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Clinical Program Senior Advisor (Clinical Solutions, Chief Medical Office) - Cigna Healthcare - Hybrid-logo
CignaPittsburgh, PA
This position reports to Cigna Health Care's Clinical Team/Chief Medical Officer. It supports the creation of innovative and patient-centered clinical products and solutions to improve patient outcomes, experience, and value. Incumbent will play a key role in developing clinical solution strategy based on insights, designing, enhancing, and maintaining evidence-based programs, and driving execution and results. Collaborates across the Cigna enterprise, with clinical team members and matrix partners in areas including Product, Technology, Data & Analytics, and Operations. May focus on specific clinical conditions/topic areas across the care continuum (e.g., wellness, chronic condition, acute health needs) and particular program types (e.g., health coaching, case management, digital tools/engagement) Responsibilities: Clinical Strategy: Develop and maintain subject matter expertise related to aligned program(s)/solutions, clinical topic focus areas, and understanding of internal/external landscape, strategy and business objectives Gather, analyze, and synthesize key insights/research (e.g., data/analytics, clinical research, industry, competitive, market, key stakeholder, operational/current state program/solution performance/opportunities)- to apply insight-driven approach Evaluate vendors for partnership opportunities based on established criteria Contribute to ideation, innovation and thought leadership, with best practice approaches Assist leadership with strategy and multi-year roadmap development; set SMART objectives; Lead strategic planning process and meetings Support and contribute to the enterprise portfolio submission process and influence prioritization Clinical Design and Development: Lead the design and development of new solutions, pilots, enhancements and process improvements - with best practice, evidence-based approaches and methodologies (e.g., behavioral science, design thinking). Design components to include workflows/customer journeys, identification/stratification criteria, clinical program content/digital content, evidence-based guidelines, assessments, care plans, interventions, customer communication(s) Develop/partner on clinical operational standard operation procedures (SOPs) and Training Contribute to clinical value messaging to support marketing Create clinical program/solution scorecards and KPIs, program evaluation criteria and measurement plans Execution and Monitoring: Utilize/promote established program and project management methodologies and best practices for effective governance, meeting preparation and management, execution, and monitoring results Establish, support and iterate on governance structure, meeting cadences, and communication strategy to align with and inform key stakeholders on assigned programs/solutions and initiatives Manage intake and prioritization of actions to support program goals Ensure that program-level success metrics/KPIs/scorecards are established and measured; identify opportunities for action, enhancement, improvement Create, enhance and maintain playbooks and repeatable framework(s) Ensure creation of and maintenance of sharepoint(s) /information management Ensure appropriate actions are taken to implement key initiatives effectively; may serve as project manager for initiatives and/or provide project management oversight and partnership as clinical program lead Effectively prepare for and facilitate various governance meetings, project status/communication meetings, and work sessions. Utilize/promote best practice standard project artifacts, including charter, team/roles and responsibilities, high-level timeline/schedule, issues and risk log, and a master project plan to support milestones and goals Manage project plans, track milestones, and monitor execution Status reporting and project/program communications Effectively communicate with project/business participants and stakeholders by adapting style and messages to diverse audiences Manage/escalate and resolve/mitigate issues and risks Facilitate effective decision making Ensure timely, quality, collaborative execution and adequate project documentation Develop and nurture strong relationships with key matrix partners and effectively collaborate across the Cigna and Evernorth enterprise, including but not limited to US Employer, Health Services, Pharmacy, and IFP Product/Solutions, EviCore, Accredo, Clinical Operations, Network/Provider contracting, Analytics, Technology, Segments. Continually improve skills, knowledge, and competencies by proactively participating in various internal and external training opportunities and stretch assignments. Qualifications: Bachelor's degree required (Nursing, Public Health, Healthcare Administration, or related field preferred); Master's or advanced certifications (e.g., AI, Informatics) are a plus. 3+ years in clinical program design and development with proven success. Skills & Knowledge: Strong understanding of healthcare and population health. Experience with project management; Agile knowledge is a plus. Ability to move from strategy to implementation. Strong problem-solving, critical thinking, and communication skills. Comfortable working independently and in cross-functional teams. Skilled in MS Office (PowerPoint, Excel, Word); Jira and Confluence experience is a plus. Personal Traits: Action-oriented, accountable, and detail-focused. Adaptable to change and ambiguity. Strong relationship-building and collaboration skills. Able to manage multiple priorities and meet deadlines. Travel: Occasional travel (up to 10%). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About 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 1 week ago

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Welbe HealthLos Angeles, CA
WelbeHealth provides life-extending health care to our most vulnerable seniors. Our PACE model of care is unique, in that we are the health plan and the provider of primary care services that allow our participants to stay in their homes rather than a skilled nursing facility. The Outreach Specialist is a member of our Marketing, Outreach, & Enrollment (MOE) team and is the owner and driver accountable for successful enrollment of prospective participants into our PACE program. They do this by developing and building relationships and generating quality participant referrals that lead to enrollment. They are key to our success and why we are the fastest growing PACE program in California. Our Outreach Specialists are sales professionals who are metrics-driven, thrive in a fast-paced environment, and are great collaborators who promote Welbehealth's values, team culture, and mission. Essential Job Duties: Coordinate and initiate outreach and engagement activities in the communities where seniors live Consistently meet monthly enrollment metric goals Identify opportunities to collaborate with community organizations to generate qualified leads, leading to potential enrollments Establish and maintain best-in-class relationships with community leaders and partners including senior centers, assisted living facilities, food banks, churches, and other community-based organizations Develop and implement monthly marketing plans to achieve monthly enrollment goals with MOE Director Provide education regarding WelbeHealth's services to referral sources in the community Job Requirements: Bachelor's degree in marketing or health care administration preferred DHCS training and exam as a marketing representative within 30 days of hire Minimum of two (2) years of experience in a sales and marketing role with at least one (1) year in a healthcare or senior care setting (within service area preferred; outside sales experience preferred) Technology experience which can include Salesforce, Athena, etc. Benefits of Working at WelbeHealth: Apply your sales expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for. Medical insurance coverage (Medical, Dental, Vision) Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time 401 K savings + match And additional benefits Salary/Wage base for this role is $75,000/ year + uncapped commission+ Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications. Compensation $75,000-$75,000 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

Posted 30+ days ago

Healthcare Assistant - Sage Ridge-logo
AllHealth NetworkWatkins, CO
Healthcare Assistant - Sage Ridge AllHealth Network is currently looking for qualified experienced Healthcare Assistants to join our team at our new Sage Ridge location. We are looking for dedicated professionals passionate about behavioral health services. As a team we strive every day to nurture growth and recovery by caring for each other, our clients, and our future. Job Description: Healthcare Assistant Assists with client admission tasks including checking vital signs, weighing clients, assisting with client exams, and completing substance use checks. Safely complete property searches and properly dispose of contraband items. Provide routine care and monitoring of clients during the detoxification process. Observe clients for changes in condition or behavior and promptly report such information to the appropriate licensed nursing staff. Accurately and thoroughly record client information in the electronic medical record. Facilitate the delivery of client meals in a timely manner. As needed, safely transport clients to and from medical appointments. Collect prescribed medications from pharmacy, reconciling orders and picked up medications. Respond with appropriate intervention in case of emergencies. Routinely inventory medication and medical supplies, communicating ordering needs to immediate supervisor. Maintain accurate and complete charts ensuring that documents are ordered correctly and charts contain adequate forms, labels, and related items. Performs job responsibilities in accordance with prescribed safety and infection control procedures, including thorough hand washing, use of disposable gloves where indicated, and proper disposal of soiled materials. Adhere to confidentiality laws including 42CFR Part 2, HIPAA and HITECH Follow all AllHealth Network policies and procedures Complete all required trainings as listed in Relias Learning (both online training and face-to-face training) within required timelines Perform other duties as required within the scope of the position and the experience, education and ability of the employee. Qualifications: High school diploma or GED equivalent CPR and 1st Aid Certification or BLS required Certified QMAP designation required Three to six months of experience in a medical setting is preferred Skills/Knowledge: Ability to relate with detachment, understanding, and empathy to clients and their families. Willingness to gain knowledge and understanding of the disease concept, medical treatment and specific medications used in the treatment of substance use disorders. Skilled in identifying details and accurately completing work. Ability to obtain clarification on questions in an assertive and respectful manner. Ability to communicate effectively in written and verbal formats. Skilled in establishing priorities quickly and utilizing time management tools effectively. Personal maturity reflected by sound judgment and decision-making abilities. Authentic commitment to Harmony's mission and vision, actively working to further organizational objectives Physical health adequate to access all areas of AllHealth's grounds, assist with ambulation and perform CPR Physical ability to lift a maximum of 50lbs If recovering from a substance use disorder, one year of continuous sobriety is required Shift/Location: Full-time and Part-Time Watkins, CO Pay Rate: $22 - $24 an hour The base salary range represents the low and high end of the AllHealth Network salary range for this position. Actual salaries will vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values. The range listed is just one component of AllHealth Networks' total compensation package for employees. Other rewards may include short-term and long-term incentives as well as a generous benefits package detailed below. Benefits & Perks: First, you would be joining one of Denver's Top Places to Work! We are honored to receive this amazing award, and we know it is recognition from our engaged staff who believe they are taken care of, listened to, and believe they are part of something bigger. Our facility is approved by the Colorado Health Service Corps (CHSC), and we offer our employees the opportunity to participate in our Loan Repayment Program. Additionally, we provide a comprehensive compensation and benefits package which includes: Positive, collaborative team culture Competitive compensation structure Medical Insurance, Dental Insurance, Basic Life and AD&D Insurance, Short- and Long-Term Disability Insurance, Flexible Spending Accounts Retirement Savings 401k, company match up to 50% of the first 6% contributed Relocation Assistance/Sign-On Bonus Please keep in mind that while sign-on bonuses may be advertised, AllHealth Network maintains a policy of not offering these bonuses to current internal employees. We appreciate your understanding and continued commitment to our team Excellent Paid Time Off & Paid Holidays Off Additional Benefits Please apply and you will be joining the amazing mission to be the most impactful growth and recovery provider with communities that need us most.

Posted 2 weeks ago

Architectural Project Manager, Healthcare-logo
DLR GroupNew York, NY
DLR Group is an integrated design firm with a promise to elevate the human experience through design. This fuels the work we do around the world and inspires our mission to improve the lives of our clients, our communities, and our planet. If this sparks your interest, you're in the right place. Our New York City office has an opening for an Architectural Project Manager to support our Healthcare sector. About Healthcare at DLR Group At the center of DLR Group's Healthcare practice is an individual - be it a patient, caregiver, instructor, or student. Our design extends beyond the building to consider the emotional, mental, and social well-being of its inhabitants. DLR Group designers are conscious that there are practical and aesthetic issues that must be mediated in healthcare facility planning and design. We leverage our experience and knowledge to deliver evidence-based solutions that support the unique needs of our clients, all the while rooting our practice in one core idea: empathy. Position Summary: In this role, you are responsible for managing all aspects of a project including all the project team members (in-house and out-of-house), schedule, budget, and quality of work product. The project manager is also responsible for the financial health of the project. The successful candidate will: Manage project execution and client expectations to adhere to budget, schedule, and scope. Develop communicate and update project plans including information such as project objectives, information specifications, schedules, funding, and staffing. Monitor or track project milestones and deliverables. Submit project deliverables, ensuring adherence to quality standards. Prepare and communicate project status reports by collecting, analyzing, and summarizing information and trends and identify the need for initial and supplemental project resources. Direct or coordinate activities of project personnel, vendors and consultants. Assign duties, responsibilities, and spans of authority to project personnel. Schedule, facilitate, and document meetings with staff and clients related to the project. Monitor the performance of project team members, providing and documenting performance feedback, and participate in recruitment or selection of project personnel. Participate in the development and negotiation of initial client contract as well as service change request; and Initiate, review, or approve modifications to project plans. Support business development initiatives by participating in the RFP process and interview process. Ensures complete and accurate client and project information updated in Vision and shared with the project team. Is responsible for overseeing the collection of account receivables, reviewing invoices, and drafting and pricing service change requests. Ability to travel as projects require. Required Qualifications: 10+ years of experience in a client-facing role for multiple healthcare projects. Bachelor's degree in architecture, engineering, interior design, or related construction industry. Must be eligible to work in the United States without the need for a work visa or residency sponsorship. Preferred Qualifications: Master's degree in architecture, engineering, interior design, or related construction industry. Professional licensure. TO BE CONSIDERED, PLEASE SUBMIT CURRENT PORTFOLIO/WORK SAMPLES IN PDF FORMAT* Our comprehensive Benefits at DLR Group include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401(k) plan, employee stock ownership, and bonus opportunities. Compensation considerations are based on location, experience, and skills. The suggested pay range for this position is: Pay Range $100,000-$120,000 USD DLR Group is an integrated design firm delivering architecture, engineering, interiors, planning, and building optimization for new builds, renovations, and adaptive reuse projects. We are 100% employee-owned: every employee is literally invested in our clients' success. At the core of our firm are interdisciplinary teams engaged in every step of project lifecycles. Our teams champion true collaboration, open information sharing, shared risk and reward, value-based decision making, and proficient use of technology to deliver exceptional design. We are pursuing the goals of the 2030 Challenge, the ME2040, and the SE2050, and are an initial signatory of the China Accord and the AIA 2030 Commitment. Through our values - commitment, creativity, environmental stewardship, fun, integrity, ownership, sharing, teamwork - we elevate the human experience through design, together. DLR Group follows a four-day in-office work model, with employees having the flexibility to work somewhere other than the office on Fridays. We are proud to be an Equal Opportunity/Affirmative Action/M/F/Veteran/Disabled employer.

Posted 30+ days ago

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Albany Medical Health SystemAlbany, NY
Department/Unit: Hudson Valley Resp Ther. Work Shift: Per Diem (United States of America) Salary Range: $0.00 - $0.00 Per diem position requiring online instruction in healthcare ethics and U.S. Healthcare courses offered by HVCC in the Community Health Program Same as Instr-HVCC Hlthcr Nav NE current positions. Bachelor degree in health related field. Master's degree preferred. 4 years experience working in a position related to healthcare. Teaching experience preferred. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Posted 3 weeks ago

Healthcare Business Banking Relationship Manager-logo
US BankIrving, TX
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at-all from Day One. Job Description Healthcare Business Banking Relationship Managers ("BBRMs") serve as primary advisors to U.S. Bank's Healthcare clients with annual revenue of up to $25 MM. BBRMs are experienced partners who understand their clients' needs and goals, as well as delivering comprehensive financial solutions. They take a holistic approach to relationship management, leveraging deep partnerships across the Bank to deliver a wide range of offerings to support both the individual and the business entity. This includes loan products, credit cards, payment processing, treasury solutions, and personal wealth planning. Healthcare Business Banking RMs are responsible for cultivating and managing new and existing healthcare client relationships. They achieve this by serving as trusted partners who assess and attend to client needs, provide education on available deposit and loan products and services, and recommend financial solutions based on each client's unique goals. They utilize their business banking expertise to consult and deliver a mix of products and services including lines of credit, term debt products, buyouts, and commercial mortgages. When a client's needs extend beyond core business banking offerings, the BBRM continues to direct the overall relationship and plays a leading role in managing referrals to/partnership with other business units. Basic Qualifications Bachelor's degree, or equivalent work experience Ten or more years of relevant experience Preferred Skills/Experience Prior Healthcare and Practice Finance banking & structuring experience Prior experience in clinic and center Commercial Real Estate Experience working with Treasury Management and Wealth Management partners Experience working with Healthcare and Practice clients & prospects Experience managing complex credit structures and loan requests larger than $2.5MM Experience working with companies and practices up to $25MM in annual revenue Proven success developing new business and COIs in the healthcare industry Demonstrated knowledge of commercial credit and credit quality Experience working with Salesforce, nCino, and credit analysis applications Agile and innovative approach to problem solving and decision making Excellent verbal and written communication and presentation skills Ability to work effectively with individuals and groups across the company to manage customer relationships Demonstrated business acumen with knowledge of diverse types of business, industries, markets, financial and economic concepts The role offers a hybrid/flexible schedule, which means there's an in-office expectation of 3 or more days per week and the flexibility to work outside the office location for the other days. If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. Benefits: Our approach to benefits and total rewards considers our team members' whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability Pregnancy disability and parental leave 401(k) and employer-funded retirement plan Paid vacation (from two to five weeks depending on salary grade and tenure) Up to 11 paid holiday opportunities Adoption assistance Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law. E-Verify U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program. The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $133,365.00 - $156,900.00 U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants.

Posted 2 weeks ago

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National Healthcare CorporationChattanooga, TN
Why NHC? At NHC, we "Put our Heart in Everything We Do!" We take pride in working together as a team in our family-oriented work environment. We provide a culture of excellence, recognition, empowerment, and fun. We offer professional growth opportunities along with competitive compensation wage increases based on performance. If you want this experience in your career, apply today! Position: Housekeeping/ Dining Assistant Work Schedule: 9am - 5pm, including Weekends Job Type: Part Time Benefits include: Flexible Schedules Dental, Vision and Life insurance Opportunity for Advancement Opportunities for Continued Education Competitive Pay Company Stock Purchase Option 401k with matching Housekeeping/Dietary Position Highlights: Assist with cleaning of resident rooms and public areas, as well as assisting with serving meals in our dining room. The ideal candidate will have good customer service skills and be dependable. Must be able to read and understand standard English Must be able to deal tactfully and effectively with residents, families, fellow employees and visitors. Parkwood Retirement Apartments is a small community of neighbors and friends set in a convenient Chattanooga location near Missionary Ridge. At Parkwood Retirement Apartments, residents enjoy the privacy of their own apartment home with the option to take advantage of community features and socialize with other residents. The natural beauty and entertainment and cultural opportunities of Chattanooga surround you. NHC Chattanooga / Parkwood Retirement Apartments is located at the foot of Missionary Ridge across from Memorial Hospital at: 2700-A Parkwood Avenue Chattanooga, TN 37404 If you are interested in working as a Housekeeping/ Dining Assistant for a leader in senior care, share NHC's values of honesty and integrity, and have a heart for the geriatric patient, please apply today and visit our website at nhccare.com/locations/parkwood-retirement-apartments/ We look forward to talking with you! EOE

Posted 30+ days ago

Government Healthcare Actuarial Manager-logo
Marsh & McLennan Companies, Inc.Phoenix, AZ
We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. Mercer's Government Human Services Consulting (GHSC) practice has touched more than 60 million lives since our inception in 1985, working with state Medicaid agencies to transform Medicaid programs to better serve our most vulnerable communities. Our nearly 500 specialists provide comprehensive services including actuarial and financial, clinical and behavioral health, pharmacy, policy, and more. Government Healthcare Actuarial Manager We will count on you to: Lead routine client engagements, managing overall service delivery and strategy, financial evaluations, plan design, and more Draft and review client reports and presentations to summarize findings and implications, and recommend strategies and solutions to the client Perform and review complex analyses and cost projects by using or modifying existing tools and pricing models, and review analyses conducted by junior staff to ensure actuarial soundness and correct use of models Handle day-to-day client contact and management, resolving any project-related questions and challenges, and guide junior staff members in client interactions Assist senior team members in the development of the business by identifying potential areas of growth in existing projects, and provide assistance in responding to requests for information or proposals What you need to have: BA/BS degree 10+ years health actuarial experience, with 3+ years of Medicaid leadership actuarial experience Actuarial credentials (ASA, FSA, or MAAA) Ability to handle client and project management in a demanding work environment with tight deadlines What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Experience leading large teams and/or large, complex projects Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. The applicable base salary range for this role is $117,000 to $234,500. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. Applications will be accepted until: August 24, 2025

Posted 3 weeks ago

Network Contracting Manager (Healthcare) - Roseburg, OR-logo
P3 Health PartnersRoseburg, OR
People. Passion. Purpose. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. We are looking for a Provider Contracts Manager (Network Contracting Manager). If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team. P3 is headquartered in Nevada with additional offices in OR, CA, AZ and FL. This is an on-site position in Oregon. Must be able to travel up and down the I5 corridor. Network Contracting Manager Overall Purpose: The Provider Contracts Manager (Network Contracting Manager) is responsible for developing, negotiating, and managing contractual, legal and financial arrangements with providers that ensure our patients have superior access to the highest quality, cost-effective providers of healthcare services. Education and Experience: Bachelor's Degree preferred or in process of completion or equivalent experience. Must have a minimum of five years of specific work experience in managed care contracting to include network expansion projects, hospital contracting, primary and specialty physician contracting, and ancillary contracting. Must be well versed in CMS reimbursement methodologies, including capitation, per visit, per diem, DRG, APC, and value-based incentives. Robust understanding of Medicare Advantage is highly preferred. Prefer national contracting negotiation experience. Prefer network operations experience. 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. Excellent verbal and written skills. Ability to interact and communicate with individuals at all levels of the organization and external parties. Demonstrated 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 proofing contracts. Demonstrated ability to create applicable contract language and have taken college level courses in writing contracts. Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands. Excellent planning and coordinating skills. Ability to travel. Travel will be required to engage with potential providers, develop relationships with physicians, clinical teams, etc. and overall building of the organization's networks. Travel may include local daytime to the market or may also be overnight travel as assigned. Essential Functions: Assist with all network contracting activities, including physician, ancillary and hospital contracting. Support Network Development & Contracting with payer negotiations and implementations. Participate in all new network expansions and future organizational opportunities. Acts as a liaison for various contracting and operational projects for hospitals, ancillary providers, and physicians. Coordinates managed care contracting for acquisitions and networks. Coordinates and produces Monthly Network Contracting Reports. Oversees variety of Network Contracting processes. Applies approaches and methodologies to accomplish project deliverables, such as analysis, documentation, and training. Handles confidential and non-routine information. Delivers assigned projects on time and compliant to applicable state and federal regulations. Assure project milestones and deliverables are met. Must have car and ability to travel overnight. Organizes and prioritizes large volumes of information. General administrative duties.

Posted 30+ days ago

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Aramark Corp.Meyersdale, PA
Job Description The Food Service Worker will assist the manager with food/meal preparation; maintain cash receipts and meal records. Assist manager in completing daily reports. Maintain high standards of quality in food production, sanitation, and kitchen safety practices. Job Responsibilities Prepare quality food and baked goods according to a planned menu Prepare a daily report that verifies transactions Understand what is inclusive of a meal Ensure storage of food in an accurate and sanitary manner Serve food according to meal schedules, department policies and procedures Use and care of kitchen equipment, especially knives Timely preparation of a variety of food items, beverages, and Add garnishments to ensure customer happiness and eye appeal Coordinate and assist in major cleaning of refrigerators, freezers, and cooking and serving equipment Adhere to all food safety regulations for sanitation, food handling, and storage Adhere to the uniform policy Connect with the Manager daily to understand and accurately prepare menu for the day Supervise the food temperature requirements Maintain a clean and organized work and storage area Scrub and polish counters, clean and sanitize steam tables, and other equipment Follow established procedures and standards for cleanliness, to ensure a balanced and safe environment; duties include sweeping, moping, ware washing Maintain garbage collection site and kitchen floor areas in a neat and sanitary fashion Perform other duties as assigned including other areas in the kitchen This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing. This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Food Service Certificate as needed Sufficient education or training to read, write, and follow verbal and written instructions Be able to work quickly and concisely under pressure Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Somerset

Posted 3 weeks ago

Histology Manager (Healthcare Professional)-logo
University of ColoradoAurora, CO
University of Colorado Anschutz Medical Campus Department of Pathology Histology Manager (Healthcare Professional) Position #00684955 - Requisition #: 37410 Job Summary: The Histology Manager is responsible for the daily management of operations for the histology section in the Department of Pathology. The Histology Manager will oversee the daily staffing and workflow of the Histology section to ensure accurate coverage and completion of work volume as efficiently and accurately as possible to meet the expectations of our pathologists, and will oversee equipment maintenance, ordering, CAP compliance, the proper disposal of biological/chemical waste, as well as assisting the histotechnologists with investigating and troubleshooting embedding issues, microtomy issues, and special stain and immunohistochemical stain issues that arise while adhering to all departmental and regulatory policies and procedures. The Histology Manager is responsible for anticipating staffing needs, the recruitment of qualified staff and all subsequent training, performance evaluations, personnel matters, and process improvements. Key Responsibilities: Manages the overall operations of the histology laboratory for clinical work. Defines roles, prepares staff schedules, and provides training Maintains quality of laboratory work complying with University, state, and federal accreditation standards. Coordinates personnel matters for histology including: position establishment, recruitment, staff evaluations, and promotes staff development and training Work Location: Onsite - this role is expected to work onsite and is located in Aurora, CO. Why Join Us: Welcome to the Department of Pathology of the University of Colorado Anschutz Medical Campus. The Department has grown substantially in the past 15 years, from 40 to 120 faculty in parallel with the remarkable growth of our hospital based affiliates as well as the city and county of Denver. Our work is value driven and focused on scientific investigation, lifelong learning and a balance of personal and professional values. In addition to a vibrant and highly competitive residency program with 25 positions, we offer 9 fellowships and participate in numerous graduate school and the MD/PhD program of the Why work for the University? We have AMAZING benefits and offer exceptional amounts of holiday, vacation and sick leave! The University of Colorado offers an excellent benefits package including: Medical: Multiple plan options Dental: Multiple plan options Additional Insurance: Disability, Life, Vision Retirement 401(a) Plan: Employer contributes 10% of your gross pay Paid Time Off: Accruals over the year Vacation Days: 22/year (maximum accrual 352 hours) Sick Days: 15/year (unlimited maximum accrual) Holiday Days: 10/year Tuition Benefit: Employees have access to this benefit on all CU campuses ECO Pass: Reduced rate RTD Bus and light rail service There are many additional perks & programs with the CU Advantage. Qualifications: Minimum Qualifications: A bachelor's degree in biological science, nutrition, nursing, health, human services, psychology, counseling, social work, or a directly related field from an accredited institution. Valid HTL/HT certification Minimum five (5) years' experience in Histology and Immunochemistry with at least one (1) being in a supervisory/managerial role An associates degree in Histology or related science and two years relevant experience may be substituted for the bachelor's degree. Applicants must meet minimum qualifications at the time of hire. Preferred Qualifications: Master's Degree preferred How to Apply: For full consideration, please submit the following document(s): Curriculum vitae / Resume Three to five professional references, including name, address, phone number (mobile number if appropriate), and email address Questions should be directed to: Path HR at PathHR@cuanschutz.edu Screening of Applications Begins: Applications will be accepted until finalists are identified, but preference will be given to complete applications received by August 3, 2025. Those who do not apply by this date will not not be considered. Anticipated Pay Range: The starting salary range (or hiring range) for this position has been established as $88,562 - $112,651. The above salary range (or hiring range) represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. This position may be eligible for overtime compensation, depending on the level. Your total compensation goes beyond the number on your paycheck. The University of Colorado provides generous leave, health plans and retirement contributions that add to your bottom line. Total Compensation Calculator Equal Employment Opportunity Statement: CU is an Equal Opportunity Employer and complies with all applicable federal, state, and local laws governing nondiscrimination in employment. We are committed to creating a workplace where all individuals are treated with respect and dignity, and we encourage individuals from all backgrounds to apply, including protected veterans and individuals with disabilities. ADA Statement: The University will provide reasonable accommodations to applicants with disabilities throughout the employment application process. To request an accommodation pursuant to the Americans with Disabilities Act, please contact the Human Resources ADA Coordinator at hr.adacoordinator@cuanschutz.edu Background Check Statement: The University of Colorado Anschutz Medical Campus is dedicated to ensuring a safe and secure environment for our faculty, staff, students and visitors. To assist in achieving that goal, we conduct background investigations for all prospective employees. Vaccination Statement: CU Anschutz strongly encourages vaccination against the COVID-19 virus and other vaccine preventable diseases. If you work, visit, or volunteer in healthcare facilities or clinics operated by our affiliated hospital or clinical partners or by CU Anschutz, you will be required to comply with the vaccination and medical surveillance policies of the facilities or clinics where you work, visit, or volunteer, respectively. In addition, if you work in certain research areas or perform certain safety sensitive job duties, you must enroll in the occupational health medical surveillance program.

Posted 2 weeks ago

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GSK, Plc.Durham, NC
Site Name: USA - North Carolina - Durham Posted Date: Aug 12 2025 ViiV Healthcare is a global specialty HIV company, the only one that is 100% focused on researching and delivering new medicines for people living with, and at risk of, HIV. ViiV is highly mission-driven in our unrelenting commitment to being a trusted partner for all people living with and affected by HIV. Our aim is to think, act, and connect differently through a focus on education on and treatment for HIV. We go to extraordinary lengths to deliver the sorts of breakthroughs, both in treatments, care solutions and communities, that really count. We go beyond the boundaries of medicine by taking a holistic approach to HIV through developing and supporting sustainable community programs and improving access to care. We are fully committed to push through every challenge until HIV/AIDS is eradicated. ViiV has played a significant part in delivering breakthroughs that have turned HIV into a manageable health condition. We offer the largest portfolio of HIV medicines available anywhere, and we continue our work to cater for the widest possible range of needs in response to the HIV epidemic. We are aware of how much is at stake for those affected by HIV and we show up every day 100% committed to the patients. Our work culture is fast-paced, diverse, inclusive, competitive, and caring. But ViiV isn't just somewhere to work - it's a place to belong, an invitation to bring your very best, and a team full of impact-driven team members who are hungry to make a difference. While we have been improving lives of HIV patients for 30 years, this is an especially exciting time to be at ViiV, as we evaluate novel approaches to treatment and prevention that could further reduce the impact of HIV on individuals and communities. ViiV Healthcare was created as a joint venture by Pfizer and GlaxoSmithKline in November 2009 with both companies transferring their HIV assets to the new company. In 2012 Shionogi joined the company. 76.5% of the company is now owned by GlaxoSmithKline, 13.5% by Pfizer and 10% by Shionogi. Are you looking for an opportunity to be the leader that passionately elevates the mission of leaving no person living with HIV behind? Of making HIV a smaller part of people's lives? If creating ambitious, bold global strategies that inspire governments to create access for people living with HIV or for people who could benefit from prevention excites you, then this role could be for you. As part of the ViiV R&D finance partnering team, the Finance Partner role is critical to support business decision making, based on business and financial data analysis and insights. This role will provide you the opportunity to build deep business understanding, and increase your analytical capability to progress your career, including some of the following... Partnering with R&D project leads and members of the R&D leadership team, including, but not limited to, supporting monthly performance, regular forecast cycles and strategic project work. Facilitate the Internal Project Expense (IPE) forecast and presentation on regular basis, partnering with project managers and cross functional stakeholders Partner with 3rd party collaboration contacts through financial acumen and relationship building and lead related forecast/performance tracking Deliver monthly analysis/review as well as regular forecasts of Intangible Asset capitalization and Amortization Drive continuous improvement and automation in processes and digital tools (including AI) which enhance understanding of Senior Management of their key financial performance Co-ordinate the tracking of key development milestones Ensure development and delivery of Corporate Plans and organization objectives Support the creation of management presentations, leveraging key insights Lead the delivery of complex modelling and scenario planning as required Partner with external auditors on all audit requests The Finance Partner position is located onsite in Durham, NC. Please note that relocation assistance is not being offered at this time. Why you? Basic Qualifications: We are looking for professionals with these required skills to achieve our goals: Bachelor's Degree in Accounting OR Economics OR Finance OR Business 2+ years pharmaceutical finance experience Preferred Qualifications: If you have the following characteristics, it would be a plus: Advanced degree in Finance/Accounting Experience as a Finance Partner to non-finance teams Ability to understand and influence business partner requirements and follow through to completion, even under limited communications CIMA / CPA / MBA or Financially qualified Track record of driving sound business decision making in relation to complex problems based on robust, impartial financial analysis. Track record of setting and delivering financial plans. Ability to work in a complex and fast-moving environment with multiple priorities Ability to connect with and influence sophisticated business Leaders at all levels in a technical environment. Strong skills in modelling, analysis, forecasting, strategic / scenario planning and decision making. Some project management skills. Excellent influencing and engagement. Ability to engage senior stakeholders and challenge based on expertise and personal credibility Data management experience focusing on building and rolling out automated reports based on PowerBI, Alteryx or related tool to support finance partners and stakeholders on decision making. Understanding of vaccines & pharmaceutical Industry, and commercial finance experience Join us in this exciting opportunity to make a meaningful impact while growing your career in a supportive and innovative environment! #LI-ViiV #LI-GSK Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employee. Why Us? At ViiV Healthcare, we will not rest until we leave no person living with HIV behind. Until the 39 million people living with HIV is down to zero, we will continue searching for new ways to limit the impact of HIV. We are the only pharmaceutical company solely focused on combating, preventing, and ultimately eradicating HIV and AIDS. At ViiV Healthcare, we do things differently. Born out of a partnership between GSK and Pfizer in 2009, with Shionogi joining in 2012, we are determined to help end the HIV epidemic. We are guided by our mission to leave no person living with HIV behind and it is this mission that unites our employees located across the globe. We combine expertise in research, manufacturing, policy and more to push the boundaries of what people think is possible in HIV treatment and care. As a result of our connection with GSK, we are able to draw on their proud history and resources. This means that you would receive all the employee benefits offered by GSK. Living our mission of leaving no person living with HIV behind means keeping inclusion and diversity at the heart of everything we do - from our breakthrough innovation, to our diverse portfolio of medicines as well as the work we do to partner with HIV communities. Having a truly inclusive culture where we're all able to be ourselves and feel like we belong will make us an even stronger team, better able to perform as a business and deliver on our mission to leave no person living with HIV behind. If you require an accommodation or other assistance to apply for a job at ViiV, please contact the ViiV Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US). ViiV is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law. Important notice to Employment businesses/ Agencies ViiV does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact ViiV's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to ViiV. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and ViiV. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of ViiV. ViiV shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure ViiV's compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/

Posted 1 week ago

Consulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide)-logo
Huron Consulting GroupHouston, TX
Innosight is a global strategy consulting firm focused on helping leading organizations design and create the future. We work with them to develop growth strategies, build innovation capabilities, and accelerate new growth initiatives. As a member of the Innosight team, you'll have the opportunity to work with leaders at Global 1000 companies to tackle some of the most interesting challenges in business. We are the leading practitioners of disruptive innovation, building on the work of our co-founder, Harvard Business School professor Clay Christensen. Because we focus on growth strategy and innovation, we bring unique expertise and authority to the challenges our clients face: Where is our next big opportunity, and what is our strategy to get there? How do we build an organization that is innovative and future focused? How do we disrupt ourselves before others do? Our values - including humility, collaboration, transparency, and intellectual curiosity - guide our work with clients, with each other, and our commitment to enabling innovation in organizations. Our work environment emphasizes the exchange of ideas, continuous learning, and collaboration. And our smaller team structure offers exposure to senior-level executives early in your consulting career. Healthcare organizations must stay ahead of disruption by making data-driven decisions that accelerate transformation. Innosight thoroughly examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth engine. As trusted strategic partners to CEOs and C-Suites, we help drive the healthcare industry forward by designing innovative enterprise-level long-term plans and partnerships for the world's leading healthcare organizations. Position Summary We are seeking a Manager to join our consulting team and manage the day-to-day work on project teams. The selected candidate will exhibit a high-level of professionalism and a business style that is entrepreneurial, team-oriented, hands-on, and collaborative. RESPONSIBILITIES: This is a high-responsibility and high-impact role that requires the Manager to be a thought leader and problem-solver on the team, leading team efforts working closely with the Partner and/or Principal and day-to-day client contact to ensure the project work stays on track and drives impact. Other key responsibilities include liaising with internal senior leadership and managing the day-to-day contact and relationship with the client. Specific responsibilities include: Lead problem structuring, analysis and synthesis o Lead the development of hypotheses that will help clients solve their innovation related business challenges o Develop and execute a detailed work plan for the entire project o Ability to seamlessly shift gears and constantly reset the team's direction with frequently-changing client needs o Oversee the qualitative and quantitative research efforts of the team Develop end-to-end documents with logical storyline and flow Interact closely with client teams o Prepare and own development of all client deliverables o Lead client meetings including the presentation of key insights Contribute directly to business and firm development o Work closely with principals and partners to support business development efforts o Actively manage the individual professional development of junior employees Required Experience: Extensive experience as an external management consultant with a top consulting firm, specializing in delivering strategic solutions for healthcare provider organization clients. Proven leadership in engagements involving enterprise-level strategic planning, growth strategy, service line strategy, M&A and strategic partnerships/alliances, margin expansion, cost optimization, and related initiatives for healthcare provider clients. Deep healthcare provider industry expertise with hands-on experience serving a variety of client organizations such as hospital systems, academic medical centers, ambulatory surgery centers, integrated delivery networks, and physician groups/practices. Conceptual, Strategic and Problem-Solving Skills: Able to integrate diverse information, apply flexible global concepts and think strategically using large scale data and analytics. Strong quantitative and business analysis acumen. Effective in making high quality decisions and taking decisive action. Exceptional Engagement Delivery: Demonstrated ability to manage complex projects, generate clear work plans, and lead junior employees. Successfully execute across projects while ensuring high-quality deliverables for the client. Communication Skills: Exceptionally strong communicator equally adept at communications strategy and execution, with the ability to craft a full range of crystal clear, high-impact communications (e.g., proposals, presentations, workshops). Particularly skilled at coaching teams on how to visualize complex information and insights. Able to communicate in an open and authentic manner in all situations. Talent Development Skills: Ability to mentor, coach and advance talented people to build an effective organization. Values diversity in the workforce and has a proven track record of providing development opportunities for all people. Possesses a strong need to be part of a winning team and to help drive the future of what will become a renowned organization. Values and Vision: Naturally aligned with our client's core values: simple, open, integrated and mission-driven. Employee-sensitive, strong ethics, commitment to diversity, customer/market-focused and quality-service committed. Consistently models desired organizational values and behaviors with strong personal "presence" and humility. Travel and Home Office: Willingness to travel weekly (up to 80%) is required and living location can be anywhere within the contiguous 48 states and near a major airport. The estimated base salary range for this job is $190,000 - $220,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $237,500 - $275,000. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. #LI-JD1 #LI-Remote Position Level Manager Country United States of America

Posted 1 week ago

Healthcare Revenue Integrity Consulting Manager-logo
Huron Consulting GroupChicago, IL
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. Managers play a vibrant, integral role at Huron. Their invaluable knowledge reflects in the projects they manage, and the teams they lead. As change leaders, our Managers build long-standing partnerships with clients, while collaborating with colleagues to solve our clients' most pressing business challenges. Huron Managers shape and deliver results that seamlessly align with client goals, visions and missions. Remarkably versatile, our Managers also spend significant time mentoring junior staff on the engagement team-where they share expertise as well as feedback and encouragement. This benefits Huron profoundly as it promotes a culture of respect, unity, collaboration, and personal achievement. Huron Managers are strategic leaders and relationship builders who guide clients through complex challenges. They lead multidisciplinary teams, mentor junior consultants, and collaborate across workstreams to align solutions with each client's goals. With a focus on performance improvement, data integrity, and cross-functional partnership, you'll help our clients build strong foundations for financial success in a rapidly evolving healthcare environment. As a Revenue Cycle Manager focusing in Revenue Integrity, you will play a critical role supporting clients through transitions to new Electronic Health Record (EHR) systems, with a focus on ensuring revenue integrity throughout the process. This position involves overseeing and optimizing revenue cycle workflows, acting as a vital liaison between clinical teams and revenue operations to ensure accurate charge capture and reconciliation. You will be responsible for establishing and managing revenue integrity processes, auditing accounts, analyzing trends, and ensuring departments' accountability for revenue performance. In this role you will leverage your strong expertise in Epic Systems and solid understanding of the Charge Description Master (CDM) to work with complex data sets to drive improvements. As an expert in revenue integrity, you will serve as an essential point of contact for clients and team members, ensuring successful outcomes and optimal efficiency. You will drive success by fostering strong partnerships with clients and colleagues across various functions, while contributing to broader consulting projects. With excellent communication and ability to persuade outcomes, you will lead frequent communication, open dialogue, and demonstrate commitment to integrity, teamwork, and professionalism. Requirements: At least 5 years of experience in the healthcare industry with a strong understanding of charge capture, the Charge Description Master (CDM), and revenue cycle processes. Expertise with Epic Systems including hands-on experience with revenue integrity workflows. Knowledge of reimbursement methodologies and regulations (e.g., ICD-10, CPT, HCPCS, DRG). Strong analytical skills across auditing, data reconciliation, and working with large data sets to identify revenue opportunities and ensure accurate revenue capture. Experience managing others and at least 1 year of experience in healthcare consulting preferred. Bachelor's degree required. Advanced skills in the Microsoft suite including PowerPoint, Excel, Word, Teams. Excellent communication, critical thinking, and leadership skills. Excellent relationship-development and partnering skills. #LI-CM1 #LI-Remote The estimated base salary range for this job is $140,000 - $170,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $161,000 - $212,500. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Manager Country United States of America

Posted 2 weeks ago

Assurance Manager - Healthcare-logo
EisneramperMinneapolis, MN
Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. We are seeking an Assurance Manager to join the Healthcare Assurance practice, able to sit in a number of our offices. We are seeking someone who thrives in a growing environment and providing clients with exceptional services. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work What Work You Will be Responsible For: Collaborate to plan audit objectives and determine an audit strategy Lead multiple audit engagements and competing priorities Review and examine, and analyze accounting records, financial statements, and other financial reports to assess accuracy, completeness, and conformance to reporting and procedural standards Maintain active communication with clients to manage expectations, ensure satisfaction, and lead change efforts effectively Understand and manage firm risk on audits and proposals Supervise, train and mentor staff during engagement Assess performance of staff for engagement evaluations Basic Qualifications: Bachelor's degree in Accounting or equivalent field 5+ years of progressive audit and/or assurance experience CPA Experience with healthcare clients Preferred/Desired Qualifications: Master's degree in Accounting or equivalent field 1+ year of supervisory experience EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law About Our Assurance Team: In the EisnerAmper Assurance Group, we're transforming the traditional reputation of auditing. By operating on the core tenets of profound trust, professional integrity, and consistent results, we strive to create lasting partnerships with our clients based on solutions rather than simply identifying issues in their financial statements. To stay up to date with evolving industry processes and regulations, we place a heavy emphasis on continued education and the consistent adoption of new technologies. This enables us to effectively innovate, grow as individuals, and provide faster, more accurate solutions and due diligence for our partners. Acting as a trusted third party to our clients, we provide solutions that create assurance and peace of mind. Because we understand trust comes with time, we define success by the relationships we create and foster. We act as a trusted business advisor every step of the way, from a client's first financial report to their close of business. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by the attorneys, financial professionals, bankers, and investors who serve these clients. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com. For Minnesota, the expected salary range for this position is between $112,000 - $121,000 USD Annual. The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law. #LI-Hybrid #LI-MC1 Preferred Location: New York For NYC and California, the expected salary range for this position is between 85000 and 150000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 30+ days ago

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CNA Financial Corp.Glastonbury, CT
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including dentists, physicians, nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers, along with the facilities and practices in which they work. This role will support the Healthcare business and interact with these key customers. You will be responsible for the overall investigation, management and resolution of Healthcare professional liability claims in multiple states. You will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting and Risk Control, to share claim insights that aid in good underwriting and risk management decisions. The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. The individual will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. They should be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, working with counsel and following the company's claim handling protocols. Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts where necessary, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner. Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation. Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely. Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management. Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Typically Director or above Skills, Knowledge & Abilities Thorough knowledge of the professional liability insurance industry, products, policy language, coverage, and claim practices. Understanding of dental malpractice claims and policies is strongly favored. Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Strong work ethic, with demonstrated time management and organizational skills. Ability to work in a fast-paced environment at high levels of productivity. Demonstrated ability to negotiate complex settlements. Experience interpreting complex insurance policies and coverage. Ability to manage multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. A commitment to collaboration and demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's Degree or equivalent experience. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Professional designations are a plus (e.g. CPCU). #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

Posted 30+ days ago

A
Aramark Corp.Owenton, KY
Job Description The Floor Technician is responsible for floor maintenance, restoration, and the operation of industrial floor care equipment in assigned location(s). Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs. Job Responsibilities Maintains a friendly, efficient, and positive customer service attitude toward customers, clients, and co-workers. Anticipates and responds to customer needs. Uses proper procedures on hard floor care (stripping & refinishing, burnishing, spray cleaning, and spray buffing) in adherence to the principles of hard surface floor maintenance. Uses the proper procedures on carpet and upholstering (shampooing, damp surface, extractions, spot cleaning, vacuuming, etc.). Operates industrial floor care equipment as assigned and according to schedule for cleaning of large area of floor surface. Performs maintenance and restorative processes for all floor surface types. Properly processes all municipal solid waste (MSW), infectious, and pharmaceutical waste including rendering infectious waste as MSW. Removes trash, recyclables, soiled linen, used supplies and equipment from assigned work area. Disinfects receptacles and carts as needed. Follows all Aramark safety standards, sanitation, and infection control standards and procedures and requirements by the appropriate accredited local agencies. Adheres to all Aramark appearance standards and always wears the required uniform and personal protective equipment (PPE) while working. At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Previous experience as a floor care technician or in related role and knowledge of floor care equipment and use is preferred. Must be able to read and write to facilitate proper communication with others and be able to perform simple mathematical calculations. This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing. This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Lexington

Posted 2 weeks ago

Healthcare Consulting Manager - Middle Revenue Cycle-logo
Huron Consulting GroupChicago, IL
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 helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. In the healthcare industry, this means improving clinical and operational outcomes while ensuring financial sustainability. To achieve meaningful transformation, organizations must align clinical and financial workflows, empower their people, and build capabilities that sustain progress over time. At Huron, we help healthcare organizations own their future by delivering strategic and operational improvements that enhance care and ensure long-term success. Our consultants bring deep expertise, innovative thinking, and a shared commitment to delivering measurable impact. Together, we build cultures of accountability, performance, and collaboration. Huron Managers are strategic leaders and relationship builders who guide clients through complex challenges. They lead multidisciplinary teams, mentor junior consultants, and collaborate across workstreams to align solutions with each client's goals. With a focus on performance improvement, data integrity, and cross-functional partnership, you'll help our clients build strong foundations for financial success in a rapidly evolving healthcare environment. As a Manager on Huron's Revenue Cycle team with a focus in Charge Capture, you'll lead high-impact projects that drive revenue integrity and operational excellence across hospitals, health systems, and physician enterprises. You'll lead efforts across diverse Healthcare clients, ensuring accurate charge capture, regulatory compliance to improve workflow efficiency. As a trusted advisor, you'll lead clients through the design and implementation of charge capture strategies that drive compliance, revenue recovery and long-term operational success with measurable results. Come join our team of mission-driven consultants helping Healthcare leaders solve their most complex revenue challenges! REQUIRED SKILLS Deep knowledge of healthcare revenue cycle operations including charge capture within hospital systems, health systems and/or physician enterprise environment Proven experience facilitating EHR transitions (e.g., Epic), with a focus on charge capture Strong understanding of clinical workflows, charge entry practices and billing compliance Strong analytical and critical thinking skills with the ability to interpret complex data sets, identify trends and discrepancies, and develop actionable recommendations that enhance financial performance Proven ability to lead complex projects and manage client relationships Effective communication and presentation skills-capable of translating technical findings into insights for clinical and operational stakeholders Ability to manage multiple client engagements or workstreams simultaneously Commitment to quality, integrity, and client satisfaction CORE QUALIFICATIONS Bachelor's degree required 5+ years of experience in healthcare, including charge capture, and CDM In-depth knowledge of charge-capture workflows across inpatient, outpatient and professional services Strong understanding of coding, billing and reimbursements Proven experience delivering healthcare revenue cycle projects within a management consulting environment Hands-on experience with Epic Systems and understanding of reimbursement methodologies (ICD-10, CPT, HCPCS, DRG) Proficiency in Microsoft Office Suite (PowerPoint, Excel, Word, Teams) Excellent organizational, interpersonal, and stakeholder management skills The ability to travel based on client, enterprise, or project needs is an essential function of this role. While travel requirements may vary based on business need, the current average travel in the Healthcare practice is less than 50%, annually. U.S. work authorization required #LI-RH1 #LI-Remote The estimated base salary range for this job is $140,000 - $170,000. This range represents a good faith estimate of what Huron reasonably expects to pay for the role at the time of posting. Actual compensation may vary based on factors including, but not limited to, relevant experience, skills, certifications, market conditions, and required travel. This position is eligible for participation in Huron's annual incentive compensation program. Inclusive of annual incentives, the total estimated compensation range for this job is $161,000 - $212,500. Huron also offers a comprehensive benefits package including medical, dental, vision, and wellness programs. Position Level Manager Country United States of America

Posted 6 days ago

Account Executive - Healthcare / Life Sciences-logo
AppianSan Francisco, CA
We are seeking a dynamic and driven Account Executive to join our sales team, focusing on the life sciences and healthcare verticals. The ideal candidate will be responsible for driving sales growth and expanding our client base within the Western United States. This role requires a strong understanding of the unique challenges and opportunities within the life sciences and healthcare industries, as well as the ability to build and maintain relationships with key decision-makers. Key Responsibilities: Identify and develop new business opportunities within the life sciences and healthcare sectors across Western US. Build and maintain strong relationships with key stakeholders, including C-suite executives, procurement teams, and other decision-makers. Effectively present and demonstrate our products and solutions, highlighting their benefits to meet client needs in the life sciences and healthcare industries. Collaborate with internal teams to develop tailored proposals and solutions that address client challenges and drive value. Manage the entire sales cycle from prospecting to closing, ensuring a seamless and positive customer experience. Meet or exceed sales targets and KPIs, with a focus on growing market share within assigned territories. Stay current on industry trends, competitor activities, and regulatory changes that impact the life sciences and healthcare markets. Regularly update CRM systems with accurate and timely information on sales activities, pipeline status, and forecasts. Qualifications: Proven experience in a sales or account management role, preferably within the life sciences or healthcare sectors. Strong understanding of the key players in the life sciences and healthcare industries. Excellent communication, presentation, and negotiation skills. Ability to work independently and manage multiple priorities in a fast-paced environment. Demonstrated track record of meeting or exceeding sales goals. Willingness to travel within the assigned territories as needed. Bachelors Degree in a relevant field Why Join Us? Be part of a fast-growing team with a strong market presence in the life sciences and healthcare industries. Competitive salary, commission structure, and comprehensive benefits package. Opportunities for professional development and career growth. #LI-MB1

Posted 4 weeks ago

Assurance Manager - Healthcare-logo
EisneramperIselin, NJ
Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. We are seeking an Assurance Manager to join the Healthcare Assurance practice, able to sit in a number of our offices. We are seeking someone who thrives in a growing environment and providing clients with exceptional services. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work What Work You Will be Responsible For: Collaborate to plan audit objectives and determine an audit strategy Lead multiple audit engagements and competing priorities Review and examine, and analyze accounting records, financial statements, and other financial reports to assess accuracy, completeness, and conformance to reporting and procedural standards Maintain active communication with clients to manage expectations, ensure satisfaction, and lead change efforts effectively Understand and manage firm risk on audits and proposals Supervise, train and mentor staff during engagement Assess performance of staff for engagement evaluations Basic Qualifications: Bachelor's degree in Accounting or equivalent field 5+ years of progressive audit and/or assurance experience CPA Experience with healthcare clients Preferred/Desired Qualifications: Master's degree in Accounting or equivalent field 1+ year of supervisory experience EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law About Our Assurance Team: In the EisnerAmper Assurance Group, we're transforming the traditional reputation of auditing. By operating on the core tenets of profound trust, professional integrity, and consistent results, we strive to create lasting partnerships with our clients based on solutions rather than simply identifying issues in their financial statements. To stay up to date with evolving industry processes and regulations, we place a heavy emphasis on continued education and the consistent adoption of new technologies. This enables us to effectively innovate, grow as individuals, and provide faster, more accurate solutions and due diligence for our partners. Acting as a trusted third party to our clients, we provide solutions that create assurance and peace of mind. Because we understand trust comes with time, we define success by the relationships we create and foster. We act as a trusted business advisor every step of the way, from a client's first financial report to their close of business. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by the attorneys, financial professionals, bankers, and investors who serve these clients. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com. For Minnesota, the expected salary range for this position is between $112,000 - $121,000 USD Annual. The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law. #LI-Hybrid #LI-MC1 Preferred Location: New York For NYC and California, the expected salary range for this position is between 85000 and 150000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 30+ days ago

Cigna logo

Clinical Program Senior Advisor (Clinical Solutions, Chief Medical Office) - Cigna Healthcare - Hybrid

CignaPittsburgh, PA

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Job Description

This position reports to Cigna Health Care's Clinical Team/Chief Medical Officer. It supports the creation of innovative and patient-centered clinical products and solutions to improve patient outcomes, experience, and value.

Incumbent will play a key role in developing clinical solution strategy based on insights, designing, enhancing, and maintaining evidence-based programs, and driving execution and results. Collaborates across the Cigna enterprise, with clinical team members and matrix partners in areas including Product, Technology, Data & Analytics, and Operations. May focus on specific clinical conditions/topic areas across the care continuum (e.g., wellness, chronic condition, acute health needs) and particular program types (e.g., health coaching, case management, digital tools/engagement)

Responsibilities:

Clinical Strategy:

  • Develop and maintain subject matter expertise related to aligned program(s)/solutions, clinical topic focus areas, and understanding of internal/external landscape, strategy and business objectives
  • Gather, analyze, and synthesize key insights/research (e.g., data/analytics, clinical research, industry, competitive, market, key stakeholder, operational/current state program/solution performance/opportunities)- to apply insight-driven approach
  • Evaluate vendors for partnership opportunities based on established criteria
  • Contribute to ideation, innovation and thought leadership, with best practice approaches
  • Assist leadership with strategy and multi-year roadmap development; set SMART objectives; Lead strategic planning process and meetings
  • Support and contribute to the enterprise portfolio submission process and influence prioritization

Clinical Design and Development:

  • Lead the design and development of new solutions, pilots, enhancements and process improvements - with best practice, evidence-based approaches and methodologies (e.g., behavioral science, design thinking).
  • Design components to include workflows/customer journeys, identification/stratification criteria, clinical program content/digital content, evidence-based guidelines, assessments, care plans, interventions, customer communication(s)
  • Develop/partner on clinical operational standard operation procedures (SOPs) and Training
  • Contribute to clinical value messaging to support marketing
  • Create clinical program/solution scorecards and KPIs, program evaluation criteria and measurement plans

Execution and Monitoring:

  • Utilize/promote established program and project management methodologies and best practices for effective governance, meeting preparation and management, execution, and monitoring results

  • Establish, support and iterate on governance structure, meeting cadences, and communication strategy to align with and inform key stakeholders on assigned programs/solutions and initiatives

  • Manage intake and prioritization of actions to support program goals

  • Ensure that program-level success metrics/KPIs/scorecards are established and measured; identify opportunities for action, enhancement, improvement

  • Create, enhance and maintain playbooks and repeatable framework(s)

  • Ensure creation of and maintenance of sharepoint(s) /information management

  • Ensure appropriate actions are taken to implement key initiatives effectively; may serve as project manager for initiatives and/or provide project management oversight and partnership as clinical program lead

  • Effectively prepare for and facilitate various governance meetings, project status/communication meetings, and work sessions.

  • Utilize/promote best practice standard project artifacts, including charter, team/roles and responsibilities, high-level timeline/schedule, issues and risk log, and a master project plan to support milestones and goals

  • Manage project plans, track milestones, and monitor execution

  • Status reporting and project/program communications

  • Effectively communicate with project/business participants and stakeholders by adapting style and messages to diverse audiences

  • Manage/escalate and resolve/mitigate issues and risks

  • Facilitate effective decision making

  • Ensure timely, quality, collaborative execution and adequate project documentation

  • Develop and nurture strong relationships with key matrix partners and effectively collaborate across the Cigna and Evernorth enterprise, including but not limited to US Employer, Health Services, Pharmacy, and IFP Product/Solutions, EviCore, Accredo, Clinical Operations, Network/Provider contracting, Analytics, Technology, Segments.

  • Continually improve skills, knowledge, and competencies by proactively participating in various internal and external training opportunities and stretch assignments.

Qualifications:

  • Bachelor's degree required (Nursing, Public Health, Healthcare Administration, or related field preferred); Master's or advanced certifications (e.g., AI, Informatics) are a plus.

  • 3+ years in clinical program design and development with proven success.

  • Skills & Knowledge:

  • Strong understanding of healthcare and population health.

  • Experience with project management; Agile knowledge is a plus.

  • Ability to move from strategy to implementation.

  • Strong problem-solving, critical thinking, and communication skills.

  • Comfortable working independently and in cross-functional teams.

  • Skilled in MS Office (PowerPoint, Excel, Word); Jira and Confluence experience is a plus.

  • Personal Traits:

  • Action-oriented, accountable, and detail-focused.

  • Adaptable to change and ambiguity.

  • Strong relationship-building and collaboration skills.

  • Able to manage multiple priorities and meet deadlines.

  • Travel: Occasional travel (up to 10%).

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

About 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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