ArchWell Health

Support and configure eClinicalWorks for clinical workflows, troubleshoot issues, and collaborate with IT and vendors. | Experience with eClinicalWorks in medium to large environments, clinical support experience, and support ticket management skills. | Job Summary: The Clinical Applications Support Specialist will act as a key contributor to the configuration and buildout of eClinicalWorks for ArchWell Health. This role will actively partner and support end users across ArchWell Health’s markets, acting as a subject matter expert for core clinical applications. The ideal candidate will have experience with implementations of eClinicalWorks in medium to large-scale environments, be a strong communicator, and demonstrate flexibility in a growing and ever-changing environment. Duties/Responsibilities: • Deliver support via eCW Virtual Support Line and ServiceNow ticketing platform to resolve incidents or fulfill requests from market end users • Onboard users in eClinicalWorks environment(s) and other clinical applications • Assist in the change management process such as importing pharmacies, activating lab and DI orders as directed by leadership • Perform system configuration in support of enterprise standards and assist in effort relating to change management process • Ability to troubleshoot and support in collaboration with the Information Technology team on Medical Devices, integrations and interfaces connected to eClinicalWorks • Assist and act as core clinical applications subject matter expert for market end users • Participate in planning for, testing, and supporting changes as a result of core clinical systems upgrades • Collaborate with team members and vendors to provide a resolution issues from market end users Required Skills/Abilities: • Ability to build rapport with end users, excellent customer service, and known to work well in fast pace, high need, sometimes high stress situations • Strong subject matter expertise, technical knowledge, and analytical skills • Experience managing a high volume of problem tickets and support line entries from end users to resolve application and product issues. • Demonstrated ability to track issues, test fixes, and perform post-resolution follow-ups to ensure problems have been adequately resolved • Communicate application problems and issues to key personnel • Identify and learn appropriate software applications used and supported by the organization • Partners with Market Enablement and the IT teams in reviewing requirements, specifications, testing, support to ensure they are in line with business objectives and clinical standards on projects • Experience with integration and medical troubleshooting strongly preferred • Proficiency and experience with providing eClinicalWorks support to include basic workflow support, testing, troubleshooting, analysis, and support function • Proficiency with new user account provisioning • Experience with Support Ticket management internally and with vendors • Experience with working in, and knowing the differences, with Production vs. non-production environments • Experience with testing related to eClinicalWorks upgrades, patches to eClinicalWorks, and companion products • Aptitude to learn and master new support and help desk tools, systems, and solutions • Ability to think critically and effectively apply problem-solving techniques • Understanding of eClinicalWorks installations • Demonstrated ability to maintain productivity in a work-from-home environment Minimum Qualifications: • Bachelor’s degree preferred, or equivalent experience • Understanding of process and change management • Clinical support experience • Efficient communication skills • Minimum of one (1) year of experience supporting eClinicalWorks within a medium to large-scale organization implementations of eClinicalWorks (including, but not limited to, eClinicalWorks builds, testing, go-live support, optimizations) for providers and staff (front office and clinical) • Minimum of one (1) year of experience managing eClinicalWorks issues from end users by resolving them on your own or by working with eClinicalWorks support • Knowledge of quality programs (MIPS, HEDIS, ACO, etc.) within eClinicalWorks preferred • Embodies and serves as a role model of ArchWell Health’s Values: • * Be compassionate • Strive for excellence • Earn trust • Show respect • Stay resilient • Always do the right thing About ArchWell Health: At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Oversee clinical risk management programs including incident reporting, investigations, regulatory compliance, risk assessments, and policy implementation to ensure safety and compliance in healthcare operations. | Bachelor’s degree in nursing, juris doctorate, or related field; 5+ years healthcare risk management experience; preferred Master’s degree and risk management certification; strong healthcare regulations knowledge and analytical skills. | Program Manager, Risk ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. The Program Manager, Risk will play a critical role in ensuring the safety, compliance, and risk management of our health care operations. Reporting directly to the Director of Risk Management, this person will be responsible for overseeing the incident reporting process, managing the grievance process, and leading the approval and implementation of new policies to enhance our risk management strategies, Duties/Responsibilities: Coordinates the Clinical Risk Management Program to meet the needs of the organization Manages the incident reporting process and reviews and analyzes all occurrences for risk management, quality of care, regulatory and insurance concerns Conducts root cause analysis investigations, focused investigations, and other reviews and investigations. Manage professional and general liability carrier reporting and follow-up. Assist providers with managing licensing board letters of inquiry and investigations. Create quarterly reports reviewing incidents for trends and process improvement. Collaborate with relevant departments to analyze incident data, identify trends, and develop strategies to prevent recurrence. Work closely with compliance regarding regulatory matters. Conduct regular risk assessments across various aspects of the organization, including clinical practices. Collaborate with departments to identify potential risks and develop mitigation plans. Stay up to date with industry regulations and standards related to healthcare risk management. Provide training and educational programs to colleagues on risk management, incident reporting and grievance resolution. Promote a culture of safety and risk awareness throughout the organization. Maintain detailed records of incidents, health plan grievances, and risk assessment. Create update and maintain risk management policies and procedures that outline the organization’s approach to managing risks. Ensure the organization complies with relevant laws, regulations and industry standards related to risk management and safety. Performs other related duties Required Skills/Abilities: Strong knowledge of healthcare regulations and accreditation standards Excellent communication, problem solving and interpersonal skills. Ability to collaborate with cross functional teams. Diligence and a commitment to promoting a culture of safety. Ability to assess potential risks to prioritize them based on their impact and likelihood. Strong analytical skills to collect and interpret data, perform risk analysis, and make data driven decisions. Proficiency in developing and implementing risk mitigation strategies. Ability to identify problems, analyze their root causes and develop creative solutions to mitigate or eliminate risk. Proficiency in crisis management and the ability to respond effectively to unexpected events or emergencies that pose a risk to the organization. Education and Experience: Bachelor’s degree in nursing, juris doctorate, or related field Master’s Degree preferred Certification in risk management preferred. Minimum of 5 years of experience in healthcare risk management or a related field ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Conduct audits and reviews to ensure compliance with healthcare laws and company policies, communicate findings, maintain compliance reporting, and manage audit schedules. | 5+ years in healthcare compliance auditing or related roles, knowledge of Medicare/Medicaid coding rules, healthcare compliance certifications preferred, strong communication and analytical skills. | Audit Analyst, Compliance, Privacy & Risk Management Job Summary: The Audit Analyst for Compliance, Privacy & Risk Management is responsible for the oversight and management of auditing and monitoring high-risk, problem prone processes, completing compliance risk assessments to ensure compliance with federal/state laws and regulations, and ArchWell Health policies. Duties/Responsibilities: • Adheres to assigned audit schedule and reviews as outlined in the Compliance Workplan • Assists with reviewing internal and external inquiries regarding compliance and privacy matters, including government and third-party payor requests. • Conducts audits and focused reviews to ensure compliance with company, government, and payor guidelines. • Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. • Assists with maintaining regular and consistent governance-level reporting and metrics for the Compliance department, including but not limited to dashboards, board reporting, weekly, monthly, and annual compliance & ethics reporting. • Maintain a working knowledge of HIPAA, HHS, and CMS regulations. • Participate in the planning and scheduling of compliance projects. • Research compliance related questions upon request from departments and/or practices. • Identify and report potential audit and compliance risks. Required Skills/Abilities: • Knowledge of Medicare and Medicaid documentation and coding rules and guidelines. • Must have an understanding and knowledge of national and state laws and regulations • Must have excellent verbal and written communication skills. • Strong interpersonal skills • Strong organizational and planning skills. • Demonstrates a high degree of personal integrity and practice ethical standards. • Demonstrates proactiveness and ability to work independently and self-directed in managing multiple concurrent projects. • Excellent analytical and problem-solving skills. • Advanced skills in all MS Office applications (Word, Excel, Outlook, and PowerPoint). • Ability to interpret and apply documentation and coding rules and regulations. • Ability to demonstrate competence in performing audits, produce reports, formulate remediation or mitigation plans, and conduct follow-up audits. Minimum Qualifications: • Equivalent of 5+ years’ experience in compliance auditing, clinical chart reviews, medical necessity review/auditing, revenue integrity, and/or health care compliance • Experience in compliance and privacy auditing techniques and methods • Certified in Healthcare Compliance (CHC) or Certified in Healthcare Privacy Compliance (CHPC) preferred • Bachelor's degree in related field preferred • Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) preferred At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life. Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members. ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.