Interwell Health

Program Manager

• Develop & nurture a solid understanding of the objectives and complexities within intricate Value-Based Care Programs and/or agreements, such as:
• CMS Kidney Care Contracting
• IWH Payor Agreements
• IWH Practice Participation Agreements
• Effectively communicate this complex information in a clear and concise manner to both internal and external stakeholders through meetings and presentations
• Provide outstanding customer service to all external and internal stakeholders with consistent feedback and follow-through
• Investigate and resolve any issues or concerns in a prompt and effective manner
• Serve as the primary contact and subject matter expert for IWH Network practices
• Assist our nephrology partners in achieving success within Value-Based Care by uncovering valuable insights within data, and identifying opportunities for improvement
• Execute company initiatives and ensure the timely completion of deliverables
• Ensure accurate documentation of provider interactions and/or visits are maintained in our CRM
• Deliver timely training and/or onboarding to Network Providers as new information is available
• Verify that information presented to providers is both accurate and timely, including the data accessible through our dedicated portal

Program Manager, Provider Services

Director

• Identify and follow up leads for potential physician partnerships and development of new business opportunities
• Secure contracts and align local nephrology practices by demonstrating clear knowledge and comprehension of our value proposition and enrollment process
• Build market-specific network development strategies based on local market intelligence, network data and organizational objectives
• Foster strategic provider partnerships and effective working relationships with Nephrologists, Access Surgeons, alternative Specialists, hospital systems, providers, and payers to:
• Implement value-based compensation models with Physicians and Payers
• Educate and partner with physician and payer community to assist in Interwell Health’s rollout and on-going operation
• Partner closely with payer partners to oversee provider engagement through community events, such as educational sessions, networking events and strategic roundtable discussions
• Partner with data and reporting team to house master data sets by region/state to ensure centralized repository accuracy
• Collaborate with Marketing, Product, Clinical, Account Management, and Payor Sales teams to create educational and recruitment materials, fostering effective communication and implementing growth strategies

Director, Network Development

Billing Specialist

• Configure, maintain, and optimize Epic Professional Billing solutions to support accurate, high-volume daily practice billing operations.
• Own and maintain Charge Router configuration and routing logic, including rule setup, dialysis-specific date ranges, and modifier handling, to ensure professional charges are routed correctly from source systems into the appropriate billing workflows.
• Serve as a critical operational resource supporting billing accuracy, patient statements, and uninterrupted revenue flow for practices.
• Manage and support Epic-related billing vendor integrations and build activity (e.g., statements, credit card processing, collections), ensuring reliability and consistency across workflows.
• Independently identify, troubleshoot, and resolve moderately complex Epic PB and Charge Router issues, minimizing billing delays or downstream impact.
• Design, build, validate, and test Epic PB configurations and enhancements in support of both ongoing operations and new practice implementations.
• Partner with internal revenue cycle teams, vendors, and implementation stakeholders to gather requirements and translate them into effective Epic solutions.
• Contribute to end-to-end Epic solution delivery, including discovery, design, build, testing, and migration through established change management processes.
• Collaborate closely with cross-functional team members to maintain team throughput and ensure practices are supported without disruption.

Professional Billing Analyst

Risk

• The Director of Risk Adjustment is a strategic operational leader responsible for driving risk adjustment performance across Interwell Health’s payer and government programs.
• Serve as a central leader in advancing Interwell’s risk adjustment capabilities, with accountability for both execution and measurable results in a highly regulated environment.
• Translate organizational strategy into scalable programs and support cross-functional teams across clinical, coding, analytics, and provider engagement.
• Provide operational support, driving day-to-day operations, implementing new pilots, and running existing programs.
• Assess the opportunity for performance improvement, devise the approach for implementation of new strategies, and manage deployment of performance related initiatives for Nephrology providers.

Director, Risk Adjustment

Manager

• Coordinate companywide requests for analysis and monitoring of engineering-related data, applying engineering and economic knowledge and expertise to support business initiatives and solve business problems to support management.
• Manage team of analysts through data analysis and related projects.
• Duties include:
• Manage and assign data reporting projects to analyst team to support key functions including provider contract development, product development, client membership and metrics reporting.
• Oversee financial information collection and preparation for management review.
• Lead and develop direct reports through coaching and development plans, fostering an engaged and productive team.
• Utilize programming skills and systems to access, organize, and analyze complex data, ensuring accuracy and drawing sound conclusions.
• Monitor and assess operational performance, identifying trends and discrepancies while ensuring effective execution of responsibilities and activities.
• Drive continuous improvement in data capabilities and quality of department analysis and reporting.
• Maintain extensive understanding of internal company data, the healthcare market, and relevant legislative changes.
• Perform comprehensive data research, mining, and reporting for various internal and external stakeholders.
• Monitor and adjust report project timelines to ensure timely delivery.

Senior Manager, Medical Economics

Analyst

• Ensures data integrity is maintained throughout the reporting lifecycle.
• Implements reporting and reconciliation workflows and document processes.
• Responsible for experience studies and medical trend studies.
• Responsible for running queries and providing required analysis to understand related drivers (such as medical cost and utilization), as well as providing insightful commentary and sensitivity modeling analysis.
• Actively supports efforts to continually improve data capabilities and quality of department analysis and reporting.
• Reports production to support financial reporting and operations activities.
• Performs research and collection of data, including data mining and reporting, which is provided to various customers inside and outside the department.
• May refer to senior level staff for assistance with higher level problems that may arise.
• Performs in-depth claims analysis of baseline and ongoing contract monthly data.
• Conducts profitability analysis and drill down analysis into actual expected variances.
• Pulls ad-hoc reporting as needed.