CareCentrix

Job Listings

Here are our current job openings. Please view the details for more information, and apply from that page if you are interested.

 

NOTE:  All Current CareCentrix Employees must apply via the Internal Career Portal to be considered. 

 

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Job Locations Remote
Posted Date 4 days ago(11/23/2021 10:16 AM)
The Clinical Utilization Management Supervisor oversees the team that handles the denial review process for UM Operations. The department’s activities include: serving as a resource for utilization management program and clinical guideline application, assisting with clinical data collection, analysis and reporting, supporting operations and management team with clinical feedback and utilization training, tracking and monitoring turnaround times to assure service requirements are met, coordinating with operations and clinical team members to intervene when service levels are at risk, providing appropriate issue resolution and/or escalation when necessary, assuring timely letter generation and mailing, and coordinating the with the Quality Department in preparation for internal and customer audits. The Clinical Utilization Management Supervisor ensures that the denial and physician review process and turnaround times are in compliance with customer, regulatory and accrediting agency standards, and CareCentrix standards and policies. This manager also trains new team members and performs ongoing training with the existing team. They also monitor performance of the team and individual members and takes appropriate action to ensure department goals are met all while working under general supervision.
Job ID
2021-12756
Job Locations Remote
Posted Date 1 week ago(11/17/2021 1:54 PM)
As an Associate Contract Manager, you will be a key part of the ongoing management of the CareCentrix provider network and are involved in contracting activities and managing network providers for multiple payers. In this role, you will prepare, analyze, negotiate and maintain contracts for the provider network for the services that CareCentrix provides on behalf of its clients. You will be responsible for the development/fostering of relationships with providers and colleagues to ensure high levels of client interaction and satisfaction. You will also be responsible for participating in the development of the network management strategy which includes aspects of technology product, utilization management, value-based care, membership growth, marketing, compliance, and member and provider experience.
Job ID
2021-12713
Job Locations Remote
Posted Date 1 week ago(11/19/2021 6:34 AM)
As a Senior Analyst of the Product Performance and Reporting team, you will perform the analytical reporting and analysis supporting CareCentrix operational and strategic needs, as well as monitor and track the fulfillment of contractual requirements with our external health plan clients. Through analyzing extensive health-care clinical and operational data, you will develop insights that directly support the business decisions and growth goals of CareCentrix.
Job ID
2021-12712
Job Locations Remote
Posted Date 1 week ago(11/18/2021 12:11 PM)
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care. Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
Job ID
2021-12706
Job Locations Remote
Posted Date 2 weeks ago(11/10/2021 8:35 AM)
As a DevOps engineer, you will work on a team of DevOps engineers focusing on the day-to-day tasks of managing and maintaining Datacenter environments and will be hands-on involved with building source code, deploying binaries, configuration and monitoring application servers. Candidate will also research and develop build and deployment automation tools in an agile environment.
Job ID
2021-12281
Job Locations Remote
Posted Date 1 week ago(11/18/2021 12:14 PM)
Be part of the changing landscape of healthcare. CareCentrix is committed to making the home the center of patient care. As a Care Coordinator you will participate in the time sensitive collection of documentation required to manage patient cases of care from beginning to end. You will support the clinical nurses and ensure that patients are serviced in a timely manner, according to customer requirements.
Job ID
2021-12695
Job Locations Remote
Posted Date 1 week ago(11/19/2021 3:39 PM)
As a Nurse Coach you will utilize your clinical expertise to manage assigned Post-Acute Care patients’ transition from acute care setting to the home setting through telephonic outreach to provide education, coaching and care coordination to accomplish the goals of the Post-Acute Care Program. You will engage Post-Acute Care patients in the program and administer initial, update, and discharge assessments in an effort to prevent readmissions.  This position works closely with the Post-Acute Care patient, home health agency nurse, and physicians to facilitate education and adherence to establish health care goals and develop a personalized care plan. Position requires participation in performance and operational improvement activities. Works under moderate supervision.   Post-Acute Care is an end-to-end post-acute offering that manages episodes of care up to 90-days beginning prior to the patient’s discharge from the hospital. The program identifies the likely best site-of-care for the patient upon hospital discharge, manages length of stay (LOS) if a Skilled Nursing Facility (SNF) or Institutional Rehab Facility (IRF) is appropriate, and reduces hospital readmissions. Our program also coordinates the services required for a patient to transition to their home.
Job ID
2021-12687
Job Locations Remote
Posted Date 1 week ago(11/19/2021 9:44 AM)
The PAC Nurse is a telephonic position responsible for managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned post-acute care facilities through collaboration PAC Nurse will also collaborate with key facility personnel as well as with CareCentrix internal Medical Directors, Market Engagement Directors and Nurse Mangers to develop and maintain a timely discharge plan.
Job ID
2021-12683
Job Locations Remote
Posted Date 1 week ago(11/18/2021 12:07 PM)
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.   Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
Job ID
2021-12679
Job Locations Remote
Posted Date 1 week ago(11/18/2021 12:02 PM)
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.   Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
Job ID
2021-12678
Job Locations Remote
Posted Date 1 week ago(11/17/2021 2:05 PM)
As a Sr. Software Quality Engineer - Automation you will develop and lead the strategy and execution of automating the testing of a modern Web Development Architecture. 
Job ID
2021-12671
Job Locations Remote
Posted Date 2 weeks ago(11/12/2021 3:01 PM)
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care. Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
Job ID
2021-12647
Job Locations Remote
Posted Date 4 weeks ago(11/2/2021 4:25 PM)
As an Associate Data Engineer, you will be working with a team of technologists to deliver insight across various aspects of CareCentrix’s Master Data Management system.  You will be working on developing and managing database frameworks to ensure their stability, reliability and performance.  As an Associate Data Engineer, you will also be responsible for performing thorough testing and validation in order to support the accuracy of data transformations and data verification used in CCX Applications. The Data Engineer should value teamwork, demonstrate integrity and honesty, are passionate, innovative and strives for excellence.
Job ID
2021-12642
Posted Date 3 weeks ago(11/8/2021 3:55 PM)
As an Employee Relations and Leave of Absence Manager, you will serve as primary contact and subject matter expert in partnership with the HR leadership team, legal counsel and leave vendor partners to develop strategies and implement programs in compliance with all applicable laws and regulations. You will manage any escalations from external agencies; including but not limited to the DOL and EEOC. You will partner with human resource team on complex and sensitive employee relations and leave issues and support internal investigations, training and coaching in relation to those topics.
Job ID
2021-12632
Job Locations Remote
Posted Date 4 weeks ago(11/2/2021 8:25 AM)
Are you an experienced Registered Nurse with a passion for shaping the future of healthcare?   As a Nurse Liaison you will be an expert in resource management, a master of utilization review and a compassionate partner for patients and their support network. You will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site, face to face outreach, with patients to introduce the Post-Acute program. You will gather patient demographics and collaborate with hospital clinicians, patients and their family to develop a discharge plan of care and will coordinate post-acute care services for the patient and collaborate with Post-Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.   The Post-Acute Care program helps to reduce hospital readmissions of patients and has aspects of education and coaching to assist patient’s transition home after a hospital stay. The program works directly with patient treatment plans, facilitates in home health care services to accomplish the treatment plan, patient goals and patient education/coaching along with adherence/compliance monitoring.
Job ID
2021-12629
Job Locations Remote
Posted Date 2 weeks ago(11/10/2021 8:29 PM)
The CareCentrix Post-Acute Care program is a comprehensive offering that manages financial risk for the costs of care for 90-days after a patient's discharge from the hospital. The program identifies the recommended site of-care for the patient, manages length of stay (LOS) and aims to reduce hospital readmissions. The program also coordinates all of the services required for a patient to transition to their home faster and safer, by using home health, durable medical equipment and home infusion providers; all of whom are supported by our readmission reduction team. The Manager of Operations provides oversight of the Care Coordinator (non-clinical) teams, performing a full range of functions: intake, phone, faxing, and collaborates with other PAC teams such as Clinical Review, Nurse Liaison and PAC Nurse teams to ensure TAT goals are met and cases are processed timely and efficiently.
Job ID
2021-12628
Job Locations Remote
Posted Date 4 weeks ago(11/2/2021 9:58 AM)
In this role, you will facilitate new hire, customer service, systems, business processes, and new initiative training for an operational business unit. Works closely with the business to ensure that associates receive effective on-the-job training support. Position requires facilitation skills and the ability to provide coaching and feedback.
Job ID
2021-12626
Job Locations US-CT-Hartford
Posted Date 4 weeks ago(11/2/2021 10:00 AM)
Be part of something bigger—make an impact in a growing organization! CareCentrix is committed to making the home the center of patient care.   Clinical Reviewers are responsible for the Utilization Management and review of clinical information for service requests received and to render a medical necessity approval or recommended denial to the Medical Director. As part of this process, you will evaluate information concerning patient care and match those needs with available care options, consistent with CareCentrix guidelines and specific plan payer criteria.
Job ID
2021-12625
Job Locations Remote
Posted Date 3 weeks ago(11/8/2021 2:28 PM)
In this role, you will work closely with the Provider Network Contract Management team and analyze / uncover critical performance trends that drive department and company performance.  You will assess market and business trends to identify opportunities and risks in the provider network and work with large data sets to make recommendations that help drive business decisions. 
Job ID
2021-12622
Job Locations Remote
Posted Date 1 week ago(11/19/2021 11:16 AM)
As Product Manager, you will support the overall management, growth and ongoing development of the Home Health product. This position will be responsible for monitoring the financial performance and effectiveness of the product, including execution of the product road-map to improve overall product performance. The Home Health Product Manager will have a key role in identifying new product offerings, and supporting the implementation of new clients in order to ensure CareCentrix remains as an industry leader in home health. In this role, you will analyze data and processes to identify areas of opportunity that will drive overall results of the Home Health product.
Job ID
2021-12620