Imagine Pediatrics

Clinical Care Coordinator

• Accept incoming phone calls and return calls from patients involving clinical inquiries for responsible providers, perform protocol-based triage as appropriate
• Place calls and create template-based letters regarding lab results for delivery to the patient in a timely manner
• Review schedule on a daily basis to ensure that all pre-visit preparations have been completed
• Call patients deemed to be at risk for a “no-show” prior to their appointment and inquire about their status
• Initiate completion of forms for review and final signature by provider
• Assist care team in regular completion of reports

Care Coordinator – Non-Clinical

Business Intelligence Developer

• Serve as a primary point of contact for answering client reporting or business development questions using clear, accurate data analysis.
• Develop dashboards in Tableau to support client reporting, expanding patient populations and emerging clinical programs.
• Apply business intelligence best practices to ensure dashboards are user-friendly, performant, meet production standards and aligned with business goals
• Create analytical models in dbt to support Tableau dashboards and downstream reporting.
• Use SQL and other tools to collect, process, and analyze large datasets from claims, EHR, HIE, and programmatic sources.
• Complete analytics requests and ad-hoc reporting needs through Atlassian (e.g., JIRA), providing clear updates and prioritization.
• Collaborate with product, engineering, and internal data teams to develop new tools and capabilities that improve operational efficiency.

Senior Business Intelligence Analyst

Business Development Rep

• Develop and drive execution of BD strategy and growth planning (go-to-market strategy, emerging trends and expansion opportunities, partnership development, contract execution)
• Drive deal structure development and risk modeling across a wide range of value-based care constructs, driving recommendations to senior leadership
• Develop and nurture high-level relationships with industry stakeholders and key partners while driving the process of developing strategic partnership opportunities with close support and partnership from the SVP, Business Development and CCO - from initial prospecting through contract execution
• Directly manage and develop the BD Operations Manager, providing strategic direction on pipeline reporting, deal infrastructure, materials governance, and team operating rhythm; Partner to drive continuous improvement of BD infrastructure including CRM, reporting, and market intelligence tooling
• Develop and maintain deep expertise in state Medicaid programs, RFP cycles, and policy trends that impact children with medical complexity or special healthcare needs
• Align and mobilize cross-functional stakeholders across BD and implementation, including finance, legal, and clinical teams as deals advance from discovery to go-live
• Drive internal executive alignment across activities such as board materials, ELT updates, or other reporting that helps increase transparency and understanding of key opportunities, activities, and next steps to support Imagine’s growth
• Represent Imagine Pediatrics externally at industry conferences, with health plan executives, and in state-level engagements as a senior spokesperson for our mission and model

Director, Business Development

Technician

• Conduct pre-visits with caregivers to obtain dietary recalls, food preferences/dislikes, texture aversions, eating habits, and daily meal schedules to support the RD’s assessment.
• Assist RDs with creating individualized meal plans, snack ideas, recipes, and nutrition handouts using available tools and submit all materials for RD review and approval.
• Prepare charts by entering growth data, z-scores, and vital signs to ensure RD visits begin with complete and accurate patient information.
• Collect, document, and log calorie counts submitted by caregivers to support nutritional monitoring.
• Assist with nutrition scheduling, including rescheduling appointments, helping caregivers find appropriate appointment types, and coordinating with the scheduling team to optimize clinic availability.
• Answer and triage messages from patients and caregivers related to nutrition needs, escalating messages to RDs as appropriate.
• Help search and review external medical records notes prior to RD appointments to support efficient visit preparation.
• Assist with or complete care coordination visits as directed by the RD or providers.
• Help with obtaining formula, supplements, or nutrition-related samples to be mailed to patient homes as requested by the RD.
• Attend daily huddles and collaborate with the care team to support coordinated nutrition care.
• Support smooth, patient-centered workflow by maintaining organization, ensuring timely documentation, and communicating clearly with caregivers and the multidisciplinary team.
• Perform other duties as assigned.

Registered Dietetic Technician, DTR

Medical Billing and Coding

• Submit clean, timely claims with accurate CPT, HCPCS, ICD-10 codes, and modifiers.
• Track and resolve denials, rejections, and underpayments with appropriate follow-up and resubmission.
• Validate eligibility, authorization, and proper billing pathways for all patient encounters.
• Ensure accurate use of telehealth, SDOH, and preventive care codes.
• Coordinate with credentialing, partner success, and payer reps to ensure claims compliance.
• Review provider documentation and assign accurate codes per ICD-10-CM, CPT, and HEDIS/quality reporting guidelines.
• Identify and escalate incomplete documentation or coding gaps; issue coding queries as needed.
• Educate providers under the guidance of the Coding Manager to drive documentation improvement.

Medical Coding and Billing Specialist

• Accept incoming phone calls and return calls from patients involving clinical inquiries for responsible providers, perform protocol-based triage as appropriate, and route phone calls in the form of a phone note document in the EHRS to the provider for review and instructions
• Place calls and create template-based letters, as directed by the provider, regarding all lab results for delivery to the patient in a timely manner
• Review schedule on a daily basis to ensure that all pre-visit preparations have been completed prior to the patient's visit, ensuring lab and imaging results, consultation reports, care transition details, or major changes in health status are available in the patient’s medical record
• Call patients deemed to be at risk for a “no-show” prior to their appointment as well as new patients establishing care for their onboarding visit to remind them of both the patient’s and Imagines’ responsibilities
• Initiate completion of forms for review and final signature by provider (disability forms, home health orders, durable medical equipment and supply requests, disease status letters)
• Assist care team in regular completion of reports that will allow it to manage and assess the health needs of the patient population

Bilingual

• Provide real-time clinical support and triage for newly re-engaged patients, ensuring immediate response to clinical needs following outreach and enrollment interactions
• Deliver proactive, professional, and compassionate care, serving as an accessible first point of contact for patients and caregivers
• Apply a family-centered care approach, meeting patients where they are and supporting individualized care needs
• Demonstrate cultural competence and sensitivity, effectively supporting diverse populations and leveraging appropriate resources as needed
• Build trusting relationships with patients and families to support engagement, understand needs, and encourage ongoing participation in services
• Perform a comprehensive assessment of patients’ clinical, psychosocial, discharge planning, and financial needs, establishing appropriate clinical milestones and goals
• Collaborate with physicians, APPs, and interdisciplinary team members to develop and execute care plans aligned to patient needs and clinical goals
• Coordinate with Resource specialists, Behavioral Health, and other interdisciplinary partners to address complex needs and ensure appropriate referrals and follow-up
• Monitor and evaluate the effectiveness of care plans, gathering input from relevant sources to ensure care is delivered in an accurate, safe, timely, and cost-effective manner
• Document all assessments, interventions, and patient interactions accurately and in a timely manner
• Meet established monthly re-engagement productivity and engagement goals, including completed patient encounters, effective warm handoffs, and sustained caregiver engagement
• Contribute to longitudinal engagement outcomes by supporting a target percentage of re-engaged patients to complete a clinical visit within three months of initial re-engagement

Bilingual Pediatric Registered Nurse

Associate

• Utilize telephonic outreach and engagement strategies to contact families and walk them through the process of successfully downloading the Imagine app and scheduling an enrollment visit.
• Effectively communicate Imagine services and overcome parent/family objections.
• Represent Imagine Pediatrics to parents and families of medically complex children.
• In coordination with Local Outreach Team, support telephonic outreach to non-engaged and engaged patients.
• Leverage reporting and dashboards to prioritize telephonic outreach to prospective members.
• Successfully meet and/or exceed engagement monthly targets.

Patient Engagement Associate

Data Engineer

• Design and build scalable, well-tested DBT models.
• Develop and maintain scalable ELT pipelines, ensuring observability and reliability across workflows while leveraging multiple languages and frameworks.
• Write performance-aware SQL, understand query execution, and identify and resolve bottlenecks in queries and pipelines.
• Improve existing patterns in the codebase and establish new ones.
• Partner with product managers, engineers, and stakeholders to understand data needs and provide actionable paths forward. Work closely with engineers across teams to resolve dependencies, facilitate alignment on technical decisions, and mentor other engineers.
• Document logic, business rules, and methodology to promote transparency and enable teammates to reference and build on your work.

Senior Data Engineer

General

• Support the Director, Revenue & Innovation in identifying, prioritizing, and sizing new opportunities to reduce total cost of care (TCOC)
• Analyze population health and clinical program performance data
• Support revenue growth by building and maintaining models that quantify savings opportunities across attributed patient populations and contracts, and collaborate with Finance to tie revenue forecasts to service lines and clinical programs
• Lead end-to-end pilot execution for new clinical programs and initiatives, including evaluating the opportunity ROI and strategic fit, designing pilots, driving cross functional alignment, tracking performance, synthesizing results, and recommending scale or stop decisions
• Build and maintain program-level SKU tracker, including ROI, savings forecasts, engagement metrics, and reach to support investment decisions and reporting
• Translate clinical and operational data into clear business cases and executive-ready presentations that provide visibility into program level impact and opportunities
• Maintain a tracker of active pilots and innovation initiatives
• Incorporate feedback from care teams, patients, caregivers, and payer partners to refine program design and improve financial and clinical outcomes

Senior Associate, Innovation

• Manage provider relationships and drive engagement within your assigned territory or specific market and/or focus on a specialized population.
• Execute strategic initiatives, including supporting providers, coordinating events, and addressing day-to-day operational needs and decisions.
• Act as the primary point of contact for providers and community organizations in your territory.
• Provide input on central engagement strategies from on-the-ground experience.
• Independently handle day-to-day challenges and decision-making and work with the Director on broader, systematic challenges.
• Work closely with providers, care teams, and local community organizations to drive brand recognition.
• Identify additional engagement opportunities by independently pulling data from Tableau to share with PCPs.
• Mentor and support new and associate-level team members.
• Meet and exceed established monthly engagement targets.
• Travel within territory as well as within market for team member support and relationship builds. Travel expected 75% of the time.
• Independently develop and maintain relationships with health plans.

Provider Engagement Specialist III

• As an APP with Imagine Pediatrics, you influence and ensure the best clinical care for your patients.
• Manage a panel of complex pediatric patients – Oversee care plans, collaborate with PCPs and specialists, and ensure comprehensive care coordination.
• Work in a multidisciplinary team – Work with pediatricians, nurses, pharmacist, dietitian and social workers to provide wrap-around care in a virtual-first model.
• Empower families – Educate and support parents to navigate their child’s health journey with confidence, ensuring long term health success.
• Deliver high-quality virtual care – Conduct virtual enrollment visits, acute escalations, sick visits, and post-hospital follow-ups, and even in-home virtual assessments.
• Ensure continuity of care – Step in when needed to bridge care gaps, coordinating prescriptions, and streamline referrals, to remove barriers to care.

Pediatric Advanced Practice Provider

• Provide direct support to patients and families in addressing social needs
• Work collaboratively with community partners and care team members
• Identify resources and community support available to the family or caregivers
• Provide information, referrals, and non-clinical assistance with linkage to medical, psychosocial, and basic needs services
• Empower families to advocate for themselves by providing education, guidance, and supportive tools to navigate systems and access needed services
• Advocate with community agencies for, and on behalf, of clients and families
• Assist in development of an internal community resource library
• Connect with relevant internal staff and providers to assist with system navigation
• Network with new and established community resources to increase knowledge of services

Family Resource Specialist

• Serve as a community-based, patient-facing resource, building relationships with patients and caregivers through direct, in-person re-engagement in assigned geographic areas
• Provide hands-on support to patients and caregivers, including assisting with program re-enrollment, onboarding, and mobile app setup and utilization
• Perform telephonic outreach to caregivers of attributed patients to re-engage children in care, support seamless onboarding, and re-engage those who missed their initial onboarding visit or have not utilized services post-onboarding
• Educate patients and caregivers on Imagine Pediatric services and available community resources, ensuring they understand how to access care and support
• Maintain and gather up-to-date knowledge of local community resources (e.g., social services, healthcare providers, SDOH supports) and connect families to appropriate services
• Conduct community events and facility rounding to engage eligible patients, strengthen relationships, and support ongoing program participation
• Partner with our Behavioral Health teams and local behavioral health providers to support safe patient discharge planning and ensure seamless connection to community-based resources and ongoing care
• Partner with caregivers, families, and facility staff to identify and address barriers to engagement, and access to care and work with leadership on ensuring workflows exist to enable access to care
• Collaborate closely with the Patient Engagement Team (Outreach & Enrollment), including Outreach Specialists and Registered Nurses, to support patient re-engagement goals
• Support non-clinical care coordination efforts in the community, including assisting with connecting patients to primary care providers, facilitating pharmacy access and medication-related needs, providing basic discharge and follow-up support, addressing social determinants of health (SDOH) needs, and removing barriers to care and service access

Community Health Worker, Patient Engagement

• Serve as a community-based, patient-facing resource, building relationships with patients and caregivers through direct, in-person re-engagement in assigned geographic areas
• Provide hands-on support to patients and caregivers, including assisting with program re-enrollment, onboarding, and mobile app setup and utilization
• Preform telephonic outreach to caregivers of attributed patients to re-engage children in care, support seamless onboarding, and re-engage those who missed their initial onboarding visit or have not utilized services post-onboarding
• Educate patients and caregivers on Imagine Pediatric services and available community resources, ensuring they understand how to access care and support
• Maintain and gather up-to-date knowledge of local community resources (e.g., social services, healthcare providers, SDOH supports) and connect families to appropriate services
• Conduct community events and facility rounding to engage eligible patients, strengthen relationships, and support ongoing program participation
• Partner with our Behavioral Health teams and local behavioral health providers to support safe patient discharge planning and ensure seamless connection to community-based resources and ongoing care
• Partner with caregivers, families, and facility staff to identify and address barriers to engagement, and access to care and work with leadership on ensuring workflows exist to enable access to care
• Collaborate closely with the Patient Engagement Team (Outreach & Enrollment), including Outreach Specialists and Registered Nurses, to support patient re-engagement goals
• Support non-clinical care coordination efforts in the community, including assisting with connecting patients to primary care providers, facilitating pharmacy access and medication-related needs, providing basic discharge and follow-up support, addressing social determinants of health (SDOH) needs, and removing barriers to care and service access