WelbeHealth

Operations

• Deliver support and service to PACE market operations through record review
• Collect data and audit participant electronic health records using quality-improvement tools
• Complete reporting and confirm all regulatory-required elements
• Identify documentation gaps, trends, deficiencies, and root causes
• Collaborate with clinical and operational teams on process improvement and regulatory readiness
• Identify potential deficiencies and facilitate and monitor corrections to ensure EHR data integrity
• Monitor participant medical records for complete and timely documentation
• Report policy and procedure violations to the Quality Operations Supervisor
• Participate in team documentation, process improvements, and QO team initiatives
• Conduct medical records audits for timely and accurate required documentation
• Prepare documents and universe lists for audit desk-review submissions
• Assist with EMR navigation and impact analysis
• Review and reconcile assigned regulatory logs
• Complete required tasks, investigations, and notifications accurately and timely

Quality Operations Coordinator

Project Manager

• Drive projects to successful implementation within Health Plan Services
• Collaborate cross-functionally with Eligibility, Reconciliation, Claims, Network, and other health plan operations teams
• Lead projects improving or implementing systems, tools, and technology supporting eligibility determination, enrollment, and reconciliation
• Partner with technical teams and vendors to translate business needs into functional solutions
• Design, build, and deploy AI agents and automation workflows to reduce manual work
• Use AI-assisted development practices to rapidly prototype and deliver working tools
• Gather and translate requirements into process automation and agentic AI opportunities
• Set expectations about capability, accuracy, and risk
• Document project and automation logic for maintainability, handoff, refinement, and governance
• Track and report project status and escalate issues
• Organize project resources and manage over-allocated resources
• Motivate the team to complete key deliverables
• Build stakeholder relationships and ensure projects meet business needs

AI Business Automation Project Manager

Engineering Manager

• Lead end-to-end architecture, development, and delivery of technical solutions for internal and external healthcare systems
• Act as the senior-most engineer for the team by designing components, writing high-quality code, troubleshooting complex issues, and performing rigorous code reviews
• Collaborate with Product, Architecture, Cloud, Security, and other engineering teams to define integration strategies and solution blueprints
• Lead engineers in fast-paced, high-impact environments
• Mentor and develop team members
• Drive adoption of AI-assisted coding, including agentic development tools for scaffolding, refactoring, test generation, and legacy code comprehension
• Define code review standards to keep generated code secure and maintainable
• Own engineering practices for AI-backed features, including context and retrieval design over WelbeHealth data, evaluation and monitoring, PHI-safe prompting and logging, and human review points
• Engage business and clinical end users directly, understand their workflows and the PACE model, and translate findings into technical direction
• Promote WelbeHealth values, team culture, and mission

Account Manager

• Serve as WelbeHealth’s enterprise subject matter expert in vendor contracting
• Advise functional and executive leaders on contract structure, risk, negotiation strategy, and business tradeoffs
• Develop, standardize, implement, and refine contract templates, playbooks, approval workflows, and governance standards
• Lead strategic sourcing and vendor selection for complex, high-impact needs
• Lead complex and high-value negotiations
• Establish and maintain contracting operating procedures, governance standards, and service expectations
• Monitor governance adoption and address organizational gaps
• Use portfolio, performance, risk, and spend insights to recommend priorities and improvement opportunities
• Set the approach for vendor performance management, including risk assessments, business reviews, escalation pathways, and joint improvement plans
• Track vendor performance actions and outcomes to completion
• Shape WelbeHealth’s vendor portfolio and strengthen strategic partnerships to support operational excellence, financial sustainability, and high-quality senior care

Senior Manager, Vendor Contracting – Partnerships

Director

• Develop and lead enterprise network strategies across existing and emerging markets
• Support market expansion efforts by designing strategies aligned to growth plans and local market dynamics
• Assess and monitor network adequacy and ensure timely access to high-quality providers, specialists, hospitals, and ancillary services
• Identify network gaps, access barriers, and market-specific needs and develop strategies to address them
• Monitor industry trends, regulatory requirements, and competitive market conditions
• Lead, mentor, and develop a high-performing team of network strategy and contracting professionals
• Provide strategic guidance and operational support to regional and field-based team members
• Foster collaboration across Finance, Analytics, Operations, clinical leadership, Compliance, and growth teams
• Lead outreach and complex negotiations with hospitals, health systems, large physician groups, and strategic provider partners
• Explore innovative contracting approaches tied to participant access, care coordination, medical record retrieval, quality performance, and operational responsiveness

Quality Operations Coordinator

AI Business Automation Project Manager

Engineering Manager

Senior Manager, Vendor Contracting – Partnerships

Senior Director, Network Strategy