CenterWell Senior Primary Care

Operations

• Provide strategic oversight and operational leadership for non-clinical office functions across assigned markets.
• Partner with branch and market leadership to ensure standardized processes, workflow integrity, billing readiness, and revenue cycle performance.
• Monitor and analyze key operational metrics and implement corrective action plans.
• Be a subject matter expert in Homecare Homebase (HCHB), providing guidance on system workflows, reporting, and billing readiness standards.
• Identify operational risks and partner with leadership to implement sustainable process improvements.
• Support implementation and adoption of enterprise initiatives impacting office workflows, systems, and regulatory compliance.
• Provide coaching and operational guidance to strengthen leader capability in managing non-clinical performance.

Regional Director – Home Health Office Operations

Therapist

• Assess/screen patient's daily living/work-related skills and develop therapeutic retraining programs with measurable objectives.
• Administer and interpret diagnostic and prognostic tests of function to patients.
• Confer with the patient's physician and other health care team members.
• Provide therapeutic treatment and instruction to patients in accordance with physician orders.
• Design community reintegration activities to assist the client in the physical reconditioning effort.
• Recommend and/or design special adaptive equipment for clients.
• Consult with other vocational team members, as appropriate, to develop and implement vocationally oriented plans.
• Report patient status and progress to the physician, rehabilitation staff, Clinical Manager, patient, and family members.

Occupational Therapist, Home Health

• supports Pharmacists in Specialty Rx medication preparation by dispensing Specialty Rx medications
• performs varied activities and moderately complex administrative/operational/customer support assignments
• performs computations
• works on semi-routine assignments
• analyzes and answers inquiries regarding pharmacy claims adjudication

Specialty Operations Pharmacy Technician

• Takes in-bound phone calls from patients and providers
• Enters prescription orders into the system
• Supports Pharmacists and Patients by ensuring adherence to Specialty Rx specific operational processes and programs developed to optimize health outcomes
• Communicates effectively with patients and providers
• Works within defined parameters to identify work expectations and quality standards
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion
• Works under minimal direction

Product Manager

• Own the Pharmacy Data Product Portfolio (New + Legacy)
• Define and manage a portfolio of pharmacy domain data products (e.g., prescription/refill journey, fulfillment milestones, operational status, member experience signals).
• Identify and prioritize high-value legacy tables and datasets that have not been "productized" and are at risk during modernization.
• Establish product roadmaps tied to measurable outcomes: improved self-service adoption, reduced time-to-insight, fewer data defects, and stronger downstream product enablement.
• Lead product definition for data modernization efforts, ensuring legacy tables become managed data products, not unmanaged technical artifacts.
• Partner with engineering and architecture to ensure migrated datasets include: Clear business definitions and consistent semantics Documented lineage and dependencies Versioning and change management expectations Validation and reconciliation criteria for cutover.
• In collaboration with domain leaders, engineering, and data governance partners: Establish ownership and stewardship for important datasets (who owns, who approves changes, who resolves issues).
• Create metadata and documentation standards (business glossary, dataset descriptions, field definitions, usage guidance).
• Operationalize data quality management: Define critical data elements (CDEs) and quality rules Set thresholds/SLAs and issue management workflow Track and reduce recurring defects Define dataset lifecycle practices: retention, deprecation, and controlled evolution over time.
• Improve accessibility and usability for analysts and associates by standardizing: Definitions, naming conventions, documentation, and examples Access patterns and secure sharing/entitlements "How to use" guidance and common query patterns.
• Partner with digital and operational product teams to expose data appropriately. This exposure is achieved through product capabilities, such as convenient, reliable data products that represent "where a refill is in its journey" for web/mobile experiences.
• Define and maintain data contracts and consumer expectations (availability, freshness, definitions, and schema evolution).
• Operate within an Agile SAFe delivery model: Contribute to PI Planning, refinement, and ART ceremonies Write and manage Features (SAFe) and User Stories with clear acceptance criteria Maintain and prioritize a product backlog aligned to business outcomes and technical dependencies Coordinate cross-functionally across engineering, analytics, platform teams, compliance/security, and business stakeholders.
• Track delivery progress and product KPIs (adoption, quality incidents, freshness, completeness, and consumer satisfaction).

Lead Data Product Manager – Pharmacy Data Products

• Assess/screen patient's daily living/work-related skills and develop therapeutic retraining programs with measurable objectives.
• Administer and interpret diagnostic and prognostic tests of function to patients in their homes or other settings.
• Confer with the patient's physician and other health care team members and participate in development/revision of the Plan of Care Treatment.
• Provide therapeutic treatment and instruction to patients in accordance with physician orders.
• Review/expand the retraining programs in a manner consistent with the behavioral goals of each patient.
• Consult with other vocational team members to develop and implement vocationally oriented plans.
• Report patient status and progress to the physician, rehabilitation staff, Clinical Manager, patient and family members.
• Participate in care coordination and discharge planning activities.
• Design community reintegration activities to assist the client in the physical reconditioning effort.
• Recommend and/or design special adaptive equipment for clients.
• Design/train staff and family members to carry out the retraining program.
• Coordinate/oversee/supervise/instruct and evaluates Occupational Therapy Assistant and Home Health Aide performance.

Occupational Therapist – Home Health

Billing Specialist

• Ensure accurate and efficient billing processes across the organization
• Daily monitoring of accounts receivable and claim submissions
• Identifying and resolving billing errors, addressing claim rejections
• Researching billing issues and recommending process improvements
• Update the A/R pivot table for daily review of accounts receivable status
• Review recently submitted claims to identify and resolve issues with uploading to RevConnect
• Identify opportunities for billing project improvements
• Monitor new payer Quick Reference Guides (QRGs) and contract updates
• Track month-over-month trending to identify improvement opportunities
• Provide detailed reporting and analysis as requested by management

Revenue Cycle Claims Billing Analyst

Systems Engineer

• Support and configure revenue cycle applications utilized for billing and claims management.
• Identify and implement process improvements to reduce denials and accelerate reimbursements.
• Collaborate with FSU, IT and vendors to troubleshoot and resolve system issues and coordinate upgrades or integrations.
• Monitor revenue cycle metrics such as errors, rejections and denial rates.
• Utilize dashboards and reports to track and identify billing and collections trends.
• Provide actionable insights to leadership for decision-making.
• Ensure systems align with CMS, HIPAA, and payer requirements.
• Manage, analyze, and optimize electronic data transactions (837, 835, 270/271, etc.) between the FSU and external vendors.
• Partner with internal and external teams to ensure system functionality supports departmental and company goals.
• Evaluate current workflows and recommend enhancements to improve efficiency, reduce costs, and ensure accurate and timely billing.

Home Healthcare Revenue Cycle EDI Systems Analyst

• evaluate, direct and provide speech/language pathology service to patients in the home or facility
• participate in the development and periodic review of the Plan of Treatment and Plan of Care
• utilize professional skills and judgment in assessing and treating disorders of speech, voice, language, hearing and swallowing to prevent, identify, evaluate and minimize the effects of such disorders and conditions
• administer and interpret diagnostic tests and applications of therapeutic treatments including audio logic screening
• observe, record and report changes in the patient's condition and response to treatment to supervisor and/or the physician
• provide instruction and training to patients in use of alternative communication systems when appropriate
• provide counsel and instruction to patients, families and healthcare staff
• maintain and submit documentation as required by the Company and/or facility
• prepare and submit timely written reports of evaluations, visits, summaries, care plans, care coordination activities and progress reports as required by Company policy
• participate in care coordination activities and discharge planning
• maintain the highest standards of professional conduct in relation to information that is confidential in nature
• attend, participate in and/or conduct internal staff development programs, obtain continuing education as required by Company policy, regulation

Speech Therapist – Home Health

• develops, implements, and manages oversight of the Primary Care Organizations Medicare Advantage Stars Program
• works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
• will serve the PCO through detailed tracking of Stars performance for each Value-based agreement at the national and market level to ensure early identification of gaps and areas of focus based on performance for each of those contracts and monitoring of market level performance against projections and targets
• identifies key areas of focus for quality star rating improvement in the Primary Care Organization (PCO) using data analytics
• develops customized, dynamic, reports and dashboards to track performance for the PCO relative to Value Based Contract Requirements for multiple payors
• tracks market level Stars performance against measurement projections and goals
• maintains collaborative relationships with internal partners (Data Analytics, Performance and Trend, Clinical, Contracting, and Finance)
• is a critical thinker who has initiative to manage multiple projects with resilience, flexibility, and a high level of independent thinking.
• has experience in value-based care arrangements.
• uses strong written and verbal communication skills.

Senior Clinic Operations Strategy Professional

Program Manager

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Program Management Lead – Offshore Coding Operations

Product Designer

• Use instructional design principles and methodologies, such as ADDIE, SAM, and AGILE Models, to design and storyboard enterprise learning content.
• Collaborate with education leads, project owners, subject matter experts (SMEs), business partners, key stakeholders, and external resource vendors to develop best-in-class learning content.
• Develop engaging learning programs and course content.
• Make regular recommendations for new learning methods, routinely utilizes new technologies and methodologies in development of training content and makes recommendations for the appropriate technologies to best deliver the training content.
• Track, evaluate, and improve the effectiveness of existing learning content utilizing reports, metrics, and assessment tools; identify process improvement opportunities and implement innovative solutions for learning experiences.
• Acts as a resource for department-specific training design and development and integration into the LMS.

Learning Instructional Design Lead

Business Operations

• Lead day-to-day operational strategy for clinical call center and virtual engagement programs
• Design and optimize dialing strategies and campaign prioritization
• Own member engagement strategies across various channels
• Conduct analyses to diagnose performance issues and identify opportunities
• Drive capacity modeling and scheduling strategy in partnership with leadership

Business Operations Lead – Virtual Health

Data Scientist

• Design, create, and modify SQL Server database tables and views to support new learning analytics use cases and evolving business logic
• Perform controlled data updates or deletions, ensuring data integrity and recovery safeguards are in place
• Validate and execute complex queries and scripts to maintain accurate data
• Monitor and troubleshoot API integrations (e.g., Cornerstone) and update Python ETL scripts as needed
• Integrate new or updated report views into ETL pipelines
• Monitor daily automated ETL jobs, investigate failures, and rerun jobs following validation
• Manage user access and security groups across Dev, QA, and Prod Power BI environments
• Develop and maintain Power BI dataflows, dashboards, and visuals; schedule and monitor dataset refreshes
• Execute deployments using Power BI Deployment Pipelines
• Investigate and resolve data discrepancies, applying reconciliation and equivalency logic to learner records
• Aggregate, standardize, and reconcile learning data sources

Learning Analytics Data Lead

• Product Owner conveying product vision and roadmap to an Agile team
• Define user stories and prioritize product backlog
• Liaise with stakeholders and development team
• Serve as Agile team's contact for information and decision-making
• Understand department and organizational strategy

Regional Director – Home Health Office Operations

Occupational Therapist, Home Health

Specialty Operations Pharmacy Technician

Specialty Operations Pharmacy Technician

Lead Data Product Manager – Pharmacy Data Products

Occupational Therapist – Home Health

Revenue Cycle Claims Billing Analyst

Home Healthcare Revenue Cycle EDI Systems Analyst

Speech Therapist – Home Health

Senior Clinic Operations Strategy Professional

Program Management Lead – Offshore Coding Operations

Learning Instructional Design Lead

Business Operations Lead – Virtual Health

Learning Analytics Data Lead

Product Owner – Digital Solutions