July 10, 2026
In-Clinic Enrollment Specialist (LCSW/MSW) (Albuquerque, New Mexico)
Mid • On-site
Albuquerque, NM
Location: On-site at Medical Group practices in Albuquerque, NM, with some remote documentation and coordination.
Job Type: Full-Time
About Jaan Health/Phamily
Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its proprietary technology to enable health systems, medical groups, and ACOs to deliver proactive care to underserved patients.
Phamily, the company's core technology platform, supports chronic disease management with AI-driven technology that enables physicians and care teams to provide individualized patient care and improve care coordination between office visits.
Job/Role Description
The In-Clinic Enrollment Specialist serves as the on-site representative of Phamily's Advanced Primary Care Management (APCM) program within Medical Group practices.
This role combines the clinical empathy and skill of a Licensed Clinical Social Worker (LCSW/MSW) with patient engagement and enrollment responsibilities.
The specialist drives APCM enrollment in clinics, strengthens relationships between providers, patients, and care management, and ensures patients understand and benefit from ongoing care coordination services.
Key Responsibilities
- Identify and engage eligible patients for APCM enrollment during in-office visits using eligibility data and Phamily's platform.
- Explain the purpose and benefits of care management and continuity of care.
- Serve as the in-office liaison between the care management team, providers, and clinical staff.
- Provide updates to physicians and practice managers regarding patient enrollments, social needs, and follow-up activities.
- Conduct social needs screenings to identify barriers such as transportation, food insecurity, or housing instability.
- Provide referrals and handoffs to community organizations or care managers for complex cases.
- Track and report metrics including patient interactions, enrollments, interventions, and provider engagement.
Requirements
Education & Licensure
- Master's Degree in Social Work (MSW) required.
- Active Licensed Clinical Social Worker (LCSW) or equivalent state licensure strongly preferred.
Experience
- 3+ years in healthcare, care management, or clinical social work.
- Experience in primary care or value-based care environments preferred.
- Proven communication skills with physicians, practice staff, and patients.
- Demonstrated success in patient engagement, motivational interviewing, and addressing social determinants of health.
Skills & Competencies
- Strong interpersonal and communication skills.
- Ability to work in fast-paced and evolving environments.
- Proficiency with EHR systems (Epic, Athena, etc.) and care management platforms.
- Strong organization and documentation habits.
- Professional and empathetic approach to patient-centered care.
Work Style & Logistics
The organization seeks candidates who thrive in high-growth environments with strong ownership, adaptability, resilience, and a growth mindset.
Compensation & Benefits
- Competitive compensation based on experience and impact.
- Medical, dental, and vision coverage for employees and dependents.
- Up to 35 paid days off annually, including vacation, sick/wellness days, holidays, and give-back days.
- HSA and FSA account options.
- 401(k) with company match after 6 months of full-time employment.
- Collaborative and mission-driven work environment.
Equal Employment Opportunity
The employer is committed to creating an inclusive environment and provides equal employment opportunities for all employees.
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Requirements: - Demonstrated success in supporting C-suite executives or senior leaders within healthcare, health technology, consulting, government, public health, or related fields. - Exceptional organizational, project management, and follow-through skills. - Strong business acumen with the ability to understand growth strategies, client needs, operational challenges, and market dynamics. - Strong analytical and problem-solving capabilities with the ability to synthesize information into executive-level recommendations. - Excellent written, verbal, presentation, and interpersonal communication skills. - Ability to manage multiple priorities in a fast-paced, high-growth environment. - Comfortable interacting with C-suite executives, physicians, healthcare leaders, investors, and strategic partners. - Experience preparing executive presentations, business cases, and strategic recommendations. Preferred Requirements: - Familiarity with healthcare delivery, population health, digital health, or value-based care. - Experience managing complex stakeholder relationships and partnerships. - Demonstrated ability to balance attention to detail with long-term organizational goals. - Entrepreneurial mindset with the ability to operate effectively with KPIs in high-ambiguity environments. Work Style & Logistics: The company operates in a fast-growing, early-stage environment requiring strong ownership, resilience, adaptability, and a growth mindset. Employees are expected to design scalable approaches, anticipate business needs, and deliver measurable results. Culture principles include: - Care - Curiosity - Clarity - Co-Creation - Craftsmanship Compensation & Benefits: - Competitive compensation based on experience and impact - Comprehensive medical, dental, and vision coverage for employees and dependents - Up to 35 paid days off annually, including vacation, sick/wellness days, company holidays, and give-back days - HSA and FSA account options - 401(k) with company match after 6 months of full-time employment - Collaborative, mission-driven team environment focused on transforming healthcare at scale Equal Employment Opportunity: The company is committed to creating an inclusive environment for all employees and provides equal employment opportunities regardless of legally protected status.
Healthcare
Phamily
Service Delivery Optimization Consultant - Chicago
Senior
On-site
Chicago, IL
🏢 Summary: Consulting role focused on leading healthcare clients through implementation and optimization of AI-driven care management programs. The position combines client relationship management, performance optimization, stakeholder leadership, and cross-functional collaboration to improve clinical and financial outcomes. Requires extensive travel and experience in healthcare partnerships, population health, or value-based care. 🗂️ Requirements: Bachelor's degree in healthcare administration, public health, business, nursing, or related field, 5+ years of experience in enterprise healthcare partnerships, population health, or value-based care, Proven experience driving clinical and financial outcomes, Experience managing strategic accounts and revenue or program growth, Experience coordinating service delivery to clients or external vendors, Experience managing complex multi-stakeholder clinical and executive environments, Ability to interpret performance data and develop actionable insights, Strong communication, facilitation, and relationship-building skills, Ability to work in fast-paced, evolving environments, Ability to travel 75% 📃 Skills: AI, EHR, Analytics, Healthcare, PopulationHealth, CareManagement, KPIs, SOPs 🏢 Description: Location: 30min driving distance of Oakbrook Terrace, IL Job Type: 75% travel (3-4 days a week, local and across different states where the client has sites), 25% remote Job Reports To: Director of Service Delivery Two different comp levels: Engagement Manager OTE up to $210,000 About Jaan Health/Phamily Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its easy-to-use, proprietary technology to enable health systems, medical groups, and ACOs to deliver high-quality, high-ROI proactive care to hundreds of thousands of previously underserved patients. Phamily, the company's core technology platform, has transformed chronic disease management with clinically tested AI and easy-to-use technology that enables physicians and care teams to offer high-touch, individualized patient care that has been proven to reduce investment in extra labor and the overall cost of care. Phamily helps ensure healthcare providers are compensated fairly for providing high-quality care between office visits, while improving the lives of patients with chronic diseases. Role Description The Engagement Manager leads health systems and physician groups through the successful implementation and ongoing growth of full-service care management programs for large patient populations. This role manages relationships with clients, oversees delivery through internal teams and clients, and ensures that programs drive measurable clinical and financial outcomes. You will act as a strategic partner to clients, leading implementations, influencing provider behavior, and optimizing workflows to ensure programs deliver measurable results. This role requires strong business acumen, comfort operating in ambiguity, and the ability to hold stakeholders accountable across clinical, operational, and executive teams. Key Responsibilities Client Engagement & Relationship Management - Own the relationship with one of the company's most strategic accounts, operating at the C-suite and clinical leadership level as a strategic advisor. - Pursue measurable clinical and financial outcomes that drive program expansion and deepen the account relationship. - Develop an understanding of the account's strategic agenda, clinical imperatives, and organizational dynamics. - Operate with high ownership in ambiguous environments, making decisions that move programs forward. Performance Monitoring & Optimization - Own program-level performance, including clinical outcomes, operational efficiency, and revenue realization. - Analyze KPIs including engagement, utilization, quality, and financial performance to identify gaps and drive improvement. - Lead continuous optimization efforts to expand program impact and long-term value. Training & Change Management - Drive provider adoption and program growth through strategic change management, stakeholder influence, and performance-focused initiatives. Cross-Functional Collaboration - Partner with sales, product, clinical, and analytics teams to deliver a consistent and high-performing client experience. - Contribute to the development of playbooks, SOPs, and best practices that scale across programs. Requirements - Bachelor's degree in healthcare administration, public health, business, nursing, or related field. - 5+ years of experience in enterprise healthcare partnerships, population health, or value-based care. - Proven experience driving performance, revenue targets, net retention rates, or program growth. - Experience coordinating or overseeing service delivery to clients or through external vendors. - Experience managing complex, multi-stakeholder environments across clinical and executive audiences. - Excellent communication, facilitation, and relationship-building skills. - Ability to operate with ownership in fast-paced, evolving environments. - Ability to interpret performance data and develop actionable insights. Preferred Requirements - Experience with provider groups, ACOs, or health systems. - Familiarity with EHR workflows and care management platforms. Our Compensation & Benefits - Engagement Manager OTE up to $210,000 - Medical, dental, and vision coverage for employees and dependents at a nominal cost - Paid maternity leave - FSA and Dependent Care account options - 401(k) eligibility after 6 months of full-time employment - Collaborative, mission-driven work environment Equal Employment Opportunity Phamily is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other legally protected status.
Technology
Phamily
Senior Software Engineer (AI Health-Tech SaaS)
Senior
Hybrid
New York, NY
140,004 - 174,996 USD/yr
🏢 Summary: Senior Software Engineer role focused on building and scaling an AI-driven healthcare SaaS platform in a fast-paced startup environment. The position involves full-stack development, architecture decisions, API and infrastructure ownership, and improving platform scalability and reliability. Candidates will work with modern web technologies, cloud infrastructure, and AI-enabled engineering practices to support clinical care systems. 🗂️ Requirements: 7+ years of full lifecycle software engineering experience, Experience building, shipping, and maintaining production SaaS systems, Strong software architecture and technical leadership skills, Experience in startup or fast-paced environments, Ability to write clean, production-quality code, JavaScript proficiency, HTML proficiency, CSS proficiency, Experience with Vue.js or React, Experience with Ruby on Rails, Python, or Elixir, SQL database experience, Experience with PostgreSQL or MySQL, Experience with TDD methodologies, Experience with RSpec or Playwright, Experience with AWS or GCP, Experience with Docker and Kubernetes, AI implementation experience, Strong communication skills, Healthcare, SaaS, or startup industry experience 📃 Skills: Ruby, Rails, Python, Elixir, JavaScript, HTML, CSS, Vue, React, SQL, PostgreSQL, MySQL, TDD, RSpec, Playwright, AWS, GCP, Docker, Kubernetes, AI, FHIR, HL7, ML, LLM 🏢 Description: About Jaan Health/Phamily Jaan Health is a leading AI-based care management company serving healthcare providers. The company leverages proprietary technology to help health systems, medical groups, and ACOs deliver proactive care to underserved patients. Phamily, the company's core technology platform, supports chronic disease management with AI-driven tools that enable physicians and care teams to deliver individualized patient care while improving operational efficiency and healthcare outcomes. Job/Role Description We are seeking entrepreneurial Senior Software Engineers to join our high-impact, fast-moving engineering team. You will help design, build, and scale core components of our AI-driven care management platform. This role is ideal for engineers who thrive in startup environments, enjoy rapid iteration cycles, and are motivated by building products that directly improve patient outcomes and healthcare delivery systems. You'll work across the full stack, contributing to architecture decisions, product development, and continuous improvement of a complex SaaS platform used in real-world clinical settings. Key Responsibilities - Architect and build full-stack features end-to-end (Ruby on Rails, Python, SQL, JS/Vue/React) - Drive technical vision, code quality standards, and engineering best practices - Communicate complex concepts simply and align technical and non-technical teams - Ship quickly in iterative cycles: prototype, launch, iterate, and scale - Make pragmatic trade-offs while maintaining product integrity - Use AI tools to improve engineering output - Build, maintain, and scale SaaS products serving patients and clinicians - Own migrations, services, APIs, and long-term maintainability - Design and implement high-quality, maintainable, and well-tested code - Contribute to system architecture and technical design decisions - Improve performance, scalability, and reliability of core platform systems - Work across backend, frontend, and infrastructure layers - Continuously refactor and improve existing codebases Requirements - 7+ years of full lifecycle software engineering experience - Experience building, shipping, and maintaining production SaaS systems - Strong architectural instincts and mentoring ability - Clear communication skills - Experience in startup or fast-paced environments - Ability to write clean, high-quality production code - Strong UX and product design sense - JavaScript, HTML, CSS - Vue.js, React, SPA development - Ruby on Rails, Python, or Elixir - SQL, PostgreSQL, MySQL - TDD, RSpec, Playwright - AWS, GCP, Docker, Kubernetes - AI implementation experience - Healthcare, SaaS, or startup experience Preferred Requirements - Healthcare domain knowledge - HL7/FHIR experience - Data ingestion experience - Interest in ML/LLM technologies - Entrepreneurial mindset and ability to work in ambiguous environments Work Style & Logistics The company operates in a fast-growing, high-ownership environment requiring adaptability, resilience, and a growth mindset. Employees are expected to build scalable solutions while balancing immediate business needs with long-term goals. Core cultural principles include: - Care - Curiosity - Clarity - Co-Creation - Craftsmanship Compensation & Benefits - Competitive compensation based on experience and impact - Medical, dental, and vision coverage for employees and dependents - Up to 35 paid days off annually, including vacation, wellness days, holidays, and give-back days - HSA and FSA account options - 401(k) with company match after 6 months of full-time employment - Collaborative and mission-driven work environment Additional Information - This position is not eligible for visa sponsorship. - Equal opportunity employer committed to diversity and inclusion.
Technology
Phamily
Senior Software Engineer (AI Health-Tech SaaS)
Senior
On-site
New York, NY
140,004 - 174,996 USD/yr
🏢 Summary: Senior Software Engineer role focused on building and scaling an AI-driven healthcare SaaS platform across full-stack systems. The position involves architecture, product development, infrastructure, and rapid iteration in a fast-paced startup environment using modern web and cloud technologies. The offer includes remote or hybrid work, competitive compensation, and comprehensive benefits. 🗂️ Requirements: 7+ years software engineering experience, Production SaaS development experience, Full-stack development expertise, JavaScript proficiency, HTML proficiency, CSS proficiency, Vue.js or React experience, Ruby on Rails or Python or Elixir experience, SQL database experience, PostgreSQL or MySQL experience, TDD experience, RSpec experience, Playwright experience, AWS or GCP experience, Docker experience, Kubernetes experience, AI implementation experience, Startup or fast-paced environment experience, Ability to design scalable architectures, Strong communication skills, Authorization to work without visa sponsorship 📃 Skills: Ruby, Rails, Python, Elixir, JavaScript, HTML, CSS, Vue, React, SQL, PostgreSQL, MySQL, TDD, RSpec, Playwright, AWS, GCP, Docker, Kubernetes, AI, HL7, FHIR, ML, LLM 🏢 Description: Location: Open to Hybrid or Fully Remote Candidates Job Type: Full-time Job Reports To: Tech Lead Salary Range: $140,000-$175,000 plus full benefits About Jaan Health/Phamily Jaan Health is a leading AI-based care management company serving healthcare providers. For nearly a decade, the company has leveraged its proprietary technology to enable health systems, medical groups, and ACOs to deliver proactive care to underserved patients. Phamily, the company's core technology platform, supports chronic disease management with AI-driven technology that enables physicians and care teams to provide individualized patient care while improving operational efficiency and reducing healthcare costs. Job/Role Description: We are seeking entrepreneurial Senior Software Engineers to join a high-impact, fast-moving engineering team. You will help design, build, and scale core components of an AI-driven care management platform. This role is ideal for engineers who thrive in startup environments, enjoy rapid iteration cycles, and are motivated by building products that improve patient outcomes and healthcare delivery systems. You'll work across the full stack, contributing to architecture decisions, product development, and continuous improvement of a complex SaaS platform used in clinical settings. Key Responsibilities: - Architect and build full-stack features end-to-end using Ruby on Rails, Python, SQL, JavaScript, Vue, and React - Drive technical vision, code quality standards, and engineering best practices - Communicate complex concepts effectively across technical and non-technical teams - Ship quickly in iterative cycles: prototype, launch, iterate, and scale - Make pragmatic trade-offs while maintaining product integrity - Use AI tools to accelerate engineering output - Build, maintain, and scale SaaS products used by patients and clinicians - Own migrations, services, APIs, and long-term maintainability - Design and implement maintainable, well-tested code - Contribute to system architecture and technical design decisions - Improve performance, scalability, and reliability of platform systems - Work across backend, frontend, and infrastructure layers - Continuously refactor and improve existing codebases Requirements: - 7+ years of full lifecycle software engineering experience - Experience building, shipping, and maintaining production SaaS systems - Strong architectural instincts and mentoring ability - Clear communication skills - Startup or fast-paced environment experience - Ability to write clean production-quality code - Good UX and product design sense - Experience with JavaScript, HTML, CSS - Experience with Vue.js, React, and single-page applications - Experience with Ruby on Rails, Python, or Elixir - Experience with SQL, PostgreSQL, and MySQL - Experience with TDD, RSpec, and Playwright - Experience with AWS, GCP, Docker, and Kubernetes - AI implementation experience - Healthcare, SaaS, or startup experience Preferred Requirements: - Experience with healthcare integrations, HL7/FHIR, or data ingestion - Interest in ML/LLM technologies - Ability to operate effectively in high-ambiguity environments Work Style & Logistics: The company operates in a high-growth environment requiring ownership, resilience, adaptability, and execution in fast-paced conditions. Company principles include: - Care - Curiosity - Clarity - Co-Creation - Craftsmanship Compensation & Benefits: - Competitive compensation based on experience and impact - Medical, dental, and vision coverage for employees and dependents - Up to 35 paid days off annually, including vacation, wellness days, holidays, and volunteer days - HSA and FSA options - 401(k) with company match after 6 months of employment - Collaborative and mission-driven team environment Additional Information: - This position is not eligible for visa sponsorship - Equal opportunity employer
Healthcare

Upward Health
Care Specialist - Enhanced Care Management
Mid
On-site
San Francisco, CA
24 - 27 USD/hr
🏢 Summary: Field-based Care Specialist role focused on coordinating care for high-complexity patients through home visits, outreach, and chronic care support. The position involves assessing patient needs, supporting self-management goals, and improving access to preventative and behavioral health services. Candidates should be experienced in care coordination, patient engagement, and EMR documentation while working independently in community settings. 🗂️ Requirements: 2+ years experience as Community Health Worker, Peer Support Specialist, Medical Assistant, or similar, High school diploma or GED, Valid driver's license, Auto liability insurance, Reliable transportation, Ability to travel within assigned territory, Experience with chronic conditions, behavioral health, or housing insecurity care coordination, Knowledge of trauma-informed care, EMR proficiency, Basic computer skills, Ability to work independently and in teams 📃 Skills: EMR, Healthcare, Documentation, DataEntry, CareCoordination, Outreach, Telehealth, MotivationalInterviewing, PatientEducation, Reporting 🏢 Description: 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. Job Title & Role Description: The Care Specialist - ECM is responsible for coordinating care for high-complexity patients, mainly working in the field to provide chronic care coordination and support. This role involves direct outreach to patients through phone calls, home visits, and community interactions. The Care Specialist primarily works in patients' homes and communities (90% of the time) and engages in virtual or telephonic support (10% of the time). The Care Specialist will assess patient needs, help set health goals, and ensure that patients receive the appropriate care and resources, with a focus on increasing access to preventative care, reducing emergency room visits, and enhancing self-management. The role requires excellent communication skills, critical thinking, and the ability to work independently and adapt to evolving challenges. Skills Required: - At least 2 years of relevant work experience as a Community Health Worker, Peer Support Specialist, Medical Assistant, or in a similar role. - High school diploma or GED required. - A valid driver's license and auto liability insurance. - Reliable transportation and the ability to travel within assigned territory or as needed. - Experience in care coordination for individuals with chronic conditions, behavioral health conditions, or with patients experiencing housing insecurities including homelessness. - Strong interpersonal and motivational interviewing skills to build trust and rapport with patients. - Familiarity with trauma-informed care, care coordination, and patient education. - Proficiency in the use of electronic medical records (EMR) systems and basic computer skills. - Technologically savvy and able to manage documentation and data entry effectively. - Ability to work independently in a field-based environment and as part of a team. - Multi-lingual capabilities preferred but not required. - Prior home care or Enhanced Care Management experience a plus. - Community Health Worker certification is a plus. Key Behaviors: - Adaptability: Ability to work in dynamic, unstructured environments, pivoting quickly to meet the needs of patients and the organization. - Critical Thinking & Problem Solving: Demonstrates strong problem-solving skills when assessing patient needs and determining the best course of action. - Motivational Interviewing & Empathy: Uses motivational interviewing techniques to build rapport, set health goals, and empower patients to take charge of their care. - Relationship Building: Skilled in establishing trust and fostering strong relationships with patients, families, and team members. - Self-Starter: Takes initiative to perform outreach, complete assessments, and follow through with care coordination independently. - Organizational Skills: Excellent at managing time, tasks, and schedules, ensuring that all patient needs are addressed in a timely manner. - Resilience: Demonstrates resilience in challenging situations and remains focused on the goal of improving patient outcomes despite setbacks. - Cultural Competence: Demonstrates sensitivity to and understanding of diverse cultural backgrounds, ensuring that care is provided in a culturally inclusive manner. - Commitment to Quality Care: Shows passion for delivering high-quality care and support to patients, ensuring their well-being and satisfaction. Competencies: - Care Coordination: Ability to assess patient needs, coordinate care with interdisciplinary teams, and ensure patients are receiving the appropriate services. - Patient Advocacy: Supports patients by navigating healthcare systems, advocating for needed resources, and ensuring timely access to care. - Health Education & Communication: Educates patients about their health conditions, treatments, and the healthcare system in a clear and empathetic manner. - Data Management & Reporting: Proficient in documenting patient interactions and maintaining accurate, up-to-date records in EMR systems. - Patient Outreach & Engagement: Proactively reaches out to patients through multiple communication channels, including phone, in-person visits, and community outreach. - Goal Setting & Self-Management: Works with patients to develop self-care plans, emphasizing shared decision-making and increasing the patient's ability to manage their own health. - Collaboration & Teamwork: Works effectively as part of an interdisciplinary care team to achieve organizational goals and improve patient outcomes. - Crisis Management & Flexibility: Demonstrates flexibility and adaptability in managing unforeseen challenges, providing support where it is needed most. - Technical Proficiency: Skilled in using healthcare software applications and systems for accurate data entry and patient management. California pay range: $24—$27 USD