Key Responsibilities
- Facilitate care transitions, chronic disease management programs, and preventative health outreach for high-risk patient cohorts.
- Leverage clinical risk stratification data to close patient care gaps and prevent avoidable emergency room visits and hospital readmissions.
- Collaborate with Accountable Care Organizations (ACOs), primary care physicians, and community health networks.
- Track patient engagement metrics, medication adherence, and closed-loop referrals for Social Determinants of Health (SDOH).
What We Are Looking For
- Active Registered Nurse (RN) license, Licensed Social Worker (LMSW), or Bachelor's in Public Health / Healthcare Administration.
- 3+ years in care coordination, population health, or case management within a healthcare system or Medicare Advantage health plan.
- Familiarity with NCQA standards, Medicare Advantage Star ratings, and value-based healthcare delivery models.
- Compassionate communication style and strong advocacy for patient health literacy and well-being.
Core Technologies & Methodologies
Population Health
Care Coordination
Chronic Disease Management
SDOH
Accountable Care (ACO)
Medicare Advantage
Value-Based Care
Why Build Your Career at Oakbridge?
Elite Toolsets
Direct architecture experience with Domo, Snowflake, Databricks, AWS, dbt, and modern LLM APIs.
Remote Autonomy
High-trust asynchronous collaboration, flexible hours, and healthy work-life integration.
Paid Certifications
100% funded Domo, Snowflake SnowPro, and AWS Solution Architect certifications.
Competitive Pay
Above-market salary tiers, performance bonuses, and dedicated modern hardware stipends.