CenterWell Senior Primary Care

Manager

• Provide leadership and operational oversight for a team of IPA Consultative Coders within an assigned region
• Accountable for regional coding performance, provider engagement, and risk adjustment outcomes
• Align coding operations with market-specific provider needs, growth strategies, and membership trends
• Lead implementation of the Consultative Coding Model, transitioning from retrospective workflows to longitudinal provider support
• Ensure compliance with ICD-10-CM, HCC guidelines, and CMS risk adjustment methodologies

Consultative Coding Manager

Therapist

• Plan and administer prescribed physical therapy treatment for patients
• Assess and document patients' physical strengths
• Develop and implement a rehabilitation program
• Provide PTAs and Home Health Aides with care instructions
• Document patient observations, interventions, and evaluations
• Report patient progress to the physician, Clinical Manager, and care team

Home Health Physical Therapist

Referral Specialist

• Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
• Monitor email for request to pull referrals from all applicable referral systems.
• Perform follow-up and manage all related communication.
• Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)
• Monitor status of all referrals received, follow up with each throughout process, reports on status weekly.
• Communicate with branch, sales, leadership by email or phone for status updates and referral decisions.
• Daily management of ERST log with all referrals and ROCs decisions.
• Maintain acceptable productivity level, as determined by work assignment and departmental standards.
• Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices.

E-Referral Specialist, Home Health

Medical Assistant

• Responsible for administrative tasks in addition to patient care
• Document patient symptoms in EMR
• Take and record vital signs
• Administer injections
• Perform diagnostic tests
• Collect specimens and draw blood
• Sterilize equipment
• Maintain examination rooms
• Other tasks as assigned

Strategy

• Own the design, evaluation, and optimization of specialty provider networks across multiple markets, including performance benchmarking, access, cost, and quality considerations
• Lead market-level specialty network strategy, identifying gaps, redundancies, and opportunities for preferred partnerships
• Serve as a primary analytical and strategic resource for market leaders on specialty network performance and evolution
• Provide direct analytical and strategic input into the design, scaling, and success of value-based specialty care programs
• Evaluate program performance against cost, utilization, quality, and patient experience metrics, and recommend course corrections
• Support development of performance frameworks, KPIs, and governance structures for specialty value-based initiatives
• Lead advanced financial modeling and scenario analysis related to specialty care utilization, total cost of care, and network ROI
• Assess market-level financial performance and risk exposure tied to specialty care strategies
• Partner with finance and executive leadership to support budgeting, forecasting, and long-term financial planning
• Act as a strategic thought partner to market leadership, providing independent insights and recommendations with minimal oversight
• Translate complex analyses into clear, executive-ready narratives, dashboards, and presentations
• Support executive decision-making by synthesizing clinical, operational, and financial insights
• Set analytical standards and best practices for specialty care strategy workstreams
• Provide informal mentorship and guidance to senior analysts and analysts, without direct people management responsibility
• Drive cross-functional alignment by proactively engaging clinical, operational, finance, and analytics stakeholders

Lead Specialty Care Strategy

Medical Receptionist

• Greet Patients: Welcome patients and visitors, both in person and over the phone.
• Schedule Appointments: Manage appointment calendars, schedule patient visits, and coordinate with medical staff.
• Patient Records: Maintain and update patient records, ensuring accuracy.
• Billing and Payments: Ensure patient accounts are updated correctly. May include collecting copay at time of visit.

Operations

• Monitoring branch operations specific to market assigned
• Ensuring financial, clinical operations and quality, service and sales initiatives adhere to government regulations
• Developing strategies and overall branch business plans, annual planning, and budgets
• Managing patient satisfaction data
• Working closely with AVPO along with various cross functional teams

Home Health Market Executive – Operations

Pharmacist

• Use evidence-based medicine and clinical judgment to evaluate pharmacotherapy suitability for high-risk patients
• Execute clinical protocols as allowed per organization and state regulatory agencies
• Optimize drug coverage benefits for appropriate care and reduced costs
• Collaborate with healthcare professionals to optimize patient care
• Participate in high-risk rounds to discuss patient progress
• Document all activity within clinic EMR and other required systems
• Conduct in-service education sessions for healthcare staff

Senior Integrated Clinic Pharmacist

• Perform varied activities and moderately complex administrative/operational/customer support assignments
• Document patient symptoms in EMR
• Take and record vital signs
• Administer injections
• Perform diagnostic tests
• Collect specimens and draw blood
• Sterilize equipment
• Maintain examination rooms
• Other tasks as assigned

Coach

• The Care Coach coordinates care across health and social service systems, serving as patient advocates and clinical supports
• Conduct structured patient interviews and collect health-related information (e.g. medication regimen and barriers to adherence, social barriers, functional status)
• Document and share findings with providers
• Perform home visits to observe living conditions, identify safety concerns, and review environmental or social factors impacting engagement
• Identify barriers to care, address immediate social stressors, and connect patients with appropriate community-based resources
• Deliver culturally appropriate education using approved materials to reinforce provider and pharmacist recommendations for chronic disease management
• Serve as a liaison between patients, primary care, specialists, pharmacies, home health, and community providers
• Support care transitions, coordinate follow-up, and facilitate communication across care settings to close care gaps
• Partner closely with the primary care provider to create care plans and priority action items
• Conduct timely follow-up after hospitalizations and emergency department visits to support safe transitions
• Review discharge instructions, schedule/confirm follow-up appointments, verify patient reported medications and escalate discrepancies to providers
• Encourage and support patient connection to community-based programs that reinforce health goals
• Deliver patient centered, culturally sensitive care that respects patients’ beliefs, preferences, and social context
• Develop a holistic understanding of patient needs via a 5Ms framework (What Matters Most, Mind (Mentation), Mobility, Medications, Multi-complexity)

Integrated Care Coach

Clinical Operations

• designs and implements initiatives that optimize clinical operations and enhance care delivery across aligned area(s), or the organization
• provides strategic advice and guidance to functional team(s)
• report to the Clinical Operations Strategy Principal
• responsible for advancing and executing high-impact strategic initiatives across CenterWell's Value-Based Care Enablement / IPA business
• serve as a trusted advisor to senior leadership
• lead the development of forward-looking business models and go-to-market strategies
• ensure the organization is positioned to scale innovative offerings and remain competitive in a rapidly evolving healthcare landscape
• drive the development of segment-level strategies and ensure successful execution across complex, cross-functional environments
• operate as an advanced subject matter expert across clinical quality, business operations, and technology to support value-based care enablement
• lead highly complex initiatives from concept through scaled execution, applying deep business acumen, structured problem-solving, and innovative solution design to drive measurable improvements in financial performance, operational efficiency, and membership growth

Clinical Operations Strategy Principal

• Responsible for administrative tasks in addition to patient care
• Document patient symptoms in EMR
• Take and record vital signs
• Administer injections
• Perform diagnostic tests
• Collect specimens and draw blood
• Sterilize equipment
• Maintain examination rooms

• Administer the physical therapy treatment plan to patients in their homes
• Administer non-complex active and passive manual therapeutic exercises
• Document client records and submit clinical documentation to the office on time each week
• Attend educational meetings and coordinate department in-services
• Notify Physical Therapist or Branch Director of any equipment failures, lack of supplies, or staff or client changes
• Apply concepts of infection control and universal precautions in performing patient care activities

Home Health Physical Therapist Assistant

Medical Billing and Coding

• Provides medical coding expertise and consultative support to IPA affiliates nationwide
• Analyzes trends, triages and answers questions in real time
• Delivers ongoing education and supports coding workflows for assigned providers
• Conducts quarterly chart reviews to evaluate coding accuracy
• Participates in daily coder helpdesk providing real-time support for providers