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Government Healthcare Actuarial Lead-logo
Clark InsuranceDallas, TX
Company: Mercer Description: We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. T Mercer's Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists. We will count on you to: Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed What you need to have: BA/BS degree 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience Actuarial credentials (ASA, FSA, MAAA) Experience leading large multi-disciplinary teams and large, complex projects What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Ability to handle client and project management in a demanding work environment with tight deadlines Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $150,500 to $301,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 4 weeks ago

R
RYAN COS. US INCMinneapolis, MN
Job Description: Ryan Companies is looking for a creative, innovative, collaborative and forward-thinking Project Interior Designer - Healthcare who aims for the highest standards of excellence. The ideal candidate will be able to problem solve and design both as part of a collaborative team and independently. This individual will be responsible for creating extraordinary design solutions and inspiring design excellence. Candidates with at least 7 years of healthcare-specific experience are most likely to be successful in this role, however those with unique career experience or display clear potential for the role will be considered. Ryan Companies uses a unique integrated delivery process that involves architecture, engineering, construction, development, real estate management and capital markets. Ryan's integrated process requires an individual to be able to work in a proactive and positive manner in tandem with local teams and cross regionally within a national design practice. Some things you can expect to do: Works in tandem with Client, Architects, Design Project Manager, Designers, Development, Construction and Consultants to develop documentation for coordination and construction. Project Delivery: Leads team of interior designers through the project delivery process of small to mid-size projects. Coordinates a complete and thorough set of Interior design documents to meet project goals, milestones and schedule. Coordinates all phases of the interiors project scope from programming to construction administration, with specific attention to interior related building codes, interior detail documentation and constructability. Leads development and implementation of an overall design palate that supports the aesthetic, budget, and functional goals of the project. Advises client on appropriate interior finish and material selections. Collaborates with healthcare project team and clients during programming and planning efforts. Participates in and can lead design meetings, consultant meetings and project team meetings. Independently solves problems and applies basic principles of design. Provides guidance and resolves unusual or complex technical issues. Reviews interior design codes and coordinates implementation of requirements. Coordinates Ryan's QA/QC process and project specifications for interior scope of work. Identifies and communicates deviations in project scope and works with project team to resolve. Performs tasks with a high level of collaboration and sets an example for others to follow. Establishes and pursues annual goals, based on personal, professional and company growth in the industry. Contributes to Ryan culture through participation in office activities, initiatives and learning programs. Direct, supervise and mentor junior staff. Responsible for execution of Ryan's yearly review and goal setting process based on personal and professional, development goals. Actively participates in Ryan Companies' and Ryan A+E's 5-year vision/initiatives and 1-year business plans and goals. To be successful in this role: You must have at least 5 years of related experience. Advanced knowledge of interiors & design concepts, practices, and methods is required, along with a strong working knowledge of Revit, Adobe Creative Suite, Enscape, SketchUp, and Bluebeam. Proficiency with Microsoft Office Suite is expected. Job Requirements (Qualifications) Professional Interior Design degree or related field experience preferred. Relevant professional work experience in healthcare design, including the design of acute care, ambulatory care, and medical office buildings. Interior Design licensure preferred. Excellent organizational skills. Strong written and verbal communication skills. Strong ability to collaborate and lead a diverse team. Advanced knowledge of interiors and design concepts, practices and methods. EDAC or other healthcare accreditation preferred. Strong knowledge of Revit required. Proficiency in MS Office Suite, Adobe Suite, Enscape, Sketchup and Bluebeam preferred. Knowledge of building regulations, Facility Guidelines Institute (FGI), safety codes and ability to research and apply/incorporate into technical documents. LEED AP and/or WELL AP preferred. You will really stand out if you have: Bachelor's degree in interior design or related field. Interior Design licensure. Leadership in Energy and Environmental Design Accredited Professional (LEED AP) and/or WELL Accredited Professional (WELL AP) Certification(s). Eligibility: Positions require verification of employment eligibility to work in the U.S. Compensation: The base salary is $68,000 - 90,000 per year. The base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills and abilities. Benefits: Competitive Salary Medical, Dental and Vision Benefits Retirement and Savings Benefits Flexible Spending Accounts Life Insurance Educational Assistance Paid Time Off (PTO) Parenting Benefits Long-term Disability Ryan Foundation - charitable matching funds Paid Time for Volunteer Events Ryan Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Non-Solicitation Notice to Recruitment Agencies: Ryan Companies kindly requests that recruitment agencies and third-party recruiters do not submit unsolicited resumes or candidate information to any Ryan Companies employee or office. Ryan Companies will not be responsible for any fees or expenses associated with unsolicited submissions. If recruitment services are required, we will reach out directly to agencies on our approved vendor list. We appreciate your understanding and cooperation.

Posted 30+ days ago

Actuarial Consultant - Government Healthcare-logo
Clark InsuranceChicago, IL
Company: Mercer Description: We are seeking a talented individual to join our Government Human Service Consultant (GHSC) team at Mercer. Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer's GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals. As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference! We will count on you to: Serve as actuary on large and complex capitation rate setting and other actuarial projects. In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards Develop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters What you need to have: BA/BS degree Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials 3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferred Excellent interpersonal skills; strong oral and written communication skills Ability to prioritize and handle multiple tasks in a demanding work environment Strong critical thinking and analytical problem-solving skills What makes you stand out? Medicaid actuarial experience (any state program) or actuarial consulting experience Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $73,500 to $147,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 2 weeks ago

VP Of Enterprise Accounts - Healthcare Payer Sales-logo
DripsCleveland, OH
Location: Remote | United States Reports To: SVP of Sales Type: Full Time | High Drive | High Impact| Quota-Carrying About Drips: Drips is a fast-growing, tech enabled managed service transforming how health plans engage their members at scale. Our member engagement solution drives measurable outcomes across the member journey, helping national, regional, and local health plans improve Stars, HEDIS, HOS, Medication Adherence, acquisition, and retention strategies. Our work in direct collaboration with our healthcare customers directly impacts quality scores, member experience, revenue protection, and operational and administrative expenses, making Drips an indispensable partner in today's value-driven landscape. Job Overview: We are seeking a top-performing, VP of Enterprise Accounts with experience selling six-and seven-figure enterprise deals into the payer space. You are curious, operationally sharp, and commercially driven. You thrive in complex, consultative sales cycles and know how to navigate matrixed organizations to engage C-Suite and Senior Decision Makers across various lines of business: Medicare, Medicare Advantage, Medicaid, ACA, and Pharmacy.This is a hunter role - you'll be responsible for generating net new opportunities, guiding them through a disciplined enterprise sales process, and closing deals that drive and deliver value for our customers. This is a unique opportunity to join a company solving some of healthcare's most urgent challenges-with a product that delivers, a market that's ready, and the backing of a leadership team that knows what it takes to deliver and win as a team. What You'll be Responsible For: Own full enterprise sales cycle ownership from prospecting to close for net-new payers. Lead complex, multi-stakeholder sales motions focused on ROI, outcomes, and long-term strategic value. Leverage your understanding and expertise of Stars, HEDIS, CAHPS, RAF, and adherence to position solutions that deliver impactful outcomes. Build and maintain a healthy, high-velocity pipeline within assigned target payer accounts. Develop relationships with C-Suite and VP-Level buyers across functional lines: Quality, Operations, Finance, Digital Strategy. Building, managing, and converting a 7-figure pipeline within assigned target payer accounts. Leading strategic deal orchestration and account planning across multi-stakeholder buying committees while collaborating with Drips Advisory Board and existing client leaders. Maintain high standards of CRM hygiene, account planning, and follow through. Partnering cross-functionally with marketing, product marketing, product, and client services teams to ensure alignment and execution. Executing on Drips Voice-of-Customer program and Client Objectives and Key results (OKRs). 75% - 80% Travel What You Bring: 5-10+ years of successful enterprise sales experience in healthcare, preferably with health plans and digital health. Track record of quota achievement, and consistency. Proven ability to close 6 - to - 7 figure, multi-year deals. Deep understanding of payer economics and market dynamics, complexities, and decision-making structures. Command of the room - executive presence, strong communication, and disciplined follow-through. Embraces and contributes to high-performance culture, grounded in collaboration, accountability, discipline, integrity, and a high drive. Hunger to learn, curiosity to ask better questions, and the resilience to win in a fast-moving environment. Why Join Us?: Category-defining company solving meaningful problems at scale Partner with leading health plans on initiatives that matter Enterprise sales with purpose High performance culture and value-driven teams Competitive base + commission Unlimited PTO

Posted 30+ days ago

Project Engineer - Healthcare Education-logo
McAdamsAsheville, NC
McAdams is a full-service land planning, landscape architecture, civil engineering, transportation, and geomatics firm located in North Carolina, South Carolina, Texas, and Florida. We seek to partner with our clients to create meaningful experiences through inspired design. Our employees are what make McAdams different. We bring experiences to the forefront of everything we do, and to do that takes special people. Position Overview The Project Engineer plays a crucial role in the successful execution of civil engineering projects by leading preliminary designs and conducting thorough site analyses. This position involves creating detailed plans for roadways, utilities, storm drainage, and grading while ensuring compliance with local, state, and federal regulations. The Project Engineer collaborates with interdisciplinary teams, manages regulatory submittals, and oversees project progress from concept to completion. The role demands strong problem-solving skills, technical proficiency in design software like AutoCAD Civil 3D, and effective time management to meet project deadlines and deliver high-quality results. Key Responsibilities Lead the initial design phase of projects by accurately applying local and federal mapping, assessing drainage areas, and determining buildable areas in line with design standards. Demonstrate a thorough understanding of comprehensive lot layouts, local and state buffer zones, zoning regulations, and ordinance requirements. Conduct detailed site analysis by interpreting topographic data, as-built surveys, and construction staking to inform preliminary design. Perform initial sizing of Best Management Practices (BMPs), rough grading plans, and basic utility design. Ensure comprehensive site due diligence to identify potential constraints and opportunities. Design horizontal layouts for roadways and parking areas while adhering to project specifications and standards. Utilize AutoCAD Civil 3D for precision in preliminary layouts and drafting. Execute storm drainage designs using advanced software tools like Hydraflow. Prepare detailed storm drainage plans, calculate culvert designs, and perform gutter spread analyses to ensure proper water flow management and compliance with regulations. Engineer channel flow systems and velocity dissipaters using robust engineering principles. Compile and present thorough engineering analyses and design reports that meet company and regulatory standards. Develop comprehensive erosion control designs, including the design of sediment basins suitable for various site conditions. Conduct detailed calculations and create clear, company-standard reports to support the plans. Design and layout water distribution systems that incorporate essential components such as water meters, backflow preventers, fire department connections, and post indicator valves. Perform detailed water distribution analyses under multiple scenarios to optimize functionality and compliance. Design and layout sanitary sewer systems with a focus on local compliance and utility conflict resolution. Analyze existing systems, design pump stations and force mains, and collaborate effectively to address underground utility conflicts. Produce accurate grading plans, assess earthwork volumes, and conduct spot grading with attention to company standards. Ensure that accessible routes are properly graded and free of obstacles by conducting thorough accessibility reviews. Visit project sites as needed to verify existing conditions and refine designs. Perform horizontal and vertical design of roadway alignments, incorporating detailed pavement marking, signage layouts, and traffic control plans. Apply appropriate superelevation criteria for horizontal curves and create detailed intersection designs with precise curb return elevations. Engage effectively with other departments to facilitate seamless design integration. Attend coordination meetings to gather essential project details and maintain open communication with team members, making necessary plan adjustments as needed. Prepare and submit plans, calculations, and supporting documentation that meet the requirements of local and state governmental agencies. Complete all submittal applications and lead the project team to produce high-quality deliverables that align with company standards for design and CAD practices. Manage work hours effectively with a proactive approach, especially when project timelines are strict. Demonstrate a sense of urgency and efficiency to meet project deadlines without compromising quality. Perform other duties as assigned Skills + Experience Four-year bachelor's degree from an accredited program in Civil Engineering, Environmental Engineering, Biological and Agricultural Engineering, Civil Engineering Technology, or related field required EI required; PE or on track to obtaining PE strongly preferred Minimum of 5+ years' experience in civil site design or related field required Demonstrated expertise in AutoCAD Civil 3D is essential Strong understanding of local, state, and federal regulations related to land development, zoning, stormwater management, and permitting processes Proven ability to manage multiple projects concurrently, meet deadlines, and adapt to changing project demands. Experience in developing and tracking project schedules and budgets Exceptional analytical abilities to assess complex engineering challenges and develop effective, innovative solutions. Ability to anticipate project risks and proactively address them verbal and written communication skills for effectively coordinating with internal teams, clients, subconsultants, and regulatory bodies. Experience in leading meetings and preparing comprehensive reports is a plus Experience providing guidance, support, and mentorship to junior staff, fostering skill development and teamwork Proven ability to build and maintain strong client relationships by providing high-quality service, maintaining client satisfaction, and managing expectations High level of accuracy in preparing design documents, plans, and reports to meet company and client quality standards Work Environment + Physical Demands The characteristics described below are representative of those encountered while performing the essential functions of this position. When properly requested and when feasible (without undue hardship to the company), reasonable accommodations will be made to enable individuals with disabilities to perform essential job functions. Work will primarily be in an office setting with limited opportunities to be exposed to adverse environmental conditions. Work will be primarily working with fingers by picking, pinching, typing, and grasping often with repetitive motion. Must have visual acuity for viewing a computer screen, the ability to talk, hear and sit for extended periods of time. Must be able to carry, lift and push/pull up to 5 pounds frequently and up to 30 pounds occasionally. Additional physical duties may be required as necessary. McAdams is an equal opportunity employer. All qualified candidates will receive consideration for employment without regard for race, color, religion, gender (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran's status, or any other legally protected status. If you need assistance with our online application system process, please contact the Human Resources Team at 919.361.5000 or hrteam@mcadamsco.com. Please read these notices for important information regarding applying for work with McAdams. Know Your Rights: Workplace Discrimination is Illegal E-Verify (English/Spanish) Right to Work (English/Spanish)

Posted 30+ days ago

Technical Designer - Healthcare-logo
GenslerLos Angeles, CA
Your Role As a Gensler Junior Technical Designer, your job is to combine creativity and technical knowledge with a focus on project delivery and an understanding of how to produce functionally beautiful spaces for clients. You will drive the delivery of a project, collaborate with office and regional technical leaders, and develop delivery and process improvement strategies. With you as part of the design team, interior architecture has never been so engaging. Your work ethic combined with your commitment to collaboration and mentoring makes Gensler the perfect place to nurture your career. What You Will Do Participate in all project phases, including conceptual designs, presentations, schematic design, design development, construction documents, and production Collaborate with design team, clients, consultants, contractors, fabricators, regulatory agencies, and other vendors to meet overall project objectives Produce graphic presentations, 3D renderings, and construction drawings Utilize hand rendering techniques to communicate design concepts Your Qualifications Bachelor's degree in Architecture from an accredited program 2+ years of related project experience Proficiency in modeling using 3D software; Revit is preferred Proficient in Adobe Creative Suite (Illustrator, Photoshop, InDesign) and/or SketchUp Knowledge of relevant building codes and accessibility requirements State licensure and LEED accreditation are a plus Knowledge of Building Information Modeling (BIM) and parametric design software, including Grasshopper, is a plus TO BE CONSIDERED, YOU MUST SUBMIT A RESUME AND CURRENT PORTFOLIO/WORK SAMPLES IN PDF FORMAT* This position is in-person and requires weekly out-of-state travel for an internationally recognized healthcare institution. The base salary will be estimated between $70,000 - $85,000 plus bonuses and benefits and contingent on relevant experience. To learn more about our compensation philosophy and full benefits offerings, please visit Great People, Great Rewards | Gensler Life at Gensler As a people-first organization, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice-annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future.

Posted 30+ days ago

Healthcare - Provider Contract Negotiator - Richmond/Mclean, VA Market - Hybrid-logo
CignaRichmond, VA
WORK LOCATION: supports our Virginia market - Preferred candidate to live in either Richmond or McLean, VA area Hybrid position - will need to work in the office or visit Providers 3 days per week The Provider Contracting Lead Analyst serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day contracting and network activities. DUTIES AND RESPONSIBILITIES Manages submission process of contracting and negotiations for fee for service with physicians, ancillaries and hospitals. Supports the development and management of value-based relationships. Builds and maintains relationships that nurture provider partnerships 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. Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. Contributes to the development of alternative network initiatives. Supports 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. Supports initiatives that improve total medical cost and quality. Drives change with external provider partners by offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve escalated issues. Manages 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. Other duties, as assigned POSITION REQUIREMENTS Bachelor's degree strongly preferred in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. 1+ years of Provider Contracting and Negotiating for Healthcare Hospital/Provider/Ancillary group experience required 1+ years prior Provider Servicing/Provider Relations experience strongly preferred Experience in developing and managing relationships Understanding and experience with hospital, managed care, and provider business models a plus Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence 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. Demonstrates problem solving, decision-making, negotiating skills, contract language and financial acumen. Proficient with Microsoft Office tools 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. 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

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

Posted 30+ days ago

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

Posted 30+ days ago

Project Manager - Healthcare Architecture Design-logo
GenslerChicago, IL
Your Role Join a dynamic and growing team designing innovative projects for leading healthcare clients. We are looking for a Design Manager (Project Manager) to manage healthcare projects throughout the North Central Region. We are collaborative and client focused, with a commitment to design experience, sustainability and social purpose. What You Will Do Lead collaborative design teams, working closely with Design Director and Principal- in- Charge (PIC), to establish effective project workplans with attainable project objectives Manage all phases of healthcare architecture and interior design projects, from project set-up through design and construction administration Help prepare project proposals, negotiate contracts and fees, coordinate bidding process Manage scheduling, budgets, staffing, project set-up with clients, sub-consultants, vendors and contractors Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions Track financial performance of projects Develop and maintain client relationships, for both single projects and multi-project global accounts Your Qualifications Experience leading architectural and planning projects for healthcare clients (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.). Experience leading large scale and complex projects and mentoring architects and designers A minimum of 10+ years of related experience Integrated into the local North Central Region communities with positive healthcare client references Experience developing high performance sustainable building projects LEED accreditation is preferred Strong leadership, organization, communication and interpersonal management skills Commitment to collaborative design process Experience negotiating project scope and fees Knowledge of local building codes and standards Proficiency with PM software: MS project a plus Working knowledge of Revit preferred Professional degree (Master or Bachelor) in Architecture from an accredited program Licensed architect The base salary will be estimated between $100,000-$135,000 plus bonuses and benefits and contingent on relevant experience. To learn more about our compensation philosophy and full benefits offerings, please visit Great People, Great Rewards | Gensler Notice: At Gensler a Project Manager will have the job title of Design Manager and operate in this capacity for alignment with internal programs, doing business with clients and compliance with industry and government regulations. If you have questions regarding this notice please ask our Talent Acquisition team during the application process. Life at Gensler At Gensler, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future.

Posted 30+ days ago

ICG Business Development Officer (Bdo), Healthcare-logo
US BankWoodland Hills, CA
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at-all from Day One. Job Description U.S. Bank is the fifth-largest commercial bank in the United States. The Institutional Client Group (ICG) is the relationship-management team that serves our largest clients - ranging from $25MM in annual revenue to large corporate institutions - delivering solutions from across the bank to help companies meet their business goals. ICG operates in every state and supports multiple sectors, from healthcare to technology. Its new team of Business Development Officers (BDOs) will drive growth by building a network of contacts and leads, identifying new opportunities, and cultivating strong client relationships that increase revenue and market share for U.S. Bank. Position Summary: As Business Development Officer (BDO), your primary focus is driving growth by identifying, prospecting, and acquiring new corporate and commercial banking clients within the critical healthcare sector with over $50MM in annual revenue. This role is tailored for a results-driven professional passionate about building strong client relationships and expanding the bank's market presence. High performers will develop relationships with medical practices, hospitals, healthcare systems, and related businesses to provide tailored financial solutions to this industry. Success will be measured by the ability to cultivate leads, secure new business, and contribute to the bank's overall revenue and market share growth. The BDO will collaborate closely with our Healthcare Specialized Industry Group to ensure seamless client experience and capitalize on market opportunities in this sector. Base pay for this role usually falls within $200,000 to $215,000. Additional considerations regarding base pay levels are based on candidate qualifications. Your compensation expectations will be discussed with a U.S. Bank recruiter if you are contacted to discuss the role further. Key Responsibilities: Prospecting & Lead Generation: Identify potential commercial clients through market research, industry networks, referrals, and events Develop and execute a strategic prospecting plan to build and maintain a robust pipeline of new business opportunities Client Acquisition: Initiate contact and engage with decision-makers, presenting tailored banking solutions that meet client needs Conduct thorough needs assessments and deliver compelling proposals to secure new client relationships Stay ahead of market needs by providing insights on market trends and tailored financial strategies Market Expertise: Stay informed about market trends, competitor offerings, and industry developments to position the bank as a leader in commercial banking Leverage market intelligence to identify untapped opportunities and optimize outreach strategies Relationship Building: Collaborate with internal teams (RMs, Treasury, Payments, Product, Credit, etc.) to deliver seamless onboarding experiences for new clients Represent the bank at community and industry events, enhancing brand visibility and credibility Monitor client satisfaction and resolve issues promptly, ensuring long-term loyalty Performance Metrics: Achieve and exceed monthly, quarterly, and annual new business development goals through robust scorecard measurement Maintain accurate and up-to-date records of prospecting activity, pipeline status, and closed deals in CRM tools Qualifications & Skills: Bachelor's degree in Business, Finance, or a related field (preferred) 5+ years of proven success in a corporate/commercial banking environment or similar sales role, with a focus on new client acquisition Strong understanding of commercial banking products and services, including credit, treasury, and cash management Proficient in CRM platforms and prospecting tools Exceptional communication, negotiation, and presentation skills Entrepreneurial and driven to achieve ambitious goals Ability to build trust and credibility with clients and internal stakeholders Other Requirements: Willingness to travel as required for prospect meetings and industry events Established network within healthcare industry, or previous experience serving as RM to healthcare industry The role offers a hybrid/flexible schedule, which means there's an in-office expectation of three (3) or more days per week. If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. Benefits: Our approach to benefits and total rewards considers our team members' whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability Pregnancy disability and parental leave 401(k) and employer-funded retirement plan Paid vacation (from two to five weeks depending on salary grade and tenure) Up to 11 paid holiday opportunities Adoption assistance Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law. E-Verify U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program. The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $159,970.00 - $188,200.00 U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants.

Posted 30+ days ago

ICG Business Development Officer (Bdo), Healthcare-logo
US BankDallas, TX
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at-all from Day One. Job Description U.S. Bank is the fifth-largest commercial bank in the United States. The Institutional Client Group (ICG) is the relationship-management team that serves our largest clients - ranging from $25MM in annual revenue to large corporate institutions - delivering solutions from across the bank to help companies meet their business goals. ICG operates in every state and supports multiple sectors, from healthcare to technology. Its new team of Business Development Officers (BDOs) will drive growth by building a network of contacts and leads, identifying new opportunities, and cultivating strong client relationships that increase revenue and market share for U.S. Bank. Position Summary: As Business Development Officer (BDO), your primary focus is driving growth by identifying, prospecting, and acquiring new corporate and commercial banking clients within the critical healthcare sector with over $50MM in annual revenue. This role is tailored for a results-driven professional passionate about building strong client relationships and expanding the bank's market presence. High performers will develop relationships with medical practices, hospitals, healthcare systems, and related businesses to provide tailored financial solutions to this industry. Success will be measured by the ability to cultivate leads, secure new business, and contribute to the bank's overall revenue and market share growth. The BDO will collaborate closely with our Healthcare Specialized Industry Group to ensure seamless client experience and capitalize on market opportunities in this sector. Base pay for this role usually falls within $200,000 to $215,000. Additional considerations regarding base pay levels are based on candidate qualifications. Your compensation expectations will be discussed with a U.S. Bank recruiter if you are contacted to discuss the role further. Key Responsibilities: Prospecting & Lead Generation: Identify potential commercial clients through market research, industry networks, referrals, and events Develop and execute a strategic prospecting plan to build and maintain a robust pipeline of new business opportunities Client Acquisition: Initiate contact and engage with decision-makers, presenting tailored banking solutions that meet client needs Conduct thorough needs assessments and deliver compelling proposals to secure new client relationships Stay ahead of market needs by providing insights on market trends and tailored financial strategies Market Expertise: Stay informed about market trends, competitor offerings, and industry developments to position the bank as a leader in commercial banking Leverage market intelligence to identify untapped opportunities and optimize outreach strategies Relationship Building: Collaborate with internal teams (RMs, Treasury, Payments, Product, Credit, etc.) to deliver seamless onboarding experiences for new clients Represent the bank at community and industry events, enhancing brand visibility and credibility Monitor client satisfaction and resolve issues promptly, ensuring long-term loyalty Performance Metrics: Achieve and exceed monthly, quarterly, and annual new business development goals through robust scorecard measurement Maintain accurate and up-to-date records of prospecting activity, pipeline status, and closed deals in CRM tools Qualifications & Skills: Bachelor's degree in Business, Finance, or a related field (preferred) 5+ years of proven success in a corporate/commercial banking environment or similar sales role, with a focus on new client acquisition Strong understanding of commercial banking products and services, including credit, treasury, and cash management Proficient in CRM platforms and prospecting tools Exceptional communication, negotiation, and presentation skills Entrepreneurial and driven to achieve ambitious goals Ability to build trust and credibility with clients and internal stakeholders Other Requirements: Willingness to travel as required for prospect meetings and industry events Established network within healthcare industry, or previous experience serving as RM to healthcare industry The role offers a hybrid/flexible schedule, which means there's an in-office expectation of three (3) or more days per week. If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. Benefits: Our approach to benefits and total rewards considers our team members' whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability Pregnancy disability and parental leave 401(k) and employer-funded retirement plan Paid vacation (from two to five weeks depending on salary grade and tenure) Up to 11 paid holiday opportunities Adoption assistance Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law. E-Verify U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program. The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $159,970.00 - $188,200.00 U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants.

Posted 30+ days ago

Senior Consultant, UKG And Payroll, Digital Healthcare-logo
Huron Consulting GroupChicago, IL
Huron is a global consultancy that collaborates with clients to drive strategic growth, ignite innovation and navigate constant change. Through a combination of strategy, expertise and creativity, we help clients accelerate operational, digital and cultural transformation, enabling the change they need to own their future. Join our team as the expert you are now and create your future. Huron Consultants are industry experts interested in short and long-term contracts and/or interim staffing opportunities REQUIRED: Must have UKG and Payroll Senior Consultant experience Must be able to initially work remote, some onsite travel will be required for implementation Current permanent U.S. Work authorization required. PREFERRED: Undergraduate Degree (e.g. BA, BS) or equivalent work experience JOB RESPONSIBILITIES: Senior UKG HR/Payroll consultant to initially assist with a Phase 0 enterprise standardization initiative across HR and Employee pay practices Must be able able to work with the PI Workforce team who will be leading the standardization effort. Consultant will stay on for implementation Proven problem solving, critical thinking and analytical skills Excellent written and verbal communication with the ability to work collaboratively with a team in a fast paced, professional and matrixed environment. Advanced or highly proficient in Excel, PowerPoint and other Microsoft Office products (e.g. Microsoft Visio and Outlook) Willingness and ability to travel to client sites as needed U.S. Work Authorization required Work will be part-time to start, 10 hours/week or so. Then moving to Full Time for implementation The estimated base hourly range for this job is $65.00 to $85.00. 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. 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. Posting Category Generalist Opportunity Type Contractor Country

Posted 30+ days ago

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

Posted 30+ days ago

R
Rsm Us LlpLos Angeles, California
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. RSM is currently seeking a strong Health Care Managing Director with an entrepreneurial mindset to lead our Health Care Audit practice. This Managing Director will help shape the future of our business in the market and help design and implement a plan to build internal resources as we aggressively grow this practice over the next five years. Successful candidates will have experience as an audit leader, have deep, meaningful relationships within the health care industry, and hold a proven track record of growing and developing new business and building teams. Our professionals deliver valuable solutions to over 3,000 health care entities across the nation. If you are well-networked in the Health Care Industry, have a strong entrepreneurial spirit, have the ability to inspire others and build effective teams, then RSM is the right place for you. Overview of the position: Contribute to and execute the Firm's overall strategy aligned with national expectations to drive profitable growth Work across the globe as a collaborator and leader within the audit function Leverage professional network and existing relationships to actively develop new business for the health care audit team as well as collaborate effectively with other lines of business within the firm Demonstrate robust market-facing skills and represent RSM to clients and prospects in the marketplace Focus on and drive service offerings throughout the California, Arizona and Nevada market and lead the market growth team, including executing the health care market business plan Leverage our core group of existing clients and existing health care team members as the foundation to your ultimate health care practice and expanding to serve new and existing clients. Assist with growing and managing a book of business with on-strategy, profitable targets and clients to meet overall strategic goals and objectives, including delivery of high-quality audits Support the health care audit line of business as needed, which may include concurring reviews or other technical involvement with firm audit clients Inspire and develop audit personnel in their client service interactions and market-facing activities Provide exceptional leadership and mentoring skills to manage and motivate teams for success in professional development, networking, client service delivery and operational excellence Experience required: 9 + years of Audit experience in public accounting Big Four or similar national leadership experience preferred Significant audit experience with healthcare organizations. Technical proficiency in financial statement audits of large health care institutions and/or dynamic health care companies that engage in complex transactions, including mergers and acquisitions, complex equity structures, complex debt structures, etc. Excellent client service and organizational management skills Proven success and track record in building, developing, growing and sustaining client and people relationships At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/working-at-rsm/benefits . All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status ; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at 800-274-3978 or send us an email at careers@rsmus.com . RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. RSM will consider for employment qualified applicants with arrest or conviction records in accordance with the requirements of applicable law, including but not limited to, the California Fair Chance Act, the Los Angeles Fair Chance Initiative for Hiring Ordinance, the Los Angeles County Fair Chance Ordinance for Employers, and the San Francisco Fair Chance Ordinance. For additional information regarding RSM’s background check process, including information about job duties that necessitate the use of one or more types of background checks, click here . At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $154,400 - $337,700 Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.

Posted 3 weeks ago

Project Manager, Healthcare-logo
XL ConstructionSan Francisco, California
Description Position at XL Construction Corp. SUMMARY At XL Construction, our Project Managers are trusted leaders responsible for driving successful outcomes on complex construction projects. This role blends technical project execution with people leadership, ensuring budget, schedule, quality, and safety commitments are met while fostering a collaborative and high-performing team environment. Project Managers act as the central point of coordination across owners, design teams, field staff, and trade partners—delivering projects with operational excellence and strengthening long-term client relationships. A successful Project Manager will model strong leadership, effective communication, and consistent attention to risk, planning, and continuous improvement. KEY RESPONSIBILITIES: Project Leadership & Execution Lead all aspects of project management including estimating, preconstruction, scheduling, procurement, submittals, change orders, RFIs, budgeting, financial reporting, cost forecasting, billing, and project close-out Create, assemble, and manage the project control estimate Ensure project permits, inspections, and tests are identified and scheduled appropriately Work closely with field teams to develop and maintain detailed project schedules Resolve jobsite issues and coordinate with Superintendents to mitigate risk and ensure schedule adherence Client & Team Engagement Lead or support Middle and End Game business development efforts, including RFQ/RFP responses Lead OAC meetings, site walks, and day-to-day client communications Build and maintain strong relationships with owners, design teams, subcontractors, and consultants Guide subcontractor buyout, develop subcontract agreements, and resolve contract-related issues with minimal oversight Collaboration & Oversight Support the document control process and ensure timely updates Promote the use of internal resources including VDC, Lean, Sustainability, Bradley, SPW, and XL Shop, Arrow Equipment Rental, and Elevated Construction. Provide mentorship and technical development opportunities to Project Engineers, Coordinators, and Accountants Uphold and promote XL’s safety culture, policies, and procedures across all aspects of project execution KNOWLEDGE, SKILLS, AND ABILITIES: Bachelor's degree in Construction Management, Engineering, or a related field (preferred) 6+ years of progressive experience in technical construction projects, such as: Life Sciences, Bio-Labs, Data Centers, Manufacturing, cGMP, Structures/Interiors, Mid-High Rise, Shell & Core, Healthcare, OSHPD, K-12, Community College/DSA projects Proficiency in Microsoft Office, MS Project/P6, PowerPoint, and Timberline Expert knowledge of Vista (Viewpoint) Ability to develop and maintain detailed construction schedules Deep understanding of all building trades and permitting processes Proven success in negotiated, customer-service based project delivery OSHA 10 Certification preferred Strong interpersonal communication and leadership skills Solid record of success in construction project execution COMPENSATION & BENEFITS: In accordance with California’s pay transparency requirements, the base salary range for this position is $149,000 – $170,000 annually , depending on experience and qualifications. Total compensation may also include performance-based bonuses. XL Construction offers a comprehensive benefits package, including: Medical, dental, and vision coverage 401(k) plan with company match Paid time off, holidays, and parental leave Career development and professional training opportunities A purpose-driven, collaborative culture rooted in integrity and excellence

Posted 30+ days ago

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Legend Oaks Fort WorthFort Worth, Texas
Legend Oaks Healthcare and Rehabilitation - Fort Worth Come join our team and start making a difference! Certified Nursing Assistant (CNA) Shift: Day, Evening, & Night (Noc) Hours: 6a-6p- 6p-6a Full Time & Part Time available! Licensure: Texas CNA License Will you pledge to live CAPLICO? Legend Oaks Healthcare and Rehabilitation of Fort Worth’s commitment to excellence extends beyond delivering world class health care. Our company mission is to dignify and transform post-acute care. Our facility’s success is dependent upon our highly motivated clinical professionals working to improve business operations. Our leadership team is driven to provide exceptional service by cultivating a workforce that is dedicated to upholding our company’s mission of delivering care with compassion and integrity. We value innovation and creativity in our buildings and love a healthy debate that challenges us to learn and grow. Are you ready to discover the world of limitless possibilities that comes with being a member of our culture? Are you a CNA who is eager to make a difference? Explore more about this opportunity and how you can help us write a new chapter in our story of providing exceptional care and making a positive impact in the lives of everyone we serve. Living CAPLICO…… CAPLICO Customer Second: When we take care of our team first, it reflects positively on our customer care. Accountability: We strive for quality of life and reach for high standards as a team. Passion For Learning: We want to be at the forefront of change; there is always something we can learn. Love One Another: Treat others the way you want to be treated. It’s simple, yet effective. Intelligent Risk Taking: If something makes sense, we’re willing to give it a try. Celebration: We celebrate life every day of the year with our teammates and residents. Ownership: When everyone on the team is encouraged to take ownership of the care that they give, it positively improves their attitude, which affects everyone around them, from teammates to residents. We would love to meet you and hear your pledge to live CAPLICO with us. In addition to hiring Certified Nursing Assistants (CNAs) who exhibit the above qualities that help us create a world class culture, we offer competitive wages, mentorship and training for new graduates, tuition reimbursement, dependent care and public transportation FSAs, cell phone and movie ticket discounts, 401(k) with matching contributions, career advancement opportunities, and medical, dental, and health insurance. Take a look at these benefits (and more!) at www.ensignbenefits.com Apply Today! Legend Oaks Healthcare and Rehabilitation of Fort Worth 4240 Golden Triangle Rd Fort Worth, TX 76244 http://legendoaksfortworth.com Unable to apply at the moment, or are you interested in hearing more about future opportunities with us? Join our talent network at https://ensignservices.jobs.net/join Ensure that the resident's room is ready for receiving the resident (in bed, name tag, admission kit. Greeting residents and escort them to their room. inventory, answering call lights. For benefit details check us out here http://ensignbenefits.com/ Benefits eligibility for some benefits dependent on full time employment status. Disclaimer: Pay rates are competitive and determined by various factors. Please note that any rates labeled as "estimated" are provided by third-party job boards and may not accurately reflect the actual pay rates. EOE disability veteran

Posted 30+ days ago

Office Manager for Boost Home Healthcare-logo
Boost Home HealthcareHarrisburg, Pennsylvania
Join a Team That Cares – and Supports Your Work-Life Balance! Are you a proactive, organized, and upbeat leader ready to make a real difference in healthcare — without sacrificing your personal life? At Boost Home Healthcare, we believe in delivering exceptional care to our patients and fostering a positive, flexible, and balanced work environment for our team. We're looking for an energetic and experienced Office Manager who thrives in a fast-paced setting, enjoys leading others, and takes pride in creating efficient systems that allow clinical staff to focus on what matters most: patient care. This is a part-time position, however, it will grow in to Full-time as the agency grows. What You'll Be Doing Lead with Purpose: Oversee daily office operations and inspire a team of administrative professionals to deliver top-tier support. Manage Scheduling & Intake: Coordinate patient visits, ensure smooth and timely intake of new patients, and align care needs with staff availability. Verify Insurance: Confirm patient insurance eligibility and obtain necessary authorizations to ensure smooth reimbursement processes. Support Compliance: Maintain accurate records and stay on top of ever-changing Medicare, Medicaid, and state regulations. Be the Office Go-To: Serve as the central point of contact between patients, staff, referral sources, and payers. Assist with HR & Finance: Help with onboarding, payroll coordination, and basic billing tasks to keep everything running like clockwork. What We're Looking For Education: High school diploma or GED required; associate or bachelor’s degree in healthcare admin or similar field preferred. Experience: At least 1 year in a healthcare office role (home health preferred), including scheduling, intake, and insurance verification. Tech-Savvy: Comfortable using Microsoft Office and electronic health records (EHR); experience with systems. People Person: Strong communicator, team motivator, and calm under pressure. Detail-Oriented: Knows how to juggle tasks, manage priorities, and keep things moving efficiently. Why You'll Love Working Here Supportive Team Culture Opportunities to Grow Flexible Scheduling Options Work-Life Balance is a Priority Your Ideas Matter — and Your Voice is Heard Ready to Lead and Make a Difference? Apply today by submitting your resume and a short cover letter — we can’t wait to meet you! Compensation: $20.00 - $25.00 per hour BE PART OF A GROWING INDUSTRY THAT CHANGES LIVES. Inspired by nurses, Boost Home Healthcare makes it easier for patients to focus on recovery and wellness by personalizing and coordinating care.

Posted 30+ days ago

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Advocate Health and Hospitals CorporationCharlotte, North Carolina
Department: 36102 Carolinas Medical Center - Emergency Department Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Full time nights Essential Functions Supports patients/residents with activities of daily living. Assists patients/residents with personal hygiene. Takes vital signs and height and weight measurements. Feeds and ambulates patients/residents according to specific procedures. Maintains patient/resident's rooms in a clean and orderly condition. Observes and reports changes in patient/resident conditions. Orients patients/families to unit and instructs patient on safety measures. Assists with clerical work such as, including answering phones, entering data and maintaining medical records. Maintains stock supply items in inventory management. Performs duties as outlined in the scope of Nurse Aide I or Nurse Aide II tasks (per applicable state Board of Nursing Nurse Aide I and Nurse Aide II Tasks List). Perform technical tasks with appropriate training such as administering a 12- Lead Electrocardiogram test and routine venipuncture. Physical Requirements Work requires walking, standing, sitting, lifting, reaching, bending, stretching, stooping, pushing, and pulling. Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies. Must speak and understand English in good understandable terms. Must have manual and finger dexterity. Physical abilities testing required. Education, Experience and Certifications High School Diploma or GED required. Current listing with the DFS Nurse Aide Registry as a Nurse Aide I or with the applicable state Board of Nursing as a Nurse Aide II. BLS required per policy guidelines. Patient Population Served Demonstrates knowledge of the principles of growth and development and demonstrates the skills and competency appropriate to the ages, culture, developmental stages, and special needs of the patient population served. Protected Health Information Will limit access to protected health information (PHI) to the information reasonably necessary to do the job. Will share information only on a need-to-know basis for work purposes. Access to verbal, writtenand electronic PHI for this job has been determined based on job level and job responsibility within the organization. Computerized access to PHI for this job has been determined as described above and is controlled via user ID and password. Machines, Tools, and Equipment Those required by unit. Includes blood pressure manometer, stethoscope, thermometer, personal protective equipment, wheelchairs, stretchers, utility cars, and related clinical equipment. Pay Range $19.45 - $29.20 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Posted 1 week ago

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OU MedicineOklahoma City, Oklahoma
Position Title: Healthcare 340B Compliance Analyst - Onsite Oklahoma City Department: Regulatory Affairs Job Description: The 340B Analyst works under general direction in Regulatory Affairs to independently manage projects at OU Health facilities. The 340B Program Compliance Analyst maintains regulatory compliance with HRSA guidelines, monitors program performance, performs audits, analyzes data, reports findings and collaborates with stakeholders to ensure ongoing compliance across all OU Health. The successful candidate will have a strong understanding of healthcare/medical terminology and the environment of care. Job Description: Under general direction, works within the Department of Regulatory Affairs to independently facilitate and oversee projects at OU Health facilities. Performs 340B Compliance audits and data analysis and reporting. Essential Responsibilities: Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position. Conducts compliance audits in accordance with 340B Compliance workplan, updates workplan and communicates results to department leaders. Ensures audits are conducted proficiently, timely, and accurately. Develops, updates, and manages distribution of 340B compliance tools and data to managers, directors, and staff for continuous audit readiness. Responsible for monitoring compliance of 340B education. Adjusts education plan annually based on approved modification by Regulatory Affairs leadership. Supports the development of meetings, including but not limited to the 340B Compliance Oversight Committee, through creation of power-point presentations, meeting notices, meeting minutes, and maintaining the log for committee structure. Functions as liaison between OUH staff and 340B compliance vendors. Escalates regulatory issues to the administrative team as appropriate. Assists with education initiatives, including New Employee Orientation, as required by applicable regulations. Creates compliance reports for senior officers. Ensures integrity in the data accuracy. Monitors upcoming and released new standards and regulations to update OUH policy and practice accordingly. Assists in reviewing regulatory documents such as corrective action plans, and assists in creation of newsletters and other educational resources. Works on projects as assigned by Regulatory Affairs leadership General Responsibilities: Performs other duties as assigned Minimum Qualifications : Education: Bachelor’s degree required. Master’s degree public health or business preferred. Experience: 0-3 years of healthcare experience required. 340B experience preferred. License(s)/Certification(s)/Registration(s) Required: Required to complete Apexus 340B University OnDemand within first 30 days. Apexus Advanced 340B Operations Certificate required within 12-18 months. Knowledge, Skills and Abilities: Strong administrative management skills. Excellent organization and planning skills. Excellent computer skills which includes relevant software such as Excel, Power BI, and power point. Excellent verbal and written communication skills. Ability to maintain effective working relationships during stressful conditions. Ability to maintain confidentiality of information. Ability to work independently and demonstrate good decision making skills. Critical thinking skills. #cb Current OU Health Employees - Please click HERE to login. OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

Posted 6 days ago

Clark Insurance logo

Government Healthcare Actuarial Lead

Clark InsuranceDallas, TX

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Job Description

Company:

Mercer

Description:

We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. T

Mercer's Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists.

We will count on you to:

  • Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects

  • In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards

  • Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process

  • Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions

  • Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion

  • Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed

What you need to have:

  • BA/BS degree

  • 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience

  • Actuarial credentials (ASA, FSA, MAAA)

  • Experience leading large multi-disciplinary teams and large, complex projects

What makes you stand out?

  • Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience

  • Ability to handle client and project management in a demanding work environment with tight deadlines

  • Experience related to health plan analysis or capitated rate development

Why join our team:

  • We help you be your best through professional development opportunities, interesting work, and supportive leaders.

  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities.

  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

The applicable base salary range for this role is $150,500 to $301,000.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

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