The Actuary will lead CMS bid development and HPMS filings while managing IBNR reserve modeling and financial reporting cycles. They will also perform risk adjustment modeling and provide actionable insights to cross-functional teams including finance, clinical, and compliance.
The Credentialing Specialist manages the credentialing and recredentialing process for practitioners to ensure network compliance and safety. Responsibilities include verifying credentials, maintaining database integrity, and coordinating with the Credentials Committee.
Serve as the first line of support for residents and facility staff after-hours by providing telephonic clinical direction and medical care. Manage acute, chronic, and behavioral health needs while documenting encounters accurately in the EMR.
The Coding Specialist performs accurate diagnostic and procedural coding for medical records while ensuring compliance with industry standards. They also serve as a subject matter expert and resource for other staff members.
The Employee Services Coordinator manages the end-to-end onboarding lifecycle for new associates, ensuring a compliant and engaging experience. They also coordinate orientation programs, maintain documentation, and support process improvement initiatives across the organization.
Provide compassionate telephonic clinical support and medical direction to residents in senior living facilities during after-hours periods. Coordinate care between facilities and providers while performing comprehensive assessments and documenting encounters in the EMR.
Serve as the first line of support for residents and facility staff by providing telephonic clinical direction and medical care after hours. Coordinate care between facilities and providers while documenting encounters accurately in the EMR.
The Patient Navigator manages incoming calls to assess patient health concerns and determine the appropriate level of care. They also facilitate communication between patients and healthcare teams to ensure coordinated care delivery.
The Patient Navigator manages incoming calls to assess patient health concerns and determine the appropriate level of care. They also facilitate communication between patients and healthcare teams to ensure coordinated care across the network.
The Credentialing Specialist ensures facility provider networks meet regulatory and health plan standards through primary source verification and accurate data management. They also monitor license expirations, manage recredentialing processes, and provide support to the contracting department.
The Payroll Tax Lead manages multi-state payroll tax compliance, including filings, deposits, and reconciliations for a complex workforce. They also oversee agency notices, audits, and year-end reporting while ensuring payroll systems remain compliant and scalable.
The Program Manager will oversee the coordination of AI transformation initiatives, including the AI SWAT team and organizational AI training programs. Additionally, they will develop and implement talent acquisition processes to screen candidates for AI competency.
The Care Manager delivers telephonic care management for patients in value-based programs by reviewing electronic health records and identifying gaps in care. They also serve as a health coach to educate patients and caregivers while coordinating with providers to ensure quality, cost-effective care.
Serve as the primary point of contact for after-hours clinical support, providing telephonic care and medical direction to residents in senior living facilities. Coordinate care between facilities and providers while documenting encounters accurately in the EMR to ensure compliance with clinical protocols.
Manage full-cycle recruitment for Advanced Practice Providers, focusing on sourcing and engaging clinical talent for rural and underserved markets. Partner with clinical leaders to develop market-specific hiring strategies and contribute to workforce planning and employer branding.
The Corporate Paralegal will provide comprehensive legal support to the Legal Department, focusing on Medicare Advantage operations, corporate governance, and regulatory compliance. They will manage contract lifecycles, maintain corporate records, and assist with litigation, privacy matters, and regulatory filings.
The Workforce Business Analyst I manages contact center workforce operations, including forecasting, scheduling, and queue management to ensure service level goals are met. They also administer telephony platforms, analyze operational data, and provide actionable insights to improve performance across the organization.
The Manager of Value-Based Care Operations will oversee quality initiatives, operational processes, and regulatory compliance across Accountable Care Organization programs. They will act as a primary liaison between providers, EMR vendors, and internal stakeholders to drive operational excellence and data-driven performance improvements.
Serve as the first line of support for residents and facility staff after-hours by providing clinical direction and medical care over the phone. Perform comprehensive assessments, document encounters in the EMR, and coordinate care between facilities, hospitals, and clinics.
Provide compassionate telephonic clinical support and medical direction to residents in senior living facilities during after-hours periods. Coordinate care between facilities and providers while documenting encounters accurately in the EMR.
Lead the migration from SQL Server to Azure Databricks and manage the Lakehouse architecture across various environments. Administer workspace configurations, implement security controls via Unity Catalog, and automate provisioning using Terraform.
Oversee and manage Medicare and Medicaid enrollment revalidations for individual providers and provider groups to ensure uninterrupted billing and compliance. Collaborate with cross-functional teams to resolve enrollment-related billing delays and maintain audit-ready documentation.
The Director of Partner Success serves as the primary strategic liaison and relationship owner between Curana Health and senior living corporate operator partners. They are responsible for driving partner satisfaction, managing performance reviews, and aligning cross-functional teams to ensure operational success and growth.
Drive growth and develop partnerships with large senior living organizations in North Carolina and South Carolina. Lead the full business development lifecycle from prospecting and pitching to contract execution and implementation.
