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PwC logo

Healthcare Provider Business Operations - Director

PwCDallas, TX

$155,000 - $410,000 / year

Industry/Sector Not Applicable Specialism Operations Strategy Management Level Director Job Description & Summary At PwC, our people in Corporate Technology Strategy consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As part of the Corporate Technology Strategy team at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. Translating the vision, you set the tone, and inspire others to follow. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of PwC's reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Lead in line with our values and brand. Develop new ideas, solutions, and structures; drive thought leadership. Solve problems by exploring multiple angles and using creativity, encouraging others to do the same. Balance long-term, short-term, detail-oriented, and big picture thinking. Make strategic choices and drive change by addressing system-level enablers. Promote technological advances, creating an environment where people and technology thrive together. Identify gaps in the market and convert opportunities to success for the Firm. Adhere to and enforce 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 Corporate Technology Strategy team, you will support delivery of digital and technology transformation engagements. You will utilize your deep technology skills to support delivery of digital transformation engagements across the entire lifecycle. As a Director in PwC's Strategy Platform, you'll serve as a senior leader within our Provider Business Operations team, driving large-scale, tech-enabled transformation programs for healthcare providers. You will focus on creating meaningful impact for national and regional health systems by advising them on how to leverage technology and operational excellence to achieve strategic goals, including growth and scale, post-merger integration, cost reduction, and the industrialization of differentiated offerings and services. You will bring deep functional and technical expertise across our priority areas of finance, supply chain, HR, workforce management, shared services, and related administrative and operational domains. Responsibilities Advise clients on their most complex technology strategy problems using the latest frameworks, methodologies, and technologies Build technology solutions using AI and other platforms to enable outstanding client outcomes Lead large-scale healthcare transformation programs across finance, HR, supply chain, and operations and drive strategic alignment, governance, and high-quality delivery Advise healthcare executives by translating strategies into actionable plans that drive operational, financial, and workforce improvements, engaging diverse stakeholders Manage workstreams in program management, technology transformation, change management, and user adoption, while developing multidisciplinary teams and sector specialization Drive business development through opportunity identification, proposal shaping, and fostering client relationships to enhance PwC's market position Enhance delivery and practice by creating innovative tools, AI accelerators, and automated solutions that improve efficiency and client outcomes Codify industry standard practices and lessons learned to support pursuit success, delivery readiness, and continuous improvement of offerings What You Must Have Bachelor's degree At least 10 years of consulting and/or healthcare provider industry experience, including 5 years leading significant components of large, complex business- and technology-enabled transformation programs, as well as using technology to solve complex technology strategy problems. Thought leader-level experience across administrative and operational functions within healthcare provider organizations (e.g., finance, supply chain, HR, workforce management, shared services) Thought leader-level experience with enabling platforms (Oracle, Workday, UKG) Understanding and experience executing the software development lifecycle in large enterprise What Sets You Apart Master's degree preferred Core Technology Strategy Skills Understanding of foundational IT domains (infrastructure, cloud, applications, data, cybersecurity) Experience with IT cost analysis, operating model design, sourcing strategies, or portfolio analysis Knowledge of enterprise architecture concepts and common architecture frameworks Experience assessing IT capabilities and identifying gaps to better align technology with business needs Ability to support performance management through KPIs/OKRs, dashboards, and governance processes Experience supporting IT governance, process design, and role clarity within modern operating models Digital & AI Strategy Skills Experience using GenAI / Agentic tools for analysis, research, or workflow automation Exposure to AI strategy, governance, responsible AI, or AI adoption frameworks Experience contributing to digital transformation roadmaps by integrating customer needs, data insights, and technology enablers Ability to support workforce strategy initiatives including skill assessments and capability-building plans Experience supporting technology-enabled change management, including stakeholder engagement and adoption planning Provider Business Operations Skills Demonstrating experience owning substantive components of pursuit strategy, proposal development, win themes, or solution design Possessing experience with operational improvement, functional redesign, and performance transformation at scale Having familiarity with automation, analytics, or AI-enabled approaches that accelerate delivery and enhance outcomes Exhibiting proven commercial instincts with hands-on experience shaping and supporting pursuits, proposals, and competitive positioning Being skilled at operating in dynamic, ambiguous provider environments while simplifying complexity, making sound judgments, and driving decisive action Ability to lead cross-functional teams and advise executives in large health systems or integrated delivery networks Travel Requirements Up to 80% 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: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. 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 3 days ago

Huron Consulting Group logo

Healthcare Consulting Manager - Inpatient Clinical Documentation Improvement

Huron Consulting GroupChicago, IL

$140,000 - $200,000 / year

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, Managers are pivotal in driving success by leveraging their expertise to manage projects and lead teams. They forge lasting client partnerships, collaborating to solve business challenges and align results with client goals. Managers mentor junior staff, fostering a culture of respect, unity, and personal achievement. Specializing in areas of expertise while gaining broad exposure, Managers benefit from career growth opportunities and personalized professional development. Every colleague's growth contributes to the organization's success. If you're passionate about leading impactful projects and nurturing talent, Huron offers a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Inpatient Clinical Documentation Improvement, you will: Manage complex multi-workstream projects and oversee junior team members Analyze data to implement performance improvement and organizational change Collaborate with team members and clients to align with business objectives Communicate effectively with project teams and stakeholders Lead and develop team members through training, supervision, and feedback Requirements: BA/BS in Nursing with certifications in CCDS required A minimum of 5 years of acute care hospital experience (ICU, Med/Surg, ER required) A minimum of 5 years in a clinical documentation integrity role Relevant experience in a project-based operations performance improvement role within a hospital/clinical setting hospital and/or consulting firm environment focused on healthcare provider operations and/or process re-engineering projects Minimum 1 year of experience managing major projects for large, complex healthcare organizations with multiple stakeholders Strong leadership and management skills aligning to Huron's core values and competencies 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 Proficiency in Microsoft Office (Word, PowerPoint, Excel) US Work Authorization required Preferences: Experience in a matrixed organization or cross-functional team environment #LI-CM1 #LI-Remote The estimated base salary range for this job is $140,000 - $200,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $161,000 - $250,000. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Manager Country United States of America

Posted 30+ days ago

J logo

Project Manager 1- Healthcare

JEDunnTampa, FL
Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. Role Summary The Project Manager 1 will provide overall direction and leadership for an entire project or a portion of a larger, more complex project in concert with the Project Superintendent. This position will fully implement and manage the operation and administration of the project. Builds and maintains lasting relationships with clients, design teams and subcontractors. All activities will be performed in support of the strategy, vision and values of JE Dunn. Autonomy & Decision Making: Makes decisions within defined limits of authority and consults supervisor on other decisions. Career Path: Project Manager 2. Key Role Responsibilities- Core PROJECT MANAGEMENT FAMILY- CORE Leads all aspects of the company's safety culture and creates awareness by demonstrating commitment to an injury-free environment through individual actions and mentoring others. Investigates safety incidents and retrains staff as needed. Manages the JE Dunn prestart process. Supports the preconstruction team including quantity takeoff, trade coordination and scope of work development, scope review, bid package development, schedule development, bid list creation and bid advertisement. Leads plan and implementation of buyout schedule. Verifies pricing and scope, identifies successful bidders, provides gap analysis against initial scope and manages issuance of subcontracts. Manages the submittal schedule set-up. Coordinates priorities with the team; reviews and approves all shop drawings and samples prior to submittal to architects or engineers. Ensures approved submittals are returned to subcontractors and available to project team per the project schedule and the contract. Coordinates with Logistics to obtain pricing on materials and equipment. Confers with risk management to ensure approval and/or bonding requirements for subcontractors. Reviews decisions with project leader. Provides ongoing risk analysis of subcontractors throughout project lifecycle. Coordinates the various stakeholders of the project including but not limited to subcontractors, owner, field, design team, vendors, etc. Disseminates change requests to subcontractors for pricing and schedule input. Gathers and evaluates subcontractor pricing to confirm accuracy. Prepares, submits and obtains owner/architect approval for change requests. Leads various meetings such as monthly project reviews, progress meetings and OAC (Owner Architect) meetings. Completes monthly subcontractor and owner pay application process. Prepares project schedule with the Project Superintendent. Gathers input from project team and utilizes Lean principles as appropriate. Develops and updates project schedule for both preconstruction and construction activities. Manages materials, labor and procurement logs to ensure appropriate resources are available to meet the project schedule. Identifies potential schedule impacts including scope, weather, manpower and changes, and facilitates mitigation plans for these impacts. Provides appropriate written documentation for decisions affecting various aspects of the project such as budget, schedule, legal, quality and/or safety. Employs current best practices for documentation requirements. Provides a variety of regular reporting and analysis to project team(s) to communicate overall project status and profitability. Prepares monthly cost and margin forecast with input from superintendent and reviews with the project team. Participates in the development of the project budget. Regularly reviews costs relative to the budget and highlights discrepancies to enable improved financial performance. Leads overall project closeout process using best practice standards, tools and processes such as the close-out punch list, financials, sub contracts, warranties, etc. Interfaces with region/company legal counsel as appropriate. Key Role Responsibilities- Additional Core N/A Knowledge, Skills & Abilities Ability to perform work accurately and completely, and in a timely manner. Communication skills, verbal and written (Intermediate). Ability to conduct effective presentations. Proficiency in MS Office (Intermediate). Ability to apply fundamentals of the means and methods of construction management to projects. Thorough knowledge of project processes and how each supports the successful completion of a project. Ability to build relationships and collaborate within a team, internally and externally. Proficiency in project management and accounting software (Advanced). Proficiency in required construction technology (Advanced). Proficiency in scheduling software (Advanced). Ability to apply Lean process and philosophy (Intermediate). Ability to manage budgets, maximize profitability and generate future work through building relationships. Ability to build relationships with team members that transcend a project. Education Bachelor's degree in construction management, engineering or related field. In lieu of the above requirements, equivalent relevant experience will be considered. Experience 5+ years construction management experience. Working Environment Valid and unrestricted drivers license required Must be able to lift up to 25 pounds May require periods of travel and/or relocation Must be willing to work non-traditional hours to meet project needs May be exposed to extreme conditions (hot or cold) Assignment location may include project sites and/or in the office Frequent activity: Sitting, Viewing Computer Screen Occasional activity: Standing, Walking, Bending, Climbing, Reaching above Shoulder, Pushing, Pulling Benefits Information The benefits package aligned to this position is Professional Non-Union. Please click the link below for more details. Click here for benefits details. JE Dunn Construction is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer and it is our policy to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. JE Dunn Construction is a background screening, drug-free workplace. JE Dunn provides reasonable accommodations to qualified individuals with disabilities. If you would like to request a reasonable accommodation in order to apply for a job, please submit your request to accommodations@jedunn.com JE Dunn Construction Company does not accept unsolicited resumes from search firms or agencies. Any resume submitted to any employee of JE Dunn Construction without a prior written search agreement will be considered unsolicited and the property of JE Dunn Construction Company. Please, no phone calls or emails. Requisition ID: 60393 Why People Work Here At JE Dunn we offer our employees an inspired place to enrich their life and the lives of those around them Building on our rich history, our employee owners are shaping the future of JE Dunn. In our team-focused environment we do life together and are generously rewarded for our efforts About JE Dunn For more information on who we are, click here. EEO NOTICES Know Your Rights: Workplace Discrimination is Illegal California Privacy Policy E-Verify JE Dunn participates in the Electronic Employment Eligibility Verification Program. E-Verify Participation (English and Spanish) Right to Work (English) Right to Work (Spanish)

Posted 3 weeks ago

Portage Point Partners logo

Managing Director, Investment Banking // Healthcare Mergers & Acquisitions (M&A)

Portage Point PartnersChicago, IL
At Portage Point Partners (Portage Point), you are not a cog in a legacy machine, you are shaping strategy, influencing outcomes and being rewarded for driving impact. Backed by New Mountain Capital, Portage Point is recognized for accelerated growth and is consistently featured in rankings from Inc.5000, The Financial Times and Consulting Magazine. This recognition is a testament to our focus on excellence, intensity and pace and ability to attract blue chip talent committed to delivering best-in-class outcomes. Our cross-functional platform spans the full business lifecycle and offers middle market clients integrated solutions across Transaction Advisory Services (TAS), Valuations (VAL), Transaction Execution Services (TES), Office of the CFO (OCFO), Performance Improvement (PI), Interim Management (IM), Investment Banking (IB) and Turnaround & Restructuring Services (TRS). The IB team advises on Mergers & Acquisitions (M&A), capital raises, restructurings and special situations. Through delivering bespoke solutions to every transaction, the IB team has direct exposure to firm leadership and clients. The Managing Director, IB // Healthcare M&A at Portage Point represents a unique opportunity to assume a wide range of responsibilities and make a significant impact. This Managing Director is a business development and client delivery leader and will leverage the firm's rapidly expanding platform to further establish the M&A practice. The Managing Director, IB // Healthcare M&A will report directly to the IB Practice Line Leader and develop new and existing client relationships, lead complex engagements and ensure all engagements deliverables are high-quality and impactful. You will lead key initiatives, manage discrete workstreams and work closely with senior leaders. If you thrive in a high-performance culture and want to help build the future of a rapidly growing consultancy, this is the right role for you. Responsibilities Lead execution of all deliverable workflows necessary to consummate transactions for middle market companies undergoing growth, transformation and transition Sell engagements across a network of senior executives, private equity firms, entrepreneurs, lenders and lawyers Review and analyze client financial statements and projections, financial modeling, accounting, due diligence on balance sheet and P&Ls Create and present client deliverables Negotiate, document and assist in transaction execution Provide coaching and mentorship to junior team members Lead internal trainings and best practice sharing Lead business development and client relationship efforts Support talent acquisition and firm-building initiatives Contribute to a high-performing, inclusive and values-driven culture Qualifications Bachelor's degree from a top undergraduate program Located in or willing to relocate to Atlanta, Boston, Chicago, Dallas, Houston, Los Angeles, Nashville, New York, Palm Beach or Philadelphia Invested in a team-based culture, motivated to collaborate in office four days per week and willing to work at client sites as needed 15 plus years of middle market investment banking experience Established book of business in the Healthcare sector with a demonstrated ability to develop new business across a network of corporate relationships, private equity sponsors, lawyers and / or lenders Maintains Series 79, 63 and 24 FINRA license or ability to obtain within 120 days of employment Experience with privately held and sponsor-backed businesses Commanding knowledge of current market terms and trends Expertise in project management and client-facing activities, including leading client presentations, business development meetings, developing work plans, planning and execution of work, supervising team and coordinating with other internal and external service providers Superior written and verbal communication skills, including executive-ready presentation and reporting skills Proven ability to thrive in lean, fast-moving teams High attention to detail, responsiveness and ownership mindset Track record of success in high-pressure, client-facing environments $1,200,000 - $3,000,000 a year In accordance with pay transparency laws in the City of New York and the State of California, Portage Point provides a good-faith cash compensation range for this position. This range represents the cash compensation (base plus bonus) that the firm reasonably expects to pay upon hire, based on good-faith and reasonable estimate at the time of posting. The final compensation within this range will depend on the candidate's qualifications, education, training, experience and location. In addition to cash compensation, Portage Point may offer comprehensive benefits and equity participation, which are not reflected in the pay range above. Investment Banking Services are offered through Triple P Securities, LLC. Member FINRASIPC We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 2 weeks ago

PwC logo

Healthcare Provider, Business Operations - Senior Manager

PwCTampa, FL

$124,000 - $280,000 / year

Industry/Sector Not Applicable Specialism Operations Strategy Management Level Senior Manager Job Description & Summary At PwC, our people in Corporate Technology Strategy consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As part of the Corporate Technology Strategy team at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Craft and convey clear, impactful and engaging messages that tell a holistic story. Apply systems thinking to identify underlying problems and/or opportunities. Validate outcomes with clients, share alternative perspectives, and act on client feedback. Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations. Deepen and evolve your expertise with a focus on staying relevant. Initiate open and honest coaching conversations at all levels. Make difficult decisions and take action to resolve issues hindering team effectiveness. Model 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 Corporate Technology Strategy team, you will support delivery of digital and technology transformation engagements. You will utilize your deep technology skills to support delivery of digital transformation engagements across the entire lifecycle. As a Senior Manager, you will play a significant leadership role within our Provider Business Operations team, helping healthcare providers execute large, tech-enabled transformation programs for healthcare providers. Responsibilities Advise clients on their most complex technology strategy problems using the latest frameworks, methodologies, and technologies Build technology solutions using AI and other platforms to enable outstanding client outcomes Lead large, multi-year transformation workstreams with structured planning, governance, and high-quality delivery, managing complex project activities including issue resolution, dependency management, and executive reporting Shape solution design and transformation strategies across multiple healthcare administrative domains (e.g., finance, HR, supply chain), leveraging deep expertise and a strong understanding of provider operations, business case development, and process improvement Oversee change management and user adoption through readiness assessments, stakeholder engagement, communications, and training, while building trusted relationships and aligning diverse clinical, operational, and functional teams Guide, coach, and develop Managers and Senior Associates to strengthen delivery capabilities, functional expertise, and overall team performance Drive business and practice development by shaping pursuit content, developing proposals, owning initiatives like internal tool creation or AI-enabled accelerators, and identifying growth opportunities during delivery Support client decision-making and transformational outcomes by applying data analysis, benchmarking, structured problem-solving, capturing lessons learned, codifying industry standard practices, and contributing to internal knowledge and offering evolution What You Must Have Bachelor's degree At least 7 years of consulting and/or healthcare provider industry experience, with at least 4 years leading teams, major workstreams within business, or technology-enabled transformation programs Understanding and experience executing the software development lifecycle in large enterprise In-depth technical experience with enabling platforms such as Oracle, Workday, or UKG, and understanding of how they support provider operational processes. What Sets You Apart Master's degree preferred Core Technology Strategy Skills Understanding of foundational IT domains (infrastructure, cloud, applications, data, cybersecurity) Experience with IT cost analysis, operating model design, sourcing strategies, or portfolio analysis Knowledge of enterprise architecture concepts and common architecture frameworks Experience assessing IT capabilities and identifying gaps to better align technology with business needs Ability to support performance management through KPIs/OKRs, dashboards, and governance processes Experience supporting IT governance, process design, and role clarity within modern operating models Digital & AI Strategy Skills Experience using GenAI / Agentic tools for analysis, research, or workflow automation Exposure to AI strategy, governance, responsible AI, or AI adoption frameworks Experience contributing to digital transformation roadmaps by integrating customer needs, data insights, and technology enablers Ability to support workforce strategy initiatives including skill assessments and capability-building plans Experience supporting technology-enabled change management, including stakeholder engagement and adoption planning Provider Business Operations Skills Experience leading multi-disciplinary functional transformation for healthcare providers. Experience influencing pursuit strategy, shaping win themes, developing competitive proposal content, or supporting solution design for provider clients Familiarity with financial management, performance tracking, and project financials Experience with automation, analytics, or AI-enabled approaches that enhance delivery quality and efficiency Substantial functional depth in at least one provider administrative domain (e.g., finance, HR, supply chain, workforce, shared services) and broad exposure to others Proven ability to lead workstreams, manage cross-functional teams, and drive high-quality execution in complex environments Having the ability to shape transformation strategies and work with provider leaders to translate goals into actionable plans Possessing proven communication, facilitation, and executive presentation skills Demonstrating the ability to coach teams and foster a high-performing, collaborative culture Applying functional and technical depth and cross-functional insight to help clients modernize operations, improve performance, and align business and technology capabilities to their strategic goals Travel Requirements Up to 80% 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. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines The salary range for this position is: $124,000 - $280,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. 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 3 weeks ago

Catholic Charities of the Archidiocese of Washington logo

Bilingual Healthcare Services (Hcs) Administrative Clinic Manager, (1456 & 1042)

Catholic Charities of the Archidiocese of WashingtonTemple Hills, MD
Apply Job Type Full-time Description ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our "promote from within" culture. We offer professional development, a comprehensive benefits package, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures. JOB SUMMARY: The HCS Administrative Clinic Manager oversees the overall administrative flow and daily operations of the Health Care Service clinics and assists with building operations by controlling safety, securing the building and responding to emergencies. The position works with all members of the HCS team to ensure the best possible quality of services and customer care. SUPERVISORY RESPONSIBILITY: Provides administrative supervision of 2-4 FTEs. ESSENTIAL DUTIES and RESPONSIBILITIES: Oversees daily clinic administrative operations to assure registration, scheduling, eligibility, and patient contribution is according with HCS and CC P&P to achieve services goals and follow up CC finances regulations and procedures. Assists in coordinating monthly, quarterly, and annual reports for an existing grant. Track the Spanish Catholic Center (SCC), Catholic Charities Center and Mona Center performance on existing grants and submit clinic data and narratives relevant to grant reporting criteria. Manages and oversees supervision of staff. Oversees credentialing and privileging processes for Healthcare Services, including maintaining up-to-date certifications, accreditations, licenses, background clearances, NPI numbers, and privilege documentation for all clinical personnel, including staff, contractors, and volunteers. Handles cash regularly; complete financial forms or validate the work of a peer. Makes bank deposits as needed. Oversees evening program activities, including scheduling providers, and patients, preparing monthly and quarterly reports on patients, services, and finances. Performs other related duties assigned. Requirements EDUCATION and EXPERIENCE: Bachelor's degree in business management or relevant field. 2 years' experience in healthcare. 1 year experience working with the Immigrant Community. One (1) year supervisory/management experience. SKILLS and COMPETENCIES: Excellent written, verbal and interpersonal communication skills in English and Spanish. Proficiency with Microsoft Office, Word, and Excel and databases. Respectful and sensitive towards each person's individuality and the cultural/ethnic diversity of the people served. Compensation Package: Medical, prescriptions, dental and vision insurance Retirement savings plan with company match Company-paid and supplemental life insurance Flexible spending accounts Paid vacation, sick and personal leave 11 paid holidays Professional development and training Tuition reimbursement Employee referral bonus program Work Schedule: In-Person in two locations, Catholic Charities Center, Silver Spring and Mona Center, Temple Hills. Mondays and Wednesdays, 8:30 AM - 8:00 PM; Tuesdays and Thursdays, 8:30 AM - 5:00 PM Salary Description 57,792 Yearly

Posted 30+ days ago

Inovalon logo

Principal Healthcare Data Analytics Specialist

InovalonCanonsburg, PA

$120,000 - $140,700 / year

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building. Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve. Location: This position is a hybrid role based out of our Canonsburg, PA office. The current expectation is that we are in office two days each week (Tuesday-Wed), with extra additional days as required during the month. Business Unit: Pharmacy Overview: As a Principal Healthcare Data Analytics Specialist, primary responsibility is to lead and implement the design of data acquisition, transformation, and analytical modeling of clinical and health data from Inovalon's technical platforms and databases, with the ability to envision future uses and growth trajectories of the those designs in supporting impactful, dynamic, and insightful healthcare data analytics such as opportunity analyses, risk adjustment and predictive modeling, program evaluation studies, customer reporting, product development, and ad-hoc analytics. The Principal Healthcare Data Analytics Specialist understands and works on complex projects where analysis of situations or systems requires advanced knowledge and wide-ranging experience and calls for reliable judgments in selecting methods and design options. This job often serves as an important contributor and trusted advisor on important technical issues. Duties and Responsibilities: Contribute and lead data modelling and system architectural designs for high-impact projects, products, and infrastructure. Develop, perform, and/or oversee complex and detailed statistical analyses and modeling of clinical and operational data with outputs that are clear and relevant to the users; Lead in the design and development of statistical analyses and reports that explore and present large amounts of data to discover underlying patterns and trends related to quality, safety, and clinical performance; Lead in working with information from a variety of healthcare data sources, including EHR, financial, publicly reported quality measurement and reimbursement data, and other resources using a variety of highly-specific tool such as, but not limited to R, SQL or Power BI; Develop requirements for data mapping and data loading processes. Execute data mapping/loading requirements and reconcilement of such activities; Plan and design data integration strategies, develop intuitive designs, and build enterprise interactive dashboards with built in guided healthcare data analytics; Lead in identifying and researching anomalies and outliers in data. Proactively identify problematic areas and conduct research to determine the best course of action to correct the data; Lead in strategies to monitor and perform trend analysis for the company and research report on anomalies Maintain compliance with Inovalon's policies, procedures and mission statement; Act as subject matter expert and trusted advisor to key stakeholders. Maintain compliance with Inovalon's policies, procedures and mission statement; Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position; and Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Employer. Job Requirements: At least 8 years of experience in healthcare data analytics, data science, or related field; Expert conducting statistical analyses and data mining using tools; Expert with data management and visualization tools, such as SQL and PowerBI; Experience with Snowflake or other cloud-based data warehouse platforms; Possession of strong analytical / statistical skills used in evaluating and analyzing data; Strong organization skills and attention to details, comfortable working with minimum direction; Ability to lead technical discussions, independently contribute to high-level design and development, and effectively explain technical concepts to audiences of varying technical knowledge. Ability to advise on the selection of the right tools and environments for engineering and analytics teams. Adaptable to changing organizational requirements and priorities and supportive of a diverse work force; Ability to collaborate with others in diplomatic, tactful manner, while exercising sensitivity and discretion as needed; Experience managing and working with data in a heavily regulated industry. Advanced PC skills (Excel, PowerPoint, Word, Visio, and other programs); and Excellent written and verbal communication skills. Coaching and mentoring skills. Education: Bachelor's degree in Information Systems, Computer Science, Statistics, Analytics, or a related field of study, and 8 years of related experience; Or Master's degree in Information Systems, Computer Science, Statistics, Analytics, or a related field of study, plus at least 5 years of experience. Physical Demands and Work Environment: Sedentary work (i.e., sitting for long periods of time); Exerting up to 10 pounds of force occasionally and/or negligible amount of force; Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions Subject to inside environmental conditions; and Travel for this position will include less than 5% locally usually for training purposes. Inovalon Offers a Competitive Salary and Benefits Package In addition to the base compensation, this position may be eligible for performance-based incentives. The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate. Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That's why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more. Base Compensation Range $120,000-$140,700 USD This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions) If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles. By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth. Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement. To review the legal requirements, including all labor law posters, please visit this link To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit this link

Posted 1 week ago

Cigna logo

Product Management Senior Advisor, Cost Containment - Cigna Healthcare - Hybrid

CignaPhiladelphia, PA
Position Summary The Product Management Senior Advisor for Cost Containment will be responsible for the management and development of the solutions suite, supporting the OON Protection and Payment Integrity programs under the medical Cost Containment products umbrella. This position will provide subject matter expertise to direct product operations, reporting, compliance, marketing, sales, future product development, and client exceptions. The successful individual in this role will have strong analytic, technical, communication, research and decision-making skills. A solid understanding of the healthcare ecosystem and delivery system dynamics is a must. This individual will be adept at working as part of a small team, comfortable handling competing priorities and able to operate in an environment with aggressive timelines and possible ambiguity. Excellent time management, project management, organizational skills, and orientation to detail. This role is an individual contributor but will have demonstrated ability to work with matrix partners and business stakeholders. Job Responsibilities Serve as the primary point of contact for product strategy, day-to-day product operations and development and maintenance of the solution suite. Oversee Cost Containment product innovation and development working closely with key matrix partners including Sales, Legal, Medical Economics, Finance, Underwriting, and Network Operations. Produce and present annual Product Roadmap. Serve as general subject matter expert to Sales/UW, Brokers/Consultants and Clients by responding to RFls/RFPs, presenting program value and leading all internal/external product trainings. Turn data into actionable insights by working with matrix partners to create and deliver relevant dashboard views/reporting of Cost Containment program performance, including program adoption, earnings updates, and industry trends. Lead all Program Go-to-Market activities including market message creation, collaterals, and internal/external distribution. General solution suite maintenance / management (scorecards, reporting, KnowledgeXchange, FAQs, playbook, etc.). Guide matrix partners through issue-resolution support and triage. Engage other partners as needed (i.e. other CC programs, Program Managers). Manage the Product mailbox including PBAB submissions, reporting requests, Sales questions, etc. Maintain and own all Exception and Opt-Out reports. Report out to matrix partners monthly. Perform quarterly audits of same. Identify areas of opportunity to drive efficiency enhancements with current manual processes. Facilitate and lead Core Team meetings by setting agenda, taking notes/recording any follow-up items. Work with matrix partners on projects as needed, i.e. Portfolio Funding execution. Monitor Federal and State legislation impacting Product. Work with matrix partners on ASO Agreement and SPD language review and updates. Skills Goal-oriented and personally accountable; resourceful and self-directed. Ability to solve problems, identify and remove roadblocks, triage and prioritize issues. Strong time management, project management and organization skills. Excellent written and oral communication skills; able to present and facilitate dialogue with internal and external customers. Ability to effectively collaborate across the organization in a highly matrixed environment. Demonstrated the capacity to synthesize complex information from a wide variety of sources into a clear compelling story that helps the organization commit to action. Adaptable, flexible, and able to lead/manage through change. Strong leadership, interpersonal, relationship, and listening skills. Qualifications Minimum of a Bachelor's degree in Business, Finance, or similar field, MBA preferred. 5+ years' experience in Product/Analytics/Sales or related field. Previous Cost Containment or Network experience with an understanding of industry dynamics and plan benefit design (in-network vs. out-of-network; delivery system; regulatory implications; how we go to market, etc.). Ability to deliver in a high-visibility space. Ability to work in a heavily matrixed environment. Ability to work closely with Executive Level Sales Leaders. Success in delivering and/or managing multiple initiatives while remaining detail-oriented and on-track. Ability to effectively communicate with Clients, Brokers/ Consultants (comfort in speaking and working externally). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 5 days ago

Owens & Minor, Inc. logo

Byram Healthcare Pharmacy Technician

Owens & Minor, Inc.Torrance, CA

$22 - $25 / hour

At Accendra Health, we understand that healthcare is complex, and we're here to make it easier. We help deliver care beyond traditional settings, making essential products and services more accessible through every stage of life. As part of the care team, our teammates play a critical role in delivering personalized, long-term care for the patients we serve. With deep expertise promoting health outside the hospital and a presence in communities nationwide through our Apria and Byram Healthcare brands, Accendra Health does more than just deliver the essentials. If you're interested in meaningful work with impact, explore our career opportunities and join us in our purpose of Bringing Care To Life. The anticipated hourly range for this position is $22-$25 an hour. The actual compensation offered may vary based on job related factors such as experience, skills, education and location. ESSENTIAL JOB FUNCTIONS: Answer in-bound pharmacy customer calls. Make out-bound calls to patients, healthcare providers, referrals, and insurance carriers. Resolve customer issues including billing and insurance denials with insurance carriers. Establish and maintain patient profiles including lists of medications, insurance, billing, and provider information. Process orders using Enterprise Rx; gather patient demographics and billing information to complete requested orders and to obtain prior authorizations. Assists pharmacists on an as-needed basis; maintaining inventory, stocking pharmacy, preparing and dispensing medication. SUPPLEMENTAL JOB FUNCTIONS: Performs additional duties as directed. Qualifications EDUCATION & EXPERIENCE REQUIRED: High School Diploma Resident State Pharmacy Technician License 1-2 years pharmacy technician experience KNOWLEDGE SKILLS & ABILITIES: Excellent customer service skills Ability to answer hi-volume in-bound calls via an automated phone system Ability to make outbound calls to customers and referrals as necessary Basic knowledge of insurance, pharmacy authorization, and billing Excellent organizational skills and detail oriented Proficient in Microsoft Office: Word, Outlook, Excel, PowerPoint Spanish speaking a plus Teammate Benefits As an Accendra Health employee, you have choices to fit your life. Our comprehensive benefits program is designed to meet you where you are - through all of life's stages. We've got you and your family covered with benefits that support your health, finances, and overall wellness. Our benefits program includes: Medical, dental, and vision care coverage Paid time off plan 401(k) Plan Flexible Spending Accounts Basic life insurance Short-and long-term disability coverage Accident insurance Teammate Assistance Program Paid parental leave Domestic partner benefits Mental, physical, and financial well-being programs If you feel this opportunity could be the next step in your career, we encourage you to apply. Accendra is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law. Note: Accendra is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at our Company via email, the Internet, or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of our Company. No fee will be paid in the event the candidate is hired by our Company as a result of the referral or through other means.

Posted 5 days ago

Elliot Davis logo

Audit Senior - Healthcare

Elliot DavisCharlotte, NC
WHO WE ARE Elliott Davis pairs forward-thinking tax, assurance and consulting services with industry-leading workplace culture. Our nine offices - located in the fastest growing cities in the US - are built on a foundation of inclusivity, collaboration, and collective growth. We work daily to provide exceptional service to our people, customers, and our communities. Audit and assurance services are provided by Elliott Davis, LLC (doing business in NC and D.C. as Elliott Davis, PLLC), a licensed CPA firm. The role of the Audit Senior is to participate in the audit process from planning to completion for clients as part of the company's annual audit plan. Tasks will include planning the audit process, researching, reviewing current processes, and providing recommendations to enhance company policies and procedures. The Audit Senior is responsible for supervising, motivating, developing, and reviewing the work of the audit staff team. Responsibilities Plan, supervise and perform financial statement audits for clients Build trust-based relationships with clients by developing a comprehensive knowledge of key clients' business Evaluate the client's internal control systems and develop recommendations to improve client processes, accounting systems, control structure and procedures, and efficiency. Prepare financial statements, audit reports, budget and cash flow analyses, and special reports for clients Resolve all open items/issues encountered on assigned engagements Actively monitor engagement economics by managing budgets and seeking efficiencies Bottom-line management of assigned engagements and individual productivity opportunities, becoming a subject-matter expert in one or more technical aspects Teach, develop, and oversee staff throughout engagements, delegate assignments and tasks. Provide honest, objective, and constructive feedback in a timely manner to staff. Collaborate to identify and sell opportunities among existing clients Serve as a mentor and role model through active participation in firm committees, departmental matters, and events Requirements Bachelor's degree in accounting or finance 2+ years of recent public accounting experience CPA certification or significant progress toward certification Ability to prepare and/or review a complete set of financial statements Strong oral and written communication skills; effective listening skills Effective analytical and problem-solving ability Strong time and work management skills #LI-EG1 #LI-Hybrid WHY YOU SHOULD JOIN US We believe that when our employees are able to thrive in all facets of life, their work and impact are that much greater. That's right - all aspects of life, not just your life as an employee, because we understand that there's life beyond your job. Here are some of the ways our work works for your life, your growth, and your well-being: generous time away and paid firm holidays, including the week between Christmas and New Year's flexible work schedules 16 weeks of paid maternity and adoption leave, 8 weeks of paid parental leave, 4 weeks of paid and caregiver leave (once eligible) first-class health and wellness benefits, including wellness coaching and mental health counseling one-on-one professional coaching Leadership and career development programs access to Beyond: a one-of-a kind program with experiences that help you expand your life, personally and professionally NOTICE TO 3RD PARTY RECRUITERS Notice to Recruiters and Agencies regarding unsolicited resumes or candidate submissions without prior express written approval. Resumes submitted or candidates referred to any employee of Elliott Davis by any external recruiter or recruitment agency by any means (including but not limited to via Internet, e-mail, fax, U.S. mail, and/or verbal communications) without a properly executed written contract for a specified position by an authorized member of the Talent Acquisition team become the property of Elliott Davis. Elliott Davis will not be responsible for, or owe any fees associated with, referrals of those candidates and/or for submission of any information, including resumes, associated with individuals. ADA REQUIREMENTS The physical and cognitive/mental requirements and the work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Requirements While performing the duties of this job, the employee is: Regularly required to remain in a stationary position; use hands repetitively to operate standard office equipment; and to talk or hear, both in person and by telephone Required to have specific vision abilities which include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus Cognitive/Mental Requirements While performing the duties of this job, the employee is regularly required to: Use written and oral communication skills. Read and interpret data, information, and documents. Observe and interpret situations. Work under deadlines with frequent interruptions; and Interact with internal and external customers and others in the course of work.

Posted 30+ days ago

R logo

Senior Manager, Healthcare Compliance Operations

Revolution Medicines, Inc.Redwood City, CA

$164,000 - $205,000 / year

Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company's R&D pipeline comprises RAS(ON) Inhibitors designed to suppress diverse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway. The Opportunity: The Senior Manager, Healthcare Compliance Operations will be responsible for developing and providing support to continually enhance Healthcare Compliance infrastructure related to the company's engagements with the Healthcare Community. The role will be responsible for the implementation and continued development of RevMed's Transparency Reporting Program, assisting in the implementation of Healthcare Compliance review systems, and serving as a Healthcare Compliance Business Partner in the review of RevMed's engagements with the Healthcare Community. In this role you will call upon your experience to: Assist the Director, Compliance in the implementation and continued development of Healthcare Compliance review systems related to Revolution Medicine's engagements with the Healthcare Community and other systems supporting the Compliance program. Conduct Healthcare Compliance review and approval of Revolutions Medicine's engagements with the Healthcare Community (Advisory Boards, Consulting, Speaker Programs, Grants, Sponsorships, Externally Sponsored Research). Support the implementation and continued development of Revolution Medicine's Global Transparency Reporting Program to meet requirements under U.S. and global transparency reporting laws. Collaborate with external consultants, Information Security, Finance, Procurement, and other cross functional partners to design and configure an enterprise data capture process ("Aggregate Spend") to ensure the organization captures all required data in an efficient manner. Support the implementation and continued management of RevMed's Transparency Reporting system, conduct data remediation initiatives, develop and manage spend dispute process. Assist in compiling Transparency Reporting data reports that will be presented to RevMed Leadership and conduct training campaigns with all relevant stakeholders Assist in timely and accurate submission of all transparency reports. Required Skills, Experience and Education: Bachelor's degree required; advanced degree preferred. 8 years of healthcare compliance experience in a pharmaceutical organization. Experience leading the implementation and continued development of Transparency Reporting programs. Compliance systems implementation and continued operational development of Compliance programs related to HCP engagements (Advisory Boards, Speaker Programs, HCP Consulting), Independent Medical Education (IME) grants, sponsorships, donations, externally sponsored research. Strong knowledge of relevant laws and regulations including Sunshine Act/Open Payments and similar State Law requirements, OIG Compliance Program Guidance, False Claims Act, FCPA, and Anti-Kickback Statute. Ability to work independently and implement practical solutions to complex issues. Excellent written, verbal, and presentations skills. Ability to travel up to 10%. Preferred Skills: Commercial launch experience highly preferred but not required. #LI-Hybrid #LI-YG1 The base pay salary range for this full-time position for candidates working onsite at our headquarters in Redwood City, CA is listed below. The range displayed on each job posting is intended to be the base pay salary range for an individual working onsite in Redwood City and will be adjusted for the local market a candidate is based in. Our base pay salary ranges are determined by role, level, and location. Individual base pay salary is determined by multiple factors, including job-related skills, experience, market dynamics, and relevant education or training. Please note that base pay salary range is one part of the overall total rewards program at RevMed, which includes competitive cash compensation, robust equity awards, strong benefits, and significant learning and development opportunities. Revolution Medicines is an equal opportunity employer and prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital status, medical condition, and veteran status. Revolution Medicines takes protection and security of personal data very seriously and respects your right to privacy while using our website and when contacting us by email or phone. We will only collect, process and use any personal data that you provide to us in accordance with our CCPA Notice and Privacy Policy. For additional information, please contact privacy@revmed.com. Base Pay Salary Range $164,000-$205,000 USD

Posted 2 weeks ago

PwC logo

Healthcare Provider Business Operations - Senior Associate

PwCSan Francisco, CA

$77,000 - $202,000 / year

Industry/Sector Not Applicable Specialism Operations Strategy Management Level Senior Associate Job Description & Summary At PwC, our people in Corporate Technology Strategy consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As part of the Corporate Technology Strategy team, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. Focused on relationships, you are building meaningful client connections, and learning how to manage and inspire others. Navigating increasingly complex situations, you are growing your personal brand, deepening technical expertise and awareness of your strengths. You are expected to anticipate the needs of your teams and clients, and to deliver quality. Embracing increased ambiguity, you are comfortable when the path forward isn't clear, you ask questions, and you use these moments as opportunities to grow. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Respond effectively to the diverse perspectives, needs, and feelings of others. Use a broad range of tools, methodologies and techniques to generate new ideas and solve problems. Use critical thinking to break down complex concepts. Understand the broader objectives of your project or role and how your work fits into the overall strategy. Develop a deeper understanding of the business context and how it is changing. Use reflection to develop self awareness, enhance strengths and address development areas. Interpret data to inform insights and recommendations. 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 Corporate Technology Strategy team, you will support delivery of digital and technology transformation engagements. You will utilize your deep technology skills to support delivery of digital transformation engagements across the entire lifecycle. As a Senior Associate supporting Provider Business Operations, you will support large, tech-enabled business transformation programs for healthcare providers in a fast-paced environment. You will work closely with project leadership to analyze current-state operations, develop insights and recommendations, and help clients modernize administrative and operational functions across their business-including finance, supply chain, HR, workforce management, shared services, and related areas. Responsibilities Advise clients on their most complex technology strategy problems using the latest frameworks, methodologies, and technologies Build technology solutions using AI and other platforms to enable outstanding client outcomes Support workstreams within large provider transformation programs by conducting research, analysis, documentation, and coordination to advance delivery Analyze administrative processes across domains such as finance, HR, supply chain, and workforce, contributing to problem-solving and solution development Develop client-ready deliverables including process maps, analyses, presentations, and status updates to communicate insights and progress Contribute to project management tasks like action tracking, meeting preparation, documentation, risk and issue management, and stakeholder coordination Participate in change management and user adoption through communications, training support, readiness assessments, and collaboration with provider stakeholders Work with PwC teams to develop and enhance tools, templates, AI-enabled assets, and internal methodologies, while supporting business and practice development initiatives What You Must Have Bachelor's degree At least 3 years of consulting and/or healthcare provider industry experience with exposure to business or technology-enabled transformation programs, as well as experience using technology solutions to solve complex problems. Foundational understanding of some or many provider operations and/or administrative functions (e.g., finance, supply chain, HR, workforce management, shared services). Understanding and experience executing the software development lifecycle in large enterprise What Sets You Apart Master's degree preferred Core Technology Strategy Skills Understanding of foundational IT domains (infrastructure, cloud, applications, data, cybersecurity) Experience with IT cost analysis, operating model design, sourcing strategies, or portfolio analysis Knowledge of enterprise architecture concepts and common architecture frameworks Experience assessing IT capabilities and identifying gaps to better align technology with business needs Ability to support performance management through KPIs/OKRs, dashboards, and governance processes Experience supporting IT governance, process design, and role clarity within modern operating models Digital & AI Strategy Skills Experience using GenAI / Agentic tools for analysis, research, or workflow automation Exposure to AI strategy, governance, responsible AI, or AI adoption frameworks Experience contributing to digital transformation roadmaps by integrating customer needs, data insights, and technology enablers Ability to support workforce strategy initiatives including skill assessments and capability-building plans Experience supporting technology-enabled change management, including stakeholder engagement and adoption planning Provider Business Operations Skills Working in provider operations and supporting operational improvements or process redesign within healthcare settings Having exposure to functional areas like finance, supply chain, HR, workforce management, and shared services Utilizing automation and AI-enabled tools to enhance analysis and delivery Communicating effectively and working with cross-functional teams Analyzing data and solving problems through structured synthesis Creating clear, structured presentations and analytical deliverables Supporting project delivery by coordinating tasks and maintaining documentation Using tools such as Microsoft Office, Alteryx, Tableau, and similar analytic or visualization platforms Learning about how enabling platforms like Oracle, Workday, or UKG contribute to provider operations Travel Requirements Up to 80% 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. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines The salary range for this position is: $77,000 - $202,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. 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

PwC logo

Healthcare Provider, Business Operations - Senior Manager

PwCLas Vegas, NV

$124,000 - $280,000 / year

Industry/Sector Not Applicable Specialism Operations Strategy Management Level Senior Manager Job Description & Summary At PwC, our people in Corporate Technology Strategy consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As part of the Corporate Technology Strategy team at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. Growing as a strategic advisor, you leverage your influence, expertise, and network to deliver quality results. You motivate and coach others, coming together to solve complex problems. As you increase in autonomy, you apply sound judgment, recognising when to take action and when to escalate. You are expected to solve through complexity, ask thoughtful questions, and clearly communicate how things fit together. Your ability to develop and sustain high performing, diverse, and inclusive teams, and your commitment to excellence, contributes to the success of our Firm. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Craft and convey clear, impactful and engaging messages that tell a holistic story. Apply systems thinking to identify underlying problems and/or opportunities. Validate outcomes with clients, share alternative perspectives, and act on client feedback. Direct the team through complexity, demonstrating composure through ambiguous, challenging and uncertain situations. Deepen and evolve your expertise with a focus on staying relevant. Initiate open and honest coaching conversations at all levels. Make difficult decisions and take action to resolve issues hindering team effectiveness. Model 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 Corporate Technology Strategy team, you will support delivery of digital and technology transformation engagements. You will utilize your deep technology skills to support delivery of digital transformation engagements across the entire lifecycle. As a Senior Manager, you will play a significant leadership role within our Provider Business Operations team, helping healthcare providers execute large, tech-enabled transformation programs for healthcare providers. Responsibilities Advise clients on their most complex technology strategy problems using the latest frameworks, methodologies, and technologies Build technology solutions using AI and other platforms to enable outstanding client outcomes Lead large, multi-year transformation workstreams with structured planning, governance, and high-quality delivery, managing complex project activities including issue resolution, dependency management, and executive reporting Shape solution design and transformation strategies across multiple healthcare administrative domains (e.g., finance, HR, supply chain), leveraging deep expertise and a strong understanding of provider operations, business case development, and process improvement Oversee change management and user adoption through readiness assessments, stakeholder engagement, communications, and training, while building trusted relationships and aligning diverse clinical, operational, and functional teams Guide, coach, and develop Managers and Senior Associates to strengthen delivery capabilities, functional expertise, and overall team performance Drive business and practice development by shaping pursuit content, developing proposals, owning initiatives like internal tool creation or AI-enabled accelerators, and identifying growth opportunities during delivery Support client decision-making and transformational outcomes by applying data analysis, benchmarking, structured problem-solving, capturing lessons learned, codifying industry standard practices, and contributing to internal knowledge and offering evolution What You Must Have Bachelor's degree At least 7 years of consulting and/or healthcare provider industry experience, with at least 4 years leading teams, major workstreams within business, or technology-enabled transformation programs Understanding and experience executing the software development lifecycle in large enterprise In-depth technical experience with enabling platforms such as Oracle, Workday, or UKG, and understanding of how they support provider operational processes. What Sets You Apart Master's degree preferred Core Technology Strategy Skills Understanding of foundational IT domains (infrastructure, cloud, applications, data, cybersecurity) Experience with IT cost analysis, operating model design, sourcing strategies, or portfolio analysis Knowledge of enterprise architecture concepts and common architecture frameworks Experience assessing IT capabilities and identifying gaps to better align technology with business needs Ability to support performance management through KPIs/OKRs, dashboards, and governance processes Experience supporting IT governance, process design, and role clarity within modern operating models Digital & AI Strategy Skills Experience using GenAI / Agentic tools for analysis, research, or workflow automation Exposure to AI strategy, governance, responsible AI, or AI adoption frameworks Experience contributing to digital transformation roadmaps by integrating customer needs, data insights, and technology enablers Ability to support workforce strategy initiatives including skill assessments and capability-building plans Experience supporting technology-enabled change management, including stakeholder engagement and adoption planning Provider Business Operations Skills Experience leading multi-disciplinary functional transformation for healthcare providers. Experience influencing pursuit strategy, shaping win themes, developing competitive proposal content, or supporting solution design for provider clients Familiarity with financial management, performance tracking, and project financials Experience with automation, analytics, or AI-enabled approaches that enhance delivery quality and efficiency Substantial functional depth in at least one provider administrative domain (e.g., finance, HR, supply chain, workforce, shared services) and broad exposure to others Proven ability to lead workstreams, manage cross-functional teams, and drive high-quality execution in complex environments Having the ability to shape transformation strategies and work with provider leaders to translate goals into actionable plans Possessing proven communication, facilitation, and executive presentation skills Demonstrating the ability to coach teams and foster a high-performing, collaborative culture Applying functional and technical depth and cross-functional insight to help clients modernize operations, improve performance, and align business and technology capabilities to their strategic goals Travel Requirements Up to 80% 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. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines The salary range for this position is: $124,000 - $280,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. 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 3 weeks ago

CONTACT GOVERNMENT SERVICES logo

Healthcare Fraud Investigator

CONTACT GOVERNMENT SERVICESAustin, TX

$85,000 - $105,000 / year

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

Posted 30+ days ago

STV Group, Incorporated logo

Assistant Project Manager - Healthcare

STV Group, IncorporatedEmpire State Building, NY

$114,545 - $152,726 / year

STV is seeking an Assistant Project Manager to join our PM/CM group to support one of our healthcare clients onsite in New York, NY. The successful candidate will assist with representing the owner and owner stakeholder groups and be an integral part of a high preforming team of professionals leading the delivery of projects and or programs for healthcare specific clients. The Assistant Project Manager will assist in managing design professionals and contractors constructing state of the art Healthcare, Pharmaceutical and Bio Life Science facilities. In this role the Assistant Project Manager will work alongside of senior managers to guide the project team to manage all phases of the project life cycle including but not limited to budgeting, planning, design, bidding, construction, commissioning, move management planning and close out services. Join STV and become part of one of the most dynamic and fast paced market sectors in the construction industry. Responsibilities: Responsibilities include assisting the Senior Managers with the project team.. The Assistant PM may assist staff, project financials and schedules. In addition, the Assistant PM shall carry out duties as assigned to achieve the successful completion of the project/program. Assist with leading cross functional healthcare projects and initiatives with demanding resource requirements, risk, and/or complexity. Monitor design and construction activities to ensure that all phases of work are done in accordance with contractual agreements and corporate quality standards. Assist with monitoring, evaluating and or developing project financials, cash flow analyses, and cost estimates, as well as reviews purchase orders, change orders, and invoices. Forecast, identify and addresses areas of potential liabilities and risks. Assist with monitoring and maintaining project schedules. Ensure that project objectives are met. Maintains client, consultant, contractor, and vendor relationships. Assist in the evaluation, development, and selection of standards, protocols, policies and procedures to facilitate project success. Provides guidance, direction, and instruction to less experienced team members and colleagues. Required Skills: Bachelor's Degree required, in Architecture, Engineering or Construction Management. Minimum of 3 years of clinical renovations and owner representative/project management experience, specifically in Hospital, Healthcare Systems, Pharmaceutical, and or Laboratory related projects. Demonstrated history in managing a minimum of $50 million in healthcare or related construction types. Demonstrated history in managing high-rise construction projects. Demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Requires excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams. Knowledge and ability to creatively resolve issues as they arise. Knowledge and ability to supervise people including recruitment, training, performance management, and people development. High proficiency with general Microsoft applications, including MS Project and Share Point. Demonstrated experience with project management software and applications. Ability to forecast project challenges and define solutions to maintain compliance with safety protocols, quality, schedule and budget. Please note that this position is not eligible for sponsorship Compensation Range: $114,544.55 - $152,726.06 Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At STV, we are fully committed to expanding our culture of diversity and inclusion, one that will reflect the clients we serve and the communities we work in, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description we encourage you to apply anyways. You may be just the right candidate for this or other roles. STV offers the following benefits • Health insurance, including an option with a Health Savings Account • Dental insurance • Vision insurance • Flexible Spending Accounts (Healthcare, Dependent Care and Transit and Parking where applicable) • Disability insurance • Life Insurance and Accidental Death & Dismemberment • 401(k) Plan • Retirement Counseling • Employee Assistance Program • Paid Time Off (16 days) • Paid Holidays (9 days) • Back-Up Dependent Care (up to 10 days per year) • Parental Leave (up to 80 hours) • Continuing Education Program • Professional Licensure and Society Memberships STV is committed to paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is STV's good-faith salary estimate for this position. Please note that the final salary offered for this position may be outside of this published range based on many factors, including but not limited to geography, education, experience, and/or certifications.

Posted 6 days ago

G logo

Viiv Healthcare (Gsk) Regional Sales Director, Pacific Region (Ca, OR, WA And AK) - Field Based

GSK, Plc.pismo beach, CA

$182,250 - $303,750 / year

Site Name: USA - California- Sacramento, USA - California- Los Angeles, USA - California- San Francisco Posted Date: Feb 2 2026 Job Description Region: Pacific (CA, OR, WA and AK) ViiV Healthcare is a global specialty HIV company, the only one that is 100% focused on researching and delivering new medicines for people living with, and at risk of, HIV. ViiV is highly mission-driven in our unrelenting commitment to being a trusted partner for all people living with and affected by HIV. Our aim is to think, act, and connect differently through a focus on education on and treatment for HIV. We go to extraordinary lengths to deliver the sorts of breakthroughs, both in treatments, care solutions and communities, that really count. We go beyond the boundaries of medicine by taking a holistic approach to HIV through developing and supporting sustainable community programs and improving access to care. We are fully committed to push through every challenge until HIV/AIDS is eradicated. ViiV has played a significant part in delivering breakthroughs that have turned HIV into a manageable health condition. We offer the largest portfolio of HIV medicines available anywhere, and we continue our work to cater for the widest possible range of needs in response to the HIV epidemic. We are aware of how much is at stake for those affected by HIV and we show up every day 100% committed to the patients. Our work culture is fast-paced, diverse, inclusive, competitive, and caring. But ViiV isn't just somewhere to work - it's a place to belong, an invitation to bring your very best, and a team full of impact-driven team members who are hungry to make a difference. While we have been improving lives of HIV patients for 30 years, this is an especially exciting time to be at ViiV, as we evaluate novel approaches to treatment and prevention that could further reduce the impact of HIV on individuals and communities. ViiV Healthcare was created as a joint venture by Pfizer and GlaxoSmithKline in November 2009 with both companies transferring their HIV assets to the new company. In 2012 Shionogi joined the company. 76.5% of the company is now owned by GlaxoSmithKline, 13.5% by Pfizer and 10% by Shionogi. Are you looking for a new challenge in a critical strategic role designed to optimize access to ViiV Healthcare products across a variety of payers (AIDS Drug Assistance Program, Fee for Service Medicaid, Managed Medicaid, Medicare Part D, PBMs and PBAs as well as assigned Commercial Accounts within the region)? In addition to the primary responsibility for access to ViiV Healthcare products within the assigned accounts, you will also be responsible for leading the coordination of key regional stakeholders (both internal and external) to support strategic objectives. This Regional Sales Director, Pacific will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Lead and direct team of Territory Account Managers to promote ViiV products to targeted physicians and academic centers to achieve specific sales goals. Direct Territory Account Managers in the acquisition, expansion, and retention of targeted business within the assigned area. Participate in the formulation of regional sales strategies, interpret strategies and apply to issues within the geographic area. Work with VP/AVP to establish sales and profit goals for geographic area. Achieve or exceed sales goals for area. Full Engagement with key accounts (largest accounts in area) by developing and implementing strategies, participating in contract negotiating team and implementing contracts and servicing the account. Act as local liaison and collaborator (build consensus on area strategies and tactics) between ViiV Sales Division and other ViiV sectors Identify and validate market opportunities and needs and assist with developing plans to launch, test, and refine new product and service offerings. Develop and maintain customer relationships (ViiV focal point for customer) with key executives (CEO, CFO) and key decision influencers/makers in all accounts. Manage and deploy resources (financial, field staff) to ensure achievement of objectives. Establish and manage area expense budgets; ensure appropriate return on investment. Work with Territory Account Managers on a consistent basis evaluating and directing sales presentations. Attract, develop and retain individuals who will ensure high level of performance. Provide adequate training, coaching, follow-up and development of sales representatives in all phases of their work including career development. Why you? Basic Qualifications: We are looking for professionals with these required skills to achieve our goals: BA/BS degree 9+ years of pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members Experience in developing strategic business plans with specific, measurable, action-oriented objectives Ability to travel domestically as necessary, which may will include overnight travel, majority of time will be spent with team in market Valid Driver's License Preferred Qualifications: If you have the following characteristics, it would be a plus: Knowledge of HIV and related Payer issues Excellent Interpersonal Skills Proven ability to persuasively communicate across multiple stakeholders Self-starter with ability to lead and work independently Proven Negotiation Skills Experience with Situational Leadership Proficient in Excel, Powerpoint, Word and Outlook as well as Customer Relationship Management Tools #LI-Remote #LI-GSK #LI-ViiV #GSKCOMMERCIAL If you are based in Cambridge, MA; Waltham, MA; Rockville, MD; or San Francisco, CA, the annual base salary for new hires in this position ranges $182,250 to $303,750. If you are based in another US location, the annual base salary range is $182,250 to $303,750. The US salary ranges take into account a number of factors including work location within the US market, the candidate's skills, experience, education level and the market rate for the role. In addition, this position offers an annual bonus and eligibility to participate in our share based long term incentive program which is dependent on the level of the role. Available benefits include health care and other insurance benefits (for employee and family), retirement benefits, paid holidays, vacation, and paid caregiver/parental and medical leave. If salary ranges are not displayed in the job posting for a specific country, the relevant compensation will be discussed during the recruitment process. Please visit GSK US Benefits Summary to learn more about the comprehensive benefits program ViiV offers US employees. All ViiV employees receive the same benefits options and plans as GSK employee. Why Us? At ViiV Healthcare, we will not rest until we leave no person living with HIV behind. Until the 40 million people living with HIV is down to zero, we will continue searching for new ways to limit the impact of HIV. We are the only pharmaceutical company solely focused on combating, preventing, and ultimately eradicating HIV and AIDS. At ViiV Healthcare, we do things differently. Born out of a partnership between GSK and Pfizer in 2009, with Shionogi joining in 2012, we are determined to help end the HIV epidemic. We are guided by our mission to leave no person living with HIV behind and it is this mission that unites our employees located across the globe. We combine expertise in research, manufacturing, policy and more to push the boundaries of what people think is possible in HIV treatment and care. As a result of our connection with GSK, we are able to draw on their proud history and resources. This means that you would receive all the employee benefits offered by GSK. Living our mission of leaving no person living with HIV behind means keeping inclusion and diversity at the heart of everything we do - from our breakthrough innovation, to our diverse portfolio of medicines as well as the work we do to partner with HIV communities. Having a truly inclusive culture where we're all able to be ourselves and feel like we belong will make us an even stronger team, better able to perform as a business and deliver on our mission to leave no person living with HIV behind. Should you require any adjustments to our process to assist you in demonstrating your strengths and capabilities contact us at HR.AmericasSC-CS@gsk.com where you can also request a call. Please note should your inquiry not relate to adjustments, we will not be able to support you through these channels. However, we have created a Recruitment FAQ guide. Click the link where you will find answers to multiple questions we receive ViiV is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law. Important notice to Employment businesses/ Agencies ViiV does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact ViiV's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to ViiV. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and ViiV. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of ViiV. ViiV shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site. Please note that if you are a US Licensed Healthcare Professional or Healthcare Professional as defined by the laws of the state issuing your license, ViiV may be required to capture and report expenses ViiV incurs, on your behalf, in the event you are afforded an interview for employment. This capture of applicable transfers of value is necessary to ensure ViiV's compliance to all federal and state US Transparency requirements. For more information, please visit the Centers for Medicare and Medicaid Services (CMS) website at https://openpaymentsdata.cms.gov/

Posted 6 days ago

PwC logo

Healthcare Provider Business Operations - Manager

PwCNashville, TN

$99,000 - $232,000 / year

Industry/Sector Not Applicable Specialism Operations Strategy Management Level Manager Job Description & Summary At PwC, our people in operations consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements. 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 Corporate Technology Strategy team, you will support delivery of digital and technology transformation engagements. You will utilize your deep technology skills to support delivery of digital transformation engagements across the entire lifecycle. As a Manager, you will play a key delivery and leadership role within our Provider Business Operations team, helping healthcare organizations modernize administrative and operational functions through large, tech-enabled transformation programs for healthcare providers. Responsibilities Advise clients on their most complex technology strategy problems using the latest frameworks, methodologies, and technologies Build technology solutions using AI and other platforms to enable outstanding client outcomes Manage and lead workstreams within provider transformation programs, coordinating activities, monitoring progress, and driving high-quality execution while overseeing project teams and daily operations Support and contribute to solution design across multiple provider administrative domains (e.g., finance, HR, supply chain, workforce, shared services) with a solid understanding of provider operations and enabling platforms like Oracle, Workday, and UKG Lead project management responsibilities including status reporting, risk and issue tracking, dependency management, stakeholder coordination, and facilitate change management through readiness assessments, communications, and training Work with cross-functional provider stakeholders to maintain alignment and momentum, while coaching and overseeing senior associates and associates to drive quality deliverables and professional development Contribute to business and practice development by supporting proposal creation, developing content, analyzing client issues, and driving internal initiatives such as tools, templates, accelerators, and AI-enabled assets Apply data analysis and benchmarking to inform transformation recommendations, document lessons learned, and promote knowledge sharing to enhance pursuit success, delivery readiness, and overall offering maturity Apply functional specialization and operational knowledge to assess current-state processes, design improvements, and guide implementation while working with provider stakeholders and PwC teams to promote alignment and drive change adoption Take ownership of business and practice development initiatives by contributing to proposals, developing content, and enhancing tools and methodologies within the offering What You Must Have Bachelor's degree At least 5 years of consulting and/or healthcare provider industry experience with exposure to business or technology-enabled transformation programs, as well as hands on experience using technology solutions to solve complex problems. Foundational understanding of some or many provider operations and/or administrative functions (e.g., finance, supply chain, HR, workforce management, shared services). Understanding and experience executing the software development lifecycle in large enterprise What Sets You Apart Master's degree preferred Core Technology Strategy Skills Understanding of foundational IT domains (infrastructure, cloud, applications, data, cybersecurity) Experience with IT cost analysis, operating model design, sourcing strategies, or portfolio analysis Knowledge of enterprise architecture concepts and common architecture frameworks Experience assessing IT capabilities and identifying gaps to better align technology with business needs Ability to support performance management through KPIs/OKRs, dashboards, and governance processes Experience supporting IT governance, process design, and role clarity within modern operating models Digital & AI Strategy Skills Experience using GenAI / Agentic tools for analysis, research, or workflow automation Exposure to AI strategy, governance, responsible AI, or AI adoption frameworks Experience contributing to digital transformation roadmaps by integrating customer needs, data insights, and technology enablers Ability to support workforce strategy initiatives including skill assessments and capability-building plans Experience supporting technology-enabled change management, including stakeholder engagement and adoption planning Provider Business Operations Skills Leading functional transformation and operational improvement initiatives within healthcare provider organizations, managing day-to-day workstream delivery and supporting solution design to drive effective outcomes Familiarity with project financial management, budgeting, and performance tracking. Experience contributing to proposal development, solution design, or client presentations Exposure to automation, analytics, or AI-enabled techniques that enhance delivery efficiency and insight Possessing extensive communication, project management, and analytical skills, with the ability to structure complex problems and drive progress Experience in one or more healthcare provider administrative domains (finance, supply chain, HR, workforce management, shared services, operations), with developing depth in at least one Travel Requirements Up to 80% 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. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines The salary range for this position is: $99,000 - $232,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. 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 5 days ago

FRONTERA Healthcare logo

Spring 2026 Bilingual Healthcare Administrative Analyst Intern - Menard, TX

FRONTERA HealthcareMenard, TX
Apply Description Spring 2026 Bilingual Healthcare Administrative Analyst Intern Visa sponsorship available (CPT, OPT, etc.) Job Summary The Bilingual Healthcare Administrative Intern will execute functions in the patient experience area while collaborating with clinical team members. This role will collaborate across the organization to support continuous improvement efforts in transformation and growth initiatives. Duties and Responsibilities Assist with scheduling, patient intake, and related functions in alignment with defined best practices Perform insurance verification and support revenue cycle functions Review established reports, portals, and other data sources for relevant insights to execute functions Leverage available resources to provide excellent patient experience and access to care Identify and highlight opportunities for improvements in processes and systems Conduct root-cause analysis and derive corrective action plans as needed Ensure confidentiality and compliance with HIPAA regulations Uphold Frontera Healthcare's mission, vision, and values in all professional activities. Perform other duties as assigned. Requirements Skills, Knowledge, Credentials, and Experience Bilingual (English/Spanish) Currently enrolled in or recent graduate of a university degree program Interest in healthcare operations and patient services Strong analytical skills and ability to derive and translate insights from data into actionable items. Passion for continuous improvement Strong organizational and multitasking abilities Excellent verbal and written communication skills Special Requirements Work Hours: 40-hour workweek, with flexibility to work evenings and weekends as needed. This position requires prolonged sitting, some bending, stooping, and stretching. It requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. It also requires a normal range of hearing and eyesight to record, prepare, and communicate appropriate reports. This position may require travel between sites and the ability to interact with others in both small and large group settings. At times, this position may include periods of extended physical activity, such as walking/standing at community events and/or moving and distributing educational materials. If the essential functions of this position cannot be performed in a satisfactory manner by the employee, reasonable accommodations may be made. The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business needs arise. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.

Posted 3 weeks ago

CareBridge logo

Predictive Healthcare Economics Analyst

CareBridgeAtlanta, GA
Predictive Healthcare Economics Analyst Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Predictive Healthcare Economics Analyst (Advanced Analytics Analyst) employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. How you will make an impact: Performs established analysis for routine diagnoses of quality, use, cost and other variables for opportunity assessments. Executes identification and stratification algorithm to select the right members for the targeted solution. Develops the technical definition of outcome metrics to assess outcomes. Performs defined analyses to assess proper outcome metrics for various programs/initiative. Builds, tests, and validates statistical models under supervision. Contributes to research and publications by performing basic analyses, preparing data and documenting results. Understands the pitfalls and limitations with analyzing practical data and the ability to ensure data and analysis quality. Basic knowledge of common analytical methods such as profiling a customer segment, experimental design and regression analysis. Solves well defined analytical problems independently. Delivers assignment/projects timely and accurately. Collaborates with other analytical team members effectively. Presents analyses effectively to analytical audience. Possess strong intellectual curiosity and motivated to master analytical skills. Minimum requirements: Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research; or any combination of education and experience which would provide an equivalent background. Requires working experience with SAS or equivalents analytical tools, Teradata, SQL, or equivalent database tools, and direct experience applying statistical/analytical tools to solve research/practical problems. Preferred Skills, Capabilities and Experiences: Substantial analytical experience in the healthcare industry is preferred. Actuarial experience within a healthcare and/or managed care organization preferred Familiarity with medical management or population health programs preferred. Possess working knowledge of healthcare data and measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM, and utilization per 1,000, preferred. Advanced SQL and Excel skills preferred. Base statistical skills to analyze, display, describe and summarize data into actionable insights, preferred. Data visualization experience in QlikSense, Business Objects, Tableau, or other BI tools, preferred. Excellent organizational, analysis, planning, and communication skills are preferred. Ability to participate collaboratively on teams producing complex analyses, preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

Anthropic logo

Enterprise Account Executive, Healthcare

AnthropicSan Francisco, CA

$290,000 - $360,000 / year

About Anthropic Anthropic's mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems. Account Executive, Healthcare (Payors & Providers) About the role As an Enterprise Account Executive (Healthcare) at Anthropic, you'll join the foundational team at the forefront of introducing our cutting-edge AI productivity SaaS solution to healthcare organizations. You'll drive the adoption of safe, frontier AI by securing strategic deals with health systems, hospitals, and payor organizations across the healthcare industry. You'll leverage your consultative sales expertise in healthcare to propel revenue growth while becoming a trusted partner to healthcare stakeholders, helping them embed and deploy AI while uncovering its full range of capabilities. In collaboration with Product and Marketing teams, you'll continuously refine our value proposition, sales methodology, and market positioning to resonate with healthcare decision-makers. The ideal candidate will have a passion for developing new market segments within healthcare delivery and insurance, pinpointing high-potential opportunities, and executing strategies to capture them. By driving deployment of Anthropic's emerging products, you will help healthcare enterprises obtain new capabilities while also advancing the ethical development of AI. Responsibilities: Win new business and drive revenue for Anthropic within the healthcare industry, focusing on health systems, hospitals, and payor organizations. Navigate complex healthcare organizations to reach key decision-makers, educate them about our services, and help them succeed with Anthropic. You'll own the full sales cycle, from outbound to close. Design and execute innovative sales strategies tailored to healthcare procurement cycles, value-based care initiatives, and budgeting processes to meet and exceed revenue quotas. Analyze healthcare market landscapes, trends, and dynamics to translate high-level plans into targeted sales activities and campaigns. Spearhead market expansion by identifying new use cases within clinical departments, care management teams, claims processing units, and administrative offices. Collaborate cross-functionally to differentiate our offerings for healthcare delivery and payor applications. Inform product roadmaps and features by gathering feedback from healthcare users including clinicians, care coordinators, and administrative leaders, conveying healthcare market needs. Provide insights that strengthen our value proposition for healthcare organizations. Continuously refine the healthcare sales methodology by incorporating learnings into playbooks, templates, and best practices. Identify process improvements that optimize sales productivity and consistency across health systems and payors. You may be a good fit if you have: 5+ years of enterprise sales experience in healthcare, with demonstrated success covering health systems, hospitals, and/or payor organizations A track record of managing complex sales cycles within healthcare organizations and securing strategic deals by understanding both technical requirements and clinical/administrative use cases Extensive experience negotiating complex agreements within healthcare procurement frameworks, including understanding of value-based care contracts and payor policies Proven experience exceeding revenue targets in the healthcare sector by effectively managing an evolving pipeline and sales process Excellent communication skills and the ability to present confidently to various healthcare audiences, from physicians and nurses to C-suite executives and payor leadership Deep understanding of healthcare buying cycles, decision-making processes, and key pain points across both provider and payor organizations A strategic, analytical approach to assessing the healthcare market combined with creative, tactical execution to capture opportunities A passion for and/or experience with advanced AI systems and their applications in healthcare. You feel strongly about ensuring frontier AI systems are developed safely and ethically for clinical use Ability to develop and refine healthcare use cases for AI in collaboration with customers and channel partners, with particular focus on care delivery, population health, and administrative efficiency The annual compensation range for this role is listed below. For sales roles, the range provided is the role's On Target Earnings ("OTE") range, meaning that the range includes both the sales commissions/sales bonuses target and annual base salary for the role. Annual Salary: $290,000-$360,000 USD Logistics Education requirements: We require at least a Bachelor's degree in a related field or equivalent experience. Location-based hybrid policy: Currently, we expect all staff to be in one of our offices at least 25% of the time. However, some roles may require more time in our offices. Visa sponsorship: We do sponsor visas! However, we aren't able to successfully sponsor visas for every role and every candidate. But if we make you an offer, we will make every reasonable effort to get you a visa, and we retain an immigration lawyer to help with this. We encourage you to apply even if you do not believe you meet every single qualification. Not all strong candidates will meet every single qualification as listed. Research shows that people who identify as being from underrepresented groups are more prone to experiencing imposter syndrome and doubting the strength of their candidacy, so we urge you not to exclude yourself prematurely and to submit an application if you're interested in this work. We think AI systems like the ones we're building have enormous social and ethical implications. We think this makes representation even more important, and we strive to include a range of diverse perspectives on our team. Your safety matters to us. To protect yourself from potential scams, remember that Anthropic recruiters only contact you from @anthropic.com email addresses. In some cases, we may partner with vetted recruiting agencies who will identify themselves as working on behalf of Anthropic. Be cautious of emails from other domains. Legitimate Anthropic recruiters will never ask for money, fees, or banking information before your first day. If you're ever unsure about a communication, don't click any links-visit anthropic.com/careers directly for confirmed position openings. How we're different We believe that the highest-impact AI research will be big science. At Anthropic we work as a single cohesive team on just a few large-scale research efforts. And we value impact - advancing our long-term goals of steerable, trustworthy AI - rather than work on smaller and more specific puzzles. We view AI research as an empirical science, which has as much in common with physics and biology as with traditional efforts in computer science. We're an extremely collaborative group, and we host frequent research discussions to ensure that we are pursuing the highest-impact work at any given time. As such, we greatly value communication skills. The easiest way to understand our research directions is to read our recent research. This research continues many of the directions our team worked on prior to Anthropic, including: GPT-3, Circuit-Based Interpretability, Multimodal Neurons, Scaling Laws, AI & Compute, Concrete Problems in AI Safety, and Learning from Human Preferences. Come work with us! Anthropic is a public benefit corporation headquartered in San Francisco. We offer competitive compensation and benefits, optional equity donation matching, generous vacation and parental leave, flexible working hours, and a lovely office space in which to collaborate with colleagues. Guidance on Candidates' AI Usage: Learn about our policy for using AI in our application process

Posted 2 weeks ago

PwC logo

Healthcare Provider Business Operations - Director

PwCDallas, TX

$155,000 - $410,000 / year

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Overview

Schedule
Full-time
Career level
Director
Compensation
$155,000-$410,000/year
Benefits
Health Insurance
Dental Insurance
Vision Insurance

Job Description

Industry/Sector

Not Applicable

Specialism

Operations Strategy

Management Level

Director

Job Description & Summary

At PwC, our people in Corporate Technology Strategy consulting specialise in providing consulting services on optimising operational efficiency and effectiveness. These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance.

As part of the Corporate Technology Strategy team at PwC, you will possess a broad understanding of various aspects of operations consulting. You will provide comprehensive guidance and support to clients in optimising operational efficiency and effectiveness. Working in this area, you will analyse client needs, develop operational solutions, and offer recommendations tailored to specific business requirements.

Translating the vision, you set the tone, and inspire others to follow. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of PwC's reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength.

Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:

  • Lead in line with our values and brand.
  • Develop new ideas, solutions, and structures; drive thought leadership.
  • Solve problems by exploring multiple angles and using creativity, encouraging others to do the same.
  • Balance long-term, short-term, detail-oriented, and big picture thinking.
  • Make strategic choices and drive change by addressing system-level enablers.
  • Promote technological advances, creating an environment where people and technology thrive together.
  • Identify gaps in the market and convert opportunities to success for the Firm.
  • Adhere to and enforce 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 Corporate Technology Strategy team, you will support delivery of digital and technology transformation engagements. You will utilize your deep technology skills to support delivery of digital transformation engagements across the entire lifecycle.

As a Director in PwC's Strategy Platform, you'll serve as a senior leader within our Provider Business Operations team, driving large-scale, tech-enabled transformation programs for healthcare providers.

You will focus on creating meaningful impact for national and regional health systems by advising them on how to leverage technology and operational excellence to achieve strategic goals, including growth and scale, post-merger integration, cost reduction, and the industrialization of differentiated offerings and services. You will bring deep functional and technical expertise across our priority areas of finance, supply chain, HR, workforce management, shared services, and related administrative and operational domains.

Responsibilities

  • Advise clients on their most complex technology strategy problems using the latest frameworks, methodologies, and technologies

  • Build technology solutions using AI and other platforms to enable outstanding client outcomes

  • Lead large-scale healthcare transformation programs across finance, HR, supply chain, and operations and drive strategic alignment, governance, and high-quality delivery

  • Advise healthcare executives by translating strategies into actionable plans that drive operational, financial, and workforce improvements, engaging diverse stakeholders

  • Manage workstreams in program management, technology transformation, change management, and user adoption, while developing multidisciplinary teams and sector specialization

  • Drive business development through opportunity identification, proposal shaping, and fostering client relationships to enhance PwC's market position

  • Enhance delivery and practice by creating innovative tools, AI accelerators, and automated solutions that improve efficiency and client outcomes

  • Codify industry standard practices and lessons learned to support pursuit success, delivery readiness, and continuous improvement of offerings

What You Must Have

  • Bachelor's degree

  • At least 10 years of consulting and/or healthcare provider industry experience, including 5 years leading significant components of large, complex business- and technology-enabled transformation programs, as well as using technology to solve complex technology strategy problems.

  • Thought leader-level experience across administrative and operational functions within healthcare provider organizations (e.g., finance, supply chain, HR, workforce management, shared services)

  • Thought leader-level experience with enabling platforms (Oracle, Workday, UKG)

  • Understanding and experience executing the software development lifecycle in large enterprise

What Sets You Apart

  • Master's degree preferred

Core Technology Strategy Skills

  • Understanding of foundational IT domains (infrastructure, cloud, applications, data, cybersecurity)

  • Experience with IT cost analysis, operating model design, sourcing strategies, or portfolio analysis

  • Knowledge of enterprise architecture concepts and common architecture frameworks

  • Experience assessing IT capabilities and identifying gaps to better align technology with business needs

  • Ability to support performance management through KPIs/OKRs, dashboards, and governance processes

  • Experience supporting IT governance, process design, and role clarity within modern operating models

Digital & AI Strategy Skills

  • Experience using GenAI / Agentic tools for analysis, research, or workflow automation

  • Exposure to AI strategy, governance, responsible AI, or AI adoption frameworks

  • Experience contributing to digital transformation roadmaps by integrating customer needs, data insights, and technology enablers

  • Ability to support workforce strategy initiatives including skill assessments and capability-building plans

  • Experience supporting technology-enabled change management, including stakeholder engagement and adoption planning

Provider Business Operations Skills

  • Demonstrating experience owning substantive components of pursuit strategy, proposal development, win themes, or solution design

  • Possessing experience with operational improvement, functional redesign, and performance transformation at scale

  • Having familiarity with automation, analytics, or AI-enabled approaches that accelerate delivery and enhance outcomes

  • Exhibiting proven commercial instincts with hands-on experience shaping and supporting pursuits, proposals, and competitive positioning

  • Being skilled at operating in dynamic, ambiguous provider environments while simplifying complexity, making sound judgments, and driving decisive action

  • Ability to lead cross-functional teams and advise executives in large health systems or integrated delivery networks

Travel Requirements

Up to 80%

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: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. 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

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