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Government Healthcare Actuarial Lead-logo
Government Healthcare Actuarial Lead
Clark InsuranceSeattle, WA
Company: Mercer Description: We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. This role will be based in Phoenix, Atlanta, D.C., or Minneapolis. This is a hybrid role that has a requirement of working at least three days a week in the office. 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 3 weeks ago

Senior Healthcare Economics Consultant (Medicare Risk Adjustment) - National Remote-logo
Senior Healthcare Economics Consultant (Medicare Risk Adjustment) - National Remote
UnitedHealth Group Inc.Eden Prairie, MN
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. As part of the Optum Care National Risk Adjustment Healthcare Economics team, we support Medicare Advantage Care Delivery organizations by ensuring the accuracy and reliability of risk score modeling, and reporting. We are internal analytics partners who provide expertise to our finance, operations, accounting and clinical leads to identify coding gaps, assess opportunity, forecast, and analyze risk. If you eat, breathe, and sleep risk adjustment like we do, then this is the right place for you! If you're not a risk adjustment expert, but hungry, driven and willing to learn, we will help you become one of the best-in-class experts in the field. In this role, you will work with large, complex healthcare datasets such as ASMs, claims, CMS files (MMR, MOR, MAO-004), and other supplemental files to monitor, reconcile, analyze, and enhance our risk score reporting processes. You will perform detailed QA and reconciliation on datasets, conduct ad hoc analyses and investigate data quality issues using SQL (SQL server and Snowflake), Excel, and Tableau. You will also contribute to the development of automated processes to track and explain data changes, quantify their impact on risk scores, and identify trends. This position is ideal for someone with strong SQL skills, a solid understanding of Medicare Advantage Risk Adjustment, and a passion for data driven problem-solving. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Supporting complex analytic projects by leveraging data from multiple sources (EDS, medical claims, supplemental data) to support Medicare Advantage Risk Adjustment programs, coding accuracy, and clinical health outcomes. Identify opportunities to automate reporting and streamline repetitive tasks Designing and documenting quality assurance plans; performing detailed QA on large datasets and resolving data quality issues using tools such as SQL, Excel, and internal dashboards Reviewing and optimizing complex SQL code to improve data pipeline efficiency and reporting accuracy Conducting ad hoc analyses related to Medicare Risk Adjustment using SQL (SQL Server, Snowflake) and visualizing trends in Excel or Tableau Communicating findings to both technical and non-technical stakeholders; integrating feedback and refining analytics to support decision making Researching CMS guidelines, policy updates, and healthcare dataset specifications (MMR, MOR, MAO-004) to support model enhancements and impact analysis Maintaining and improving key data processes; contributing to internal documentation and knowledge sharing to support team collaboration Managing multiple priorities in a dynamic environment with a focus on continuous improvement You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma/GED (or higher) 5+ years of advanced analytics experience in Economics, Engineering, Statistics, Finance, Health Administration, Mathematics, or related field 3+ years of hands-on SQL programming experience, including data querying, manipulation and transformation, table creation, complex joins across multiple sources, subquery, indexing and summary reporting 3+ years of experience with performing robust quality checks on large datasets, identifying root causes and resolving data issues Preferred Qualifications: Bachelor's Degree; candidates with relevant experience or advanced degrees are also encouraged to apply Experience in analyzing, reconciling, and summarizing healthcare administrative data such as medical claims, membership, MMR (Monthly Membership Report), MOR (Model Output Report), and encounter response files (MAO-002, MAO-004) Experience in applying Medicare Advantage Risk Adjustment Methodologies such the CMS-HCC model (Hierarchical Condition Category), risk score calculations and/or impact analysis Experience transforming analyses into actionable and easy to digest insights Experience using AI, Snowflake or other advanced tools to streamline reconciliation and automate reporting processes Experience in historical trend analysis and predictive modeling using a statistical approach to improve process rigor and efficiency Strong analytical skills in data extraction, manipulation, visualization, and reporting using tools such as SQL, Excel and Tableau Advanced Excel skills (sorting, filtering, conditional formatting, pivot table/charts and formulas such as: VLOOKUP, COUNTIFS, INDEX-MATCH, SUMPRODUCT, IF, IFERROR) All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN

Posted 2 days ago

Associate Practice Area Engineering Director - Life Science & Healthcare-logo
Associate Practice Area Engineering Director - Life Science & Healthcare
Syska Hennessy Group, Inc.Raleigh, NC
Associate Practice Area Director- Life Science As a global leader in consulting, engineering, and commissioning services, we specialize in highly technical buildings and the systems that bring them to life. We are currently seeking a performance-driven, highly motivated leader to collaborate with our national life science and Healthcare leadership team with the opportunity to grow into and oversee this practice area in the region (located in the northeast or west region offices). This is an exciting opportunity to leverage our well-established legacy and brand with existing clients and innovative projects. In this high-level role, you will lead the efforts to pursue, win and execute pharmaceutical manufacturing, laboratory, and medical device projects. You will provide management review and oversee our regional life sciences team including the development of business plans, and target pursuits, and execute a wide variety of life science projects, organizational structures, and processes. This role will report to the Region leader of the firm. Our dynamic work environment provides the optimal setting to take your engineering career to the next level. From our supportive culture, diverse workforce, and competitive compensation to our flexible work schedule Monday to Thursday in the office for 9 hours and Friday for 4 hours remotely at home and fun social events, it is everything you will need for an exciting, challenging, and rewarding career. As a management owned private entity, we seek to reward our key leaders with ownership opportunities to drive overall performance and recognition. Job Responsibilities As an Associate Practice Area Director- Life Science, you will build a staff, coordinate the execution of all life science activities in your region and maintain client satisfaction. You will generate new revenue and increase existing revenue streams within the Life science and Healthcare Market Focus. You will stay externally focused on developing and deepening your network of prospective clients and business partners, including architects and PM/CM firms, as well as key general contractors. Track leads for major pursuits, forecast a pipeline of projects and develop winning strategies and teams. Additional responsibilities: Stay abreast of the market both regionally and nationally and keep key team members at the technical forefront of this practice area Develop an appropriate network within the company to facilitate the identification and sharing of relevant information between our national team for staffing and project pursuits Focus on ensuring technical excellence of project delivery and providing expert resolution of issues Develop, review, and coordinate the regional practice area business plan in conjunction with the national life science and Healthcare plan including coordinating the business plan with other practice areas, geographies, and services Coordinate goals with other members of the national team to help execute the business plan Develop strategies and tactics to explore and penetrate new clients to increase national sales and higher margin work Oversee project financials and interoffice / client reporting structure Work towards revenue generation goal of $1 million to $3 million (annual average for two years) Develop and articulate the firm's value proposition in the market segment to develop a market distinction Lead and/or support sales presentations while focusing on selling integrated services Be an active leader and problem solver guiding our team and our partners to successfully deliver exceptional Life Science projects Write articles, and white papers and speak at industry conferences and events Responsible for strategic recruitment of senior staff with market specific experience; provide leadership to newly hired direct reports Job Requirements: The ideal candidate will possess the necessary leadership skills to oversee all efforts for clients, demonstrating an understanding of owner / client big picture business strategies and revenue goals, as well as the ability to foresee challenges. To succeed in this role, your technical expertise must be complemented by self-motivation, relationship building skills, effective communication skills, and the ability to effectively work in a fast-paced environment. The ideal candidate will be a recognized expert in the Life Science and Healthcare market focus within the industry. Additional requirements: Bachelor's Degree in Electrical or Mechanical Engineering; exceptional candidates may substitute significant years of experience 15+ years of Life Science design experience, preferably a minimum of 5 years in consulting engineering or A/E firm Minimum of 7 years of management experience 7+ years' experience in developing business for engineering Thorough knowledge of MEP systems PE registration is highly desired Effective team player with the ability to work independently or in a team environment Excellent organization skills, with the ability to manage multiple tasks simultaneously Benefits As an Associate Practice Area Director with Syska Hennessy Group, you will be part of a global firm with an amazing history! We are committed to being the best, advancing engineering design practice, and supporting our clients with integrity. To make all of that happen, we rely on the talent, drive, enthusiasm, and total job satisfaction of the great people who work here. As a member of our highly collaborative team, we provide you with a flexible benefits package that reflects our respect for your workplace contributions, professional goals, and personal priorities. The personal benefits program at Syska Hennessy Group includes: Medical, Dental, and Vision insurance 401(k) retirement plan with employer matching Roth 401(k) Option Individual and Dependent Life Insurance Short- and Long-Term Disability Health Wellness Programs, including flu shots and biometric screenings Tuition Reimbursement Training and professional development courses Professional development incentive bonuses Opportunities for community outreach through internal networks A Generous Personal Time Off Program (PTO) Transit/parking program Monthly business phone stipend Work from home Fridays Opportunity for ownership as part of this management owned company At Syska, we have cultivated a community that supports learning and provides guidance for professional development and furthers our culture of excellence. We promote an environment that is committed to embedding diversity and equality into the core of our business and culture. We empower our employees so they can take ownership of their work and development and strive to continually improve themselves and our firm. Syska Hennessy Group | Integrating the best minds and technology to help clients create exceptional environments The salary range listed below is for this particular job posting. Actual pay range for candidates will be commensurate with candidate's experience, skillsets and competencies and may differ based on the cost of labor in their particular location. Syska wide Pay Range $96,120-$189,237 USD

Posted 30+ days ago

Healthcare Consulting Associate - CDI Inpatient Pediatrics-logo
Healthcare Consulting Associate - CDI Inpatient Pediatrics
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. At Huron, An Associate leads with expertise and collaboration, partnering with Huron and client leaders to create sustainable solutions that drive meaningful results. As an Associate, with our Healthcare CDI team, you will lead one or more project work streams utilizing Huron approaches, methodologies helping clients solve their business challenges to advance their clinical and financial outcomes. You'll work on varied projects, gain valuable, hands-on consulting and change management experience, while positively impacting mission-driven healthcare organizations. Your role will foster a supportive, inclusive environment, empowering team members and creating a workplace where diverse perspectives are valued. You will build critical leadership skills to grow your career and mentor junior Huron staff. This allows you to make an impact and provide you career opportunities both within and beyond your areas of expertise. If you're passionate about driving impactful solutions and believe in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Associate in CDI, you will: Partner with project team members and client stakeholders to design and implement effective solutions by leveraging proven methodologies and best practices Leverage critical thinking skills in both data collection and complex analysis identifying data gaps and risks to develop sound conclusions and create implementable, sustainable recommendations for improvement Effectively summarize information and present findings and recommendations to varying levels of Huron and client leadership Provide direct supervision of junior project team members including coaching mentorship, leading teams, and providing feedback through performance management Deliver solutions tailored to each client's unique needs, enhancing both impact and accessibility across healthcare services Requirements: Registered Nurse with BA/BS in Nursing a minimum of 3 years of acute care hospital experience in pediatrics US licensed Physician, Physician Assistant/Associate or Nurse Practitioner may be substituted for RN CCDS or CDIP certification (certification required within 6 months of exam eligibility after date of hire) Relevant experience in a project-based operations performance improvement role within a hospital/clinical setting hospital and/or consulting firm environment focused on healthcare provider operations and/or process re-engineering projects Strong leadership and management skills aligning to Huron's core values and competencies Willingness and ability to travel up to 80% (Monday-Thursday with occasional onsite Fridays) and work extended hours as needed Proficiency in Microsoft Office (Word, PowerPoint, Excel) US Work Authorization required Preferences: A minimum of 3 years in a clinical documentation integrity role Experience in a matrixed organization or cross-functional team environment Proficiency with 3M/Solventum CPRS or similar coding software #LI-CM1 The estimated base salary range for this job is $100,000 - $130,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $112,000 - $153,400. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Associate Country United States of America

Posted 4 days ago

Global Advisory, Healthcare, Associate - VP, New York-logo
Global Advisory, Healthcare, Associate - VP, New York
RothschildNew York, NY
About Us Rothschild & Co is a leading global financial services group with seven generations of family control and a history of over 200 years at the centre of the world's financial markets. Our expertise, intellectual capital and global network enable us to provide a distinct perspective that makes a meaningful difference to our clients, communities and planet. We have 4,200 talented specialists on the ground in over 40 countries around the world, enabling us to deliver a unique global perspective across four market-leading business divisions - Global Advisory, Wealth Management, Asset Management and Five Arrows. As a family-controlled business built on relationships, we place a huge emphasis on our people and finding the right colleagues to take our business forward. Rothschild & Co is committed to an inclusive and supportive environment where different perspectives are valued. We are focused on the attraction and recruitment, development and retention and progression of high calibre talent to ensure we and our clients benefit from the value of difference. Overview of Role This Associate-VP level role will be for the Healthcare team in New York or Boston providing Mergers & Acquisitions, Restructuring and Debt and Equity Capital Markets advisory work across a number of industries. It plays a critical role in helping the firm achieve its objective to be the most successful independent advisory investment bank in the world. The Healthcare team currently focuses on transactions in the Healthcare Services, Pharma, HCIT sectors. Given the global nature of our firm and broad reach of our M&A practice, this role will involve working collaboratively with colleagues in the North American industry coverage teams and other colleagues globally on international / cross-border projects. Responsibilities Execute live deals in Healthcare which may include sell-side M&A, buy-side M&A, spin-offs, split-offs/carve-outs, LBOs, Debt Advisory and Equity Advisory with significant cross-border emphasis Oversee and assist in financial modelling, valuation, comparable and relative value analyses and market-specific analysis, including three-statement integrated financial models and relevant valuation outputs/sensitivities Spearhead analysis of broad range of corporate finance transactions for reviewing strategic alternatives, acquisitions, mergers and equity and debt capital market's events Draft client pitches and marketing materials including acquisitions, disposals, mergers, refinancing and equity capital market alternatives, as well as associated internal documentation through coordination with internal and external resources Conduct extensive quantitative and qualitative economic, industry and company research and analysis Managing analysts and overseeing various work streams Attend client meetings, industry conferences, and external training sessions Adhere to all compliance regulations and confidentiality policies Contribute to Rothschild & Co's unique firm culture, and recruiting, training and development efforts Education and Qualifications Bachelor's Degree in finance (or similar) from a leading academic institution. MBA or equivalent graduate degree in Finance with prior experience, preferred Experience, Skills and Competencies Required Prior experience within a top tier corporate finance adviser/investment bank in M&A required Prior Healthcare M&A experience at an advisory firm or investment bank required Proven quantitative and analytical skills to develop corporate financial models and valuations with a deep understanding of financial statement analysis Ability to provide direction and leadership in order to build a strong team environment and to build effective relationships between individuals, teams and lines of business, across different geographies Ability to build long-term, professional relationships that add value to the client and lead to the expansion of the business Experience leading client presentations, managing projects and the execution of transactions Well organized, detailed and the ability to simultaneously manage several projects in an extremely fast paced environment in order to meet critical deadlines Knowledge of the relevant financial and regulatory environments that surrounds M&A Exceptional analytical, quantitative and communication skills Team player, capable of working in cross-border deal teams Advanced Microsoft Office skills (Word, PowerPoint and Excel) Expected base salary rates for this role in our New York or Boston Office will be between $200,000 and $250,000 per year at the commencement of employment. However, salary offers are determined on an individualized basis and are based on a wide range of factors, including relevant skills, training, experience and education. Market and organizational factors are also considered. In addition to salary and our Rothschild & Co employee benefits package, successful candidates may be eligible to receive a discretionary bonus. Rothschild & Co North America is an equal opportunity employer. If you are a qualified individual with a disability or disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access this career website.

Posted 3 weeks ago

Director, Healthcare Enterprise Strategy-logo
Director, Healthcare Enterprise Strategy
GuidehouseMclean, VA
Job Family: Operational Effectiveness Consulting Travel Required: Up to 75%+ Clearance Required: None As a director, you are a leader and strategic driver within our Healthcare Strategy practice. You are a high-impact, collaborative changemaker with a proven track record in healthcare payer/provider consulting. You bring advanced expertise in strategy, project leadership, and people development, and are adept at managing multiple complex projects simultaneously. Your role is pivotal in shaping client outcomes, developing future leaders, and advancing our firm's strategic vision. A core expectation of this role is to serve as a master practitioner and teacher, using an apprenticeship model to develop the next generation of consulting leaders. You will actively coach Managers and junior consultants in the foundational and advanced skills of strategy consulting, ensuring they learn not just by observation, but through deliberate practice, feedback, and structured skill-building. What You Will Do: Strategic Leadership and Project Oversight Lead multiple, concurrent client engagements, ensuring delivery of high-quality, innovative solutions that align with client and organizational goals. Develop and implement comprehensive strategies for healthcare payer/provider clients, including business model transformation, operating model design, enterprise transformation, M&A, and service line innovation. Oversee project teams, set clear objectives, and ensure projects are delivered on time, within scope, and on budget. Apply and teach advanced strategic frameworks (e.g., wind tunneling, SWOT, Porter's Five Forces, PEST, 3Cs) and data-driven methodologies to solve complex business challenges and drive measurable value. Client Relationship Management Serve as an advisor to senior client stakeholders, building and maintaining long-term relationships. Anticipate client needs, proactively identify opportunities, and deliver actionable recommendations that support client objectives. Represent the firm at industry events, conferences, and client meetings to enhance brand visibility and thought leadership. Team Leadership, Apprenticeship, and Talent Development Lead, mentor, and develop Managers and junior consultants, fostering a culture of collaboration, innovation, and continuous learning. Use an apprenticeship model to teach and model classic strategy consulting skills, including: Issue-based problem solving and hypothesis-driven analysis Choice structuring and decision-tree logic Structured communication (e.g., pyramid principle, storylining, executive summaries) Analytical and quantitative modeling Strategic thinking and business acumen Framework application and synthesis of insights Stakeholder management and influencing skills Project management and prioritization Provide regular feedback, conduct performance evaluations, and support career development for team members Business and Practice Development Drive business development initiatives, including proposal development, client presentations, and identification of new business opportunities Contribute to the growth of the healthcare strategy practice through thought leadership, offering development, and internal process improvement Collaborate with other leaders to shape the strategic direction of the practice and ensure alignment with organizational goals Financial and Operational Management Oversee project budgets, resource allocation, and financial performance, ensuring efficient use of resources and achievement of profitability targets Monitor and report on project progress, risks, and outcomes to senior leadership and clients What You Will Need: Bachelor's degree 10+ years of strategy consulting experience in top-tier or boutique consulting, with a focus on healthcare payer/provider industry. Demonstrated success managing multiple, complex projects and leading cross-functional teams. Advanced strategic thinking, analytical, and problem-solving skills. Exceptional communication, presentation, and relationship-building abilities. Proficiency in data analytics tools (e.g., PowerBI, Tableau, Alteryx) and financial modeling. Willingness to travel as required. What Would Be Nice to Have: Masters in healthcare administration (MHA) or related advanced degree. Experience with AI, cloud, or machine learning in healthcare. Active participation in healthcare industry associations. The annual salary range for this position is $179,000.00-$298,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave and Adoption Assistance 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Student Loan PayDown Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program Mobility Stipend About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Posted 30+ days ago

Pharmacy Strategy Advisor - Cigna Healthcare - Hybrid-logo
Pharmacy Strategy Advisor - Cigna Healthcare - Hybrid
CignaPhoenix, AZ
The Cigna Healthcare Pharmacy Management team is seeking a Pharmacy Strategy Advisor who is strategic, has excellent communication skills, extremely organized, and handles ambiguity well. We are looking for the right candidate who can support the overall vision, goals, and objectives of the Cigna Healthcare integrated Pharmacy business. This position will require extensive coordination with cross-functional partners, The Pharmacy Strategy Advisor will be responsible for supporting the department in strategy development and delivery, product roadmap, portfolio funding prioritization, and special projects to support Cigna Pharmacy sales growth, client retention, and enterprise goals. Additionally, this role will be responsible for participating in innovation and ideation activity for new value creation, key initiative tracking and governance, and project management as needed. The position will report to the Director, Pharmacy Strategy within the Pharmacy Strategy team of Cigna Healthcare. A successful individual in this role will have a deep understanding of pharmacy benefits, clinical programs and customer experience as well as strong analytic, communication, and decision-making skills. The position works closely with cross-functional partners across the enterprise including matrix partners within Express Scripts, Evernorth, and Accredo in addition to the Enterprise Strategy team, Finance, Actuary, Sales, and Senior Leadership. Excellent organizational skills, attention to detail and the demonstrated ability to deliver quality, finished work is a must. Advanced experience with Excel, PowerPoint, and Word is essential and experience with Smartsheets or Wrike as a project management tool is necessary. ESSENTIAL FUNCTIONS Provide support across the Senior Leadership team on strategy development, activation and delivery Provide support and coordination on the Pharmacy component within the US Employer strategy memo Partner with cross functional teams and matrix partners on the product roadmap, portfolio funding, and special projects as defined Participate in new value creation activities such as innovation labs and ideation sessions Govern, track, and report out via appropriate communication channels on key initiative progress and action items Provides support for the development, enhancement, and evaluation of the Pharmacy Product portfolio. Other product management responsibilities as assigned QUALIFICATIONS Bachelor's degree required; MBA preferred. 5+ years' experience in insurance or healthcare industry with 3+ years' experience in pharmacy benefit. Excellent written and verbal communication skills, including demonstrated ability to quickly translate ideas and insights into presentation-ready documents Excellent meeting facilitation and organizational skills Strong strategic, financial, and analytical skills A self-starter with advanced problem-solving skills who has the initiative to work cross-functionally to resolve issues and generate results Demonstrated ability to think/act strategically and influence key leaders and matrix partners Ability to prioritize and balance workload accordingly, detail-oriented and proactive Excellent communication skills (verbal, written, and presentation), especially with the ability to work with executives, clients and broad teams; tailoring communication per audience Demonstrated ability to work with remote personnel to achieve agreed upon goals and objectives If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 100,400 - 167,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 days ago

Healthcare Analyst II-logo
Healthcare Analyst II
Network HealthBrookfield, WI
Network Health's success is rooted in its mission to create healthy and strong Wisconsin communities. It drives the decisions we make, including the people we choose to join our growing team. The Healthcare Analyst II gathers, validates, maintains, analyzed, and manipulates data used in reporting and decision-making processes, supporting Network Health Plan, plan sponsors, and plan providers affecting decisions, activities, and processes in several departments, including Finance, Group Administration, Claims, IS, Sales, Quality Improvement, and Care Management. This position uses a variety of methods and tools to develop and document reports and processes that support ongoing activity or ad hoc requests. Interpret data, identify trends, establish/utilize benchmark data, and present information to customers in clear, concise, and useful formats, including data visualizations and interpretation of information. Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to for a hybrid work environment (reliable internet in your home is required) Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team. Job Responsibilities: Demonstrate commitment and behavior aligned with the philosophy, mission, values and vision of Network Health Appropriately apply all organizational, regulatory, and credentialing principles, procedures, requirements, regulations, and policies Using a variety of programming languages and query tools, e.g. SAS, SQL, etc., develops and distributes information from integrated databases, e.g. Data Warehouse, Excel, third party purchased data, etc., validates reports to ensure accuracy of reported. Interpret data, identify trends, establish/utilize benchmark data, and present information to customers in clear, concise, and useful formats, including data visualizations and interpretation of information Understands and identifies data elements used in reporting packages and determines impact on management reports needing integrated data. Works with various departments to create new fields in base system or reporting databases to enhance reporting capabilities. Documents process used in transforming raw data to meaningful information. This will provide the customer with a fully defined report, an analysis of the results, and the process used to create the information Job Requirements: Bachelor's degree in a technical, business, actuarial or scientific field Three years of experience in an analytics position, using statistical analysis, report development and analytics Two years of experience in insurance and/or health care related industry Strong oral and written communication skills with the ability to listen mindfully, identify gaps and ask appropriate questions Ability to organize one's work and space to ensure successful completion of assigned tasks within the identified timeframe Ability to adapt to new circumstances, information and challenges in a fast-paced environment Ability to work independently, as well as part of a team Experience with programming languages and query tools. Prefer SAS and/or SQL Ability to communicate with business users and other sources to accurately derive and define project requirements, specifications, and design Ability to work at both a conceptual and detail level with strong analytical, problem solving, and decision-making skills Must be able to analyze and formulate complex design alternatives and recommend appropriate solutions from both a business and technical perspective We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce.

Posted 1 week ago

Patient Account Representative - Self-Pay - Healthcare Patient Calls-logo
Patient Account Representative - Self-Pay - Healthcare Patient Calls
GuidehouseSan Antonio, TX
Job Family: Patient Account Representative Travel Required: None Clearance Required: None What You Will Do: The Patient Account Representative - Self Pay is an extension of a client's business office staff. Representatives are responsible for taking in-coming and out-going calls to patients and insurance companies to resolve patient accounts. All client policies and procedures are followed. Representatives will perform any and all job-related duties as assigned This position will be based Monday through Friday out of our San Antonio, TX office. Individuals must be able to work an eight hour shift between the hours of 7:00 AM CT - 4:00 PM CT. Inbound calling emphasis Insurance verification Account Review EOB knowledge Assist patients with policy statuses and insurance verifications Customer Service Account Updates Strong Verbal / Written Communication Skills Complete all business-related requests and correspondence from patients. Complete all assigned projects in a timely manner. Assist client and patients in all requested tasks. Communicate to Guidehouse management areas of concern or areas of improvement. Research and respond to all patient inquiries received by telephone and mail. Update patient demographic information and initiate account adjustments. What You Will Need: High School Diploma / GED or 3 years of relevant equivalent experience in lieu of diploma / GED. 0-2+ years working within the following sectors: healthcare, insurance, business, finance or customer service. Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service related responsibilities. Bilingual Spanish required What Would Be Nice to Have: PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel 1+ year experience working in a Healthcare or Customer Service setting. Ability to initiate and follow through on projects and work independently with minimal supervision #IndeedSponsored What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Posted 5 days ago

Government Healthcare Actuarial Manager-logo
Government Healthcare Actuarial Manager
Clark InsuranceMinneapolis, MN
Company: Mercer Description: We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. This role will be based in Phoenix, Atlanta, D.C., or Minneapolis. This is a hybrid role that has a requirement of working at least three days a week in the office. Mercer's Government Human Services Consulting (GHSC) practice has touched more than 60 million lives since our inception in 1985, working with state Medicaid agencies to transform Medicaid programs to better serve our most vulnerable communities. Our nearly 500 specialists provide comprehensive services including actuarial and financial, clinical and behavioral health, pharmacy, policy, and more. We will count on you to: Lead routine client engagements, managing overall service delivery and strategy, financial evaluations, plan design, and more Draft and review client reports and presentations to summarize findings and implications, and recommend strategies and solutions to the client Perform and review complex analyses and cost projects by using or modifying existing tools and pricing models, and review analyses conducted by junior staff to ensure actuarial soundness and correct use of models Handle day-to-day client contact and management, resolving any project-related questions and challenges, and guide junior staff members in client interactions Assist senior team members in the development of the business by identifying potential areas of growth in existing projects, and provide assistance in responding to requests for information or proposals What you need to have: BA/BS degree 5+ years minimum health actuarial experience, with 3+ years of Medicaid actuarial experience Actuarial credentials (ASA, FSA, MAAA) Ability to handle client and project management in a demanding work environment with tight deadlines What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Experience leading large teams and/or large, complex projects Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. 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 $117,000 to $234,500. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 2 weeks ago

Healthcare Retention Specialist - Bilingual English/Spanish Speaking-logo
Healthcare Retention Specialist - Bilingual English/Spanish Speaking
Family Health Centers of San Diego, Inc.San Diego, CA
Impact Lives, Impact Community Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. With over 90 sites, over 227,000 patients, and over 1.1 million healthcare visits last year, we provide a wide variety of health care and outreach services to a very diverse patient population. We are proud of our mission, our lasting community impact, and the cultural and individual diversity of our staff. Family Health Centers of San Diego (FHCSD) is looking for a Healthcare Retention Specialist- The Healthcare Retention Specialist is under the supervision of the Coordinator of Access to Care, provides a variety of services to those who have received Insurance Enrollment services, including verification of enrollment, tracking utilization of healthcare services, and encouraging renewal applications. Responsibilities: Answers Insurance Hotline to screen for coverage, and schedules application assistance appointments with an Enrollment Specialist. Completes project-specific logs and collects required project data. Makes timely and accurate submission of monthly reports. Makes telephone and mail contact with individuals receiving FHCSD Enrollment services; verifies enrollment; documents any healthcare utilization; and encourages renewal applications. Meets department retention productivity standards. Performs other duties as assigned. Provides coverage for Healthcare Enrollment Specialists as needed. Participates in community events as needed. Requirements: Ability and means to travel as needed in a timely manner within San Diego County, to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS: Licensed for a minimum of 3 years; No more than 2 violations and/or accidents within 3 years; No vehicle related suspensions/reinstatements; No DUI, reckless or felony Driving with 7 years. High school graduate or GED equivalency. Rewards: Job type: Regular Full Time Competitive Salary with Excellent Benefits Retirement Plan with Employer Match Paid Time Off, Extended Sick Leave and Paid Holidays Medical/Dental/Vision/FSA/Life Insurance Employee Discounts and Wellness Programs FHCSD was founded by community activists working towards a common goal: caring, affordable, high-quality medical care for all. We are proud to continue this mission today as we provide accessible services to over 210,000 patients across San Diego County. The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved. In the spirit of pay transparency, we are excited to share the base range for this position, exclusive of fringe benefits. $22.00 - $26.27 If you are hired at Family Health Centers of San Diego, your final base salary compensation will be determined based on factors such as geographic location, jurisdictional requirements, skills, education, and/or experience. In addition to these factors - we believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is what we reasonably expect to pay for the role. Hiring at the maximum of the range would not be typical in order to allow for future and continued salary growth. We also offer a generous compensation and benefits package (more information on our benefits offerings is available here: FHCSD Wellness- Employee Hub (gobenefits.net)

Posted 4 weeks ago

Healthcare Credentialing Coordinator-logo
Healthcare Credentialing Coordinator
The Oncology InstituteCerritos, CA
Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With 100+ employed clinicians and more than 700 teammates in 75+ clinic locations and growing. TOI is changing oncology for the better. Credentialing Coordinator with The Oncology Institute offers a unique opportunity to contribute meaningfully to the healthcare system. By ensuring that healthcare providers possess the necessary qualifications and credentials to deliver specialized care to oncology patients, you directly impact the quality and safety of cancer treatment. Your role facilitates the smooth operation of healthcare facilities, ensuring compliance with regulatory standards and fostering trust between patients, providers, and institutions. You will play a vital role in supporting the ongoing advancement of oncology care by maintaining accurate records and staying abreast of evolving credentialing requirements and best practices. This position allows you to make a tangible difference in the lives of cancer patients by enabling access to high-quality, specialized care. Job Duties: Functions as part of a team in the provision of credentialing and privileging of practitioners, allied staff and other licensed personnel. Participates with outside agencies that relate to the Credentialing process, such as ICE (Industry Collaboration Effort), CAMMS (California Association Medical Staff Services), and health plans. Participates in credentialing meetings. Maintaining compliance with regulatory and accrediting bodies; Joint Commission, NCQA and HRSA/FTCA credentialing requirements. Responsible for ensuring Medicare, Medi-Cal, Special Programs and CAQH clinic applications, including Pharmacy are completed accurately and submitted in an efficient and timely manner. Knowledgeable and efficient in submitting applications May assist providers and/or department staff in completing credentialing applications and necessary paperwork. Collaborates with inter-departmental peers, including Quality Management, Operations, Human Resources, and Medical to identify and implement best practices and to ensure an integrated, timely and consistent product. Communicates with all TOI staff verbally, email, memo or phone as appropriate. Ability to work cooperatively in a team environment to support and advance the mission, vision and goals of The Oncology Institute Performs other duties as assigned or required. Additional Duties: HIPAA compliance- Responsible for maintaining abreast of and in compliance with all regulations and requirements as defined under the Health Insurance Portability and Accountability Act (HIPAA). Is expected to treat all TOI team member's information as sensitive and confidential. Compliance- Ensure compliance with all local, state and federal regulations.\ QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization. Qualifications, Experience, and Education: EDUCATION: High School, GED EXPERIENCE: One year of credentialing experience in healthcare with a thorough understanding of credentialing and privileging. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. Pay Transparency for hourly teammates $21-$22.50 USD

Posted 1 week ago

Sales Ambassador, Healthcare-logo
Sales Ambassador, Healthcare
First Quality Enterprises Incdallas, TX
First Quality was founded in 1989 and has grown to be a global privately held company with over 4,000 employees. Its corporate offices are located in Great Neck, New York, with manufacturing facilities and offices in Pennsylvania, South Carolina, Georgia, and Canada. First Quality is a diversified family of companies manufacturing consumer products ranging from Absorbent Hygiene (adult incontinence, feminine care, and baby care), Tissue (bath and towel), and Industrial (print and packaging materials), serving institutional and retail markets throughout the world. First Quality focuses on private label and branded product lines. We are seeking a Sales Ambassador, Healthcare for our First Quality Products, LLC working remotely from Texas. This position will be responsible for hunting and closing new Healthcare opportunities in assigned territory for First Quality's full range of absorbent and wipe product lines. Also, maintain existing Healthcare business in assigned territory or accounts. Primary responsibilities include: Work closely and effectively with internal teams and distributors to achieve company and customer objectives. Develop, grow, and maintain an active and robust sales pipeline. Identify potential new Healthcare opportunities by researching and uncovering new potential opportunities. Utilize sales reports and data to analyze business to determine customer needs and develop strategic plan. As necessary travel to customers to support closing and maintaining accounts. Represent company to promote our products and programs at trade shows, conferences, and other association meetings Understand the needs and expectations of the customer and provide relevant solutions The ideal candidate should possess the following: 2 years of Sales Experience preferred. Bachelor's degree preferred. Demonstrated sales skills and success at regionally sized accounts. Excellent verbal and written communication skills. Proficient analytical skills. Comfortable and effective presenter digitally and virtually. Standard knowledge of Microsoft Office Suite. Word, PowerPoint, and Excel. Creative thinking, possess ability to resolve critical problems Ability to work independently as well as in a team environment Understanding of Healthcare industry and current with trends. Effectively communicate throughout First Quality their customers/territory and trends Travel within Territory as needed and some travel outside of territory for meetings and industry events. Expect 25-50% overnight travel First Quality is committed to protecting information under the care of First Quality Enterprises commensurate with leading industry standards and applicable regulations. As such, First Quality provides at least annual training regarding data privacy and security to employees who, as a result of their role specifications, may come in to contact with sensitive data. First Quality is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, sexual orientation, gender identification, or protected Veteran status.

Posted 2 weeks ago

Senior Healthcare Project Architect-logo
Senior Healthcare Project Architect
NbbjSan Diego, CA
We are an award-winning design firm, fueled by ideas and a culture of collaboration. Our purpose-driven approach creates healthy places, strong communities and a resilient environment. That's where you come in. With leading clients, diverse colleagues and offices in creative capitals around the globe, a career at NBBJ will inspire you to be extraordinary and help create lasting change. You can learn more about our firm, see what it's like to work here and explore recent projects and ideas at NBBJ.com. Join us to make an impact today! The role at a glance: NBBJ is seeking a Senior Project Architect for our Healthcare Practice to be located in our San Diego office. NBBJ is looking for a project architect with demonstrated experience working on HCAI 1/OSHPD 1 projects in California and who has worked primarily with large-scale, healthcare projects involving client contact and leadership responsibilities. The Senior Project Architect performs architectural design and delivery for a wide variety of projects involving the construction of new buildings and the alteration of existing buildings and facilities. In your new role, you will: Work with clients and team members to identify objectives, develop options, and formulate creative solutions. Interpret design concepts by collaborating with project team and translate them into workable construction systems and detailing, while maintaining design intent and advocating for design excellence. Prepare appropriate documentation and deliverables from schematic design through construction administration in accordance with established firm and industry standards. Maintain appropriate records for project phases in accordance with established firm and industry standards. Lead and coordinate the work of other team members and consultants, providing direction, guidance, and mentoring as appropriate. May participate in marketing efforts, including proposal development, presentations, and client interviews. What you will need to succeed: Minimum 15 years of experience in the architectural field with successful experience in the documentation and delivery of large-scale healthcare projects HCAI 1/OSHPD 1 experience is mandatory for this role Demonstrated experience working on healthcare projects in the state of California Fluency in Revit B Arch or M Arch degree Architectural Licensure; LEED or other sustainability accreditation preferred. Proven ability to work within a highly collaborative team environment Excellent communication skills and strong attention to detail Ability to work with integrity, trust and commitment; setting an example for others Ability to travel as the project(s) requires The annual base pay range for this role is anticipated to be between $115,000 and $140,000. Actual compensation for successful candidates will be carefully determined based on a number of factors, including their skills, qualifications and experience. Why choose NBBJ? We believe that all NBBJ employees should love their work. This means not only loving what you do but having pride in your workplace. We strive to be that irresistible place to work by enhancing your employee experience with customized programs and comprehensive benefits. In addition to 100% covered employee healthcare costs and 401k contributions, we offer unique professional development opportunities, volunteer opportunities and access to leading technology and resources to further help you love your work and advance your career. NBBJ has been named three times by Fast Company as one of the most innovative architecture firms. Founded in 1943, our first office opened over 75 years ago in Seattle, Washington. We now have over 10 office locations around the globe. We are a transdisciplinary, cross-practice focused firm with a deep portfolio of Civic & Cultural, Commercial, Corporate, Healthcare, Higher Education, Science and Technology, Sports, and Urban Environment projects. We also have several areas of service expertise including: Architecture, Environmental Graphic Design, Interior Design, Lighting Design, Workplace Consulting and more. In the past decade, NBBJ has received more than 300 awards from leading global, national and regional award programs across the business, real estate and design communities. We work with 5 of the top global high-tech companies, 14 of the U.S. News and World Report Top Hospitals, and 4 of the top 10 highest-ranked learning institutions. Our clients include institutional leaders such as Cambridge University, Google, Samsung, Cleveland Clinic, Tencent, and Stanford University. NBBJ is an Equal Opportunity Employer. M/F Disabled and Vet EEO/AA Employer. NBBJ does not accept unsolicited resumes or similar submissions from third party recruiters or employment agencies. Any unsolicited materials received by NBBJ from a source other than an individual candidate will be considered NBBJ property and NBBJ reserves the right to pursue and hire candidates referred to us without any financial obligation to the third party in question. If you are interested in becoming an approved NBBJ external recruiter, please contact a member of the NBBJ Talent Acquisition Team.

Posted 30+ days ago

RN Supervisor - Willow Springs Healthcare Center-logo
RN Supervisor - Willow Springs Healthcare Center
PACSWillow Springs, IL
RN Supervisor - Willow Springs Healthcare Center Where compassion meets leadership! Are you a Registered Nurse with a heart for care and a knack for leading teams? Willow Springs Healthcare Center is looking for an energetic and compassionate RN Supervisor to join our family! Shift: NOC (11PM-7:30AM) Schedule: Part Time Pay: From $48 per hour +/DOE What you'll do: Lead and inspire a team of dedicated nursing staff Oversee daily clinical operations with confidence and care Collaborate with interdisciplinary teams to ensure top-notch resident care Be a mentor, a motivator, and a difference-maker every day Why you'll love it here: Supportive leadership and a team that feels like family A workplace that values fun, growth, and excellence A chance to truly impact lives in a meaningful way Ready to lead with heart? Apply today and help us make every day a little brighter at Willow Springs!

Posted 1 week ago

Consulting Director - Healthcare, Supply Chain-logo
Consulting Director - Healthcare, Supply Chain
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. At Huron, Directors represent the pinnacle of professionalism and expertise. They effectively collaborate with Huron and client senior leaders to design and implement complex and sustainable solutions while delivering remarkable results for our clients that often exceed engagement objectives. Throughout their projects, they develop enduring client relationships that benefit the firm in profound ways including networking, ongoing business development, and sales opportunities. Their talents and leadership qualities instill passion and trust in clients, junior staff members, and Huron management. If you can lead teams, create customized solutions, and masterfully communicate on every level…If you're a consummate professional, a prospective champion of integrity and excellence, and an inspiration of confidence and trust… then you can and will-leave your mark on the future of consulting. Create your future at Huron. REQUIRED SKILLS: Ability to independently lead and direct teams in the delivery of complex performance improvement engagements by creating collaborative, high performing work environments while continually addressing issues, removing barriers, and ensuring successful client outcomes; experience successfully managing engagement-wide economics, such as budgets, invoicing, and billing Proven analytical and critical thinking skills required to effectively quantify financial and operational benefits for performance improvement initiatives, identify risks to achieving projected outcomes, and develop solutions to address data gaps or risks Exceptional verbal communication and listening skills to understand client challenges, create customized solutions to achieve their business objectives, and manage client expectations around benefits and deliverables; proven ability to create presentations and proposals and deliver those with impact to key client stakeholders Proven success in building strong relationships while leading a multi-faceted change process; demonstrated change management expertise and experience positively influencing change in a variety of complex environments Team leadership experience including role definition and development, team building, coaching/mentoring, and performance management providing feedback through performance management Demonstrated ability to build and maintain a professional network, recognize opportunities to enhance and expand relationships, and identify business development opportunities that align with Huron's broad set of capabilities Required to complete all assigned instructed courses and compliance trainings CORE QUALIFICATIONS: Bachelor's degree required Willingness and ability to travel every week up to 80% (Monday-Thursday with occasional onsite Fridays) and work extended hours as needed (40+) Strong leadership and management skills aligning to Huron's core values and competencies Excellent communication skills - oral and written - and the interpersonal skills needed to quickly establish relationships of trust and collaboration The ability to train and participate in the professional development of Huron staff in both project management and technical dimensions. The ability to contribute on multiple projects of differing scale and duration Proficient in Microsoft office (Word, PowerPoint, Excel) Direct Supervisory experiences of both individuals and teams 8-10 years of consulting and/or healthcare operations experience Preferred experience in a matrixed organization US Work Authorization required PREFERRED EXPERIENCE: Relevant hospital operations experience directing a department and/or team-based projects with a focus on process re-engineering/performance improvement initiatives and change management, OR Project leadership and workplan management experience within a consulting firm setting with a focus on healthcare supply chain services Specific experience in cost and expense management within administrative and corporate functions [not required] Strong understanding/methodology in reducing supply chain costs related to clinical supplies, physician preference items (PPI's) GPO process optimization, strategic sourcing, inventory management, Seeking specific clinical leadership experience in multiple and varied care settings with a focus on care delivery optimization and redesign, talent strategy to include workforce planning, and promoting innovative digital strategies to improve care. #LI-RH1 The estimated base salary range for this job is $170,000 - $215,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $212,500 - $290,250. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Director Country United States of America

Posted 1 week ago

Managing Director - Healthcare Corporate Banking-logo
Managing Director - Healthcare Corporate Banking
Huntington Bancshares IncCalifornia, MD
Description The Managing Director develops and maintains profitable relationships with large and mid-corporate Healthcare companies and select private equity groups nationwide. Please note: Preferred locations are Nashville, Columbus, Cincinnati, or Charlotte, but open to remote anywhere in the U.S. Develops and deepens relationships with clients and prospects within the for-profit, corporate Healthcare industry across multiple sectors. Drives new revenue growth through new client acquisition and cross-selling of applicable bank products including loans, deposits, capital markets, treasury management, and other services in all Huntington segments based on assigned goals. Retains and deepens existing and new relationships by delivering compelling ideas and insights in concert with product partners. Identifies and mitigates credit risks, makes recommendations on appropriate credit structure, and effectively articulates bank recommendations to clients and prospective clients. Adheres to bank policies and procedures and complies with legal and regulatory requirements. Works collaboratively with Healthcare Portfolio Management and Credit teams as well as other Huntington teams in a cross-functional environment. Helps coach and mentor junior colleagues. Performs additional duties as required. Requisite Skills and Job Experience: Excellent corporate finance and credit skills, particularly with larger and more complex Healthcare companies Ability to differentiate based on strong relationship building skills as well as ability to offer deep, compelling, and actionable insights. Proven business development track record in winning new relationships. Solid team player with strong collaboration and partnering skills. Excellent written and verbal communication skills. Adaptable and flexible self- starter with demonstrated ability to work independently and in a team environment to execute strategy. Basic Qualifications: Bachelor's Degree 5 or more years' experience in corporate banking 5 or more year's banking in the Healthcare industry Preferred Qualifications: 7 or more years' experience in corporate banking, preferably in the Healthcare industry Proven sales acumen and experience in corporate banking along with formal credit training Series 79 and 63 licensed, or willingness to obtain. Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay) Yes Workplace Type: Remote Our Approach to Office Workplace Type Certain positions outside our branch network may be eligible for a flexible work arrangement. We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team. Compensation Range: $125,000.00 - $255,000.00 Annual Salary The compensation range represents the low and high end of the base compensation range for this position. Actual compensation will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. Colleagues in this position are also eligible to participate in an applicable incentive compensation plan. In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO). Huntington is an Equal Opportunity Employer. Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details. Note to Agency Recruiters: Huntington will not pay a fee for any placement resulting from the receipt of an unsolicited resume. All unsolicited resumes sent to any Huntington colleagues, directly or indirectly, will be considered Huntington property. Recruiting agencies must have a valid, written and fully executed Master Service Agreement and Statement of Work for consideration.

Posted 2 weeks ago

Advisory Services, Healthcare Supply Chain Sr. Consultant - Remote-logo
Advisory Services, Healthcare Supply Chain Sr. Consultant - Remote
UnitedHealth Group Inc.Eden Prairie, MN
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Advisory Services, Supply Chain Sr. Consultant serves as a strategic advisor and project lead for healthcare clients, focusing on driving cost savings, operational improvements, and supply chain transformation. This client-facing role is hands-on, managing workstreams from analysis through execution while collaborating closely with hospital leads, supply chain teams, and clinical stakeholders. The Senior Consultant plays a critical role in delivering measurable results across areas such as strategic sourcing, supplier negotiations, contract optimization, value analysis, and process improvement. The position also supports internal initiatives, peer knowledge sharing, and continuous improvement of consulting methodologies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Client Delivery & Project Execution: Respond to client requests and manage deliverables for supply chain managed services engagements, ensuring timely execution and high service quality in alignment with contractual obligations Develop and deliver clear, concise updates to leaders at hospital client sites and internal leadership teams Conduct spend analysis, supplier negotiations, contract optimization, and strategic sourcing initiatives to drive cost savings Drive sourcing initiatives and engage directly with suppliers, vendors, and GPOs to optimize client outcomes Support governance, value analysis, and physician alignment efforts Deliver executive-level presentations summarizing findings, financial impacts, and recommended actions Monitor progress toward savings targets, manage project plans, and provide status updates to clients and leadership Internal Collaboration & Methodology Support Contribute to refining internal tools, frameworks, and consulting methodologies based on field experience and client feedback Participate in peer knowledge sharing, case study development, and lessons-learned sessions to strengthen team capabilities Support internal training initiatives and act as a resource to junior team members, offering expertise as a peer Assist with internal strategic projects, thought leadership, and operational improvement efforts You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of healthcare supply chain experience in consulting, hospital operations, GPOs, or supplier roles handling spend analysis, supplier negotiations, contract optimization, and strategic sourcing initiatives to drive cost savings 2+ years of proven experience leading healthcare supply chain cost savings initiatives, including sourcing and supplier negotiation. Proven solid analytical skills with advanced proficiency in Microsoft Excel (pivot tables, VLOOKUPs, data analysis) Ability to develop executive-level presentations and deliver complex information clearly to C-suite audiences Demonstrated ability to manage multiple projects, workstreams, and client relationships simultaneously Ability to be comfortable navigating healthcare supply chain data, contracts, and supplier dynamics Willingness to travel up to 75% for client or internal meetings Preferred Qualifications: Lean Process Improvement (Six Sigma, Lean, etc.) Experience leading complex supply chain transformation engagements within hospitals Experience revamping supply chain methodology and evaluation frameworks Demonstrated familiarity with value analysis, physician preference items (PPI), purchased services, and GPO alignment Experience working with ERP systems (Workday, Oracle, Infor) or supply chain analytics platforms All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 1 week ago

Paralegal - Healthcare-logo
Paralegal - Healthcare
COMPUGROUP MEDICAL NAustin, TX
Create the future of e-health together with us by becoming a Paralegal - Healthcare At CompuGroup Medical we have the mission of building ground-breaking solutions for digital healthcare. Our vision is revolutionizing how healthcare professionals produce, access, and utilize information and thus enabling them to focus on the core value of their work: patient outcomes. Your Contribution: Conduct thorough research on relevant legal issues, statutes, regulations, case law and other relevant materials. Prepare and review various legal documents, including contracts, agreements, and compliance reports. Provide administrative and clerical support to Vice President of Legal Affairs and legal staff, including managing case files, calendaring deadlines, organizing documentation and correspondence. Address potential HIPAA violations, investigating breaches, and reporting incidents as required. Work with IT and other departments to protect PHI and ensure organizational compliance with state and local laws & regulations. Monitor and advise company of relevant changes in law, policy or guidance in health care and technology industries. Your Qualification: Associate's degree in Paralegal Studies or a related field; Bachelor's degree preferred. Minimum 2 years of experience as a paralegal or in a similar role, with experience in contract law, technology contracts or corporate law preferred. Knowledge of health care legislation (HIPAA, HITECH, 21st Century Cures Act, Government payers, Billing and Participation, Stark Law, Anti-back Statutes, etc.) and the best practices to facilitate compliance with the requirements. Experience in a fast-paced tech company. Flexible minimum of 40 hours a week with 3 days in the office. What you can expect from us: Purpose: Become part of an important missions. At the interface between healthcare and digitization we create the future of e-health. Equal Opportunity Employer: At CGM, we value our team members and strive to create an environment where everyone has the opportunity to succeed. Career Opportunities: We are offering a variety of internal career opportunities and numerous long-term perspectives. Security: We offer a secure workplace in a crisis-proof market. All-round benefits package: Medical, Dental and Vision as well as 401k with employer matching. Personal Time Off to promote work life balance. Work environment: Modern workplaces, flexible working hours, hybrid work options and much more. Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date. We create the future of e-health. Become part of a significant mission.

Posted 5 days ago

Healthcare Rel Mgr III-logo
Healthcare Rel Mgr III
Old National BankMilwaukee, WI
Overview Old National Bank has been serving clients and communities since 1834. With approximately $70 billion in total assets, we are a regional powerhouse deeply rooted in the communities we serve. As a trusted partner, we thrive on helping our clients achieve their goals and dreams, and we are committed to social responsibility and investing in our communities through volunteering and charitable giving. We continually seek highly motivated and talented individuals as our people are critical to our success. In return, we offer competitive compensation with our salary and incentive program, in addition to medical, dental, and vision insurance. 401K, continuing education opportunities and an employee assistance program are also included in our benefit suite. Old National also offers a variety of Impact Network Groups led by team members who are passionate about driving engagement, creating awareness of diverse backgrounds and experiences, and building inclusion across the organization. We offer a unique opportunity to join a growing, community and client-focused company that is firmly rooted in its core values. Responsibilities Salary Range The salary range for this position is $77,900 - $199,000 per year. Final compensation will be determined by location, skills, experience, qualifications and the career level at which the position is filled. Relationship Manager roles may vary between RM II, RM III, RM IV, RM Senior - this position may be filled at a different level depending on the candidate's qualifications and relevant experience. Factors may include but are not limited to: Depth and breadth of prior and/or related commercial lending, business development, commercial credit and portfolio management in Healthcare Banking or similar Commercial market experience Number of consistent years with success and track record as a Healthcare Relationship Manager (or similar role) at the Bank or at another financial institution Demonstrated and proven ability to work through complex credits and/or other unique situations Well connected, known in market/region/industry, and influential in acquiring, deepening, and maintaining profitable client relationships through sales, prospecting and enhancing existing relationships Prior experience formally or informally coaching and mentoring peers while utilizing leadership skills Agile and prior proficiency to adapt if/when changes in sales practices and broader market and industry conditions are needed We are currently seeking a Healthcare Relationship Manager that will be responsible for generating new loan and deposit business, according to assigned sales goals, by initiating and developing relationships with Healthcare industries, owners/operators, developers, and centers of influence. The Healthcare Relationship Manager maintains acceptable credit quality and appropriate loan pricing. Individual portfolio management, credit underwriting acumen, and client relationship expansion, including partner referrals, are critical for success in this position. Key Accountabilities Achieve Sales Targets Prospects Healthcare businesses with annual sales greater than $10 million for new loan and deposit opportunities. Manages a portfolio of Specialty Banking Healthcare clients, serving as a key ongoing relationship contact for those clients. Works to achieve assigned personal sales goals through proactive activities and behaviors that lead to results. Aligns client and bank objectives and orchestrates organizational resources and referral partners to build collaborative, client-focused relationships. Uses a consultative selling approach to understand client needs and opportunities, including conducting pre-call planning, establishing rapport, interviewing for needs and opportunities, explaining features and benefits, overcoming objections and closing the sale. Leverages centers of influence to build a network and create a pipeline of business. Loan Originations Ensures loan requests meet the requisite level as set forth under current loan standards by evaluating loan requests for proper purpose, structure and pricing. Interacts with portfolio clients to obtain required credit information for loan renewals, modifications, and/or new credit facilities. Structures loan terms with input from assigned relationship manager; ensures loan structures adhere to credit policies and operating guidelines required by the Bank and Healthcare team. Interacts with Underwriters and Credit Officers to obtain prescreen and final credit approval. Works with clients, outside counsel, and internal loan processing teams to document and close loan transactions for portfolio clients. Seeks guidance and insight from other lenders and Executives to deliver the best possible loan terms for the bank and client. Portfolio Management Manages a portfolio of customers satisfactorily, ensuring the relationships are maintained in a professional manner and monitoring of the portfolio meets current loan standards. Strives to meet or exceed average portfolio target by strengthening existing client relationships and fostering new relationships. Manages delinquencies and portfolio to ensure that classified credits are recognized timely and referred promptly to Special Assets. Key Competencies for Position Strategy in Action- Build your strategic mindset capability. Breaks down larger goals into smaller achievable goals and communicates how they are contributing to the broader goal. Actively seeks to understand factors and trends that may influence role. Anticipates risk and develop contingency plans to manage risks. Identifies opportunities for improvement and seeks insights from other sources to generate potential solutions. Aligns activities to meet individual, team and organizational goals. Compelling Communication- Openly and effectively communicates with others. Effectively and transparently shares information and ideas with others. Tailors the delivery of communication in a way that engages the audience and that is easy to understand and retain. Unites others towards common goal. Asks for others' opinions and ideas and listens actively to gain their support when clarifying expectations, agreeing on a solution and checking for satisfaction. Makes Decisions & Solves Problems- Seeks deeper understanding and takes action. Old National is proud to be an equal opportunity employer focused on fostering an inclusive workplace and committed to hiring a workforce comprised of diverse backgrounds, cultures and thinking styles. As such, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, status as a qualified individual with disability, sexual orientation, gender identity or any other characteristic protected by law. We do not accept resumes from external staffing agencies or independent recruiters for any of our openings unless we have an agreement signed by the Director of Talent Acquisition, SVP, to fill a specific position. Our culture is firmly rooted in our core values. We are optimistic. We are collaborative. We are inclusive. We are agile. We are ethical. We are Old National Bank. Join our team!

Posted 2 weeks ago

Clark Insurance logo
Government Healthcare Actuarial Lead
Clark InsuranceSeattle, WA
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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. This role will be based in Phoenix, Atlanta, D.C., or Minneapolis. This is a hybrid role that has a requirement of working at least three days a week in the office.

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.