As a Manager, Provider Services, your key responsibility will be to act as a liaison between our provider network and nephrology practices, facilitating a smooth transition to Value-Based Care and providing dual support to ensure success. This role requires a diligent work ethic, excellent communication skills, and the ability to work independently and collaboratively with external partners and internal, cross-functional teams. 

Note: This is a fully remote position that requires up to 50% travel. Coverages areas to be reviewed during the interview process and subject to change based on evolving business needs.

What you will do: 

• Develop & nurture a solid understanding of the objectives and complexities within intricate Value-Based Care Programs and/or agreements, such as:
  • CMS Kidney Care Contracting
  • IWH Payor Agreements
  • IWH Practice Participation Agreements
• Effectively communicate this complex information in a clear and concise manner to both internal and external stakeholders through meetings and presentations
• Provide outstanding customer service to all external and internal stakeholders with consistent feedback and follow-through
• Investigate and resolve any issues or concerns in a prompt and effective manner
• Serve as the primary contact and subject matter expert for IWH Network practices
• Assist our nephrology partners in achieving success within Value-Based Care by uncovering valuable insights within data, and identifying opportunities for improvement
• Execute company initiatives and ensure the timely completion of deliverables
• Ensure accurate documentation of provider interactions and/or visits are maintained in our CRM
• Deliver timely training and/or onboarding to Network Providers as new information is available
• Verify that information presented to providers is both accurate and timely, including the data accessible through our dedicated portal

The skills and qualifications you will need: 

• Bachelor’s degree required; Advanced Degree desirable 
• Proven experience working with physicians and practices, nephrology-specific experience a plus 
• Superior attention to detail and exceptional follow-through 
• Should possess an independent and proactive approach, showcasing dedication to continuous learning 
• Excellent communication and interpersonal skills to effectively collaborate with providers, stakeholders, and internal teams.   
• Must be willing to travel up to 50% of the time to practices (assigned regions to be covered during interview) 

As the Director, Network Development you'll spearhead efforts to expand our network of Physician providers across the United States. This position uniquely blends sales, strategy, analytics, and innovation in a dynamic market-facing leadership role. This role will work to enhance the
partnership experience, deepening engagement and fostering education among our valued Physician partners. Success will include championing our integrated technology and clinical offerings, emphasizing ease of business, workflow-neutral solutions, clinical autonomy, and aligned
incentives. You'll be a voice of the physician community, entrusted with managing multiple relationships and shaping market strategies.

Please note: The territory is anticipated to span multiple regions, including the Southwest, South Central U.S., and portions of the Southeast. Final territory scope will be discussed during the interview process and may evolve based on business needs.
 
What you will do:

• Identify and follow up leads for potential physician partnerships and development of new business opportunities
• Secure contracts and align local nephrology practices by demonstrating clear knowledge and comprehension of our value proposition and enrollment process
• Build market-specific network development strategies based on local market intelligence, network data and organizational objectives
• Foster strategic provider partnerships and effective working relationships with Nephrologists, Access Surgeons, alternative Specialists, hospital systems, providers, and payers to:
  • Implement value-based compensation models with Physicians and Payers
  • Educate and partner with physician and payer community to assist in Interwell Health’s rollout and on-going operation
• Partner closely with payer partners to oversee provider engagement through community events, such as educational sessions, networking events and strategic roundtable discussions
• Partner with data and reporting team to house master data sets by region/state to ensure centralized repository accuracy
• Collaborate with Marketing, Product, Clinical, Account Management, and Payor Sales teams to create educational and recruitment materials, fostering effective communication and implementing growth strategies

What you need:

• Bachelor’s degree in business administration, healthcare administration, or related field; Advanced degree or additional leadership experience in a related field preferred
• 7+ years of related experience in account management or sales management.
  
• Familiarity with CRM systems and basic reporting tools.
• Experience with Value-Based Care (VBC) and Integrated Care Management Services preferred; Nephrology experience a plus
• Experience communicating with healthcare providers & practice administrators.
• Deep understanding of value-based care models, including ACOs, bundled payments, and risk-sharing arrangements
• Demonstrated understanding of financial drivers/incentives for Physician Practices, Payer partners and other healthcare stakeholders
• Solution-oriented with the ability to think strategically and creatively in decision-making
• Excellent communication and relationship building skills to effectively collaborate with providers and internal teams.
• Exceptional presentation and influencing skills for internal and external audiences.
• 25-50 % travel expected; required for meetings and client interactions

What You’ll Do

Essential Functions:

• Receive referrals from IWH to IMG and confirm they are eligible for services
• Collect registration information and set up a chart in Acumen
• Retrieve all relevant records (medical records, insurance card, demographics)
• Connect with the patient and schedule a virtual appointment with the APP
• Confirm all relevant information with the patient (medications, allergies, pharmacy, etc)
• Establish access to the patient portal and confirm that the telehealth video option is functioning properly
• Follow up with all patient appointments with IMG and ensure outbound referrals are confirmed 
• Follow up with ordered lab work and follow through on any orders related to lab work (medication changes, etc)
• Ensure all records from IMG visits are scanned into ICC
• Ensure any outbound referrals are noted in ICC, including appointment date and time
• Support the APPs with any needs related to the visit

Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.

The Skills and Qualifications that you'll need:

• Strong organizational and multitasking skills
• Strong verbal and written communication skills
• Superior customer service skills
• Ability to work well in a team environment
• Attention to detail and accuracy
• Ability to maintain patient confidentiality and privacy
• Ability to work independently and manage time effectively
• Strong work ethic and dedication to providing quality patient care

Education and Experience:

Required

• High School diploma or equivalent
• 2+ years of working as a Medical Assistant
• Knowledge of medical terminology and procedures

Preferred

• Nephrology medical practice experience
• Acumen experience
• Associate’s degree in a medical field

Certifications and Licensure Requirements:

• Current, active Medical Assistant License and/or Certificate (ex. CMA or CCMA)

Interwell Health is seeking a highly skilled Epic Professional Billing (PB) Analyst to support the daily operational integrity of charge capture and upstream billing workflows within our Epic environment. In this role, you will serve as a key owner of Epic PB configuration and ongoing maintenance—particularly within Professional Billing, Charge Router, and dialysis-related claim logic. You will partner closely with internal revenue cycle teams, external billing vendors, and implementation stakeholders to ensure Epic solutions are reliable, scalable, and optimized for high-volume Community Connect operations.

This is a critical, hands-on role responsible for ensuring accurate charge routing, billing workflows configuration, and vendor integrations prior to claims generation, helping prevent down downstream billing issues and supporting efficient revenue flow, directly building and supporting updates to patient statements, credit card integration, and bad debt interfaces. 

What You'll Do:

• Configure, maintain, and optimize Epic Professional Billing solutions to support accurate, high-volume daily practice billing operations. 
• Own and maintain Charge Router configuration and routing logic, including rule setup, dialysis-specific date ranges, and modifier handling, to ensure professional charges are routed correctly from source systems into the appropriate billing workflows. 
• Serve as a critical operational resource supporting billing accuracy, patient statements, and uninterrupted revenue flow for practices. 
• Manage and support Epic-related billing vendor integrations and build activity (e.g., statements, credit card processing, collections), ensuring reliability and consistency across workflows. 
• Independently identify, troubleshoot, and resolve moderately complex Epic PB and Charge Router issues, minimizing billing delays or downstream impact. 
• Design, build, validate, and test Epic PB configurations and enhancements in support of both ongoing operations and new practice implementations. 
• Partner with internal revenue cycle teams, vendors, and implementation stakeholders to gather requirements and translate them into effective Epic solutions. 
• Contribute to end-to-end Epic solution delivery, including discovery, design, build, testing, and migration through established change management processes. 
• Collaborate closely with cross-functional team members to maintain team throughput and ensure practices are supported without disruption. 

What You'll Need:

• Associate’s degree in healthcare, IT, informatics, or related field, or equivalent experience; Bachelor’s degree preferred. 
• 3–5+ years of experience working within the Epic EHR environment, with a strong hands-on focus in Professional Billing. 
• Epic Resolute Professional Billing (PB) and Charge Router certifications required; Epic Security Certification or Badge a plus 
• Solid understanding of revenue cycle workflows, including charge routing logic, modifiers, and date-based charge behavior. 
• Strong analytical skills with the ability to identify root causes and implement effective Epic solutions. 
• Proficiency in Microsoft Office applications, especially Excel (pivot tables, data analysis), Word, and PowerPoint. 
• Highly organized with strong attention to detail and the ability to manage multiple priorities in a fast-paced, operational environment. 
• Effective written and verbal communication skills, with the ability to engage technical and non-technical stakeholders. 
• Collaborative mindset with the ability to work independently while contributing to a team-focused environment. 
  

The Senior Director, Network Development will help lead the national strategy and regional implementation for expanding Interwell Health’s physician network and strengthening partnerships across the healthcare ecosystem. This role is responsible for shaping long-term growth initiatives, driving market penetration, and ensuring alignment with organizational objectives for value-based care. The Senior Director will oversee regional directors, manage high-impact relationships with physician groups and payers, and collaborate with executive leadership to influence strategic decisions. Success in this role requires a visionary leader who can balance market intelligence, operational execution, and stakeholder engagement.

Please note: The anticipated territory for this role is expected to include New England and portions of the Midwest. Final territory scope will be discussed during the interview process and may evolve based on business needs.
 
What you will do:

• Develop and execute a national network development strategy aligned with organizational goals and market trends.
• Lead and mentor regional directors and network development teams to ensure consistent execution of growth initiatives.
• Establish strategic partnerships with physician groups, health systems, and payers to advance value-based care adoption.
• Negotiate complex agreements and oversee implementation of value-based compensation models.
• Serve as a key advisor to executive leadership on market dynamics, competitive positioning, and growth opportunities.
• Drive enterprise-level initiatives to enhance provider engagement through education, technology integration, and aligned incentives.
• Collaborate with Marketing, Product, Clinical, and Account Management teams to design scalable recruitment and engagement programs.
• Monitor performance metrics, analyze market data, and provide actionable insights to inform strategic decisions.
• Represent Interwell Health at national conferences, industry forums, and high-level stakeholder meetings.

What you need:

• Bachelor’s degree in business administration, healthcare administration, or related field.
• 10+ years of experience in healthcare network development, sales leadership, or strategic growth roles.
• Demonstrated success in leading multi-regional or national initiatives.
• Ability to set national growth strategies, influence organizational priorities, and lead large-scale initiatives.
• Deep understanding of value-based care models, risk-sharing arrangements, and healthcare economics.
• Proven ability to secure high-value partnerships and maintain executive-level relationships.
• Expertise in leveraging market intelligence and performance data to guide strategy.
• Skilled at aligning multiple departments and external stakeholders toward common objectives.
• Ability to drive organizational change and foster adoption of innovative solutions.
• Exceptional presentation and influencing skills for internal and external audiences.
• 25-50 % travel expected; required for meetings and client interactions
• Preferred
  • Advanced degree (MBA, MHA) or equivalent experience
  • Experience with Value-Based Care (VBC) and Integrated Care Management Services.
  • Experience with nephrology or specialty care networks.

Reporting to the Director of Data Engineering, the Staff Data Engineer serves as a senior technical leader responsible for shaping, scaling, and governing our modern data ecosystem. This role blends architecture, hands-on engineering, platform leadership, and cross functional partnerships to deliver high quality data products that power clinical, operational, financial, and analytical outcomes. Deep experience with Databricks, Python, dbt, and Microsoft Fabric, along with strong fluency in healthcare data and compliance standards, is essential. At its core, you’ll work closely with teams across the organization to deliver governed, high‑quality, analytics‑ready data at scale. 

Our Tech Stack: Databricks, Delta Lake, Unity Catalog, Microsoft Fabric (OneLake, Lakehouse, Data Factory), Azure, dbt, Python, PySpark, Spark SQL. 

What You’ll Do: 

Architecture & Strategy 

• Design and evolve a scalable, secure, cloud‑native lakehouse platform leveraging Databricks, Microsoft Fabric (OneLake, Lakehouse, Data Factory), and dbt. 
• Define modeling patterns, governance frameworks, and engineering best practices across the data lifecycle. 
• Lead design reviews and guide teams in adopting scalable architectural patterns. 
• Drive long‑term platform strategy and evaluate emerging technologies. 

Hands-on Engineering 

• Design and implement batch and streaming data pipelines for healthcare data sources (EHR, claims, HL7/FHIR, APIs, flat files, databases) 
• Develop modular ingestion, quality, lineage, metadata, and observability frameworks that scale across domains. 
• Produce clean, analytics‑ready datasets and data models for BI, analytics, and machine learning workloads. 
• Implement HIPAA‑aligned access patterns and secure handling of PHI. 
• Architect Databricks workloads (clusters, jobs, Unity Catalog, Delta Lake) for reliability, performance, and cost efficiency. 
• Integrate Databricks and Microsoft Fabric with Azure services and enterprise systems. 

 Leadership & Collaboration 

• Partner with product managers, data scientists, analysts, clinicians, and business stakeholders to translate healthcare data needs into scalable solutions. 
• Lead Cross functional initiatives that modernize and unify the organization’s data ecosystem. 
• Mentor senior and mid-level engineers; elevate team capability through technical coaching and standards. 
• Drive roadmap planning, platform evolution, and long-term data strategy. 
• Champion engineering excellence, reliability practices, documentation quality, and governance. 

What You’ll Need 

• Bachelor's degree in Computer Science, Engineering, or a related field. 
• 7+ years of experience in data engineering.  
• 2+ years operating in a senior or staff level engineering role.  
• Deep hands-on proficiency with Databricks, Spark, Delta Lake, dbt, and Python. 
• Proven ability to design and operate largescale cloud data platforms (Azure preferred).on experience with 
• Hands on experience with Data Engineering, Data Factory, Lakehouse, OneLake. 
• Advanced data platform architecture and Lakehouse design expertise.  
• Demonstrated ability to design modular, extensible frameworks and guide the long-term evolution of enterprise data platforms. 
• Strong command of distributed data processing and cloud native engineering. 
• Experience working in HIPAA regulated environments and handling PHI. 
• Healthcare data fluency, including regulated data handling and compliance.  
• Technical leadership, mentorship, and influence across teams. 
• Strong communication skills with both technical and clinical stakeholders. 
• Experience with platform reliability, CI/CD for data pipelines, and infrastructure as code. 
• 100% remote (ET or CT work hours preferred) 

Preferred 

• Experienced in implementing and supporting Epic integrations, leveraging Cogito Cloud and Caboodle data models, and delivering reliable incremental data pipelines from Caboodle/Clarity. 

As a Machine Learning Engineer, you’re a highly motivated individual with strong fundamentals in computer science and hands‑on experience across the full model development lifecycle—including feature engineering, model development, calibration, deployment, and ongoing monitoring. In this role, you will be flexible, eager to learn new skills, and willing to contribute wherever the team needs support. This Machine Learning Engineer is comfortable working with both traditional tabular machine learning models and modern AI techniques, including prompt engineering and LLM‑based capabilities. 

What You’ll Do 

• Develop and deliver end‑to‑end machine learning solutions, including defining technical requirements, architecting scalable systems, and implementing monitoring, logging, and maintenance workflows. 
• Collaborate closely with engineers, product managers, clinicians, and cross‑functional partners to build new ML products and enhance existing systems. 
• Lead the design and implementation of MLOps frameworks, including pipeline development, CI/CD integration, drift detection, retraining workflows, and rollback strategies. 
• Monitor model performance in production, identify issues, propose remediation steps, and ensure strong test coverage and system reliability. 
• Utilize contemporary software engineering practices to implement scalable, secure, and maintainable AI/ML systems. 
• Develop and customize API integrations to enable seamless connectivity between cloud‑based systems and ML services. 
• Participate in architectural discussions to ensure ML platforms meet compliance, performance, and scalability standards. 

What You’ll Need: 

• Bachelor’s degree in Computer Science, Data Analytics, Software/Computer Engineering, Computational Statistics, Mathematics, or a related discipline. 
• 3+ years of end‑to‑end ML development in production (data prep, feature engineering, modeling, calibration, deployment, monitoring, maintenance). 
• 3+ years of MLOps experience building production pipelines (CI/CD, model registry, feature store), implementing monitoring & drift detection, and automating retraining. 
• 3+ years of Python for production ML (testing, packaging, type hints, linting) and SQL for analytical and production workloads; Scala a plus. 
• 2+ years working with distributed compute and cloud ML environments (e.g., Spark/Databricks on Azure/AWS/GCP) and modern data ecosystems (data lakes, DBMS). 
• Strong debugging and optimization skills across data and ML workflows. 
• Track record of ownership and problem solving—driving measurable impact and quality under ambiguity and evolving requirements. 
• Ability to communicate technical decisions clearly and contribute to documentation and design discussions. 
• Demonstrated system design & architecture skills for scalable, high‑performance ML services and batch/streaming workflows; familiarity with API design and service integration patterns. 
• Proven understanding of tradeoffs in latency, cost, performance, and compliance. 

Preferred 

• 1+ years of Databricks experience + some experience in infrastructure/networking 
• 1+ years implementing LLM‑based solutions in production (prompt/response design, evaluation frameworks, guardrails/safety, latency/cost optimization). 
• 1+ years designing compliant ML platforms (e.g., HIPAA, SOC 2) and working with PHI/PII governance, access controls, and auditability. 

What You’ll Do

The Director of Risk Adjustment is a strategic operational leader responsible for driving risk adjustment performance across Interwell Health’s payer and government programs. The Director will serve as a central leader in advancing Interwell’ s risk adjustment capabilities, with accountability for both execution and measurable results in a highly regulated environment. The Director will translate organizational strategy into scalable programs and support cross-functional teams across clinical, coding, analytics, and provider engagement. 

As the Director of Risk Adjustment, you will provide operational support, driving day-to-day operations, implementing new pilots, and running existing programs. In this role, you will play a critical part in assessing the opportunity for performance improvement, devising the approach for implementation of new strategies, and managing deployment of performance related initiatives for Nephrology providers. 

Essential Functions:

Enterprise Strategy & Organizational Leadership

• Lead the development and execution of enterprise-wide risk adjustment strategy aligned to clinical, operational, and financial priorities 
• Translate organizational goals (e.g., RAF improvement, recapture performance, coding accuracy) into actionable, scalable programs 
• Partner with executive leadership to align risk adjustment priorities across Medicare Advantage, CKCC, and commercial populations 
• Drive innovation and continuous improvement through advanced analytics, AI/NLP, and point-of-care enablement 

Three-Pronged Risk Adjustment Approach 

This role is accountable for designing and executing a comprehensive risk adjustment strategy anchored in three core pillars:

• Patient-Level Tracking: Build and operationalize longitudinal tracking of all suspected and recaptured conditions at the patient level—creating enterprise visibility comparable to medical cost tracking and enabling proactive management of coding gaps 
• Data Enrichment: Leverage analytics, predictive modeling, and external vendor partnerships to enhance suspecting logic, improve data completeness, and increase targeting precision 
• Execution Beyond Nephrology: Expand risk adjustment execution beyond nephrology by developing scalable processes to engage primary care providers (PCPs), health plans, and in-home programs to ensure comprehensive gap closure across the full continuum of care

Performance Ownership & Outcomes

• Establish KPIs, dashboards, and reporting cadences to ensure transparency and accountability 

• Translate performance into financial impact (e.g., PMPM, revenue lift) for executive and board-level communication 
• Identify risks to performance and implement mitigation strategies.
• Own and drive performance against key risk adjustment metrics, including: 
• RAF accuracy and trend performance 
• Recapture rates and gap closure 
• Coding accuracy and audit outcome

What You’ll Need:

Skills & Competencies:

Cross-Functional Leadership

• Serve as a central leader across clinical operations, analytics, product, compliance, and finance 
• Partner with analytics teams to refine suspecting models and performance measurement 
• Collaborate with clinical and provider-facing teams to embed risk adjustment into workflows at the point of care 
• Influence product and technology roadmaps (e.g., Epic integration, documentation tools) 

Team Leadership & Development

• Lead and develop a high-performing team responsible for risk adjustment operations and delivery 
• Establish clear goals, accountability, and performance expectations aligned with enterprise priorities 
• Foster a culture of ownership, continuous improvement, and compliance 

Compliance & Audit Readiness

• Ensure all risk adjustment activities meet CMS, payer, and regulatory requirements 
• Partner with compliance to mitigate risk and maintain coding integrity 
• Promote a culture of accurate, ethical, and defensible documentation

Education and Experience:

Required

• 8–12+ years of experience in risk adjustment, healthcare operations, or related field 
• Deep expertise in Medicare Advantage risk adjustment, HCC coding, and RAF methodology 
• Experience leading enterprise or multi-market risk adjustment programs (MA, CKCC, Commercial preferred) 
• Proven ability to translate strategy into execution and measurable outcomes 
• Strong financial acumen with ability to connect RAF performance to revenue impact 
• Demonstrated success leading cross-functional initiatives in complex healthcare environments 
• Experience building and leading high-performing teams

Preferred

• Bachelor’s degree in related field of study 

Travel Requirements:

• Up to 25% travel required.

Work Environment:

• 100% Remote