Lead day-to-day quality operations across Part C and Part D, managing and developing the team while standardizing and scaling care-gap workflows across markets and health plan contracts. Partner with clinical, pharmacy, analytics, technology, and health plan stakeholders to improve HEDIS and Stars performance, strengthen data reliability, support compliance, and implement effective tools and automation.
The Outreach Specialist is responsible for conducting inbound and outbound calls to schedule in-home wellness visits and support patient engagement. They act as the primary point of contact to introduce patients to WellBe services and assist with appointment management.
The Community Medical Director oversees the clinical team, providing primary and acute medical care to geriatric patients in their homes. They are responsible for managing clinical outcomes, fostering community partnerships, and mentoring staff to ensure high-quality, coordinated care.
The Documentation & Coding Manager leads the coding team and oversees program performance, documentation controls, and vendor management. This role is responsible for establishing quality standards, driving workflow improvements, and ensuring compliance with regulatory requirements.
The reviewer conducts targeted clinical documentation audits to ensure medical records support reported diagnoses and regulatory requirements. They also provide peer-level education to providers to improve documentation accuracy and collaborate with cross-functional teams to address documentation risks.
The Community Medical Director manages and mentors an interdisciplinary clinical team while delivering primary, urgent, and acute medical care to patients in their homes. They also foster key relationships with community physicians, hospitals, and skilled nursing facilities to ensure high-quality clinical and operational outcomes.
The Senior Data Systems Analyst leads the integration of healthcare payer and internal enterprise data into the company's data platforms. This role involves mapping, validating, and standardizing complex datasets to maintain a reliable single source of truth for value-based care.
The Community Medical Director manages and mentors an interdisciplinary clinical team while delivering primary, urgent, and acute medical care to geriatric patients in their homes. They also foster key relationships with community physicians, hospitals, and skilled nursing facilities to ensure high-quality clinical and operational outcomes.
Design, develop, and maintain ELT pipelines and data models to ensure data integrity within the warehouse. Collaborate with cross-functional teams to translate business requirements into scalable analytical solutions and actionable insights.
Lead and mentor a team of data professionals to build scalable analytics systems and ELT pipelines. Collaborate with cross-functional teams to translate business requirements into actionable data insights and visualizations.
Lead the integration and standardization of healthcare payer and internal enterprise data into a single source of truth. Responsible for mapping, validating, and maintaining data pipelines to support value-based care analytics.
