The Associate Actuary analyzes and forecasts financial and economic data to support strategic decision-making and business intelligence. They are responsible for leading the pricing of value-based care contracts and ensuring data integrity through robust process controls.
CenterWell
39 Remote Job Openings at CenterWell
The analyst will support, monitor, and optimize revenue cycle systems while acting as a liaison between internal teams and external business partners. They are responsible for managing EDI transactions, ensuring regulatory compliance, and identifying process improvements to reduce denials and accelerate reimbursements.
The Clinical Pharmacist will evaluate pharmacotherapy for high-risk patients and collaborate with a multi-disciplinary team to optimize treatment plans and medication safety. They will also document clinical interventions in the EMR and support quality measures such as CMS Stars and HEDIS.
The Business Intelligence Engineer 2 solves complex business problems by utilizing data from various sources to provide actionable insights to decision-makers. They are responsible for interpreting data, developing business information, and aligning their work with organizational strategy.
The Pharmaceutical Manufacturer Relations Executive manages strategic partnerships with pharmaceutical manufacturers to enhance patient access and drive revenue growth for CenterWell. They lead contract negotiations, monitor therapeutic trends, and translate manufacturer strategies into executable business plans across pharmacy operations.
The Scheduling Manager leads the workforce scheduling function to ensure optimal staffing levels and operational efficiency for CenterWell Pharmacy. They manage a team of analysts, develop staffing strategies, and collaborate with operations leadership to balance customer demand with budget requirements.
The Mail Operations Pharmacist 2 is responsible for the accurate and timely dispensing of prescribed medications to patients while ensuring adherence to quality assurance standards. They must interpret and determine appropriate courses of action for varied work assignments while maintaining compliance with department and organizational strategies.
The Lead Product Owner defines the product vision and roadmap by prioritizing the product backlog and creating user stories for an Agile delivery team. They act as the primary contact for decision-making and liaise with stakeholders to ensure value is maximized within budget and deadlines.
Lead retail pharmacy initiatives to drive operational excellence, business growth, and compliance with pharmacy regulations. Partner with cross-functional leaders to optimize workflows, enhance patient outcomes, and integrate pharmacy services into the broader care model.
The Senior Product Owner conveys product vision and roadmaps to Agile delivery teams by defining user stories and prioritizing the product backlog. They maximize product value and liaise with stakeholders to ensure the right product is built within budget and deadlines.
Lead and manage strategic clinical operations initiatives from initiation through post-launch evaluation to support organizational objectives and compliance. Partner with technical and operational stakeholders to define project scope, monitor progress, and manage risks to ensure timely delivery of milestones.
Oversee branch operations within an assigned market to ensure compliance with government regulations and corporate policies. Develop strategic business plans, manage budgets, and lead Branch Directors to achieve financial and clinical goals.
Provides administrative support for customer acquisition and retention, including processing invoices and drafting sales contracts. Conducts background research on competitors and industry trends to support sales team activities.
The pharmacist ensures compliant processing of specialty medication orders and handles inbound calls to resolve clinical issues. They review prescriptions for accuracy, check for drug interactions, and make independent professional decisions following established guidelines.
The role focuses on analyzing patient experience data from various sources to drive continuous improvement projects across pharmacy services. It involves translating complex data into actionable insights and collaborating with cross-functional teams to resolve systemic experience issues.
Conduct virtual consultations to diagnose and treat complex cardiovascular conditions for elderly patients. Develop personalized treatment plans and collaborate with healthcare professionals to provide comprehensive outpatient care.
The role focuses on designing and executing patient experience strategies by analyzing feedback and performance data to drive measurable improvements. You will collaborate across teams to translate complex data into actionable insights and lead experience improvement projects.
The Senior Accreditation Professional ensures the pharmacy meets regulatory standards from organizations like URAC, NABP, and ACHC. They focus on quality assurance, audit readiness, and resolving unmet metrics to minimize risk.
Perform analysis of business, process, and user needs to translate them into system requirement specifications. Create processes to solve complex problems and validate the benefits achieved from solution implementation.
Lead the end-to-end execution and integration of high-priority growth initiatives, including mergers, acquisitions, and organic expansion. Translate strategic objectives into actionable workplans while ensuring financial and operational value realization.
Pharmacy Contracting Executive – PBM and Pharmacy Services
CenterWell
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Full Time
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14 days ago
CenterWell
Lead the development, negotiation, and execution of pharmacy service contracts with employer groups, health systems, and PBMs. Develop pricing strategies and collaborate cross-functionally to resolve complex contract-related challenges.
Lead strategic initiatives focused on productivity, pay structure, and workforce management within the home health business portfolio. Act as a bridge between data, operations, and HR to translate quantitative and qualitative insights into actionable business strategies.
The pharmacist will manage medications for high-risk patients with chronic conditions and collaborate with multi-disciplinary healthcare teams to optimize patient outcomes. Key duties include executing clinical protocols, conducting medication reconciliations, and supporting CMS Stars and HEDIS quality measures.
Mail Operations Pharmacy Technician 3 (Arizona Only)
CenterWell
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Full Time
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20 days ago
CenterWell
Perform advanced administrative and operational duties to accurately handle the intake of prescription transfers via inbound and outbound calls. Verify drug details including name, strength, dosage, and refills while adhering to dispensing guidelines.
The Senior Informaticist identifies unique insights and solves complex challenges using various data sources. They provide reporting and analytics solutions to optimize performance and improve member experience.
Oversee data processing architectures to convert structured and unstructured data into enterprise-scale insights. Lead the development of the PCO Analytics data warehouse using Medallion architecture and establish governed information architecture processes.
Responsible for monitoring branch operations within an assigned market to ensure financial, clinical, and quality standards meet government and corporate regulations. Develops strategic business plans, manages budgets, and leads Branch Directors to achieve growth and operational success.
Assess and evaluate member health conditions via telephonic interactions to ensure wellness and medication adherence. Develop comprehensive care plans and provide medication education while reviewing prescriptions for accuracy and safety.
Handle intake calls from patients, pharmacies, and providers while performing administrative and computational tasks. Coordinate medication therapy management programs and schedule review sessions with consultative pharmacists.
The Informatics Lead solves complex business problems by analyzing customer journeys and diverse data sources to provide strategic insights for decision-makers. They lead the delivery of reporting and data science solutions to optimize performance and improve member experiences.
The Senior BI Engineer solves complex business problems by analyzing internal and external data to provide insights for decision-makers. They are responsible for influencing department strategy and making independent technical decisions for project components.
The Senior Product Manager identifies and develops high-value automation and AI-enabled solutions to improve operational efficiency across CenterWell healthcare segments. This involves analyzing workflows, mapping user journeys, and collaborating with cross-functional teams to implement scalable automation in a regulated environment.
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 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.
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.
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.
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.
