The Nurse Practitioner conducts comprehensive in-home health risk assessments to identify chronic conditions and physical, mental, or social needs. They provide written documentation of patient visits per NCQA standards and coordinate care with physicians and other medical staff.
The Medical Pod Leader is responsible for the clinical performance, patient outcomes, and team dynamics within their assigned pod. They act as the collaborating physician for advanced practice providers and ensure high-quality, efficient care delivery through chart audits and clinical leadership.
The Clinical Triage Nurse assesses patient symptoms, provides medical advice, and determines the appropriate level of care for inbound sick calls. They also review clinical test results and collaborate with the care team to ensure patient needs are met.
The Clinical Social Worker manages a caseload of high-risk patients by conducting psychosocial assessments and designing interventions to address social determinants of health. They collaborate with an interdisciplinary care team to coordinate services and ensure patients receive quality care to maintain independence at home.
Make high-volume outbound calls to health plan members to schedule in-home health risk assessments, and handle incoming calls and voicemail follow-ups. Verify member details and insurance, follow outreach protocols and HIPAA guidelines, confirm appointments, and meet performance goals while coordinating with clinical and administrative teams.
Provide primary care services to high-acuity patients within their homes as part of an integrated, team-based model. Focus on delivering personalized, quality-based healthcare rather than high-volume patient interactions.
The Nurse Practitioner will act as the primary clinical point of contact for triage, evaluating and treating patients via telehealth to address acute needs. They will coordinate care with local clinical teams, manage medication refills, and ensure quality metrics are met.
The Nurse Care Manager manages a caseload of high-risk patients, focusing on transitional care, chronic disease management, and the development of personalized care plans. They serve as a liaison between patients and providers to ensure seamless care delivery and improved health outcomes.
The Principal Product Manager is responsible for defining and executing the strategy for the enterprise data platform and analytics capabilities. This role collaborates with cross-functional teams to build a modern data ecosystem that supports operational decision-making and improves patient outcomes.
The Principal Product Manager owns the strategy and execution for foundational platform capabilities, including workflow orchestration and enterprise integration solutions. This role partners with clinical and operational leaders to design scalable systems that improve care delivery and organizational efficiency.
The Nurse Practitioner conducts comprehensive in-home and telehealth health risk assessments to identify chronic conditions and patient needs. They provide written documentation, coordinate with primary care providers, and ensure high-quality patient-centered care.
The Nurse Practitioner conducts comprehensive health risk assessments in residential settings or via telehealth to identify chronic conditions and patient needs. They are responsible for diagnosing patients, documenting visits per NCQA standards, and coordinating care with other medical providers.
The Nurse Practitioner conducts comprehensive in-home and telehealth health risk assessments to identify chronic conditions and patient needs. They are responsible for documenting visits, managing referrals, and communicating with the care team to ensure high-quality patient outcomes.
The Nurse Practitioner conducts comprehensive in-home and telehealth health risk assessments to identify chronic conditions and physical, mental, and social needs. They are responsible for taking patient histories, determining diagnoses, and coordinating care with other medical providers.
The Nurse Practitioner conducts comprehensive in-home and telehealth health risk assessments to identify chronic conditions and patient needs. They are responsible for taking patient histories, determining diagnoses, and providing written documentation per NCQA standards.
The Quality Operations Manager oversees national quality programs, including MA Stars, MSSP MIPS APP, and ACO REACH, by operationalizing measure updates and standardizing workflows. This role drives continuous improvement through data analysis, provider education, and centralized EMR chart abstraction to ensure enterprise quality targets are met.
The Clinical Trainer designs, delivers, and evaluates training programs for healthcare professionals to enhance clinical competencies. They also provide individualized coaching and collaborate with departments to ensure training initiatives align with organizational goals.
The Clinical Social Worker manages a caseload of high-risk patients by conducting psychosocial assessments and designing interventions to address social determinants of health. They collaborate with an interdisciplinary care team to coordinate services and ensure patients receive quality care to maintain independence at home.
Provide personalized, high-quality primary care to patients with complex healthcare needs in their home environment. Collaborate within an integrated, team-based, physician-driven model to address patient needs without a focus on volume.
The Collaborating Physician provides oversight and consultation to Advanced Practice Nurses performing wellness assessments. They are responsible for conducting regular chart reviews and ensuring adherence to policies, procedures, and state laws.
The Senior Analytics Engineer designs and builds scalable data models and analytics solutions to support clinical and operational decision-making. This role involves collaborating with stakeholders to develop trusted datasets and AI-ready pipelines that improve healthcare outcomes.
