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Cigna logo
CignaColumbus, OH

$91,200 - $152,000 / year

WORK LOCATION: Cleveland or Independence, OH area. The Provider Contracting Director serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Hospital contracting and negotiating experience involving complex delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,200 - 152,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 1 week ago

G logo
GSK, Plc.Durham, NC
Site Name: USA - North Carolina - Durham Posted Date: Dec 1 2025 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. The US Lead Planning & Performance Senior Finance Director is an exciting opportunity to lead the Planning & Performance finance function for ViiV US. In this role you will drive the performance culture for US ViiV, using internal and external data and robust analyses to provide strong insight on financial delivery. You will lead the financial planning cycles, driving efficient and effective financial processes and systems, continuous improvement and adaption as expectations, the business and our product portfolio evolves. You will provide strong leadership, including strategic thinking to anticipate business issues through insights and analysis, judgement to assess risk profile in the forecasts for the business and courage to raise business issues to challenge performance and forecast assumptions. This role will report to the VP & Head, NA Finance & has 2 direct and 4 indirect reports. This role will be based out of ViiV's US Headquarters in Durham, NC (RTP Area) & is eligible for a domestic relocation package. Check out this link to learn more about the thriving, diverse, and cutting edge RTP area! Research Triangle Park | Where People + Ideas Converge (rtp.org) This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following… Lead US ViiV Planning & Performance team, providing support to the overall US ViiV business, finance partners and hub by ensuring integrity, transparency and reliability of Finance information. Direct financial activities in support of delivering business strategies and solutions, maintaining strong governance Plan, coordinate and deliver the financial cycles for the US ViiV business including driving the calendar and reviews, designing outputs and processes to deliver them, integrating cycle plans with Rx and ViiV finance leads, determining appropriate review and sign off. Ensure appropriate hub interactions. Propose financial targets with strong business understanding and appropriate analysis to support. Integrate Core Commercial Cycle and Financial Cycles in calendar, output, analysis and provide analysis and presentations to be delivered at executive S&OP Provide accurate and insightful analyses of US ViiV performance. Determine appropriate and challenging analyses, access to data and automate delivery to allow focus on insights Drive data integration, automation, leading-edge analysis and benchmarking to demonstrate a performance-based culture meeting business and finance expectations. Develop and produce meaningful SG&A analytics for financial cycles. Drive lean and effective processes in US ViiV, challenging the value of requests and outputs to ensure value-add, automating and using best tools wherever possible and running workshops/assessments to continuously improve efficiency across the processes in the team Deliver analysis for ViiV Leadership teams and Investor Relations Represent US ViiV to ViiV Global, GSK Pharma, GSK corporate on all planning and forecasting matters. Lead ad hoc projects as requested. These may include analysis on business development options, intra- or inter-department process projects or leadership projects. Why you? Basic Qualifications: We are looking for professionals with these required skills to achieve our goals: Finance OR Business degree AND/OR Professional qualification (e.g. CPA, MBA or international equivalent) 8+ years finance experience within the US Pharmaceutical Industry Commercial finance experience, either at LOC, Regional or Global level; including prior experience working in commercial environment Experience leading financial cycles Experience in financial modelling, investment appraisal, market and business insights analytics Preferred Qualifications: If you have the following characteristics, it would be a plus: Experience working across functions in a multi-location one finance team environment, with collaboration and effective coordination across key internal customers Strong verbal and written communication skills Experience of working in a business advisory environment and ability to clearly present insights and complex business and financial information in a simple and compelling way to non-finance audiences Excellent influencing and engagement. Ability to engage senior stakeholders and challenge based on expertise and personal credibility Excellent customer and patient focus Experience of working in matrix organizations Decision-making recommendation for complex business challenges Results focus, planning and prioritizing, meeting deadlines & delivering results. Identifying the need for and responding quickly to change. Flexible thinking and creating appropriate business solutions. Familiarity leveraging digital tools to drive process efficiency Drive to deliver continuous improvement in reporting cycles and quality of information. Reviewing and enhancing accounting and analysis processes to ensure they provide high quality and cost-effective information on a timely basis. #LI-ViiV #LI-GSK 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 39 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. If you require an accommodation or other assistance to apply for a job at ViiV, please contact the ViiV Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US). 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 3 weeks ago

Talkdesk logo
TalkdeskDetroit, MI

$330,000 - $360,000 / year

Responsibilities: Responsible for new business development within large enterprise accounts and closing of opportunities within Healthcare & Life Science organizations Foster and expand the company's relationship with business units, divisions and the overall enterprise customers Create and cultivate a close relationship with strategic alliances Understand the customers' business strategy and direction and manage a long term, sustainable business portfolio Manage the end to end sales process through engagement of appropriate resources such as Sales Engineers, Professional Services, Executives, Partners etc. Bringing innovative ideas that showcase case Talkdesk's competitive advantage and disruptive mindset Meet and exceed quarterly and annual revenue/quota through the management and execution of the Talkdesk sales process Develop a comprehensive sales strategy and a sales plan that ensures consistent achievement of objectives over the short- and long-term for your coverage model Build lasting, meaningful relationships with other members of management, team, and prospect/customer community Build and align with the Talkdesk sales Go-to-Market plan to develop and own accountability for region's market segmentation and targeted accounts Develop essential internal relationships to provide the support necessary to manage accounts and close deals Communicate accurate and realistic forecast information to the management team per our process and policy Communicate market reaction and needs back to headquarters in a productive manner Take an active role in solving problems, which involve other functional areas, instead of "dumping problems at the factory door" Take the lead in prioritizing the needs of customers so that engineering and other functional areas can focus on the right tasks and issues Requirements: Travel required: 50%+ Previous experience in selling Enterprise software solutions into healthcare related accounts 8+ years of outside/direct sales experience carrying / exceeding quota, preferably SaaS Experience positioning through strategic value based selling Experienced in selling SaaS-based solutions, managing complex sales practices and solution-based selling to CXO, senior management and director-level individuals Analytical, with strong business acumen Flexible personality, able to adapt to surroundings Analytical and business deal-making capability, ability to ferret out opportunities, create positive relationships, find the hidden issues during due diligence, and bring the transaction to closure successfully Demonstrated track record in the planning, development, and implementation of new business activity involving leading-edge technology Proven ability to grow revenues to a substantial level and scale bookings growth and net-new customers Excellent communication and presentation skills Extensive negotiation and contract development experience Comfortable operating in a fast-paced, dynamic startup environment CCaaS knowledge is a plus BA/BS degree Pay Range (OTE): $330,000 - $360,000 Other Types of Pay: Based on level and role the employee may be eligible for long term incentives in the form of equity and short term incentives of either bonus or commission. Health Insurance: Medical, Dental, Vision, Life and Disability Insurance, Employee Assistance Program (EAP). Retirement Benefits: 401(k) plan Paid Time Off: Talkdesk offers an uncapped paid time off program, subject to manager approval and consistent with business needs. Paid Holidays: Talkdesk offers 14 paid holidays each year. Paid Sick Leave: Employees have uncapped paid time off, subject to manager approval and consistent with business needs. Method of Application: Apply online. Application Window: The application window is expected to close at least 10 days from the posting date. The application was posted on 12/03/2025. All questions or concerns about this posting should be directed to the Talent team at talent@talkdesk.com.

Posted 6 days ago

Huron Consulting Group logo
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. As a Senior Directors with Huron's IT Advisory team, you will collaborate with Huron and client senior leaders to design and implement complex and sustainable solutions while delivering remarkable results for our clients. You will create a high-performance environment-inspiring the respect of both clients and engagement teams. Through strong leadership and industry expertise, they ensure Huron's success shaping healthcare digital transformation. Your role will foster a supportive, inclusive environment, empowering team members and creating a workplace where diverse perspectives are valued. You will build strong executive-level relationships, lead change processes, and identify new business opportunities, leveraging Huron's capabilities to meet client objectives. This allows you to make an impact and provide career opportunities both within and beyond your areas of expertise. If you're passionate about driving impactful solutions and believe in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Technical Consulting Senior Director, you will: Provide strategic leadership and insights on solution development and project delivery of innovative digital health solutions Guide healthcare organizations through complex digital transformation ensuring alignment with organizational goals impacting clinical, operational and financial performance Drive the strategy and implementation of IT Advisory engagements, expanding our digital services across Electronic Health Records (EHR) and Enterprise Resource Planning (ERP) for healthcare clients Provide insights on healthcare's digital landscape, focusing on strategies that are inclusive and consumer-centered to deliver impactful results in EHR and ERP modernization projects Leverage your internal and external networks to contribute to new business by delivering sales and industry presentations, participating in negotiations and successfully closing contracts for new work Deliver solutions tailored to each client's unique needs, enhancing both impact and accessibility across healthcare services Required: Bachelor's degree required; advanced degrees (e.g., MBA) or equivalent experience are valued 12+ years of consulting experience with healthcare systems, ideally with large healthcare organizations or similar environments Background in healthcare consumer transformation, process improvement, and strategic growth areas; candidates with similar experience in related fields are encouraged to apply Knowledge of finance and accounting systems (e.g., FP&A, revenue reconciliation, close automation), as well as ERP platforms (e.g., Workday, Oracle, SAP, Infor) Strong critical thinking skills for data analysis, with the ability to make actionable recommendations A willingness to travel as needed (typically Monday-Thursday) Authorization to work in the United States Preferred: Experience in a matrixed organization or cross-functional team environment Position Level Senior Director Country United States of America

Posted 30+ days ago

Boston Health Care for the Homeless Program logo
Boston Health Care for the Homeless ProgramBoston, MA
Who We Are: Since 1985, BHCHP's mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community's most vulnerable-and most resilient-citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Summary of Position: Reporting to the Chief Development Officer, the Director of Major Gifts will implement strategies to increase philanthropic support from individual and major donors to advance the mission of BHCHP. The successful candidate will have a demonstrated track record of identifying, cultivating, soliciting, and stewarding major gifts from individuals in the five and six-figure range, as well as strong experience in overseeing all aspects of planned giving. Key Responsibilities: Donor Strategy, Cultivation, Solicitation, and Engagement: Collaborate with Chief Development Officer, senior leadership, President, CEO, and board members to set funding priorities and engage in individual donor cultivation and solicitation activities; Develop mutually agreed upon fundraising goals and metrics for mid-level and major donors to ensure progress towards overall Development Team goal; Develop a comprehensive individual major gifts strategy aligned with the organization's mission and goals; Identify potential major gift prospects, including re-engagement of lapsed donors, and create personalized cultivation plans; In partnership with CDO and Director of Development Operations, create and prioritize portfolio assignments for individual giving; Work closely with the Individual Giving Manager to maximize opportunities to engage and steward mid-level donors and, as appropriate, identify prospective major donors; Organize and oversee donor cultivation events, facility tours, personalized meetings, and engagement activities. Meet with approximately 10 -15 donors monthly; Coordinate with Development Team colleagues on engagement and stewardship of leadership donors sponsoring the annual Medicine that Matters Gala; Prepare and write briefings for CDO and senior leadership; Develop and implement stewardship plans to ensure engagement and retention of major donors; and Prepare compelling and effective funding requests and proposals, stewardship reports and ongoing communication pieces for leadership and prospective donors. Leadership and Collaboration: Supervise and provide guidance, mentorship, and professional development to the Individual Giving Manager and potentially to an additional Major Gifts Officer in the future; Work closely with the development and leadership teams to integrate major gifts initiatives into overall fundraising efforts; Work with donors, the President and CEO, and independently to open doors to potential major gift donors and leverage the existing relationships of the President and CEO to secure meetings when appropriate. Reignite BHCHP's Philanthropic Advisory Council to engage leadership donors in broadening BHCHP's base of support; and Collaborate with the Communications Team to create targeted messaging and communications materials for major gift prospects. Data Management, Research, and Reporting: In collaboration with the Development Operations Team, create a system for timely documentation of detailed information relating to current mid-level, major, and prospective individual donors and donor interactions in Raisers Edge donor database; Generate regular reports to track progress, analyze fundraising metrics, and evaluate the effectiveness of strategies; Conduct research to identify new potential major gift prospects; and Analyze donor-giving patterns and wealth indicators to prioritize and qualify prospects; Perform other duties as needed and assigned by the CDO. Key Qualifications 4-year college degree required, with 8 - 10 years of demonstrated success in soliciting/securing gifts from individuals in the five to six-figure range; Strong commitment to social justice and the mission of BHCHP, knowledge of issues relating to healthcare, poverty, and homelessness preferred; Proven experience in major gift fundraising, including experience in planned giving, legacy giving, and campaign fundraising; Excellent interpersonal, relationship-building, communication (verbal and written), and organizational skills, with the ability to manage multiple projects and deadlines; Demonstrated ability to take primary responsibility for a diverse number of projects and to complete them promptly with limited supervision; Strategic, creative thinker skilled in matching donors' philanthropic goals with the programs of BHCHP; Experience tracking and assessing major gift fundraising metrics, including use of Raiser's Edge, Word, Excel, PowerPoint and Outlook; Ability to be flexible and available for occasional evening meetings and weekend events as necessary; and Strong supervisory and leadership experience and skills. Compensation and Benefits: The compensation ranges from $88,600 - $141,760 annually and increases based on years of experience. BHCHP full time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Posted 2 weeks ago

Sompo International logo
Sompo InternationalLos Angeles, CA

$150,000 - $250,000 / year

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team. Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition. Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you'll be doing: This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients. Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards; Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks; Authorizes quotes/binders/invoices as appropriate; Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures; Attends client/broker meetings, lunches, dinners and other social outings as applicable; Expands existing portfolio of business by developing existing relationships and new prospective clients; Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results; Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner; Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed; Completes underwriting referral applications for risks outside of authority for higher level approval as necessary What you'll bring: Undergraduate or advanced degree preferred; 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques; Established relationships with retail and wholesale producers; Strong negotiation skills; Excellent communication (both written and verbal) skills; Ability to plan strategically and prioritize workload to meet production and management objectives; Ability to be a team player. Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits In today's world, what do we stand for? Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo. Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

Posted 30+ days ago

Cigna logo
CignaHouston, TX
Reporting to the Senior Manager of Dental/Vision Strategy & Project Delivery, the Dental/Vision Project Manager will provide business direction and end-to-end project management for cross-functional programs and projects for the Dental & Vision businesses. Partnering closely with Dental & Vision team members and matrix partners, they will: Lead the facilitation of discussions supporting projects, create framework to support cross-functional project preparation/execution, manage and create program/project artifacts and be responsible for the overall organizational messaging and communication of project performance. Develop and maintain project documentation, communication plans, schedules, estimates, governance models and resource plans to support new services and or product developed, implemented and maintained by the Dental & Vision organization. Support business analysis including support of the development of content/idea creation and facilitation of evaluation of strategic ideas. Determine the appropriate change management approach working with business partners. Work with portfolio management and Agile scrum teams to define portfolio epic, program epics and features. This role will be instrumental in delivering business change across multiple projects in alignment with Dental/Vision strategy goals and objectives. Essential functions and accountabilities: Lead and manage complex projects from initiation to completion. Coordinate cross-functional teams (e.g. Sales, Product, IT, Contracting, Finance, ,) to ensure that designated projects are planned for and executed within scope and on time. Collaborate with stakeholders to understand business objectives, define project scope, and align project goals accordingly. Performs self and team reflection continuously and implements changes to improve team's effectiveness. Ensure that proper procedures are followed to engage impacted business teams. Oversee multiple projects that span across the organization, ensuring cohesive execution and delivery. Lead meetings with cross-functional project team to assess status, support escalated issues as they arise, and drive resolution. Identify risks, develop mitigation strategies, and pivot as necessary to keep projects on track. Guide project team members by fostering collaborative, positive and high-performance team environment. When required, perform the role of Operational Readiness lead, ensuring staffing, training, procedures, and communication development, change management, business validation, and contingency planning are identified, tracked, and executed. Qualifications: Bachelor's degree preferred or equivalent experience. 2+ years relevant project management business experience with a proven track record of delivering high-quality project implementation. 2+ years working in the insurance or health services industries Proven ability to influence business decisions and performance through strategic project management. Strong ability to work autonomously, manage multiple projects and meet deadlines Proficient in project management software, methodologies and Microsoft Office. Strong project management skills, using various techniques to prepare, execute and maintain successful projects. critical skills including issue management, conflict resolution, relationship management, data/financial analysis and budget management. Strong verbal, written communication, and organizational skills. Ability to perform in a fast paced, high-demand environment. Ability to interpret and synthesize data and insights If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 1 week ago

PwC logo
PwCJacksonville, FL

$122,500 - $423,780 / year

Industry/Sector Not Applicable Specialism IFS - Clients & Markets Management Level Director Job Description & Summary At PwC, our people in brand management, marketing and sales focus on collaboration to develop and execute strategic sales and marketing initiatives. These individuals focus on driving revenue growth, promoting the Firm's services, enhancing brand visibility, and capturing new business opportunities. They utilise market research, digital marketing, creative campaigns, and effective sales strategies to engage clients, enhance the firm's brand and market presence, and achieve organisational targets. Those in business development at PwC will focus on identifying and pursuing new opportunities to drive growth and expand the Firm's client base. Your work will involve building relationships, conducting market research, and developing strategic plans to drive revenue and achieve business objectives. 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 Brand Management, Marketing and Sales team you will drive business development efforts and cultivate long-term relationships with Technology Alliances and clients. As a Director you will set the strategic direction, oversee multiple projects, and maintain impactful executive-level client relations while fostering an environment of integrity and collaboration. Responsibilities Oversee multiple projects to confirm timely and quality delivery Identify market opportunities and develop strategies to capitalize on them Mentor team members to enhance their professional growth and capabilities Promote a culture of excellence and uphold the firm's values What You Must Have High School Diploma 8 years of sales, marketing or PwC experience What Sets You Apart Bachelor's Degree in Business Administration/Management, Marketing, Economics, Computer and Information Science preferred Demonstrating thought leadership in professional services selling Building and sustaining long-term relationships with clients Showcasing success in individual contributor sales roles Understanding industry structures and emerging issues Leading and coaching complex sales processes Overcoming objections to secure business Thriving in unstructured and evolving environments Projecting executive presence with C-level executives Travel Requirements Up to 60% Job Posting End Date Learn more about how we work: https://pwc.to/how-we-work PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. 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: $122,500 - $423,780. For residents of Washington state the salary range for this position is: $122,500 - $504,500. 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 1 week ago

STV Group, Incorporated logo
STV Group, IncorporatedSacramento, CA
STV currently has opening for a Healthcare Senior Project Manager in the Construction Management group in Sacramento, CA. We are seeking Healthcare Senior Project Managers in the Sacramento, CA with a strong history of recent healthcare experience representing owner's on capital programs, facility upgrades, renovations and additions for both new and occupied healthcare facilities. The successful candidate will assume a role in our division managing Capital Program Management/Owners Representative assignments. The successful candidate will represent 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 in Southern Florida. The Senior Project Manager will represent the owner's interest in managing design professionals and contractors constructing state of the art Healthcare, Pharmaceutical and Bio Life Science facilities. In this role the Senior Project Manager will work alongside of executive managers and will 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 Executive Managers in leading the project team. The SPM will set goals, develop project implementation strategies, policies and procedures to guide the project/program and mentoring team members. The SPM shall manage staff, recruit new staff, manage program financials and schedules. In addition, the SPM shall carry out duties as assigned by the Executive Team to achieve the successful completion of the program. The SPM shall lead cross functional healthcare projects/programs and initiatives with demanding resource requirements, risk, and/or complexity. Negotiate program scope changes, staffing assignments, and fees on behalf of STV. Develop program organizational structures and implementation strategies. Define program resource requirements. Manage the client relationship. Monitor design and construction activities to ensure that all phases of work are done in accordance with contractual agreements and corporate quality standards. Define and assign project responsibilities to the Project/Program Team. Develop policies and procedures to foster the growth of a high performing team. Evaluate program financials, cash flow analyses, and cost estimates, as well as purchase orders, change orders, and invoices and implement actions to facilitate program compliance and the successful delivery of the program. Work with team to forecast, identify and addresses areas of potential liabilities and risks. Work with team to develop, monitor, and maintain project schedules. Ensures that project objectives are met. Develop and implement policies and procedures to maintains client, consultant, contractor, and vendor relationships. Works with team to manage conflict resolution. Communicates complex ideas, anticipates potential concerns and persuades others, which may include executive leadership, to adopt positions to facilitate the successful conclusion of the project. Develop standards, protocols, policies and procedures to facilitate project success. Build a collaborative work environment. Provides guidance, direction, and instruction to less experienced team members and colleagues. Required Skills: The ideal candidate will have a bachelor's degree in Engineering, Architecture, Construction Management OR related fields OR AS or BS degree in conjunction with commensurate years of industry experience Minimum of 15 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 $100 million in healthcare or related construction types. Demonstrated experience in managing high-rise construction projects. Demonstrated experience in managing program/project teams on large complex healthcare 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. Compensation Range: $0.00 - $0.00 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 (8 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 30+ days ago

Axiom logo
AxiomLos Angeles, CA
We are seeking clinical operations attorneys with experience advising hospitals, large healthcare systems or large physician groups in Texas. Responsibilities: Serve as the primary legal advisor on clinical operations and healthcare licensing matters in the state of Texas, with a focus on practical, business-oriented counsel. Manage and support pharmacy and nursing licensing activities, including analyzing regulatory requirements, advising on licensing strategy, and partnering with internal teams and outside vendors as needed. Advise on day-to-day clinical operations issues, including scope of practice, delegation, supervision, and related regulatory constraints impacting care delivery models. Identify and assess legal and regulatory risks related to clinical operations, proposing clear, actionable solutions that balance risk with operational needs. Draft, review, and negotiate contracts and policies related to clinical operations and professional services, ensuring alignment with applicable licensing and practice-of-medicine requirements. Monitor and interpret changes in healthcare laws and regulations that affect clinical operations and licensing, and translate them into concise guidance for business stakeholders. Collaborate cross-functionally with clinical, operations, and product teams to support new initiatives, market expansions, and service changes from a legal and licensing perspective. Coordinate with, and effectively manage, external counsel on specialized licensing or clinical operations matters, ensuring advice is tailored to the client's risk profile and objectives. Desired Qualifications: JD degree and active license to practice law in at least one U.S. jurisdiction; eligibility to practice in Texas (TX) or strong experience advising on Texas healthcare laws and regulations preferred. 5+ years of legal experience in healthcare, with a strong focus on clinical operations, professional practice issues, and/or healthcare licensing. Demonstrated experience advising on pharmacy and/or nursing licensing, including multi-state or national footprints, with specific exposure to Texas licensing requirements strongly preferred. Strong understanding of scope of practice, supervision, delegation, and other legal issues impacting clinical workflows and care delivery models, including in Texas. Proven ability to translate complex healthcare regulatory and licensing requirements into clear, practical guidance for business and clinical stakeholders. Experience drafting, reviewing, and negotiating agreements related to clinical services, professional services, or other healthcare operational arrangements. Track record of partnering closely with clinical, operations, and product teams to support new initiatives, market expansion (including Texas), and changes in service models. Comfort working in fast-paced, high-growth, or innovative healthcare environments (e.g., telehealth, digital health, value-based care, multisite providers). Strong judgment and risk-balancing skills, with a preference for pragmatic, business-oriented solutions over purely compliance-driven approaches. Excellent communication, collaboration, and stakeholder management skills, with the ability to influence and build trust across diverse teams. Compensation, Benefits & Location: This position offers an attractive compensation package starting at $160,000, including comprehensive health benefits, a 401K plan, and access to professional development opportunities. While Axiomites primarily work remotely, some clients may require onsite presence. Company Overview: Axiom is the global front-runner in delivering high-caliber, on-demand legal expertise, enabling efficiency and growth across legal departments worldwide. Our commitment to diversity, inclusion, and social engagement sets us apart as an equal opportunity employer. Equal Opportunity Employer: Axiom is dedicated to equal employment opportunities, free from discrimination or harassment based on race, religion, gender identity, disability, or other protected characteristics. Reasonable accommodations are provided for qualified individuals with disabilities to ensure a fair application process. For additional information on privacy practices, please refer to our full privacy notice. We request candidates to ensure all application details are accurate before submission. #LI-LC3

Posted 30+ days ago

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

Posted 30+ days ago

Sompo International logo
Sompo InternationalDallas, TX

$150,000 - $250,000 / year

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team. Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition. Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you'll be doing: This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients. Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards; Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks; Authorizes quotes/binders/invoices as appropriate; Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures; Attends client/broker meetings, lunches, dinners and other social outings as applicable; Expands existing portfolio of business by developing existing relationships and new prospective clients; Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results; Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner; Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed; Completes underwriting referral applications for risks outside of authority for higher level approval as necessary What you'll bring: Undergraduate or advanced degree preferred; 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques; Established relationships with retail and wholesale producers; Strong negotiation skills; Excellent communication (both written and verbal) skills; Ability to plan strategically and prioritize workload to meet production and management objectives; Ability to be a team player. Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits In today's world, what do we stand for? Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo. Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

Posted 30+ days ago

Inmar logo
InmarWinston Salem, NC

$181,720 - $302,867 / year

The Vice President, Strategic Accounts & Strategy is a key leadership role within Inmar's Healthcare Division, responsible for shaping and executing account strategies for the organization's most strategic, top-tier healthcare clients and emerging products and services. This leader will serve as executive sponsor for high-profile client relationships, ensuring client growth, retention, satisfaction, and measurable value realization while developing frameworks and strategic direction for account management across the Healthcare Client Excellence organization. With deep knowledge of the healthcare ecosystem (hospital, retailer, wholesaler, and familiarity with life sciences), this role will integrate client insights with enterprise strategy to drive long-term value for both clients and Inmar. Primary Accountabilities: Strategic (40%) Serve as executive sponsor for Inmar's strategic healthcare clients, representing the company in executive forums, business reviews, and escalations. Partner with account leaders to create and execute multi-year strategic account plans aligned with client objectives and Inmar's enterprise goals. Lead the development of account management frameworks, playbooks, and governance models to strengthen account strategy discipline across Client Excellence. Partner with Product, Operations, Marketing, and Finance to ensure alignment of client strategies with new offerings, innovation initiatives, and enterprise growth plans Identify and advise on emerging healthcare/life sciences opportunities to shape new offerings and extend client value. Leadership (30%) Lead, mentor, and develop account leaders and teams responsible for top-tier healthcare clients. Model leadership behaviors that reinforce client-centricity, collaboration, and innovation. Establish a culture of transparency, accountability, and excellence across Client Excellence teams. Support adoption of emerging products and services by advising clients on value opportunities and shaping offerings for strategic relevance. Influence (20%) Provide strategic input on deal structures, renewals, and complex contracting in partnership with Legal, Finance, and Commercial teams. Represent the voice of the client in enterprise-level initiatives, ensuring client needs inform product, service, and operational strategies. Build trust-based executive relationships that position Inmar as a long-term partner and advisor. Analytical (10%) Oversee the development and use of client health metrics (retention, adoption, ROI, satisfaction). Interpret client feedback and market data to inform account strategies and organizational priorities. Ensure decision-making is data-driven, balancing financial outcomes with client value and experience. Required Qualifications: 12+ years of progressive leadership experience in strategic accounts, customer success, or enterprise client management, preferably within healthcare. Proven executive client engagement experience with Retail, Wholesale, Life Science hospitals, retailers, wholesalers, and/or consumer healthcare organizations. Strong knowledge of healthcare ecosystem dynamics; life sciences background a plus. Demonstrated success in account strategy planning, client retention, and growth initiatives at scale. Experience shaping contracting strategies and providing input on complex deal structures. Strong leadership, communication, and executive presence with ability to influence senior stakeholders. Bachelor's degree required; advanced degree (MBA, MHA, or related) strongly preferred. Individual Competencies: Integrity: Gains the trust of others by taking responsibility for your own actions and telling the truth. Follows through on commitments and agreements; Respects confidentiality; Maintains confidentiality regardless of pressure from others. Innovative: Ability to develop, sponsor, or support the introduction of new and improved methods, products, procedures or technologies. Problem Solving: Gathers and analyzes information to generate and evaluate potential solutions to problems, issues and challenges while weighing the accuracy and relevance of the facts, data and information. Communication: Giving and receiving messages and information in written, oral, and visual formats concisely for a complete understanding of meaning and intent. Collaboration: Works collaboratively with others to achieve group goals and objectives. Effective Execution: Gathers and analyzes information to generate and evaluate potential solutions to problems, issues and challenges while weighing the accuracy and relevance of the facts, data and information. Building Collaborative Teams: Builds productive and cooperative relationships to facilitate team effectiveness through the understanding and utilization of individual strengths, behaviors, and personalities to achieve team goals and organizational success. Inclusivity: Actively seeks to include and engage everyone regardless of backgrounds, cultures, or demographics to leverage the wealth of knowledge, insights and perspectives of a diverse workplace to spark creativity and propel innovation in an open and trusting environment. Vision and Strategy: Takes a long-term view and builds a shared vision with others while positioning the organization for future success by identifying new opportunities, formulating objectives and priorities, and implementing plans consistent with the long-term interest of the organization in a global environment. Change Management: Acts as a catalyst to change by using effective strategies to facilitate organizational change initiatives and overcome resistance to change. Accountability: Sets clear goals, objectives, expectations, and responsibilities and monitors the process, progress and results to hold self and others accountable for measurable actions and results. Influence: Persuades or convinces others to support an idea, agenda, or direction through establishing credibility, using data and facts for support, directly addressing a person's concerns or issues, and making connections while wielding power and authority in an effective and fair manner. Business Acumen: Understands and is aware of how to think about and successfully make the right business decisions through the utilization of industry-specific knowledge and skills and strategic thinking tools and skills. Influential Communication: Fosters open communication, speaks truthfully and with one voice through clear and consistent messages, listens to others and values all opinions while acting in a respectful manner to influence an outcome, impact, or effect, and responds appropriately to concerns of others. Quality Management: Leads and influences by example by following the principles of Quality Management in the areas of customer focus, leadership, engagement, process, continuous improvement, evidence-based decision making, and relationship management. The physical demands described here are representative of those that must be met by an associate to successfully perform the major job responsibilities (essential functions) of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the major job responsibilities. This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the job. Duties responsibilities and activities may change, or new ones may be assigned at any time with or without notice. While performing the duties of this job, the associate is: Regularly required to use hands to finger, handle or feel objects, tools or controls, and reach with hands or arms. Regularly required to talk or hear and read instructions on a computer monitor and/or printed on paper. Occasionally required to stand, kneel or stoop, and lift and/or move up to 25 pounds. Regularly required to view items at an extremely close range and must be able to adjust and readjust focus. Occasionally required to remain in a stationary position. As an Inmar Associate, you: Put clients first and consistently display a positive attitude and behaviors that demonstrate an awareness and willingness to listen and respond to clients in order to meet their short-term and long-term needs, requirements and exceed their expectations. Treat clients and teammates with courtesy, consideration and tact; you also can perceive the needs of internal and external clients and communicate effectively with the objective of delighting and retaining the client. Build collaborative relationships and work cooperatively with others, inside and outside the organization, to accomplish objectives, develop and maintain mutually beneficial partnerships, leverage information and achieve results. Set and attain achievable, yet aggressive, goals with a sense of urgency and accountability. Understand that results are important and focus on turning mission into action to achieve results following the principles of agile, dynamic execution while consistently complying with quality, service and productivity standards to meet deadlines and exceed expectations by giving our clients the best possible outcome. Support a safe work environment by following safety rules and regulations and reporting all safety hazards. #LI-LR1 At Inmar, we put people first and that means empowering our associates to thrive at every stage of life and career. Our comprehensive and competitive benefits package is thoughtfully designed to support a wide range of lifestyles and life stages. Eligible associates have access to: Medical, Dental, and Vision insurance Basic and Supplemental Life Insurance options 401(k) retirement plans with company match Health Spending Accounts (HSA/FSA) We also offer: Flexible time off and 11 paid holidays Family-building benefits, including Maternity, Adoption, and Parental Leave Tuition Reimbursement and certification support, reflecting our commitment to lifelong learning Wellness and Mental Health counseling services Concierge and work/life support resources Adoption Assistance Reimbursement Perks and discount programs Please note that eligibility for some benefits may depend on your job classification and length of employment. Benefits are subject to change and may be governed by specific plan or program terms. At Inmar, compensation reflects our belief in integrity, transparency, and the value of individual contributions. The hiring range for this position is: 181,720.13 - 302,866.88 USD Annual The final offer may vary based on factors such as geographic location, job-related skills, education, certifications, work experience, and other relevant considerations. Depending on the job level and role, it may include: Annual discretionary bonuses through our Core Company Performance Bonus Plan Equity grants, sign-on bonuses, and other tailored incentive opportunities Additional discretionary compensation, such as: Growing Revenue Incentives Corporate or VIP Bonuses Deferred compensation opportunities The actual annualized salary offered at the time of hire will be communicated in the candidate's offer letter. We remain committed to fairness and transparency across all locations. Where required, including for remote-eligible roles, local pay ranges are disclosed in accordance with applicable laws and regulations. We are an Equal Opportunity Employer, including disability/vets. Recruitment Fraud Notice: Recruitment fraud is an increasingly common scam where individuals pose as employers to offer fictitious job opportunities. Scammers sometimes impersonate Inmar recruiters on LinkedIn and other channels. We will never ask for payment or sensitive personal information during the hiring process. Verify any role on our official Workday Careers site and learn how to spot scams in our full notice. This position is not eligible for student visa sponsorship, including F-1 OPT or CPT. Candidates must have authorization to work in the U.S. without the need for employer sponsorship now or in the future.

Posted 30+ days ago

C logo
CNA Financial Corp.Lake Mary, FL

$97,000 - $189,000 / year

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities. This individual contributor role will work on the largest exposure claims across all Healthcare segments. This individual must have the ability to step into a claim at various points, evaluate next steps and proactively move the claim toward resolution. The claim professional will handle approximately 65 high exposure claims. 25% travel. This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office. JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Counsels management on legal risks, claim and litigation strategy and obligations in complex matters. Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes. Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements. Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues. May participate with senior management in the development and implementation of claims policy and business strategy. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director or above Skills, Knowledge & Abilities Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices. Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment. Ability to drive results by taking a proactive long-term view of business goals and objectives. Extensive experience interpreting commercial insurance policies and coverage. Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's degree with JD preferred in a related discipline or equivalent. Typically a minimum ten years of relevant experience. Medical malpractice experience preferred. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Advanced negotiation experience Professional designations are highly encouraged (e.g. CPCU) #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consulting Director role is $144,500 to $205,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

Posted 30+ days ago

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

Posted 30+ days ago

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

Posted 30+ days ago

A logo
ATC Las VegasLas Vegas, Nevada
Account Executive – Healthcare Staffing Location: Las Vegas,NV Full-Time | Medical Staffing Agency Join Our Team at ATC Healthcare Services! Are you a driven sales professional with experience in healthcare staffing ? ATC Healthcare Services is seeking a motivated Account Executive to develop new business opportunities, maintain strong client relationships, and drive sales growth in the healthcare industry. If you thrive in a fast-paced, client-focused environment and enjoy building lasting partnerships, we want to hear from you! What You’ll Do: Develop and execute a strategic sales plan to acquire new clients through cold calls, presentations, networking, and direct outreach . Maintain and grow relationships with existing clients through regular follow-ups, service check-ins, and personalized solutions . Partner with the Staffing Coordinator to ensure smooth client placements and exceptional service delivery. Stay ahead of industry trends, market changes, and competitor insights to maintain a competitive edge . Market qualified healthcare professionals (HCAs) to potential and existing clients. Prepare and submit proposals and bids to secure new business opportunities. Participate in networking events, public relations efforts, and market research to enhance brand awareness. Travel 60% of the time to meet with clients (valid driver’s license required). What We’re Looking For: Education: High School diploma or equivalent (College degree in Business or a related field preferred). Experience: 2-3 years in medical staffing sales , account management, or business development. Skills: Strong sales, negotiation, and relationship-building abilities. Mindset: Proactive, results-driven, and adaptable to changing market conditions. Why Join ATC Healthcare Services? Work in a fast-paced, high-growth industry with unlimited earning potential .Make a direct impact by connecting top healthcare professionals with leading facilities. Supportive and collaborative team environment with professional growth opportunities. If you’re ready to take your sales career to the next level, we’d love to hear from you! Apply today! Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regards to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other category protected by Federal, State or local law. M/F/D/V EOE

Posted today

A logo
Advocate Health and Hospitals CorporationWake Forest, North Carolina

$24 - $36 / hour

Department: 11604 Enterprise Corporate - Language Services Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details/Additional Information: Any shift Pay Range $23.65 - $35.50 Job Summary: The Healthcare Interpreter ensures equal access for all by serving as the linguistic and cultural intermediary of the healthcare encounter. The Interpreter accurately and skillfully interprets oral communication and basic written information, related to the healthcare encounter, between the Limited English Proficient (LEP) customer and the care team. The interpreter also serves as a cultural broker, clarifier, and advocate to ensure positive clinical outcomes. Position Highlights: Shift Schedule: PRN , hours vary, may include holidays. Providing coverage for shifts any time as needed, Weekends, Weekdays, Days/Nights, and Holidays. Department: Linguistic Location: Winston Salem, NC Requirements: High school diploma required. 3-year related experience required. Knowledge of medical terminology and prior experience in a healthcare setting is required. National medical interpreter certification preferred. Demonstrated knowledge of oral/written language pair competency by successful completed an Interpreter Language Assessment required. Competition of 40-hour Medical Interpretation Training Program within 1 year of hire required. The Successful Candidate will assume responsibility for a variety of functions, which include, but are not limited to: Proactively responds to requests for language access in a healthcare setting. This includes but is not limited to: In-person interpreting, telephone interpreting, video interpreting, basic translation. Leverages the use of technology, as needed, to deliver services in a variety of different modalities. Troubleshoots basic application issues with software and customer as needed. Maintains relationships with internal customers and makes key decisions regarding appropriate interpreter modalities. Strives to always contain costs and leverages vendor relationships as needed. Interprets information regarding the patient’s and family’s healthcare needs. Scenarios may include patient education, appointments, discharge instructions, procedures, emergency encounters, assessments, etc. Serves as a conduit to interpret as accurately and concisely as possible while considering cultural implications and idiomatic language differences. Acts as a cultural broker by educating caregivers on the understanding of patient’s culture in relationship to healthcare. Fully abides by the healthcare system’s professional conduct standards, executes job duties in an ethical manner, and follows national practice standards Translates basic written information as needed and within department guidelines. Serves as a cultural mediator and educate customers appropriately. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Posted today

IntegriCare logo
IntegriCareClermont, Georgia

$40 - $50 / hour

WE ARE LOOKING FOR FRIDAY NURSING COVERAGE FOR 8 HOURS. This position is for one day per week coverage. Friday coverage to either start at 6:30AM or to start at 11:30AM. Pay Rate: LPN $40 per hour and RN $50 per hour IntegriCare is more than just a healthcare provider; we are a close-knit family dedicated to delivering outstanding pediatric private duty nursing services. We are committed to empowering medically fragile children to thrive in their homes, schools, and communities. Our young clients, aged birth through 21, often rely on medical technologies such as tracheostomies, ventilators, or gastrostomy tubes. Nurse Responsibilities: Collect information about conditions and treatment plans from caregivers, nurses, doctors and family members Accurately monitor and track clients’ overall health and medical history during every visit Take and record measurements of blood pressure, temperature, heart rate etc. Change bandages, wound dressings, and catheters, among other related healthcare tasks Verify clients are taking the correct dosages of medications Help clients complete physical therapy and other recommended exercises Provide emotional and psychological support to the client and family members as needed Licensed Practical Nurse (RN) Requirements: Bachelor’s degree in nursing 1+ year nursing experience preferred Current CPR (American Heart Association) Certification Current RN or LPN license in the state Access to reliable transportation Ability to work independently and with directions Willingness to work evenings and weekends as needed Exceptional customer service skills Compassionate and friendly demeanor

Posted today

McAdams logo
McAdamsRaleigh, NC
McAdams is a full-service land planning, landscape architecture, civil engineering, transportation, and geomatics firm located in North Carolina, South Carolina, Texas, and Florida. We seek to partner with our clients to create meaningful experiences through inspired design. Our employees are what make McAdams different. We bring experiences to the forefront of everything we do, and to do that takes special people. The McAdams Education+ Healthcare Sector serves the region's top public and private K-12, Higher Ed, and Healthcare clients with a variety of services on campus environments. The McAdams Education+ Healthcare Sector works with our clients to provide the community with critical education, research, learning, healthcare, and healing facilities. Typical projects include Educational Campuses, NCAA Athletic Facilities, Laboratory/Research Facilities, Energy Plants, Dormitories, Utility Assessments/Master Plans, Hospital Campuses, and Medical Office Buildings. Examples of McAdams Education+ Healthcare Sector projects can be found here: https://mcadamsco.com/project-type/education-campuses Our Education+ Healthcare sector is seeking a skilled Project Manager who is a strong critical thinker, problem solver, and communicator. Highly qualified candidates will demonstrate a commitment to delivering high-quality work, act as a champion for team success, and prioritize personal career growth. This individual will be responsible for working directly with clients and regulatory agencies as well as other internal McAdams groups for the development of projects to ensure our client's satisfaction. Position Overview The Senior Project Manager leads and manages all phases of complex civil engineering projects, ensuring successful delivery from design through construction. This role is responsible for overseeing project teams, maintaining client relationships, and ensuring projects meet technical, schedule, and budget goals. The Senior Project Manager coordinates design efforts, manages resources, and oversees permitting and regulatory compliance while maintaining quality control across all deliverables. Additionally, this role contributes to business development, risk management, and provides mentorship to junior staff, driving the growth and success of the firm. Key Responsibilities Lead and manage all aspects of civil engineering projects, ensuring successful delivery from concept through construction administration. Serve as the primary point of contact for clients, stakeholders, and internal teams, driving alignment on project goals, timelines, and budgets Develop and maintain strong client relationships by providing exceptional service, managing client expectations, and ensuring project satisfaction. Identify and pursue opportunities for repeat business and referrals Oversee and mentor project teams, providing guidance, support, and direction. Foster a collaborative environment, ensuring clear communication and smooth coordination between design staff, subconsultants, and other project team members Direct and support the design of civil engineering systems, including site plans, utility plans, stormwater management, grading, and infrastructure layouts. Ensure designs meet all technical, regulatory, and quality standards. Develop, manage, and track project budgets and schedules, ensuring projects are completed on time and within budget. Allocate resources effectively to meet project deadlines and address any potential issues proactively. Lead permitting efforts, working with local agencies and municipalities to ensure timely approvals and compliance with applicable regulations. Address agency comments and facilitate site permitting processes Identify and mitigate project risks, resolving any technical or design challenges promptly. Proactively address issues that may impact project timelines, budgets, or client relationships Ensure the quality of all project deliverables, conducting regular reviews of design documents, construction drawings, reports, and specifications to maintain accuracy and compliance with company standards Manage relationships with external subconsultants, contractors, and vendors, ensuring their deliverables meet project requirements and timelines. Collaborate with these parties to ensure seamless project execution Actively contribute to business development efforts by identifying potential project opportunities, drafting proposals, and participating in client presentations. Develop strategies to expand the firm's presence in the market. Carries out supervisory responsibilities for staff in accordance with the Firm's policies and applicable laws (plans, assigns, and directs work; performance appraisals; rewarding of employees; addresses complaints and resolves problems) Provide mentorship to junior project managers, engineers, and staff, helping to develop their technical and project management skills. Share knowledge and promote continuous learning across the team. Prepare and present project updates to stakeholders, including progress reports, budget status, and risk assessments. Maintain accurate project documentation for internal and client reference. Lead efforts to improve project management processes and workflows. Advocate for the use of innovative tools, technologies, and methodologies to enhance project delivery and team productivity, ensuring the firm remains at the forefront of industry practices. Perform other duties as assigned Skills + Experience Four-year bachelor's degree from an accredited program in Civil Engineering, Environmental Engineering, Biological and Agricultural Engineering, Civil Engineering Technology, or related field required EI required; PE or on track to obtaining PE strongly preferred Minimum of 8+ years' civil site design experience and 4+ years' experience as a Project Manager Expertise in Civil 3D, AutoCAD, and other relevant project management and design software. Strong understanding of civil engineering design principles, construction methods, and regulatory compliance Demonstrated experience in managing multiple projects simultaneously, with the ability to manage budgets, schedules, and resources effectively Proven ability to lead and mentor cross-functional teams, manage client relationships, and drive project success. Strong communication and interpersonal skills Experience in identifying new business opportunities, preparing proposals, and building long-term client relationships Strong analytical and critical thinking skills, with the ability to resolve complex technical and project management challenges Work Environment + Physical Demands The characteristics described below are representative of those encountered while performing the essential functions of this position. When properly requested and when feasible (without undue hardship to the company), reasonable accommodations will be made to enable individuals with disabilities to perform essential job functions. Work will primarily be in an office setting with limited opportunities to be exposed to adverse environmental conditions. Work will be primarily working with fingers by picking, pinching, typing, and grasping often with repetitive motion. Must have visual acuity for viewing a computer screen, the ability to talk, hear and sit for extended periods of time. Must be able to carry, lift and push/pull up to 5 pounds frequently and up to 30 pounds occasionally. Additional physical duties may be required as necessary. McAdams is an equal opportunity employer. All qualified candidates will receive consideration for employment without regard for race, color, religion, gender (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran's status, or any other legally protected status. If you need assistance with our online application system process, please contact the Human Resources Team at 919.361.5000 or hrteam@mcadamsco.com. Please read these notices for important information regarding applying for work with McAdams. Know Your Rights: Workplace Discrimination is Illegal E-Verify (English/Spanish) Right to Work (English/Spanish)

Posted 30+ days ago

Cigna logo

Provider Contracting Director - Cleveland, OH Market - Cigna Healthcare

CignaColumbus, OH

$91,200 - $152,000 / year

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Job Description

WORK LOCATION: Cleveland or Independence, OH area.

The Provider Contracting Director serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.

DUTIES AND RESPONSIBILITIES

  • Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).

  • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.

  • Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.

  • Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements.

  • Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.

  • Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.

  • Creates and manages initiatives that improve total medical cost and quality.

  • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.

  • Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.

  • Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.

  • Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.

  • Manages key provider relationships and is accountable for critical interface with providers and business staff.

  • Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.

  • Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.

  • May provide guidance or expertise to less experienced specialists.

POSITION REQUIREMENTS

  • Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred.

  • 3+ years Hospital contracting and negotiating experience involving complex delivery systems and organizations required.

  • Experience in developing and managing key provider relationships

  • Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.

  • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.

  • Intimate understanding and experience with hospital, managed care, and provider business models.

  • Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.

  • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.

  • Customer centric and interpersonal skills are required.

  • Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment.

  • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.

  • Knowledge and use of Microsoft Office tools.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 91,200 - 152,000 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here.

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.

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