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Cigna logo
CignaSaint Louis, MO

$91,900 - $153,100 / year

Job Summary The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy. Responsibilities Strategic Support & Planning Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps. Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities. Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers. Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership. Cross-Functional Collaboration Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment. Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products. Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution. Analysis & Insights Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery. Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders. Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions. Prepare executive-level presentations, memos, and updates on strategic projects. Monitor initiative performance and support continuous improvement efforts. Required Qualifications Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred. 5+ years of experience in healthcare strategy, clinical operations, or related roles. Strong analytical and problem-solving skills with the ability to translate data into actionable insights. Excellent written and verbal communication skills. Experience working in a matrixed organization and collaborating across functions. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with value-based care models, population health strategies, or digital health tools. Exposure to strategic planning, business case development, or healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

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

$70,000 - $150,000 / year

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

Posted 2 days ago

Cigna logo
CignaIndependence, OH

$91,900 - $153,100 / year

Job Summary The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy. Responsibilities Strategic Support & Planning Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps. Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities. Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers. Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership. Cross-Functional Collaboration Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment. Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products. Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution. Analysis & Insights Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery. Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders. Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions. Prepare executive-level presentations, memos, and updates on strategic projects. Monitor initiative performance and support continuous improvement efforts. Required Qualifications Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred. 5+ years of experience in healthcare strategy, clinical operations, or related roles. Strong analytical and problem-solving skills with the ability to translate data into actionable insights. Excellent written and verbal communication skills. Experience working in a matrixed organization and collaborating across functions. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with value-based care models, population health strategies, or digital health tools. Exposure to strategic planning, business case development, or healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

Cigna logo
CignaChicago, IL

$91,900 - $153,100 / year

Job Summary The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy. Responsibilities Strategic Support & Planning Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps. Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities. Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers. Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership. Cross-Functional Collaboration Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment. Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products. Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution. Analysis & Insights Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery. Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders. Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions. Prepare executive-level presentations, memos, and updates on strategic projects. Monitor initiative performance and support continuous improvement efforts. Required Qualifications Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred. 5+ years of experience in healthcare strategy, clinical operations, or related roles. Strong analytical and problem-solving skills with the ability to translate data into actionable insights. Excellent written and verbal communication skills. Experience working in a matrixed organization and collaborating across functions. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with value-based care models, population health strategies, or digital health tools. Exposure to strategic planning, business case development, or healthcare innovation. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,900 - 153,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 2 weeks ago

Q logo
Qualified HealthPalo Alto, California

$170,000 - $240,000 / year

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

Posted 30+ days ago

Actriv Healthcare logo
Actriv HealthcareTacoma, WA
Job Title: Healthcare Business Development Manager Location: Tacoma WA Type: Full-Time Company Overview: At Actriv Healthcare, we are at a pivotal point of growth, and we're looking for dynamic individuals to join our team and help drive our mission to improve patient care. As a company, we are committed to fostering a culture of innovation and excellence. Our healthcare solutions are designed to empower providers and improve patient outcomes. We’re seeking a passionate Healthcare Business Development Manager to contribute to our vision, elevate the value of our brand, and strengthen relationships across the healthcare sector. Position Overview: We are looking for an experienced Healthcare Business Development Manager to take ownership of fostering and expanding client relationships, ensuring Actriv’s continued success in the post-acute healthcare industry. This is an exciting opportunity to work with a dedicated team, promote innovative solutions, and have a meaningful impact on patient care across the region. The ideal candidate will possess exceptional relationship-building skills, a deep understanding of the post-acute healthcare industry, and the ability to drive business growth through strategic initiatives. You will play a key role in advancing the Actriv brand while ensuring clients experience maximum value from our services. Key Responsibilities Client Relationship Management: Establish and nurture long-term relationships with healthcare providers, including physicians, social workers, nursing home administrators, rehab facility directors, and public health agencies within your designated territory. Strategic Engagement: Develop and execute tailored strategies to drive client engagement, increase adoption of Actriv’s staffing solutions, and ensure high-quality patient care across assigned facilities. Brand Expansion & Community Engagement: Increase awareness of Actriv in the community through local events, trade shows, professional associations, and outreach programs. Represent the brand in both professional settings and community engagements. Business Development: Leverage your professional network and Actriv’s resources to identify new business opportunities, expand our reach, and drive growth in the assigned region. Market Insight: Stay ahead of industry trends, competitive movements, regulatory changes, and client needs. Provide valuable insights to the leadership team for market strategy development. Performance Tracking & Reporting: Utilize CRM tools to track client interactions, monitor sales activity, and analyze data to ensure progress toward quarterly and annual performance targets. Deliver regular reports on business development activities and progress. Cross-Functional Collaboration: Work closely with the Staffing, Recruiting, and Operations teams to ensure smooth implementation of client solutions and the highest level of service delivery. Required Qualifications Education: Bachelor’s degree in Business, Healthcare Management, or related field. Experience: Minimum of 3 years of experience in account management or customer success in healthcare or a related industry. At least 2 years of experience in post-acute healthcare or the healthcare staffing sector. Experience working in a SaaS environment or with technology-driven solutions is a plus. Skills: Proven ability to build and maintain relationships with healthcare professionals and decision-makers. Strong presentation, negotiation, and communication skills (both written and verbal). Proficiency in CRM software (e.g., Salesforce, HubSpot) and Microsoft Office Suite (Excel, PowerPoint, Word). Comfortable training clients on software solutions and ensuring their adoption. Strong analytical and problem-solving abilities, with attention to detail. Desired Attributes Customer-Centric: A relentless focus on customer satisfaction and value-driven service delivery. Driven & Results-Oriented: A self-starter who is passionate about achieving targets and continuously improving performance. Adaptable: Ability to thrive in a fast-paced, dynamic environment with shifting priorities and market demands. Organized & Strategic: Highly organized with the ability to prioritize effectively and think strategically to drive business growth. Collaborative: A team player who works well across departments and stakeholders to achieve common goals. Why Join Us? Impact: Help transform patient care across the post-acute healthcare sector by providing innovative solutions and fostering meaningful relationships. Growth Opportunities: Be part of a rapidly expanding company with ample opportunities for career development and leadership growth. Culture of Excellence: Join a team of passionate professionals who are committed to improving the healthcare industry and making a real difference. Competitive Compensation: Attractive salary and benefits package, including performance-based incentives. How to Apply: If you’re ready to take your career to the next level and make a significant impact in healthcare business development, we’d love to hear from you. Apply by submitting your resume and cover letter to brandon@actriv.com

Posted 30+ days ago

SpawGlass logo
SpawGlassSan Antonio, TX
Our Project Manager leads all phases of construction, from preconstruction to closeout, ensuring projects are completed on time, within budget, and to the highest quality and safety standards. The ideal candidate is a strategic decision-maker with strong financial acumen, a skilled relationship builder, and a proven leader who drives results and fosters collaboration. With a background in healthcare construction, the Project Manager ensures compliance with strict regulations, infection control, and safety protocols while minimizing disruption in active facilities. Leveraging expertise in phased construction, specialized MEP systems, and budgeting for healthcare-specific cost drivers supports efficient project execution. The Project Manager strengthens client relationships, enhances business development, and positions the company to pursue more healthcare projects. Additionally, the Project Manager plays a key role in developing team members on best practices to improve the company’s overall healthcare construction capabilities. Competencies Safety Management: Enforce compliance with safety programs, ensuring all methods prioritize safety, quality, time, and profit. Contract and Legal Compliance: Manage and adhere to legal, contract, and design requirements, negotiating changes to maintain or improve project income. Preconstruction Planning: Analyze plans, budgets, and contracts during preconstruction to ensure readiness and alignment with project goals. Scheduling and Coordination: Develop and manage project schedules, ensuring timely resource availability and seamless team collaboration. Procurement and Subcontractor Management: Oversee subcontracts, purchase orders, and change orders while monitoring subcontractor performance for compliance. Quality Control: Implement Quality Control plans, address issues promptly, and deliver outcomes that meet or exceed client expectations. Financial Management: Monitor and control costs, forecast revenue, and maintain financial accuracy and accountability throughout the project lifecycle. Lean and BIM Implementation: Apply Lean principles and lead BIM processes to enhance efficiency, productivity, and scheduling. Communication and Reporting: Provide regular updates to leadership, prepare detailed reports, and facilitate effective team meetings. Environmental Compliance: Ensure adherence to environmental regulations and minimize project impact. Marketing and Business Development: Support marketing strategies, promote services, and provide data to improve project delivery processes. Specifications A degree in construction management, engineering technology or similar is a plus. Proven construction management experience. Proficiency with construction management software and Microsoft Office Suite (SharePoint, OneDrive, Teams, Outlook, Excel, Word, PowerPoint). Essential Functions Perform physical activities such as twisting, stooping, bending, squatting, kneeling, crawling, climbing ladders and stairs, walking on uneven ground, working on scaffolds above ground, and in ditches below ground. Up to seven hours of an eight-hour shift are spent standing. Work comfortably in confined spaces without fear and demonstrate the ability to read GHS labels on containers through color recognition. Have depth perception to identify hazards such as excavations and to hear horns or sirens from moving equipment. Exhibit good finger manipulation skills for precise tasks. Climb on light and heavy equipment, carry, and use hand tools effectively. Handle constant lifting of 10 lbs, frequent lifting of 25 lbs, and a maximum single-person lifting capacity of 50 lbs (assistance required for items over 50 lbs). Tasks may involve reaching at, above, or below shoulder height. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Work Environment Construction site environment. You may be exposed to noise, dampness, heat, cold, dust, fumes (occasionally, but always well-ventilated), chemicals (will work with, but normally won’t work in a chemical environment) and confined spaces (on occasion). Temperatures range from 25º to 115ºF. Wear puncture-resistant footwear, long pants, and shirts with four-inch sleeves. Use all required PPE, including hard hats, safety glasses, gloves, high-visibility vests, earplugs, fall protection gear, and respiratory equipment, as provided. Maintain a professional, clean, and well-groomed appearance. Work schedule will align with project demands and timelines. Total Rewards Employee Ownership: Enjoy ownership from day one. Competitive Pay: Salary based on market data and performance. Profit Sharing & Incentives: Share in company success and earn project bonuses. Vehicle Allowance & Phone Reimbursement: Stay mobile and connected. Health Coverage: Medical, dental, and vision after 30 days, plus HSA contributions. Retirement Plans: 401(k) with employer match (Traditional and Roth). Wellness Support: Gym and mental health reimbursements. Career Development: Access SpawGlass University and continuing education assistance. Generous PTO: Plus paid holidays and team member assistance. SpawGlass is an Equal Opportunity Employer.

Posted 30+ days ago

Gresham, Smith and Partners logo
Gresham, Smith and PartnersCharlotte, NC
Our Healthcare team of 150+ architects, engineers, interior designers, and planners helps clients move the needle where it matters most: patient safety, operational efficiency, technology integration, adaptability/resiliency, sustainability, and the human experience. Helping create healthier communities for more than 50 years, we've designed over 8,000 projects for longstanding clients across the United States, and we invite you to join us! Gresham Smith is seeking an Architect to join our Healthcare Studio. In this role, you will collaborate with multi-disciplinary teams to deliver exceptional human experiences in healthcare settings. You should have strong technical skills, the ability to coordinate across multi-disciplines, and strong communication and organization skills. Experience directly with Healthcare projects is a plus. Responsibilities: Lead the delivery of small to medium size healthcare projects. Support project teams on large projects. Direct consultant and technical teams to ensure successful execution of project design and deliverables. Work alongside the Project Executive and Project Manager to create and oversee production timelines, clearly defining and meeting deadlines. Prepare, review, and coordinate deliverables, by managing the work of production staff and consultants, in accordance with our standards and in adherence to our QA/QC processes. Supervise code analysis and verify zoning requirements. Facilitate design discussions, internally and externally, and lead collaborative work sessions with consultants. Develop and present client presentations. Conduct product research and assist the team in selecting appropriate materials and systems. Attend site visits, field reviews, and project meetings and document relevant information. Review submittals, support, and/or lead field observations and agency reviews. Focus on the professional development of staff through mentorship. Promote a positive team atmosphere. Advocate for the firm's principles of design excellence by integrating sustainable practices. Minimum Qualifications: 5-year Bachelor's or Master's degree in Architecture from an NAAB accredited University program. Minimum of 8 years of job-related experience; Healthcare experience is preferred. Architecture License required. Demonstrated proficiency using Revit and AutoCAD is required. Proficiency in Rhino, Photoshop, SketchUp, Lumion, Enscape, and/or other 3D rendering software programs is a plus. Proficient in Microsoft Office applications, particularly in Outlook, Word, and Excel. Excellent knowledge of architectural building systems, accessibility guidelines, building codes, and Quality Control skills. Ability to interact professionally and comfortably with various personalities and communication styles and build and maintain excellent interpersonal relationships. Strong presentation, time management, and organizational skills. Please include a portfolio of work samples along with a resume/CV in your online application. Gresham Smith is an equal opportunity employer and does not discriminate. Everyone is invited to apply! Gresham Smith will not accept unsolicited resumes from recruiters, headhunters, contract recruiters, search firms, or employment agencies. An executed GRESHAM PLACEMENT SERVICES AGREEMENT (PSA) is required prior to any payment obligation for either a referral or recruiter fee. In the event a recruiter or agency submits a resume or candidate without a previously executed PSA, GRESHAM SMITH explicitly reserves the right to recruit and hire those candidate(s) at its discretion, and without any financial obligation whatsoever to the recruiter or agency. Any such unsolicited resume or candidate contact information, including those submitted directly to GRESHAM SMITH'S hiring managers or any other employee, shall become the property of GRESHAM SMITH upon receipt.

Posted 30+ days ago

Markel Corporation logo
Markel CorporationPlano, TX

$116,000 - $160,000 / year

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! The primary purpose of this position is to underwrite new business and renewals for Healthcare Risk Solutions for the Central Region in a profitable manner and according to authority level and established guidelines, and drive projects having an impact on the business. Assigned larger, and more complex accounts. Use underwriting tools to determine accurate classifications, rates, and premium charges. Knowledgeable in coverage forms and policy language and appropriate use of forms and exclusions. Promotes the growth and development of less experienced underwriters and fosters teamwork. Responsibilities Expert understanding and proven ability to underwrite hospital and complex allied/miscellaneous medical facility business Thorough grasp of policy language including primary, lead umbrella, excess follow form, and captive reinsurance Ability to analyze complex loss data and work with experience rating and loss rating; familiar with actuarial concepts and ability to work collaboratively with internal actuaries. Strong ability to present at underwriting meetings with senior executives from existing and prospective insureds Provide policy review and rating guidance. Actively participate in Claims meetings and reviews Quote and bind new and renewal accounts according to our underwriting guidelines and strategy Actively participate in large risk strategy Maintain and adhere to all underwriting file documentation standards Cultivate and improve retail broker relationships across the Central Region Present innovative marketing strategies with the casualty brokerage community Collaboration with Regional Leadership. Skills & Experience 10+ years of complex retail healthcare professional liability underwriting experience Demonstrated technical knowledge and skills reflective of progression of positions of increasing responsibility. Demonstrated marketing and relationship building skills. Four year college degree and/or CPCU or similar designation preferred. Excellent oral and written communication skills. Microsoft Office skills to include MS Word and MS Excel. Strong analytical and organizational skills. Must be a team player that enjoys a flexible and spontaneous business environment with a desire to succeed. Up to 25% travel (when appropriate) US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, demonstrated competencies, geographic location, and other factors. The base salary range for the Underwriting Specialist position is $116k - $160k/year with a 30% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to rarecruiting@markel.com. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the rarecruiting@markel.com. No agencies please.

Posted 30+ days ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Plymouth, MN

$89,800 - $160,600 / year

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As the Optum Care National Risk Adjustment Healthcare Economics Team, we support all risk adjustment efforts across our enterprise, primarily focused on Medicare Advantage Risk Modeling and Financial Forecasting. We are internal analytics partners who provide expertise to our finance, operations, accounting, and clinical leads to identify coding gaps, assess opportunity, forecast, and analyze risk. If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you're not a risk adjustment expert, but hungry, driven, and willing to learn, we will help you become one of the best-in-class experts in the field. As a Manager Healthcare Economics, you will help lead key efforts around risk score forecasting, revenue assessment, predictive suspecting, program evaluations, and strategic guidance related to Medicare Advantage Risk Adjustment. The role also requires knowledge of the CMS Medicare Advantage payment models, and expert knowledge of data access, construction, and manipulation of large datasets to support planned analyses, using advanced SQL development or similar tools. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: This is an individual contributor role responsible for leading a region and/or markets for forecasting revenue and collaborating with finance and accounting teams Assist in leading complex analytic projects leveraging data from multiple sources Understand and apply highly technical specifications to healthcare datasets Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership and key national finance and operations stakeholders Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish Develop full understanding of CMS guidelines and specifications as it relates to Medicare Advantage and Risk Adjustment Identify and implement appropriate analytic and forecasting methodologies Develop and manage advanced forecast models Design, produce and support development of dashboards and key performance indicator reports to meet customer requirements Leverage and coordinate enterprise-wide capabilities to meet business-specific needs Educate non-technical stakeholders on risk adjustment topics from the clinical, operational, and financial perspective Communicate results to relevant audiences, and seek and apply feedback into future iterations and new analytic development You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field and 3+ years of advanced analytics experience focused on healthcare data Knowledge of the CMS Risk Adjustment models and applicability as it relates to revenue cycle analytics and forecasting Analytical expertise in data analysis, statistical analysis, data manipulation, data extraction, and reporting Advanced proficiency with SQL development Proficient with MS Excel, including creating Macros, Pivot Tables, SUMIFS, SUMPRODUCT, and VLOOKUPs, etc. Preferred Qualifications: Experience in supporting finance and accounting partners through an analytics focused role, including forecasting techniques Experience in predictive modeling, data manipulation, reporting, and analysis Experience synthesizing analysis into actionable and easy to digest insights Experience measuring impact and ROI of operational programs and services Experience with Snowflake Advanced to expert proficiency with SAS and/or other data manipulation and statistical tools Knowledge of CMS regulations and specifications regarding Medicare Advantage risk adjustment All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits re subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,800 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 3 weeks ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.San Antonio, TX

$58,800 - $105,000 / year

WellMed, part of the Optum family of businesses, is seeking a RN Healthcare Manager to join our team in San Antonio, TX. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Primary Responsibilities: Make outbound calls and receive inbound calls to assess members' current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Strong computer and software navigation skills are critical. You should also be strongly patient-focused and adaptable to changes. In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in the state of employment 3+ years of experience in a hospital, acute care or direct care setting Proven ability to type and have the ability to navigate a Windows based environment Preferred Qualifications: BSN Certified Case Manager (CCM) Proven background in managed care Case management experience Experience or exposure to discharge planning Experience in utilization review, concurrent review or risk management Experience in a telephonic role Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 3 weeks ago

Huron Consulting Group logo
Huron Consulting GroupChicago, IL

$80,000 - $89,600 / year

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Huron is a global professional services firm that collaborates with clients to put possible into practice by creating sound strategies, optimizing operations, accelerating digital transformation, and empowering business and their people to own their future. By embracing diverse perspectives, encouraging new ideas, and challenging the status quo, we create sustainable results for the organizations we serve. As a Healthcare Consulting Analyst, you'll aid our clients to evolve and adapt to the rapidly changing healthcare environment. You'll have the opportunity to help our clients stabilize business operations today and create tomorrow's growth by implementing revenue enhancement and cost containment programs, upgrading technology systems, creating stronger leaders, and improving outcomes for patients. To learn more about Huron Healthcare, please use this link Analyst Role & Responsibilities Our Analysts join us from a wide range of backgrounds and make an immediate impact working as part of a team committed to developing creative insights, implementing, and designing processes, and driving tangible results. We provide access to the training and coaching you need while you work independently or in group settings to get hands-on experience in building effective relationships and creating solutions for our clients. With a solution-oriented approach, you will collaborate with team members to critically think, and problem solve to execute the implementation of effective processes and strategies for clients. As an Analyst, you'll spend your summer working on a client project with a project team. In addition to client work, you will also get a chance to participate in various team culture initiatives and social events. Responsibilities may include: Analyzing quantitative and qualitative data and communicating synthesized results to senior internal team members to inform client deliverables Collaborating with internal team members during projects, including presenting key takeaways, communicating project updates, and organizing overall project logistics Engaging with colleagues across the industry group to develop innovative and industry-leading methodologies that better serve our clients Attending regular client meetings to identify and analyze key metrics for both internal and client leadership teams Requirements & Qualifications Demonstrated academic excellence in a bachelor's program relevant to the role with a graduation date of Spring 2026 (May/June 2026) Strong problem solving and analytical skills Strong written and verbal communication Ability to work collaboratively in a team environment Advanced or highly proficient in Excel (e.g., pivot tables, VLOOKUPs), PowerPoint and other Microsoft Office products (e.g. Microsoft Visio and Outlook) Comfortable with a dynamic, fast-paced work environment, including the potential for extended hours depending on project demands A consulting role with Huron requires travel to client sites. The nature and frequency of travel will depend on the specific project requirements and client needs. U.S. work authorization required Application Materials Current Resume Unofficial Transcript Why Huron Flexible Paid Time Off 401(k) and Student Loan Matching Comprehensive Health Benefits (Medical, Dental, and Vision) Stock Ownership Program Wellness and fitness discount programs Inclusive, supportive workplace culture Paid volunteer time to give back to the community Personalized development resources and tailored career growth opportunities Note: This list highlights just a few of the benefits we offer. A full overview will be provided if an offer is received. If you are interested in joining Huron, please visit our Career Site. The base salary for this job is $80,000. 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 $86,400 - $89,600. 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. Huron is fully committed to providing equal employment opportunity to job applicants and employees in recruitment, hiring, employment, compensation, benefits, promotions, transfers, training, and all other terms and conditions of employment. Huron will not discriminate on the basis of age, race, color, gender, marital status, sexual orientation, gender identity, pregnancy, national origin, religion, veteran status, physical or mental disability, genetic information, creed, citizenship or any other status protected by laws or regulations in the locations where we do business. We endeavor to maintain a drug-free workplace. To learn more about Huron, visit www.huronconsultinggroup.com Position Level Analyst Country United States of America

Posted 1 week ago

C logo
Cambia HealthCda, ID

$92,000 - $124,000 / year

SYSTEMS ANALYST III (HEALTHCARE) Hybrid (In office 3 days/week) within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's Software Engineering Team is living our mission to make health care easier and lives better. The Systems Analyst participates in a team environment for the development, maintenance, and delivery of product/application (s) and data integrations as an integral part of a multi-functional team. This position is generally responsible for business, data and product/application analysis. This position requires business, analytical, design, interpersonal, technical and administrative skills in performing day to day work. - all in service of making our members' health journeys easier. If you're a motivated and experienced Systems Analyst looking to make a difference in the healthcare industry, apply for this exciting opportunity today! What You Bring to Cambia: Preferred Key Experience (MUST HAVE): Healthcare Experience Facets Experience API - Not development Qualifications and Certifications: Bachelor's degree in Computer Science, Mathematics, Business Administration, or a related field and minimum 5 years business or system experience developing requirements for projects where computer software is created The equivalent combination of education and/or experience including experience with methodologies and structured analytical approach Skills and Attributes (Not limited to): Ability to work with teammates and with business partners to participate in sessions to gather, translate and document and system requirements to support transforming requirements into effective technology solutions. Ability to create simple story cards and understand simple acceptance criteria enough to verify results; develop simple technical documentation and understand technical documentation and concepts. Ability to coordinate and facilitate one to one and small groups (3-5) of customers or other analysts for small work efforts. Ability to develop positive relationships among business partners, teammates and management. Ability to follow direction, collaborate effectively with peers to provide results, and relay status to management and peers in a timely manner. Additional Minimum Requirements for level II Understands moderately complex acceptance criteria enough to verify results; develops technical documentation and can understand moderately complex technical documentation. Ability to facilitate and lead small teams (1-3) for moderate work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues. Able to participate in requirements sessions/interviews and document clear requirements for moderate work efforts. Mastering knowledge and skills of common software development methodologies. Additional Minimum Requirements for level III Ability to lead small teams (3-5) for complex work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues and creating status reports. Ability to present and effectively communicate with leadership. Ability to participate in the definition of a QA plan. Ability to use and coach more junior team members and business partners on development methodologies. What You Will Do at Cambia (Not limited to): Read and create simple structured specifications such as use cases, story cards. Read and understand design and business models including basic technical understanding. Writes SQL queries, reads simple data models. Understands and participates in the creation of deliverables by acting as a liaison between the development team and the end users. Contributes to deliverables including analysis, development that may include writing SQL/scripting, quality and validation. Additional General Functions and Outcomes for level II Reads and creates moderately complex and structured specifications such as use cases, story cards and requirements. Provides support for applications and products during releases and warranty which may include quality and validation. Actively acquires basic understanding of API concepts as applicable to the products and teams. Reads most data models and has the ability to participate in logical data model creation. Writes moderately complex SQL queries. Additional General Functions and Outcomes for level III Applies in depth knowledge on health insurance terminology and concepts as needed by the product/application (s) the teams support. Reads and creates complex structured specifications such as use cases, story cards. Reads complex and creates moderately complex business models. Writes well designed complex SQL queries and trains the more junior analysts. Participate/ Actively develop automated validation techniques (QA automation) as applicable to the product and team. Understands basic API concepts, such as API structures, JSON, collections and how to document in a technical design as applicable to the product and team. Reads complex data models and creates basic logical data models. Provide estimates for complex size work efforts increasing accuracy of the estimate as work effort progresses. Trains and coaches less experienced and peer analysts. May participate in the research, evaluation and selection of vendor products, methodologies and processes. Lead medium size groups including multiple departments with a structured approach (i.e. JRP or grooming sessions). Manages own tasks on moderate size enterprise-wide work efforts. The expected target hiring range for the Systems Analyst III is $92k - $124k is depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% . The current full salary range for the Product Manager is $86k / $141k. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Posted 30+ days ago

Lumeris logo
Lumerisdubberly, LA

$98,400 - $132,225 / year

Your Future is our Future At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Program Manager & Trainer - AI Healthcare Solutions Position Summary: The Program Manager & Trainer is responsible for designing, coordinating, and delivering training programs that help physicians, clinical staff, and administrative teams adopt our AI-powered primary care solution. This role blends program management with hands-on training creation and delivery, ensuring large health systems are equipped to use the technology effectively and realize its value. You will work directly with health system stakeholders to design training strategies, coordinate rollout programs, and ensure continuous learning opportunities. Internally, you'll partner with Customer Success Managers, Clinical Success Managers, and Product teams to align training with client needs and product updates. Job Description: Key Responsibilities Program Management Develop and manage comprehensive training rollout plans for large health systems (300+ physicians). Coordinate training schedules, resources, and communications with client leadership. Monitor adoption and provide program-level reporting to clients and internal stakeholders. Standardize training methodologies to ensure consistency across clients. Training Design & Delivery Create training materials (guides, presentations, e-learning modules, quick reference sheets). Deliver in-person and virtual training sessions to physicians, nurses, and office staff. Train-the-trainer: enable client "super users" and physician champions to scale training within their organizations. Adjust training strategies based on client workflows and adoption data. Change Management & Adoption Act as a change management leader, helping staff understand the "why" behind adoption. Identify barriers to adoption and develop interventions with client champions. Serve as feedback loop for product improvements, capturing frontline staff input. Qualifications 5+ years experience in program management, healthcare training, or learning & development (L&D). Strong background in healthcare operations, digital health, or clinical systems (Epic, Cerner, Athena preferred). Experience training clinicians and staff in new technologies or process changes. Exceptional communication and facilitation skills (comfortable with both large groups and one-on-one coaching). Familiarity with adult learning principles and instructional design. PMP, Prosci, or training certifications (e.g., ATD) a plus. Ability to travel 30-40% to health system sites. Working Conditions While performing the duties of this job, the employee works in normal office working conditions. Pay Transparency: Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements. The hiring range for this position is: $98,400.00-$132,225.00 Benefits of working at Lumeris Medical, Vision and Dental Plans Tax-Advantage Savings Accounts (FSA & HSA) Life Insurance and Disability Insurance Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days) Employee Assistance Program 401k with company match Employee Resource Groups Employee Discount Program Learning and Development Opportunities And much more... Be part of a team that is changing healthcare! Member Facing Position: No- Not Member or Patient Facing Position Location: Louisiana Time Type: Full time Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment. Disclaimer: The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities. Lumeris is an EEO/AA employer M/F/V/D.

Posted 3 weeks ago

Adams Brown logo
Adams BrownJonesboro, AR
Description Position Summary A Tax Manager is a professional who has the technical ability to prepare and review tax returns, standard accounting work papers and statements, and other financial reports while guiding and mentoring other staff. This role demonstrates the ability to work well with others especially in the capacity to earn the confidence and respect of clients, principals, staff, and administrative support personnel. The Tax Manager is familiar with tax and audit standard concepts, practices, and procedures, and relies on extensive experience and judgment to accomplish goals. A wide degree of creativity and latitude is expected. This individual will work on the Healthcare Focus Area team. FLSA Status: Exempt Requirements Required Experience and Education A current and valid CPA license is required. Must be a member in good standing with the American Institute of CPAs and respective state societies. 5-7 years' experience in public accounting or relevant position, demonstrating a progression in complexity, scope, and number of projects. Special consideration will be made to waive the requirement of the CPA license in lieu of comparable experience and demonstrated expertise. Major Duties and Responsibilities Responsible for maintaining tax records and preparing tax returns, related schedules, and related reports Responsible for supervising and reviewing the work of others Maintains in depth knowledge of accounting and tax matters, and specialized industries or functional/technical areas Ensures top quality client service through a cadence of in-person and virtual communications Consistently applies effective project management skills in order to plan and coordinate multiple engagements Participates in mentoring, training, recruiting, retention, and team-building activities Complies with all firm policies and procedures Recognizes complex technical issues, reaches appropriate conclusions, and applies authority to support conclusions Maintains accurate time and expense records to ensure proper billing of clients Anticipates problem areas and questions that will arise during the course of a project Uses established network of business relationships to generate new sales opportunities for continued development of client base Demonstrates knowledge of all technical aspects of the job, including related knowledge of necessary systems and procedures Demonstrates advanced technical knowledge effectively through written and verbal communication; seeks to continuously develop communication skills Increasingly builds knowledge base on the firm's industry lines and service offerings Performs other duties as assigned Desired Skills, Abilities and Characteristics Leads by example exhibiting integrity, energy, enthusiasm, dedication, and commitment to excellent client service, firm reputation, and the one team concept Professional and forward-looking mindset Ability to maintain confidentiality of firm and client information Effectively communicates verbally as well as short-form, and long-form writing Client service oriented Effectively manage people with poise and professionalism Promotes the vision, missions, and core values of the firm and supports the one-firm concept Demonstrates the ability to properly delegate and manage workload and train others on the proper delegation and management of work Continually strives to improve effectiveness through a mindset of lifelong learning Ability to apply principles of accounting to analyze and prepare financial information Excellent organizational skills Ability to demonstrate confidence and good judgment when interacting with colleagues, supervisors, and clients Strong presentation skills Ability to work well with others Working Environment Adams Brown, LLC promotes a flexible work environment with a deep commitment to technology and modern work arrangements. Our offices are open from 8:00 a.m. - 5:00 p.m. Monday through Friday through tax season and close at noon on Fridays outside of tax season. We are closed on major holidays, offer substantial paid-time-off, a comprehensive benefit package, competitive pay structure, and a culture of growth, clarity, and respect. Click here to learn more about our benefits. AdamsBrown, LLC. is an Equal Opportunity Employer.

Posted 30+ days ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESSan Francisco, CA

$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

F logo
Freeway Insurance Services AmericaDallas, TX

$50,000 - $70,000 / year

Pay Range: $50000 - $70000 / year Our Perks: Lucrative incentive sales plans, bonuses and sales contests No Cold Calling- We have a high volume of inbound sales leads and walk in traffic Comprehensive paid training and licensing with continuous on-going training and mentorship Recognition culture Comprehensive Benefits package including medical, dental, vision and life insurance Retirement Plan: A 401K plan with a percentage of company-matched contributions Fitness: We reimburse up to $10 a month to an employee for their gym Employee Assistance Program: Confidential assistance to you or anyone in your household who is experiencing personal or professional problems - at no cost Extra Perks: Access to disability, hospital indemnity, health advocate program, universal life, critical illness, and accident insurance plans. We even offer pet insurance Our Company: Confie and its family of companies - Freeway, Baja, Bluefire & others - is one of the largest privately held insurance brokers in the United States and has been ranked the #1 Personal Lines Leader by the Insurance Journal for the seventh straight year!. With over 800 retail store locations to choose from nationwide, we encourage you to take your career and income potential to new heights! We are proactively looking for bright, talented, and motivated individuals who are goal oriented and excited for career advancement. Come Grow With Us! What You Will Do: This position is responsible for exceeding inbound/outbound sales goals and KPIs, while maintaining the highest quality standards. The ideal candidate will be someone that has a proven track record of leading, developing, and managing a sales team, and executing a team's plan to meet or exceed health sales targets. Key Responsibilities: Supervises, motivates, and tracks sales team's performance, productivity, and schedule adherence to drive quality results Serves as first point of escalation for sales team on sales process and technical issues; coaches team on how to efficiently resolve any issues Drives sales and revenue by ensuring sales team is assisting customers in making healthcare decisions over the phone effectively Maintains a positive work environment that leads and supports a sales team while identifying any opportunities that may inhibit an individual's or team's performance Directs the team and ensures compliance and quality customer experience interactions Identifies strengths and opportunities of sales team to ensure each team member receives individualized coaching, training, and career development Exceeds monthly sales and performance goals Preserves healthy cross-collaboration with supporting sales departments, including Facilitators, Marketing, Licensing, Training and IT Must be flexible in hours you are able to work (possible nights and/or weekends) Maintains communication and connection with sales team through emails, Microsoft Teams chat messages, Microsoft Teams video calls, individual phone calls and in person meetings Balances and prioritizes day-to-day activities and deadlines to ensure successful execution of Freeway Health's mission and values The Perfect Match: 1 to 3 years' experience in progressively responsible sales or customer service positions 1 to 3 years' Supervisory experience within a managed care of organization, health insurance carrier, third party administrator, or related industry Equivalent combination of education and sales/account management experience will be considered. High school diploma required. Must possess a valid Health insurance license in resident state license or the ability to obtain within 90 days of employment. Hiring Immediately Freeway Auto Insurance

Posted 30+ days ago

R logo
RYAN COS. US INCChicago, IL

$87,300 - $109,100 / year

Job Description: We're seeking an experienced Project Architect, Healthcare to join our team in Minneapolis and help lead the design of impactful healthcare environments. In this role, you'll guide and support architects through the full design process on small to mid-sized projects-providing direction, supervision, and mentorship to ensure the delivery of complete, accurate, and timely design documents. The ideal candidate brings at least eight years of relevant experience, a bachelor's or master's degree in architecture, active architectural licensure, and strong expertise in Revit, building codes, documentation, and constructability, along with solid proficiency in the Microsoft Office Suite. To be successful in this role, you must have at least 8 years of relevant work experience. A bachelor's (or master's) degree in architecture and Architectural licensure is required. You need strong knowledge of Revit, Building Codes, Documentation, and Constructability. Proficiency with Microsoft Office Suite is expected. Some things you can expect to do: Works in tandem with Client, Architects, Design Project Manager, Designers, Development, Construction and Consultants. Supports and leads team of Architects and Designers through the design process of small to mid-size projects. Creates complete and thorough set of design documents to meet project goals, milestones and schedules. Leads detailing effort for a complete set of construction documents and construction phase. Leads design meetings, consultant meetings and project team meetings. Coordinates project design schedules. Resolves unusual or complex technical issues. Research and lead code reviews and regulatory approval process. Manages and coordinates Ryan's QA/QC process and project specifications. Identifies and communicates deviations in project Performs tasks with a high level of collaboration and sets an example for others to Establishes and pursues annual goals based on personal, professional and company growth in the Ensures project goals of design excellence, execution and sustainability. Direct, supervise and mentor junior staff. You will really stand out if you have: Bluebeam knowledge. Leadership in Energy and Environmental Design Accredited Professional (LEED AP) and/or WELL Accredited Professional (WELL AP) Certification(s). Eligibility: Positions require verification of employment eligibility to work in the U.S. Compensation: The base salary is $87,300 - 109,100 Annually. The base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills and abilities. Benefits: Competitive Salary Medical, Dental and Vision Benefits Retirement and Savings Benefits Flexible Spending Accounts Life Insurance Educational Assistance Paid Time Off (PTO) Parenting Benefits Long-term Disability Ryan Foundation - charitable matching funds Paid Time for Volunteer Events Ryan Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Non-Solicitation Notice to Recruitment Agencies: Ryan Companies kindly requests that recruitment agencies and third-party recruiters do not submit unsolicited resumes or candidate information to any Ryan Companies employee or office. Ryan Companies will not be responsible for any fees or expenses associated with unsolicited submissions. If recruitment services are required, we will reach out directly to agencies on our approved vendor list. We appreciate your understanding and cooperation.

Posted 30+ days ago

P3 Health Partners logo
P3 Health PartnersHenderson, NV
Overall Purpose: The Provider Data Management Specialist is responsible for overseeing the accuracy, integrity, and maintenance of provider data within P3 internal systems. The Provider Data Management Specialist ensures data integrity across systems to support claims processing, provider directories, regulatory compliance, and operational efficiency. This role acts as a liaison between internal contracting, health plans, and credentialing to ensure successful maintenance of data through all stages of provider enrollment. Essential Functions Supports contracting and credentialing with obtaining accurate provider data. Responsible for building positive relationships between the health plan, providers and practice managers. Manage processes for provider data integration and system enhancements, working with systems to develop reporting. This includes supporting the development and publication of provider directories for various internal stakeholders. Serve as the primary point of contact for provider data-related inquiries and issue resolution. Maintains, audits, and updates notice of change documentation for all providers. Identifying gaps in network composition and services to assist the department. Identifying operational short-falls, researching and remediating issues. Handles confidential and non-routine information. Delivers assigned projects on time and compliant to applicable state and federal regulations. Organizes and prioritizes large volumes of information. General administrative duties. Knowledge, Skills, and Abilities Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy. Must have excellent verbal and written skills. Must be able to interact and communicate with individuals at all levels of the organization and external parties. Must have knowledge of variety of computer software applications in word processing, spreadsheets, database and presentation software (Word, Excel, Access, PowerPoint) Work requires continual attention to detail in composing, typing and auditing large amounts of data. contracts. Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands. Excellent organization and coordinating skills. Experience Must have a minimum of five years of work experience in managed care and strong relationship building skills. Education Associates Degree preferred or in process of completion or equivalent experience.

Posted 3 weeks 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

CignaSaint Louis, MO

$91,900 - $153,100 / year

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Job Description

Job Summary

The Healthcare Strategy Advisor plays a key role in supporting the development and execution of clinical strategies that drive improved health outcomes, affordability, and business growth across Cigna Healthcare (CHC). This role requires a strong grasp of healthcare dynamics and a growing ability to influence decision-making, contribute to cross-functional initiatives, and translate insights into actionable plans. Success in this role requires a solid foundation in strategic analysis, financial acumen, a collaborative mindset, and experience working in clinical or payor organizations. This role reports to the Principal, Clinical & Provider Strategy.

Responsibilities

Strategic Support & Planning

  • Support the development of clinical strategy initiatives aligned with CHC and enterprise goals and market needs, including strategic frameworks, business cases, and initiative roadmaps.
  • Conduct robust internal reviews and external market scans to identify emerging trends, capability gaps, and innovation opportunities.
  • Define measures of success for strategic initiatives across financial, clinical, patient experience, and operational drivers.
  • Develop subject-matter expertise in select clinical areas to act as the go-to-resource for clinical leadership.

Cross-Functional Collaboration

  • Collaborate with matrix partners across CHC clinical teams, along with other internal teams including product, data and analytics, and finance to ensure strategic alignment.
  • Participate in cross-functional workgroups as a proxy for CHC clinical strategy, contributing to the design of new commercial programs and products.
  • Develop executive-level communications to escalate key issues, opportunities or pain points to CHC leadership, along with recommendations for resolution.

Analysis & Insights

  • Analyze clinical and operational data to identify trends, gaps, and opportunities for improvement in patient care delivery.
  • Translate complex data into clear, actionable insights for both clinical and non-clinical stakeholders.
  • Proficiency in using data visualization and analytics tools (e.g., Excel, Tableau, Power BI, SQL, or Python) to develop dashboards, reports, and presentations that inform strategic decisions.
  • Prepare executive-level presentations, memos, and updates on strategic projects.
  • Monitor initiative performance and support continuous improvement efforts.

Required Qualifications

  • Bachelor's degree required; advanced degree (e.g., MPH, MBA, MHA) preferred.
  • 5+ years of experience in healthcare strategy, clinical operations, or related roles.
  • Strong analytical and problem-solving skills with the ability to translate data into actionable insights.
  • Excellent written and verbal communication skills.
  • Experience working in a matrixed organization and collaborating across functions.

Preferred Qualifications

  • Experience in payer, provider, or integrated delivery system environments.
  • Familiarity with value-based care models, population health strategies, or digital health tools.
  • Exposure to strategic planning, business case development, or healthcare innovation.

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

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

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

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

About The Cigna Group

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

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

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

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

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

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