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Cigna logo
CignaIndependence, OH

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 weeks ago

Berkeley Research Group logo
Berkeley Research GroupWashington DC, District of Columbia

$70,000 - $150,000 / year

We do Consulting Differently The Healthcare Compliance Auditor position is a staff consulting position within the Healthcare Transactions and Strategy (HTS) group. HTS is currently seeking a Healthcare Compliance Auditor at either the Consultant or Managing Consultant level. HTS performs regulatory, reimbursement, data analytics, and compliance auditing for healthcare providers, healthcare payers and healthcare investors. Compliance audit deliverables include assessment of provider compliance programs and auditing of billing and coding of clinical documents and claims documents. This position requires a highly motivated problem solver with strong analytical ability, solid organizational skills, and a desire to advance within the organization. The work of a Healthcare Compliance Auditor will involve execution of engagement work streams that will primarily involve employing certified coding skills to audit provider claims and provider clinical documentation with a particular focus on government programs such as Medicare and Medicaid. Responsibilities include working with team to develop audit specifications, expert analysis of healthcare claims and supporting documentation, quality control, and development of client deliverables. The work of a Consultant involves execution of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: billing and coding audits, compliance program review, quality control, development of client deliverables, and industry research. The work of a Managing Consultant involves both execution and oversight of engagement work streams that may be either qualitative or quantitative in nature, and responsibilities include: management of junior staff, quality control, development and presentation of client deliverables, and industry research. This specific position will require knowledge of medical coding and compliance and potential candidates must have medical auditing expertise. Job title and compensation to be determined based on qualifications and experience. Job Responsibilities: Plan and perform medical record audits to determine coding accuracy and compliant claims submission; Develop coding and documentation audit methodology using knowledge of key risk areas in coding and documentation compliance; Perform coding and documentation audits, reviewing medical records and charges to ensure compliance with CPT-4/HCPCS and ICD-10-CM coding guidelines and standards, as well as the Centers for Medicare & Medicaid Services (CMS) coverage guidelines; Conduct analysis of audit findings to identify trends/problems in coding and documentation and effectively communicates the audit findings and recommended areas for improvement; Serve as a subject matter expert on interpretation and application of coding and documentation guidelines; Monitor relevant resources, publications, and current government compliance and enforcement activity related to high-risk compliance areas; Stay current on coding guidelines. Develop analyses using transactional data and/or financial data; Generate client deliverables and make valuable contributions to expert reports; Manage client relationships and communicate results and work product as appropriate; Manage junior staff and delegate assignments as directed by more senior managers; Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions; Participate in group practice meetings, contribute to business development initiatives and office functions such as staff training and recruiting; Prioritize assignments and responsibilities to meet goals and deadlines. Qualifications: An undergraduate degree (e.g., BS, BA); Active coding certification from either AAPC or AHIMA is required; Preference will be given to candidates that are certified in medical auditing; 2+ years of work experience with a focus on healthcare provider billing and coding; 5-7 years of experience is required for the Managing Consultant level position. Job title to be determined based on relevant qualifications and experience. Preference will be given to candidates that are experienced with physician practice coding (e.g. primary care, dermatology, orthopedics, ophthalmology), ASC coding, and/or post-acute coding (e.g. hospice, home health, SNFs). Comprehensive knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation. Advanced knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements. Required skills include: Demonstrated ability to interpret national coding and documentation guidelines and translate them into effective auditing practices and tools; identify issues in coding and documentation practices and recommend corrective action; develop reports, track, and trend audit findings and results. Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required, as is the ability to train others to use such tools. Commitment to producing high quality analysis and attention to detail. Excellent time management, organizational skills, and ability to prioritize work and meet deadlines. Keen interest in healthcare compliance and healthcare policy. Exceptional verbal and written communication skills. Desire to work within a team environment. Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship. Consultant Salary Range: $70,000 – $150,000 Managing Consultant Salary Range: $100,000 – $230,000 #ThinkBRG #LI-JQ1| #LI-REMOTE About BRG BRG combines world-leading academic credentials with world-tested business expertise purpose-built for agility and connectivity, which sets us apart—and gets you ahead. At BRG, our top-tier professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a diversity of proven real-world experience to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges for organizations across the globe. Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking from diverse perspectives that, when paired with our global reach and resources, make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world. At BRG, we don’t just show you what’s possible. We’re built to help you make it happen. BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

Posted 1 week ago

Cigna logo
CignaChicago, IL

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 weeks ago

Cigna logo
CignaSaint Louis, MO

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 weeks ago

Cigna logo
CignaPhiladelphia, PA

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 weeks ago

Cigna logo
CignaMorris Plains, NJ

$91,900 - $153,100 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 weeks ago

Q logo
Qualified HealthPalo Alto, California

$170,000 - $240,000 / year

Transform healthcare with us. At Qualified Health, we’re redefining what’s possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time algorithm monitoring—working alongside leading health systems to drive real change. This is more than just a job. It’s an opportunity to build the future of AI in healthcare, solve complex challenges, and make a lasting impact on patient care. If you’re ambitious, innovative, and ready to move fast, we’d love to have you on board. Join us in shaping the future of healthcare. Job Summary: We're looking for a Staff Healthcare Data Scientist to bridge our robust data infrastructure with high-impact AI applications. You'll analyze downstream use cases, design optimal feature mappings from standardized healthcare data models, and develop sophisticated data transformations that maximize AI application performance. Working at the intersection of clinical knowledge and technical excellence, you'll ensure our platform delivers reliable, actionable insights to healthcare providers. Key Responsibilities: Conduct comprehensive analysis of downstream AI applications to identify optimal data requirements and feature specifications Design and implement featurized data mappings from standardized healthcare data models (FHIR, Epic Clarity, HL7) to application-specific datasets Develop optimized data transformations within Azure Databricks that enhance AI application performance and clinical accuracy Build scalable PySpark workflows that efficiently process large-scale healthcare data while maintaining data integrity Partner with data analysts to develop comprehensive data QC checklists tailored to specific healthcare applications Design and implement automated data quality notebooks and monitoring systems to ensure completeness and clinical validity Collaborate with clinical stakeholders to translate healthcare workflows into optimized data structures and validate feature engineering approaches Establish reusable feature engineering frameworks and data quality metrics aligned with healthcare regulatory requirements Required Qualifications: 6+ years of experience in healthcare data science with demonstrated expertise in clinical data analysis and outcomes research Deep domain knowledge of healthcare data standards (FHIR r4, HL7v2, ICD-10, CPT, SNOMED-CT) and EHR data structures, particularly Epic Clarity Advanced degree in Data Science, Biostatistics, Epidemiology, or related quantitative field Expert-level proficiency in Python data science stack (pandas, scikit-learn, scipy, statsmodels) Extensive hands-on experience with Azure Databricks and PySpark for large-scale healthcare data processing Strong background in statistical modeling, machine learning, feature engineering, and advanced analytics techniques Solid understanding of modern data warehouse architectures and ETL patterns Outstanding communication skills with ability to explain complex analytical findings to both technical and clinical audiences Experience collaborating with cross-functional teams including clinicians, data engineers, and product managers Desirable Skills: PhD in Biostatistics, Epidemiology, Health Informatics, or related field Experience with real-world evidence studies and AI/ML applications in healthcare Background in healthcare regulatory frameworks (HIPAA, HITRUST, FDA guidelines) Experience with clinical decision support systems and quality improvement initiatives Relevant healthcare analytics or data science platform certifications Published research in healthcare informatics or clinical data science Technical Environment: Our data science infrastructure leverages: Azure Databricks + PySpark for large-scale data processing Azure Data Factory for data integration GitHub Actions + Terraform for CI/CD and infrastructure automation Impact & Growth Opportunity: As a Staff Healthcare Data Scientist, you'll play a pivotal role in ensuring our AI platform delivers clinically meaningful insights to healthcare providers. You'll directly influence how cutting-edge AI technologies are applied to real healthcare challenges while working with advanced healthcare datasets. This position offers significant visibility and growth potential as we scale across major health systems. Why Join Qualified Health? This is an opportunity to join a fast-growing company and a world-class team, that is poised to change the healthcare industry. We are a passionate, mission-driven team that is building a category-defining product. We are backed by premier investors and are looking for founding team members who are excited to do the best work of their careers. Our employees are integral to achieving our goals so we are proud to offer competitive salaries with equity packages, robust medical/dental/vision insurance, flexible working hours, hybrid work options and an inclusive environment that fosters creativity and innovation. Our Commitment to Diversity Qualified Health is an equal opportunity employer. We believe that a diverse and inclusive workplace is essential to our success, and we are committed to building a team that reflects the world we live in. We encourage applications from all qualified individuals, regardless of race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, marital status, disability, or veteran status. Pay & Benefits: The pay range for this role is between $170,000 and $240,000, and will depend on your skills, qualifications, experience, and location. This role is also eligible for equity and benefits. Join our mission to revolutionize healthcare with AI. To apply, please send your resume through the application below.

Posted 30+ days ago

AdaptHealth logo
AdaptHealthChicago, IL
Description Position Summary: The Healthcare Partner is responsible for building and managing strategic relationships with healthcare providers, distributors, and industry partners to drive revenue growth, enhance customer satisfaction, and promote the company's products and services. This role combines sales expertise, market knowledge, and relationship-building skills to deliver innovative solutions that address the needs of healthcare providers, payers, and partners. Essential Functions and Job Responsibilities: Partnership Development and Management: Identify and cultivate relationships with healthcare providers, distributors, and industry partners. Establish mutually beneficial partnerships to expand the company's market reach. Regularly engage partners to align business objectives and growth strategies. Conduct daily outside sales visits to establish new business relationships and maintain existing ones with referral sources in the medical community. Meet in person with customers to identify needs, build relationships, and drive business growth. Travel to assigned territories to generate leads, provide accurate information on services, negotiate contracts, and deliver exceptional customer service. Sales Strategy Execution: Achieve or exceed assigned sales targets through effective partner engagement. Design and implement sales strategies tailored to each partner's needs. Conduct presentations, product demonstrations, and negotiations to close deals. Market Insights and Analysis: Research and monitor industry trends, competitive landscapes, and regulatory developments. Leverage insights to identify new opportunities and refine sales approaches. Provide feedback to internal teams to influence product development and marketing strategies. Collaboration and Communication: Serve as the primary point of contact for partners, ensuring timely responses and resolution of issues. Collaborate with internal teams, including marketing, operations, and customer success, to deliver a seamless partner experience. Represent the company at industry events, conferences, and partner meetings. Performance Measurement and Reporting: Track and report key performance indicators (KPIs) related to partner sales. Use CRM tools to maintain up-to-date records of partner interactions and pipeline activities. Analyze results and recommend improvements for future growth. Participates in obtaining prescribing provider orders/signatures for appropriate documentation and original prescriptions while on-site when the Intake team is unable to do so. Retain knowledge of and consistently adhere to procedures for the use of Personal Protective Equipment (PPE), infection control and hazardous materials handling. Completes assigned compliance training and other educational programs as required. Maintains compliant with AdaptHealth's Compliance Program. Perform other related duties as assigned. Competency, Skills, and Abilities: Results-driven with a strong sense of accountability. Strategic thinker with excellent problem-solving skills. Highly adaptable to fast-paced and dynamic work environments. Team-oriented with a collaborative mindset. Strong knowledge of healthcare markets, including providers, payers, and regulatory environments. Exceptional interpersonal and relationship-building skills. Excellent ability to communicate both verbally and in writing. Ability to communicate complex solutions effectively to diverse audiences. Ability to work independently and with a team. Ability to prioritize and manage multiple projects. Mental alertness and the ability to properly treat confidential information. Proficient computer skills and knowledge of Microsoft Office Requirements Education and Experience Requirements: Bachelor's Degree from an accredited college or equivalent experience in B2B or B2C Sales. Experience preferred in developing and maintaining client relationships, driving sales growth, and meeting or exceeding revenue targets. Valid and unrestricted driver's license in the state of residence Healthcare Partner: Three (3) years of work-related experience is required. Senior Healthcare Partner: Five (5) years of work-related experience is required. Principal Healthcare Partner: Eight (8) years of work-related experience is required. Physical Demands and Work Environment: Must be able to bend, stoop, stretch, stand, and sit for extended periods. Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use. Work environment may be stressful at times, as overall office activities and work levels fluctuate. Subject to long periods of sitting and exposure to computer screen. May be exposed to hazardous materials, loud noise, extreme heat/cold, direct, or indirect contact with airborne, bloodborne, and/or other potentially infectious pathogen. May be exposed to angry or irate customers, patients, or referral sources. Ability to utilize a personal computer and other office equipment. Must be able to lift 30 pounds as needed. Physical and mental ability to perform essential functions of the position. Ability to travel throughout service area and use of personal vehicles.

Posted 30+ days ago

Cigna logo
CignaSan Antonio, TX
WORK LOCATION: Houston, TX / San Antonio, TX / Austin, TX The Hospital/Physician/Ancillary Contract Negotiator serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS 3+ years Hospital, Physician, Ancillary contracting and negotiating experience involving complex delivery systems and organizations required. Experience in a Managed Care, Healthcare, Health Insurance environment Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 30+ days ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Middletown, NY

$371,000 - $735,500 / year

Optum NY, (formerly Optum Tri-State NY) is seeking a Physician- Gastroenterology to join our team in Middletown, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights: Physician-led, patient centered team-based environment. Independent practice with strong affiliation with local tertiary care hospital that provides a full range of gastroenterology medicine Collegial multispecialty group practice with a large referral base and a focus on provider wellness and team-based care Surgery Center/ASC centers located conveniently down the street from our offices, and ownership opportunities available with tenure Full complement of excellent support staff (Advanced Practice Clinician, Medical Assistants and Administrative teams) and dedicated practice management systems in place that enable you to practice at the peak of your licensure and assist within patient care Supported to grow your practice and patient panel Primary Responsibilities: Consult with patients to understand their health concerns and perform specialized tests to diagnose and treat patients Perform endoscopic and colonoscopy procedures (i.e., ERCP and endoscopic ultrasound procedure experience highly preferred) Examines patients in clinic, hospital rounds and performs surgical procedures as needed Consult with patient's primary care physician and other specialists Serve as collaborating physician to assigned Advanced Practice Clinician(s) What makes an Optum organization different? Value-Based care model; Evidence-Based medicine Quadruple Aim: Improving Patient Satisfaction; Lowering Costs; Delivery High-Quality Outcomes; Increasing Provider Satisfaction and Well-Being Providers are supported to practice at the peak of their license We recognize that if you want to provide good care and do it well, you can't do it alone - this is the foundation of the team-based care model A culture of Innovation, Collaboration, Transformation, and Growth We are influencing change on a national scale while still maintaining the culture and community of our local care organizations; putting people first and working together with "Optum-ism" striving to improve everyday with an open mind and an open heart Compensation & Benefits Highlights: Guaranteed, competitive compensation model based on quality, not quantity, with significant earnings potential, annual increases, and bonus eligibility Financial stability and support of a Fortune 5 Company- United Health Group Comprehensive Medical, Dental, Life Insurance, and Vision coverage Excellent PTO package (increasing with tenure) & Paid maternity/paternity leave Robust retirement options including employer funded contributions Employee Stock Purchase Plan (ESPP for UGH stock) Physician partnership opportunities with Optum Company paid malpractice insurance and tail coverage Consistent Career Growth, Professional Development, and Supportive Culture Supportive and appreciative culture Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Fellowship training in Gastroenterology Residency training in Internal Medicine Board Certification or Board Eligibility in Gastroenterology Unrestricted medical licensure in the state of New York (or has New York license application submitted and in-process) Active and unrestricted CDS permit (or ability to obtain prior to start) Active and unrestricted DEA License (or ability to obtain prior to start) Must be CPR certified (or willing to obtain prior to start) Preferred Qualification: ERCP and Endoscopic Ultrasound procedure experience Would you thrive with Optum? Do you practice evidence-based medicine? Are you seeking a practice focused on patient-centered quality care, not volume? Are you a team player - comfortable delegating and empowering teams? Are you constantly seeking better ways to do things? Do you want to be part of something better? The salary range for this role is $371,000 to $735,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 30+ days ago

J logo
JEDunnRaleigh, NC
Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. Role Summary The Superintendent 3 will plan, manage and execute on all aspects of assigned projects with moderate complexity. This position will be responsible for managing the team, planning all construction sequencing and meeting project goals to achieve timely and profitable completion of each project. All activities will be performed in support of the strategy, vision and values of JE Dunn. Autonomy and Decision Making: Makes decisions within defined limits of authority and consults supervisor on other decisions. Career Path: Sr. Superintendent. Key Role Responsibilities- Core SUPERINTENDENT FAMILY- CORE Leads all aspects of the company's safety culture and creates awareness by demonstrating commitment to an injury-free environment through individual actions and mentoring others. Investigates safety incidents and retrains staff and needed. Provides management of subcontractors and organization of the overall job and workflow. Manages and oversees company staff, subcontractors, suppliers and programs such as Safety, Quality and EEO for a small project or a major portion of a larger project. Develops work plans for subcontractors and self-performed work. Coordinates and manages the care, custody and control of the project site. Leads various meetings including daily standup and weekly trade meetings. Attends, manages and participates in appropriate progress and/or project OAC meetings. Creates, manages, changes and implements the project's schedule as needed, in conjunction with the Project Manager. May be responsible for tracking and monitoring project budget and costs by using the project management system's cost reports and data from the project manager. Communicates key project information to owners, design team, governing authorities, subcontractors, suppliers and other departments. Follows the project filing and documentation organization system as dictated for the project. Updates drawings, logs, diaries and inspection notebooks. Approves and/or records unit cost information for weekly reports and completes daily reports, logs and tracking reports. Evaluates progress on self-perform work and make adjustments as needed. Manages material and equipment needs for the project. Supports the MOC (Material and Other Costs) and DLSC (Dunn Logistics Service Center) procurement and approval processes. Assists in the selection of the formwork, tools and equipment necessary to complete self-perform operations. Manages timecard approval process to ensure reporting of accurate hours and proper cost codes. Ensures quality compliance through use of specifications, setting quality standards, in-house QA/QC and outside resources. Supports the project closeouts by supervising pre-punch activities and coordinating activities with the owner, architect and governing authorities. Gains understanding of the project pursuit process and methodology. Participates with the field operations leadership and the project team to put together a project pre plan; implements, monitors and adjusts as needed throughout the project lifecycle. Partners with field leadership to establish field staffing for their assigned project. Partners with project management to identify schedule and costs associated with project changes. Participates in the negotiation process with the owner and architect to gain agreement for project changes. Participates with the project team in preparation and presentation for all project review meetings, including the monthly review process and other key project meetings. Participates in the project buy out meetings with subcontractors and vendors. Understands and applies the terms and conditions of the owner and subcontractor contracts for the project. Responsible for identifying and recruiting top talent. Leads, supports and promotes a culture of diversity and inclusion within JE Dunn. Understands JE Dunn's policy of non-discrimination and ensures positive, proactive implementation throughout the organization. Key Role Responsibilities- Additional Core Superintendent 3 In addition, this position will be responsible for the following: Manages moderately complex stand-alone projects from start to finish. Manages projects with multiple field supervisors. May play a lead role in project pursuit process. Collaborates with marketing team on related presentations and marketing activities. Develops new business opportunities and generates future work by cultivating and maintaining long-term relationships with clients. Assumes responsibility for management, scheduling, production, safety and quality on their project or their portion of the project. Identifies, understands and actively manages project risks. Utilizes awareness, experience and knowledge to identify problems and recommends solutions for review and implementation by the team. Manages deliverables provided by a variety of internal resources and functions such as IPS, logistics, etc. Knowledge, Skills & Abilities Ability to perform work accurately and completely, and in a timely manner. Communication skills, verbal and written (Intermediate). Ability to conduct effective presentations (Intermediate). Proficiency in MS Office (Intermediate). Ability to apply fundamentals of the means and methods of construction management to projects. Knowledge of project processes and how each supports the successful completion of a project. Ability to build relationships with team members that transcend a project. Proficiency in project management and accounting software (Intermediate). Proficiency in required JE Dunn construction technology (Intermediate). Proficiency in scheduling software (Intermediate). Ability to apply Lean process and philosophy (Intermediate). Knowledge of specific trades and scopes of work (Intermediate). Knowledge of self-perform and labor productivity (Intermediate). Ability to manage budgets, maximize profitability and generate future work through building relationships (Intermediate). Knowledge of organizational structure and available resources. Knowledge of layout skill (Advanced). Knowledge of crane flagging and rigging (Advanced). Ability to understand document changes and impact to the project schedule. Ability to build relationships and collaborate within a team, internally and externally. Education High School Dilploma or GED. Bachelor's degree in construction management, engineering, or related field (Preferred). Experience 8+ years construction experience. 5+ years field supervision experience. Experience with Lean principles (Preferred). Working Environment Valid and unrestricted drivers license required Must be able to lift at least to 50 pounds May require periods of travel and/or relocation May be exposed to extreme conditions (hot or cold) Must be willing to work non-traditional hours to meet project needs Frequent activity: Standing, Walking, Climbing, Bending, Reaching above Shoulder, Pushing, Pulling Occasional activity: Sitting, Viewing Computer Screen Benefits Information The benefits package aligned to this position is Professional Non-Union. Please click the link below for more details. Click here for benefits details. This role is expected to accept applications for at least three business days and may continue to be posted until a qualified applicant is selected or the position has been cancelled. JE Dunn Construction is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer and it is our policy to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. JE Dunn Construction is a background screening, drug-free workplace. JE Dunn provides reasonable accommodations to qualified individuals with disabilities. If you would like to request a reasonable accommodation in order to apply for a job, please submit your request to accommodations@jedunn.com JE Dunn Construction Company does not accept unsolicited resumes from search firms or agencies. Any resume submitted to any employee of JE Dunn Construction without a prior written search agreement will be considered unsolicited and the property of JE Dunn Construction Company. Please, no phone calls or emails. Why People Work Here At JE Dunn we offer our employees an inspired place to enrich their life and the lives of those around them Building on our rich history, our employee owners are shaping the future of JE Dunn. In our team-focused environment we do life together and are generously rewarded for our efforts About JE Dunn For more information on who we are, click here. EEO NOTICES Know Your Rights: Workplace Discrimination is Illegal California Privacy Policy E-Verify JE Dunn participates in the Electronic Employment Eligibility Verification Program. E-Verify Participation (English and Spanish) Right to Work (English) Right to Work (Spanish)

Posted 30+ days ago

Sompo International logo
Sompo InternationalBoston, MA

$150,000 - $250,000 / year

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team. Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition. Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you'll be doing: This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients. Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards; Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks; Authorizes quotes/binders/invoices as appropriate; Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures; Attends client/broker meetings, lunches, dinners and other social outings as applicable; Expands existing portfolio of business by developing existing relationships and new prospective clients; Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results; Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner; Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed; Completes underwriting referral applications for risks outside of authority for higher level approval as necessary What you'll bring: Undergraduate or advanced degree preferred; 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques; Established relationships with retail and wholesale producers; Strong negotiation skills; Excellent communication (both written and verbal) skills; Ability to plan strategically and prioritize workload to meet production and management objectives; Ability to be a team player. Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits In today's world, what do we stand for? Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo. Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

Posted 30+ days ago

STV Group, Incorporated logo
STV Group, IncorporatedSacramento, CA
We are seeking s Healthcare Assistant Project Manager with a strong history of recent healthcare experience representing owner's on capital programs, facility upgrades, renovations and additions for both new and occupied healthcare facilities. The successful candidate will assume a role in our division managing Capital Program Management/Owners Representative assignments. The successful candidate will represent the owner and owner stakeholder groups and be an integral part of a high preforming team of professionals leading the delivery of projects and or programs for healthcare specific clients. The Assistant Project Manager will represent the owner's interest in managing design professionals and contractors constructing state of the art Healthcare, Pharmaceutical and Bio Life Science facilities. In this role the Assistant Project Manager will work with the team to manage all phases of the project life cycle including but not limited to budgeting, planning, design, bidding, construction, commissioning, move management planning and close out services. Join STV and become part of one of the most dynamic and fast paced market sectors in the construction industry. Responsibilities: Responsibilities include assisting the Project Manager in leading the project team, goal setting, developing policies and procedures to guide the project/program and mentor team members. In addition, the Assistant PM shall carry out duties as assigned by the Project Manager to achieve the successful completion of the project/program. Assist the PM in leading cross functional healthcare projects and initiatives with demanding resource requirements, risk, and/or complexity. Monitor design and construction activities to ensure that all phases of work are done in accordance with contractual agreements and corporate quality standards. Monitors, evaluates and or develops project budgets, cash flow analyses, and cost estimates, as well as reviews purchase orders, change orders, and invoices. Forecast, identify and addresses areas of potential liabilities and risks. Develops, monitors, and maintains project schedules. Ensures that project objectives are met. Maintains client, consultant, contractor, and vendor relationships. Manages conflict resolution. Communicates complex ideas, anticipates potential concerns and persuades others, which may include executive leadership, to adopt positions to facilitate the successful conclusion of the project. Assist in the evaluation, development, and selection of standards, protocols, policies and procedures to facilitate project success. Provides guidance, direction, and instruction to less experienced team members and colleagues. Required Skills: Bachelor's Degree, in Architecture, Engineering or Construction Management. 2-5 years of owner representative/project management experience, specifically in Hospitals, Healthcare Systems, Pharmaceutical, Bio Life Science and related projects. Demonstrated history of managing minimum of $10 million in healthcare or related construction types. Demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Requires excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams. Knowledge and ability to creatively resolve issues as they arise. Knowledge and ability to supervise people including recruitment, training, performance management, and people development. High proficiency with general Microsoft applications, including MS Project and Share Point. Demonstrated experience with project management software and applications. Ability to forecast project challenges and define solutions to maintain compliance with safety protocols, quality, schedule and budget. Compensation Range: $0.00 - $0.00 Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At STV, we are fully committed to expanding our culture of diversity and inclusion, one that will reflect the clients we serve and the communities we work in, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description we encourage you to apply anyways. You may be just the right candidate for this or other roles. STV offers the following benefits • Health insurance, including an option with a Health Savings Account • Dental insurance • Vision insurance • Flexible Spending Accounts (Healthcare, Dependent Care and Transit and Parking where applicable) • Disability insurance • Life Insurance and Accidental Death & Dismemberment • 401(k) Plan • Retirement Counseling • Employee Assistance Program • Paid Time Off (16 days) • Paid Holidays (8 days) • Back-Up Dependent Care (up to 10 days per year) • Parental Leave (up to 80 hours) • Continuing Education Program • Professional Licensure and Society Memberships STV is committed to paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is STV's good-faith salary estimate for this position. Please note that the final salary offered for this position may be outside of this published range based on many factors, including but not limited to geography, education, experience, and/or certifications.

Posted 30+ days ago

STV Group, Incorporated logo
STV Group, IncorporatedSacramento, CA
STV currently has opening for a Healthcare Senior Project Manager in the Construction Management group in Sacramento, CA. We are seeking Healthcare Senior Project Managers in the Sacramento, CA with a strong history of recent healthcare experience representing owner's on capital programs, facility upgrades, renovations and additions for both new and occupied healthcare facilities. The successful candidate will assume a role in our division managing Capital Program Management/Owners Representative assignments. The successful candidate will represent the owner and owner stakeholder groups and be an integral part of a high preforming team of professionals leading the delivery of projects and or programs for healthcare specific clients in Southern Florida. The Senior Project Manager will represent the owner's interest in managing design professionals and contractors constructing state of the art Healthcare, Pharmaceutical and Bio Life Science facilities. In this role the Senior Project Manager will work alongside of executive managers and will guide the project team to manage all phases of the project life cycle including but not limited to budgeting, planning, design, bidding, construction, commissioning, move management planning and close out services. Join STV and become part of one of the most dynamic and fast paced market sectors in the construction industry. Responsibilities: Responsibilities include assisting the Executive Managers in leading the project team. The SPM will set goals, develop project implementation strategies, policies and procedures to guide the project/program and mentoring team members. The SPM shall manage staff, recruit new staff, manage program financials and schedules. In addition, the SPM shall carry out duties as assigned by the Executive Team to achieve the successful completion of the program. The SPM shall lead cross functional healthcare projects/programs and initiatives with demanding resource requirements, risk, and/or complexity. Negotiate program scope changes, staffing assignments, and fees on behalf of STV. Develop program organizational structures and implementation strategies. Define program resource requirements. Manage the client relationship. Monitor design and construction activities to ensure that all phases of work are done in accordance with contractual agreements and corporate quality standards. Define and assign project responsibilities to the Project/Program Team. Develop policies and procedures to foster the growth of a high performing team. Evaluate program financials, cash flow analyses, and cost estimates, as well as purchase orders, change orders, and invoices and implement actions to facilitate program compliance and the successful delivery of the program. Work with team to forecast, identify and addresses areas of potential liabilities and risks. Work with team to develop, monitor, and maintain project schedules. Ensures that project objectives are met. Develop and implement policies and procedures to maintains client, consultant, contractor, and vendor relationships. Works with team to manage conflict resolution. Communicates complex ideas, anticipates potential concerns and persuades others, which may include executive leadership, to adopt positions to facilitate the successful conclusion of the project. Develop standards, protocols, policies and procedures to facilitate project success. Build a collaborative work environment. Provides guidance, direction, and instruction to less experienced team members and colleagues. Required Skills: The ideal candidate will have a bachelor's degree in Engineering, Architecture, Construction Management OR related fields OR AS or BS degree in conjunction with commensurate years of industry experience Minimum of 15 years of clinical renovations and owner representative/project management experience, specifically in Hospital, Healthcare Systems, Pharmaceutical, and or Laboratory related projects. Demonstrated history in managing a minimum of $100 million in healthcare or related construction types. Demonstrated experience in managing high-rise construction projects. Demonstrated experience in managing program/project teams on large complex healthcare projects. Demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Requires excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams. Knowledge and ability to creatively resolve issues as they arise. Knowledge and ability to supervise people including recruitment, training, performance management, and people development. High proficiency with general Microsoft applications, including MS Project and Share Point. Demonstrated experience with project management software and applications. Compensation Range: $0.00 - $0.00 Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At STV, we are fully committed to expanding our culture of diversity and inclusion, one that will reflect the clients we serve and the communities we work in, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description we encourage you to apply anyways. You may be just the right candidate for this or other roles. STV offers the following benefits • Health insurance, including an option with a Health Savings Account • Dental insurance • Vision insurance • Flexible Spending Accounts (Healthcare, Dependent Care and Transit and Parking where applicable) • Disability insurance • Life Insurance and Accidental Death & Dismemberment • 401(k) Plan • Retirement Counseling • Employee Assistance Program • Paid Time Off (16 days) • Paid Holidays (8 days) • Back-Up Dependent Care (up to 10 days per year) • Parental Leave (up to 80 hours) • Continuing Education Program • Professional Licensure and Society Memberships STV is committed to paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is STV's good-faith salary estimate for this position. Please note that the final salary offered for this position may be outside of this published range based on many factors, including but not limited to geography, education, experience, and/or certifications.

Posted 30+ days ago

C logo
CNA Financial Corp.Lake Mary, FL

$97,000 - $189,000 / year

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities. This individual contributor role will work on the largest exposure claims across all Healthcare segments. This individual must have the ability to step into a claim at various points, evaluate next steps and proactively move the claim toward resolution. The claim professional will handle approximately 65 high exposure claims. 25% travel. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Counsels management on legal risks, claim and litigation strategy and obligations in complex matters. Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes. Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements. Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues. May participate with senior management in the development and implementation of claims policy and business strategy. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director or above Skills, Knowledge & Abilities Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices. Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment. Ability to drive results by taking a proactive long-term view of business goals and objectives. Extensive experience interpreting commercial insurance policies and coverage. Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's degree with JD preferred in a related discipline or equivalent. Typically a minimum ten years of relevant experience. Medical malpractice experience preferred. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Advanced negotiation experience Professional designations are highly encouraged (e.g. CPCU) #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consulting Director role is $144,500 to $205,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

Posted 4 weeks ago

A logo
Aramark Corp.Owensboro, KY
Job Description The EVS Worker cleans and maintains assigned area(s) to meet customer, client, and patient satisfaction. Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs. Job Responsibilities Adheres to established procedures to provide a safe working environment including aligning with OSHA, state/local, federal, and Aramark regulations Performs cleaning and sanitizing of patient / resident rooms that may include vacuuming, high and low dusting, bed making and stripping, and removal of general and hazardous waste. Cleans restrooms following proper infection control procedures. Accurately maintains and cleans housekeeping equipment Cleans assigned areas to Aramark and client standards and requirements Follows procedures for storage and disposal of trash and transports it to designated areas Reports maintenance concerns via work order requests to appropriate personnel Maintains friendly, efficient, positive customer service demeanor toward customers, clients, patients, and co-workers. Is adaptable to customer needs. Secures the facility, ensuring building is locked/unlocked as required Ensures security of company assets Other duties and tasks as assigned by manager At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Previous custodial experience preferred Able to follow basic safety procedures and precautions This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing. This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Owensboro

Posted 30+ days ago

Axiom logo
AxiomLos Angeles, CA
We are seeking experienced Contract Negotiation attorneys specializing in the healthcare industry and with experience advising hospitals, large healthcare systems or large physician groups. This role involves overseeing complex contracting processes with a focus on vendor and payer-side agreements. Responsibilities: Lead and manage the negotiation and execution of external client contracts, particularly with healthcare vendors, focusing on Master Service Agreements (MSAs), Statements of Work (SOWs), Business Associate Agreements (BAAs), Non-Disclosure Agreements (NDAs), and Requests for Proposals (RFPs). Provide strategic compliance advice to commercial operations and relevant functional areas, emphasizing market access and pricing issues related to Medicaid and Medicare. Review, draft, and consult on a variety of agreements, including consulting agreements, supply and distribution agreements, advisory, market access-related contracts (PBM, Payer, and GPO agreements), wholesaler contracts, and discount and rebate agreements. Act as a legal advisor to marketing, regulatory, and medical teams to ensure advertising and promotional content complies with statutory and regulatory requirements, offering practical solutions. Utilize expertise in managed care to influence supply chain management, specialty pharma contracting, and federal/state pricing strategies. Demonstrate proficiency in navigating payer contracting or provider-side environments with payer-facing activities. Work collaboratively to negotiate agreements with wholesalers. Desired Qualifications: Extensive experience in healthcare contracting and vendor management, with a strong emphasis on payer-side contract negotiation and management. Proven background in managed care, encompassing external client contract management, supply chain distribution, specialty pharma contracting, and federal/state pricing mechanisms. Firm knowledge of privacy regulations, including HIPAA, CCPA, and GDPR. Licensed to practice law in the relevant jurisdiction, with at least 5 - 8 years of legal practice experience. Background in overseeing and advising on legal issues pertaining to advertising, promotion, and interactions with healthcare professionals. Compensation, Benefits & Location: This position offers an attractive compensation package starting at $145,000, including comprehensive health benefits, a 401K plan, and access to professional development opportunities. While Axiomites primarily work remotely, some clients may require onsite presence. Company Overview: Axiom is the global front-runner in delivering high-caliber, on-demand legal expertise, enabling efficiency and growth across legal departments worldwide. Our commitment to diversity, inclusion, and social engagement sets us apart as an equal opportunity employer. Equal Opportunity Employer: Axiom is dedicated to equal employment opportunities, free from discrimination or harassment based on race, religion, gender identity, disability, or other protected characteristics. Reasonable accommodations are provided for qualified individuals with disabilities to ensure a fair application process. For additional information on privacy practices, please refer to our full privacy notice. We request candidates to ensure all application details are accurate before submission. #LI-LC3

Posted 30+ days ago

Sompo International logo
Sompo InternationalDallas, TX

$150,000 - $250,000 / year

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team. Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition. Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you'll be doing: This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients. Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards; Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks; Authorizes quotes/binders/invoices as appropriate; Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures; Attends client/broker meetings, lunches, dinners and other social outings as applicable; Expands existing portfolio of business by developing existing relationships and new prospective clients; Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results; Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner; Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed; Completes underwriting referral applications for risks outside of authority for higher level approval as necessary What you'll bring: Undergraduate or advanced degree preferred; 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques; Established relationships with retail and wholesale producers; Strong negotiation skills; Excellent communication (both written and verbal) skills; Ability to plan strategically and prioritize workload to meet production and management objectives; Ability to be a team player. Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits In today's world, what do we stand for? Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo. Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

Posted 30+ days ago

Inmar logo
InmarWinston Salem, NC

$181,720 - $302,867 / year

The Vice President, Strategic Accounts & Strategy is a key leadership role within Inmar's Healthcare Division, responsible for shaping and executing account strategies for the organization's most strategic, top-tier healthcare clients and emerging products and services. This leader will serve as executive sponsor for high-profile client relationships, ensuring client growth, retention, satisfaction, and measurable value realization while developing frameworks and strategic direction for account management across the Healthcare Client Excellence organization. With deep knowledge of the healthcare ecosystem (hospital, retailer, wholesaler, and familiarity with life sciences), this role will integrate client insights with enterprise strategy to drive long-term value for both clients and Inmar. Primary Accountabilities: Strategic (40%) Serve as executive sponsor for Inmar's strategic healthcare clients, representing the company in executive forums, business reviews, and escalations. Partner with account leaders to create and execute multi-year strategic account plans aligned with client objectives and Inmar's enterprise goals. Lead the development of account management frameworks, playbooks, and governance models to strengthen account strategy discipline across Client Excellence. Partner with Product, Operations, Marketing, and Finance to ensure alignment of client strategies with new offerings, innovation initiatives, and enterprise growth plans Identify and advise on emerging healthcare/life sciences opportunities to shape new offerings and extend client value. Leadership (30%) Lead, mentor, and develop account leaders and teams responsible for top-tier healthcare clients. Model leadership behaviors that reinforce client-centricity, collaboration, and innovation. Establish a culture of transparency, accountability, and excellence across Client Excellence teams. Support adoption of emerging products and services by advising clients on value opportunities and shaping offerings for strategic relevance. Influence (20%) Provide strategic input on deal structures, renewals, and complex contracting in partnership with Legal, Finance, and Commercial teams. Represent the voice of the client in enterprise-level initiatives, ensuring client needs inform product, service, and operational strategies. Build trust-based executive relationships that position Inmar as a long-term partner and advisor. Analytical (10%) Oversee the development and use of client health metrics (retention, adoption, ROI, satisfaction). Interpret client feedback and market data to inform account strategies and organizational priorities. Ensure decision-making is data-driven, balancing financial outcomes with client value and experience. Required Qualifications: 12+ years of progressive leadership experience in strategic accounts, customer success, or enterprise client management, preferably within healthcare. Proven executive client engagement experience with Retail, Wholesale, Life Science hospitals, retailers, wholesalers, and/or consumer healthcare organizations. Strong knowledge of healthcare ecosystem dynamics; life sciences background a plus. Demonstrated success in account strategy planning, client retention, and growth initiatives at scale. Experience shaping contracting strategies and providing input on complex deal structures. Strong leadership, communication, and executive presence with ability to influence senior stakeholders. Bachelor's degree required; advanced degree (MBA, MHA, or related) strongly preferred. Individual Competencies: Integrity: Gains the trust of others by taking responsibility for your own actions and telling the truth. Follows through on commitments and agreements; Respects confidentiality; Maintains confidentiality regardless of pressure from others. Innovative: Ability to develop, sponsor, or support the introduction of new and improved methods, products, procedures or technologies. Problem Solving: Gathers and analyzes information to generate and evaluate potential solutions to problems, issues and challenges while weighing the accuracy and relevance of the facts, data and information. Communication: Giving and receiving messages and information in written, oral, and visual formats concisely for a complete understanding of meaning and intent. Collaboration: Works collaboratively with others to achieve group goals and objectives. Effective Execution: Gathers and analyzes information to generate and evaluate potential solutions to problems, issues and challenges while weighing the accuracy and relevance of the facts, data and information. Building Collaborative Teams: Builds productive and cooperative relationships to facilitate team effectiveness through the understanding and utilization of individual strengths, behaviors, and personalities to achieve team goals and organizational success. Inclusivity: Actively seeks to include and engage everyone regardless of backgrounds, cultures, or demographics to leverage the wealth of knowledge, insights and perspectives of a diverse workplace to spark creativity and propel innovation in an open and trusting environment. Vision and Strategy: Takes a long-term view and builds a shared vision with others while positioning the organization for future success by identifying new opportunities, formulating objectives and priorities, and implementing plans consistent with the long-term interest of the organization in a global environment. Change Management: Acts as a catalyst to change by using effective strategies to facilitate organizational change initiatives and overcome resistance to change. Accountability: Sets clear goals, objectives, expectations, and responsibilities and monitors the process, progress and results to hold self and others accountable for measurable actions and results. Influence: Persuades or convinces others to support an idea, agenda, or direction through establishing credibility, using data and facts for support, directly addressing a person's concerns or issues, and making connections while wielding power and authority in an effective and fair manner. Business Acumen: Understands and is aware of how to think about and successfully make the right business decisions through the utilization of industry-specific knowledge and skills and strategic thinking tools and skills. Influential Communication: Fosters open communication, speaks truthfully and with one voice through clear and consistent messages, listens to others and values all opinions while acting in a respectful manner to influence an outcome, impact, or effect, and responds appropriately to concerns of others. Quality Management: Leads and influences by example by following the principles of Quality Management in the areas of customer focus, leadership, engagement, process, continuous improvement, evidence-based decision making, and relationship management. The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job. Duties responsibilities and activities may change, or new ones may be assigned at any time with or without notice. While performing the duties of this job, the associate is: Regularly required to use hands to finger, handle or feel objects, tools or controls, and reach with hands or arms. Regularly required to talk or hear and read instructions on a computer monitor and/or printed on paper. Occasionally required to stand, kneel or stoop, and lift and/or move up to 25 pounds. Regularly required to view items at an extremely close range and must be able to adjust and readjust focus. Occasionally required to remain in a stationary position. As an Inmar Associate, you: Put clients first and consistently display a positive attitude and behaviors that demonstrate an awareness and willingness to listen and respond to clients in order to meet their short-term and long-term needs, requirements and exceed their expectations. Treat clients and teammates with courtesy, consideration and tact; you also can perceive the needs of internal and external clients and communicate effectively with the objective of delighting and retaining the client. Build collaborative relationships and work cooperatively with others, inside and outside the organization, to accomplish objectives, develop and maintain mutually beneficial partnerships, leverage information and achieve results. Set and attain achievable, yet aggressive, goals with a sense of urgency and accountability. Understand that results are important and focus on turning mission into action to achieve results following the principles of agile, dynamic execution while consistently complying with quality, service and productivity standards to meet deadlines and exceed expectations by giving our clients the best possible outcome. Support a safe work environment by following safety rules and regulations and reporting all safety hazards. #LI-LR1 At Inmar, we put people first and that means empowering our associates to thrive at every stage of life and career. Our comprehensive and competitive benefits package is thoughtfully designed to support a wide range of lifestyles and life stages. Eligible associates have access to: Medical, Dental, and Vision insurance Basic and Supplemental Life Insurance options 401(k) retirement plans with company match Health Spending Accounts (HSA/FSA) We also offer: Flexible time off and 11 paid holidays Family-building benefits, including Maternity, Adoption, and Parental Leave Tuition Reimbursement and certification support, reflecting our commitment to lifelong learning Wellness and Mental Health counseling services Concierge and work/life support resources Adoption Assistance Reimbursement Perks and discount programs Please note that eligibility for some benefits may depend on your job classification and length of employment. Benefits are subject to change and may be governed by specific plan or program terms. At Inmar, compensation reflects our belief in integrity, transparency, and the value of individual contributions. The hiring range for this position is: 181,720.13 - 302,866.88 USD Annual The final offer may vary based on factors such as geographic location, job-related skills, education, certifications, work experience, and other relevant considerations. Depending on the job level and role, it may include: Annual discretionary bonuses through our Core Company Performance Bonus Plan Equity grants, sign-on bonuses, and other tailored incentive opportunities Additional discretionary compensation, such as: Growing Revenue Incentives Corporate or VIP Bonuses Deferred compensation opportunities The actual annualized salary offered at the time of hire will be communicated in the candidate's offer letter. We remain committed to fairness and transparency across all locations. Where required, including for remote-eligible roles, local pay ranges are disclosed in accordance with applicable laws and regulations. We are an Equal Opportunity Employer, including disability/vets. Recruitment Fraud Notice: Recruitment fraud is an increasingly common scam where individuals pose as employers to offer fictitious job opportunities. Scammers sometimes impersonate Inmar recruiters on LinkedIn and other channels. We will never ask for payment or sensitive personal information during the hiring process. Verify any role on our official Workday Careers site and learn how to spot scams in our full notice. This position is not eligible for student visa sponsorship, including F-1 OPT or CPT. Candidates must have authorization to work in the U.S. without the need for employer sponsorship now or in the future.

Posted 30+ days ago

Cigna logo
CignaHouston, TX
Reporting to the Senior Manager of Dental/Vision Strategy & Project Delivery, the Dental/Vision Project Manager will provide business direction and end-to-end project management for cross-functional programs and projects for the Dental & Vision businesses. Partnering closely with Dental & Vision team members and matrix partners, they will: Lead the facilitation of discussions supporting projects, create framework to support cross-functional project preparation/execution, manage and create program/project artifacts and be responsible for the overall organizational messaging and communication of project performance. Develop and maintain project documentation, communication plans, schedules, estimates, governance models and resource plans to support new services and or product developed, implemented and maintained by the Dental & Vision organization. Support business analysis including support of the development of content/idea creation and facilitation of evaluation of strategic ideas. Determine the appropriate change management approach working with business partners. Work with portfolio management and Agile scrum teams to define portfolio epic, program epics and features. This role will be instrumental in delivering business change across multiple projects in alignment with Dental/Vision strategy goals and objectives. Essential functions and accountabilities: Lead and manage complex projects from initiation to completion. Coordinate cross-functional teams (e.g. Sales, Product, IT, Contracting, Finance, ,) to ensure that designated projects are planned for and executed within scope and on time. Collaborate with stakeholders to understand business objectives, define project scope, and align project goals accordingly. Performs self and team reflection continuously and implements changes to improve team's effectiveness. Ensure that proper procedures are followed to engage impacted business teams. Oversee multiple projects that span across the organization, ensuring cohesive execution and delivery. Lead meetings with cross-functional project team to assess status, support escalated issues as they arise, and drive resolution. Identify risks, develop mitigation strategies, and pivot as necessary to keep projects on track. Guide project team members by fostering collaborative, positive and high-performance team environment. When required, perform the role of Operational Readiness lead, ensuring staffing, training, procedures, and communication development, change management, business validation, and contingency planning are identified, tracked, and executed. Qualifications: Bachelor's degree preferred or equivalent experience. 2+ years relevant project management business experience with a proven track record of delivering high-quality project implementation. 2+ years working in the insurance or health services industries Proven ability to influence business decisions and performance through strategic project management. Strong ability to work autonomously, manage multiple projects and meet deadlines Proficient in project management software, methodologies and Microsoft Office. Strong project management skills, using various techniques to prepare, execute and maintain successful projects. critical skills including issue management, conflict resolution, relationship management, data/financial analysis and budget management. Strong verbal, written communication, and organizational skills. Ability to perform in a fast paced, high-demand environment. Ability to interpret and synthesize data and insights If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 1 week ago

Cigna logo

Healthcare Strategy Advisor - Cigna Healthcare - Hybrid

CignaIndependence, OH

$91,900 - $153,100 / year

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Job Description

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change.

Job Responsibilities

  • Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability.
  • Analyze market trends and internal performance to identify opportunities for innovation and improvement.
  • Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value.
  • Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level.
  • Develop executive-ready presentations and reports that communicate progress and strategic priorities.

Required Qualifications

  • Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles.
  • Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies.
  • Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations.

Preferred Qualifications

  • Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus.
  • Experience in payer, provider, or integrated delivery systems.
  • Familiarity with value-based care models, population health, or digital health tools.
  • Exposure to strategic planning and healthcare innovation.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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