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This position provides clinical oversight and utilization management of Post-Acute Care (PAC) facilities and CORE services, including Home Health, Durable Medical Equipment (DME), Home Infusion Therapy, Sleep services, and more. Responsibilities include medically appropriate redirection to lower levels of care, coordination of discharges, and post-discharge follow-up to help prevent readmissions.
A key part of this role involves working strategically with Utilization Management (UM) leaders and market engagement teams to overcome facility barriers to discharge. The Medical Director will also conduct clinical conversations with facility physicians as needed to influence admissions to PAC facilities and manage PAC length of stay.
The Medical Director will...
We are seeking a dynamic, innovative, and strategic thinker to join our Sales Team as a Business Development Director. This role is critical in driving top-line revenue growth by identifying and engaging key prospects across multiple lines of business, including payors, ACOs, and employers.
The Business Development Director will collaborate closely with Sales Leadership and Sales Leads to design and execute customized lead generation strategies, nurture high-potential opportunities, and expand our pipeline. Responsibilities include market research, strategic outreach, and relationship-building with prospective clients.
This is an externally facing role that requires a proactive approach to client engagement, tailored communications, and attendance at...
As a Revenue Cycle Representative, Reconsiderations you will determine the acceptance of providers' payment through claims research, plans, eligibility and notes to determine if the payor owes payment to CareCentrix.
Identifies and escalates provider issues and concerns to the appropriate senior. Works under general supervision. Guides collectors in their performance of invoice processing activities to ensure receivables are reimbursed in an accurate and timely basis. Works directly with the payer, internal and external customers and other contract clients towards efficient and effective collection results.
The Clinical Liaison, under the direction of the Director of Market Engagement, will drive performance and quality improvement initiatives across our skilled nursing facility (SNF) network. Serving as a vital link between acute and post-acute providers, this role collaborates with internal clinical operations teams and onsite SNF staff to analyze utilization trends, identify care gaps, and promote evidence-based best practices. The Clinical Liaison will educate stakeholders on industry standards, address barriers to success, and foster strong relationships to enhance patient outcomes and advance value-based care.
Using relationship-building, capability assessments, network analytics, and clinical expertise, you will support strategic...
As a mid-Level Salesforce Developer, you will be responsible for the design, development, testing and implementation of customizations, applications, extensions and integrations. You will work with a team of fellow engineers to translate business needs into effective and scalable products within the CRM.