WellSky

General

• Complete testing and validation tasks within established timelines to support client go-live schedules.
• Analyze table configurations, standard operating procedures, and software solution questionnaires to determine validation strategy and modify scripts for execution.
• Identify and document issues or errors encountered during testing that deviate from the client-provided collateral, and relay findings to senior team members or management for review and resolution.
• Work closely with the project team to provide updates on testing progress, discuss concerns, and address issues promptly with the assigned owner.
• Maintain proficient understanding of at least one solution platform and demonstrate ability to learn additional platforms across the business unit.
• Prepare written communications to the client on validation status updates, review with senior team members or management, and deliver to appropriate stakeholders.
• Perform other job duties as assigned.

Validation Specialist

Clinician

• Conduct prior authorization reviews and/or continued stay reviews for post-acute care services by applying clinical guidelines and escalating cases to medical directors as needed
• Approve services in compliance with health plan guidelines, contractual agreements, and medical necessity criteria
• Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care and seamless care transitions
• Participate in team meetings, educational activities, and interrater reliability testing to maintain review consistency and professional growth
• Ensure compliance with federal, state, and accreditation standards, and identify opportunities to enhance communication or processes
• Support all payer programs and initiatives related to the post-acute space
• Make benefit determinations about appropriate levels of care using clinical guidelines
• Coordinate benefits and transitions between various areas of care
• Utilize knowledge of resources available in the healthcare system to assist physicians and patients effectively
• Perform other job duties as assigned

Utilization Review Clinician, RN, PT, OT

Program Coordinator

• Coordinate authorization requests from intake through final payer determination
• Assign cases to clinical reviewers and monitor progress through completion
• Submit authorization requests and supporting documentation to payers
• Answer inbound calls and provide front-line support for the team
• Maintain accurate records and ensure all information is documented appropriately
• Support process improvement initiatives and perform other duties as assigned

Medical Reviewer

• Review acute and post-acute authorizations for medical necessity using InterQual guidelines
• Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care
• Participate in team meetings, educational activities, and interrater reliability testing to maintain review consistency and professional growth
• Ensure compliance with federal, state, and accreditation standards, and identify opportunities to enhance communication or processes
• Utilize knowledge of resources available in the healthcare system to assist physicians and patients effectively
• Perform other job duties as assigned

Authorization Management Clinical Reviewer

Medical Director

• Define and execute strategic initiatives to optimize care coordination and scheduling services in alignment with organizational goals and market demands
• Collaborate with senior executives to shape program strategies and address emerging trends in healthcare delivery and payer programs
• Oversee the design and implementation of scalable workflows, operational policies, and resource planning to support efficient, high-quality service delivery
• Lead cross-functional efforts to address systemic challenges, implement process improvements, and ensure compliance with regulatory and contractual requirements
• Utilize data analytics and key performance indicators to monitor program effectiveness, identify improvement opportunities, and guide evidence-based decision-making
• Partner with internal stakeholders to implement quality improvement initiatives that enhance patient and partner outcomes while optimizing resource use
• Represent the team in executive discussions by presenting insights and recommendations to support long-term growth and operational alignment
• Perform other job duties as assigned

Director, Clinical Operations

Recruitment

• Collect, organize, and perform basic analysis of data from various sources to identify trends and support decision-making processes.
• Assist in evaluating existing operational processes by providing data and analysis to identify areas for improvement.
• Maintain and update reports and dashboards to track key performance indicators and provide regular updates to the management team.
• Consult with different departments to gather data and provide support for understanding operational challenges.
• Document operational processes, workflows, and improvements to ensure knowledge sharing and consistency across the organization.
• Perform other job duties as assigned.

Staffing and Resource Forecasting Analyst

Medical Billing and Coding

• Make accurate ICD-10-CM code assignments.
• Review OASIS (Outcome and Assessment Information Set) and assign accurate codes supported by the documentation.
• Identify viable primary diagnosis and procedures as well as pertinent secondary diagnosis and procedures.
• Adhere to coding compliance regulations and internal policies to ensure accurate billing for our client agencies.
• Review, interpret, and recommend a plan of care corrections as needed.
• Perform other job duties as assigned.

Medical Coder

Infrastructure Engineer

• Lead the design and architecture of major systems and services
• Collaborate with solution managers, engineers, data scientists, and other stakeholders
• Actively contribute to code reviews and provide constructive feedback
• Ensure code meets functional and performance requirements
• Leverage AI tools and platforms in daily responsibilities
• Operate multi-cloud environments across GCP, AWS, and Azure
• Build custom tooling to automate and fill gaps off-the-shelf tools leave
• Set technical direction for cloud infrastructure
• Mentor and multiply knowledge and skills of teammates and dev teams

Staff Software Engineer – Cloud Infrastructure Engineer

Full-stack Engineer

• Lead the design of complex software development features and ensure solutions are scalable, effective, and maintainable.
• Collaborate with solution managers, designers, and other teams to gather requirements, translate them into technical specifications, and ensure alignment with priorities and project goals.
• Analyze and solve complex technical problems, identify bottlenecks, and prepare technical documentation to optimize system performance.
• Facilitate code reviews, provide constructive feedback, and lead by example in code quality, development best practices, and problem-solving approaches.
• Ensure code meets functional and performance requirements, and advocate for high-quality software and ensure rigorous testing processes, including automated unit tests, integration tests, and other testing frameworks.
• Leverage AI tools and platforms as an integral part of daily responsibilities to enhance decision-making, streamline workflows, and drive data-informed outcomes.
• Perform other job duties as assigned.

Senior Software Engineer

Account Executive

• Identify, define, and qualify new sales opportunities by engaging large-sized prospects and clients
• Strategize selling approaches and revenue growth plans in collaboration with business unit leadership
• Assist with strategic partnerships and sales channels
• Proactively identify market trends and conditions, industry changes, and competitor activities
• Lead complex client relationships and sales processes from inception to closure
• Navigate multiple decision-makers and effectively lead contract negotiations
• Track the status and activities of all assigned accounts and prospects in Salesforce
• Generate periodic reports upon request related to expected closures for any given fiscal quarter
• Achieve quarterly goals related to lead generation, pipeline management and quota attainment

Account Executive IV – Home Health & Hospice, SaaS

Business Development Rep

• Responsible for strategic territory development for WellSky's emergency department transition solutions
• Conduct market research to qualify opportunities
• Secure meetings with key stakeholders within the ED
• Collaborate with internal stakeholders to transition opportunities from prospecting to closing
• Leverage multiple sales channels, including cold calls, email outreach, social media, and networking events
• Work with account executives and ED Transition program management team on regional-specific outreach projects
• Identify appropriate operational and leadership contacts within priority facilities
• Design, refine, and deliver effective go-to-market strategies that connect client needs with WellSky's value proposition
• Own the opportunity lifecycle management process by executing partnership deliverables
• Maintain working business knowledge of ED current events
• Perform other job duties as assigned

Business Development Strategist

Consultant

• Collaborate with project teams to complete implementation tasks, including gathering requirements, analyzing clinical workflows, and identification of workflow challenges.
• Engage with providers to review requests and offer recommendations based on proficient knowledge of clinical workflows that will ultimately enhance patient care, treatment plans, and health outcomes.
• Provide hands-on training to designated clients while guiding them through the solution's functionalities and features to increase proficiency in utilization.
• Use industry compliance knowledge and follow established practices and guidelines to ensure the implementation of clinical solutions complies with regulations and standards.
• Review a variety of factors for solution configurations, understand solution functionalities, and troubleshoot technical issues to offer consultation and support.
• Perform other job duties as assigned.

Clinical Consultant II

Clinical Operations

• Oversee daily operations of clinical operation support staff and ensure tasks are completed efficiently and accurately
• Identify and address operational challenges and escalate more complex issues to management as needed
• Support the development and implementation of work plans, assign tasks, and ensure alignment with program objectives
• Develop and manage nurse schedules to ensure appropriate staffing coverage, support operational continuity, and address schedule adjustments in response to business and program needs
• Manage larger, more-complex and growing or expanded clinical programs
• Provide enhanced training and mentorship to team members by fostering skill development and professional growth
• Collaborate with managers on recruitment, onboarding, and performance feedback for team members
• Analyze team performance data and recommend process improvements to enhance quality, efficiency, and service outcomes

Senior Team Lead, Clinical Operations

Marketing

• Oversee and manage a team of marketing strategists responsible for: Overseeing marketing programs and ensure channel effectiveness, measurable results, and timely follow-up by sales team.
• Supporting new solution launches, retention campaigns, monitor strategic add-on sales, and offer unique solutions that accelerate sales efforts and support revenue goals.
• Actively monitoring the marketing and sales pipeline dashboards and metrics.
• Managing creative development and execution for demand generation programs, email marketing, social and webinar campaigns, and work with the events team to manage planned events and identify new potential events.
• Collaborating with growth marketing team on paid advertising efforts including creation, execution, and post-campaign reporting.
• Serving as a cross functional partner to sales, solutions, and client success teams to align marketing strategy, campaign execution, and enablement in support of pipeline and revenue goals.
• Manage interactions with strategic partners on the delivery of marketing programs.
• Produce high quality scalable content, including presentations, FAQs, videos, data sheets, webinars, talk tracks and playbooks for use by the sales organization and partners.
• Take a data-driven approach to campaign strategy focusing investment on the most impactful outcomes and specific KPIs.
• Own the marketing functions of a go-to market launch plan including production of sales and marketing assets, working cross-functionally across departments on launch readiness, as well as the delivery of marketing programs inclusive of webinars, email campaigns, in app messaging, and other channels.
• Perform other job duties as assigned.

Senior Director, Marketing

Communications

• Execute specific programs and campaigns aligned to corporate goals, solution roadmaps, and market growth.
• Shape the company narrative and brand architecture across web, social, events, and sales enablement.
• Direct company-wide messaging for town halls and leadership communications.
• Lead and mentor other teammates within the communications function.
• Manage program budgets and evaluate PR and marketing agencies against KPIs.
• Oversee press releases, media pitches, thought-leadership articles, and executive bylines that convey complex technology topics in clear, compelling language.
• Partner with People & Talent to engage teammates during organizational growth and cultural initiatives.
• Perform other job duties as assigned.