WellSky

• Establish and Scale the Commercial Function: Define the go-to-market approach and build a repeatable revenue model aligned to industry priorities. • Drive Revenue Growth: Lead strategic initiatives focused on new business development and customer acquisition. • Lead High-Impact Negotiations: Manage the end-to-end deal process, from translating capabilities into clear use cases and establishing strategic accounts to negotiating and closing high-value contracts. • Identify and Capitalize on Market Opportunities: Uncover new markets and customer segments. Develop and execute targeted strategies to generate qualified leads and convert them into long-term, expanding clients. • Forge and Strengthen Strategic Partnerships: Build and nurture relationships with key stakeholders—including pharmaceutical companies, healthcare providers, and industry associations—to enhance WellSky’s market position. • Ensure Internal Alignment: Work closely with internal teams to ensure alignment between market demand and solution development. This includes shaping how capabilities are positioned and ensuring clarity of the value proposition.

• Oversee marketing programs and ensure channel effectiveness, measurable results, and timely follow-up by sales team • Support new solution launches, retention campaigns, monitor strategic add-on sales, and offer unique solutions that accelerate sales efforts and support revenue goals • Actively monitor the marketing and sales pipeline dashboards and metrics • Manage creative development and execution for demand generation programs, email marketing, social and webinar campaigns, and work with the events team to manage planned events and identify new potential events • Collaborate with growth marketing team on paid advertising efforts including creation, execution, and post-campaign reporting • Serve as a cross functional partner to sales, solutions, and client success teams to align marketing strategy, campaign execution, and enablement in support of pipeline and revenue goals • Create and evolve high-impact messaging and content across collateral, white papers, blog posts, presentations and outbound talk tracks, ensuring clarity, consistency and conversion effectiveness • Understand the competitive landscape, serve as a subject matter expert and go-to resource, offer outside-of-the-box ideas, and adapt approaches for key market segments • Perform other job duties as assigned

• Develop and articulate program goals, objectives , and milestones in alignment with organizational strategies. • Create comprehensive program plans, including timelines, budgets, resource requirements, and change management requirements. • Engage with internal and external stakeholders to gather requirements, communicate program objectives , and manage expectations. • Foster strong relationships with key stakeholders to promote support and cooperation throughout the program lifecycle. • Identify opportunities for process improvement and efficiency within the program. • Meet and communicate with stakeholders regularly to provide transparency of program status, issues, and decisions. • Perform other job duties as assigned.

• Create, develop, maintain, and leverage data pipelines, data models, reporting, and dashboards to solve business problems or assigned tasks in coordination with multiple teams. • Develop and maintain data solutions to enable new or existing solutions and BI development for the data warehouse and data visualization solutions. • Enhance and document workflows for complex data-related challenges by identifying patterns, trends, and anomalies in the data, and find ways to optimize data processing and storage to promote data quality through automation. • Develop understanding of different WellSky solutions and become a subject matter expertise in the healthcare domain. • Identify opportunities in code reviews and contribute to the development of best practices and coding standards. • Adhere to WellSky core values, ensure PHI data security, and adapt to changing BI technologies. • Leverage AI tools and platforms as an integral part of daily responsibilities to enhance decision-making, streamline workflows, and drive data-informed outcomes. • Perform other job duties as assigned.

• Review acute and post-acute authorizations for medical necessity using InterQual guidelines • Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care • Participate in team meetings, educational activities, and interrater reliability testing to maintain review consistency and professional growth • Ensure compliance with federal, state, and accreditation standards, and identify opportunities to enhance communication or processes • Utilize knowledge of resources available in the healthcare system to assist physicians and patients effectively • Perform other job duties as assigned

This job is responsible for ensuring compliance with WellSky's Utilization Management and Quality Improvement Program by serving as a clinical expert on state and federal regulations. The scope of this job includes analyzing and presenting data to establish best practices across post-acute health care settings, including LTACHs, IRFs, SNFs, and Home Health facilities. We invite you to apply today and join us in shaping the future of healthcare! Key Responsibilities: - Facilitate activities related to performance measurement and outcomes, ensure the organization meets CMS, NCQA, and other regulatory standards, stay updated on relevant regulatory changes, and support their integration into practices. - Generate and validate reports to monitor performance across health plan contracts, ensuring accuracy and alignment with requirements. - Conduct regular audits of UM decisions, case documentation, turnaround times, and adherence to other CMS and NCQA requirements. - Understand how the UM Program is driven by the NCQA UM standards to ensure UM Program meets all NCQA requirements for accreditation. - Prepare and lead committee meetings on a monthly and quarterly basis, driven by NCQA requirements. - Prepare detailed quality reports, identify and analyze trends, and present findings to leadership with actionable recommendations. - Support implementing corrective action plans when scoring variances occur. - Support quality improvement project initiatives. - Prepare for regulatory, accreditation, and contractual audits, and contribute to the remediation and documentation of audit findings. - Perform other job duties as assigned. Required Qualifications: - At least 4-6 years relevant work experience - Experience leading quality improvement projects and committee work. - Bachelor's Degree or equivalent work experience Preferred Qualifications: - Active, unrestricted license: RN, PT, OT or SLP, with a bachelor’s degree in a related field or a combination of education and experience that includes pertinent clinical experience and advanced working knowledge of CMS standards and guidelines. - At minimum, 1-2 years of working knowledge of NCQA UM accreditation standards. - Must be able to prioritize, plan and handle multiple tasks and demands simultaneously, with competing deadlines. - Excellent in manipulating and sorting data for analytics and reporting. - Prior experience owning client compliance SLAs and ensuring success in meeting SLA requirements. Job Expectations: - Willing to work additional or irregular hours as needed. - Must work in accordance with applicable security policies and procedures to safeguard company and client information. - Must be able to sit and view a computer screen for extended periods of time. - Travel approximately 10%. #LI-PG1 # Remote WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace. Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: - Excellent medical with Rx, dental, and vision benefits - Mental Health support through EAP - Generous paid time off, plus 13 paid holidays - 100% vested 401(K) retirement plans - Educational assistance up to $2500 per year

• Facilitate activities related to performance measurement and outcomes • Ensure the organization meets CMS, NCQA, and other regulatory standards • Stay updated on relevant regulatory changes, and support their integration into practices • Comply with state, federal, and organizational standards by assisting in the development and enforcement of policies aligned with Utilization Management and Compliance requirements • Complete and successfully submit CMS reports: ODAG, Part C, Reopening, and Complaints and Grievance Reports • Conduct Root Cause Analysis (RCA) with Operational teams • Conduct regular compliance audits based on CMS UM standards for expedited, standard and other case statuses • Develop and guide the implementation of internal audit protocols in compliance with CMS regulations and NCQA standards • Contribute to the consistency of clinical documentation and decision-making processes • Generate and validate reports to monitor performance and compliance across health plan contracts, ensuring accuracy and alignment with requirements • Prepare for regulatory, accreditation, and contractual audits • Contribute to the remediation and documentation of audit findings • Perform other job duties as assigned

The Staff Software Engineer is responsible for all stages of the software development lifecycle using a variety of technologies and tools to build impactful software solutions. The scope of this job includes building and optimizing comprehensive solutions that prioritize end-user efficiency and experience. Key Responsibilities: - Lead the design and architecture of major systems and services, and ensure software solutions are scalable, reliable, maintainable, and aligned with business needs. - Collaborate with solution managers, engineers, data scientists, and other stakeholders to define and prioritize technical requirements that meet client needs and business objectives. - Collaborate with teams to ensure sustained quality and reliability of our software solutions and act as a go-to expert by identifying and resolving complex, high-priority issues in both development and production environments. - Actively contributes to code reviews, provides constructive feedback on design and implementation, and provides technical guidance to other engineers to elevate skills, productivity, and overall effectiveness. - Drive innovation by evaluating and implementing new technologies, methodologies, and AI capabilities that improve team efficiency, software performance, and development processes. - Ensure code meets functional and performance requirements, advocates for high-quality software, and ensures rigorous testing processes, including automated unit tests, integration tests, and other testing frameworks. - All research, planning, and implementation is done through AI. The engineer directs AI to implement solutions, reviews the output, and iterates through AI — not manual edits. This includes developing and maintaining AI rules, guidelines, and guardrails that ensure consistent, high-quality code generation across the team. - Perform other job duties as assigned. Required Qualifications:    - Bachelor's degree in a related field or equivalent work experience  - 8-12 years related work experience  - AI experience or a willingness to learn AI development (Claude Code, Gemini, etc.) - Strong C# experience is required. Python experience is a plus. - Cloud platform experience (GCP preferred, AWS/Azure transferable) and NoSQL database experience are valued. Preferred Qualifications:       - Healthcare industry experience Job Expectations: - Willing to work additional or irregular hours as needed - Must work in accordance with applicable security policies and procedures to safeguard company and client information - Must be able to sit and view a computer screen for extended periods of time #LI-TC1 #LI-Remote WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace. Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: - Excellent medical with Rx, dental, and vision benefits - Mental Health support through EAP - Generous paid time off, plus 13 paid holidays - 100% vested 401(K) retirement plans - Educational assistance up to $2500 per year

The Clinical Consultant II is responsible for acting as the clinical expert while leading the implementation of WellSky solutions for clients. The scope of this job includes bridging the gap between clinical workflows and solution functionality to ensure successful deployment, customization, and adoption of the solution. This opening is with our Post-Acute Care Facilities Professional Services team. If the details below sound like you, we invite you to apply today and join us in shaping the future of healthcare! Key Responsibilities: - Collaborate with project teams to complete implementation tasks, including gathering requirements, analyzing clinical workflows, and identification of workflow challenges. - Engage with providers to review requests and offer recommendations based on proficient knowledge of clinical workflows that will ultimately enhance patient care, treatment plans, and health outcomes. - Provide hands-on training to designated clients while guiding them through the solution's functionalities and features to increase proficiency in utilization. - Use industry compliance knowledge and follow established practices and guidelines to ensure the implementation of clinical solutions complies with regulations and standards. - Review a variety of factors for solution configurations, understand solution functionalities, and troubleshoot technical issues to offer consultation and support. - Perform other job duties as assigned. Required Qualifications: - Bachelor's Degree or equivalent work experience - At least 2-4 years relevant work experience - Demonstrated ability to effectively transfer knowledge in workplace, classroom, or other instructional environments. - Strong understanding of accreditation requirements and applicable industry standards - Ability to assess clinical workflows and integrate best practices into project deliverables. Preferred Qualifications: - Clinical license preferred to support deeper clinical workflow insight and client engagement Job Expectations: - Willing to travel up to 50% based on business needs - Willing to work additional or irregular hours as needed - Must work in accordance with applicable security policies and procedures to safeguard company and client information - Must be able to sit and view a computer screen for extended periods of time WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace. Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: - Excellent medical with Rx, dental, and vision benefits - Mental Health support through EAP - Generous paid time off, plus 13 paid holidays - 100% vested 401(K) retirement plans - Educational assistance up to $2500 per year

Role Description This role will require the successful candidate to work the shift of Thursday to Sunday, 6AM to 5PM OR 7AM to 6PM Central time. The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes: - Conducting patient evaluations - Managing admissions and informational visits - Ensuring timely post-discharge follow-ups with completed assessments to help prevent acute care readmissions In this role, you will also: - Review requests for post-acute services promptly, using established clinical guidelines and coverage criteria to assess appropriateness - Collaborate with physicians, healthcare providers, and both internal and external stakeholders to support improved health outcomes - Apply clinical expertise to coordinate care with facilities and providers - Follow standard operating procedures and organizational policies - Consult with peer reviewers, Medical Directors, or delegated clinical reviewers to ensure care is medically appropriate, high-quality, and cost-effective throughout the medical management process The ideal candidate will have working knowledge of Microsoft Office applications (e.g., Word, Excel) and be comfortable using clinical decision support tools and operational software. Join us in shaping the future of healthcare - apply today! Qualifications - Bachelor's degree or equivalent work experience - 4-6 years of clinical nursing or therapy experience - Active RN, OT, or PT license Requirements - Willing to travel up to 30% based on business needs - Willing to work additional or irregular hours as needed - Must work in accordance with applicable security policies and procedures to safeguard company and client information - Must be able to sit and view a computer screen for extended periods of time Benefits - Excellent medical with Rx, dental, and vision benefits - Mental Health support through EAP - Generous paid time off, plus 13 paid holidays - 100% vested 401(K) retirement plans - Educational assistance up to $2500 per year