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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 30+ days ago

I logo
Interim HealthCare of AugustaAugusta, Georgia
Launch Your Career in Healthcare Leadership Looking for more than just a job? Join Interim Home Care as an Entry-Level Healthcare Recruiter and step into our Healthcare Administration Management Training Program . This unique opportunity is designed for individuals looking to grow into agency management and leadership roles . You'll start by learning how to recruit top clinical talent—and evolve into someone who understands and contributes to every part of running a home healthcare business. Responsibilities: Recruit, screen, and onboard healthcare professionals Engage and manage candidate relationships Participate in hiring campaigns and live recruitment events Track hiring performance metrics (time-to-hire, retention, etc.) Support agency operations, compliance, and reporting Gain cross-functional training in healthcare administration Requirements: Associate’s or Bachelor’s degree OR equivalent experience 2+ years in sales, service, or customer-focused roles Interest in leadership, healthcare operations, and growth Organized, proactive, and able to communicate clearly Familiarity with Microsoft Office and internet research Why Join Us: Competitive salary + commission structure Full mentorship and training in home care operations Long-term career path into leadership Purpose-driven work improving patient lives at home Collaborative and professional team environment To Apply: Submit your resume and cover letter to: Cutter Mitchell – cmitchell@interimhealthcare.comOr complete our online application: APPLY HERE Interim Home Care is proud to be an Equal Opportunity Employer. We celebrate diversity and welcome applicants of all backgrounds.

Posted 2 days ago

Cigna logo
CignaChicago, IL

$91,900 - $153,100 / year

Job Summary The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy. Responsibilities Strategic Support & Planning Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps. Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities. Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers. Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership. Cross-Functional Collaboration Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment. Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products. Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution. Analysis & Insights Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery. Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders. Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions. Prepare executive-level presentations, memos, and updates on strategic projects. Monitor initiative performance and support continuous improvement efforts. Required Qualifications Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred. 5+ years of experience in healthcare strategy, clinical operations, or related roles. Strong analytical and problem-solving skills with the ability to translate data into actionable insights. Excellent written and verbal communication skills. Experience working in a matrixed organization and collaborating across functions. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with value-based care models, population health strategies, or digital health tools. Exposure to strategic planning, business case development, or 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 6 days ago

Cigna logo
CignaIndependence, OH

$91,900 - $153,100 / year

Job Summary The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy. Responsibilities Strategic Support & Planning Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps. Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities. Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers. Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership. Cross-Functional Collaboration Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment. Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products. Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution. Analysis & Insights Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery. Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders. Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions. Prepare executive-level presentations, memos, and updates on strategic projects. Monitor initiative performance and support continuous improvement efforts. Required Qualifications Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred. 5+ years of experience in healthcare strategy, clinical operations, or related roles. Strong analytical and problem-solving skills with the ability to translate data into actionable insights. Excellent written and verbal communication skills. Experience working in a matrixed organization and collaborating across functions. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with value-based care models, population health strategies, or digital health tools. Exposure to strategic planning, business case development, or 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 6 days ago

Cigna logo
CignaSaint Louis, MO

$91,900 - $153,100 / year

Job Summary The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy. Responsibilities Strategic Support & Planning Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps. Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities. Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers. Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership. Cross-Functional Collaboration Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment. Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products. Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution. Analysis & Insights Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery. Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders. Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions. Prepare executive-level presentations, memos, and updates on strategic projects. Monitor initiative performance and support continuous improvement efforts. Required Qualifications Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred. 5+ years of experience in healthcare strategy, clinical operations, or related roles. Strong analytical and problem-solving skills with the ability to translate data into actionable insights. Excellent written and verbal communication skills. Experience working in a matrixed organization and collaborating across functions. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with value-based care models, population health strategies, or digital health tools. Exposure to strategic planning, business case development, or 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 6 days ago

I logo
Interim HealthCare of AugustaAugusta, Georgia
Launch Your Career in Healthcare Leadership Looking for more than just a job? Join Interim Home Care as an Entry-Level Healthcare Recruiter and step into our Healthcare Administration Management Training Program . This unique opportunity is designed for individuals looking to grow into agency management and leadership roles . You'll start by learning how to recruit top clinical talent—and evolve into someone who understands and contributes to every part of running a home healthcare business. Responsibilities: Recruit, screen, and onboard healthcare professionals Engage and manage candidate relationships Participate in hiring campaigns and live recruitment events Track hiring performance metrics (time-to-hire, retention, etc.) Support agency operations, compliance, and reporting Gain cross-functional training in healthcare administration Requirements: Associate’s or Bachelor’s degree OR equivalent experience 2+ years in sales, service, or customer-focused roles Interest in leadership, healthcare operations, and growth Organized, proactive, and able to communicate clearly Familiarity with Microsoft Office and internet research Why Join Us: Competitive salary + commission structure Full mentorship and training in home care operations Long-term career path into leadership Purpose-driven work improving patient lives at home Collaborative and professional team environment To Apply: Submit your resume and cover letter to: Cutter Mitchell – cmitchell@interimhealthcare.comOr complete our online application: APPLY HERE Interim Home Care is proud to be an Equal Opportunity Employer. We celebrate diversity and welcome applicants of all backgrounds.

Posted 1 week 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

Citadel Security USA logo
Citadel Security USAClifton, New Jersey

$18 - $20 / hour

Why Join Our Team? --> Quick Setup for Success: Citadel Security USA provides local training programs and company uniforms, setting you up for success from day one. We'll equip you with the skills and knowledge needed to excel in your role. --> Competitive Pay: Your dedication and contribution will be rewarded with a competitive wage that recognizes your commitment. Refer to the specific job posting for pay information. --> Weekly Paychecks: We understand the importance of timely payments. Rest assured; our regular payroll schedule ensures that you receive a paycheck every week. We also have the flexibility to provide daily payments, giving you the financial stability even during the unexpected personal times. --> Benefits: We value our employees and foster a supportive work environment. Full-time employees are eligible for benefits, including medical, dental, vision, life, and other supplemental benefits insurances. Enjoy the peace of mind that comes with comprehensive coverage while being part of an exciting career. --> Other Benefits: We provide a 401(k) Safe Harbor Retirement Savings Plan to all employees with a generous immediate vesting employer match. --> Time Off: Full-time employees are eligible for Paid Time Off (PT0). PTO replaces traditional vacation and allows employees the opportunity to decide how they would like to use paid time away from work. --> Sick Time Off: Citadel Security USA offers all Colorado employees the Colorado Sick Pay Leave. --> Referral Program: Share the joy with friends and earn extra rewards! Refer someone you know to join our team, and when they're hired, you'll receive $50.00 as a token of our appreciation. PAY INFORMATION $18.00 per hour for Assistant Drivers $20.00 per hour for Drivers Non-exempt position (eligible for overtime when applicable under state law) LOCATION In general, Colorado is noted for its lustrous landscape of mountains, forests, tall plains, mesas, canyons, plateaus, rivers and desert lands. The Western Slope of Colorado is home to about 10% of Colorado's residents, as it contains 33% of the state's land, and some of the most popular tourist and recreation areas. Since this is a driving position with our Company, you will get to see all of Colorado's beautiful landscapes! THE POSITION Healthcare Transport Officers are responsible for executing safety and security objectives as outlined by the Company’s policies and procedures as well as contract specific orders of operation. Officers must provide a security presence and perform general security duties related to the safety and security of the facility, staff, patients and guests. Security work includes transporting higher needs patients from facility to facility or maintaining an onsite watch of patients. Security work requires detailed logs of daily activity, hazard reports, and incident reports, adherence to contract specific programs and contract company policy, and compliance of HIPAA requirements. Healthcare Transport Officers must be able to work in stationary and moving positions in extreme weather conditions. Work schedule is inconsistent or unpredictable. Essential Job Functions Responsible for safety, protection, and transport of transportee (patient) from pick up facility to destination facility. Responsible for safety, protection, and watch of patient at the client's facility. Engage with the client on a work performance level and always provide excellent customer service and a positive attitude. Create and maintain accurate and detailed logs. Maintain confidentiality of HIPAA documents. Ability to perform job tasks in an extremely professional manner, while providing exceptional customer service in both fast and slow-paced environments. Must be able to respond appropriately during emergency situations with a clear and focused mindset. Learn the site-specific rules and regulations established for the transportation of clients. Be mentally engaged during shift through observation and reporting all problems or potential hazards to the Healthcare Transport Manager. Ability to endure long periods of time working in pairs, sitting in a vehicle, while maintaining mental focus. Understand and execute the security objectives outlined for the contract with detailed precision. Maintain legible and detailed documentation of work site observations, including professional incident reports. Coordinate with managers, supervisors, and office staff to dispatch transports and any emergency situations. Properly use and maintain all equipment, including vehicles, radios, computer equipment, flashlights, uniforms, etc. Qualification Requirements Provide credible references and I-9 Employment Eligibility Documentation (legal eligibility to work in the U.S.). For insurance reasons candidate(s) must be 21+ years of age and have a clean driving record. Must have a minimum of a High School Diploma. Ability to perform job tasks in an extremely professional manner in a customer service driven industry. Reading, writing and oral proficiency in the English language. Ability to pass a background check and have a clean Motor Vehicle Record. Ability to stand and walk for several hours per shift Reliable transportation and proximity to site(s) Basic computer skills. Positive attitude. Punctuality, never late. Must own a smartphone for scheduling and clocking in / out. Experience in CPR and first aid is preferred, but not required. Previous security experience preferred, but not required. $20 - $20 an hour Citadel Security USA is a veteran owned security company and one of the most trusted security providers in the industry. Established in 2007, Citadel Security became an industry leader in managing complex, multi-site security projects for our clients. Our strategic partnership approach utilizes a security threat matrix and integrates modern security techniques to minimize the overall risk. Our company is currently hiring for full-time and part-time, security & public safety professionals who are ready to take their training and experience to a whole new level. Increase your customer service skills while serving your community. At Citadel Security we like to develop our Security, Safety, and Loss Prevention professionals to become part of our professional brand. We strive to provide our clients with a customer service approach toward security and public safety. Unlike many large security brands our management has established our company as a blue-collar employee-oriented company! Citadel Security USA is an equal opportunity employer. We will not discriminate in employment, recruitment, advertisements for employment, compensation, termination, promotions, and other conditions of employment against any employee or job applicant on the basis of race, color, gender, national origin, age, religion, creed, disability, veteran's status, sexual orientation, gender identity or gender expression.

Posted 4 days ago

R logo
RequestAltoona, Pennsylvania

$14+ / hour

Benefits: 401(k) matching Bonus based on performance Competitive salary Free uniforms Opportunity for advancement Training & development Seeking part-time evening cleaning position in the Altoona area. Starting wage $14hr. Monday thru Friday, 5:30pm to 10:30pm. Join ServiceMaster Clean as a Commercial Cleaner – Where We Value YOU! Why You’ll Love Working With Us: Competitive Pay: Your hard work deserves fair rewards. Flexible Schedules: We respect your time and help you achieve work-life balance. Career Growth Opportunities: We’re committed to your professional development and long-term success. Paid Training: No experience? No problem! We invest in your future from day one. Employee-Centered Culture: At ServiceMaster Clean, we recognize that our people are the heart of our success. We create a supportive and inclusive environment where your efforts are valued and your voice is heard. What You’ll Do: As a Commercial Cleaner , you’ll be an essential part of creating cleaner, healthier environments for our customers. Your responsibilities will include: Performing cleaning tasks like sweeping, mopping, dusting, restroom cleaning, and trash removal. Using ServiceMaster products and tools to ensure spotless results. Maintaining and organizing cleaning supplies and equipment. What You Bring: A strong work ethic and a willingness to learn—we’ll provide the training! Physical stamina: standing, walking, and lifting up to 25 lbs. throughout your shift. A positive, team-focused attitude with dependability and respect for coworkers and customers alike. Why ServiceMaster Clean? For over 60 years, we’ve built a reputation as one of the most respected professional cleaning companies in the country. But we know our success starts with YOU. We pride ourselves on creating a workplace where you feel valued, appreciated, and supported. From opportunities for advancement to celebrating your contributions, we’re committed to helping you thrive. Compensation: $14.00 per hour Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision. Our environment is a diverse community where successful people work together to achieve common goals. This franchise is independently owned and operated by a ServiceMaster Clean® franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this location should be made directly to the franchisee, and not to The ServiceMaster Company, LLC.

Posted 4 days ago

Back On Course Educational Services logo
Back On Course Educational ServicesSacramento, California

$24 - $29 / hour

Who We Are: Approximately one in four U.S. jobs requires some level of science knowledge, but companies are struggling to find and retain employees with the skills they need—especially skills like math and programming. Back On Course Educational Services is the solution to this problem. We provide personalized educational support for adults who want to thrive in a career in the science workforce. Our experts have hands-on experience and deliver a variety of engaging methods of support including one-on-one training sessions and workshops. They specialize in and have a passion for working with adults that are underrepresented in the science workforce. We know what it’s like, because we’ve been there. We’ve helped our clients gain new skills, earn certifications, and more. It’s time to reimagine how we develop our workforce. It’s time to get back on course. Job Overview: We are currently seeking a Learning Specialist. The ideal candidate is well-versed in multiple science subjects, can quickly establish a rapport and communicate well, demonstrates an ability to be flexible and adaptable in a dynamic environment, and has a high degree of self-directedness and self-efficacy. This is an exciting opportunity to join a growing, mission-driven company at a pivotal stage. Read on to learn how you will make an impact and contribute to the operational health and success of the Back On Course Educational Services team in your role. Responsibilities include: Maintain a professional, caring, and welcoming environment that models patience, compassion,and respect for diverse cultures and experiences Facilitate client intake process and lead client evaluation processes Develop, and facilitate educational goals and teaching methods that achieve the program's objectives and client outcomes Use an instructional approach rooted in andragogy Collaborate with stakeholders and subject-matter experts to create and identify methods, materials, and resources for instruction, including social media content Design and administer regular assessments to determine client’s needs, interests, preferences, learning styles, skill levels, and progress Collaborate with staff to identify barriers to achievement of client objectives and create action plans to overcome them Assist with the facilitation of new employee and client onboarding and training *The specialist will work both remotely, and in-person. The position will occasionally require travel from one job site to another during the work day. The specialist must be able to perform the outlined job duties and responsibilities that support the performance standards of the position with or without accommodations. Benefits: Paid sick & vacation time Mission driven, people-first culture Opportunities for growth & advancement Who You Are: We’re looking for someone who thrives at the intersection of science and education, with an educational background and/or a minimum of 2 years of practical experience in a science field such as: Physics, Chemistry, Environmental Science, Biomedical Engineering, Civil Engineering, Computer Science, Carpentry, Dental Hygiene, Nursing, Construction Management, etc. Teaching experience is a plus! Additional Qualifications/Skills: Passion for learning, with a strong ability to learn new software, systems and concepts Excellent organizational, verbal communication, and writing skills Ability to clearly and effectively explain technical information and challenging concepts Ability to work seated in front of a computer for long periods of time Ability to successfully pass background check Spanish fluency is a plus! Flexible work from home options available. Compensation: $24.00 - $29.00 per hour

Posted 30+ days ago

STV logo
STVHauppauge, New York

$66,768 - $89,024 / year

We are seeking Healthcare Assistant Project Manager for our PM/CM team in Long island. The candidate needs 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 Suffolk County, Long Island . 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. 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: $66,768.17 - $89,024.22 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 3 weeks ago

R logo
RequestHuntingdon, Pennsylvania

$13 - $15 / hour

Benefits: 401(k) matching Bonus based on performance Free uniforms Opportunity for advancement Training & development ServiceMaster is seeking a Part-time Healthcare Technician in the Huntingdon Pa area. Monday thru Friday, evening hours starting at $14.00 an hour. This position has potential for up to 27 hours per week. At ServiceMaster Clean, we don’t just clean facilities—we create environments where people thrive. For over 60 years, we’ve built a reputation for excellence, and that starts with our people. As a Custodian , you’ll join a team that values your contributions, invests in your success, and empowers you to grow. Why Work With Us?Competitive Pay – Your hard work is recognized and fairly rewarded. Flexible Schedules – We work with your life, offering schedules that fit. Career Path Opportunities – Whether you’re here to grow or just getting started, we’ll help you advance. Paid Training – You’ll receive all the tools and knowledge you need to succeed. Your Role: As a Custodian , your attention to detail and dedication will help create safe, welcoming spaces for our customers and their communities. Your key duties include: Maintaining Facilities: Sweeping, mopping, dusting, cleaning restrooms, removing trash, polishing, and ensuring every corner shines. Managing Supplies: Keeping inventory of cleaning products and tools to stay ready for every task. Facility Security: Opening and locking buildings, and managing security systems as required. What You Bring to the Team: A strong work ethic and positive attitude—our training program will teach you the rest. Physical stamina for standing, walking, and lifting up to 25 lbs. Attention to detail and the ability to work efficiently in a fast-paced, multi-tasking environment. A respectful, team-oriented approach with coworkers and customers alike. Why ServiceMaster Clean? We’re more than a cleaning company; we’re a brand that believes in creating opportunities for people to succeed. Our teams are built on trust, respect, and shared success. When you work with us, you’re part of a family that values what you bring to the table and supports you every step of the way. Compensation: $13.00 - $15.00 per hour Built on a foundation of great brands and employees with a passion for service, our vision is to be the leading provider of essential services through empowered people, world-class customer service and convenient access. By joining ServiceMaster, you'll be part of a talented network of employees with a shared vision. Our environment is a diverse community where successful people work together to achieve common goals. This franchise is independently owned and operated by a ServiceMaster Clean® franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this location should be made directly to the franchisee, and not to The ServiceMaster Company, LLC.

Posted 4 days ago

EliseAI logo
EliseAINew York, New York

$130,000 - $150,000 / year

About EliseAI At EliseAI, we're improving the industries that matter most: housing and healthcare. Everyone needs a place to live and access to quality healthcare, yet both are often harder to secure than they should be. By integrating AI agents deeply into existing workflows, we make them more efficient, reduce costs, and improve the experience for everyone. Healthcare : We make it easy to schedule appointments, complete intake forms, and we help patients communicate with providers, so everyone can focus on health instead of paperwork. Housing : We simplify how renters tour apartments, sign leases, submit maintenance requests, and stay connected with their property team—bringing everything they need for their home into one place. With EliseAI, organizations reduce manual work, improve accessibility, and deliver a seamless experience across essential services. We recently raised a $250 million Series E round led by Andreessen Horowitz to accelerate this mission. About The Role EliseAI is breaking into a new vertical: healthcare. We are looking to hire Enterprise Account Executives to play an essential role in building up our new business unit. You’ll work at a startup within a startup, playing a key role in building our new client base and helping our customers fundamentally change their businesses. As an Enterprise Account Executive, you will help identify, engage, and close new business for our healthcare segment. Key Responsibilities Work with prospective C-Suite, VP, and Director level executives to drive EliseAI adoption in the healthcare industry Own the entire sales cycle – prospecting, initial outreach, product demos, negotiations, and expansions Attend industry conferences to increase market presence of EliseAI throughout the US Act as a bridge between customers and product teams for new features and solutions Build out playbooks, processes, scripts, etc. for the next stage of growth Attract top-tier talent to join our driven team Move at rocket speed, build something massive. We’re scaling fast, solving real client problems with precision and ambition. Here, you own your impact; full autonomy, no micromanagement, no fluff. We hire the best, expect the best, and give you the masterclass of your career. It’s hard, it’s intense, and it’s the most rewarding work you’ll ever do. If you’re hungry, driven, and ready to build something massive, climb aboard. We’re looking for someone who is excited.. About the potential impact of AI and new technologies To join an early stage start-up with a small but growing sales team With not just executing today but also building for the future Requirements 3+ years quota carrying sales experience in SaaS preferably Experience as a top performer SDR a plus Minimum annual quota of $1.2m of SaaS or net revenue in a quota carrying role Demonstrated experience in consistently meeting and exceeding sales quotas Experience in managing complex sales processes (multi-threading, procurement, etc.) Willingness to work in person at our NYC office 5 days a week Why join Growth and impact. It’s not often that you can get in on the ground floor of a funded ( unicorn! ) startup that’s scaling so fast, and join a sales team that have made us a top-rated sales org on RepVue! That means that instead of following a playbook, you’ll be writing it. Every single day you will be challenged to identify how we can scale and execute on it. You’ll learn what works when you succeed and what doesn’t when you fail. Either way, the rest of the team will be here to support you. Benefits In addition to the growth and impact you’ll have at EliseAI, we offer competitive salaries along with the following benefits: Equity in the company Medical, Dental and Vision premiums covered at 100% Fully paid parental leave Commuter benefits 401k benefits Monthly fitness stipend A collaborative in-office environment with an open floor plan, fully stocked kitchen, and company-paid lunch. Fun company social events through our Elise and the City program Unlimited vacation and paid holidays We'll cover relocation packages and make the move exciting, not painful! Job Compensation Range The salary range for this role is $130,000 - 150,000K (OTE $260,000 - $300,000). EliseAI offers a competitive total rewards package which includes base salary, equity, and a comprehensive benefits & perks package. In addition to the salary range listed, this role is eligible for commission based compensation. Exact compensation is determined based on a number of factors including experience, skill level, location and qualifications which are assessed during the interview process. Additional details about total compensation and benefits will be provided by our Recruiting Team during the hiring process. EliseAI provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Please note that employment with EliseAI is on an "at-will" basis, which means that either the employee or the company may terminate the employment relationship at any time, with or without cause or notice. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. If you need assistance and/or a reasonable accommodation in the application or recruiting process due to a disability, please contact us at recruiting@eliseai.com

Posted 3 weeks ago

Mizuho logo
MizuhoNew York, New York

$175,000 - $225,000 / year

Mizuho’s Banking Division provides corporate and investment banking coverage, sponsor coverage, advisory and solutions and loan capital markets/syndicate to Mizuho’s client base of leading international corporations, financial institutions and public sector entities in the US and Canada. Banking supports client business activities throughout the region with an extensive range of capital markets and lending capabilities and an integrated team of coverage, advisory and product bankers responsible for client relationship management and strategic transaction development to execute banking and securities mandates and originate idea generation for potential acquisitions, divestitures and investment opportunities. Job Summary : U.S. Investment & Corporate Banking Associates are directly involved in the design, origination, structuring and execution of mergers & acquisitions, equity and debt capital markets, leveraged finance and other global products and services for existing and prospective Mizuho clients. An Associate is expected to understand the implications, identify key industry and product trends and provide input on pitch and deal materials to enhance the ultimate deliverable to our clients. Associates are assigned to a variety of projects and are given a broad range of responsibilities, some of which include: Conduct extensive quantitative economic, industry and company research and analysis Draft and prepare pitch books with detailed industry materials for multiple healthcare sectors Conduct and model a broad range of corporate finance alternatives and due diligence for client transactions including M&A, strategic alternatives, capital structure development, acquisition finance and syndicated loan and capital market financing Financial modeling, valuation, comparable & relative value analyses and market-specific analysis Facilitate and coordinate product group idea generation and solutions development across a broad platform of global capabilities Draft client pitches and marketing materials including M&A, public/private debt & equity capital markets, syndicated bank financing, and other internal documentation by coordinating internal and external resources Assist in financing structuring, underwriting transaction evaluation, preparation, due diligence and execution Assist in the development and continued cultivation of client relationships Qualifications : Bachelor’s degree in Finance or Economics and a minimum of 3 year investment banking, corporate finance, and capital markets experience with a top tier global bank OR an MBA concentrating on Finance or Economics Strong interest and understanding of the Healthcare industry; experience with banking transaction related to the Healthcare industry is a huge plus Knowledge of corporate finance, securities, financial markets and risk & pricing analysis Aptitude to synthesize large amounts of information and develop innovative ideas and/or product solutions Ability to manage multiple projects simultaneously Maturity and good judgement in handling confidential and sensitive information Ability to work under pressure and adhere to tight deadlines Strong written and oral communication skills and ability to convey ideas Creativity and intellectual curiosity Ability to work independently and must be able to work effectively in a team environment The expected base salary ranges from $175K - $225k. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications and licenses obtained. Market and organizational factors are also considered. In addition to salary and a generous employee benefits package, successful candidates are eligible to receive a discretionary bonus. #LI-Onsite Greenhill & Co., Inc., part of Mizuho Americas, is focused on providing financial advice on significant mergers, acquisitions, restructurings, financings and capital raising to corporations, partnerships, institutions and governments globally. It acts on behalf of clients throughout the world from its offices in the Americas, EMEA, and APAC .

Posted 30+ days ago

Sun Life logo
Sun LifeWellesley, Connecticut

$108,900 - $163,400 / year

Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. DentaQuest manages dental and vision benefits for more than 33 million Americans. Our outcomes-based, cost-effective solutions are designed for Medicaid and CHIP, Medicare Advantage, small and large businesses, and individuals. With a focus on prevention and value, we aim to make quality care accessible to improve the oral health of all. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Our leaders are expected to foster connection and teamwork by being present in the office 2 to 3 days per week. The opportunity: Under the guidance of leadership, The Associate Director, Pricing manages the pricing methodology for different business segments. This includes but is not limited to recommending and establishing Target Loss Ratios for different business segments and providing analysis and pricing recommendations to current and new product initiatives. The position also requires collaboration with other departments in support of pricing as well as coordinating and providing actuarial services to all business units . In addition to the risk management, pricing, and data analysis, the position provides implementation of current business and new business to assure ensure the benefits. How you will contribute: Set pricing for Current and New Business in accordance with meeting target loss ratios and regulatory requirements. Collaborate with Business Units and Core Operational Areas in providing financial risk analysis and underwriting services for clinical policy initiatives, operational initiatives, product initiatives, as well as entry into new markets. Support key initiatives by collaborating with business owners, users and information technology operations. Meet business requirements for all business units by developing sound pricing in order to achieve the financial goals. Collaborate with the Business Unit’s and Core Operational areas in support of RFP/RFI’s for existing client and prospect. Manages regulatory requirements with the Insurance Regulators as needed Manages requirements by internal and external auditors Documents, monitors, and develops training materials and delivers training of departmental staffand SOPs. Coaches, mentors, and directs the development of the underwriting team to ensure high service quality and proficiency. Providing pricing expertise in support of new marketing, clinical, and product initiatives Collaborates with Product Teams in the design, pricing, and implementation of new products. Fulfill all departmental projects and initiatives by coordinating and communicating with staff, directors and executives. Participation on ad hoc task forces and corporate projects and initiatives. In alignment with strategic direction set by senior leadership, supports the development and implementation of underwriting and actuarial plans to meet DQ strategic and business objectives. Hires, trains, coaches, counsels and evaluates performance of direct reports. Ensures regulatory and legal compliance within department. Other duties as assigned. What you will bring with you : BA/BS degree. 10 years industry experience with a minimum of 5 years large group underwriting experience. PC skills required, MS Windows environment. MS Word, Excel, AccessOutlook, other database tools, and automated underwriting system. Comprehensive knowledge of the health insurance business and financials - including but not limited to products, operations, risk assessments and financial performance metrics. 5 years’ management experience, including hiring, managing, leading and developing staff. Ability to accomplish goals through execution of business plans and underwriting strategies Strong problem solving, conflict resolution, planning and organizing skills Demonstrated sales, negotiation, communication and presentation skills Facilitate internal activities: underwriting, actuarial, statistical, claims, accounting, and contracts. A self-starter with good judgment, integrity, able to adapt to a fast-paced environment and multitask successfully. Ability to manage multiple projects with changing priorities Proven teacher, coach, mentor and change leader. Thorough knowledge of the latest underwriting policies and procedures. Excellent written and oral communication skills. Required to attend additional training as requested/deemed necessary. Salary: Salary Range: $108,900 - $163,400At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. #LIHybrid Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We’re proud to be recognized in our communities as a top employer. Proudly Great Place to Work® Certified in Canada and the U.S., we’ve also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodation s to the known physical or mental limitation s of otherwise-qualified individuals with disabilities or special disabled veterans , unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected vetera n. Job Category: Underwriting - Group Posting End Date: 04/12/2025

Posted 2 weeks ago

Bridgeview Eye Partners logo
Bridgeview Eye PartnersMaumee, Ohio
POSITION SUMMARY : The Healthcare Relations Manager is responsible for hiring, training, and elevating all Healthcare Relations Scheduling Coordinators to maintain positive provider relationships and enhance the total patient experience through first call resolution. This position requires a motivated leader with the ability to quickly review available reporting and create actionable steps to ensure organizational goals are met. The Healthcare Relations Manager bridges provider and patient relationships by fostering excellent communication across multiple practices and the Central Support System. On-site position Location: Maumee, OH COMPETENCIES : Teamwork/Organization Place a high importance on building provider, patient, and team rapport Create a culture within the department that inspires team members to reach their full potential Provide the necessary training and feedback to ensure performance aligns with our mission statement Find new ways to generate excitement and encourage employee retention through positive reinforcement and recognition Encourage open communication to cultivate cohesive teams that will provide the highest level of service to our providers and patients Lead by example Time Management Detail oriented, self-starter, with strong organizational skills Proactive, adaptable, with the ability to work under pressure to accomplish projects and meet deadlines in a fast-paced environment Communication Skills Communicate with detail and purpose Listen to understand, not always to respond Adapt communication style to the individual or audience Create a vision through motivational coaching Vocalize expectations and hold team members accountable Possess strong written skills to effectively communicate across the organization Business Accountability Identify ways to improve operational processes that support organizational goals Prepare and analyze reporting to guide decision-making Correlate data with behaviors placing an emphasis on productivity Look for operational and experience improvements and implement plans of action Possess sound business sense and decision making skills Review benchmarks and statistics to ensure department is operating at maximum efficiency Planning/Managing Initiatives Embrace change and adapt quickly to evolving processes and practices Thrive on exceeding benchmarks and goals Promptly resolve concerns that can result in a negative impact ESSENTIAL RESPONSIBILITIES : Monitor and manage call statistics and benchmarks related to the department (i.e. hold times, live answer, abandon rates, etc.) Monitor call quality and overall customer experience Assess staff performance Provide appropriate coaching and accountability Monitor and manage schedules per standards and capacity Conduct weekly team meetings Assist staff in their essential responsibilities, as necessary Perform administrative duties as related to staff, performance, asset risk, and financial management Promote a safe, clean, organized and inviting environment Assume additional responsibilities as determined by the Healthcare Relations Director EDUCATION AND/OR EXPERIENCE : High school graduate, or equivalent Call center experience required Management experience required Experience in optometry or ophthalmology preferred

Posted 30+ days ago

RHA Health Services logo
RHA Health ServicesAtlanta, Georgia
We are hiring for: Healthcare Nurse Recruiter Type: Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services! You must have previous nursing experience to be considered for this position & reside in either NC, PA, GA, NJ or TNThis position is responsible for assisting with a variety of recruitment activities regarding nursing. The incumbent identifies and actively builds nursing candidate networks through proactive outreach and works closely with colleagues and HR Director through the full life cycle of recruitment from the creation of the search strategy to contract negotiations to ensure success of recruiting efforts. Will create an environment of trust with hiring managers, stakeholders and candidates, while providing a consistent level of service for all candidates and improving time to hire and retention. Job Responsibilities: Partner with business leaders and hiring managers to assess their talent requirements and advising on the best hiring strategy for nurses. Source potential candidates for hire through a variety of methods through networking, various social media platforms, connections with professional associations across the specialized and technical spectrums, to ensure attracting the best possible candidates. Create job postings to place on various online and offline resources that are articulate, professional and attention-grabbing to attract high quality candidates. Utilize a variety of techniques to discover and attract the best passive talent Conduct thorough behavioral based interviews and phone screens to assess both technical baseline as well as skills be successful in the RHA environment Serves as the point-of-contact in recommending hiring rates, making job offers to potential candidates, developing offer letters, and finalizing hiring details for the job applicant. Responsible for ensuring compliance with all local, state and federal regulatory employment guidelines. Focused on providing a great candidate experience at every opportunity Previous nursing experience as either an LPN, RN or nursing specialist is required. Functional Area outcomes Develop, implement, and support workforce recruiting plans at the unit/department level Lay the groundwork for team member engagement during the recruiting process. Focus attention on continually improving the recruitment and hiring process. Reduce and maintain the turnover rate by improving quality of hire Incorporate management feedback into future recruitment programs Knowledge, Skills and Abilities Demonstrate excellent communication and presentation skills and ability to provide high level of customer service Establish credibility and influence key stakeholders Apply strong and innovative problem solving and analytical skills to thoughtfully and tactfully navigate barriers to progress Manage projects simultaneously while working under pressure to meet deadlines Display strong organizational skills and attention to detail Demonstrated organizational skills, with a keen focus on delivering business results. Ability to deliver results with little supervision in a dynamic and oftentimes ambiguous environment. Proven effective consulting skills, with an ability to drive impact. Job Requirements: Required Experience : 5 years of progressive relevant experience Preferred Experience: 5+ years of experience in corporate or agency recruiting in a fast-paced, high volume environment. Required Education : Associate's degree Preferred Education : Bachelor's degree Preferred Certifications : PHR, SHRM-CP, SHRM-SCP, SPHR, or an equivalent professional qualification Preferred Computer Applications : Workday ATS, MS Office, and Monday.com Pre-employment screening: Complete criminal background Name checked in the registries. (OIG exclusions database, Child Abuse Registry, and Offenders Against Individuals with Developmental Disabilities) Drug testing Education verification and other credentialing based on position requirements. Proof of employment history or references (if required) Positions that require driving Proof of driver's license, driver's insurance, and vehicle, IF required for providing transportation for individuals. We offer the following benefits to employees: Payactiv: early access to the money you’ve earned from hours you’ve already worked, before payday! Employee perks and discount program : to help you save money! Paid Time Off (full-time employees only) Health/Insurance (full-time employees only) 401(k) retirement savings program Wellbeing Programs: Physical, Emotional and Financial Chronic Disease management programs for hypertension and diabetes (for qualifying employees) Training: Free CPR, first aid, and job-specific training opportunities *contract/contingent workers and interns do not qualify for any of the above benefits EEO Statement RHA is an equal opportunity employer. In addition, we provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations, and ordinances. If you are an individual with a disability and need a reasonable accommodation to participate in the application process, please contact our solutions center. About RHA: At RHA Health Services, we help individuals with intellectual and developmental disabilities, mental health and/or substance use needs live their best lives. Our mission is to provide a safe and healthy environment while creating opportunities for personal outcomes. For over 30 years, the people we serve and support have remained at the very center of everything we do. RHA currently provides services in North Carolina, Georgia, Pennsylvania, Tennessee, and New Jersey. If you are ready to make a difference in the lives of people we serve and support apply to join the team today.

Posted 4 days ago

GE HealthCare logo
GE HealthCareWaukesha, Wisconsin
Job Description Summary In this role as QA Lead Engineer you be will responsible for providing manufacturing and/or engineering process support in accordance with documented procedures and practices. This is a key technical role responsible for the development, implementation, improvement and continuous reinforcement of established Quality Management System practices, product specifications and applicable standards. You will collaborate within the areas of design, design transfer, manufacturing, distribution, and service.GE Healthcare is a leading global medical technology and digital solutions innovator. Our mission is to improve lives in the moments that matter. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a healthier world. Job Description Roles and Responsibilities Creates a Quality culture by driving compliance activities around a specific product, site or region. This includes being responsible for the total quality management system for the business and driving Quality metrics. Ensures quality and regulatory compliance while driving process effectiveness and efficiency. Represents GE Healthcare to external agencies and champions the evolution of the quality culture which includes executing and driving quality objectives, metrics, reporting and operating mechanisms. Developing in-depth knowledge of the product and processes. Uses prior experience and acquired expertise to execute functional policy/strategy. You will be an individual contributor, with demonstrated interpersonal skills. Communication with direct colleagues and the business about design and related processes (design transfer, manufacturing, distribution, and service). Provides guidance to team members and explains complex information to others in straightforward situations. Impacts projects, processes and procedures in own field. The role operates with some autonomy, within a team environment focused on execution of activities/processes. Activities require professional judgment, but may require more senior levels of guidance. Utilizes technical expertise and judgement to solve problems. Leverages technical skills and analytic thinking required to solve problems. May use multiple internal sources outside of own team to arrive at decisions. ​ Required Qualifications Bachelor's degree from an accredited university/college or a minimum of 6 years of relevant work experience in Medical Devices, or similar regulated industry. Minimum of 3 years of experience working in a regulated industry. Ability to communicate effectively in English (both written and oral). Demonstrated experience and proficiency with MS Office word processing, spreadsheet, presentation, and database applications. ​ Desired Characteristics Demonstrated understanding of Medical Device QMS requirements and regulatory requirements including but not limited to FDA CFR 21 820 and ISO 13485. Experience in Quality Assurance, Quality Engineering, Design Engineering or Manufacturing Engineering in a regulated industry. Demonstrated expertise to effectively communicate within different functions and different levels of the organization around QMS concepts including Design Controls, Production & Process Controls, Corrective & Preventive Action (CAPA), Risk Management and Product Quality. Demonstrated collaboration, negotiation, and conflict resolution skills. Experience performing internal audits and participating in external audits. Demonstrated understanding of design change, document change control and manufacturing/production process change control processes and methodologies. Ability to demonstrate analytical, problem solving & root-cause analysis skills along with experience leading and implementing change. Ability to handle tasks with competing priorities effectively. Strong technical aptitude (i.e., able to read & comprehend technical documentation & provide technical feedback) We expect all employees to live and breathe our behaviors: to act with humility and build trust; lead with transparency; deliver with focus, and drive ownership –always with unyielding integrity. Our total rewards are designed to unlock your ambition by giving you the boost and flexibility you need to turn your ideas into world-changing realities. Our salary and benefits are everything you’d expect from an organization with global strength and scale, and you’ll be surrounded by career opportunities in a culture that fosters care, collaboration, and support. We will not sponsor individuals for employment visas, now or in the future, for this job opening. Additional Information GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees. Relocation Assistance Provided: No

Posted 4 days ago

C logo
Commonwealth Senior Living at Gloucester HouseGloucester, Virginia
Overview: Commonwealth Senior Living is seeking early career applicants for our Spring 2026 Internship Program . The healthcare administration intern will be exposed to all areas of operations at the community level and will have an opportunity to interact 1:1 with each department leader. This internship prepares candidates to manage an assisted living facility, working side by side with the administrator in a long-term care setting while learning the ins and outs of each department and receiving mentorship from department heads and experienced leaders in the industry. Commonwealth Senior Living is a recognized leader in senior living, employing around 2,000 associates, and is a five consecutive year recipient of the Great Place to Work certification! We provide numerous opportunities for career growth by investing in creating a culture of great leaders. Some of our signature programs include The Developing Leaders Program, The Center of Excellence, and the Executive Director in Training Program. This is a paid internship and candidate must be available to work on site. Hours : 20-40 hours week. Pay Rate : $13/hour Here is what to expect during your 10-week rotation: You will rotate and work 1:1 with each department including front office and executive administration, resident care, programming, dining, sales, and maintenance. Meet weekly with different members from Senior Leadership in our Home Office to gain an understanding and a high-level overview of each department. Participate in meetings with department leaders and staff to further understand operations management and all aspects involved in creating a home like atmosphere for our residents Assist with various operational projects as directed by the Executive Director and Business Office Manager Develop relationships with various personnel to understand organizational structure Responsibilities : Business Office: Gain knowledge of general HR policies, procedures, FMLA, and the Worker's Compensation process. Develop recruitment strategies and interviewing techniques. Organize and assist with the facilitation of Jump Start and other employee trainings. Resident Care: In keeping with our community theme, Commonwealth Senior Living refers to our individuals in the communities as residents. You will work with the Resident Care Director to help organize charts and paperwork. Assist with archiving records, disposal of expired medicines if applicable, and reaching out to families to schedule care conferences. Resident Programs: Assist with outings and events. Offer any unique talents you might have to coordinate resident programs. Sales: You will shadow the Sales Director to gain an understanding of the customer journey experience (relationship building through phone calls, community experiences, etc.). Dining Services: Develop an understanding of the menu creation process (how to order, prepare, serve, post service), and gain an understanding of the financials of PRD’s and budgeting. Maintenance & Capital Programs: Understanding emergency systems and their functions. Develop knowledge in housekeeping standards, MEPs (Mechanical, Electrical and Plumbing) processes, and Operational Maintenance budget. Qualifications: Seeking a degree in Healthcare Administration, Human Services, Business Administration, or related field. Must possess a spirit of cooperation and enthusiasm. Must maintain confidentiality. Must use tact and courtesy in dealing with staff, residents, their families, and visitors. Demonstrate a warm, outgoing, and compassionate personality. Demonstrated integrity, maturity, and leadership skills. Able to live out Commonwealth Senior Living’s Noble selling purpose – “We improve the lives of seniors, their families, and each other.” Commonwealth Senior Living is a recognized leader in senior living, employing around 2,000 associates, and is a five consecutive year recipient of the Great Place to Work certification!

Posted 2 weeks ago

Swinerton logo
SwinertonSan Francisco, California

$110,500 - $165,700 / year

Compensation Range $110,500.00 - $165,700.00 Annual Salary Job Description Summary: Overall management of construction project resulting in successful project completion. Job Description: POSITION RESPONSIBILITIES AND DUTIES: Able to perform all Assistant Project Manager’s and Project Engineer’s responsibilities (refer to position descriptions) Estimate and establish budgets and contract price (GMP/Lump Sum) Negotiate cost-effective subcontract and material purchases Set up and implement job procedures and techniques to assure timely buyout, shop drawing approval and material delivery Keep project on schedule Develop and maintain good relationship with Owner, Architect and Subcontractors Work with Superintendent to develop safety plans and to implement safety procedures Maintain timely and accurate reporting to management Manage, train, and supervise project team according to Company policy Organize regular meetings for management and subcontractors Review contract conditions; ensure compliance with all contract terms Supervise documentation of all significant project events, e.g., accidents, delays, Change Orders Direct preconstruction services and activities Negotiate, prepare and issue subcontract bid packages Assist with business development and participate in job interviews Maintain quality control (integrity and excellence of completed project) Support estimating staff (bid item specialist) Avoid or mitigate claims and conflict Complete all job close-out procedures Conduct warranty follow-up (1-year warranty walks) Complete project with full or enhanced fee Complete other responsibilities as assignedMINIMUM SKILLS OR EXPERIENCE REQUIREMENTS: 5 - 8 plus years experience on HCAi & Behavioral Health projects 5 years in a leadership role on HCAi projects (is a plus) Engineering, Construction Management or Architectural degree or equivalent experience Field construction management experience (5-8 years, including supervisory skills) Leadership ability Problem-solving ability and strong sense of urgency Organizational and communication skills Drafting and computer skills Fundamental knowledge of contract law and project accounting Thorough understanding of all project management control systems (scheduling, cost control, procurement and estimating) SUMMARY OF BENEFITS: This role is eligible for the following benefits: medical, dental, vision, 401(k) with company matching, Employee Stock Ownership Program (ESOP), individual stock ownership, paid vacation, paid sick leave, paid holidays, bereavement leave, employee assistance program, pre-tax flexible spending accounts, basic term life insurance and AD&D, business travel accident insurance, short and long term disability, financial wellness coaching, educational assistance, Care.com membership, ClassPass fitness membership, and DashPass delivery membership. Voluntary benefits include additional term life insurance, long term care insurance, critical illness and accidental injury insurance, pet insurance, legal plan, identity theft protection, and other voluntary benefit options.

Posted 4 days ago

Berkeley Research Group logo

Healthcare Compliance Auditor (Healthcare Transaction & Strategy)

Berkeley Research GroupWashington DC, District of Columbia

$70,000 - $150,000 / year

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Job Description

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

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About BRGBRG 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.

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