Lead customer engagement for value‑based care solutions, driving discovery, deployment, and adoption to maximize value for healthcare organizations.
Compensation
The projected base salary for this position ranges from $155,000 - $175,000 depending on experience and qualifications. This role is also eligible for incentive compensation and a comprehensive benefits package, including wellness programs, retirement savings, and relocation support as applicable.
Responsibilities
Represent customer voice and drive discovery, deployment, and value realization of VBP solutions
Collaborate with cross‑functional teams including clinical, product, engineering, design, QA, data and analytics, and program delivery
Coordinate customer organization activities for discovery, requirement definition, performance documentation, deployment, adoption strategies, and value realization
Requirements
Bachelor's degree in Computer Science, Business Administration, Information Systems Management, Data Analytics, Engineering, Social Science, or related field
Provides support to the Provider Network Management team in producing and presenting performance reports, VBC models, care coordination effectiveness and practice efficiencies.
Responsibilities
Produce all quality and performance related reporting establishing opportunities and strategies regularly in preparation for JOC’s.
Interpret claims data and connections to patient outcomes and utilization trends.
Interprets utilization trends, optimizing performance based on state driven quality improvement programs i.e. HEDIS.
Attends meetings with providers to review gaps in care and developing plan of action with the provider to address these gaps in conjunction with PNM and CMO as applicable.
Supports network and quality strategy.
Requirements
Bachelor’s degree in healthcare administration or similar field
Facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation through education, training, audit, and data analysis for the Clinical Documentation Integrity team.
Compensation
$85,600.00 - $132,600.00 / yr
Responsibilities
Perform complex clinical documentation of designated inpatient, outpatient, and ambulatory patient records to assess for accuracy, specificity, and compliance of provider documentation.
Draft and submit written queries to providers to achieve necessary documentation clarification.
Develop and deliver a formalized CDI orientation process, leveraging industry-endorsed content, adult learning methodologies, and subject matter expertise to train new team members.
Develop and perform an internal auditing process in partnership with the CDI Manager to validate query compliance and surface educational opportunities.
Educate providers, coder, and the CDI team regarding clinical documentation concepts, health data, quality outcomes, and compliance regulations.
Requirements
Bachelor's Degree Nursing or related field (or Associates Degree with equivalent level of additional experience)
Senior CDI Systems and Analytics Analyst responsible for translating operational requests into reliable data extracts, reports, and system optimizations for Solventum and Epic CDI environments.
Compensation
Competitive salary commensurate to experience
Responsibilities
Translate CDI leadership requests into system specifications
Develop, run, and validate backend queries, extracts, dashboards, and reports in Solventum and Epic
Maintain reports for review coverage, productivity, and quality metrics
Create and maintain source-to-target mappings and data dictionaries
Reconcile source records and coordinate corrections with IT and Solventum
Requirements
Bachelor’s degree in health informatics, health information management, information systems, data analytics, healthcare administration, or a related field
Provide education and support to facility staff regarding Medicare, Medicaid, Managed Care, eligibility, certification, coverage, documentation, utilization, and reimbursement while overseeing MDS processes and assisting with reimbursement-related audits and reviews.
Provide education and support to facility staff regarding Medicare, Medicaid, Managed Care, eligibility, certification, coverage, documentation, utilization, and reimbursement
Assist facilities with certification procedures, reimbursement-related processes, and resolution of problem areas
Collaborate with claims review units, compliance teams, and third-party payers to ensure regulatory and company compliance
Assist with the review and preparation of denied claims, audits, and administrative record reviews
Assess compliance with Medicare, Medicaid, Managed Care, and third-party payer requirements and develop corrective action plans as needed
Lead and grow a strategic enterprise healthcare payer relationship, driving engineering-led transformation through cloud modernization, data platforms, product engineering, and AI-enabled innovation.
Locations (3)
Connecticut, United States
Rhode Island, United States
United States
Responsibilities
Build and own the engineering and technology growth plan for our strategic enterprise healthcare payer accounts, including relationship maps, target use cases, and a qualified pipeline.
Develop relationships with technology, data, security, and AI leaders, from VP and senior director levels up to the C-suite.
Leverage existing client relationships and work collaboratively with account leadership to identify new opportunities and expand engineering services beyond existing engagements.
Value Based Care Administrator
Mountain Area Health Education Center - MAHEC · Posted Nov 4, 2026
The Wellness Nurse plays a key role in health promotion and illness prevention of patient populations through nursing-patient collaboration and patient education.
Compensation
The pay for this position ranges from $22.24 - $34.70/hour
Responsibilities
Promotes wellness and illness prevention using clinical nursing knowledge of disease process, risk factor identification, and illness prevention strategies.
Performs all elements of the Medicare Annual Wellness Visit with beneficiaries in accordance with Documentation Standards Policy and the AWV Policy and Procedure.
Develops a written, age appropriate, individualized prevention plan for each patient including psychosocial/behavioral risk factors, physiological risk factors, age-appropriate preventative services, recommendations from the USPSTF, and vaccination schedule.
Collaborates with physicians and team members to ensure patient receives referrals and follow up care as appropriate.
Maintains relevant nursing knowledge of evidenced based strategies related to health promotion and illness prevention, as well as management of chronic conditions.
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Sell and shape engineering, cloud, data, product engineering, and agentic AI engagements, converting focused opportunities and pilots into larger, multiyear programs and managed services.
Work with solution architects, Forward Deployed Engineers, and global delivery teams to scope, price, and staff engagements.
Provider Practice Performance AdvisorAmerihealth Caritas · Remote, US
Sr. Director Client Service (Healthcare Payer)Bounteous · US+2 more
Wellness LPN - Strategic Insurance Dev - Full TimeGuthrie · Corning, US