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CareBridge logo
CareBridgeLouisville, KY
Biostatistician-Healthcare Research Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future VISA sponsorship. The Biostatistician-Healthcare Research is responsible for developing and implementing clinical prediction models, experimental design, program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Performs substantive statistical analyses and reporting to improve company competitiveness, market share, operations, and profitability. How you will make an Impact: Serves as a statistical subject matter resource on Carelon Research's integrated healthcare database. Uses pharmacoepidemiologic methods to assess the safety and effectiveness of drugs and other biologic interventions. Uses a large claims database to conduct studies which focus on improving health outcomes. Leads data management activities by developing programming requirement documents and/or using Instant Health Data (IHD)/SAS/R. Supports the development of protocols, statistical analysis plans (SAPs), uptake monitoring reports, final reports, and publications. Supports the development of protocols, SAPs, tables, figures, and listings (TFLs), and timelines. Leads data analysis activities (e.g. comparative safety and effectiveness analyses, validation, adherence, natural history, and drug utilization studies) following protocol/statistical analysis plan (SAP) development. Creates tables, figures, and other report and publication materials. Articulates methods, progress, and results to study team. Performs quality control to ensure integrity of analysis. Participates in process and/or scientific initiatives. Develops and implements predictive models using artificial intelligence/machine learning methods Responds to and manages ad hoc client requests to ensure accurate, in-depth results/data are delivered in a timely manner. Develops and implements prediction models for member and provider-based interventions. Conducts competitive analysis of risk stratification models and makes recommendations to management. Designs and executes care management program evaluations. Develops evaluation methodologies for measuring the effectiveness of clinical programs. Researches and analyzes broadly defined business scenarios, trends, and patterns and develops recommendations for management. Prepares results for presentation to internal/external clients Presents research findings to management and clients. Minimum Requirements: Requires a MS in Biostatistics, Statistics or related field; 3 years healthcare and/or consumer data analysis experience; 2+ years experience in the development of predictive models; 3 years coding experience with SAS; 3 years experience manipulating and processing large multi-source datasets with SAS and SQL programming tools; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Experience conducting data management and analyses in claims databases highly preferred. Experience using Panalgo's Instant Health Data (IHD) highly preferred. Experience using SAS highly preferred. Experience using R preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

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

Posted 2 weeks ago

J logo
JEDunnAtlanta, GA
Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. Role Summary The Senior Prefabrication Integration Specialist will support prefabrication efforts on large or complex projects or multiple small projects in collaboration with project teams and prefabrication leadership. This position will act as a subject matter specialist bringing knowledge of prefabrication best practices to assigned projects and in parallel of supporting efforts to improve prefabrication related organizational knowledge, processes and tools. All activities will be performed in support of the strategy, vision and values of JE Dunn. Autonomy & Decision Making: Makes decisions on assigned areas of responsibility, provides recommendations to supervisor and refers all exceptions to supervisor, as needed. Career Path: Prefabrication Integration Manager Key Role Responsibilities- Core PREFABRICATION INTEGRATION SPECIALIST FAMILY- CORE Supports project-level efforts to integrate prefabrication work under direction from a Prefabrication Integration Manager Tracks and records prefabrication related project metrics, may conduct basic analysis Addresses questions and provides resources to project teams Implements prefabrication best practices on projects through presentations, training and individual conversations Communicates potential changes to processes and resources based on experiences seen supporting projects to prefabrication management Develops knowledge of prefabrication resources, implementation guides and best practices Engages cross-functionally with field, operations and supporting functions including JE Dunn's Lean, Design, Pre-Construction, Virtual Design & Construction, Scheduling, etc. in support of prefabrication management Identifies and recommends opportunities for integration, collaborating with Prefabrication leadership to develop actionable recommendations for project teams Key Role Responsibilities- Additional Core SENIOR PREFABRICATION INTEGRATION SPECIALIST In addition, this position will be responsible for: Answers more complex or detailed questions from project teams at all points from preconstruction to handoff to owners Builds relationships with operations functions (Lean, Design, Pre-Construction, Virtual Design & Construction, Scheduling etc.) across JE Dunn to support increased collaboration and prefabrication utilization on projects May assist with the development of prefabrication lessons learned and best practices including refining implementation guides Analyzes project data related to prefabrication efforts to identify improvements and additional opportunities Contributes to project team trainings and communications highlighting prefabrication opportunities Creates project-specific materials and tools that are applicable to the unique characteristics of each project and scalable across the organization Knowledge, Skills & Abilities Communication skills, verbal and written- Intermediate Organizational Skills- Intermediate Ability to conduct effective presentations Proficiency in MS Office- Intermediate Has an interest in integrating prefabrication and manufacturing processes into commercial construction Knowledge of the means and methods of manufacturing processes- Introductory Knowledge of construction processes Ability to build relationships with team members that transcend a project Ability to build relationships and collaborate within a team, internally and externally Education Bachelor's degree in engineering, architecture or related field (Preferred) In lieu of the above requirements, equivalent relevant experience will be considered Experience 5+ years' experience in a manufacturing and/or construction environment (Preferred) Working Environment Must be able to lift up to 25 pounds May require extensive periods of travel Must be willing to work non-traditional hours to meet project needs May be exposed to extreme conditions (hot or cold) Assignment location may include project sites and/or in the office Frequent activity: Sitting, Viewing Computer Screen Occasional activity: Standing, Walking, Bending, Climbing, Reaching above Shoulder, Pushing, Pulling Benefits Information The benefits package aligned to this position is Professional Non-Union. Please click the link below for more details. Click here for benefits details. This role is expected to accept applications for at least three business days and may continue to be posted until a qualified applicant is selected or the position has been cancelled. JE Dunn Construction is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer and it is our policy to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. JE Dunn Construction is a background screening, drug-free workplace. JE Dunn provides reasonable accommodations to qualified individuals with disabilities. If you would like to request a reasonable accommodation in order to apply for a job, please submit your request to accommodations@jedunn.com JE Dunn Construction Company does not accept unsolicited resumes from search firms or agencies. Any resume submitted to any employee of JE Dunn Construction without a prior written search agreement will be considered unsolicited and the property of JE Dunn Construction Company. Please, no phone calls or emails. Why People Work Here At JE Dunn we offer our employees an inspired place to enrich their life and the lives of those around them Building on our rich history, our employee owners are shaping the future of JE Dunn. In our team-focused environment we do life together and are generously rewarded for our efforts About JE Dunn For more information on who we are, click here. EEO NOTICES Know Your Rights: Workplace Discrimination is Illegal California Privacy Policy E-Verify JE Dunn participates in the Electronic Employment Eligibility Verification Program. E-Verify Participation (English and Spanish) Right to Work (English) Right to Work (Spanish)

Posted 30+ days ago

B logo
BTIG, LLCNew York, NY

$150,000 - $250,000 / year

Job Purpose: BTIG's Healthcare Franchise Sales team seeks a dynamic and entrepreneurial Vice President or Director in the New York office to help drive the content, corporate access, and resources delivered to premier institutional and corporate clients. The ideal candidate will have at least seven years of professional experience in healthcare sales, research, or investment banking, as well as a proven background in both life sciences and finance. Effective client presentation abilities, exceptional communications skills, a strong business development mindset, and the ability to thrive in a fast-paced, collaborative environment are essential. Duties & Responsibilities: Conduct thorough due diligence on healthcare companies and interface with management teams to deepen understanding, foster relationships, and articulate investment theses to institutional investors Collaborate with BTIG healthcare research analysts to develop a deep understanding of the firm's research product across Biotechnology, Medical Technology, Life Sciences, Tools, Diagnostics, Digital Health, and Healthcare IT Provide coverage for multiple healthcare-focused hedge funds and mutual funds Lead and support the creation of healthcare-focused content for distribution to institutional and corporate clients, with an emphasis on both macro trends and company-specific insights Work in close partnership with healthcare investment banking, ECM teams, and IR firms to maximize cross-functional opportunities Coordinate, market, and manage a variety of corporate access events-including conferences, bus tours, KOL panels, management roadshows (including comprehensive experience booking and executing Non-Deal Roadshows [NDRs]), and fireside chats Construct and maintain proprietary Excel models using Bloomberg APIs and other tools to support business development and lead generation Oversee and regularly update a comprehensive healthcare calendar, including company-specific events, clinical trial milestones, industry conferences, and other relevant catalysts Requirements & Qualifications: Minimum of seven (7) years of professional experience in healthcare sales, research, investment banking, or a related field within the financial services industry Bachelor's degree in life sciences, finance, or a related discipline; advanced scientific degree strongly preferred (PharmD, PhD, MD) Demonstrated ability to independently book and manage Non-Deal Roadshows (NDRs) and other corporate access events Strong foundation in both scientific concepts and financial principles, with experience in content generation for institutional audiences Exceptional communication, presentation, research, writing, and organizational skills, with the ability to multi-task and maintain accuracy under tight deadlines Effective client service mentality and business development sensibility Proactive approach to learning new concepts and a commitment to professional development Experience with financial modeling and analytical tools Positive, self-starter attitude and demonstrated ability to work collaboratively Series 7 & 63 Required Important Notes: Must be authorized to work full time in the U.S., BTIG does not offer sponsorship for work visas of any type No phone calls please, the applicant will be contacted within two weeks if successful About BTIG: BTIG is a global financial services firm specializing in institutional trading, investment banking, research and related brokerage services. With an extensive global footprint and more than 700 employees, BTIG, LLC and its affiliates operate out of 20 cities throughout the U.S., and in Europe, Asia and Australia. BTIG offers execution, expertise and insights for equities, equity derivatives, ETFs and fixed income, currency and commodities. The firm's core capabilities include global execution, portfolio, electronic and outsource trading, investment banking, prime brokerage, capital introduction, corporate access, research and strategy, commission management and more. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. BTIG is an equal opportunity employer Minorities/Females/People with Disabilities/Protected Veterans/Sexual Orientation/Gender Identity. Compensation: BTIG offers a competitive compensation and benefits package. Salary range is based on a variety of factors including, but not limited to, location, years of applicable experience, skills, qualifications, licensure and certifications, and other business and organization needs. The current estimated base salary range for this role is $150,000.00 - $250,000.00 per year. Please note that certain positions are eligible for additional forms of compensation such as discretionary bonus or overtime. Disclaimer: https://www.btig.com/disclaimer.aspx .

Posted 30+ days ago

Lumeris logo
Lumerisdubberly, LA

$98,400 - $132,225 / year

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

Posted 30+ days ago

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

Posted 30+ days ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESSan Francisco, CA

$85,000 - $105,000 / year

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

Posted 30+ days ago

F logo
Freeway Insurance Services AmericaDallas, TX

$50,000 - $70,000 / year

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

Posted 30+ days ago

Davey Tree logo
Davey TreeChesterfield, MI
Company: The Davey Tree Expert Company Locations: Chesterfield, MI Additional Locations: . Work Site: On Site Req ID: 219335 Position Overview Performs fertilization and pest management on trees, shrubs and lawns using spray and injection tools by performing the following duties. Job Duties What You'll Do: Cultivate your career and fertilize your future! Properly identify and diagnose insects, weeds, fungus conditions, and pest prone areas. Communicate with and educate the client regarding the diagnosis and the prescribed pest control, and fertilization service with customers. Perform the prescribed fertilization and integrated pest management on tree and shrubs using spray and injection tools. Continuously monitor the pest control and fertilizing methods after application and communicate progress to customers and supervisors. Drive, use, maintain and properly operate truck and sprayer equipment. Qualifications What We're Seeking: Love of the outdoors Preferred: Background in Horticulture or Landscaping Preferred: Turf, Weed, Tree and shrub ID knowledge Ability to complete the Davey landscape career development books upon hire Ability to complete the Davey First Aid, CPR and defensive driving course upon hire Valid driver's license Preferred: Relevant pesticide and related licenses and certificates, if required by state law Additional Information What We Offer: * Paid Time off and paid holidays Opportunities for advancement All job specific equipment and safety gear provided 401(k) retirement savings plan with a company match Employee-owned company & discounted stock purchase options Group Health Plan Employee referral bonus program Locations throughout US in major cities and desirable areas Career Development Program supported by Industry Expert Safety Specialists & Skills Trainers Scholarship Program for Children of Employees Charitable matching gift program all listed benefits available to eligible employees Company Overview Invest in your future. Join one of the largest Employee Owned companies in the nation! Davey has a unique culture that focuses on the open exchanging of ideas, community partnership, a commitment to safety, and delivering unrivaled client service while acting as industry leaders in horticultural and environmental services. We are currently looking to add a dynamic Plant Healthcare Technician to our passionate team of landscape professionals. Your office is outdoors, and you get a new view every day! Divisional Overview The Davey Tree Expert Company is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to protected class, including race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, national or ethnic origin, marital or familial status, disability, status as a protected veteran, status as an Aboriginal or Indigenous person, or other classification protected by law. The Davey Tree Expert Company provides research-driven tree services, grounds maintenance and environmental consulting for residential, utility, commercial and environmental partners in the U.S. and Canada. We care about our clients, each other and the world around us. We offer the resources, size and stability of a big company while maintaining the culture, entrepreneurial spirit and feel of a small one. We invest in our employees by offering industry-leading training, technology and benefits that lead to a rewarding and safe work experience at all levels. Wherever you want to grow your career, there's a place for you at Davey. To learn more, visit Davey.com. Accommodations: If requested by employee or otherwise as required by law, reasonable accommodations will be made to enable employees with disabilities to perform essential job functions. If you need assistance at any time, please contact us at 1-877-411-7601 or at Recruiting@davey.com. Employment Type: Permanent Job Type: Full Time Travel Expectations: None

Posted 3 days ago

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

Posted 30+ days ago

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

Posted 30+ days ago

Huron Consulting Group logo
Huron Consulting GroupDenver, CO

$215,000 - $250,000 / year

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

Posted 30+ days ago

C logo
Cambia HealthLewiston, ID

$92,000 - $124,000 / year

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

Posted 30+ days ago

D logo
DaVita Inc.Mcminnville, OR
Posting Date 10/30/2025 200 NE Norton Lane, McMinnville, Oregon, 97128, United States of America As a Healthcare Operations Manager (Facility Administrator) at DaVita, you'll be a part of a Team that values work-life balance and where your personal and professional growth is a top priority. DaVita has an open position for a Healthcare Operations Manager (Facility Administrator) who must be an ambitious, operationally-focused and results-driven leader. You will directly impact patient care as the trusted front-line leader in an outpatient clinic setting. Health care experience is not required! What you can expect as a Healthcare Operations Manager: Patients come first. You have an opportunity to build on your relationship with your patients, while also continuously improving their health through clinical goal setting and quality improvement initiatives. Meaningful Workday - EVERY Day. You'll go home every day knowing you are making a difference in patients' lives and that you are developing your team to reach their full potential. Available when the clinic is open. Lead a Team. Develop, mentor and inspire a cross-functional clinical team (census dependent on state laws) to deliver the best for our patients, teammates and community. Financial Management. Manage complete operation and performance of the clinic: adhere to budget, forecast expenses, manage vendor relationships, order supplies, and monitor compliance. Autonomy. It's your clinic to run. You aren't alone though. You will have the support and guidance of your director, regional peers and the greater company to help you manage your facility. We foster entrepreneurs and those who seek to continuously improve. Culture & Growth. Our values are not just written in a book somewhere, but are an intentional part of everything we do. As leaders, you are able to reward others for demonstrating those shared beliefs and behaviors, and in turn, we intend to do the same for you. Partner with Regional Operations Director to identify and address employee and patient concerns to drive towards Regional goals and standards Now is your time to explore your next journey-at DaVita. What you can expect: Lead a Team that appreciates, supports and relies on each other in a positive environment. Performance-based rewards based on stellar individual and team contributions. What we'll provide: DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our nurses to commit to improving patient health through clinical goal-setting and quality improvement initiatives. Comprehensive benefits: DaVita offers a competitive total rewards package to connect teammates to what matters most. We offer medical, dental, vision, 401k match, paid time off, PTO cash out, paid training and more. DaVita provides the opportunities for support for you and your family with family resources, EAP counseling sessions, access to Headspace, backup child, elder care, maternity/paternity leave, pet insurance and so much more! Requirements: Associate's degree required; Bachelor's degree in related area strongly preferred Minimum of one year experience required in management (healthcare, business, or military) or equivalent renal experience (nurse, dietitian, social worker, LPN, etc.) at discretion of DVP and/or ROD Current license to practice as a Registered Nurse if required by state of employment Current CPR certification required (or certification must be obtained within 60 days of hire or change in position) Other qualifications and combinations of skills may be considered at discretion of ROD and/or Divisional Vice President Collaboration is a much to be successful in this role. You will be working with clinical and financial teams on a daily basis to produce results that align to business needs. Intermediate computer skills and proficiency in MS Word, Excel, PowerPoint, and Outlook required. Now is your time to join Team DaVita. Take the first step and apply now. #LI-BY1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Posted 3 weeks ago

Arkansas Children's Hospital logo
Arkansas Children's HospitalLittle Rock, AR

$15+ / hour

ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS. CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account ( https://www.myworkday.com/archildrens/)and search the "Find Jobs" report. Work Shift: Please see job description for details. Time Type: Part time Department: CC407508 Clinical & Academic Administration Summary: A 10-week, full-time summer internship in Little Rock, AR, offering undergraduate students immersive, hands-on experience in healthcare administration. This internship offers a robust blend of real-world healthcare administration responsibility, mentorship, and professional development within a leading pediatric healthcare setting. Additional Information: Required Education: No education requirements Recommended Education: High school diploma or GED or equivalent Required Work Experience: Entry Level - Experience not Required. Recommended Work Experience: Required Certifications: Recommended Certifications: Description Departmental Experience: Assist with various tasks and projects in a specific department, gaining exposure to the daily operations and responsibilities of healthcare professionals. Shadowing and Learning: Observe and interact with healthcare providers, staff, and leadership to understand the department's function within the hospital and the broader healthcare system. Hands-On Projects: Work on a project related to the department's goals or initiatives, with guidance from mentors and supervisors. Projects may involve research, process improvement, or administrative support. Professional Development: Participate in weekly workshops focused on skills such as communication, leadership, teamwork, problem-solving, and navigating healthcare careers. Networking Opportunities: Attend meetings, seminars, and team discussions to build a professional network within the healthcare industry. Feedback and Evaluation: Regular feedback sessions with your supervisor to track progress, provide support, and discuss career aspirations. Qualifications Currently enrolled in an undergraduate program (preferred fields include Business, Accounting or Healthcare Administration). Strong interest in pediatric healthcare and a desire to explore different career paths within the healthcare industry. Ability to work independently as well as part of a team. Strong communication, organizational, and problem-solving skills. Proficiency with Microsoft Office Suite and basic office technology. Positive attitude, professionalism, and a willingness to learn. 2026 Elevate Summer Internship: June 1, 2026 - August 7, 2026 Interviews: March 2026 40 hours per week at $15 an hour.

Posted 3 weeks ago

Expressable logo
ExpressableColorado, TX
Title: Hybrid Sales Development Representative - Denver, CO (Healthcare Sales) Full-Time Non-Exempt Direct Hire Location: Denver, CO (must live in this area) $80-90k Annual Salary + Uncapped Bonus Potential We're a fast-growing, fully remote healthcare organization on a mission to improve access to care-and we know our people make that possible. As we expand, we are adding a new role to our sales team. We are seeking a self-motivated and accomplished Hybrid Sales Development Rep (SDR) - Denver, CO to join our physician referral and client acquisition team. As an SDR, you will play a critical role in identifying and building out relationships with providers with the goal of acquiring client referrals to Expressable. The SDR is responsible for building, qualifying, and nurturing relationships with prospective referral partners, acting as the first line of education for new partners, promoting Expressable's care model, and arranging meetings with internal leadership to generate referrals. The ideal candidate has strong relationship-building and organizational skills; a proven track record in community outreach, provider education, and territory expansion; and is motivated by a quota-driven environment. About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child's daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one's success. We envision a world where everyone can fulfill their communication potential. The Sales Development Representative is responsible for establishing physician relationships in the Denver, CO area and securing direct referrals to drive new client growth. WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time. What You Would Be Doing at Expressable Build and maintain trusted relationships with primary and specialty physicians, medical staff, referral coordinators, and other relevant stakeholders Implement a mix of inbound and outbound strategies to raise awareness of Expressable's unique clinical approach. Manage provider accounts and serve as the main point of contact for all inquiries, referrals, client updates, new initiatives, etc. Execute sales plans on a monthly, quarterly, and annual basis within the assigned geographic region to meet targets. Maintain an up-to-date and accurate record of sales activities and account details. Utilize marketing materials and clinical resources to support sales efforts. What You Bring to Expressable Bachelor's degree Minimum of 3 years of sales experience in healthcare technology or virtual health services, pharmaceuticals, or other medical services Consultative selling style and related skills and experience Comfortable with and motivated by a quota-driven environment Generating provider referrals experience is preferred Familiarity with speech-language therapy practice is preferred MUST live in the Denver, CO or surrounding area to be considered KEY COMPETENCIES In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Sales Development Representative should possess the following key competencies. Professionalism: Approaches others in a tactful manner. Reacts well under pressure. Treats others with respect and consideration regardless of their status or position. Accepts responsibility for own actions. Follows through on commitments. Initiative: Volunteers readily. Undertakes self-development activities. Seeks increased responsibilities. Takes independent actions and calculated risks. Looks for and takes advantage of opportunities. Asks for and offers help when needed. Generates suggestions for improving processes. Relationship Building: Builds both formal and informal professional relationships. Maintains and fosters relationships within, across, and external to organizational boundaries. Obtains and shares information, ideas, and problems. Solicits advice, support, championship, sponsorship, and commitment that result in smooth transitions of change and the development of mutually acceptable solutions. Planning/Organizing: Prioritizes and plans work activities. Uses time efficiently. Plans for additional resources. Sets goals and objectives. Adept at organization or scheduling other people and their tasks. Develops realistic action plans. Business Acumen: Understands business implications of decisions. Displays orientation to profitability. Demonstrates knowledge of market and competition. Aligns work with strategic goals. Physical Requirements and Work Environment The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This job consists of sedentary work that primarily involves sitting/standing. While performing the duties of this job, the employee is regularly required to type on a computer keyboard to write documentation and prepare reports. Visual and auditory acuity must be high enough to view computer screens, read documents communicated via electronic transmission such as email, shared drives, and chats, and participate in teleconferencing. This job operates in a remote home office utilizing standard office equipment such as computers, tablets, monitors, and telephone. Why Join Us? Exceptional paid time off policies that encourage and support life balance, including a winter break. 401k matching to ensure our staff have what they need to enjoy their retirement Health insurance options that ensure well being for the whole person and their family Company paid life, short-term disability, and long-term disability coverage Remote work environment that strives for connectivity through professional collaboration and personal connections NOTE Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. More about Expressable Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential. We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team. Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills. Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at hr@expressable.io. E-Verify Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify. E-Verify Participation Poster E-Verify Right to Work Poster

Posted 3 weeks ago

T logo
Texas Capital Bancshares, Inc.Austin, TX
Texas Capital is built to help businesses and their leaders. Our depth of knowledge and expertise allows us to bring the best of the big firms at a scale that works for our clients, with highly experienced bankers who truly invest in people's success - today and tomorrow. While we are rooted in core financial products, we are differentiated by our approach. Our bankers are seasoned financial experts who possess deep experience across a multitude of industries. Equally important, they bring commitment - investing the time and resources to understand our clients' immediate needs, identify market opportunities and meet long-term objectives. At Texas Capital, we do more than build business success. We build long-lasting relationships. Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance, retirement savings plans with a generous 401K match, paid leave programs, paid holidays, and paid time off (PTO). Headquartered in Dallas with offices in Austin, Fort Worth, Houston, Richardson, Plano and San Antonio, Texas Capital was recently named Best Regional Bank in 2024 by Bankrate and was named to The Dallas Morning News' Dallas-Fort Worth metroplex Top Workplaces 2023 and GoBankingRate's 2023 list of Best Regional Banks. For more information about joining our team, please visit us at www.texascapitalbank.com. As a key member of our healthcare corporate banking team, the Relationship Manager (RM) will lead strategic client engagement across a diverse portfolio of healthcare entities. This role is responsible for delivering tailored financial solutions, managing complex credit structures, and deepening relationships with for-profit, non-real estate healthcare organizations. The RM will serve as a subject matter expert across the bank, helping to grow the healthcare vertical and collaborating closely with internal partners including investment banking, credit, and product teams. Key Responsibilities: Client Relationship Management: Serve as the primary contact for C-suite executives and decision-makers across a portfolio of healthcare clients, ensuring high levels of engagement and satisfaction. Strategic Growth: Develop and execute a disciplined calling strategy and client acquisition pipeline to expand the bank's presence in the healthcare sector. Tailored Solutions: Leverage deep industry knowledge to deliver customized banking solutions, including credit, treasury, and capital markets products. Cross-Functional Collaboration: Partner with internal teams to structure and execute deals, cross-sell products, and deliver comprehensive financial support. Credit & Risk Oversight: Work closely with credit teams to underwrite and monitor transactions, proactively identifying and managing risk. Deal Execution: Lead client pitches, negotiations, and presentations to secure new business and expand existing relationships. Mentorship & Team Leadership: Mentor junior talent, fostering a collaborative and high-performing culture within the Corporate Banking team. Compliance & Governance: Ensure adherence to regulatory requirements, internal policies, and risk frameworks. Qualifications: Bachelor's degree in Finance, Accounting, Business, Economics, or a related field. 10+ years of experience in Corporate or Commercial Banking, with a strong focus on healthcare clients. Formal credit training or equivalent experience in credit analysis and underwriting. Proven track record of relationship management, business origination, and portfolio growth. Strong understanding of capital markets, bank products, and financial regulations. Excellent communication, organizational, and problem-solving skills. Proficiency in Salesforce and Microsoft Office (Teams, Word, Excel, PowerPoint). FINRA Series 79, 63, and SIE licenses required (or must be obtained within 120 days of employment). The duties listed above are the essential functions, or fundamental duties within the job classification. The essential functions of individual positions within the classification may differ. Texas Capital Bank may assign reasonably related additional duties to individual employees consistent with standard departmental policy.Texas Capital is an Equal Opportunity Employer.

Posted 30+ days ago

Cigna logo
CignaToledo, OH

$127,900 - $213,100 / year

Work Location: Independence, OH - Cleveland area Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Leads cross market and cross functional initiatives as needed. Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Identify and manages initiatives that improve total medical cost and quality. Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. Manages key provider relationships and is accountable for interface with providers and business staff. Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. Experience in developing and managing key provider relationships including senior executives. Knowledge of complex reimbursement methodologies, including incentive models. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Demonstrates managerial courage and change leadership in a dynamic environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 30+ days ago

Shamrock Foods logo
Shamrock FoodsEastvale, CA
The Healthcare Account Executive is responsible for representing and selling Shamrock Foods products to institutional and healthcare accounts on a consultative basis. (S)he is responsible for overall profitability and sales of assigned healthcare accounts. These accounts include but are not limited to hospitals, nursing and long-term care facilities, retirement communities, rehabilitation centers, senior centers and other facilities that may require a competitive contract advantage as determined by Management. Essential Duties: Utilize sampling, education and consultations with specialists/broker community to penetrate accounts and provide business solutions that increase profitability for customers and Shamrock Foods Company. Develop new business by cold calling and developing relationships with potential customers or by utilizing leads given by District Sales Manager. Train customers on correct policies and procedures for ordering, receiving and returning product. Manage various GPO (Group Purchasing Organization) accounts according to guidelines and products required by the GPO partnership. Assist customers in maintaining Per Resident Day budgets and maximize GPO incentives. Assist internal Credit Analyst with customer credit management. Share credit policies, ensure complete and accurate information for the credit department, review financial reports to ensure that customers remain current with payments. Collect funds as needed to keep customers within terms and enforce company credit policies. Represent Shamrock at professional association meetings and conferences. Delivering sales presentations to key clients in coordination with other Shamrock Associates Manage time and resources effectively. This position requires varied work hours and diverse responsibilities. The ability to prioritize, manage time and meet deadlines is essential. Performing other duties as assigned to meet business needs. Qualifications: Bachelor's degree, from four-year college or university preferred. Will consider field experience in healthcare and sales or equivalent combination of education and experience Three or more years of experience in healthcare sales or industry required Current driver's license and auto insurance required. Each person employed by Shamrock Foods Company using their privately owned vehicle is required to have automobile liability insurance matching or exceeding limits stated in company policy. Must be able to use a laptop Ability to write routine reports and correspondence; ability to speak effectively before groups of customers or employees of organization Must be flexible and willing to work the demands of the department which are subject to evenings, weekends, and holidays Strong team player Must live in or near to assigned territory or be willing to relocate Salary of $80,000 to $100,000 depending on competency, experience, qualifications and skills. Corporate Summary: At Shamrock Foods Company, people come first - our associates, our customers, and the families we serve across the nation. A privately-held, family-owned and -operated Forbes 500 company, Shamrock is an innovator in the food industry and has been since being founded in Arizona in 1922. Our Mission: At Shamrock Foods Company, we live by our founding family's motto to "treat associates like family and customers like friends." Why work for us? Benefits are a major part of your overall compensation, and we believe offering them at an affordable cost is not only the right thing to do, but it helps keep you and your family healthy. That's why Shamrock Foods pays for the majority of your health insurance, allowing you to take home more of your paycheck. And it doesn't stop there - our associates also enjoy additional benefits such as 401(k) Savings Plan, Profit Sharing, Paid Time Off, as well as our incredible growth opportunities, continued education and wellness programs. Equal Opportunity Employer At Shamrock Foods Co all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity or any other basis protected by applicable law. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law, including the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Posted 5 days ago

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

Posted 1 week ago

CareBridge logo

Biostatistician-Healthcare Research

CareBridgeLouisville, KY

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Job Description

Biostatistician-Healthcare Research

Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

PLEASE NOTE: This position is not eligible for current or future VISA sponsorship.

The Biostatistician-Healthcare Research is responsible for developing and implementing clinical prediction models, experimental design, program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Performs substantive statistical analyses and reporting to improve company competitiveness, market share, operations, and profitability.

How you will make an Impact:

  • Serves as a statistical subject matter resource on Carelon Research's integrated healthcare database.

  • Uses pharmacoepidemiologic methods to assess the safety and effectiveness of drugs and other biologic interventions.

  • Uses a large claims database to conduct studies which focus on improving health outcomes.

  • Leads data management activities by developing programming requirement documents and/or using Instant Health Data (IHD)/SAS/R.

  • Supports the development of protocols, statistical analysis plans (SAPs), uptake monitoring reports, final reports, and publications.

  • Supports the development of protocols, SAPs, tables, figures, and listings (TFLs), and timelines.

  • Leads data analysis activities (e.g. comparative safety and effectiveness analyses, validation, adherence, natural history, and drug utilization studies) following protocol/statistical analysis plan (SAP) development.

  • Creates tables, figures, and other report and publication materials.

  • Articulates methods, progress, and results to study team.

  • Performs quality control to ensure integrity of analysis.

  • Participates in process and/or scientific initiatives.

  • Develops and implements predictive models using artificial intelligence/machine learning methods

  • Responds to and manages ad hoc client requests to ensure accurate, in-depth results/data are delivered in a timely manner.

  • Develops and implements prediction models for member and provider-based interventions.

  • Conducts competitive analysis of risk stratification models and makes recommendations to management.

  • Designs and executes care management program evaluations.

  • Develops evaluation methodologies for measuring the effectiveness of clinical programs.

  • Researches and analyzes broadly defined business scenarios, trends, and patterns and develops recommendations for management.

  • Prepares results for presentation to internal/external clients

  • Presents research findings to management and clients.

Minimum Requirements:

Requires a MS in Biostatistics, Statistics or related field; 3 years healthcare and/or consumer data analysis experience; 2+ years experience in the development of predictive models; 3 years coding experience with SAS; 3 years experience manipulating and processing large multi-source datasets with SAS and SQL programming tools; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Experience conducting data management and analyses in claims databases highly preferred.

  • Experience using Panalgo's Instant Health Data (IHD) highly preferred.

  • Experience using SAS highly preferred.

  • Experience using R preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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