In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Field Case Manager (RN)

Position Summary:

Provides in-home assessments, telephonic care, and case management to Medicare members as part of a multidisciplinary care team. Offers members health and disease education and empowers them to participate in their care. Assesses clinical and social needs, collaborates with care team, provides timely skilled nursing in the home as needed.

Job Description:

Primary Responsibilities

• Works cross-functionally with providers and a multi-disciplinary care team. Collaborates with the care team and is the first level of licensed escalation to provide quality services to the patient.
• Fosters relationships & establishes trust with patients, family members, and care teams.
• Answers clinical questions through phone calls. Makes outbound calls to assess and triage member's current health status.
• Uses best practices to resolve patient needs as appropriate or to prep message for provider that contains all necessary information.
• Conducts in-home assessments of functional abilities and environmental needs. Administers medications and treatments prescribed by physicians (e.g., blood draws, IC antibiotics, IV fluids, wound care, etc.).
• Provides patient education to assist with self-management. Educates members on disease processes, and encourages members to make healthy lifestyle changes.
• Documents and tracks findings in a computerized system.
• Reviews member care plans and collaborates with providers to ensure there are no gaps in care.
• Identifies gaps or barriers in treatment plans.
• Coordinates care for members including services such as home health and Durable Medical Equipment (DME), as needed.
• Recommends referrals to outside sources. Connects members to community resources.
• Provides consultation on member medications and DME. 
• Collaborates with members, providers, and care givers to ensure positive care outcomes during care transitions. Serves as liaison for patients between health plans, government & community programs, providers, and family.
• Ensures that discharged members receive the necessary services and resources, including medication reconciliation.
• Partners with medical management team members in development of new programs.

Qualifications

• Current licensure in good standing as a registered nurse in the state of Oklahoma and eligibility for licensure in other states
• 5+ years of relevant experience or the knowledge, skill, or ability to succeed in the role 
• Solid computer skills with the ability to type and talk simultaneously
• Excellent interpersonal and customer service skills, including telephone etiquette
• Ability to multi-task, prioritize, and adapt to a changing environment
• Must take and pass case management certification (CCM) within 2 years of hire, and maintain CCM certification during employment
• Travel greater than 50% of the time to member homes for in-home assessments

Preferred:

• 2+ years’ experience in a hospital or home health case management setting

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$72,800.00-$97,400.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Yes- Member Facing Position

Location:

Oklahoma

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

RN Field Case Manager

Position Summary:

Provides in-home assessments, telephonic care, and case management to Medicare members as part of a multidisciplinary care team. Offers members health and disease education and empowers them to participate in their care. Assesses clinical and social needs, collaborates with care team, provides timely skilled nursing in the home as needed.

Job Description:

Primary Responsibilities

• Works cross-functionally with providers and a multi-disciplinary care team. Collaborates with the care team and is the first level of licensed escalation to provide quality services to the patient.
• Fosters relationships & establishes trust with patients, family members, and care teams.
• Answers clinical questions through phone calls. Makes outbound calls to assess and triage member's current health status.
• Uses best practices to resolve patient needs as appropriate or to prep message for provider that contains all necessary information.
• Conducts in-home assessments of functional abilities and environmental needs. Administers medications and treatments prescribed by physicians (e.g., blood draws, IC antibiotics, IV fluids, wound care, etc.).
• Provides patient education to assist with self-management. Educates members on disease processes, and encourages members to make healthy lifestyle changes.
• Documents and tracks findings in a computerized system.
• Reviews member care plans and collaborates with providers to ensure there are no gaps in care.
• Identifies gaps or barriers in treatment plans.
• Coordinates care for members including services such as home health and Durable Medical Equipment (DME), as needed.
• Recommends referrals to outside sources. Connects members to community resources.
• Provides consultation on member medications and DME. 
• Collaborates with members, providers, and care givers to ensure positive care outcomes during care transitions. Serves as liaison for patients between health plans, government & community programs, providers, and family.
• Ensures that discharged members receive the necessary services and resources, including medication reconciliation.
• Partners with medical management team members in development of new programs.

Qualifications

• Current licensure in good standing as a registered nurse in the state of Missouri and Illinois and eligibility for licensure in other states
• 5+ years of relevant experience or the knowledge, skill, or ability to succeed in the role 
• Solid computer skills with the ability to type and talk simultaneously
• Excellent interpersonal and customer service skills, including telephone etiquette
• Ability to multi-task, prioritize, and adapt to a changing environment
• Must take and pass case management certification (CCM) within 2 years of hire, and maintain CCM certification during employment
• Travel greater than 50% of the time to member homes for in-home assessments

Preferred:

• 2+ years’ experience in a hospital or home health case management setting

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$72,800.00-$97,400.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Yes- Member Facing Position

Location:

Illinois, Missouri, St. Louis, MO

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Community Health Worker

Position Summary:

Responsible for helping patients and their families to navigate and access community services, other resources, and adopt healthy behaviors. Supports providers and Case Managers through an integrated approach to care management and community outreach. Responsible for will promoting, maintaining, and improving the health of patients and their family. Provides in-person, telephonic, and virtual support, advocates for individuals and community health needs, and provides services such as basic first aid and blood pressure screenings. Identifies and addresses concerns and patient needs and escalates unresolved matters through defined procedures.

Job Description:

Primary Responsibilities

• Establishes trusting relationships with patients and their families while providing general support and encouragement.
• Provides ongoing follow-up, basic motivational interviewing, and goal setting with patients/families. 
• Helps patients connect with transportation resources and provides appointment reminders in special circumstances. 
• Maintains knowledge about community resources appropriate to needs of patients/families.
• Provides consistent communication to the Case Manager to evaluate patient/family status, ensuring that provided information and reports clearly describe progress. 
• Acts as a patient advocate and liaison between the patient/family and community service agencies. 
• Reinforces education that has been provided by the licensed staff. 
• Provides health care and support to members/patients. Obtains vital signs, assists with ambulation, and confirms medication lists. 
• Assists patient/family with scheduling appointments with Lumeris providers/staff, as well as other providers (i.e., PCP, specialists); and coordination of durable medical equipment (DME) and supplies. 
• Assists with the Acute/Post Acute follow up as instructed. Completes pre-discharge calls or discharge reminder calls according to outlined processes. 
• May be asked to drive to a member’s home for wellness checks or locate if unable to reach telephonically. 

Qualifications

• Bachelor's degree in healthcare related field, LPN, or equivalent
• 3+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
• Firm interpersonal, critical thinking, and problem-solving skills, including the ability to interpret, conceptualize, and disseminate data/information in a readily understandable manner
• Good communication and presentation skills, both written and verbal, with the ability to effectively communicate with individuals at all levels internally and externally
• Effective time-management and project management skills, including the ability to plan, interpret moderately complex processes/programs, resolve and/or escalate issues in a timely fashion and ensure adherence to timelines
• Ability to collaborate as a member of an interdisciplinary team
• Excellent interpersonal and customer service skills, including telephone etiquette
• Proficiency using computer systems
• Ability to be flexible and adaptive to a changing environment
• Must have own reliable transportation for travel to/from members’ homes and the office as required

Working Conditions

• Ability to provide care to patients in their homes, both in person and virtually.
• 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.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$49,200.00-$63,000.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Yes- Member Facing Position

Location:

Oklahoma

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Community Health Worker 2

Position Summary:

Responsible for engaging patients to schedule, coordinate and optimize in-home and virtual health assessments. Supports outreach efforts to improve population health management, including cost, quality, access, network optimization, and general principles of documentation and coding. Supports and impacts the success of the program by engaging patients to promote adoption of health assessments.

Job Description:

Primary Responsibilities

• Completes outreach to patients telephonically to engage, promote, and schedule house calls visits, either in the home, in-office or virtual appointments.  
• Maintains targeted call averages and other key metrics that ensure program success and volume goals are met.
• Provides patient education on purpose of the assessment, benefits and available services and screenings.
• Assists patient/family with scheduling appointments with appropriate providers/staff; and coordination of durable medical equipment (DME) and supplies. 
• Follows established protocols. Escalates urgent and/or life-threatening concerns appropriately. 
• Leverages engagement and other soft skills to ensure patient satisfaction. 
• Connects patients to appropriate resources based on identified needs, such as Case Management or Customer Service.
• Understands market practices and collaborates to achieve population health initiatives.
• Performs other duties as assigned.

Qualifications

• Associate’s in healthcare related field, LPN, or equivalent with advanced training
• 1+ years of healthcare experience (i.e., health coach, medical assistant, practice-based role, patient navigation, etc.) or the knowledge, skills, and abilities to succeed in the role
• Ability to operate in a fast-paced and dynamic environment
• Effective communication skills with the ability to interact with multi-disciplinary teams and patients
• Good time-management and project management skills, including the ability to plan, interpret basic processes/programs, escalate issues in a timely fashion, and ensure adherence to timelines
• Strong organization and customer service skills, detail-oriented, and ability to consistently meet and track timelines and goals

​

Working Conditions

• Ability to provide care to patients in their homes, both in person and virtually.
• 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.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$39,000.00-$48,150.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

No- Not Member Facing Position

Location:

Oklahoma

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Sr. Technical Accounting Manager - Remote Nationwide

Position Summary:

Responsible for providing subject matter expertise in interpreting, preparing, and implementing accounting policies and procedures aligned with industry standards and regulations for the accounting team. Monitors and reviews financial data for quality assurance while conducting regular audits to identify trends, data integrity, and process and system improvements. Assists with the overall success of accounting close and all relevant reporting, including GAAP and statutory reporting.

Job Description:

Primary Responsibilities

• Responsible for the identification, maintenance, and communication of all current and upcoming accounting pronouncements as it relates to the company’s financial statements.
• Interprets, recommends, and implements new reporting amendments and standards.
• Provides support and training to accounting team members before implementation of new standards, policies, and regulations.
• Oversees extensive account research and reviews on various balance sheets and accounts.
• Oversees the preparation of monthly, quarterly, & annual external reporting requirements.
• Meaningfully contributes to the development of products and transactions where accounting that are new or unique to the organization.
• Provides highly advanced consultative support to accounting and finance on a variety of technical accounting questions, projects, and reviews.
• Maintains and add improvements to company policy documentations and procedures to enhance the overall quality of financial reconciliation and reporting.
• Implements and oversees a review process of accounting policies and procedures.
• Prepares technical accounting papers for review by the finance leaders and auditing committee and external auditors.
• Researches and educates on a variety of technical accounting concepts.
• Accountable for the review of revenue contracts to ensure appropriate revenue recognition accounting.
• Promotes consistency in the treatment of accounting transactions across the organization.
• Establishes processes to maintain documentation on unique transactions.
• Enhances and develops process and system improvements, as well as reporting tools.
• Guides and owns cross-functional projects.

Qualifications

• Bachelor's degree in Finance/Accounting or equivalent
• 12+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
• Proficient computer skills (Microsoft Office programs and Excel) with the ability to learn, understand, and apply new technologies  
• Comprehensive knowledge of Generally Accepted Accounting Principles
• Expert skills in accounting processes, procedures, and controls
• Highly skilled at collaborating and working with cross-functional departments to research and resolve issues
• Excellent researching, problem-solving, and critical thinking skills with the proven ability to identify, develop, communicate, implement, and impact process improvements and strategic initiatives
• Strong verbal and written communication skills
• Polished time-management and project management skills, including the ability to plan proactively, interpret complex processes/programs, develop realistic goals/metrics, resolve and/or escalate issues in a timely fashion and ensure adherence to timelines
• Distinguished ability to impact results, delegate clearly and effectively, and respond to changing demands/timelines
• Proven ability to impact or support implementing process improvements and strategic initiatives
• Required to pass a credit check
• Public accounting experience and CPA certification strongly preferred

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

#LI-REMOTE

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$113,800.00-$154,525.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

No- Not Member Facing Position

Location:

Remote, USA

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Sales Support Coordinator

Position Summary:

The Sales Event Coordinator will be responsible for setting up sales events and ensuring strict compliance with CMS and MIPPA regulations. The position will encompass a wide range of skills, including helping to close a sale and the ability to host a meeting, if needed. Organizational skills, computer skills (Microsoft office 2007 applications) and people skills are a must. This position will require a State Insurance License, which Essence will provide.

Job Description:

Primary Responsibilities

• Complete understanding of CMS guidelines and Essence MAPD product.
• Planning events and coordinating with the locations to set up events.
• Assigned sales reps to events.
• Adding locations and individual events to MedicareCRM.
• Coordinating Events with Broker Groups / Adding to MCRM.
• Upload Events to CMS.
• Handles all edits and cancelations of meetings within MCRM system and upload changes to CMS.
• Places reminders to sales agents and brokers and locations about meetings.
• Sets up meetings (requires lifting, carting of heavy boxes).
• Handles attendance/MIPPA compliance forms before meeting starts.
• (Able to present in emergency situations).
• Mans information table or mingles with attendees after meeting, helps close sales/meetings (brining in average of 3 extra applications per meeting).
• Helping update meetings in MCRM system if needed.
• Other data entry as needed.
• Summer - Help Corporate Office pull compliance data for an audit.
• Summer - Possibly Help with Welcome calls.
• Summer - (TBA: Selling or other Event Types as needed).

Qualifications

• 1+ years of experience.
• Bachelor's degree.
• Must be able to obtain MO state insurance license.
• Strong presentation and communication skills required.
• Excellent MS Office skills required

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$49,200.00-$63,000.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Yes- Member Facing Position

Location:

Illinois

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Nurse Practitioner/Physician Assistant, Oklahoma City

Position Summary:

Responsible for providing exceptional care to patients in the comfort of their homes, both in person and virtually and to partnering with other value-based care team members. Plays a vital role in improving patient outcomes and ensuring continuity of care. In addition to delivering quality medical services, this role fosters a collaborative and patient-centered approach.

Job Description:

Primary Responsibilities

Oklahoma City travel

• Delivers care to value-based patients.
• Impacts value-based care initiatives, including effective utilization of data and analytics to improve patient outcomes. 
• Delivers comprehensive medical care to complex patients with multiple chronic diseases in the home setting and virtually, conducting thorough assessments, diagnosing illnesses, and developing an individualized plan of care.
• Visits patients' place of residence to conduct physical examinations, order and interpret diagnostic tests, prescribe medications, and perform necessary procedures.
• Utilizes telemedicine technology to conduct consultations, manage chronic conditions, acute changes, and provide follow-up care.
• Collaborates with a clinical care team under the supervision of a Medical Director or Physician Leader, ensuring effective communication among team members and delivery of compassionate patient care that results in improved clinical outcomes and quality of care.
• Provides patients and their caregivers with appropriate education and counseling on health-related topics, disease prevention, and lifestyle modifications to promote improved patient experience and outcomes.
• Documents patient encounters, assessments, and treatment plans in an electronic health record (EHR) system, ensuring accuracy and compliance with established protocols and privacy regulations.
• Manages improvement in health plan and system quality metrics and initiatives for high-risk patients, conducting clinical audits and staying up to date with best practices and medical advancements in clinical care.
• Engages in ongoing professional development activities such as attending conferences, CMEs, seminars, and workshops to enhance medical knowledge and proficiency.
• Establishes and maintains high standards of quality services including clinical practice standards.

Qualifications

• Advanced degree, Nurse Practitioner (NP) or Physician Assistant (PA), from an accredited institution, current national certification, and licensed to practice by the state of the designated work location
• Prescriptive authority and other privileges for advanced tasks, as required by the state of the designated work location
• Strong clinical skills and ability to manage a wide range of patient conditions and comorbidities
• Excellent communication skills, both verbal and written, with the ability to explain complex medical information in a clear and understandable manner
• Proficiency in using electronic health record systems and other relevant technologies.
• Ability to be committed to patient-centered care, quality improvement, and staying abreast of medical advancements, and best practices
• Ability to be flexible and adapt to changing patient needs and healthcare delivery models

Preferred: 

• 5+ years of direct patient care experience
• Previous experience in value-based care 
• Previous experience in home-based care
• Previous experience in Medicare 
• Previous experience in high functioning team-based care delivery models

Working Conditions

• Ability to provide care to patients in their homes, both in person and virtually.
• 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.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$113,800.00-$154,525.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

No- Not Member Facing Position

Location:

Oklahoma

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Physician, Chicago IL

Position Summary:

Provides exceptional care to patients in the comfort of their homes, both in person and virtually and oversees a value-based care team. Plays a vital role in improving patient outcomes and ensuring continuity of care. In addition to delivering quality medical services, oversees a clinical care team, fostering a collaborative and patient-centered approach.

Job Description:

Primary Responsibilities

High Risk Patient Solutions.

local travel Chicago, IL

• Oversees, coaches, mentors, motivates, supports, and develops a team. May oversee goal setting/review, regular guidance and 1-1 check ins, career development/planning, upskilling, resource allocation, staffing, budget creation/management, succession planning, DE&I initiatives, and other People & Culture programs/activities as needed.  Fosters accountability, collaboration, and innovation to ensure goals are met.
• Guides value-based care initiatives, including effective utilization of data and analytics to improve patient outcomes.
• Delivers Comprehensive Care by providing highly complex chronic and acute medical care to patients in the home setting and virtually, conducting thorough assessments, diagnosing illnesses, and developing an individualized plan of care.
• Visits patients' place of residence to conduct physical examinations, orders and interprets diagnostic tests, prescribes medications, and performs necessary procedures.
• Utilizes telemedicine technology to conduct consultations, manage chronic conditions, acute changes, and provide follow-up care.
• Guides a clinical care team, ensuring effective communication and collaboration among team members to deliver compassionate patient care that results in improved clinical outcomes and quality of care.
• Provides patients and their caregivers with appropriate education and counseling on health-related topics, disease prevention, and lifestyle modifications to promote improved patient experience and outcomes.
• Documents patient encounters, assessments, and treatment plans in an electronic health record system, ensuring compliance with established protocols and privacy regulations.
• Oversees improvement in health plan and system quality metrics and initiatives for high-risk patients, conducts clinical audits, and stays up to date with best practices and medical advancements in clinical care.
• Engages in ongoing professional development activities such as attending conferences, CMEs, seminars, and workshops to enhance medical knowledge and proficiency.
• Establishes and maintain high standards of quality services including clinical practice standards.

Qualifications

• Medical degree from an accredited institution and current board certification in Internal Medicine or Family Medicine
• Valid state medical license and appropriate certifications to practice medicine and no restrictions for obtaining license in varied states
• Strong clinical skills and ability to manage a wide range of patient conditions and comorbidities
• Excellent communication skills, both verbal and written, with the ability to explain complex medical information in a clear and understandable manner
• Demonstrated leadership abilities, including the ability to guide and motivate a clinical care team
• Proficiency in using electronic health record systems and other relevant technologies
• Demonstrated commitment to patient-centered care, quality improvement, and staying abreast of medical advancements and best practices
• Ability to be flexible and adapt to changing patient needs and healthcare delivery models

Preferred: 

• 5+ years of direct patient care experience
• Previous experience in value-based care 
• Previous experience in home-based care
• Previous experience in Medicare 
• Previous experience in high functioning team-based care delivery models
   

Working Conditions

• Ability to provide care to patients in their homes, both in person and virtually.
• 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.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

No- Not Member Facing Position

Location:

Illinois

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Sr. Market Strategy Director

Position Summary:

Responsible for meaningfully impacting the growth of the organization by supporting strategic partnership activities with health system and provider group organizations. Is established or can quickly establish themselves as an industry expert and key partner on the growth team, able to represent Lumeris and Lumeris’ comprehensive value-based solutions with healthcare delivery organizations, ad hoc, at industry events, and within key industry circles. Responsible for developing and fostering large channels across a national geography. Impacts how healthcare is being delivered in the United States while working with top healthcare delivery organizations to establish strategic direction as the convergence between healthcare payers and providers continues.

Job Description:

Primary Responsibilities

• Takes ownership for the expansion of development activities (e.g., industry events, key channel partnerships, in-market events) improving lead development and opportunity qualification while serving as the trusted, consultative advisor to the external organization and internal Lumeris team through partnership establishment.
• Maintains a reputation as a thought leader and an influencing voice in the ongoing evolution of healthcare in the United States.
• Nurtures strong prospective client relationships and establishes executive credibility with members of both client and internal leadership teams.
• Partners to develop and guide tip-of-the-spear development activities impacting solution positioning and execution to achieve growth goals and sales funnel development.
• Engages with healthcare decision-makers to develop relationships with large integrated delivery networks (IDNs), hospital systems, payer organizations, and physician practice groups.
• Guides discovery dialogue with prospective client executive teams to understand business priorities, and in a consultative manner, relate Lumeris solutions to the client needs.
• Develops and fosters development channels by establishing and maintaining relationships with key influencers whether that be consultants, industry leaders or anyone else that has access to the C-Suite of Lumeris potential partner.
• Guides internal collaboration in tandem with members of the executive team on key accounts to help close and win new business.
• Motivates project-based teams to achieve personal and organization goals working closely with growth support functions across the internal organization.
• Works closely with executives on product positioning, industry research, market strategy, and annual strategic planning.
• Sustain a comprehensive understanding of Lumeris solutions, including the process, methodology technology and services we provide and display a deep understanding as to how they create an impact on outcomes and partner organizations key results.
• Maintains a comprehensive understanding of the healthcare marketplace applicable to Lumeris.
• Participates and/or presents in relevant industry conferences and associations.
• Executes targeted growth development campaigns around specific functionalities, services, and/or product enhancements.
• Travel to industry events, prospect organizations, and clients to meet key contacts and present solutions, facilitate meetings to grow the qualified partnership pipeline.

Qualifications

• Bachelor’s Degree in a related field or equivalent
• 12+ years of relevant experience or the knowledge, skills, and abilities to succeed in the role
• Advanced knowledge of sales ethics and best practices with experience in a structured/regulated sales organization
• Excellent market development skills with an existing network and established presence within the provider community
• Extensive experience operating, developing solutions, or selling consulting solutions or enterprise applications to hospital systems, payers, and other entities in the healthcare industry
• Highly skilled in solution-based strategic selling within provider organizations or payers
• Strong healthcare system acumen (delivery, reimbursement, and managed care)
• Strong communication, presentation, and negotiation skills
• Ability to travel up to 50%
• Healthcare experience and a deep understanding of healthcare strategy, population health, managed care, accountable care organizations (ACOs), and value-based contracting including the movement of risk to provider organizations and the operating capabilities required for success in risk-based models
• Extensive knowledge within the hospital, physician, and payer ecosystem
• Proven ability to identify, qualify, and establish deep relationships to support the development of Lumeris’ high growth business

Preferred

• Master's degree in related field (Health Administration, Business, Finance, Marketing, Economics, etc.)

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$153,800.00-$210,650.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

No- Not Member Facing Position

Location:

Remote, USA

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Nurse Practitioner/Physician Assistant-Chicago, IL

Position Summary:

Responsible for providing exceptional care to patients in the comfort of their homes, both in person and virtually and to partnering with other value-based care team members. Plays a vital role in improving patient outcomes and ensuring continuity of care. In addition to delivering quality medical services, this role fosters a collaborative and patient-centered approach.

Job Description:

Primary Responsibilities

Travel to homes-Chicago, IL

• Delivers care to value-based patients.
• Impacts value-based care initiatives, including effective utilization of data and analytics to improve patient outcomes. 
• Delivers comprehensive medical care to complex patients with multiple chronic diseases in the home setting and virtually, conducting thorough assessments, diagnosing illnesses, and developing an individualized plan of care.
• Visits patients' place of residence to conduct physical examinations, order and interpret diagnostic tests, prescribe medications, and perform necessary procedures.
• Utilizes telemedicine technology to conduct consultations, manage chronic conditions, acute changes, and provide follow-up care.
• Collaborates with a clinical care team under the supervision of a Medical Director or Physician Leader, ensuring effective communication among team members and delivery of compassionate patient care that results in improved clinical outcomes and quality of care.
• Provides patients and their caregivers with appropriate education and counseling on health-related topics, disease prevention, and lifestyle modifications to promote improved patient experience and outcomes.
• Documents patient encounters, assessments, and treatment plans in an electronic health record (EHR) system, ensuring accuracy and compliance with established protocols and privacy regulations.
• Manages improvement in health plan and system quality metrics and initiatives for high-risk patients, conducting clinical audits and staying up to date with best practices and medical advancements in clinical care.
• Engages in ongoing professional development activities such as attending conferences, CMEs, seminars, and workshops to enhance medical knowledge and proficiency.
• Establishes and maintains high standards of quality services including clinical practice standards.

Qualifications

• Advanced degree, Nurse Practitioner (NP) or Physician Assistant (PA), from an accredited institution, current national certification, and licensed to practice by the state of the designated work location
• Prescriptive authority and other privileges for advanced tasks, as required by the state of the designated work location
• Strong clinical skills and ability to manage a wide range of patient conditions and comorbidities
• Excellent communication skills, both verbal and written, with the ability to explain complex medical information in a clear and understandable manner
• Proficiency in using electronic health record systems and other relevant technologies.
• Ability to be committed to patient-centered care, quality improvement, and staying abreast of medical advancements, and best practices
• Ability to be flexible and adapt to changing patient needs and healthcare delivery models

Preferred: 

• 5+ years of direct patient care experience
• Previous experience in value-based care 
• Previous experience in home-based care
• Previous experience in Medicare 
• Previous experience in high functioning team-based care delivery models

Working Conditions

• Ability to provide care to patients in their homes, both in person and virtually.
• 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.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$113,800.00-$154,525.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Yes- Member Facing Position

Location:

Illinois

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Complex Case Manager

Position Summary:

Provides telephonic care and case management to Medicare members as part of a multidisciplinary care team. Offers members education, empowerment and consultation to help improve member care. Collaborates with care team to ensure there are no gaps in care. Collaborates with members, providers, and care givers to ensure positive care outcomes during care transitions.

Job Description:

Primary Responsibilities

• Offers members health and disease education and empowers them to regularly participate in their care. Encourages members to make healthy lifestyle changes.
• Provides consultation to members on their medications and durable medical equipment.
• Reviews member care plans, addresses home care needs, and connects members to community resources.
• Makes outbound calls to assess member's current health status.
• Provides patient education and use Motivational Interviewing to assist with self-management.  
• Creates and monitors personalized member plans of care.
• Educates members on disease processes.
• Identifies gaps or barriers in treatment plans.
• Coordinated care for members.
• Makes referrals to outside sources.
• Coordinates services such as home health, DME, as needed.
• Ensures that discharged members receive the necessary services and resources, including medication reconciliation.
• Documents and tracks findings in a computerized system.
• Interacts with providers and a multi-disciplinary care team.
• Collaborates with medical management staff in development of new programs.
• Remains committed to member and department success and works to assist the team in meeting goals.
• Trains and mentors new employees.

*After a  period of in-house orientation and contingent on satisfactory work performance, this is a work from home position.

Qualifications

• Current licensure in good standing as a registered nurse in the state of Missouri and Illinois and eligibility for licensure in other states
• 5+ years of clinical nursing experience including 2+ years of experience in a hospital or home health case management setting or the knowledge, skills, and abilities to succeed in the role
• Ability to take and pass case management certification (CCM) within 2 years of hire and to maintain CCM certification during employment
• Proficient computer skills with the ability to learn and apply new technologies
• Ability to type and talk simultaneously
• Considerable initiative and ability to prioritize workload and respond to changing demands/timelines
• Ability to guide team projects or processes
• Strong judgement and critical thinking skills with a proven ability to assess member needs and develop a plan of care
• Flexible and adaptive to a changing environment
• Effective communication and relationship building skills with the ability to influence and positively impact members
• Excellent interpersonal and customer service skills, including telephone etiquette
• Effective training and mentoring skills

Preferred

• BSN or experience with telephonic case management
• Case management certification
• Previous experience as a telephonic case manager for a Medicare insurance plan 

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

#LI-Remote

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$72,800.00-$97,400.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

No- Not Member Facing Position

Location:

Alabama, Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina {+ 15 more}

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.

In order to apply for a position at Lumeris, you must create an account using your email address and a password of your choosing. This account will allow you to receive notifications each step of the way through the job application process. With these updates, you’ll never have to wonder where you are in the process. Additionally, we can easily send pertinent documents to you for your review. Once you create the account, you may apply to any position you feel is a good fit without having to re-enter information. Thank you for your interest in Lumeris.

Position:

Market Growth Manager

Position Summary:

Responsible for impacting sales and retention of Essence products in their assigned market(s). Understands the strategic direction of the Essence Growth organization across all channels. Identifies and engages the key Sales Assets in the market (agents, brokers, agencies, financial advisors, venues, providers, referral sources, community organizations, professional associations) that can impact applications, referrals, and/or agents.

Job Description:

Primary Responsibilities:

• Manages the activities of licensed Medicare sales agents and other sales assets in the market to achieve sales, growth, compliance, and quality goals.
• Ensures execution of the developed growth strategies, plans, and programs.
• Establishes growth tactics for their market(s) with guidance from leadership.
• Constantly upgrades quality of sales assets, earning loyalty, and leveraging relationships to impact sales and retention.
• Reviews sales, retention, and quality metrics for all sales assets in assigned market(s) and have appropriate communications as needed.
• Oversees growth activities and events in the market (community meetings, kiosks, provider events, etc.).
•  Acts as a subject matter expert for Essence products, processes, providers, and people.
•  Assures all rules and regulations applying to Medicare sales are understood and followed.

Qualifications:

• Bachelor’s degree or equivalent
• 6+ years of field sales experience or the knowledge, skills, or abilities to succeed in the role.
• 1+ year of leadership experience or the knowledge, skills, or abilities to succeed in the role.
• Solid organizational and time management skills
• Strong relationship building expertise.
• Comprehensive ability to influence business outcomes through relationships and negotiations.
• Proven experience with Microsoft Office
• Strong presentation and communication skills at all levels, internally and externally
• Appropriate State Insurance Licenses

Working Conditions

• While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

• The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

#LI-Remote

Lumeris is an EEO/AA employer M/F/V/D.

The hiring range for this position is:

$84,600.00-$113,775.00

Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. This role may also be eligible for incentive compensation. At Lumeris, we are committed to providing a total rewards package that supports your overall well-being. Our benefits include medical, vision, dental, well-being programs, 401(k) with company matching, life insurance, paid time off including paid leave, and so much more. Learn more by visiting our Careers Page.

Member Facing Position:

Yes- Member Facing Position

Location:

Illinois

Time Type:

Full time

Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.