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CareCentrix continues to build out its software solutions for innovative home health solutions that produce better outcomes and reduce overall costs through partnerships with providers and payors. The Universal Data Hub (UDH) team will build our core software integration components that would enable the integration of new products and existing systems. We are looking for a Senior Business Analyst to help us drive the product backlog for this product.
Leveraging your experience working as a Business Analyst in Big Data, Real-time and Batch processing, and Application Development in health care space, you will join a product team that is building a new platform for CareCentrix. We want you to bring your talent and expertise to drive the change needed within the healthcare industry. As a Senior Agile Business Analyst, you will maintain and prioritize the Product Backlog, to ensure that the team is working on stories that maximize business value and deliver necessary fixes and functionality to all customers. You must have strong business skills and experience, and past experience working with technology teams.
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Come join a dynamic, growing team in an innovative, game-changing, healthcare organization. CareCentrix is committed to making the home the center of patient care.
We are currently hiring for a Supervisor on our Network Services Team in Hartford, CT. This position supervises a team of non-exempt associates within assigned unit in the Network Services Operations.
CareCentrix is a certified Great Place to Work employer. We offer extensive and competitive compensation and benefits with excellent career opportunities.
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As a Clinical Reviewer, you will be responsible for the review of clinical information for service requests received and render a medical necessity approval or recommended denial to the Medical Director. You will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria. You will review referrals for medical necessity and determine approval or elevation to the Medical Director. You will own the case from point of referral to the recommendation for denial, or approval decision. If a request is to be denied, you will complete the denial process in collaboration with the Medical Director; if a request is to be authorized, it will then be sent onto the staffing department for completion when appropriate.
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The Director Regulatory Compliance - Government Programs is responsible for monitoring regulatory requirements affecting CareCentrix government program operations, analyzing and documenting those requirements, communicating and educating affected business areas about those requirements, developing training programs to ensure an understanding of those requirements, and working with affected business areas to modify operations and policies and procedures to ensure compliance.
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Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.
As a Healthcare Customer Service Expert in our Staffing Team, you make a difference every time you schedule home healthcare services for a patient. You will have full accountability and ownership of cases ensuring patient discharges timely, or if already at home, care begins per the physician's request. Prioritization and organization skills are key to being successful in this role.
The training class for this position begins on March 30th, 2020.
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Post-Acute Care is an end-to-end post-acute offering that manages up to 90-day episodes of care, beginning prior to the patient’s discharge from the hospital, or for elective surgical cases, outreach begins prior to hospitalization. The program identifies the likely best site-of-care for the patient upon hospital discharge, manages length of stay (LOS) if a Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), Institutional Rehab Facility (IRF) is appropriate, and reduce hospital readmissions. Our program also coordinates the services required for a patient to transition to their home.
POSITION SUMMARY
The Nurse Liaison is an in-market position responsible for identifying and influencing the best site-of-care for the patient upon hospital discharge and manages length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned acute and post-acute care facilities. The Nurse Liaison will collaborate with facility discharge planners, patient and family to develop a discharge path of care. The Nurse Liaison will participate in Care plan meetings and meet with patients as appropriate.
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We are currently seeking a compassionate, experienced, and a highly-organized care coordinator to join our growing team of healthcare professionals. In this role, The Lead Care Coordinator serves as a subject matter expert (SME) and supports the Care Coordinnator staff. A Lead Care Coordinator is cross trained in all functions of the Care Coordinator duties including but not limited to: case setup, eligibility and benefits verification, notification of authorizations, staffing, and workflow distribution.
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Reporting to the Chief Revenue Officer, the VP of Business Development is responsible for top line revenue generation with regional and national health plans, ACOs and other risk-bearing entities, selling to both commercial and Medicare Advantage payers. The VP of Business Development will leverage the current momentum to continue to expand CareCentrix’s business model into government paid programs, as they continue to grow their enrollment and subsequent need for better post-acute management. The ideal VP of Business Development is an expert and has a track record in strategizing and closing large, complex, multi-million dollar deals.
The VP of Business Development will be a subject matter expert, consultant, and thought partner to payers as it relates to care coordination and the pathway to care after an acute episode , with a focus on getting the patient home. Develop a comprehensive business development strategy with new and potential clients, to identify services and solutions that best fit the client’s needs, challenges, and goals. Understands the complexity and nuances of cultivating long term relationships with clients while identifying and executing the ideal path towards generating a partnership and/or potential revenue.
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As Technical Lead, UM Platform Integration, you will have responsibility for leading day to day development of APIs, batch extracts, and other software integration components. You will work with CareCentrix Business Technology associates, as well as vendor partners and consultants in a fast paced, dynamic agile environment. This lead must be a hands on technical resource comfortable ‘rolling up his/her sleeves’ to help the team design, develop, and test integration software. The UM Platform initiative will include a completely new approach to developing software within CareCentrix, using the latest design approaches, technologies, and processes.
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Do you have the passion to make an impact on people’s lives? Then come join our team! CareCentrix is committed to making the home the center of patient care.
As a Healthcare Customer Service Expert in our Staffing Team, you make a difference every time you schedule home healthcare services for a patient. You will have full accountability and ownership of cases ensuring patient discharges timely, or if already at home, care begins per the physician's request. Prioritization and organization skills are key to being successful in this role.
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Do you want to make a difference and help patients heal and age at home? CareCentrix is committed to making the home the center of patient care.
We are currently hiring for several Network Services roles in our Hartford, CT location. This position receives/responds to in- and out-of-network provider inquiries on claim status (payment, denials, rejections, appeals, recoupments, etc.), education on Explanation of Payments and provider portal questions, and other concerns and/or complaints. The appropriate resolution is provided via researching information by reviewing plan, eligibility, and authorizations. Works with Client Services and Revenue Cycle departments to identify areas of opportunity and recommend solutions.
CareCentrix is a certified Great Place to Work employer. We offer extensive and competitive compensation and benefits with excellent career opportunities.
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The Business Planning Workforce Management Analyst position is an individual contributor role that works as part of a team generating forecasts and schedules and performing analytics on results. This is a job that requires a strong aptitude in mathematics and the ability to break down complex analytics into understandable and relatable terms to a wide variety of people. Through data preparation, tracking and analysis this position provides guidance and direction on workforce strategies across multiple departments to enhance performance and productivity while reducing costs.
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CareCentrix aims to transform health and wellness via products that enable consumer engagement and a best-in-class experience. CareCentrix is looking for a Product Owner with experience working in fast-paced, startup like environment. As the Product Owner working with Business and Technology teams, you will help implement our UM platform and ecosystem. Partner with other product managers/owners, vendors and leadership to execute the strategic vision and ensure it exceeds the expectations of our customers and users. Grow your skill set and knowledge base by working alongside talented and passionate teammates from diverse backgrounds. Help drive the team to success by working across groups to drive discussion & engagement, create & track user stories in an agile software development life cycle. Investigate ways, partnerships, technologies to drive user engagement and satisfaction. Ensure internal product stakeholders needs /expectations are met and promote transparency by helping communicate through SAFe/SCRUM practices.
This team is responsible for driving the implementation of CareCentrix’s next generation UM platform; as well as the development road map and execution of the roadmap. This effort will include a completely new approach to developing software within CareCentrix, using the latest design approaches, technologies, and processes. This program will be using the Agile framework and part of a larger SAFe program.
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If you have customer service experience and want to make a patient's life better and easier by healing at home, this is a great opportunity for you!
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As a Data Modeler, you will lead the creation and maintenance of logical data models, Oracle and Teradata physical database designs and data warehouse solutions. This individual will use data modeling and spreadsheet software tools to analyze and design solutions to information needs. This role will help with the delivery of formal projects using best practices for data architecture, data modeling and physical data design and to expand warehouse capabilities in a scalable and cost-effective manner.
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The incumbent in this position acts as a subject matter expert (SME) in assigned unit, fields questions from staff, is able to provide appropriate issue resolution and escalation when needed, and assigns work/directs workflows for staff. Assists Supervisor/Manager with coaching, on-the-job training, monitoring work, mentoring new associates and driving results. This position may also serve as a back-up in production. Works with other departments to identify areas of opportunity/performance improvement and recommend solutions.
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The Instructional Designer is responsible for the assessment, design, development, implementation, and evaluation of clinical, non-clinical, new hire orientation, systems, Health Plan and gap training initiatives at the course level. Responsible for integrating identified quality improvement activities into curriculum and training delivery. Works closely with company leaders to promote and drive organizational effectiveness efforts and is responsible for supporting Organizational Development projects related to organizational analysis, culture and change initiatives, and employee learning.
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As a Senior Analyst on the Total Rewards Team, you will be responsible for managing our company's compensation and recognition initiatives. You will perform overall analysis, design, development and management of compensation & rewards programs based on business objectives, market trends, cost effectiveness, and competitive practice. you willl serve as a primary resource for the information, problem solving, and communication as it relates to development and execution of compensation and recognition programs.
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This is an excellent opportunity to help shape the future of healthcare and drive innovation throughout the industry. CareCentrix is committed to making the home the center of patient care. As the AVP – Managed Care & Provider Contracting, you will manage the activities of the contracting staff that prepare and maintain contracts for provider network, develop relationships with providers/payers/ACO’s. You will be responsible for the development of contractual relationships, strategic relationships, including the negotiation of terms and maintenance of ongoing agreements.
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The Area Vice President of BT Delivery will serve as the bridge between the Business Technology (BT) and all business functions. Through the gathering of detailed business requirements at the start through the validation that these have been correctly implemented, they will make sure the business goals are appropriately met as well as adherence to technical standards and processes. Maintaining a complete view of all delivery priorities this role will assure the quality and predictability of client implementations, operational enhancements, compliance mandates, and technology changes throughout the delivery lifecycle. They are a leader who has expertise and judgement in working across multiple functional areas within an organization, and has previous experience in successfully bringing new guidelines to a technical organization.