Company Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Community Outreach Specialist (COS) plays a critical role in establishing Upward Health's presence in the community and reaching potential patients. As the first point of contact for individuals seeking our services, the COS is responsible for educating patients about Upward Health's offerings, engaging them in meaningful conversations, and facilitating their enrollment into our programs. The COS manages a personal caseload, primarily utilizing phone outreach, but also employing in-person visits and other community-based strategies as needed. This role is essential in ensuring that patients understand the full range of services available to them and helps them take the first steps toward improving their health. The COS reports to the Outreach Manager and works closely with other team members to ensure the overall success of patient outreach and engagement efforts.
Skills Required:
Strong verbal communication and persuasive abilitiesExcellent interpersonal skills with the ability to build trust and rapport quicklyStrong organizational and multitasking skills to manage a personal caseload efficientlySelf-motivated with the ability to work independently and meet outreach goalsComfortable with fast-paced environments and adapting outreach methods to various situationsProficient in using computer systems for documentation, communication, and managing outreach activitiesFlexible and adaptable to a variety of outreach methods, including phone, in-person meetings, and mailingsFluent in English; Spanish proficiency is a plusKey Behaviors:
Engagement:
Proactively builds relationships with potential patients, ensuring they feel informed and supported throughout their journey with Upward Health.Resilience:
Demonstrates the ability to overcome objections and challenges, staying motivated to engage patients even in difficult situations.Adaptability:
Flexibly adjusts outreach strategies based on the needs and preferences of patients, ensuring effective communication at all times.Team Collaboration:
Works well within a team, sharing knowledge, providing support, and contributing to the collective goals of the outreach program.Efficiency:
Effectively manages time to meet outreach goals, balancing a caseload and ensuring timely follow-ups with patients.Compassion:
Approaches patient interactions with empathy, ensuring each patient feels heard and understood.Cultural Competency:
Demonstrates respect for diverse backgrounds and works effectively with individuals from various cultural and socioeconomic backgrounds.
Competencies:
Communication:
Ability to clearly and persuasively communicate Upward Health's services and benefits to potential patients, making complex information easy to understand.Patient Engagement:
Skilled in enrolling patients into Upward Health's programs and ensuring they have a smooth onboarding experience.Customer-Centric:
Always focused on the needs of the patient, ensuring excellent service throughout the outreach process and helping patients access the right services.Problem Solving:
Capable of addressing patient concerns or objections during outreach efforts, ensuring positive outcomes and maintaining trust.Time Management:
Demonstrates excellent time management by balancing outreach activities, managing caseloads, and meeting set goals within a fast-paced environment.Data Management:
Attention to detail when documenting patient information, ensuring accuracy and timely updates in the company's systems.Community Knowledge:
Familiarity with local resources and the ability to connect patients to additional community-based services that may be beneficial to their care.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Nurse Care Manager is a field-based role responsible for care coordination of high-risk patients who require comprehensive care plans addressing chronic conditions. The Nurse Care Manager works with a multidisciplinary Care Team, collaborating to ensure optimal health outcomes for patients through personalized care plans, self-management, and disease prevention. This role focuses on chronic care management and care transitions, particularly for patients discharged from inpatient settings, and involves both in-person and telephonic outreach, medication reconciliation, and ensuring continuity of care across the healthcare ecosystem. The Nurse Care Manager acts as an advocate for patients and ensures the integration of services across providers, hospitals, and outpatient services.
Skills Required:
Registered nursing license (unrestricted)Expertise in care management and coordination across healthcare providersStrong communication skills for patient and caregiver educationAbility to conduct both in-home and telephonic assessments, care plans, and medication reconciliationsExperience with EHR systems and real-time documentationAbility to work independently and manage multiple patient casesCritical thinking and decision-making skills in developing care plansProficient in using digital tools for care coordination and communicationA valid driver's license and auto liability insuranceReliable transportation and the ability to travel within assigned territory or as neededCase management certification is a plus but not requiredKey Behaviors:
Patient-Centered Care:
Develops strong relationships with patients and caregivers, advocating for their needs and ensuring they understand and follow their care plans.Collaboration:
Works effectively with the multidisciplinary Care Team Pod to ensure seamless care across all providers and services.Proactive Communication:
Actively reaches out to patients and caregivers within 48 hours of discharge to ensure smooth transitions and minimize gaps in care.Advocacy and Education:
Provides clear, compassionate education to patients and families about treatment options and ensures patients are empowered to manage their health.Care Coordination:
Ensures that care is effectively coordinated across multiple providers, institutions, and services, particularly during transitions of care.Time Management:
Effectively manages patient caseloads, balancing multiple tasks while adhering to deadlines and care plans.Problem Solving:
Identifies potential gaps in care, resolves issues through collaboration with providers, and works to optimize patient outcomes.Confidentiality:
Maintains patient confidentiality and follows HIPAA regulations to ensure privacy in all interactions.Cultural Competence:
Demonstrates respect for diversity, ensuring culturally sensitive care that meets the needs of diverse patient populations.Competencies:
Clinical Expertise:
Strong knowledge of chronic disease management, care transitions, and evidence-based practices to develop and implement care plans.Effective Communication:
Skilled at delivering complex medical information clearly to patients, caregivers, and interdisciplinary teams.Care Plan Development:
Proficient in creating personalized care plans that address physical, behavioral, and social health needs.Technology Proficiency:
Ability to use electronic health records (EHR) and care management systems to document, track, and coordinate patient care.Outcome-Oriented:
Focused on achieving optimal clinical and financial outcomes for patients through effective care coordination and management.Independent and Team-Oriented:
Able to work independently in a remote environment while also collaborating effectively with a multidisciplinary team.Critical Thinking:
Uses clinical judgment to assess, analyze, and evaluate patient progress, adapting care plans as needed to achieve optimal results.Multitasking and Prioritization:
Manages multiple patient cases simultaneously while prioritizing tasks to meet deadlines and ensure comprehensive care.Patient Engagement:
Motivates patients to follow care plans and improve self-care skills through regular communication and support.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Community Outreach Specialist (COS) plays a critical role in establishing Upward Health's presence in the community and reaching potential patients. As the first point of contact for individuals seeking our services, the COS is responsible for educating patients about Upward Health's offerings, engaging them in meaningful conversations, and facilitating their enrollment into our programs. The COS manages a personal caseload, primarily utilizing phone outreach, but also employing in-person visits and other community-based strategies as needed. This role is essential in ensuring that patients understand the full range of services available to them and helps them take the first steps toward improving their health. The COS reports to the Outreach Manager and works closely with other team members to ensure the overall success of patient outreach and engagement efforts.
Skills Required:
Strong verbal communication and persuasive abilitiesExcellent interpersonal skills with the ability to build trust and rapport quicklyStrong organizational and multitasking skills to manage a personal caseload efficientlySelf-motivated with the ability to work independently and meet outreach goalsComfortable with fast-paced environments and adapting outreach methods to various situationsProficient in using computer systems for documentation, communication, and managing outreach activitiesFlexible and adaptable to a variety of outreach methods, including phone, in-person meetings, and mailingsFluent in English; Spanish proficiency is a plusKey Behaviors:
Engagement:
Proactively builds relationships with potential patients, ensuring they feel informed and supported throughout their journey with Upward Health.Resilience:
Demonstrates the ability to overcome objections and challenges, staying motivated to engage patients even in difficult situations.Adaptability:
Flexibly adjusts outreach strategies based on the needs and preferences of patients, ensuring effective communication at all times.Team Collaboration:
Works well within a team, sharing knowledge, providing support, and contributing to the collective goals of the outreach program.Efficiency:
Effectively manages time to meet outreach goals, balancing a caseload and ensuring timely follow-ups with patients.Compassion:
Approaches patient interactions with empathy, ensuring each patient feels heard and understood.Cultural Competency:
Demonstrates respect for diverse backgrounds and works effectively with individuals from various cultural and socioeconomic backgrounds.
Competencies:
Communication:
Ability to clearly and persuasively communicate Upward Health's services and benefits to potential patients, making complex information easy to understand.Patient Engagement:
Skilled in enrolling patients into Upward Health's programs and ensuring they have a smooth onboarding experience.Customer-Centric:
Always focused on the needs of the patient, ensuring excellent service throughout the outreach process and helping patients access the right services.Problem Solving:
Capable of addressing patient concerns or objections during outreach efforts, ensuring positive outcomes and maintaining trust.Time Management:
Demonstrates excellent time management by balancing outreach activities, managing caseloads, and meeting set goals within a fast-paced environment.Data Management:
Attention to detail when documenting patient information, ensuring accuracy and timely updates in the company's systems.Community Knowledge:
Familiarity with local resources and the ability to connect patients to additional community-based services that may be beneficial to their care.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Community Outreach Specialist (COS) plays a critical role in establishing Upward Health's presence in the community and reaching potential patients. As the first point of contact for individuals seeking our services, the COS is responsible for educating patients about Upward Health's offerings, engaging them in meaningful conversations, and facilitating their enrollment into our programs. The COS manages a personal caseload, primarily utilizing phone outreach, but also employing in-person visits and other community-based strategies as needed. This role is essential in ensuring that patients understand the full range of services available to them and helps them take the first steps toward improving their health. The COS reports to the Outreach Manager and works closely with other team members to ensure the overall success of patient outreach and engagement efforts.
Skills Required:
Strong verbal communication and persuasive abilitiesExcellent interpersonal skills with the ability to build trust and rapport quicklyStrong organizational and multitasking skills to manage a personal caseload efficientlySelf-motivated with the ability to work independently and meet outreach goalsComfortable with fast-paced environments and adapting outreach methods to various situationsProficient in using computer systems for documentation, communication, and managing outreach activitiesFlexible and adaptable to a variety of outreach methods, including phone, in-person meetings, and mailingsFluent in English; Spanish proficiency is a plusKey Behaviors:
Engagement:
Proactively builds relationships with potential patients, ensuring they feel informed and supported throughout their journey with Upward Health.Resilience:
Demonstrates the ability to overcome objections and challenges, staying motivated to engage patients even in difficult situations.Adaptability:
Flexibly adjusts outreach strategies based on the needs and preferences of patients, ensuring effective communication at all times.Team Collaboration:
Works well within a team, sharing knowledge, providing support, and contributing to the collective goals of the outreach program.Efficiency:
Effectively manages time to meet outreach goals, balancing a caseload and ensuring timely follow-ups with patients.Compassion:
Approaches patient interactions with empathy, ensuring each patient feels heard and understood.Cultural Competency:
Demonstrates respect for diverse backgrounds and works effectively with individuals from various cultural and socioeconomic backgrounds.
Competencies:
Communication:
Ability to clearly and persuasively communicate Upward Health's services and benefits to potential patients, making complex information easy to understand.Patient Engagement:
Skilled in enrolling patients into Upward Health's programs and ensuring they have a smooth onboarding experience.Customer-Centric:
Always focused on the needs of the patient, ensuring excellent service throughout the outreach process and helping patients access the right services.Problem Solving:
Capable of addressing patient concerns or objections during outreach efforts, ensuring positive outcomes and maintaining trust.Time Management:
Demonstrates excellent time management by balancing outreach activities, managing caseloads, and meeting set goals within a fast-paced environment.Data Management:
Attention to detail when documenting patient information, ensuring accuracy and timely updates in the company's systems.Community Knowledge:
Familiarity with local resources and the ability to connect patients to additional community-based services that may be beneficial to their care.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Community Outreach Specialist (COS) plays a critical role in establishing Upward Health's presence in the community and reaching potential patients. As the first point of contact for individuals seeking our services, the COS is responsible for educating patients about Upward Health's offerings, engaging them in meaningful conversations, and facilitating their enrollment into our programs. The COS manages a personal caseload, primarily utilizing phone outreach, but also employing in-person visits and other community-based strategies as needed. This role is essential in ensuring that patients understand the full range of services available to them and helps them take the first steps toward improving their health. The COS reports to the Outreach Manager and works closely with other team members to ensure the overall success of patient outreach and engagement efforts.
Skills Required:
Strong verbal communication and persuasive abilitiesExcellent interpersonal skills with the ability to build trust and rapport quicklyStrong organizational and multitasking skills to manage a personal caseload efficientlySelf-motivated with the ability to work independently and meet outreach goalsComfortable with fast-paced environments and adapting outreach methods to various situationsProficient in using computer systems for documentation, communication, and managing outreach activitiesFlexible and adaptable to a variety of outreach methods, including phone, in-person meetings, and mailingsFluent in English; Spanish proficiency is a plusKey Behaviors:
Engagement:
Proactively builds relationships with potential patients, ensuring they feel informed and supported throughout their journey with Upward Health.Resilience:
Demonstrates the ability to overcome objections and challenges, staying motivated to engage patients even in difficult situations.Adaptability:
Flexibly adjusts outreach strategies based on the needs and preferences of patients, ensuring effective communication at all times.Team Collaboration:
Works well within a team, sharing knowledge, providing support, and contributing to the collective goals of the outreach program.Efficiency:
Effectively manages time to meet outreach goals, balancing a caseload and ensuring timely follow-ups with patients.Compassion:
Approaches patient interactions with empathy, ensuring each patient feels heard and understood.Cultural Competency:
Demonstrates respect for diverse backgrounds and works effectively with individuals from various cultural and socioeconomic backgrounds.
Competencies:
Communication:
Ability to clearly and persuasively communicate Upward Health's services and benefits to potential patients, making complex information easy to understand.Patient Engagement:
Skilled in enrolling patients into Upward Health's programs and ensuring they have a smooth onboarding experience.Customer-Centric:
Always focused on the needs of the patient, ensuring excellent service throughout the outreach process and helping patients access the right services.Problem Solving:
Capable of addressing patient concerns or objections during outreach efforts, ensuring positive outcomes and maintaining trust.Time Management:
Demonstrates excellent time management by balancing outreach activities, managing caseloads, and meeting set goals within a fast-paced environment.Data Management:
Attention to detail when documenting patient information, ensuring accuracy and timely updates in the company's systems.Community Knowledge:
Familiarity with local resources and the ability to connect patients to additional community-based services that may be beneficial to their care.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Community Outreach Specialist (COS) plays a critical role in establishing Upward Health's presence in the community and reaching potential patients. As the first point of contact for individuals seeking our services, the COS is responsible for educating patients about Upward Health's offerings, engaging them in meaningful conversations, and facilitating their enrollment into our programs. The COS manages a personal caseload, primarily utilizing phone outreach, but also employing in-person visits and other community-based strategies as needed. This role is essential in ensuring that patients understand the full range of services available to them and helps them take the first steps toward improving their health. The COS reports to the Outreach Manager and works closely with other team members to ensure the overall success of patient outreach and engagement efforts.
Skills Required:
Strong verbal communication and persuasive abilitiesExcellent interpersonal skills with the ability to build trust and rapport quicklyStrong organizational and multitasking skills to manage a personal caseload efficientlySelf-motivated with the ability to work independently and meet outreach goalsComfortable with fast-paced environments and adapting outreach methods to various situationsProficient in using computer systems for documentation, communication, and managing outreach activitiesFlexible and adaptable to a variety of outreach methods, including phone, in-person meetings, and mailingsFluent in English; Spanish proficiency is a plusKey Behaviors:
Engagement:
Proactively builds relationships with potential patients, ensuring they feel informed and supported throughout their journey with Upward Health.Resilience:
Demonstrates the ability to overcome objections and challenges, staying motivated to engage patients even in difficult situations.Adaptability:
Flexibly adjusts outreach strategies based on the needs and preferences of patients, ensuring effective communication at all times.Team Collaboration:
Works well within a team, sharing knowledge, providing support, and contributing to the collective goals of the outreach program.Efficiency:
Effectively manages time to meet outreach goals, balancing a caseload and ensuring timely follow-ups with patients.Compassion:
Approaches patient interactions with empathy, ensuring each patient feels heard and understood.Cultural Competency:
Demonstrates respect for diverse backgrounds and works effectively with individuals from various cultural and socioeconomic backgrounds.
Competencies:
Communication:
Ability to clearly and persuasively communicate Upward Health's services and benefits to potential patients, making complex information easy to understand.Patient Engagement:
Skilled in enrolling patients into Upward Health's programs and ensuring they have a smooth onboarding experience.Customer-Centric:
Always focused on the needs of the patient, ensuring excellent service throughout the outreach process and helping patients access the right services.Problem Solving:
Capable of addressing patient concerns or objections during outreach efforts, ensuring positive outcomes and maintaining trust.Time Management:
Demonstrates excellent time management by balancing outreach activities, managing caseloads, and meeting set goals within a fast-paced environment.Data Management:
Attention to detail when documenting patient information, ensuring accuracy and timely updates in the company's systems.Community Knowledge:
Familiarity with local resources and the ability to connect patients to additional community-based services that may be beneficial to their care.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Licensed Clinical Social Worker (LCSW) at Upward Health plays a crucial role in assessing and addressing the psychosocial needs of patients. As a member of the interdisciplinary care team (IDT), the LCSW collaborates with team members to develop comprehensive care plans that address both the medical and emotional well-being of patients. This position involves applying behavioral intervention techniques such as Motivational Interviewing, trauma-informed care, and person-first thinking. The LCSW also works to connect patients and their families to community resources, facilitates transitions of care, provides short-term, risk-focused care management, and intervenes during crises when necessary. This role ensures that patients receive comprehensive care while promoting patient self-management and autonomy.
Skills Required:
Licensed Clinical Social Worker (LCSW) with all state certification and licensing requirements met.Minimum of three (3) years of social work experience, with at least two (2) years in a healthcare setting (e.g., physician's office, PCMH, hospital, clinic, home care, or nursing home).Knowledge of Medicaid and Medicare, as well as managed care organizations.Strong communication skills, both oral and written, with the ability to collaborate effectively with multidisciplinary teams.Experience in home care or field case management is preferred.Working knowledge of local and state resources to support patient needs.Ability to assess and address Social Determinants of Health (SDOH).Ability to manage patient crises and provide focused care interventions.Valid state driver's license and access to an automobile.Bilingual in English and Spanish is preferred.Key Behaviors:
Collaboration:
Works closely with interdisciplinary team members to integrate behavioral health considerations into patient care.Empathy:
Demonstrates understanding and compassion when interacting with patients and their families, fostering positive therapeutic relationships.Accountability:
Takes ownership of care delivery, ensuring adherence to clinical guidelines and policies.Adaptability:
Adjusts approaches to care as needed, responding to the dynamic healthcare needs of patients.Initiative:
Identifies innovative solutions to patient needs across both healthcare and psychosocial dimensions.Leadership:
Guides the care team in applying best practices in behavioral health interventions and ensuring effective care coordination.Competencies:
Clinical Expertise:
Proficient in behavioral health intervention techniques, including Motivational Interviewing, trauma-based care, and other person-centered approaches.Community Engagement:
Strong ability to navigate and connect patients with local community resources and services.Communication:
Excellent verbal and written communication skills, with the ability to clearly communicate complex health and social information to patients and team members.Crisis Intervention:
Demonstrates the ability to intervene in patient crises, offering immediate and appropriate solutions.Patient-Centered Care:
Promotes self-management and patient autonomy while ensuring that care plans align with patient values and goals.Documentation:
Maintains accurate and timely patient records, adhering to all regulatory and company standards.Problem-Solving:
Effectively identifies and addresses barriers to care, proactively finding solutions to improve patient outcomes.Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read LessCompany Overview:
Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health!
Job Title & Role Description:
The Medical Economics Analyst will be a key member of the finance and analytics team, supporting the organization's value-based care strategy through data-driven insight. This role will analyze medical claims, utilization trends, and financial performance to help quantify the impact of clinical programs and inform contract strategy with payers and partners.
This is an excellent opportunity for a detail-oriented and driven professional with a passion for healthcare and strong analytical skills to grow within a dynamic and mission-driven organization.
Responsibilities:
Analyze total cost of care (TCOC), utilization, and quality trends across Upward Health populationsSupport financial impact modeling for value-based initiatives, including ER diversion, home-based care, and chronic care managementIdentify cost drivers and areas of opportunity using claims, clinical, and operational dataDevelop methodologies to assess return on investment (ROI) of clinical interventionsPartner with clinical, finance, and contracting teams to inform payor negotiations and risk adjustment strategyProduce recurring dashboards and ad hoc analyses for senior leadership, clinical leadership, and health plan partnersSupport budgeting and forecasting for risk-based contractsCollaborate with actuaries and population health teams to refine attribution, benchmarks, and risk scoresSkills Required:
Technical Proficiency:Advanced Excel and SQL skills required.Proficiency in data visualization tools such as Tableau, Power BI, or QlikView.Experience with statistical tools such as SAS, R, or Python preferred.Data Analysis:Strong knowledge of healthcare claims data (medical, pharmacy, eligibility).Ability to conduct cost/utilization analysis, trend analysis, and predictive modeling.Experience working with Medicare Advantage, Medicaid Managed Care, or Dual Eligible populations.Familiarity with CMS HCC risk adjustment models and RAF score analysisExposure to actuarial methods, including trend normalization or IBNR estimation.Communication:Ability to translate complex data into actionable insights.Strong written and verbal communication skills for presenting to stakeholders.Project Management:Experience managing multiple priorities and meeting deadlines in a fast-paced environment.Key Behaviors:
Analytical RigorDemonstrates strong critical thinking and problem-solving skills.Uses data to drive decisions and remains objective when interpreting findings.Attention to DetailEnsures accuracy in data analysis, coding, and reporting.CollaborationWorks effectively with cross-functional teams including finance, clinical, IT, and operations.InitiativeProactively identifies opportunities for improvement or cost containment.AdaptabilityComfortable working in a fast-paced and changing healthcare environment.Integrity and ConfidentialityMaintains high ethical standards, especially when dealing with sensitive patient and financial data.Business Acumen:Understanding of managed care, value-based care, and healthcare reimbursement models.
Competencies:
Healthcare Industry Knowledge: Solid understanding of the healthcare ecosystem, including payers, providers, and regulatory frameworks.Quantitative Analysis: Expertise in statistical and financial analysis, particularly related to healthcare cost and utilization.Problem Solving: Ability to identify root causes of complex issues and recommend practical solutions.Data Management: Skilled in extracting, cleaning, and structuring large datasets from multiple sources.Strategic Insight: Capable of connecting analysis to business goals and influencing organizational strategy.
Qualifications
Bachelor's degree in economics, public health, healthcare administration, finance, statistics, or a related field; Master's preferred (MPH, MHA, MS, MBA)2+ years of experience in medical economics, healthcare analytics, or population health analysis; provider-side experience strongly preferredProficiency with healthcare claims data and common file formats (837, 835, encounter data)Skilled in SQL, Excel, and at least one analytics tool (e.g., Tableau, Power BI, R, or Python)Understanding of value-based payment models, including shared savings, capitation, and risk adjustmentStrong business acumen with the ability to present complex data clearly and actionablyAbility to thrive in a fast-paced, mission-driven organization
Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.
Upward Health Benefits
Upward Health Core Values
Upward Health YouTube Channel
Read Less