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CenterWell

Remote Job Openings at CenterWell (31)

Regional Clinical Manager, Home Health

United States $77200 - $106K per year 2-5 yrs exp Healthcare

The Regional Clinical Manager provides clinical supervisory support to a team of clinicians to ensure high-quality patient care and regulatory compliance. Responsibilities include staff management, documentation review, performance evaluation, and coordinating care across multiple locations.

Clinical Strategy and Practice Fellow (VSP)

United States $184K - $254K per year 10+ yrs exp Healthcare

The fellow will design and implement strategies to enhance clinician capacity, recruitment, and retention while driving process improvements within the clinical community. They will also provide functional guidance to professional associates and offer strategic recommendations to senior executives regarding enterprise-wide clinical issues.

Clinical Strategy and Practice Lead (VSP)

United States $115K - $158K per year 5-10 yrs exp Healthcare

The Clinical Strategy and Practice Lead develops and implements strategies to enhance clinician capacity, recruitment, and retention within the enterprise. They utilize data-driven insights to improve clinical processes and advise executive leadership on significant functional initiatives.

PRN - Virtual Physician Collaborator (Remote)

United States $310K - $368K per year 2-5 yrs exp Healthcare

The Physician Collaborator will work with Advanced Practice Providers to close gaps in care and ensure access to services for senior patients. Responsibilities include conducting regular chart reviews, coordinating monthly meetings, and serving as a clinical resource to ensure high-quality patient care.

PRN - Virtual Physician Collaborator (Remote)

United States $310K - $368K per year 2-5 yrs exp Healthcare

The physician will collaborate with advanced practice providers to close care gaps and ensure access to necessary services for senior patients. Responsibilities include conducting regular chart reviews, coordinating monthly meetings, and serving as a clinical resource to ensure high-quality patient care.

VSP Nurse Practitioner

United States $149K - $206K per year 2-5 yrs exp Healthcare

The Nurse Practitioner will contact Humana members to address care gaps, manage patient records, and coordinate social needs to facilitate health outcomes. They will also verify benefits and gather comprehensive medical, surgical, and medication histories for senior patients.

Senior Consultative Pharmacist

United States $115K - $158K per year 2-5 yrs exp Healthcare

The Senior Consultative Pharmacist provides patient care through optimal medication therapy and educates members on the proper use of their prescriptions. They resolve medication-related issues such as prior authorizations and formulary alternatives while maintaining accurate records for regulatory compliance.

Solution Train Engineer

United States $126K - $173K per year 5-10 yrs exp Software Development

Lead and facilitate delivery across multiple Agile Release Trains by coordinating planning, managing dependencies and risks, and aligning stakeholders around solution outcomes. Coach teams and leaders in Lean-Agile practices, monitor delivery metrics, remove impediments, and drive continuous improvement across the Solution Train.

CenterWell Pharmacy Solution Manager

United States $126K - $173K per year 5-10 yrs exp Healthcare

The Solution Manager defines and delivers end-to-end business and technology solutions by bridging the gap between stakeholders, product teams, and external partners. They are responsible for managing the entire solution lifecycle, from initial concept and requirements gathering to implementation and continuous performance optimization.

Medical Director, Virtual Care

United States $223K - $313K per year 10+ yrs exp Healthcare

Lead physician collaboration and clinical oversight for nurse practitioners and physician assistants, including governance of the Variable Staffing Pool physician model and medical directorship for designated legal entities. Ensure multi-state regulatory compliance and clinical quality while advising on expansion and maintaining a limited virtual patient-care practice.

Care Manager, Telephonic Nurse 2

Trinidad and Tobago, United States $71100 - $97800 per year 2-5 yrs exp Healthcare

Conduct comprehensive telephone assessments and evaluations for members with complex or rare conditions, with a focus on medication therapy management. Educate patients on medication use, side effects, and adherence; develop individualized care plans; monitor progress; and provide follow-up care within established protocols.

Senior Integrated Clinic Pharmacist

United States $126K - $173K per year 5-10 yrs exp Healthcare

The Clinical Pharmacist will manage pharmacotherapy for high-risk patients with chronic conditions and collaborate with a multidisciplinary team to optimize patient care. Responsibilities include medication reconciliation, patient education, and supporting quality measures like CMS Stars and HEDIS.

Director, Data Science - CenterWell

United States $189K - $260K per year 10+ yrs exp Software Development

Lead a technical team in the development and validation of AI/ML models to improve patient care and operational efficiency. Collaborate with product, IT, and clinical partners to translate business priorities into scalable, production-ready AI solutions.

Risk Adjustment Coding Analyst

United States $58700 - $70400 per year 2-5 yrs exp Others

The Risk Adjustment Coding Analyst provides operational and analytical support by developing dashboards, monitoring performance, and summarizing data trends for leadership. They partner with teams to resolve data issues, document processes, and ensure business continuity through accurate reporting.

Specialty Operations Pharmacy Technician

United States $40000 - $52300 per year 0-2 yrs exp Healthcare

The Pharmacy Technician supports pharmacists and patients by triaging inbound calls and performing administrative tasks such as data entry and image scanning. They ensure adherence to specialty pharmacy operational processes while maintaining productivity and quality metrics in a remote environment.

Market Growth Lead, Provider Partnerships

United States $115K - $158K per year 5-10 yrs exp Marketing

The Market Growth Lead will develop and execute sales strategies to recruit primary care practices into the CenterWell MSO/IPA network. They will facilitate complex negotiations and collaborate with leadership to drive membership and revenue growth in the Seattle and Salt Lake City markets.

Senior Integrated Clinic Pharmacist

United States $126K - $173K per year 5-10 yrs exp Healthcare

The Clinical Pharmacist will manage medication therapy for high-risk patients with chronic conditions and collaborate with a multi-disciplinary team to optimize patient outcomes. Responsibilities include conducting medication reconciliation, providing patient education, and supporting quality measures like CMS Stars and HEDIS.

Senior Integrated Clinic Pharmacist

United States $126K - $173K per year 5-10 yrs exp Healthcare

The Clinical Pharmacist will manage pharmacotherapy for high-risk patients with chronic conditions and collaborate with a multi-disciplinary team to optimize patient outcomes. Responsibilities include conducting medication reconciliations, providing patient education, and supporting quality improvement initiatives within the clinic's EMR system.

Senior Professional Service Designer

United States $78400 - $107K per year 2-5 yrs exp Design

The Senior Professional Service Designer leads service design projects to improve patient, customer, and caregiver experiences by translating research into actionable service strategies. They create service blueprints and facilitate discovery sessions to align people, processes, technology, and data across the business.

Director of Claims Processing and Payment Integrity

United States $138K - $191K per year 10+ yrs exp Legal

The Director oversees the adjudication of claims, utilizing data mining to ensure accuracy and detect anomalies. They are responsible for implementing strategic plans, managing financial recovery efforts, and driving performance improvements across the claims processing function.

Senior Product Manager

United States $104K - $143K per year 5-10 yrs exp Product

The Senior Product Manager will drive innovation by leading product research and discovery efforts in collaboration with internal and external stakeholders. They will manage the end-to-end product lifecycle, conduct opportunity assessments, and translate business strategy into consumer-facing solutions.

Nurse Practitioner

United States $149K - $206K per year 10+ yrs exp Healthcare

Provide virtual primary care services, including Medicare wellness visits and acute same-day visits, while collaborating with a team to ensure high-quality patient outcomes. Maintain accurate medical records and ensure compliance with clinical policies and regulatory standards.

Consultative Coding Professional

United States $59300 - $80900 per year 2-5 yrs exp Others

The Consultative Coder provides medical coding expertise to support clinical staff by ensuring documentation supports diagnostic and procedural coding. They also build relationships with clinicians, identify documentation improvement opportunities, and collaborate on HEDIS gaps and payer chart reviews.

Sr. Specialty Pharmacy Sales Executive

United States $93200 - $157K per year 2-5 yrs exp Sales

The Sr. Specialty Pharmacy Sales Executive engages with physician offices to influence the routing of specialty drug prescriptions to CenterWell Specialty Pharmacy. This role involves managing a sales territory, building relationships with office staff, and providing education on pharmacy benefits and medication options.

Senior Specialty Consultative Pharmacist

United States $115K - $158K per year 2-5 yrs exp Healthcare

The pharmacist will conduct inbound and outbound calls to assess patient conditions, manage medication therapy, and develop comprehensive care plans. They are responsible for reviewing prescriptions for accuracy and providing medication education to patients with serious or rare health conditions.