyze and forecast financial and economic data to support strategic decisions and business intelligence. Lead the pricing and analysis of value-based care contracts within the home health space while ensuring data integrity.
Assess and evaluate member health conditions via telephonic interactions to ensure wellness and medication adherence. Develop comprehensive care plans and monitor patient progress while reviewing prescriptions for accuracy and safety.
Provide data-based strategic direction and business intelligence to support CenterWell's Primary Care, Home, and Pharmacy segments. Lead structured problem-solving, financial modeling, and the translation of high-level strategy into measurable operating results and implementation plans.
The Senior Business Intelligence Engineer transforms complex internal and external data into impactful insights to guide strategic decision-making. They define technical tools and practices while influencing the department's overall strategy and project components.
The Senior BI Engineer solves complex business problems by transforming internal and external data into impactful insights for decision-makers. They define technical tools and practices while influencing the department's overall strategy.
The Senior Consultative Pharmacist provides optimal medication therapy by consulting with patients, pharmacies, and providers. They design and monitor medication care plans and act as a medication expert in proactive health campaigns to improve patient outcomes.
Drive integration initiatives across CenterWell's contact centers by developing multi-year roadmaps and designing new operating models. Act as the primary liaison between business units and the Enterprise Contact Center Center of Excellence to improve operational efficiency and customer experience.
The Area Director of Sales manages, develops, and trains the sales team to achieve area sales and profit targets while analyzing market conditions and business volume. They partner with Sales Management and Operations to execute strategic plans and ensure branch growth through new and existing client acquisition.
The analyst will support, monitor, and optimize revenue cycle systems while acting as a liaison between internal teams and external business partners. Responsibilities include managing EDI transactions, ensuring regulatory compliance, and identifying process improvements to reduce denials and improve billing efficiency.
The Physical Therapist will plan and administer personalized rehabilitation programs for patients in their homes to improve strength and mobility. They are responsible for documenting patient progress, overseeing PTAs and aides, and collaborating with the care team to ensure effective treatment.
The role involves administrative, operational, and customer support tasks, including performing computations and resolving prescription issues that prevent fulfillment. Responsibilities also include communicating with physician offices and hospitals via phone or fax to research and update clarifications and denials on patient profiles.
