Acentra Health, LLC logo

Acentra Health, LLC

Remote Jobs

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

65 open rolesTeam 1001-5000Latest: May 29, 2026, 5:51 PM UTC
Government Administration
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65 Jobs

Acentra Health, LLC logo

Transformation / Change Management Analyst

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Analyst11 hours ago
Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description The Transformation Change Management Analyst will support the successful adoption of enterprise transformation initiatives by helping initiative leaders plan, execute, and sustain effective change management activities. This role will serve as a hands-on change practitioner within the Transformation Office, partnering closely with project teams, business leaders, HR, communications, training, and other cross-functional partners to ensure impacted stakeholders understand what is changing, why it matters, how they are affected, and what is expected of them. The ideal candidate has practical experience applying structured change management methods, including the ADKAR model, to support complex business, process, technology, and operating model changes. This role requires someone who can translate change management concepts into practical tools, plans, stakeholder actions, communications, training support, adoption tactics, and leader guidance that help transformation initiatives achieve measurable outcomes. Qualifications - Bachelor’s degree in business, organizational development, communications, human resources, psychology, or a related field, or equivalent work experience. - 2+ years’ experience executing change management activities for business, technology, process, operating model, or transformation initiatives. - Working knowledge of structured change management methodologies, with specific understanding of the ADKAR model. - Ability to assess stakeholder impacts, identify adoption risks, and translate findings into practical change actions. - Strong written and verbal communication skills, including the ability to simplify complex information for different audiences. - Ability to partner effectively with project teams, business leaders, HR, communications, training, technology, and operations stakeholders. - Strong organizational and project coordination skills, including the ability to manage multiple initiatives, deadlines, and stakeholder needs at the same time. - Comfort working in ambiguous, fast-paced environments where priorities, details, and solutions may evolve. - Ability to influence without direct authority and build credibility with leaders and team members across the organization. Requirements - Prosci certification or other formal change management certification. - Experience supporting enterprise transformation, operational improvement, technology implementation, process redesign, or organizational change initiatives. - Experience developing stakeholder assessments, change impact assessments, communications plans, training support plans, readiness plans, or adoption dashboards. - Experience working in health care, government services, managed care, clinical operations, call center operations, technology, or other highly regulated environments. - Experience supporting executive-level updates, leadership talking points, change briefings, or transformation governance materials. - Familiarity with project management methods and tools, such as Jira, Smartsheet, Microsoft Project, PowerPoint, Excel, Teams, SharePoint, or similar platforms. Benefits - Pay Range: USD $79,200.00 - USD $95,000.00 /Yr.

United States
$79.2K - $95K / year
Acentra Health, LLC logo

Senior Developer

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Full TimeRemoteSeniorTeam 1,001-5,000

Role Description Acentra seeks a Developer, Senior to join our growing team. The Developer, Senior is responsible for designing, enhancing, and supporting complex enterprise applications across a diverse technology stack, including: - Legacy .NET applications - Modern .NET Core microservices - Angular-based front ends - Distributed job processing systems This role requires strong troubleshooting and production support skills, collaboration with infrastructure teams in cloud environments, and a focus on improving performance, reliability, and maintainability while supporting ongoing modernization efforts. Position is remote, but candidates based in (Location), or Location 2 area preferred. Job Responsibilities: - Lead the design, development, troubleshooting, and enhancement of enterprise .NET applications, including a large monolithic .NET application, legacy ASPX applications, and .NET Core–based microservices. - Provide advanced production support, including issue triage, root cause analysis, and resolution across web, mobile, distributed jobs, and cloud-hosted environments. - Drive modernization, performance, and reliability improvements while maintaining stability across legacy and modern technology stacks. - Design and develop scalable full-stack solutions using C#, .NET/.NET Core, Angular, and related frameworks. - Possess working knowledge of AWS services to effectively troubleshoot application issues and collaborate with the infrastructure team during deployments and production incidents. - Develop and optimize distributed background jobs and integrations, ensuring reliability and fault tolerance. - Implement and maintain Azure CI/CD pipelines, supporting automated builds, deployments, and release management. - Design, query, and optimize data solutions using SQL Server and PostgreSQL, including performance tuning and data modeling. - Collaborate with QA, operations, and infrastructure teams to deliver secure, resilient, and supportable solutions. The list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications - Bachelor’s degree in computer science or a related field. - 6+ years of software development experience. - Strong experience with .NET technologies, including C#, ASP.NET, legacy ASPX applications, Entity Framework and .NET Core. - Proven experience developing full-stack applications, including front-end frameworks such as Angular. - Hands-on experience supporting applications throughout the software development life cycle (SDLC), including design, development, testing, deployment, and production support. - Experience with CI/CD pipelines, build automation, and release processes (Azure DevOps or similar tools). - Solid knowledge of relational databases, including SQL Server and PostgreSQL, with experience in query optimization and performance tuning. - Working knowledge of cloud environments (AWS) sufficient to troubleshoot application and deployment issues in collaboration with infrastructure teams. Requirements - Experience supporting and modernizing large-scale legacy applications while transitioning to microservices-based architectures. - Prior experience with production support, incident management, and root cause analysis in complex, distributed systems. - Familiarity with healthcare, claims, or prior authorization systems and related regulatory environments. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more. Company Description Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

United States
$99.0K - $123.8K / year
Acentra Health, LLC logo

Service Support Facilitator

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description Acentra Health is looking for a Service Support Facilitator to join our growing team. The purpose of this position is to facilitate the delivery of service support and administrative functions necessary for effective operation and delivery of services. The Service Support Facilitator is vital to the program's success by conducting initial and annual assessments which are used in determining medical eligibility. This position is remote, but candidates must reside within the State of West Virginia. - Coordinate and support the delivery of services in accordance with organizational policies and procedures. - Assist in managing service delivery processes. - Monitor performance indicators and make adjustments as needed. - Schedule, conduct and appropriately document member assessments within prescribed timelines. - Enter assessment data into the web system. - Participate in inter-rater activities to ensure consistency in the administration of the assessment instruments and adherence to assessment protocols. - Support in overseeing department procedures and participating in quality assurance/improvement initiatives. - Conduct educational sessions for family members and agencies, covering policies related to assessments and budgetary matters. - Complete satisfaction survey with a focus on achieving positive results from respondent feedback. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications - Bachelor’s degree in social work or a related field. - Active and unrestricted licensure for the state of West Virginia as a LSW or higher (LGSW, LCSW). - 2+ years of experience with assessments of children and families. Requirements - Experience in a healthcare setting. - Medicaid/Public Sector service experience. - Proficient understanding of person-centered planning principles. - Familiarity with various computer applications and adept at navigating multiple screens. - Demonstrated ability to uphold confidentiality standards and ensure HIPAA compliance when evaluating pertinent issues. - Strong organizational skills. - Exhibits a sense of urgency to meet deadlines effectively. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more.

West Virginia
$56.5K - $59.5K / year
Acentra Health, LLC logo

Network Recruiter

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Recruitment17 days ago
Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description Acentra Health is looking for a Network Recruiter - EAP - to join our growing team. This position will play a key role in expanding and managing Acentra Health’s nationwide network of EAP providers. The Recruiter will strategically source, engage, and onboard EAP Providers across a broad range of specialties—spanning counseling services to critical incident response providers. Unlike traditional hospital recruiting, this role focuses on attracting mental health clinicians for flexible, as-needed EAP work. Responsibilities include: - Develop and implement innovative sourcing strategies to attract mental health EAP clinicians, including digital outreach, specialty-focused campaigns, and direct engagement. - Recruit licensed mental health professionals across diverse specialties (e.g., counseling, psychology, social work) to support quality of care and utilization management review needs. - Conduct warm and cold outreach to clinicians through phone, email, networking, referrals, and digital recruitment strategies. - Maintain an active pipeline to ensure a scalable, ready to deploy EAP network. - Serve as a primary point of contact for prospective and current providers through phone and email communication channels. - Communicate professionally as a representative of Acentra Health to ensure an exceptional provider experience. - Respond promptly to provider inquiries and communicate key information to internal teams. - Negotiate market-specific rates with providers to ensure quality and cost-effectiveness, while delivering compelling value propositions that align provider’s capabilities with organizational needs. - Manage the provider onboarding process, ensuring timely and accurate completion of all applications and documentation. - Monitor credentialing milestones and compliance requirements with high attention to detail. - Ensure adherence to corporate policies, including HIPAA Privacy and Security rules. - Monitor network capacity to ensure adequate clinical coverage across behavioral health specialties. - Apply target recruitment strategies to address coverage gaps and evolving specialty needs. - Track operational metrics and provide regular updates to leadership. - Support departmental tasks, initiatives, and projects assigned. - Contribute to continuous improvement of recruitment, onboarding, and provider engagement processes. - Experience with facilitating and assisting provider inquiries about credentialing and contracts. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications - High school diploma or equivalent - 2+ years of provider-facing experience in healthcare, provider relations, network recruitment, healthcare staffing, EAP operations, behavioral health recruitment, or related healthcare environments. - Experience engaging healthcare providers through phone, email, or direct outreach. - Comfortable learning and utilizing recruitment systems, databases, and technology platforms. - Strong organizational, communication, and relationship-building skills. - Ability to manage multiple priorities in a fast-paced environment. Requirements - Bachelor's Degree (Preferred) - Salesforce Experience (Preferred) - Recruiter experience (Preferred) - High integrity, detail-oriented, and strong work ethic. - Excellent verbal and written communication skills. - Excellent organizational skills and ability to work independently. - Strong teamwork and customer service skills. - Proven ability to recruit across multiple specialties. - Strong written communication and outreach skills. - Highly organized, deadline-driven, and self-directed. - Creative thinker who can engage physicians beyond traditional sourcing methods. Benefits - Comprehensive health plans - Paid time off - Retirement savings - Corporate wellness - Educational assistance - Corporate discounts - And more

United States
$23 - $29 / hour
Job Closed
Acentra Health, LLC logo

Director, Contracts and Contracting Services

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Director17 days ago
Full TimeRemoteLeadTeam 1,001-5,000

Role Description Acentra Health is looking for a Director, Contracts and Contracting Services to join our growing team. The Director, Contracting and Contract Services is responsible for leading Acentra Health’s contracting function, including: - Drafting, review, negotiation, execution, and management of a broad range of agreements across the organization. - Serving as a key business partner to leadership, ensuring contracts align with business objectives while managing legal and operational risk. - Driving consistency, efficiency, and quality within the contracting process. - Establishing standards, improving workflows, and developing a high-performing team. - Partnering cross-functionally to support enterprise priorities and navigate complex regulatory and contractual requirements. Job Responsibilities: - Lead and manage the contracting and contract services function, including contract review, negotiation, administration, workflow management, and team performance. - Develop, mentor, and supervise contracting professionals, including contract managers and specialists. - Establish and maintain standards, processes, templates, playbooks, and escalation protocols to improve contract quality, consistency, and efficiency. - Partner with business leaders to align contracting support with company objectives, revenue goals, operational capabilities, compliance requirements, and client needs. - Lead or oversee the drafting, review, and negotiation of a wide range of agreements, including: - Government contracts - Subcontracts - Vendor agreements - Technology licensing agreements - SaaS agreements - Business associate agreements - Nondisclosure agreements - Data use agreements - Teaming agreements - Consulting agreements - Procurement-related contracts - Negotiate key contract terms, including: - Limitation of liability - Indemnification - Data security - Privacy - Intellectual property - Service levels - Audit rights - Termination rights - Payment terms - Confidentiality - Compliance obligations - Assess contract terms for legal, operational, financial, privacy, security, regulatory, and reputational risk. - Maintain working knowledge of government contracting requirements, procurement processes, flow-down clauses, and public sector contracting practices. - Partner with legal, compliance, privacy, information security, and operations teams to address regulatory and contractual requirements, including HIPAA and data protection obligations. - Evaluate and improve contracting workflows, intake processes, approval structures, template usage, contract lifecycle management systems, reporting, and recordkeeping. - Develop and implement metrics and reporting to track contract volume, cycle time, risk exposure, negotiation outcomes, and team performance. - Support implementation and optimization of contract lifecycle management tools and related technologies. - Identify recurring contract issues and recommend process, policy, template, or training improvements. - Provide leadership and direction across the contracting and contract services team. - Oversee team performance, workload management, and professional development. - Foster a culture of accountability, quality, and continuous improvement. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications - Bachelor’s degree required; advanced degree, law degree, MBA, or relevant professional certification preferred. - Ten or more years of progressive experience in contracting, contract management, or procurement. - Strong experience in government contracting and public sector procurement environments. - Demonstrated experience leading contracting teams and managing high-volume, complex contract workflows. - Experience reviewing and negotiating complex commercial, government, vendor, subcontractor, and technology agreements. - Knowledge of healthcare regulatory requirements, including HIPAA, data privacy, and information security standards. - Strong understanding of common contract risk areas, including indemnification, limitation of liability, confidentiality, audit rights, service levels, termination, and compliance obligations. - Strong business judgment with the ability to identify, communicate, and mitigate legal and operational risks. Requirements - Experience with technology licensing, SaaS agreements, and intellectual property-related contract provisions. - Experience implementing or managing contract lifecycle management systems and related tools. - Background in healthcare services, government contracting, or regulated industries. - Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment. - Demonstrated ability to balance risk management with business objectives in complex contracting scenarios. Benefits - Comprehensive health plans - Paid time off - Retirement savings - Corporate wellness - Educational assistance - Corporate discounts - And more

United States
$140.6K - $165K / year
Acentra Health, LLC logo

Attorney

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Attorney17 days ago
Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description Acentra seeks an Attorney to join our growing team. The In-House Counsel provides legal support across Acentra Health, partnering closely with the Chief Legal Officer to support contracting, compliance, risk management, corporate governance, and other legal matters. This role serves as a key business partner to internal stakeholders, ensuring legal considerations are effectively integrated into business decisions and operations. This position supports the organization by delivering practical legal guidance, managing risk, and assisting with a broad range of legal and regulatory matters. The In-House Counsel balances legal requirements with business objectives, contributing to efficient operations and compliance across the enterprise. Responsibilities - Provide legal support to contracting and procurement teams on complex contracting and purchasing matters. - Review, draft, and negotiate a variety of agreements, including: - Client contracts - Vendor agreements - Technology licensing agreements - Leases - Nondisclosure agreements - Business associate agreements - Data use agreements - Teaming agreements - Advise leadership on risk management and mitigation strategies, including support for commercial insurance matters. - Assist with corporate governance and entity management activities, including: - Annual filings - State registrations - Foreign qualifications - Maintenance of corporate records - Perform legal and regulatory research relevant to the organization’s business operations. - Prepare legal memoranda, summaries, and guidance for internal stakeholders. - Review and manage responses to information requests, including subpoenas, open records requests, and medical records requests. - Support legal department recordkeeping, matter tracking, and document management processes. - Assist with internal investigations, audits, and inquiries, including: - Document collection - Fact development - Interviews - Research - Preparation of summaries - Support the Chief Legal Officer with legal projects, including: - Litigation - Dispute resolution - Acquisition and integration activities - This role does not have direct supervisory responsibilities. - May provide guidance and support to cross-functional teams on legal matters. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. - The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications - Bachelor’s degree from an accredited college or university. - Juris Doctor (JD) from an accredited law school. - License to practice law in the United States; eligible for licensure in Virginia and home state as applicable. - 2+ years of experience practicing law, preferably in an in-house environment. - Experience supporting healthcare, technology, or regulated industries preferred. - Ability to interpret and apply regulatory requirements, contract provisions, and internal policies. - Strong business acumen with the ability to balance legal risk with business objectives. - Strong analytical, problem-solving, and decision-making skills. Preferred Qualifications - Experience working with healthcare regulations, government contracting practices, or data privacy requirements. - Strong research and writing skills. - Proficiency in Microsoft Office and legal research tools. - Strong organizational and time management skills with the ability to manage multiple priorities. - Ability to work independently while collaborating effectively with cross-functional teams. - High level of professionalism, discretion, and ability to manage confidential information. Benefits - Comprehensive health plans - Paid time off - Retirement savings - Corporate wellness - Educational assistance - Corporate discounts - And more

United States
$119.4K - $149.3K / year
Acentra Health, LLC logo

Medical Coder

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description Acentra Health is looking for a Medical Coder to join our growing team. The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical validity of reported diagnoses and procedures. This role evaluates coding accuracy, DRG assignment, reimbursement impact, and regulatory compliance in accordance with official coding guidelines, CMS regulations, payer policies, and organizational standards. The reviewer retrieves, analyzes, and documents medical record information to support appropriate reimbursement, documentation integrity, and audit outcomes for hospital inpatient services. Responsibilities: - Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. - Review inpatient medical records to validate the accuracy and appropriateness of reported primary and secondary diagnoses and procedures using ICD-10-CM/PCS guidelines. - Evaluate diagnosis and procedure sequencing to ensure compliance with official coding guidelines and payer requirements. - Review and validate MS-DRG assignment based on documented clinical conditions, procedures, and applicable coding rules. - Assess clinical documentation support for reported diagnoses, particularly those with reimbursement, quality, or compliance impact. - Conduct clinical validation reviews to determine whether diagnoses are supported by clinical indicators within the medical record. - Apply CMS regulations, including medical necessity criteria and the Two-Midnight Rule, when evaluating admission status and level of care. - Identify, document, and clearly communicate audit findings, including: - Coding discrepancies - Clinical validation concerns - DRG or reimbursement risk - Admission status issues - Abstract and compile audit data to support accurate reimbursement and compliance reporting. - Utilize coding software, encoder/grouper tools, and electronic medical record systems to complete reviews efficiently and accurately. - Meet productivity, quality, and contract deliverable standards in a production-driven environment. - Maintain compliance with all corporate policies, including HIPAA Privacy and Security Rules. - Serve as backup support for other administrative or audit-related functions as needed. Qualifications - High school diploma or GED. - Minimum of 2 years of progressive, hands-on acute care inpatient coding experience, including DRG auditing or review experience. - Active possession of one of more of the following certifications: - CCS or CCA or CDIP (AHIMA) - CPMA (AAPC) - CCDS (ACDIS) - Demonstrated proficiency in ICD-10-CM and ICD-10-PCS. - Strong working knowledge of inpatient coding guidelines, DRG reimbursement methodology, and CMS and payer regulations. - Proven ability to independently review inpatient medical records and validate diagnoses, procedures, as well as MS-DRG assignment. - Experience reviewing inpatient medical records. - Familiarity with electronic health records, encoder/grouper tools, and coding software. - Strong analytical skills with exceptional attention to detail. - Effective written and verbal communication skills. - Proficiency in Microsoft Office (Word, Excel, Outlook). - Ability to meet deadlines with accuracy in a fast-paced, production-focused environment. - Commitment to ongoing learning and professional development. Requirements - Advanced experience and knowledge of clinical validation audits, admission status, medical necessity reviews, and payer-specific audit processes. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more. Company Description Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

United States
$24 - $32 / hour
Acentra Health, LLC logo

Program Director HTS

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Director23 days ago
Full TimeRemoteLeadTeam 1,001-5,000

Role Description Acentra Health is looking for a Program Director to join our growing team. As a Program Director, you will be in a key leadership role in managing and overseeing complex healthcare programs. You will ensure that programs are executed effectively, on time, and within budget. This position involves managing processes, engaging with clients and stakeholders, and coordinating efforts across cross-functional teams to deliver high-quality services that meet client expectations and organizational standards. - Manage and coordinate healthcare programs, ensuring the successful delivery of services, projects, and deliverables on schedule and within budget. - Monitor program performance metrics, quality performance, deliverables, and budgets to ensure compliance with contractual requirements and organizational goals. - Identify and address operational challenges, leveraging problem-solving skills to deliver practical solutions. - Maintain strong, successful relationships with clients and key stakeholders, serving as a primary point of contact for program-related communication. - Collaborate with cross-functional teams, including clinical, technical, and administrative personnel, to ensure seamless program execution. - Develop and implement methods and procedures to improve program efficiency and outcomes. - Manage program risk by identifying potential issues, developing mitigation strategies, and ensuring readiness for program launch and day-to-day operations. - Prepare status reports and updates for internal leadership and client stakeholders. - Support strategic planning initiatives to align program activities with organizational objectives and contribute to growth and innovation. - Provide operational oversight and guidance to team members responsible for specific program functions or phases. - Collaborate with Business Development to support new business opportunities as requested. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications - Bachelor’s degree in business, science, mathematics or analytics (Experience in lieu of degree will be considered). - 10 years’ experience in project planning and delivery as related to role. - 10 years’ experience in managerial and leadership role. - Medicare, Medicaid, or healthcare verticals domain knowledge with claims processing knowledge and experience. - Demonstrated abilities with Microsoft Project, SharePoint applications, MS Teams, Skype and knowledge of MS Project EV Metrics. - Proven track record to meet and enforce deadlines, conduct research into technology issues and products, and to take initiative in the development and completion of projects. - Demonstrated experience in leading and managing complex technical programs. - Demonstrated successful people management and presentation skills. - Ability to exercise independent judgement in solving complex and unusual technical, administrative, and managerial problems. - Strong problem-solving, analytical, and evaluation skills. Requirements - Master’s Degree (Preferred). - Certified Project Management Professional (PMP) preferred. - Knowledge of best practices in healthcare operations. - Knowledge of government policy and structure. - Knowledge of metrics, productivity measures and reporting. - Knowledge of regulatory agency compliance. - Knowledge of contract development and implementation. - Budget and financial skills. - Able to lead and manage direct reports to achieve contract deliverables. - Aptitude for systems planning and prioritization of tasks. - Competent communication skills (written, verbal, and listening); uses appropriate interpersonal skills with a variety of stakeholders. - Ability to provide supervision to staff that ensures excellent customer satisfaction. - Provide ongoing monitoring and supervision to meet contract deliverables for all operations. - Provide data analysis and reporting that meets the contractor’s goals of quality care and cost effectiveness in a timely manner. - Provide consultation to contractor on system and policy issues. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more.

United States
$145.2K - $181.5K / year
Job Closed
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Scheduler Coordinator

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description Acentra Health is looking for a Scheduling Coordinator to join our growing team. As a Scheduling Coordinator at Acentra Health, you will play a crucial role in our business operations by ensuring timely assessments for Medicaid beneficiaries. You will work directly with beneficiaries, providers, and assessors to meet required assessment turnaround times and address customer needs related to scheduling. In this full-time remote role, you will serve as a key liaison between these parties, helping to ensure seamless communication and coordination while supporting efficiency and effectiveness of our services. - Utilize automated systems to schedule assessments for completion by Registered Nurses for both in-home and facility settings, in line with contracted metrics and deliverables. - Ensure accurate and timely documentation of all interactions during the scheduling process within both the states and proprietary systems. - Initiate outbound communication with beneficiaries and providers to efficiently schedule all assessments for completion and ensure routing efficiency. - Respond to inquiries and requests regarding assessments, scheduling conflicts, and complaints, providing prompt and effective resolutions. - Develop and maintain a thorough understanding of internal policies, procedures, and services, both departmental and operational. - Consult with the supervisor on complex or unresolved issues and precedent-setting decisions to ensure appropriate resolution. - Strong attention to detail, ensuring accuracy in all tasks. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Qualifications - High school diploma or GED equivalent required. - Minimum of 1 year of Customer Service experience within the Healthcare industry. - Minimum of 1 year of Scheduling experience. - Minimum of 1 year of Outbound Calling experience, preferably in a Call Center environment. - Strong written and verbal communication skills, with demonstrated interpersonal, organizational, and time management abilities. - Proven professionalism, adaptability, and reliability under pressure, with the ability to work independently and manage responsibilities with minimal supervision. - Proficiency in Microsoft Office programs, along with access to high-speed internet and a secure, private work environment free from distractions. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range: USD $16.35 - USD $20.43 /Hr.

United States
$16 - $20 / hour
Acentra Health, LLC logo

RN Chronology

Acentra Health, LLC

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Auditor32 days ago
Full TimeRemoteMid LevelTeam 1,001-5,000

Role Description Acentra Health is looking for a RN Chronology to join our growing team. The RN Chronology role serves as a vital contributor, providing essential analysis and organizational support to key leaders supporting federal health center programs. The RN’s clinical expertise, coupled with a keen attention to detail and proficiency in communication and technology, will play a pivotal role in ensuring the seamless drafting of a medical chronology pertinent to the allegations. Responsibilities: - Generate a comprehensive medical chronology report customized for specific claims, ensuring adherence to required/approved formatting and meeting predefined deadlines. - Prepare thorough medical chronologies based on provided allegations and identify defendants by reviewing claim documents. - Double-check for accuracy the entries to the claims software system by the administrative assistant. - Review and organize medical records and legal documents for comprehensive documentation. - Utilize the claims database to input ICD-10 diagnoses and risk management codes National Practitioner Data Bank (NPDB). - Upload or enter completed chronologies into the claims software system. - Support corporate and contract goals by completing additional tasks as required. - Collaborate seamlessly with team members on diverse projects, contributing to a dynamic and cooperative work environment. - Cultivate a constructive and forward-thinking approach, actively engaging in the discovery and recommendation of potential enhancements to internal processes. - Engage in cross-training responsibilities, carrying out duties on other contract tasks and/or on other contracts as required. - Support the completion of assigned paid claim chronology reports. - Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The above list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. Qualifications - Active RN license in any U.S. state. - 5+ years of previous clinical experience in an acute care setting required. - Quality (QI/QA), legal, and/or risk management experience. Requirements - Bachelor’s degree in nursing preferred. - Emergency Department and/or Critical Care clinical experience preferred. - RN with risk management, quality (QI/QA), legal, and/or claims expertise preferred. - Prior chronology experience preferred. - Ability to achieve/maintain federal government security clearances. - Proficient in critical thinking, multitasking, problem-solving, and assessing and interpreting risk. - Strong analytical, critical thinking, and problem-solving abilities. - Impeccable organizational skills with meticulous attention to detail. - Advanced proficiency in Microsoft Office, including Teams, Excel, Word, PowerPoint, OneNote, and SharePoint. - Technologically adept and comfortable in learning new software programs and functions at a basic level. - Clear and intentional communication, both verbally and in writing. - Successful collaboration with personnel at various organizational levels. - Capacity to manage multiple projects, set priorities, and adapt to changing demands. Benefits - Comprehensive health plans. - Paid time off. - Retirement savings. - Corporate wellness. - Educational assistance. - Corporate discounts. - And more. Company Description Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

United States
$65.0K - $90K / year

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