CareCentrix

Software Engineer

• Lead the design and development of scalable data pipelines and microservices using Python, DynamoDB, S3, and SQS, integrating with Gen AI services.
• Architect and optimize solutions leveraging Amazon Bedrock and other Gen AI platforms, including prompt engineering and model fine-tuning.
• Collaborate with product owners, stakeholders, and cross-functional teams to define technical requirements and ensure alignment with business goals.
• Mentor and guide junior developers, conducting code reviews and fostering a culture of technical excellence.
• Drive Agile development practices, including sprint planning, backlog grooming, and release management.
• Establish and maintain CI/CD pipelines, automated testing frameworks, and robust documentation standards.
• Ensure adherence to security, scalability, and performance best practices across all development efforts.

Lead Developer – Software Development

Medical Reviewer

• Perform an initial evaluation of the referral appropriateness for CareCentrix services.
• Review for information needed to make a medical necessity determination.
• Request additional clinical information when needed to render a decision and determine next steps.
• Use clinical expertise, review clinical information and clinical criteria (e.g., CMS, MCGs, Interqual) to determine if the service/device meet medical necessity for the patient.
• Ensure case review and elevation to complete the determination is rendered within the contractual and regulatory turnaround time standards.
• Interact with the Medical Director as needed to ensure proper medical necessity decisions are being made in a timely manner.
• Develop/maintain a working knowledge of all CareCentrix services/guidelines/policies.

Clinical Reviewer

Business Development Rep

• Reporting to the Senior Vice President, Business Development; responsible for top line revenue generation with commercial and Medicare Advantage regional and national health plans, employer groups, ACOs, major health systems, and/or other risk-bearing entities
• Proactively and aggressively manage customer acquisition process, from cold outreach (email, phone, social media) to pitch presentation to opportunity sizing, pricing, and relationship development for book of business and/or target list / territory
• Manage the entire end-to-end sales process, from lead generation to pipeline management through deal execution and implementation consultation
• Meet or exceed assigned sales quota; achieve budgeted revenue and gross margin goals while operating within policies and procedures
• Actively engage the market to broaden the CareCentrix brand exposure, facilitate understanding of our value proposition, generate sales leads, foster ongoing relationships, and understand industry conditions and competitive activities
• Manage top of funnel lead-gen activities, including conferences, cold outreach (email, phone, social media), and collaborating with marketing team and/or with strategic partners on specific campaigns
• Provide oversight and centralized management of all internal deliverables pertaining to sales efforts and ongoing potential prospects, including managing detailed follow up on high volumes of information and medical claims data/detail
• Work collaboratively alongside medical economics for efficient, high-quality savings analysis and pricing process
• Adhere to tight discipline of sales operations: Salesforce CRM proficiency and application, strategic and disciplined prospecting, in-depth understanding of product portfolio and strategic applicability to target list / territory
• Channel customer/prospect feedback from the market to systematically inform marketing, product and operational counterparts
• Identify, partner with, and cultivate relationships with stakeholders across functions and levels internally; establish and maintain strong external relationships with customers and stakeholders across functions, from procurement to C-suite

Assistant Vice President – Business Development

Systems Engineer

• Support and operation of Windows servers, VMware, Microsoft Active Directory and Azure AD, O365, Exchange, AWS, and other packaged software
• Work as part of the Business Technology Infrastructure team to provide support for identified business problems
• Respond to End User requests for technical support and assistance within established procedures
• Provide operational support for On-premise Active Directory, Azure AD, VMware, and related network support equipment to ensure changes and maintenance do not interrupt service
• Provide operational support of Windows Servers and other Microsoft application server systems administration both on premise and cloud-based
• Analysis, administration and support of VDI technologies (including VMware Horizon VDI)
• Provide support and assistance in the delivery of End User support and Systems Maintenance
• Assist in ensuring compliance with security policies and procedures
• Respond to escalated requests for technical assistance and troubleshoot and resolve mid- to high-level problems
• Maintain current knowledge of relevant hardware and software applications as assigned

Senior Systems Engineer

Billing Specialist

• As a Patient Billing Representative, you will research, resolve, and document approximately 30-35 inbound calls per day from patients, providers and health plan companies. You will respond to patient needs and help educate the patient in the role CareCentrix plays in their care. Investigate payment status/inquiries to determine patient out of pocket financial responsibility. Collect outstanding balances and offer patient’s payment help through various financial options. Answer billing questions (explanation of benefits, balance, payments, and benefit information). Ensure prompt, efficient and accurate call resolution. Escalate patient issues and concerns as needed.

Patient Billing Representative

Customer Support

• Serve as initial point of contact for patients seeking home healthcare services and for providers requesting authorizations
• Handle approximately 60-65 inbound calls per day
• Work from home in a remote and high-volume healthcare call center
• Utilize multiple applications and a dual monitor setup to assist customers with services including durable medical equipment, home healthcare services
• Work 8-hour shift with scheduled breaks and 30-minute lunch; initial 5 weeks training Monday–Friday 9:00am-5:30pm EST
• Transition to assigned shift (Monday-Friday, 11:30AM - 8:00PM EST) after training
• Adhere to company policies including HIPAA/PHI regulations
• Meet performance targets such as AHT, quality, attendance, adherence

Healthcare Customer Service Expert, Phone Intake

Therapist

• The Senior Product Director of Infusion Therapy Solutions at CareCentrix will lead the strategic direction, execution, and performance of our Infusion Therapy product portfolio.
• This high-impact role carries full P&L ownership and is accountable for driving revenue growth, enhancing client satisfaction, improving retention, and maximizing profitability.
• You’ll serve as a key partner to Account Management, supporting existing clients with product expertise, and collaborate closely with Sales to engage new prospects—including clinical-to-clinical consultations that shape tailored solutions.
• In this role, you will define the strategic vision and drive the growth trajectory for CareCentrix’s Infusion Therapy Solutions.
• You’ll lead the development of a forward-looking product roadmap that aligns with market trends and client needs.
• Collaborating across cross-functional teams, you’ll spearhead the launch of innovative capabilities while continuously enhancing existing features.
• Your leadership will ensure the product portfolio remains agile, competitive, and deeply aligned with the evolving demands of both current clients and future prospects in today’s dynamic healthcare environment.
• The ideal candidate brings proven experience in drug pricing and a strategic mindset for optimizing pharmaceutical spend.
• They will collaborate directly with clients to develop drug utilization strategies aligned with policy guidelines—driving volume toward preferred products to unlock meaningful cost savings.
• Success in this role requires a deep passion for the infusion therapy market, a customer-first approach, and the agility to adapt in a fast-changing environment.

Senior Product Director - Home Infusion Therapy Solutions

• Full-Stack Developer will be responsible for implementing applications and services related to Business Rules in the healthcare domain.\n• You’ll be involved throughout the software development lifecycle—including requirements gathering, design, development, testing, and maintenance—while collaborating with cross-functional teams to ensure solutions meet business needs and industry standards.\n• Responsibilities include design, development, and implementation of new features; follow technical standards and best practices; code and configuration reviews; implement automation processes for build, test, deploy; ensure performance, quality, and responsiveness; communicate technical information clearly; Agile team responsibilities; System maintenance and support; Stay up to date with Rules configuration technologies and best practices.