Wellbe Senior Medical

Lead and support quality initiatives to improve Medicare Star Ratings and HEDIS performance, develop performance improvement plans, and monitor data integrity. | Requires 3-5 years of experience in healthcare quality, strong data analysis skills, and familiarity with Medicare Star Ratings and HEDIS programs. | Job Summary WellBe is a Physician Led, Advanced Practice clinician driven, geriatric care (care of older adults) team focused on the care of the frail, poly-chronic, elderly Medicare Advantage patients. This population is typically undeserved and very challenged with access to care. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. Care is provided throughout the entire continuum of care – from chronic care and urgent care in the home, to hospital, to skilled nursing facility, to assisted living, to palliative care, to end of life care. WellBe's care teams’ partner with the patient’s primary care physician to provide concierge level geriatric medical care and social support in the home as well as delivering and coordinating across the entire care continuum. Job Description Program Manager for Quality Initiatives will support corporate and local regional leadership in achieving key clinical and quality results to ensure improvement and sustainability of HEDIS, Medication Adherence and overall STARS performance for assigned market. You will function as an “SME” leading quality initiatives in a fast-paced environment and be responsible to identify / integrate best practices, develop performance improvement plans and supporting local markets in meeting enterprise goals. This position requires high degree of NCQA HEDIS and Medicare Star Rating knowledge, ability to prepare and present program results to senior management, analyze large volume of data, develop reporting, and function within a highly matrix environment. SKILLS & COMPETENCIES Strategy: Assist in the development of local program strategy and lead execution of projects that ensure alignment with enterprise-wide quality / STARS goals and performance improvement. Remain aware of industry trends and integrate best practices into state programs. Training: Assist in the development of training curriculum and work to deploy necessary program and change management concepts to ensure Quality / STAR results become “a way of life” and that all constituents have the right tools / resources to track and improve performance. Project Management: Lead projects and workgroups to improve Quality / STAR results locally and across the organization. Ensure local leadership alignment and outcomes are consistent with enterprise-wide program goals. Performance Tracking and Monitoring: Lead regional meetings, provide actionable report/information to local team, provides feedback on identify gaps and initiate course corrections to ensure improved results year-over-year. Actively monitor project risks/issues, escalate in a timely manner, and drive teams to expected performance. Audits and Data Integrity Monitoring: Conduct record reviews to identify clinical quality and documentation issues. Submit supplemental data to health plans and monitor encounter/claims/other data reports to maintain data integrity, minimize data gaps, and implement data collection strategies that optimize data acquisition, integration, and reporting. Team Building: Build strong partnerships with WellBe’s cross-functional teams including Clinical, Operations, Analytics/Reporting, IT, Compliance, Coding, and Network to develop programs that deliver measurable, actionable solutions. Other tasks needed to accomplish team’s objectives/goals. Job Requirements Educational Requirements: BS/BA in relevant program, or equivalent work experience 3-5 years of relevant work within Quality/STARs or any combination of education and experience, which would provide an equivalent background. Graduate degree preferred Required Skills and Abilities: Strong background/experience with Medicare STARS, HEDIS, CAHPS, HOS programs Healthcare experience is required Experience in start-up or fast paced dynamic environment Ability to multi-task and manage competing priorities Demonstrated success managing complex projects or multiple smaller projects encompassing Quality, Clinical Operations, and other areas impacting Quality/Stars Performance Ability to manage large volumes of data, analyze data, identify data gaps and develop reporting for performance management Must be able to work in a matrix environment Ability to build strong multidisciplinary cross-functional teams and influence others Must have the ability to motivate others, prioritize multiple tasks, and maintain positive interpersonal working relationships Excellent written and verbal communication skills are required. Must be able to communicate effectively with all levels of the organization, including ability to present in front of large audience and lead meetings Excellent understanding and proficiency with Microsoft Office Supervisory Responsibility: No supervisory responsibilities. Travel requirements: Travel may be required up to 10% locally or nationally Work Environment: Remote Pay Range: $110,000- $130,000 Sponsorship Statement WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency Statement Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Safety-Sensitive Statement This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana—including medical or recreational use—is prohibited. WellBe Senior Medical will comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations. Drug Screening Requirement As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion of drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.com At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary. Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods Ability to drive to patient locations (ie. home, hospital, SNF, etc) Fine motor skills Visual acuity The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.

Lead integration and analysis of healthcare payer and internal data systems to support enterprise data platforms and analytics. | 6+ years in data warehousing, strong SQL skills, experience with Medicare Advantage payer data, and familiarity with cloud data platforms. | Job Summary The Senior Data Systems Analyst leads the integration of various healthcare payer data and internal enterprise systems data into WellBe’s enterprise data platforms. This role is responsible for analyzing, mapping, validating, and standardizing various payer feeds including eligibility, claims, quality, and risk adjustment data, alongside internal systems such as EMR , CRM, HR etc to maintain a reliable single source of truth supporting value based care. The ideal candidate will combine strong healthcare data knowledge, technical domain expertise with ownership over complex payer and internal systems integration and manage multiple concurrent data initiatives and integration. Job Description Lead onboarding and integration of various payer feeds, including eligibility (834 or flat files), medical and institutional claims (837 or flatfiles), HEDIS quality data, HIE, and risk adjustment and RAF related datasets Analyze and map data from external payer sources and internal systems such as EMR, CRM, and operational platforms into the enterprise data model Own and maintain source to target mappings, transformation logic, and standardized data definitions across payer and internal feeds Identify payer specific variations, data quality issues, and structural differences, and drive normalization within the data warehouse Validate data ingestion and transformations through profiling, reconciliation, and exception analysis Partner closely with data engineering to ensure scalable, accurate, and well documented ingestion pipelines Serve as a subject matter expert for integrated payer and internal data, supporting analytics, reporting, and operational use cases Lead discovery sessions with customers to document technical specifications, data elements, and business requirements Translate clinical, operational, and business requirements into clear data and system specifications Define and implement data quality rules and monitoring frameworks for all critical data pipelines Develop and enforce data governance policies, including metadata management, lineage tracking, and compliance standards. Ensure integration stories are delivered on time and are fully prepared for engineering implementation Job Requirements Bachelor’s degree in Computer Science, Information Systems, or a related field, or equivalent experience 6+ years of experience in data warehousing, data integration, or analytics roles Strong experience working with Medicare Advantage payer data, including 834, 837, HEDIS, and RAF datasets Advanced SQL skills and strong understanding of relational database concepts Deep knowledge of enterprise data warehouse and data mart architectures Experience with data governance frameworks and tools (e.g., Catalog, Atlan, Collibra, Alation) and data quality frameworks. Working knowledge of cloud-based data platforms like snowflake/redshift etc. Familiarity with scrum/agile methodologies and Jira Proven ability to lead cross-functional teams and drive agile delivery Excellent communication and stakeholder management skills Excellent problem-solving, interpersonal, and stakeholder management skills High level of ownership, initiative, and attention to detail Physical and Mental Requirements Ability to stand/sit for extended periods. Visual acuity and fine motor skills. Ability to travel as needed. Work Environment Travel may be required up to 15% locally or nationally Remote or Hybrid Sponsorship Statement WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency Statement Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Drug Screening Requirement:As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.com. At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.

Designs and delivers clinical training programs, collaborates with clinical teams to identify educational gaps, and implements new initiatives. | Requires 3+ years of healthcare-related experience, clinical or nursing background, and proficiency in various training modalities. | Job Summary This role develops functional training for clinicians to support high-quality patient care, clinical compliance, quality initiatives, and optimal patient experience. It manages the design and delivery of the end-to-end training curriculum for clinicians. Acting as an educational leader, the role implements new initiatives, collaborates with other trainers, and identifies educational gaps in collaboration with clinical directors and L&D teams. Job Description Essential Duties & Responsibilities Manages the design and delivery of the end-to-end training curriculum for clinicians. Provides effective educational leadership for implementing new initiatives and existing processes. Ensuring clinical colleagues are aware of and comply with company, government, and patient policies, procedures, and regulations. Continually monitors market for training needs and works with clinical directors and education team to identify market or business wide opportunities for educational gaps. Responsibilities include training colleagues Addressing any educational concerns elevated by market APPs. Performs other duties as assigned. Other tasks needed to accomplish team’s objectives/goals Job Requirements Required Qualifications: Education: For a Nurse Practitioner: Graduate of an approved Nurse Practitioner program (Required Must have or be eligible for appropriate APP licensure). For Physician Assistant: Graduate of a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) (Required Must have or be eligible for appropriate PA certification). CPR certification (Required). DEA possession or eligibility. Experience: 3+ years of NP work experience or related nursing experience.; 3+ years documented successful precepting, mentoring, nursing education to nurse practitioners, or specialized medical education nursing students; Current WellBe Employee, Licensed, full-time APP with WellBe for greater than 6 months with a five-day work week schedule.; A performance rating of 4.0+ or have documented demonstrated exceeding performance in precepting, mentoring, or nursing education to nurse practitioners. Skills: Previous experience in home care, hospice, palliative care, or geriatrics strongly preferred, other complex patient health care experience also beneficial.; Demonstrated experience in instructional design, including the development, implementation, and evaluation of clinical training programs using adult learning principles. Experience with multiple training modalities, including in-person facilitation, virtual instructor-led training (vILT), self-paced e-learning, simulations, job aids, and on-the-job preceptorships. Physical and Mental Requirements - Ability to lift up to 20 lbs. - Ability to stand/sit for extended periods. - Visual acuity and fine motor skills. - Ability to travel to locations as needed. Travel: Up to 50% Work Environment: Hybrid Pay Range: $112,200-$178,600 Bonus: 15% Sponsorship Statement WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency Statement Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Drug Screening Requirement As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion of drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at HRPeopleLine@wellbe.com At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This job description does not constitute an employment contract. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary.