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Healthcare Advocate - Field Based Philly Or DE Market - Remote-logo
UnitedHealth Group Inc.Philadelphia, PA
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. The Healthcare Advocate role supports the in-office assessment program on the provider performance team. The role involves engaging providers, deploying assessments, generating workflows, sharing reporting, and providing education on improving gap closure. This role supports the in-office assessment program on the provider performance team. The role involves engaging providers to participate, deploying assessments, generating workflows to minimize administrative work for provider groups, sharing reporting, and providing education on improving gap closure. Healthcare Advocates work with various health plans, including Elevance, Humana, Centene, and Aetna, to generate in-office assessments for their members with open gaps. Healthcare advocates act as relationship owners for primary care physicians in their specific markets. This is a FIELD BASED ROLE and will be supporting the Philly/DE market If you are located in New Castle, Kent, Sussex, Philadelphia, Delaware, Chester, Lancaster, Berks, Lehigh, Northhampton, Bucks, Montgomery, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Functioning independently, travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. Will be out in the field 80% of time in defined territory with rare occasion of overnight travel Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and hospitals Develop comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity Manage end-to-end Risk and Quality Client Programs such as Healthcare Patient Assessment Form on ensuring correct delivery of data/forms to the correct providers, and the return of the data to coding ops, ensuring accurate payments are occurring for each provider based on client contract Consult with provider groups on gaps in documentation and coding Provide feedback on EMR/EHR systems where it is causing issues in meeting CMS standards of documentation and coding Partner with a multi-disciplinary team to implement prospective programs as directed by Market Consultation leadership Assists providers in understanding the Medicare quality program as well as CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding Assist providers in understanding quality and CMS-HCC Risk Adjustment driven payment methodology and the importance of proper chart documentation of procedures and diagnosis coding Supports the providers by ensuring documentation supports the submission of relevant ICD -10 codes and CPT2 procedural information in accordance with national coding guidelines and appropriate reimbursement requirements Provides ICD10 - HCC coding training to providers and appropriate office staff as needed Develops and presents coding presentations and training to large and small groups of clinicians, practice managers and certified coders developing training to fit specific provider's needs Develops and delivers diagnosis coding tools to providers Trains physicians and other staff regarding documentation, billing and coding and provides feedback to physicians regarding documentation practices Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices Collaborates with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts Assist in collecting charts where necessary for analysis 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 experience working effectively with coding software, EMR and abstracting systems 3+ years of experience working effectively with coding software, EMR and abstracting systems 2+ years of clinic or hospital experience and/or managed care experience Intermediate level of knowledge of ICD10, HEDIS or Stars (example around 6 months of experience) Advanced level of proficiency in MS Office Excel, ability to manipulate data Advanced level of proficiency in MS Office PowerPoint, ability to create and present presentations Advanced level of proficiency in MS Office Word, ability to create, edit and save documents Ability to travel up to 80% of the time in the states of Pennsylvania and Delaware within the following counties: New Castle, Kent, Sussex, Philadelphia, Delaware, Chester, Lancaster, Berks, Lehigh, Northhampton, Bucks, Montgomery Preferred Qualifications: Certified Professional Coder / CPC-A; equivalent certifications acceptable CRC certification 4+ years of clinic or hospital experience and/or managed care experience 1+ years of coding performed at a health care facility Experience in management position in a physician practice Experience in Risk Adjustment and HEDIS/Stars Nursing background i.e., RN, NP Knowledge of EMR for recording patient visits Knowledge of billing/claims submission and other related actions Knowledge of ICD10, HEDIS and Stars All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 3 weeks ago

Healthcare Recruiter-logo
Malone Workforce SolutionsOmaha, NE
Bring your personality to the Malone team! Go-getter. Straight-talker. People person. If that sounds like you, consider joining us for our mission. At Malone, there is nothing we love more than helping people and companies connect to accomplish amazing things. About Us: Malone is a private, award-winning company dedicated to providing staffing and recruitment needs to clients across the nation. Ranked on the SIA 2024 Top 100 List as one of the Largest Staffing Companies in the US, it is our pleasure to serve as the workforce resource and to make a positive impact on people's lives. Malone is actively recruiting an enthusiastic and results-driven Healthcare Recruiter to join our team. If you are passionate about customer service, building your own book of business, have sales, recruiting, or call center experience, we would love to hear from you. Position Summary: The Healthcare Recruiter is primarily responsible for sourcing, recruiting, and placing qualified medical professionals on assignments in healthcare facilities nationwide. This role requires an understanding of the healthcare sector, managing high volume inbound and outbound calls, and the ability to build and maintain relationships with candidates. Location: Omaha, NE 60258 Job Type: Full-time Primary Responsibilities: Source and develop an active network of healthcare professionals for contract, PRN and permanent placement for our client facilities. Develop and implement recruitment strategies to attract and retain top talent in the healthcare industry. Conduct initial phone screens with candidates and assist with the onboarding process Maintain communication with healthcare providers regarding assignment details, compensation, and client expectations Negotiate salary, terms and conditions of employment with candidates Collaborate with Account Managers to source, identify, match and present candidates for placements. Collaborate with Account Managers to ensure all assignment specifics are completed and meet company goals. Stay up to date with industry trends and changes to educate candidates and adjust strategies accordingly. Provide support to candidates. Qualifications: Experience in sales, recruitment, customer service, communications or related role. Knowledge of the healthcare industry and roles is preferred, but not required. Strong organizational skills and attention to detail. Self-motivated individual with drive to take advantage of abundant incentive opportunities. Proficient in Microsoft Office - including Outlook, Word, and Excel Must be able to work in office Monday- Friday 8:00am- 5:00pm The Perks: Full Benefits Package including health, dental, vision, and life insurance Opportunities for internal advancement Relaxed office environment with casual dress code Fun, results-driven culture Career Development Opportunities Opportunity to work with a talented and driven team to support you Paid Time Off and 11 paid company holidays Partnership with Point University, an accredited institution, to provide tuition discounts 2 Paid Days of Giving Health and Dependent Care FSA options 401K with Company Match Management Registry, Inc. hiring decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. For more information, please contact our corporate office at 1-866-805-8600.

Posted 30+ days ago

Healthcare Consulting Sr Director, Pharmacy-logo
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. At Huron, a Senior Director leads with expertise and collaboration, partnering with Huron and client leaders to create sustainable solutions that drive meaningful results. As a Senior Director with our Healthcare team, you will lead complex performance improvement engagements, creating high-performing environments and ensuring successful client outcomes. You'll manage engagement-wide economics, apply critical thinking to quantify benefits, and develop solutions for performance improvement initiatives. Your role will foster a supportive, inclusive environment, empowering team members and creating a workplace where diverse perspectives are valued. You will build strong executive-level relationships, lead change processes, and identify new business opportunities, leveraging Huron's capabilities to meet client objectives. This allows you to make an impact and provides 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 Senior Director in Pharmacy, you will: Lead complex performance improvement engagements, creating collaborative, high-performing environments and ensuring successful client outcomes. Manage engagement-wide economics, including budgets, revenue forecasting, margins, invoicing, and billing. Apply analytical and critical thinking skills to quantify benefits, identify risks, and develop solutions for performance improvement initiatives. Communicate effectively to understand client challenges, create customized solutions, and manage client expectations, delivering impactful presentations and proposals. Build strong executive-level relationships, lead change processes, and identify new business opportunities, leveraging Huron's capabilities to meet client objectives. Requirements: Bachelor's degree required 10+ years of consulting and/or performance improvement healthcare experience in pharmacy Senior project leadership and complex design and implementation management experience within a consulting firm setting with a focus in pharmacy The ability to travel based on client, enterprise, or project needs is an essential function of this role. While travel requirements may vary based on business need, the current average travel in the Healthcare practice is less than 50%, annually Direct Supervisory experiences of both individuals and large, complex teams Proficiency in Microsoft Office (Word, PowerPoint, Excel) US Work Authorization required Preferences: Experience in a matrixed organization or cross-functional team environment The estimated base salary range for this job is $215,000 - $295,000. 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 $268,750 - $398,250. 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 Senior Director Country United States of America

Posted 1 week ago

Project Interior Designer - Healthcare (Sponsorship Available)-logo
The Beck GroupDallas, TX
Who we are We're The Beck Group, the largest and most innovative integrated building firm in the country. We are focused on delivering design and construction excellence on a broad range of project types. Headquartered in downtown Dallas, with offices in Atlanta, Austin, Charlotte, Denver, Fort Lauderdale, Fort Worth, Mexico City, and Tampa, we believe a better process and outcome results from working together. At Beck, you will find yourself surrounded by passionate colleagues who have a collaborative mindset and care about each other. We are committed to hiring the best and brightest within our industry, and that's why we are seeking experienced professionals like you to help transform the industry and continue building Beck's respected reputation. What you bring to the table Beck is looking for a qualified Healthcare Project Interior Designer to join our team in Dallas. The Senior Healthcare Interior Designer works with design leadership as well as the Architecture team regarding the overall vision and completion of a project, carrying out the design intent using sound knowledge of Interior Design practices. Beck is one of the most advanced users of 3D modeling tools in the design process, so the candidate should be comfortable using Sketchup, Revit, Photoshop and more. The job involves the following responsibilities: Collaborates on all phases of the design process including programming client needs, conceptual and schematic design, document preparation and construction administration. Collaborate with architects, project managers, and other designers to develop interior design concepts for healthcare projects. Collaborates in the development of interiors concepts based on client vision, desire, project scope and architectural concept. Can help lead a healthcare client on best practices for finishes in a healthcare facility. Coordinates with the national healthcare practice to elevate the design quality of the healthcare projects in their office. Generates renderings and visual presentations that convey the design concepts to the client and generates finish plans, specifications and material selections needed for construction. Helps Lead design presentations internally and externally. Effectively collaborates on implementation documentation and conveys design requirements and solutions to the broader design and construction team. Participates in the selection and presentation of furniture, fixtures, equipment (FF&E), color palettes and lighting. Incorporates Integrated Sustainable Design solutions into projects. Responsible for communication with vendors, and contractors to ensure incorporation of all information into project requirements and provides support as necessary. Coordinates with project team on review and approval of final interior and exterior programming, design development documents, construction documents, furnishings selections and purchases, RFIs and submittals. Communicates with other disciplines, product representatives, furniture dealers, and fabricators and contractors to incorporate all information into project requirements. Mentor junior interior designers. Partakes in the business development process by identifying new opportunities, marketing current clients for repeat business and assisting with proposals. Who we think will be a great fit A reliable Healthcare Project Interior Designer with an understanding of complex aspects of Interior Design, having a passion to get things done, and possesses uncompromising authenticity and integrity. An individual with an interest in the Integrated project delivery method and an interest in being innovative in process improvement and technology will be an ideal candidate for this position. You also meet the following requirements: A degree in interior design, architecture, or a related field. 10+ years of relevant work experience in Interior Design, with a minimum of 7+ years in Healthcare Interior Design. Strong proficiency in Revit, SketchUp, Adobe Creative Suite, and Microsoft Office. Knowledge of building codes and regulations related to interior design. Ability to work collaboratively in a team environment. Strong communication and presentation skills. Ability to collaborate with the Preconstruction Team. Knowledge of sustainable design principles. Knowledge of Evidence Based Design principles. Professional certification or registration (such as NCIDQ, CHID or LEED) is a plus. Please include your portfolio and resume in your application. Physical Demands: Frequently required to sit, stand, and move about the office; frequently moving outdoors may be required; ability to lift and carry large plans or boxes in excess of 10 lbs; frequently operates a computer and other office equipment; ability to coordinate and participate in client meetings; constantly communicates with project team and related parties; ability to maintain standards related to architectural design and production; ability to adhere to timely and consistent attendance. May require travel or co/location. Beck's Benefits At Beck our team member experience goes beyond your day-to-day work activities - we also want to support the rest of your life goals, milestones and challenges. We strive for thrive - we want you to thrive in your wellbeing, finances, and community. In addition to robust coverage for medical, dental, vision, life & disability benefits, Beck is pleased to offer its team members: 401k match and free SmartDollar program for financial wellness Free dedicated financial coach Personal health & fitness program for tracking activities & earning rewards Paid family leave Health discounts on medical premiums Free comprehensive health screenings Free health coach program for weight-loss & hypertension management Financial & behavioral support for family forming journeys (ex. Fertility, adoption, pregnancy, and parenthood). Free Life Coach Pet insurance discount Organized projects and events to support our communities Join our team and build your future with Beck. The Beck Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, or genetic information. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

Posted 30+ days ago

Project Manager - Healthcare-logo
DPR ConstructionRaleigh, NC
Job Description DPR Construction is seeking a healthcare project manager with a minimum of 5 years of commercial construction experience. This individual will be ultimately responsible for the day-to-day execution, project controls, project engineering, cost, risk and business management of a particular project. Management will be of commercial projects within our healthcare core market. Project managers will work closely with all members of the project team, project executives and regional leadership teams and will be responsible for the following: Management of all project team members (senior project engineer, project engineers, superintendents, and field office coordinator). Mentor, develop and train project engineers for fast-paced growth. 100% detailed/hands-on knowledge of project scope. Cost control/billings/collections/change management/cash flows/monthly status reports. Key point of contact with owner and architect. Challenge and support jobsite and self-perform work team. Accountable for project completion and financials, critical success factors, and customer satisfaction results. Coordinate and manage the execution of planning and scheduling of projects. Qualifications We are looking for a flexible, detail-oriented team player with the ability to manage multiple tasks, produce quality work, and consistently meet deadlines. The successful candidate will possess: Excellent listening and strong communication skills. Ability to identify and resolve complex issues. Ability to create and support team morale. Demonstrated understanding of building processes and systems. Work scope requires complete understanding of cost estimating, budgeting and forecasting. Proficient computer skills in Microsoft Office Suite, project management software (Prolog or similar), accounting cost management software (CMIC or similar), and scheduling software (Primavera or similar). 5+ years of experience in commercial construction, preferably within DPR's healthcare core market. Bachelor's degree in construction management, engineering or related field. A strong work ethic and a "can-do" attitude. This position is salaried. #LI-RH DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at www.dpr.com/careers.

Posted 30+ days ago

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

Posted 2 weeks ago

Product Marketing Manager, Healthcare Education-logo
Wolters KluwerClayton, MO
Wolters Kluwer is seeking a dynamic and experienced Product Marketing Manager to join our Healthcare education team. The ideal candidate will be responsible for developing and executing marketing strategies that drive product adoption, engagement, and growth for our innovative suite of higher education learning solutions. This role requires a deep understanding of the healthcare education market and the ability to translate complex product features into compelling value propositions that drive demand and support our sales teams. Key Responsibilities: Market Research: Collaborate internally and externally to complete and collect market research and intelligence, define market segmentation, and develop buyer/decision-making personas. Monitor industry trends and proactively adjust marketing strategies accordingly. Provide strategic insights based on market and competitive analysis. Product Expertise: Maintain an expert understanding of our portfolio, products offered, differentiators, customers, and competition. Product Launches: Define key product launches or marketing campaigns based on the seasonal calendar, ensuring alignment between product, sales, and marketing. Campaign Execution: Develop, execute, and measure cross-channel campaigns, working across a cross-functional team that includes product management, sales, and central marketing organization. Go-to-market strategies include routes to market, offerings, global sales, and partner materials. Refine and optimize product messaging and positioning. Lead Generation: Collaborate with central marketing and solutions marketers to generate and develop/nurture leads and achieve campaign goals/metrics. Data Analytics: Track, report, and analyze program performance and ROI. Utilize data-driven insights to measure and define future best practices. Competitive Analysis: Continuously update and refine product marketing information based on the competitive landscape, adjusting positioning, messaging, and materials as required. Sales Collaboration: Work with sales and partners to develop materials that enable teams to sell and deliver new offerings, including playbooks, sales collateral, presentation assets, flyers/emails, product information documents, and competitive grids; support for internal sales training, Gather customer insights by interacting directly with customers during seminars, tradeshows, and on-site visits to inform product development and marketing strategies. Drive thought leadership initiatives by developing white papers, blog content, and speaking opportunities that position the company as an industry leader. Plan and manage marketing events, including webinars, conferences, and trade shows, to increase brand visibility and engage target audiences. Qualifications Bachelor's degree in Marketing, Business, or a related field (Master's preferred). 3+ years of experience in sales enablement and/or B2B product marketing. Experience in higher education, healthcare, or biological sciences is a plus. Strong project management and leadership capabilities. Demonstrated success in launching new products and growing market share. Advanced expertise in market research, competitive analysis and data interpretation. Proactive problem solver with high level of self-motivation Strong analytical skills with a data-driven approach to decision-making. Ability to quickly grasp complex products and communicate their value clearly. Exceptional writing skills with the ability to simplify technical concepts. Proficiency in marketing automation tools and CRM platforms. Excellent verbal and written communication skills. Collaborative mindset with the ability to thrive in a fast-paced, cross-functional environment. Deep understanding of the healthcare education landscape is a plus. Travel Requirements: This role requires travel an estimated 35% of the time for conferences, campus visits, tradeshows, and team meetings. Attend meetings outside of traditional 9-5 work hours as needed. The above statements are intended to describe the general nature and level of work being performed by most people assigned to this job. They are not intended to be an exhaustive list of all duties and responsibilities and requirements. Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process.

Posted 2 weeks ago

Sr. Government Healthcare Financial Consultant-logo
Clark InsuranceSeattle, WA
Company: Mercer Description: We are seeking a talented individual to join our Government Healthcare Consulting team (GHSC) at Mercer. The Sr. Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently. We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients address their issues. We will count on you to: Work with client and team project managers to clearly define the scope, timelines and deliverable(s) of the project; ensure development and proposes essential project documents, including the budget and work plans Ensure regular communication with client to review project status and expectations; provide expertise and insight to the client and team to solve potential problems within the project; manage scope of project, budget and timelines What you need to have: BA/BS degree 5+ years of healthcare financial analysis experience, including financial modeling, or rate setting Ability to lead large teams, projects, and initiatives in a dynamic environment Advanced MS Office skills What makes you stand out? Medicaid program experience is strongly preferred 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.

Posted 4 weeks ago

Strategy& Deals Strategy Healthcare Manager-logo
PwCBoston, MA
Industry/Sector HI X-Sector Specialism Deal Strategy Management Level Manager Job Description & Summary At PwC, our people in deals focus on providing strategic advice and support to clients in areas such as mergers and acquisitions, divestitures, and restructuring. They help clients navigate complex transactions and maximise value in their business deals. Those in deal strategy at PwC will focus on providing strategic advice and support to clients in areas such as mergers and acquisitions, divestitures, and restructuring. Your work will involve analysing market trends, assessing business opportunities, and developing strategic frameworks to guide clients in making informed decisions regarding their deals. You will help clients navigate complex transactions, identify potential risks and opportunities, and develop strategies to maximise value and achieve their business objectives. Working in this area, you will play a crucial role in assisting clients in formulating and executing effective strategies to optimise outcomes in their deal-making processes. Enhancing your leadership style, you motivate, develop and inspire others to deliver quality. You are responsible for coaching, leveraging team member's unique strengths, and managing performance to deliver on client expectations. With your growing knowledge of how business works, you play an important role in identifying opportunities that contribute to the success of our Firm. You are expected to lead with integrity and authenticity, articulating our purpose and values in a meaningful way. You embrace technology and innovation to enhance your delivery and encourage others to do the same. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Analyse and identify the linkages and interactions between the component parts of an entire system. Take ownership of projects, ensuring their successful planning, budgeting, execution, and completion. Partner with team leadership to ensure collective ownership of quality, timelines, and deliverables. Develop skills outside your comfort zone, and encourage others to do the same. Effectively mentor others. Use the review of work as an opportunity to deepen the expertise of team members. Address conflicts or issues, engaging in difficult conversations with clients, team members and other stakeholders, escalating where appropriate. Uphold and reinforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct, and independence requirements. The Opportunity As part of the Deals Transaction Services team you assist clients with strategic planning and business reviews, growth, market entry, and international expansion. As a Manager you supervise, develop, and coach teams, manage client service accounts, and drive client engagement workstreams by independently solving and analyzing complex problems to develop top-quality deliverables. You are also responsible for leveraging team strengths, managing performance to meet client expectations, and embracing technology and innovation to enhance your delivery. Responsibilities Assist clients with strategic planning and business reviews Supervise, develop, and coach teams to deliver top-quality work Manage client service accounts and drive engagement workstreams Independently solve and analyze complex problems Utilize team strengths to meet client expectations Embrace technology and innovation to enhance delivery Identify and pursue opportunities for improvement Foster a collaborative and inclusive team environment What You Must Have Bachelor's Degree in Accounting, Finance, Engineering, Economics, Data Processing/Analytics/Science, Computer and Information Science 5 years of experience What Sets You Apart Master's Degree in Business Administration/Management preferred Knowledge in commercial due diligence or corporate strategy Understanding mergers, integrations, spin-offs, and divestiture transactions Assisting clients with strategic planning and business reviews Managing and developing strategic client relationships Building collaborative relationships with team members Active role in new business development Delivering significant business results Conducting quantitative and qualitative analyzes Travel Requirements Up to 60% Job Posting End Date Learn more about how we work: https://pwc.to/how-we-work PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. The salary range for this position is: $100,000 - $232,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

Posted 30+ days ago

Manager, Major Account Sales, Healthcare & Education-logo
BrotherSan Francisco, CA
The Company at a Glance Brother is a leading provider of home and office equipment, sewing and crafting products, and industrial solutions. With a legacy spanning over 115 years, our brand is renowned for producing award-winning printers, sewing machines, P-touch labelers, and more. Brother International Corporation (BIC) was established in 1954, marking over 70 years of operations in the United States. Our Americas headquarters is located in Bridgewater, New Jersey. BIC is a wholly owned subsidiary of Brother Industries Limited (BIL), which was founded in 1908 in Nagoya, Japan, and operates in more than 30 countries worldwide. Brother's Americas presence includes subsidiaries in Canada, Mexico, Brazil, Argentina, Chile, and Peru. Why Work at Brother? Brother has consistently been recognized as a best place to work, reflecting our commitment to fostering a workplace culture aligned with our core values of being inclusive, collaborative, customer centric, and socially responsible. We value work-life balance and flexibility, and as a result have introduced policies such as our hybrid office schedule, casual dress code, and flexible Fridays, which allow us to wrap up meetings for dedicated focus time or to start our weekends sooner, year-round. Our commitment to employee growth and development is demonstrated through our offering of facilitated courses and certificate programs and our investment in resources that enable self-paced learning. The Manager, Major Account Sales, Healthcare & Education develops a sales strategy/business plan to expand Brother sales within the assigned territory and achieve sales quota with Healthcare and Education vertical end-user accounts in the U.S. The Manager opens net new accounts and continue to increase business with current customers through an executable sales strategy. Additionally, the role manages current accounts and engages with customers to foster strong relationships and add critical net new sales. WHAT YOU'LL DO Account Management: Identify top current end-users in territory; engage regularly with these customers to drive solid relationships, continue current customer sales, and add critical new net sales Participate in relevant market events, including but not limited to trade shows, technology seminars, and association meetings Collaborate with cross functional teams such as marketing, engineering, and business development to discuss Healthcare and Education vertical solutions and provide feedback on customer needs, workflows, and applications Coordinate team selling activities to ensure utilization of all available resources in prospecting/account management activities Manage all territory HC-EDU bids and RFPs that Brother participates in- both directly and via authorized resellers Stay current with and monitor all variants of contracts in the HC/ED space--- including state contracts, GOV-SLED buying groups, consortiums, and cooperative agreements Sales Strategy Development: Develop an ongoing sales & market business plan/strategy for the territory with objectives and measures to meet sales goals Identify key applications and solutions market for our printing, scanning, and labeling products in the territory Identify and capitalize on strategic partnerships, both internally and externally, communicating frequently so as to penetrate specific end-user customers through a variety of ways, including but not limited to training, inside sales strategy, new solutions, webinars, promotions, and key sales calls Execute strategic sales plan & review findings with management chain weekly Reporting & Administrative Requirements: Provide a monthly report on events of the month and keep all details updated in CRM system weekly Manage and keep an updated calendar at least 90 days in advance Review all vertical sales information from the CRM (Salesforce) detailing specific sales opportunities and all relevant activity Analyze and strategize on report findings with management chain, continually monitoring and adjusting sales strategy as needed ABOUT OUR IDEAL CANDIDATE Education Bachelor's Degree (or equivalent experience) in Business, Marketing, IT, or related field- Preferred Experience Minimum 7 years a combination of experience spanning the following areas:Experience in a Sales environment, managing accounts within a region Experience managing Medium-Large end-user accounts, preferably with specific knowledge on industry operations Licenses & Certifications HIPPA Privacy and Security Trained; Google for Education- Certified Education Level 1- Preferred Software/Technical Skills "Computer peripheral" area (e.g. Printer/Fax/MFC products & solutions) Automation products (e.g. Digital copiers network applications) Customer Relationship Management (CRM) (Salesforce preferred) Other Skills, Knowledge, & Abilities Demonstrated ability to collaborate effectively with internal/external teams, and maintain positive client relationships Excellent communication & presentation skills (verbal & written) Ability to diagnose customer issues & problem-solve for solutions Knowledge of existing contacts, Book of Business with Healthcare, and/or Education (K-12, Higher Education) end customers ADDITIONAL DETAILS FOR THIS ROLE Base Salary The targeted base salary range for this position is $90,000 - $110,000 per year. Base salary is determined by the education, experience, knowledge, skills, and abilities of the successful candidate, as well as factors such as internal equity, cost of labor in the hiring location, and alignment with market data. Additional Compensation This position is eligible for a $34,000 sales bonus in annual total at 100% of target, with the opportunity to achieve above 100% dependent on individual performance and in alignment with company sales and bonus plans. This position is also eligible for a 6.86% bonus at 100% of target, with the opportunity to achieve above 100% dependent on company performance and in alignment with company bonus plans. Bonus awards are discretionary and contingent upon individual performance as well as Brother achieving its corporate objectives, in accordance with the applicable bonus plan in effect. This position is also eligible for an auto allowance paid monthly in the first pay period of each month. This auto allowance may be used in the employee's sole discretion but is intended toward maintenance of the employee's own vehicle they'll be using for business commuting. This is independent and in addition to the company's Travel & Entertainment policy, which covers mileage reimbursement and additional business travel expenses. Benefits Benefits include, but are not limited to, healthcare and wellness coverage, life and disability insurance, 401(k), tuition reimbursement, and paid time off. Details are available at https://mybenefits.nfp.com/Brother/2025/guidebook/ Benefits We offer a comprehensive benefits package with diverse plan options to meet your family's needs, including health, vision, and dental insurance-all effective from day one of employment. Under our 401(k) retirement savings plan, we match up to 100% of the first 4% of employee contributions, with employer matches vesting immediately. Additionally, we offer an educational assistance program that reimburses up to 100% of tuition, lab fees, textbooks, and other related expenses for qualifying programs. To learn more, visit our benefits page: https://careers.brother-usa.com/benefits Our Mission, Vision, & Culture Our mission is to live our "at your side" promise to simplify and enrich the lives of our customers, employees, and communities. We aim to be where people and technology meet, providing products and solutions that enhance how people live, work, and create. We look to our strategic culture drivers - accountability, authenticity, boldness, and excellence - to enable us to consistently deliver on our vision, mission, and shared values. These drivers help us shape a culture that empowers the business to succeed. To learn more about our culture drivers and company culture, visit: https://careers.brother-usa.com/ourculture About Where We Work Brother's corporate headquarters for the Americas is in Bridgewater, NJ, across from the Bridgewater Commons Mall. This location houses key corporate functions, including HR, legal, finance, IT, and supply chain, and a significant presence of our business unit leadership and marketing teams. Our manufacturing and distribution facility in Bartlett, TN spans an impressive 1.5 million square feet - equivalent to 26 football fields - and is located on Brother Boulevard. In addition to the distribution center operations team, this facility hosts several other departments, including our customer service group. Brother also has employees based in other locations, such as Westminster, CO, where many of our marketing and product engineering team members from the mobile solutions division operate, as well as our distribution centers in Richmond, VA and Perris, CA. Additionally, our outside sales teams work remotely within their territories, staying geographically close to the accounts they support to ensure they are always "at your side" for our customers. Links to Learn More To hear more about our business and culture, visit these helpful links: Brother's Product Categories: https://careers.brother-usa.com/our-products Diversity, Equity, and Inclusion (DEI) and Employee Resource Groups (ERGs): https://careers.brother-usa.com/employee-resource-groups-diversity Corporate Social Responsibility: https://careers.brother-usa.com/our-corporate-social-responsibility-sustainability Work-Life and Flexibility: https://careers.brother-usa.com/lifeatbrother Growth and Development: https://careers.brother-usa.com/career-development Follow us on LinkedIn: https://www.linkedin.com/company/brother-usa/ Brother International Corporation ("Brother") is an equal opportunity employer and does not discriminate or make employment decisions on the basis of race, color, religion, sex, disability, or any other characteristic protected by applicable state or federal laws. If you require any physical or other assistance in completing this application or any other aspect of the application or interview process, a reasonable accommodation will be made upon request.

Posted 30+ days ago

Outreach Partner/Sales Rep: Healthcare - Brockton (Haitian Creole Speaker)-logo
Gather HealthBrockton, MA
Apply Description Who is Gather Health? Gather Health is a collective of outreach partners, care partners, clinicians and, most importantly, patient partners who work together to reshape lives and communities. We bring hands-on social and medical care to our patients and work around their needs, both within our care facilities and in their homes. We work alongside local leaders to build communities and provide tailored care experiences that serve the seniors that live within them. When we Gather, we show love, compassion, community, and care. What is an "Outreach Partner"? The Outreach Partner (OP) is responsible for developing relationships with key stakeholders and organizations within their assigned community territory to create patient acquisition opportunities. With the guidance and mentorship from our Vice President of Growth and our Field Sales Manager who both possess deep industry experience, the OP will engage prospective patients to provide education about Gather Health's unique social primary care model and services via various methods and strategies such as planning/facilitating community events, networking with relevant organizations and community groups, making telephonic and in-person "connects" with prospective patients with the goal of enrollment. Your success in this role will directly translate to these patients' ability to access the care that they deserve - the highest quality of medical care that is delivered with compassion, as well as social and community resources that are vital for improving the quality of their lives. What are some of the day-to-day duties? Develop, plan, and execute an effective strategy that will attract prospective patients Initiate and nurture external relationships with organizations and political groups/officials that expand our reach for prospective patients Plan and facilitate community events by collaborating with various departments within Gather Health as well as external partners such as vendors, senior centers, political organizations, etc. Connect with prospective patients via phone, in-person visits, community events, traditional mailings, health fairs, etc., to generate interest in the Gather Health model and services to increase new patient enrollment Develop and maintain relationships with existing patients to generate referrals Meet daily/weekly/monthly goals that are metrics-driven, i.e., number of "connects", events, etc. Enter prospect engagement activities and events in the CRM (customer relationship management) to track your progress So, is this considered a "sales" role? This is a pay-for-performance role - meaning, you are compensated based on your productivity metrics. So yes - when you are educating the prospective patients about the Gather Health model and services, you are essentially "selling" our concept. But here's how this role differs from most traditional sales jobs that entail convincing/persuading a business or consumer to purchase a product or service in exchange for a fee. In the OP role here at Gather Health, you would be introducing a unique concept and services that are designed to not only produce significantly better clinical outcomes for these vulnerable patients but can also help reduce their total medical costs in the long run. We do this by focusing on quality instead of quantity, while also keeping in mind the non-clinical factors that negatively impact these seniors' overall health such as depression, isolation, loneliness, and general lack of resources and support within their communities. This is not a "sales" role that involves pitching products or services that the customer doesn't need or can't afford. You would be providing them with the opportunity to improve the quality of their lives in a meaningful way. When one truly believes in what they're "selling" and is passionate about the mission and vision, we believe that it will result in a fulfilling employment experience for them. How is the pay structured? The position offers a competitive base salary, plus commissions based on performance. Requirements What are the requirements for this position? Minimum of one year's experience in a role with similar or relevant job duties, i.e., sales, account management, customer-service, community outreach A valid driver's license Ability to travel locally to various events with access to a vehicle Experience with basic office tools such as Word, Excel, Outlook, SharePoint, etc. Ability to work for any employer in the United States Access to a vehicle during working hours What are the preferred skills or experience? Experience using Salesforce or another CRM (Customer Relationship Management) system Sales or account management background Knowledge of the healthcare industry Bilingual Haitian Creole & English What are the traits and characteristics of the ideal candidate most likely to succeed? Persistent - does not give up easily when things get tough Resilient - displays toughness and not easily discouraged Competitive - likes to win and takes on challenges with confidence Motivated - things like metrics, quotas, pay-for-performance, do not scare them Friendly - people enjoy their company Outgoing - likes attending events and meeting new people Relatable - naturally makes human connections with their warmth, humor, and demeanor Positive - sees glass as is half full vs. half empty Creative - looks for new ways to do things better Organized - manages time effectively and operates efficiently Reliable - takes responsibilities seriously and always shows up on time What are the hours for this position? Monday - Friday during standard business hours, although you may attend events in the evenings and weekends on occasion. Why should I join Gather Health? We are a mission-based organization that is passionate about changing the way seniors experience primary care Our business model is unique and on the cutting-edge of the primary care industry Our leadership team is comprised of experienced individuals who are committed to creating not only the best patient experience, but also an amazing employee experience for our colleagues We are intentionally building a strong company culture and providing a compassionate and joyful work environment The organization was conceptualized, founded, and launched by experienced co-founders with a track record of success in the healthcare space We offer competitive pay and benefits for our Full-Time colleagues, including: Base pay, plus commissions Paid Time Off Paid Holidays Medical insurance coverage (health, dental, vision) with no waiting period for enrollment Short and Long-Term disability insurance at no cost to you Basic life insurance coverage at no cost to you 401K plan Employee Assistance Program at no cost to you Supplemental benefits available for discounted prices (legal services, Aflac, hospital indemnity, accidental death & dismemberment, etc.) Gather Health is committed to equal employment opportunity. At Gather, we embrace diversity and are dedicated to creating an inclusive workplace for all candidates and team members. Employment decisions are made without consideration of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political beliefs, military experience, genetic information, or any other characteristic protected under federal, state, or local legislation. Gather Health uses E-Verify to confirm the work authorization of newly hired employees.

Posted 1 week ago

Night Floor Tech - Commercial Services - Beebe Healthcare-logo
MastercorpLewes, DE
Join Our Team at MasterCorp, Inc.! At MasterCorp, Inc., we provide exceptional service and innovative solutions in the hospitality industry. As a leader in our field, we believe in the power of teamwork, integrity, and a commitment to excellence. Our dynamic and inclusive workplace fosters growth, creativity, and the opportunity to make an impact. We are looking for passionate and driven individuals to join our team and help us continue to deliver outstanding results for our clients. Start your hospitality career with MasterCorp, the leader in housekeeping and hospitality services! Join a team of dedicated, passionate individuals and enjoy competitive pay along with a full benefits package. $17/Hour Shift: Monday - Friday 6:30pm-2:30am Don't miss out-APPLY TODAY! What We're Looking For: Friendly, enthusiastic, and hard-working individuals who are passionate about hospitality and committed to providing exceptional service, ensuring guests feel safe and cared for during their vacation. Position Overview Responsible for consistently meeting quality and timeliness standards in the floor/carpet care of commercial properties. A Floor Tech must ensure he / she follows the company mission statement and values. The purpose of this position is to achieve a standard of floor/carpet care in the most efficient way to serve customers/tenants with great quality. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Maintain a high standard of excellence. Makes sure timesheets are completed per job site. Dust mop/sweep hard surface floors. Buff floors Scrub floors Lay wax Strip wax Carpet extraction Shampooing carpet Report unit maintenance issues as per company procedure. Report damaged, dirty or stained carpets. Ensure a safe working environment at each site and office. Utilize supplies and equipment efficiently and effectively. Utilize time wisely and efficiently. Experience and Education Requirements High School Diploma or equivalent combination of education and work experience. Floor technician experience a plus. Strong work ethic. Ability to learn and change behavior. Work irregular hours. Travel - rarely MasterCorp Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, MasterCorp Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Equal Opportunity Employer Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. ____ Thank you for considering a career with MasterCorp, Inc. We look forward to reviewing your application.

Posted 30+ days ago

Healthcare Planner - Senior-logo
GenslerNew York, NY
Your Role At Gensler, we design for people. We leverage our global perspective and local presence to innovate at every scale. We're not just designers. We're tinkerers, craftspeople, visionaries, innovators and thought leaders. Fueled by passion and entrepreneurial spirit, our people bring new ideas to solve challenging problems. Whether you're into sketching new ideas, hacking a building or growing client relationships in global markets, there's something here for everyone. As a Healthcare Planner, your job is to combine creativity and technical knowledge with business skills and understanding to produce functionally beautiful spaces for clients. It's your job to collaborate with a team of architects and designers to deliver unparalleled architectural projects. With you as part of the design team, architecture has never been so engaging. You will leverage your technical acumen and Revit skills to drive client projects from concept through build in a collaborative team. What You Will Do Assist in creating, reviewing, and coordinating the architectural floor plans, interior elevations, reflected ceiling plans and equipment plans of clinical spaces Follow the planning and design information through the production and implementation documentation process to ensure continuity of the design intent Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions Participate in the conceptual design of healthcare projects (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.) Translate client operational model into architectural design/medical plan May serve as the point of contact for client questions Apply governing regulatory codes and hospital licensing standards, and validates that those requirements are met Collaborate with end users to create solutions in real-time Coordinate or prepares drawings and designs in accordance with Gensler standards, best practice, and quality expectations Participate in and may lead team meetings to discuss project issues, technical issues and coordination with other disciplines Maintain detailed documentation of client meetings May be responsible for preparing meeting minutes and other appropriate documents for consultant coordination meetings Understand fundamental accounting principles and the project accounting process Collaborate in and may be responsible for delivering a project on defined budget requirements Understand research methodology and integrates research into practice Leverage cross functional teams and the Gensler Research institute to develop informed and purposeful user-centric design solutions to unlock strategies which will drive innovation in the healthcare industry Your Qualifications Bachelor's degree in Architecture from an accredited school 10+ years of related experience as a Medical Planner, healthcare design and planning background Highly proficient with Revit Knowledge of 3D modeling software (including Rhino and Grasshopper) preferred LEED AP and Registered Architect (or in process) preferred Experience with developing thought leadership publications and participating in speaking engagement preferred Experience leading user group meetings and working with hospital senior leadership Experience with NYS DOH Certificate Of Needs process Advanced knowledge of current healthcare planning and programming concepts including patient safety, evidence-based design principles, and general industry benchmarks. Understanding of the medical equipment planning process and experience working with medical equipment planners Strong knowledge of architectural building systems, building codes and accessibility guidelines Flexibility to focus on concurrent projects in various stages of development A quick learner with an ability to thrive in a fast-paced work environment Collaborative and team-conscious Must have the ability to maintain existing client relationships and build new client relationships through successful project delivery The base salary range will be estimated between $100-130k plus bonuses and benefits and contingent on relevant experience. Life at Gensler At Gensler, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future. #LI-RF1

Posted 30+ days ago

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

G
GA MedGroupUnion Point, GA
Join us at Greene Point Health & Rehab a place where you'll be valued, recognized and rewarded for the vital work you do each day. We'll surround you with a strong team and leadership that supports every aspect of your life - both inside and outside of our centers. And you'll get to practice your passion in a non-profit, mission-driven organization that's known for the highest level of care in our communities Pay: $22.80/hour Weekly pay Benefits Offered: Paid time off with ability to cash out 7 paid Holidays Medical Insurance Dental Insurance Vision Insurance Company Paid Life and Disability 401(k) with match Referral Bonus Program ESSENTIAL DUTIES AND RESPONSIBILITIES Coordinate pre-admission and admission processes by obtaining pertinent information from patients and/or family members, referral sources, and centralized intake for admission and complete admission paperwork with family and patient. Verify that the patient room, etc. is ready prior to admission. Sustain contact and provide support to patient/families to include help in dealing with the patient's transition. Provide frequent visits to new admissions to provide a consistent and well received patient experience. Orient the patient to the center environment. Participate in center's IDT (Interdisciplinary Team) to assist in healthcare navigation needs. Maintain frequent contact with center's central intake coordinator(s) within designated response times. Coordinate back up plans for outreach, tours and admissions processes for nights and weekends. Oversee development of center's strategic outreach plans and activities. Develop partnerships and consistent communication flows with affiliated healthcare partners/navigators/advocates related to delivering the appropriate level of care, in the most appropriate setting and at the most appropriate time based on patient's needs. Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication. Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System. Performs other duties as necessary to ensure the success of the System. SKILLS AND ABILITIES Maintain up-to-date information about agencies to which referrals may be made. Communicate admission information to other departments. Complete understanding of Healthcare Navigation Statement and Support functionality. Complete understanding of admission packet and ability to explain to family/patient. Knowledge of long-term care admission requirements. Knowledge of advanced directives. Knowledge and understanding of Medicare, Medicaid, Private Pay and Third Party reimbursement. MINIMUM QUALIFICATIONS Bachelor's degree in Business Administration, Social Work, Marketing or related field Associate's degree in related field with three years experience EEO / M / F / D / V / Drug Free Workplace Greene Point Facebook

Posted 30+ days ago

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

Posted 30+ days ago

Architect - Healthcare-logo
GenslerMiami, FL
Gensler Healthcare Our approach to healthcare is holistic. It is research-driven and designed to create engaging experiences for everyone from patients and families to staff and providers. Gensler seeks innovation for the individual, the community, and the region from a diverse global platform. We call our approach Radically Human. Gensler applies this approach to our work and in building our teams. We seek partners that share our view and are motivated to drive positive change in human health and wellness. Your Role As a Gensler Architect with our Healthcare team in Florida (offices in Miami and Tampa), your job is to combine creativity and technical knowledge with business skills and understanding to produce functionally beautiful spaces for clients. We are collaborative and client focused, with a commitment to design experience, sustainability and social purpose. Join our incredible team and leverage the power of informed and purposeful user-centered design to unlock design solutions and strategies that are defining the next chapter in the healthcare industry. What You Will Do Documentation coordination with consultants (structural, MEP, lighting, AV, acoustical, accessibility, building envelope, life safety, etc.) Coordinate with the project team, client, vendors, contractors, and consultants for a variety of healthcare projects (medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.) Manage ACHA communication and stage approvals Resolve complex technical and design issues with team to produce innovative, technical, constructible solutions Direct production of drawings, specifications and construction administration tasks Responsible for delivery of documents with design intent and top-notch technical quality Contribute to the maintenance and oversight of the project manual and specifications Conduct on-site observations and document site reviews Process submittals/substitution requests during construction and address RFIs Interface with building and permitting officials during the permitting and construction phases of the project Actively participate and contribute to the financial performance of project Review and contribute to proposals and contracts with the Project Manager Establish and maintain ongoing, productive client relationships Collaborate with, mentor and support team members Contribute to office activities, initiatives and learning programs Your Qualifications Experience working within AHCA (Agency for Health Care Administration) regulations to deliver projects in the state of Florida is preferred Manage AHCA communication and stage approvals Bachelor's degree in Architecture from an accredited school 10+ years of related experience on healthcare projects, from feasibility studies, pre-design, space programming, master planning to schematic design, design development and construction documents Experience delivering healthcare buildings is required Understanding of healthcare regulations and codes (FGI, FBC and NFPA) LEED AP (or in process) preferred Expertise with building codes, standards and building structures - able to lead and guide our teams and clients with confidence Flexibility to focus on concurrent projects in various stages of development A quick learner with an ability to thrive in a fast-paced work environment Collaborative and team-conscious Must have the ability to maintain existing client relationships and build new client relationships through successful project delivery Registered / Licensed Architect (RA) Revit proficiency required Life at Gensler At Gensler, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future. #LI-NM1

Posted 30+ days ago

Consulting Director, Healthcare Supply Chain Automation-logo
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. 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. Key Responsibilities: Drive intelligent automation solutions to develop and implement strategies for SC cost reduction and efficiency. Identify and implement intelligent automation opportunities to streamline internal SC methodologies with a focus on improving quality and reducing the cost to deliver. Identify third party solutions and relationships to accelerate SC intelligent automation through partnerships and potential acquisitions. Leverage automated solutions to optimize the review of purchased services, clinical supplies, and GPO contracts. Collaborate with clinical teams to streamline procurement of clinical supplies and physician preference items using technology. Develop and implement intelligent automation tools to drive best practices in inventory management. Design and oversee automated inventory management systems to maintain optimal stock levels. Assist in developing proposals and presentations for potential clients, highlighting technological efficiencies. Build relationships with internal and external stakeholders, focusing on technology-driven initiatives. Communicate progress and outcomes of supply chain improvements to executive leadership. Lead cross-functional teams to achieve organizational goals through innovative solutions. Qualifications: Bachelor's degree in Supply Chain Management, Business Administration, Healthcare Administration, or a related field. Advanced degree preferred. Minimum of 7-10 years of experience in healthcare supply chain management and consulting. Proven track record of developing SC intelligent automation solutions to achieve cost reductions and process improvements Strong knowledge of GPOs, clinical supplies, physician preference items, and purchased / support services. Experience with inventory management systems and automation technologies. Experience with developing automated or AI solutions to meet internal or client needs. Experience with Large Language Models and their use in the healthcare industry. Excellent analytical, problem-solving, and communication skills. Ability to work collaboratively in a fast-paced, dynamic environment. #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 30+ days ago

Healthcare Director, Payer Data Analytics-logo
West Monroe Partners, LLCChicago, IL
West Monroe is seeking a dynamic Healthcare Payer & Data Director to join our growing team. This role is instrumental in expanding our healthcare presence, delivering innovative data centered consulting solutions, and building relationships with payer organizations. As a leader, you'll drive client success, foster team growth, and contribute to shaping the future of healthcare consulting at West Monroe. If you're passionate about making an impact, thrive in an entrepreneurial environment, and enjoy collaborating with like-minded professionals, we'd love to hear from you. What You'll Do Client Development Build and nurture client relationships, with a focus on payer organizations. Develop new business opportunities through networking, prospecting, and leveraging your professional network. Lead the sales cycle, from identifying client needs to delivering proposals and closing deals. Drive brand awareness by actively participating in industry events and local business organizations. Partner with Business Development and Marketing teams to execute impactful campaigns. Practice Leadership Collaborate with leadership to grow the healthcare practice in alignment with local and national goals. Develop and refine methodologies, best practices, and go-to-market strategies, with a focus on leveraging advanced data platforms and tools. Mentor and grow consulting teams, fostering a culture of collaboration and excellence. Participate in recruiting efforts to attract top talent. Client Delivery Lead engagements, serving as the trusted advisor to C-level executives and other key stakeholders. Deliver meaningful thought leadership and innovative solutions to address client challenges. Oversee project teams to ensure quality, timeliness, and budget adherence. Serve as the escalation point for critical client issues, providing actionable recommendations. Provide expertise in data strategy and analytics, leveraging tools like Databricks, Snowflake, and other cloud-based platforms to enable actionable insights and operational improvements. What You Bring Experience: 8+ years in professional services consulting, with a strong focus on payer operations. Proven Leadership: Success in leading consulting engagements and managing client relationships at the executive level. Industry Expertise: Deep understanding of payer organizations Proven ability to define and implement data strategies, leveraging disparate data sources to drive operational improvements. Hands-on experience with data platforms such as Databricks, Snowflake, or similar tools to enable advanced analytics, automation, and decision-making support. Familiarity with deploying AI/automation to optimize workflows and enhance decision-making Business Development: A track record of generating revenue, developing key accounts, and leveraging a professional network to drive growth. Must bring proven success achieving in-market revenue expectations Project Management: Expertise in strategic planning, issue and risk management, and change management. Communication Skills: Exceptional verbal and written communication, with the ability to present confidently to C-level executives. Education: Bachelor's degree or equivalent experience required. Directors at West Monroe are expected to be in-person three days a week. This can include being present at client sites, in the market, or in-office for internal collaboration. There is flexibility and an understanding that schedules ebb and flow, but a core belief is that when we are together with our people and our clients, we build stronger relationships and are better equipped to sell and deliver value.

Posted 30+ days ago

H
Health GPT IncNashville, TN
About Us Hippocratic AI is developing the first safety-focused Large Language Model (LLM) for healthcare. Our mission is to dramatically improve healthcare accessibility and outcomes by bringing deep healthcare expertise to every person. No other technology has the potential for this level of global impact on health. Why Join Our Team Innovative mission: We are creating a safe, healthcare-focused LLM that can transform health outcomes on a global scale. Visionary leadership: Hippocratic AI was co-founded by CEO Munjal Shah alongside physicians, hospital administrators, healthcare professionals, and AI researchers from top institutions including El Camino Health, Johns Hopkins, Washington University in St. Louis, Stanford, Google, Meta, Microsoft and NVIDIA. Strategic investors: We have raised a total of $278 million in funding, backed by top investors such as Andreessen Horowitz, General Catalyst, Kleiner Perkins, NVIDIA's NVentures, Premji Invest, SV Angel, and six health systems. Team and expertise: We are working with top experts in healthcare and artificial intelligence to ensure the safety and efficacy of our technology. For more information, visit www.HippocraticAI.com. We value in-person teamwork and believe the best ideas happen together. Our team is expected to be in the office five days a week in Nashville, TN. About the Role We are seeking a dynamic and experienced Solution Architect to drive the integration and deployment of our advanced AI agents across healthcare organizations - including payors, providers, and digital health companies. In this role, you will partner directly with customers to deeply understand their operational workflows, identify and translate their technical requirements into effective AI-powered conversations, and guide them through setting up integrations and deploying agents. You will serve as the technical backbone of our client relationships. From defining integration requirements to building and launching conversational AI agents that enhance patient care, you will have a pivotal impact on our product, customer success, and ultimately, patient outcomes. Key Responsibilities Customer Workflow Discovery: Partner with customers to analyze and document their operational workflows, translating these into integration specifications and AI conversation designs. Integration Architecture: Define, document, and drive the technical architecture required to connect our solutions with client EHR systems, CRMs, population health tools, and other relevant platforms. AI Agent Design & Deployment: Design, customize, and deploy modular, scalable AI agents that align with the customer's unique needs and use cases. Technical Project Leadership: Lead and manage the technical post-sale implementation process, acting as the primary technical contact and ensuring a seamless deployment. Cross-Functional Collaboration: Work closely with engineering, product, machine learning, clinical, and sales teams to develop solutions to meet our customer' needs. Tooling & Process Automation: Develop reusable tooling, playbooks, and repeatable frameworks to improve implementation scalability and efficiency. Qualifications Bachelor's or Master's degree in Computer Science, Business or a related field Minimum of 5 years of experience in healthcare implementation or product management. Minimum of 5 years of experience integrating with enterprise EHRs (Epic, Cerner, Athena, etc.) or payers / digital health companies. Familiarity with healthcare data and interoperability standards (such as FHIR, HL7v2, etc.). Experience with ancillary healthcare integrations, including population health systems, CRM, ERP, etc. Proven ability to cultivate strong customer relationships and deliver exemplary product support. Demonstrated proficiency in translating external stakeholder needs into internal product requirements. Preferred Qualifications Comfortable reading and debugging Python. Start-up experience preferred. Be aware of recruitment scams impersonating Hippocratic AI. All recruiting communication will come from @hippocraticai.com email addresses. We will never request payment or sensitive personal information during the hiring process. If anything appears suspicious, stop engaging immediately and report the incident.

Posted 2 weeks ago

UnitedHealth Group Inc. logo

Healthcare Advocate - Field Based Philly Or DE Market - Remote

UnitedHealth Group Inc.Philadelphia, PA

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Job Description

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.

The Healthcare Advocate role supports the in-office assessment program on the provider performance team. The role involves engaging providers, deploying assessments, generating workflows, sharing reporting, and providing education on improving gap closure.

This role supports the in-office assessment program on the provider performance team. The role involves engaging providers to participate, deploying assessments, generating workflows to minimize administrative work for provider groups, sharing reporting, and providing education on improving gap closure.

Healthcare Advocates work with various health plans, including Elevance, Humana, Centene, and Aetna, to generate in-office assessments for their members with open gaps. Healthcare advocates act as relationship owners for primary care physicians in their specific markets.

This is a FIELD BASED ROLE and will be supporting the Philly/DE market

If you are located in New Castle, Kent, Sussex, Philadelphia, Delaware, Chester, Lancaster, Berks, Lehigh, Northhampton, Bucks, Montgomery, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

  • Functioning independently, travel across assigned territory to meet with providers to discuss Optum tools and programs focused on improving the quality of care for Medicare Advantage Members. Will be out in the field 80% of time in defined territory with rare occasion of overnight travel
  • Utilizing data analysis, identify and target providers who would benefit from our coding, documentation and quality training and resources
  • Establish positive, long-term, consultative relationships with physicians, medical groups, IPAs and hospitals
  • Develop comprehensive, provider-specific plans to increase their RAF performance and improve their coding specificity
  • Manage end-to-end Risk and Quality Client Programs such as Healthcare Patient Assessment Form on ensuring correct delivery of data/forms to the correct providers, and the return of the data to coding ops, ensuring accurate payments are occurring for each provider based on client contract
  • Consult with provider groups on gaps in documentation and coding
  • Provide feedback on EMR/EHR systems where it is causing issues in meeting CMS standards of documentation and coding
  • Partner with a multi-disciplinary team to implement prospective programs as directed by Market Consultation leadership
  • Assists providers in understanding the Medicare quality program as well as CMS-HCC Risk Adjustment program as it relates to payment methodology and the importance of proper chart documentation of procedures and diagnosis coding
  • Assist providers in understanding quality and CMS-HCC Risk Adjustment driven payment methodology and the importance of proper chart documentation of procedures and diagnosis coding
  • Supports the providers by ensuring documentation supports the submission of relevant ICD -10 codes and CPT2 procedural information in accordance with national coding guidelines and appropriate reimbursement requirements
  • Provides ICD10 - HCC coding training to providers and appropriate office staff as needed
  • Develops and presents coding presentations and training to large and small groups of clinicians, practice managers and certified coders developing training to fit specific provider's needs
  • Develops and delivers diagnosis coding tools to providers
  • Trains physicians and other staff regarding documentation, billing and coding and provides feedback to physicians regarding documentation practices
  • Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices
  • Collaborates with doctors, coders, facility staff and a variety of internal and external personnel on a wide scope of Risk Adjustment and Quality education efforts
  • Assist in collecting charts where necessary for analysis

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 experience working effectively with coding software, EMR and abstracting systems
  • 3+ years of experience working effectively with coding software, EMR and abstracting systems
  • 2+ years of clinic or hospital experience and/or managed care experience
  • Intermediate level of knowledge of ICD10, HEDIS or Stars (example around 6 months of experience)
  • Advanced level of proficiency in MS Office Excel, ability to manipulate data
  • Advanced level of proficiency in MS Office PowerPoint, ability to create and present presentations
  • Advanced level of proficiency in MS Office Word, ability to create, edit and save documents
  • Ability to travel up to 80% of the time in the states of Pennsylvania and Delaware within the following counties: New Castle, Kent, Sussex, Philadelphia, Delaware, Chester, Lancaster, Berks, Lehigh, Northhampton, Bucks, Montgomery

Preferred Qualifications:

  • Certified Professional Coder / CPC-A; equivalent certifications acceptable
  • CRC certification
  • 4+ years of clinic or hospital experience and/or managed care experience
  • 1+ years of coding performed at a health care facility
  • Experience in management position in a physician practice
  • Experience in Risk Adjustment and HEDIS/Stars
  • Nursing background i.e., RN, NP
  • Knowledge of EMR for recording patient visits
  • Knowledge of billing/claims submission and other related actions
  • Knowledge of ICD10, HEDIS and Stars
  • All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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.

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