Acentra Health

Health Caređź’Ľ Private Company
Website LinkedIn

Acentra Health is a dedicated healthcare solutions provider that combines the expertise of leaders, clinicians, and technologists to enhance healthcare experiences and improve health outcomes for state and federal agencies, providers, and employers.

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đź’° Post-IPO Equity 7 months agođź«‚ Last layoff over 1 year agoAudioVideo GamesDigital MediaContent
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Jobs at this company:

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🔥 Clinical Reviewer (Remote)
Posted about 1 month ago

đź“Ť United States

đź’¸ 22.56 - 33.0 USD per hour

🔍 Healthcare

  • Active unrestricted LPN or RN State and/or Compact State license required.
  • Knowledge of the organization of medical records, medical terminology, and disease processes.
  • Strong clinical assessment and critical thinking skills required.
  • Medical record abstracting skills required.
  • Excellent written and verbal communication skills required.

  • Assures accuracy and timeliness of all applicable review type cases within contract requirements.
  • Assesses, evaluates, and addresses daily workload and queues; adjusts work schedules daily to meet workload demands.
  • Collaborates with Supervisor for quality monitoring activities and improvement planning.
  • Maintains knowledge of review processes and acts as a resource for nurse reviewers.
  • Functions as a liaison for provider customer service and problem resolution.
  • Performs all applicable review types as needed based on workload.
  • Builds positive relationships with internal and external customers to facilitate the review process.
  • Attends training and meetings for current information and cross-trains in other contracts as needed.

Written communicationCritical thinkingVerbal communication

Posted about 1 month ago
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đź“Ť Montana, Central US, Eastern US

🧭 Full-Time

đź’¸ $120,000 - $160,000 per year

🔍 Healthcare

  • Bachelor’s Degree with 9 - 10 years of relevant experience, or a Master’s Degree with 7 years of experience, in business solutioning and implementation within the healthcare domain.
  • Strong expertise in SDLC methodologies, including waterfall, hybrid agile, and agile/scrum frameworks.
  • Self-driven and capable of managing multiple projects simultaneously with minimal supervision.
  • Extensive experience providing business and technical solution guidance across various subject matter areas.
  • In-depth understanding of healthcare business operations, technology systems, tools, and applications.
  • Excellent customer relationship management skills, with proven ability to deliver compelling presentations and facilitate productive meetings.
  • Demonstrated experience in leading Joint Application Development (JAD) sessions and presenting complex business requirements through client demonstrations.

  • Creates high-level architectural and design specifications, with attention to system integration, interoperability, and feasibility analysis.
  • Works with customers on presenting technical and business solutions for complex integration requirements.
  • Leads client demos and presentations to showcase solution capabilities and value.
  • Evaluates business needs and transforms them into functional and technical system requirements.
  • Collaborates with key stakeholders to translate business and technical requirements into actionable and implementable components.
  • Demonstrates expertise in designing and developing cloud-agnostic, service-based solutions.
  • Exhibits in-depth knowledge of Medicaid systems and associated regulatory frameworks.
  • Possesses extensive experience with Service-Oriented Architecture (SOA), microservices, and API-based solutions.
  • Conducts Decision Analysis and Resolution (DAR) to determine the most optimized solutions.
  • Develops prototypes, proofs of concept, and wireframe models to demonstrate potential solutions, as applicable.
  • Identifies opportunities for process improvement to enhance quality and optimize costs.
  • Proficient in creating workflow diagrams, conducting process mapping, and performing gap analysis to assess current (AS-IS) and proposed (TO-BE) processes.

LeadershipProject ManagementAgileBusiness AnalysisCloud ComputingProduct ManagementSCRUMSoftware ArchitectureProject CoordinationJiraCross-functional Team LeadershipCommunication SkillsAnalytical SkillsCollaborationMicroservicesProcess improvement

Posted 4 months ago
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