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Cigna logo
CignaIndependence, OH

$94,700 - $157,800 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 94,700 - 157,800 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. At The Cigna Group, 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), 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, click here. 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
CignaPhiladelphia, PA

$94,700 - $157,800 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 94,700 - 157,800 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. At The Cigna Group, 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), 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, click here. 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

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 4 days ago

Cigna logo
CignaChicago, IL

$94,700 - $157,800 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 94,700 - 157,800 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. At The Cigna Group, 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), 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, click here. 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
CignaBloomfield, CT

$94,700 - $157,800 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 94,700 - 157,800 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. At The Cigna Group, 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), 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, click here. 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

Cigna logo
CignaMorris Plains, NJ

$94,700 - $157,800 / year

Join us as a Healthcare Strategy Advisor and help shape the future of care delivery. In this role, you will influence strategies that improve health outcomes, affordability, and innovation. We are looking for a collaborative thinker who thrives on turning insights into action and driving meaningful change. Job Responsibilities Lead strategic initiatives that align with organizational goals and market needs, ensuring measurable impact on health outcomes and affordability. Analyze market trends and internal performance to identify opportunities for innovation and improvement. Collaborate across clinical, product, analytics, and finance teams to design solutions that deliver value. Translate data and insights into clear recommendations for leadership, influencing decisions at the highest level. Develop executive-ready presentations and reports that communicate progress and strategic priorities. Required Qualifications Minimum 5 years of experience in healthcare strategy, management consulting, or related strategic planning roles. Proven ability to conduct research, analyze complex data, and translate findings into executive-facing recommendations. actionable strategies. Track record of building trust and relationships, collaborating cross-functionally, and driving actionable strategies in large, matrixed organizations. Preferred Qualifications Bachelor's degree in a relevant field (preferred). Advanced degree such as MPH, MBA, or MHA is a plus. Experience in payer, provider, or integrated delivery systems. Familiarity with value-based care models, population health, or digital health tools. Exposure to strategic planning and healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 94,700 - 157,800 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. At The Cigna Group, 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), 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, click here. 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

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

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

$70,000 - $100,000 / year

We do Consulting Differently The Associate position is a junior staff consulting position within the Healthcare Transactions and Strategy (HTS) group. 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 an Associate-level Healthcare Compliance Auditor 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 payer policy research, working with team to develop audit criteria, data analysis, review of medical billing and supporting documentation, and development of client deliverables. This specific position requires an interest in medical coding and compliance, and potential candidates must have or be willing to obtain a medical coding certification within 6 months of hire. Job Responsibilities: Support client engagements and discrete segments of larger projects; Research healthcare program requirements and payer guidelines; 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 communicate the audit findings and recommended areas for improvement to senior members of the team; 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; Make valuable contributions to client deliverables; Demonstrate creativity and efficient use of relevant software tools and analytical methods to develop solutions; Participate in group practice meetings; Prioritize assignments and responsibilities to meet goals and deadlines. Qualifications: An undergraduate degree in a major relevant to healthcare (Public Health, Healthcare Administration, etc.); An active coding certification (may be in apprentice status) or willingness to obtain a coding certification from either AAPC or AHIMA within 6 months of hire; An interest in medical auditing; 0-2 years of work experience that demonstrates a strong interest in the healthcare industry; Internships, fellowships, or work experience in a hospital or healthcare system preferred. Candidates with more than 3 years of experience will not be considered for this role; Preference will be given to candidates who possess some knowledge of Medicare rules, regulations, and guidelines as they apply to coverage, coding, and provider documentation; Some knowledge of CPT-4, HCPCS, and ICD-10-CM coding systems, guidelines, and regulatory requirements is preferred; Proficient user in Microsoft Office Suite, specifically Excel, PowerPoint, Access, and Word. A desire to expand those capabilities is required. Strong 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. Associate Salary Range: $70,000 – $100,000 per year. Candidate must be able to submit verification of their legal right to work in the U.S., without company sponsorship. 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

Cigna logo
CignaIndependence, OH

$92,000 - $153,300 / year

WORK LOCATION: Cleveland or Independence, OH area. The Provider Contracting Director serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Hospital contracting and negotiating experience involving complex delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. 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 92,000 - 153,300 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. At The Cigna Group, 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), 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, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 4 weeks ago

P logo
Perkins WillAtlanta, GA
RESPONSIBILITIES Project responsibility for planning, development, and execution of technical documentation which may include interpreting, organizing, and coordinating project team assignments. ESSENTIAL JOB FUNCTIONS DESIGN & TECHNICAL Works in tandem with designers to coordinate design development and construction documents. Responds to the technical implications of design decisions. Facilitates firm and project goals of excellence in design, execution, and sustainability. Directs production of schematic, design development and construction documents in collaboration with Project Managers. Coordinates project documentation execution, construction plans, and details, ensuring quality control and completion. Maintains awareness of evolving building technology and systems. Coordinates engineering systems relevant to projects. Reviews shop drawings, material samples, and CD for conformance with design. Conducts and documents field observations to monitor the progress of construction. Performs construction administration duties (e.g. RFI's, RFP's, change orders, etc.). Prepares reports and specifications; reviews completed reports, plans, cost estimates, and calculations. Executes applicable agency review analysis (accessibility, zoning, life-safety, etc.). Ensures tasks are completed according to the Perkins&Will standards. MANAGEMENT May establish architectural budgets, task schedules, and other components of the project work plan with the Project Managers. Directs or coordinates the production of construction documents, drawings, and specifications in compliance with project scope, schedule, and cost. Implements meeting objectives, facilitates meetings and provides documentation in collaboration with the Project Managers. May participate in marketing and client presentations. EDUCATION & EXPERIENCE Professional degree in architecture 8-10 years of experience in healthcare design Professional Licensure: Required LEED AP or within 6 months of hire Demonstrates collaborative and professional work ethic. Experienced in all phases of project design, construction documentation production, and construction materials. Familiar with building codes, specifications, building, and engineering systems. Strong interpersonal skills, including client presentation skills. Strong passion for working relationships with clients and consultants, building relationships, and expanding the practice. Ability to apply Revit and interpret and review Revit drawings All portfolios shall include sample construction document sets with examples of direct involvement of the production of such. To apply for the Project Architect role, you must be a licensed architect in the US.

Posted 30+ days ago

Huron Consulting Group logo
Huron Consulting GroupDenver, CO

$215,000 - $250,000 / year

Innosight is a global strategy consulting firm focused on helping leading organizations design and create the future. We work with them to develop growth strategies, build innovation capabilities, and accelerate new growth initiatives. As a member of the Innosight team, you'll have the opportunity to work with leaders at Global 1000 companies to tackle some of the most interesting challenges in business. We are the leading practitioners of disruptive innovation, building on the work of our co-founder, Harvard Business School professor Clay Christensen. Because we focus on growth strategy and innovation, we bring unique expertise and authority to the challenges our clients face: Where is our next big opportunity, and what is our strategy to get there? How do we build an organization that is innovative and future focused? How do we disrupt ourselves before others do? Our values - including humility, collaboration, transparency, and intellectual curiosity - guide our work with clients, with each other, and our commitment to enabling innovation in organizations. Our work environment emphasizes the exchange of ideas, continuous learning, and collaboration. And our smaller team structure offers exposure to senior-level executives early in your consulting career. Healthcare organizations must stay ahead of disruption by making data-driven decisions that accelerate transformation. Innosight thoroughly examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth engine. As trusted strategic partners to CEOs and C-Suites, we help drive the healthcare industry forward by designing innovative enterprise-level long-term plans and partnerships for the world's leading healthcare organizations. As a Consulting Director on Innosight's Healthcare Provider Strategy & Innovation team, you will serve as a trusted advisor to C-suite executives and boards of leading healthcare organizations. You will lead complex strategy engagements, develop innovative growth models, and guide clients through market ambiguity to create long-term impact. This is a high-responsibility, high-impact role for a strategic thinker who thrives in dynamic environments and is passionate about shaping the future of healthcare. Key Responsibilities Lead Strategic Engagements: Drive multi-workstream projects focused on growth strategy, business model transformation, and innovation. Advise Senior Leaders: Provide guidance to CEOs and boards on enterprise-level planning, partnerships, and cultural transformation. Develop Insights: Structure problems, formulate hypotheses, and synthesize qualitative and quantitative research into actionable strategies. Deliver Impactful Outcomes: Prepare and present high-quality deliverables, ensuring logical flow and clarity. Drive Business Development: Collaborate with Managing Directors to identify opportunities and support revenue growth. Mentor Talent: Coach and develop junior team members, fostering a culture of excellence and inclusion. Required Experience: Extensive consulting experience and a proven track record of success with a top management consulting firm delivering strategic solutions within the healthcare industry. Demonstrable experience leading engagements focused on short and long-term enterprise-level strategic planning, growth strategy, M&A/strategic partnerships& alliances, margin expansion, cost strategy etc. within healthcare provider organizations. Expert-level knowledge of the healthcare provider industry, including experience working with diverse provider organizations such as Hospital Systems, Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc. Conceptual, Strategic and Problem-Solving Skills: Able to integrate diverse information, think strategically, and apply large-scale data and analytics. Strong quantitative and business analysis acumen; effective in making high-quality decisions and taking decisive action. Exceptional Engagement Delivery: Demonstrated ability to manage complex projects, generate clear work plans, and lead junior employees. Successfully execute across multiple projects while delivery high-quality work to the client. Communication Excellence: Exceptional communicator skilled at crafting clear, high-impact presentations, proposals, and workshops; able to guide teams in visualizing complex information and insights. Talent Development Capability: Demonstrated ability to attract, evaluate, coach, and advance talented people. Values diversity and has a strong desire to build a high-performing, mission-driven team. Values and Vision: Embodies core values of simplicity, openness, integration, and mission-driven work. Demonstrates strong ethics, commitment to diversity, customer/market focus, and consistent modeling of desired behaviors with presence and humility. Travel and Home Office: Travel requirements vary by project, but candidates must be willing to travel weekly (up to 80%). You may live anywhere in the contiguous 48 states near a major airport. The estimated base salary range for this job is $215,000 - $250,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $311,750 - $362,500. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. #LI-JD1 #LI-Remote Position Level Director Country United States of America

Posted 30+ days ago

Weston Solutions Inc. logo
Weston Solutions Inc.Portland, OR
At Weston Solutions, Inc. you will do meaningful work and make valuable contributions. Employee ownership at Weston is a path to professional growth and access to diverse opportunities in a highly connected community that works together across key service areas to make a difference in the environment. Weston has continued to evolve and adapt to our changing world as a premier provider of environmental and infrastructure services for over sixty years. In both the public and private sectors our teams help identify, solve, mitigate, and manage critical environmental issues to help clients achieve a more sustainable future. Weston is seeking a Senior Environmental, Health & Safety Consultant - Healthcare & Hospital Systems with experience in the Healthcare industry (including hospitals, clinics, or other patient facilities and consulting. This position must be able to develop, implement, lead, and manage Environmental, Health and Safety programs within a healthcare setting. This role ensures full compliance with federal, state, and local regulations, as well as standards set by accrediting bodies. This position requires a comprehensive understanding of Environmental, Health and Safety principles, risk management, and regulatory requirements specific to the healthcare environment, and the ability to collaborate effectively with hospital leadership. Location: Remote (U.S.-based) with up to twenty-five percent travel to client sites. Seattle, WA | Austin, TX | or the state of Oregon or California are preferred locations. Expected Outcome: Perform audits, develop strategic plans and EHS compliance programs. Assisting clients with Regulatory Inspections to include CMS Accreditation Activities (Joint Commission/DNV) Environment of Care, Emergency Management and Fire Life Safety. DNV, OSHA, CUPA, Medical Waste, Radiation, Controlled Substance, Fire Department, Chemical Management, Storm Water, EPA, and BAAQMD) Perform large project management and internal customer management. May supervise and/or mentor staff. Environmental Ligature and Safety Risk Assessment Program Development Hazardous Materials and Waste Management Construction Safety Injury Investigation/Root Cause Analysis Policy/Procedure Development Job Hazard Assessments Training Strategies Lead DNV/Joint Commission Accreditation Requirements for the Physical Environment, Environment of Care and Emergency Management, and Fire Safety chapters. Create effective programs that minimize work-related risks, illnesses, and injuries through engineering controls, administrative procedures, and the use of personal protective equipment. Expected travel of twenty five percent. Knowledge, Skills & Abilities: Bachelor's degree or equivalent experience, plus minimum 12 to 15 years related experience. A minimum of 10-15 years' experience with hospital health, safety, and environmental program Associate Safety Professional (ASP) / Certified Safety Professional (CSP) or ASP/CSP Eligible Certified Healthcare Safety Professional (CHSP), Certified Industrial Hygienist (CIH) and Certified Professional Ergonomist (CPE) are highly desirable. Medical degree - nursing, emergency medical technician (EMT), physical therapist/occupational therapist is a plus. Certified to train First Aid / CPR / AED courses is a plus. Direct experience working in a hospital setting preferred. We fully invest in our people: Weston provides a generous, comprehensive benefits package program that offers employees high value options with solid financial protection, meeting the personal needs of its people and their families. Medical, Dental, Vision, 401K with base and matching employer stock contributions. Paid time off including personal, holiday and parental leave. Life and disability plans. Critical illness and accident plans. Work/Life flexibility. Professional development opportunities. Compensation will vary based upon experience, education, skill level, and other compensable factors.

Posted 30+ days ago

Gensler logo
GenslerChicago, IL
Your Role Join a dynamic and growing team designing innovative projects for leading healthcare clients. We are looking for a Design Manager (Project Manager) to manage healthcare projects throughout the North Central Region. We are collaborative and client focused, with a commitment to design experience, sustainability and social purpose. What You Will Do Lead collaborative design teams, working closely with Design Director and Principal- in- Charge (PIC), to establish effective project workplans with attainable project objectives Manage all phases of healthcare architecture and interior design projects, from project set-up through design and construction administration Help prepare project proposals, negotiate contracts and fees, coordinate bidding process Manage scheduling, budgets, staffing, project set-up with clients, sub-consultants, vendors and contractors Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions Track financial performance of projects Develop and maintain client relationships, for both single projects and multi-project global accounts Your Qualifications Experience leading architectural and planning projects for healthcare clients (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.). Experience leading large scale and complex projects and mentoring architects and designers 15+ years of related experience managing healthcare architecture and interior architecture projects Integrated into the local North Central Region communities with positive healthcare client references Experience developing high performance sustainable building projects LEED accreditation is preferred Strong leadership, organization, communication and interpersonal management skills Commitment to collaborative design process Experience negotiating project scope and fees Knowledge of local building codes and standards Proficiency with PM software: MS project a plus Working knowledge of Revit preferred Professional degree (Master or Bachelor) in Architecture from an accredited program Licensed architect The base salary will be estimated between $130,000-$160,000 plus bonuses and benefits and contingent on relevant experience. To learn more about our compensation philosophy and full benefits offerings, please visit Great People, Great Rewards | Gensler. Notice: At Gensler a Project Manager will have the job title of Design Manager and operate in this capacity for alignment with internal programs, doing business with clients and compliance with industry and government regulations. If you have questions regarding this notice please ask our Talent Acquisition team during the application process. Life at Gensler At Gensler, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future. #LI-NM1

Posted 30+ days ago

Eli Lilly and Company logo
Eli Lilly and CompanyIndianapolis, IN

$154,500 - $226,600 / year

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We're looking for people who are determined to make life better for people around the world. Purpose of the Job The Sr. Director, Healthcare Improvement Lead, will act as the strategic partner to the Lilly Business Units (BU) with the goal of developing and delivering effective, impactful, cost-effective Healthcare Improvement (HCI) initiatives globally. In this role, the HCI Lead will be accountable for strategic planning and coordination for centralized execution of US initiatives along with Global initiatives involving more than one country. In addition, the HCI Lead will be a member of the HCI Hub/Implementation Science Center of Excellence. The HCI Hub is designed to provide support, expertise and coaching throughout the organization, ensuring understanding and adherence to compliance while serving as experts on methodology, design, delivery, measurement and reporting, communication, and partnerships. Key Responsibilities: Partner with the BU through the development of brand strategic priorities and lead the coordination of central medical affairs capabilities to develop the HCI strategy to be incorporated into the integrated plan Serve as expert in identifying root causes to Clinical Care Gaps (CCG) that relate to system-level barriers to optimal care and drive HCI solutions that are data driven, patient-focused and quantifiable Partner with the Innovation Readiness team to identify opportunities for HCIs as early as phase 2, and continue the identification of appropriate opportunities throughout the lifecycle Based on the CCG root causes, identify and distinguish when HCIs vs. other solutions are the most appropriate, impactful solution Evaluate and ensure there is a strong design for scaling and ensuring sustainability for all HCI initiatives and that there is a robust plan to broadly and externally disseminate findings. Shape communications on progress towards goals (activity and impact) across all levels of the organization, including but not limited to TA/BU Medical Affairs Leaders, Medical Affairs Leadership Teams and Affiliate Forums, and various Transformation Leadership Forums Identify long-and-short environmental trends and how to leverage HCIs accordingly Ensure HCI measurements are a part of the larger ecosystem to be developed, ensuring effective measurement of the HCI initiatives through comprehensive assessments that include system level changes and patient level outcomes. Promote sharing and implementation of best practices through a regular exchange with other colleagues in GMAO and beyond Precise budget management and understanding of regulations (internal and external) regarding funding options Organizational and External Influence: Foster cross-functional business partnerships to ensure the organization works together to meet the needs of healthcare systems through HCIs Be creative in developing ideas to ensure optimal planning and execution of HCIs, including such formats as QI Collaboratives Engage with professional societies and external organizations who have expertise in or influence upon HCI strategies; apply understanding of external environment to Lilly's strategic plan Compliantly and professionally represent Lilly when engaging directly with health systems, government, etc. regarding potential opportunities and/or during setup and execution of HCIs Communicate regularly with cross-functional leadership teams to ensure broad awareness of the value of HCIs and alignment with Innovation Readiness as part of Accelerate Reach & Scale efforts Maximize the budget through unique approaches and scalable efforts HCI coaching & training for affiliate and upskilling of teams across the enterprise Prepare for and participate in forums with HCI Steering Committee, HCI Ambassadors, etc. Be actively engaged in external offerings related to HCI, networking and building new relationships for Lilly Operational Excellence / HCI Hub Serve as an active member of the HCI Hub Support the maintenance of the applicable compliance framework in collaboration with Ethics & Compliance; ensure global HCI quality and compliance is prioritized and maintained Contribute to HCI guidance creation - including playbooks; business processes; communication and engagement; and measurement & reporting to support the HCI scope of work globally Provide central support and consultation for local OUS HCIs while supporting execution locally Support for HCI technology & ecosystem building Dimensions of Responsibilities: Ability to influence functional or cross-functional plans and priorities in response to changes in strategic direction Ability to seek diverse input from multiple constituents and stakeholders, internal and external, to drive innovative solutions Ability to incorporate feedback and ensure decisions are made swiftly to yield flawless execution Strong communications skills to support complex interactions with stakeholders at all levels of the organization along with external executive leadership and teams within healthcare institutions Ability to identify opportunities and anticipate changes in the business landscape through an understanding and ongoing assessment and knowledge of the external environment Deep understanding of Lilly's Accelerate Reach & Scale efforts, Innovation Readiness and how HCIs fit into the bigger picture to get our medicines to patients faster Minimum qualification requirements Bachelor's degree 5+ year experience working with external stakeholders / customers in some capacity 5+ years in roles with direct work or partnerships with external healthcare systems, research institutes, medical societies, non-governmental organizations, and/or across pharmaceutical industry Qualified applicants must be authorized to work in the United States on a full-time basis. Lilly will not provide support for or sponsor work authorization and/or visas for this role. Additional Preferences Appreciation of and experience in compliance-driven environment 5+ years of pharmaceutical experience Experience leading implementation science, improvement science, and/or health services research initiatives at scale, preferably with experience across multiple healthcare systems Experience leading large scale strategic public-private partnerships with measurable impact (from either the public or private side) Experience conducting and publishing implementation research as it relates to gaps in clinical care Experience driving successful transformation in/for healthcare systems, with measurable impact and focus on scale and sustainment Familiarity with implementation science frameworks/models and/or the Institute for Healthcare Improvement's (IHI) models Track record of leading cross-functional teams to deliver exceptional customer experiences Strong leadership, interpersonal, written, and verbal communication skills, including conflict management and negotiation skills Critical thinking skills and ability to understand strategy development and implementation; ability to influence up and embodies a growth mindset Self-directed, comfortable working in ambiguous environments, and able to thrive in a fast-paced environment where multi-tasking and prioritizing are necessary Outstanding EQ, problem-solving, analytical, project management, communication and leadership skills, ability to influence others without authority Advanced degree preferred - including healthcare professions, MBA Global experience preferred, including working with Affiliates around the world Certifications / trainings in healthcare quality / healthcare improvement (e.g. CPHQ) / Implementation Science Note: Travel required, approximately 20% including some weekends, with some international travel Lilly is dedicated to helping individuals with disabilities to actively engage in the workforce, ensuring equal opportunities when vying for positions. If you require accommodation to submit a resume for a position at Lilly, please complete the accommodation request form ( https://careers.lilly.com/us/en/workplace-accommodation ) for further assistance. Please note this is for individuals to request an accommodation as part of the application process and any other correspondence will not receive a response. Lilly is proud to be an EEO Employer and does not discriminate on the basis of age, race, color, religion, gender identity, sex, gender expression, sexual orientation, genetic information, ancestry, national origin, protected veteran status, disability, or any other legally protected status. Our employee resource groups (ERGs) offer strong support networks for their members and are open to all employees. Our current groups include: Africa, Middle East, Central Asia Network, Black Employees at Lilly, Chinese Culture Network, Japanese International Leadership Network (JILN), Lilly India Network, Organization of Latinx at Lilly (OLA), PRIDE (LGBTQ+ Allies), Veterans Leadership Network (VLN), Women's Initiative for Leading at Lilly (WILL), enAble (for people with disabilities). Learn more about all of our groups. Actual compensation will depend on a candidate's education, experience, skills, and geographic location. The anticipated wage for this position is $154,500 - $226,600 Full-time equivalent employees also will be eligible for a company bonus (depending, in part, on company and individual performance). In addition, Lilly offers a comprehensive benefit program to eligible employees, including eligibility to participate in a company-sponsored 401(k); pension; vacation benefits; eligibility for medical, dental, vision and prescription drug benefits; flexible benefits (e.g., healthcare and/or dependent day care flexible spending accounts); life insurance and death benefits; certain time off and leave of absence benefits; and well-being benefits (e.g., employee assistance program, fitness benefits, and employee clubs and activities).Lilly reserves the right to amend, modify, or terminate its compensation and benefit programs in its sole discretion and Lilly's compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees. #WeAreLilly

Posted 6 days ago

Columbia Banking System, Inc. logo
Columbia Banking System, Inc.Walnut Creek, CA

$140,000 - $200,000 / year

About the Role: A business development officer specializing in healthcare develops, advises, and solicits new business relationships with a focus on the profitability of the relationship. This is a sales- and solutions-focused position. Business development of new private banking client relationships. Coordinate the development of internal relationships in order to provide comprehensive financial solutions to clients from all areas of the bank. Advise clients on financial solutions and strategies. High level of awareness of the banking industry and industry-specific trends. Demonstrate an in-depth knowledge, understanding, and development of professional banking financial solutions: Complex credit structures and solutions, Treasury Management and Deposit Solutions, Engage in community relationships and activities for business development. Broad knowledge in other banking services offered by other lines of businesses to identify and offer qualified referrals. Demonstrates compliance with all bank regulations for assigned job function and applies to designated job responsibilities - knowledge may be gained through coursework and on-the-job training. Keeps up to date on regulation changes. Follows all Bank policies and procedures, compliance regulations, and completes all required annual or job-specific training. Maintain a working knowledge of Bank's written policies and procedures regarding Bank Secrecy Act, Regulation CC, Regulation E, Bank Security and other regulations as applicable to this job description. May be asked to coach, mentor, or train others and teach coursework as subject matter expert. Actively learns, demonstrates, and fosters the Columbia corporate culture in all actions and words. Takes personal initiative and is a positive example for others to emulate. Embraces our vision to become "Business Bank of Choice" May perform other duties as assigned. About You: Bachelor's degree preferred or equivalent work experience, required. 5 years of experience of banking experience, required. Ability to prospect new client relationships. Expert in building client relationships. Experience in handling complex relationships. Expert business development and sales skills, including cross-selling. Consultative selling skills and approach. Proactive. Knowledge of credit structures. Understanding of personal and business financial statements and tax returns. Strong written and verbal skills. Ability to work independently. Ability to provide client solutions. Knowledge of bank products and services. Excellent oral and written communication. Excellent interpersonal and client service skills. The pay range for this role is $140,000.00 to $200,000.00. The pay rate for the selected candidate is dependent upon a variety of non-discriminatory factors including, but not limited to, job-related knowledge, skills, and experience, education, and geographic location. The role may be eligible for performance-based incentive compensation, and those details will be provided during the recruitment process. Evergreen: This posting is part of an evergreen requisition to create a pipeline of talent. If you are interested in potential opportunities in this area, we encourage you to apply. While we may not have an immediate opening at this time, we are always looking for top talent and will reach out as positions become available in the posted locations. Our Benefits: We are proud to offer a competitive total rewards package including base wages and comprehensive benefits. We offer eligible associates comprehensive healthcare coverage (medical, dental, and vision plans), a 401(k)-retirement savings plan with employer match for qualifying associate contributions, an employee assistance program, life insurance, disability insurance, tuition assistance, mental health resources, identity theft protection, legal support, auto and home insurance, pet insurance, access to an online discount marketplace, and paid vacation, sick days, volunteer days, and holidays. Benefit eligibility begins the first day of the month following the date of hire for associates who are regularly scheduled to work at least thirty hours weekly. Our Commitment to Diversity: Columbia Bank is an equal opportunity and affirmative action employer committed to employing, engaging, and developing a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, age, sexual orientation, gender identity, gender expression, protected veteran status, disability, or any other applicable protected status or characteristics. If you require an accommodation to complete the application or interview(s), please let us know by email: careers@columbiabank.com. To Staffing and Recruiting Agencies: Our posted job opportunities are only intended for individuals seeking employment at Columbia Bank. Columbia Bank does not accept unsolicited resumes or applications from agencies and Columbia Bank will not be responsible for any fees related to unsolicited resume submissions. Staffing and recruiting agencies are not authorized to submit profiles, applications, or resumes to this site or to any Columbia Bank employee and any such submissions will be considered unsolicited unless requested directly by a member of the Talent Acquisition team.

Posted 1 week ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESDallas, TX

$85,000 - $105,000 / year

Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include: Review, sort, and analyze data using computer software programs such as Microsoft Excel. Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.). Develop HCF case referrals including, but not limited to: Ensure that HCF referrals meet agency and USAO standards for litigation. Analyze data for evidence of fraud, waste and abuse. Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence. Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings. Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. Assist conducting witness interviews and preparing written summaries. Qualifications: Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field. Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work. Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc. Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data). Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy. U.S. Citizenship and ability to obtain adjudication for the requisite background investigation. Experience and expertise in performing the requisite services in Section 3. Must be a US Citizen. Must be able to obtain a favorably adjudicated Public Trust Clearance. Preferred qualifications: Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. Relevant experience working with a federal or state legal or law enforcement entity. #CJ $85,000 - $105,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 30+ days ago

D logo
DaVita Inc.Merced, CA

$89,500 - $141,000 / year

Posting Date 10/31/2025 3393 G StreetSuite A, Merced, California, 95340, United States of America As a Healthcare Operations Manager (Facility Administrator) at DaVita, you'll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority. DaVita has an open position for a Healthcare Operations Manager (Facility Administrator) who must be an ambitious, operationally-focused and results-driven leader. You will directly impact patient care as the trusted front-line leader in an outpatient clinic setting. Health care experience is not required! What you can expect as a Healthcare Operations Manager: Patients come first. You have an opportunity to build on your relationship with your patients, while also continuously improving their health through clinical goal setting and quality improvement initiatives. Meaningful Workday - EVERY Day. You'll go home every day knowing you are making a difference in patients' lives and that you are developing your team to reach their full potential. Available when the clinic is open. Lead a Team. Develop, mentor and inspire a cross-functional clinical team (census dependent on state laws) to deliver the best for our patients, teammates and community. Financial Management. Manage complete operation and performance of the clinic: adhere to budget, forecast expenses, manage vendor relationships, order supplies, and monitor compliance. Autonomy. It's your clinic to run. You aren't alone though. You will have the support and guidance of your director, regional peers and the greater company to help you manage your facility. We foster entrepreneurs and those who seek to continuously improve. Culture & Growth. Our values are not just written in a book somewhere, but are an intentional part of everything we do. As leaders, you are able to reward others for demonstrating those shared beliefs and behaviors, and in turn, we intend to do the same for you. Partner with Regional Operations Director to identify and address employee and patient concerns to drive towards Regional goals and standards Now is your time to explore your next journey-at DaVita. What you can expect: Lead a Team that appreciates, supports and relies on each other in a positive environment. Performance-based rewards based on stellar individual and team contributions. What we'll provide: DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through clinical goal-setting and quality improvement initiatives. Comprehensive benefits: DaVita offers a competitive total rewards package to connect teammates to what matters most. We offer medical, dental, vision, 401k match, paid time off, PTO cash out, paid training and more. DaVita provides the opportunities for support for you and your family with family resources, EAP counseling sessions, access to Headspace, backup child, elder care, maternity/paternity leave, pet insurance and so much more! Requirements: Associate's degree required; Bachelor's degree in related area strongly preferred Minimum of one year experience required in management (healthcare, business, or military) or equivalent renal experience (nurse, dietitian, social worker, LPN, etc.) at discretion of DVP and/or ROD Current license to practice as a Registered Nurse if required by state of employment Current CPR certification required (or certification must be obtained within 60 days of hire or change in position) Other qualifications and combinations of skills may be considered at discretion of ROD and/or Divisional Vice President Collaboration is a much to be successful in this role. You will be working with clinical and financial teams on a daily basis to produce results that align to business needs. Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required. Now is your time to join Team DaVita. Take the first step and apply now. #LI-BY1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Salary Range for the role is $89,500 - $141,000 per year. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Posted 30+ days ago

Houlihan Lokey logo
Houlihan LokeyDallas, TX
Business Unit: Corporate Finance Industry: Healthcare Overview Houlihan Lokey, Inc. (NYSE:HLI) is a global investment bank with expertise in mergers and acquisitions, capital solutions, financial restructuring, and financial and valuation advisory. Houlihan Lokey serves corporations, institutions, and governments worldwide with offices in the Americas, Europe, the Middle East, and the Asia-Pacific region. Independent advice and intellectual rigor are hallmarks of the firm's commitment to client success across its advisory services. The firm is the No. 1 investment bank for all global M&A transactions for the past two years, the No. 1 M&A advisor for the past 10 years in the U.S., the No. 1 global restructuring advisor for the past 11 years, and the No. 1 global M&A fairness opinion advisor over the past 25 years, all based on number of transactions and according to data provided by LSEG. Corporate Finance Houlihan Lokey has extensive expertise in mergers, acquisitions, divestitures, activist shareholder and takeover defense, and other related advisory services for a broad range of U.S. and international clients. Our experience in M&A has earned us consistent recognition throughout the industry. In 2024, we were ranked the No. 1 M&A advisor for all U.S. transactions. Healthcare Houlihan Lokey's Healthcare Group has earned a reputation for providing superior service and achieving outstanding results in M&A advisory, capital raising, restructuring, and valuation. Our transaction quality and client work benefit from our company culture, where senior financial professionals are highly engaged in the execution of client projects, and from our experience as leaders in the market, which has given our professionals valuable exposure to a variety of situations and challenges. In 2024, our Healthcare Group was once again ranked as the No. 1 M&A advisor for global healthcare transactions under $1 billion by LSEG (formerly Refinitiv). Excludes accounting firms and brokers. Job Description In Corporate Finance, Summer Financial Analysts may work on a variety of transactions that provide exposure to various investment banking services and client industries. These services include mergers and acquisitions, private placements of debt and equity, refinancings, and leveraged buyouts. Throughout the summer, you will work with a highly talented and dedicated staff of professionals who will give you broad exposure to the many different issues and concerns affecting businesses today. You will research and analyze financial statements, general and industry-specific economic conditions and developments, acquisitions and divestitures, and various investment attributes of publicly traded and private securities companies. The environment at Houlihan Lokey is collaborative and entrepreneurial and rewards Summer Financial Analysts with substantial responsibility and interaction with senior-level professionals. Qualifications Currently pursuing a Bachelor's and/or Master's Degree with a graduation date between December 2027 and June 2028 Possess basic knowledge of and a keen interest in finance Excellent verbal and written communication skills Strong work ethic and leadership skills Preferred Qualifications A fundamental understanding of valuation theory, methodologies, and applications Strong analytical and computer skills (Excel) Ability to work cooperatively with all levels of staff Application Requirement To be considered for this position, candidates must complete the Suited assessment. A unique assessment link will be sent via email following the submission of your application Houlihan Lokey is not currently hiring individuals for this position who now or in the future require sponsorship for employment visa status. Compensation and Benefits Houlihan Lokey is committed to providing its employees with an exciting career opportunity and competitive total compensation package. The firm's good faith and reasonable estimate of the possible salary range for this role at the time of posting is: $110,000.00 Actual salary at the time of hire may vary and may be above or below the range based on various factors, including, but not limited to, the candidate's relevant qualifications, skills, and experience and the location where this position may be filled. Houlihan Lokey provides a competitive benefits package. Our current benefits offerings can be found here: 2025 Benefits We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation, protected veteran status, or any other characteristic protected by law.

Posted 30+ days ago

CareBridge logo
CareBridgeNashville, TN

$19 - $28 / hour

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Administrative Clerk II - Paragon Healthcare Schedule: Monday- Friday; 9:00am- 6:00pm Central Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Administrative Clerk II is responsible for performing routine but varied clerical duties following standard procedures. How you will make an impact: Makes and receives phone calls to exchange information to accomplish tasks. Contacts customers, suppliers and/or company associates to exchange information. Receives, sorts, and distributes incoming mail and email communication. Sets up and maintains records, logs, and files. Receives, classifies, reconciles, consolidates, and summarizes documents and information, as well as processing and coding them. Compiles regular and special reports using established formats and procedures. Scans claims, correspondence, and other related documents, and may maintain equipment. Flags quality issues as they arise while completing and maintaining production logs. It is an expectation of the role to use basic office equipment. Minimum Requirements: Requires a H.S. diploma or equivalent and a minimum of 2 years of related work experience; or any combination of education and experience which would provide an equivalent background. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $18.66 to $27.98 Locations: Chicago, Illinois In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Cigna logo

Healthcare Strategy Advisor - Cigna Healthcare - Hybrid

CignaIndependence, OH

$94,700 - $157,800 / year

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Job Description

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

Job Responsibilities

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

Required Qualifications

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

Preferred Qualifications

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

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

For this position, we anticipate offering an annual salary of 94,700 - 157,800 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.

At The Cigna Group, 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), 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, click here.

About The Cigna Group

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

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

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

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

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

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