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

Posted 5 days ago

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Environmental Services EVS Worker- Advanced Rehab & Healthcare Of Wichita Falls - EVS Labor
Aramark Corp.Wichita Falls, TX
Job Description The EVS Worker cleans and maintains assigned area(s) to meet customer, client, and patient satisfaction. Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs. Job Responsibilities Adheres to established procedures to provide a safe working environment including aligning with OSHA, state/local, federal, and Aramark regulations Performs cleaning and sanitizing of patient / resident rooms that may include vacuuming, high and low dusting, bed making and stripping, and removal of general and hazardous waste. Cleans restrooms following proper infection control procedures. Accurately maintains and cleans housekeeping equipment Cleans assigned areas to Aramark and client standards and requirements Follows procedures for storage and disposal of trash and transports it to designated areas Reports maintenance concerns via work order requests to appropriate personnel Maintains friendly, efficient, positive customer service demeanor toward customers, clients, patients, and co-workers. Is adaptable to customer needs. Secures the facility, ensuring building is locked/unlocked as required Ensures security of company assets Other duties and tasks as assigned by manager At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Previous custodial experience preferred Able to follow basic safety procedures and precautions This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing. This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Wichita Falls

Posted 3 weeks ago

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General Utility Worker - Columbus Regional Healthcare System Food
Aramark Corp.Whiteville, NC
Job Description Are you self-motivated and proud of the work you do? Here at Aramark, we take pride in the level of service and safety we provide! As a General Utility Worker on our team of other service stars, you'll take on the important task of maintaining the cleanliness of dishes, equipment, and the environments we work in. The best part? It's just the starting point of your career, so launch your future with us! Essential functions and responsibilities of the position may vary by Aramark location based on client requirements and business needs. Job Responsibilities Ensure guest satisfaction by maintaining all dishes, pots, pans, silverware, glasses, equipment, and kitchen utensils are cleaned and sanitized Maintains dishwashing station, three compartment sink and related areas cleaned Ensures equipment is clean and in working condition; reports any issues to management Performs other light maintenance and custodial tasks Maintains excellent customer service and positive attitude towards guest, customers, clients, co-workers, etc. Adheres to Aramark safety policies and procedures including proper food safety and sanitation Ensures security of company assets At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Demonstrates an understanding of basic sanitation procedures Must be able to follow basic safety procedures due to exposure to hazardous chemicals Must be available to work flexible hours including evenings and weekends This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing. This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Wilmington

Posted 1 week ago

Treasury Management Sales Consultant - Healthcare-logo
Treasury Management Sales Consultant - Healthcare
US BankSan Diego, CA
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at-all from Day One. Job Description Contacts prospective customers in order to provide consultative advice on current cash flow practices in order to develop treasury management business. Manages relationships with existing customers to ensure proper servicing of accounts and to expand existing business. Prepares sales presentations, explains services offered, and recommends solutions which would benefit clients. Identifies opportunities to sell other U.S. Bancorp products and services to meet customer needs. Assists management in developing a market strategy and in setting sales objectives. Responsible for meeting or exceeding all assigned sales and revenue retention goals. Assists in the design and oversees the proper installation of treasury management services. Assists management in the development of new services or the modification of existing services. The role offers a hybrid/flexible schedule, which means there's an in-office expectation of 3 or more days per week and the flexibility to work outside the office location for the other days. Basic Qualifications Bachelor's degree, or equivalent work experience 10 or more years of related experience Preferred Skills/Experience Extensive knowledge of treasury management products Thorough knowledge of the organization and its products, services and operations Strong sales and new business development skills Excellent customer service/relations skills Excellent presentation, verbal and written communication skills If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. Benefits: Our approach to benefits and total rewards considers our team members' whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability Pregnancy disability and parental leave 401(k) and employer-funded retirement plan Paid vacation (from two to five weeks depending on salary grade and tenure) Up to 11 paid holiday opportunities Adoption assistance Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law. E-Verify U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program. The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $126,820.00 - $149,200.00 U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants.

Posted 30+ days ago

Avp, Provider Contracting- Cleveland And North Ohio Markets - Hybrid - Cigna Healthcare-logo
Avp, Provider Contracting- Cleveland And North Ohio Markets - Hybrid - Cigna Healthcare
CignaCleveland, OH
Work Location: Independence, OH - Cleveland area Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Leads cross market and cross functional initiatives as needed. Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates, nurtures, 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 and acts upon opportunities for greater value-orientation and risk arrangements. Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Identify and manages initiatives that improve total medical cost and quality. Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. Manages key provider relationships and is accountable for interface with providers and business staff. Demonstrates comprehensive 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. POSITION REQUIREMENTS Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. Experience in developing and managing key provider relationships including senior executives. Knowledge of complex reimbursement methodologies, including incentive models. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with larger, more complex integrated delivery systems, 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. Demonstrates managerial courage and change leadership in a dynamic environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 3 weeks ago

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

Posted 2 weeks ago

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Unit Manager, RN - NHC Healthcare Charleston
National Healthcare CorporationCharleston, SC
nhccare.com/locations/charleston NHC is an Equal Opportunity Employer (EOE).

Posted 4 weeks ago

Customer Development Specialist - Healthcare-logo
Customer Development Specialist - Healthcare
Gordon Food ServiceSan Antonio, TX
Overview For over 125 years, Gordon Food Service has delivered the excellence, expertise, and quality products our customers need to design successful culinary operations and experiences. We've grown to be the largest family-operated broadline food distribution company in North America by being passionately committed to the people we serve. At Gordon Food Service, our customers come first. As a Non-Commercial Sales Representative, you will cultivate relationships, develop new business, and provide innovative solutions to our customers, helping them to achieve their goals and, in return, yours! This position will reside in: San Antonio, TX. Position Benefits A generous 401(k) matching program and profit-sharing that is above industry standards Financial rewards for performance compensation structure which includes salary and bonuses Low-cost benefit options for you and your family's health and future An Automobile expense reimbursement plan Cell phone reimbursement plan Non-Commercial Sales Representative We invite you to join our sales team where you'll experience a world where servant leadership and cutting-edge tools and training come together to support your career growth and financial objectives. As a Non-Commercial Sales Representative, you'll be responsible for the overall sales and relationship management efforts for existing customers within your assigned territory. This includes pursuing new customers, deepening and strengthening existing customer relationships, and sales territory management. Pursuing New Customers Researching industry and market trends impacting customers within your territory Identifying and researching prospective customers within your territory Developing sales strategies that highlight products, services, values, and solutions offered by Gordon Food Service and presenting the sales strategy to prospective customers Deepen and Strengthen Existing Customer Relationships Visiting all customers within the assigned territory Conducting business reviews to determine existing customers' needs and areas of opportunity for growing sales Providing training and consultative services to all customers within the territory to access current and future needs of customers and aligning those to GFS products and service offerings Identifying opportunities within existing customer businesses where Gordon Food Service can add value through product and service offerings Sales Territory Management Balancing new customer acquisition and deepening and strengthening existing customer relationships Coordinating visits to prospective customers and existing customers Sales Training- Getting you Ready Gordon Food Service's goal during your first 90 days is to set you up for success! This includes engaging you in various training offerings, including e-learning, classroom sessions, video roleplays, job shadowing, and peer sales representative mentorship. Throughout your first 90 days, you will learn: How to use Gordon Food Service systems, processes, and tools to manage customer relationships About the products available to Gordon Food Service customers The sales process for engaging new customers How to establish your relationships in the vast network of resources available to you, as a Gordon Food Service sales representative Best practices on developing relationships with current and prospective customers Strategies on how to effectively manage your territory Position Requirements High School Diploma/GED is required Bachelor's degree and/or culinary certificate preferred Registered Dietician accreditation preferred 1 year of prior sales, business, or food service experience Maintaining a valid state driver's license and a safe driving record Ability to obtain your food safety certification Gordon Food Service encourages veterans and active military members to apply Overview For over 125 years, Gordon Food Service has delivered the excellence, expertise, and quality products our customers need to design successful culinary operations and experiences. We've grown to be the largest family-operated broadline food distribution company in North America by being passionately committed to the people we serve. At Gordon Food Service, our customers come first. As a Non-Commercial Sales Representative, you will cultivate relationships, develop new business, and provide innovative solutions to our customers, helping them to achieve their goals and, in return, yours! This position will reside in: San Antonio, TX. Position Benefits A generous 401(k) matching program and profit-sharing that is above industry standards Financial rewards for performance compensation structure which includes salary and bonuses Low-cost benefit options for you and your family's health and future An Automobile expense reimbursement plan Cell phone reimbursement plan Non-Commercial Sales Representative We invite you to join our sales team where you'll experience a world where servant leadership and cutting-edge tools and training come together to support your career growth and financial objectives. As a Non-Commercial Sales Representative, you'll be responsible for the overall sales and relationship management efforts for existing customers within your assigned territory. This includes pursuing new customers, deepening and strengthening existing customer relationships, and sales territory management. Pursuing New Customers Researching industry and market trends impacting customers within your territory Identifying and researching prospective customers within your territory Developing sales strategies that highlight products, services, values, and solutions offered by Gordon Food Service and presenting the sales strategy to prospective customers Deepen and Strengthen Existing Customer Relationships Visiting all customers within the assigned territory Conducting business reviews to determine existing customers' needs and areas of opportunity for growing sales Providing training and consultative services to all customers within the territory to access current and future needs of customers and aligning those to GFS products and service offerings Identifying opportunities within existing customer businesses where Gordon Food Service can add value through product and service offerings Sales Territory Management Balancing new customer acquisition and deepening and strengthening existing customer relationships Coordinating visits to prospective customers and existing customers Sales Training- Getting you Ready Gordon Food Service's goal during your first 90 days is to set you up for success! This includes engaging you in various training offerings, including e-learning, classroom sessions, video roleplays, job shadowing, and peer sales representative mentorship. Throughout your first 90 days, you will learn: How to use Gordon Food Service systems, processes, and tools to manage customer relationships About the products available to Gordon Food Service customers The sales process for engaging new customers How to establish your relationships in the vast network of resources available to you, as a Gordon Food Service sales representative Best practices on developing relationships with current and prospective customers Strategies on how to effectively manage your territory Position Requirements High School Diploma/GED is required Bachelor's degree and/or culinary certificate preferred Registered Dietician accreditation preferred 1 year of prior sales, business, or food service experience Maintaining a valid state driver's license and a safe driving record Ability to obtain your food safety certification Gordon Food Service encourages veterans and active military members to apply

Posted 6 days ago

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

Posted 1 week ago

Proposal Manager, Healthcare-logo
Proposal Manager, Healthcare
DLR GroupChicago, IL
DLR Group is an integrated design firm with a promise to elevate the human experience through design. This fuels the work we do around the world and inspires our mission to improve the lives of our clients, our communities, and our planet. If this sparks your interest, you're in the right place. We have an opening for a Proposal Manager, Healthcare. We operate within a hybrid work model, supporting flexibility between office time and work from home. Considering this model, this role could be based in the following cities: Cleveland Chicago Denver Minneapolis Omaha Orlando Overland Park Phoenix Riverside About Marketing Sector at DLR Group At DLR Group, the Marketing team provides strategic support in pursuit of new opportunities and the development of marketing materials. By leveraging a deep understanding of market trends and client needs, the team highlights the firm's expertise and resonate with prospective clients. Position Summary The Proposal Manager leads the pursuit process and production of on-time, brand standard-compliant deliverables (statement of qualification, request for proposal response, and interviews) from RFP receipt to interview completion for the firm. The Proposal Manager will lead and produce their own pursuits while delegating and coordinating the production of specific supporting content. At the center of DLR Group's Healthcare practice is an individual - be it a patient, care giver, instructor, or student. Our design extends beyond the building to consider the emotional, mental, and social well-being of its inhabitants. DLR Group designers are conscious that there are practical and aesthetic issues that must be mediated in healthcare facility planning and design. We leverage our experience and knowledge to deliver evidence-based solutions that support the unique needs of our clients, all the while rooting our practice in one core idea: empathy. What you will do: Manage multiple concurrent pursuits to on-time, compliant delivery with little oversight. Inspire a multi-disciplinary pursuit team (designers, project managers, client leaders, and creative services) to leverage business development intelligence, develop a persuasive win theme, and deliver content in support of the client's needs. Synthesize complex information streams into compelling written responses to client needs and RFP requirements; edit written content from the pursuit team (designers, client leader, etc.) to match brand voice and professional style. Coach project team on presentation best practices to support win in an interview setting. Support DLR Group's shortlist and win rate goals, with a strong conversion strategy and execution. Support DLR Group's ROI goals and BD framework by identifying Random Acts of Marketing (RAM) and adhering to strong process management. Record discovered project and people information in the firm's database (Vantagepoint) to ensure institutional knowledge. Develop and leverage your knowledge base - including industry research, business development intelligence, firm capabilities, and market sector expertise - to inform win strategies, add value, and increase the likelihood of winning. Champion DLR Group as a best-in-class brand by completing comprehensive quality control checks on materials. Collaborate with a) Pursuit teams to produce and maintain an up-to-date library of on-brand pursuit materials including resumes, project plates, and boilerplate information to facilitate effective and efficient workflows across the team; this includes proactive content capture following submittal. b) Graphic design teams on key pursuits to develop custom, on-brand visual assets that support defined win themes Required Qualifications: Bachelor's Degree in Marketing, Communications, English, or related field. 5+ years of experience creating, writing, and editing proposals in a professional services environment, preferably the AEC industry. Proficiency in Adobe Creative Suite, especially InDesign; proficiency in Microsoft Suite, including PowerPoint and Teams; familiarity with information gathering from a database, Deltek Vantagepoint (preferred) Eligibility to work in the United States without needing a work visa or residency sponsorship. Preferred Experience And Skills: Experience leading a pursuit process to win work with / familiarity with the needs of and relevant messaging for private clients including Fortune 500 companies, major hotel brands/flags, and commercial real estate developers. Experience leading successful SF330s and RFQ/P responses for government and public entities. Demonstrate a sense of urgency to manage and prioritize multiple concurrent deadlines. Attention to detail and an ability to craft deliverables that comply with RFP requirements while creatively expressing the DLR Group brand and differentiators. Critical thinker who can quickly evaluate needs and recommend responsive solutions. Strong project and people management skills -the ability to quickly build consensus, and positively 'manage up' to get senior-level individuals to support established processes with input and insight in a timely manner. Our comprehensive Benefits at DLR Group include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401(k) plan, employee stock ownership, and bonus opportunities. Compensation considerations are based on location, experience, and skills. The suggested pay range for this position is: Pay Range $75,000-$100,000 USD DLR Group is an integrated design firm delivering architecture, engineering, interiors, planning, and building optimization for new builds, renovations, and adaptive reuse projects. We are 100% employee-owned: every employee is literally invested in our clients' success. At the core of our firm are interdisciplinary teams engaged in every step of project lifecycles. Our teams champion true collaboration, open information sharing, shared risk and reward, value-based decision making, and proficient use of technology to deliver exceptional design. We are pursuing the goals of the 2030 Challenge, the ME2040, and the SE2050, and are an initial signatory of the China Accord and the AIA 2030 Commitment. Through our values - commitment, creativity, environmental stewardship, fun, integrity, ownership, sharing, teamwork - we elevate the human experience through design, together. DLR Group follows a four-day in-office work model, with employees having the flexibility to work somewhere other than the office on Fridays. We are proud to be an Equal Opportunity/Affirmative Action/M/F/Veteran/Disabled employer.

Posted 30+ days ago

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

Posted 1 week ago

Program Manager (Part-Time) - Cogency Integrated Healthcare IPA-logo
Program Manager (Part-Time) - Cogency Integrated Healthcare IPA
Lower Eastside Service CenterNew York, NY
Description Position Summary: COGENCY Integrated Healthcare IPA is seeking a skilled and experienced part-time Program Manager to lead and manage key initiatives within our provider network. This role, requiring 25-30 hours per week, involves oversight of program implementation, provider services, data analysis, staff training, and grant writing, with a focus on Behavioral Health, Substance Use, Housing, and other critical social service programs. The Program Manager will ensure the success and growth of COGENCY's integrated care model through strategic coordination and leadership. Key Responsibilities Provider Network Management: Serve as a liaison between COGENCY and healthcare providers, particularly in Behavioral Health, Substance Use, and Housing services. Oversee coordination of care and service delivery across multiple social programs, ensuring a seamless integration between internal teams and providers. Manage the Out of Network Referral process, enhancing referral networks with external agencies. Grant Writing & Management: Lead the grant proposal process, including researching funding opportunities, writing, and submitting grant applications that align with COGENCY's mission. Collaborate with funders, community partners, and providers to secure grants that support Behavioral Health, Substance Use, Housing, and related programs. Ensure compliance with grant requirements, deadlines, and reporting, maintaining a high level of accountability for program funding. Project & Workflow Management: Develop, implement, and evaluate workflows and projects that align with COGENCY's strategic goals in areas such as Behavioral Health and Social Determinants of Health (SDoH). Establish project milestones, set goals, and track progress to ensure timely completion and high-quality outcomes. Data Analysis & Outcome Reporting: Use the Healthix FOCUS360 reporting platform to drive care coordination improvements and provider performance evaluations. Training & Supervision: Supervise and train staff on administrative, compliance (HIPAA, Security), and care coordination, with a particular focus on Behavioral Health and Substance Use programs. Train providers on utilizing COGENCY's platform, including key features such as Out of Network Referrals. Quality Improvement & Compliance: Lead Continuous Quality Improvement (CQI) initiatives focused on enhancing service delivery in Behavioral Health, Housing, and Substance Use. Ensure that all programs comply with HIPAA, security, and patient privacy regulations. Resource Identification & Client Insights: Identify and coordinate resources for providers, staff, and the organization to improve service delivery and program outcomes, especially in SDoH-related programs. Leverage client survey data to gather insights and improve service offerings for Behavioral Health and Substance Use treatment. Collaboration & Vendor Management: Act as the organizational liaison for vendor communications, ensuring collaborative partnerships between healthcare providers and vendors that enhance service delivery. Requirements Required Experience: 5+ years of experience in program management, with a strong focus on Behavioral Health, Substance Use, Housing, and SDoH-related programs. Demonstrated experience in grant writing and management, securing funding for healthcare and social services programs. Proven ability to manage provider networks, workflow optimization, and system implementations. Strong background in compliance with healthcare standards, including HIPAA. Technical Skills: Proficiency in Microsoft Office Suite and project management tools Familiarity with healthcare systems such as AccuMedic, eICare, Avatar. Knowledge of data integration standards (HL7) and experience with RHIO platforms like Healthix, PSYCKES, Bronx RHIO. Competency in telehealth tools (GoToMeeting, Zoom) and e-signature platforms. Nice to Have: Knowledge of healthcare reporting platforms like MAPP, epaces/emeds, and AIRS/URS. SCHEDULE: Mon-Fri 9am-5pm (flexible) RATE: $31-$ 32 per hour LOCATION: Remote/Hybrid (in-person meetings as needed) To join our diverse team, please include salary requirements with your resume/application submission. Please visit us at www.lesc.org EEO Minorities/Women/Disabled/Vet

Posted 2 weeks ago

Corporate Banking Portfolio Manager: For-Profit Healthcare-logo
Corporate Banking Portfolio Manager: For-Profit Healthcare
US BankCincinnati, OH
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at-all from Day One. Job Description The Portfolio Manager partners with Relationship Manager(s) to successfully manage a portfolio of Corporate and Commercial Banking credit relationships. The position is focused on For-Profit Healthcare Institutions, including, but not limited to: Pharmaceuticals, Medical Technology and Devices, Health Insurance, Medical Distribution, Hospital Systems, and Physician Practices. Grows revenue as directed by senior management by successfully closing new business relationships and retaining and expanding relationships with existing customers. Responsibilities include: underwriting all types of credit account exposure, managing an assigned credit portfolio, successfully closing new business relationships and expanding existing relationships, managing credit risk and responding to prospect or customer credit questions and making independent calls on assigned portfolio of relationships. Basic Qualifications Bachelor's degree, or equivalent work experience Six to eight years of relevant experience Preferred Skills/Experience Advanced knowledge of commercial/corporate lending in the "for-profit" healthcare space and credit standards, policies, procedures and products Strong relationship management and business development skills Strong analytical and problem-solving skills Excellent presentation, verbal and written communication skills The role offers a hybrid/flexible schedule, which means there's an in-office expectation of 3 or more days per week and the flexibility to work outside the office location for the other days If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. Benefits: Our approach to benefits and total rewards considers our team members' whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability Pregnancy disability and parental leave 401(k) and employer-funded retirement plan Paid vacation (from two to five weeks depending on salary grade and tenure) Up to 11 paid holiday opportunities Adoption assistance Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law. E-Verify U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program. The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $132,260.00 - $155,600.00 U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants.

Posted 3 weeks ago

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

Posted 30+ days ago

J
Superintendent, Healthcare
JEDunnTempe, AZ
Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. Role Summary The Superintendent 2 will help plan, manage and execute on all aspects of assigned projects with some complexity. This position will be responsible for managing material and equipment, assisting with people management, ensuring documentation is complete and meeting project goals to achieve timely and profitable completion of each project. All activities will be performed in support of the strategy, vision and values of JE Dunn. Autonomy and Decision Making: Makes decisions within defined limits of authority and consults supervisor on other decisions. Career Path: Superintendent 3. Key Role Responsibilities- Core SUPERINTENDENT FAMILY- CORE Leads all aspects of the company's safety culture and creates awareness by demonstrating commitment to an injury-free environment through individual actions and mentoring others. Investigates safety incidents and retrains staff and needed. Provides management of subcontractors and organization of the overall job and workflow. Manages and oversees company staff, subcontractors, suppliers and programs such as Safety, Quality and EEO for a small project or a major portion of a larger project. Develops work plans for subcontractors and self-performed work. Coordinates and manages the care, custody and control of the project site. Leads various meetings including daily standup and weekly trade meetings. Attends, manages and participates in appropriate progress and/or project OAC meetings. Creates, manages, changes and implements the project's schedule as needed, in conjunction with the Project Manager. May be responsible for tracking and monitoring project budget and costs by using the project management system's cost reports and data from the project manager. Communicates key project information to owners, design team, governing authorities, subcontractors, suppliers and other departments. Follows the project filing and documentation organization system as dictated for the project. Updates drawings, logs, diaries and inspection notebooks. Approves and/or records unit cost information for weekly reports and completes daily reports, logs and tracking reports. Evaluates progress on self-perform work and make adjustments as needed. Manages material and equipment needs for the project. Supports the MOC (Material and Other Costs) and DLSC (Dunn Logistics Service Center) procurement and approval processes. Assists in the selection of the formwork, tools and equipment necessary to complete self-perform operations. Manages timecard approval process to ensure reporting of accurate hours and proper cost codes. Ensures quality compliance through use of specifications, setting quality standards, in-house QA/QC and outside resources. Supports the project closeouts by supervising pre-punch activities and coordinating activities with the owner, architect and governing authorities. Gains understanding of the project pursuit process and methodology. Participates with the field operations leadership and the project team to put together a project pre plan; implements, monitors and adjusts as needed throughout the project lifecycle. Partners with field leadership to establish field staffing for their assigned project. Partners with project management to identify schedule and costs associated with project changes. Participates in the negotiation process with the owner and architect to gain agreement for project changes. Participates with the project team in preparation and presentation for all project review meetings, including the monthly review process and other key project meetings. Participates in the project buy out meetings with subcontractors and vendors. Understands and applies the terms and conditions of the owner and subcontractor contracts for the project. Responsible for identifying and recruiting top talent. Leads, supports and promotes a culture of diversity and inclusion within JE Dunn. Understands JE Dunn's policy of non-discrimination and ensures positive, proactive implementation throughout the organization. Key Role Responsibilities- Additional Core Superintendent 2 In addition, this position will be responsible for the following: Manages fairly complex stand-alone projects from start to finish. Assumes responsibility for management, scheduling, production, safety and quality on their project or their portion of the project. Identifies, understands and actively manages project risks. Utilizes awareness, experience and knowledge to identify problems and recommends solutions for review and implementation by the team. Manages deliverables provided by a variety of internal resources and functions such as IPS, logistics, etc. Participates with project team in project pursuits. Participates in the negotiation process with the owner and architect to gain agreement for project changes. Knowledge, Skills & Abilities Ability to perform work accurately and completely, and in a timely manner. Communication skills, verbal and written (Intermediate). Ability to conduct effective presentations (Intermediate). Proficiency in MS Office (Intermediate). Ability to apply fundamentals of the means and methods of construction management to projects. Knowledge of project processes and how each supports the successful completion of a project. Ability to build relationships with team members that transcend a project. Proficiency in project management and accounting software (Intermediate). Proficiency in required JE Dunn construction technology (Intermediate). Proficiency in scheduling software (Intermediate). Ability to apply Lean process and philosophy (Intermediate). Knowledge of specific trades and scopes of work (Intermediate). Knowledge of self-perform and labor productivity (Intermediate). Ability to manage budgets, maximize profitability and generate future work through building relationships (Intermediate). Knowledge of organizational structure and available resources. Knowledge of layout skill (Intermediate). Knowledge of crane flagging and rigging (Intermediate). Ability to understand document changes and impact to the project schedule. Ability to build relationships and collaborate within a team, internally and externally. Education High School Diploma or GED. Bachelor's degree in construction management, engineering or related field (Preferred). Experience 5+ years construction experience. 3+ years field supervision experience. Experience with Lean principles (Preferred). Working Environment Valid and unrestricted drivers license required Must be able to lift up to 50 pounds May require periods of travel and/or relocation May be exposed to extreme conditions (hot or cold) Must be willing to work non-traditional hours to meet project needs Frequent activity: Standing, Walking, Climbing, Bending, Reaching above Shoulder, Pushing, Pulling Occasional activity: Sitting, Viewing Computer Screen Benefits Information The benefits package aligned to this position is Professional Non-Union. Please click the link below for more details. Click here for benefits details. JE Dunn Construction is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer and it is our policy to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. JE Dunn Construction is a background screening, drug-free workplace. JE Dunn provides reasonable accommodations to qualified individuals with disabilities. If you would like to request a reasonable accommodation in order to apply for a job, please submit your request to accommodations@jedunn.com JE Dunn Construction Company does not accept unsolicited resumes from search firms or agencies. Any resume submitted to any employee of JE Dunn Construction without a prior written search agreement will be considered unsolicited and the property of JE Dunn Construction Company. Please, no phone calls or emails. Why People Work Here At JE Dunn we offer our employees an inspired place to enrich their life and the lives of those around them Building on our rich history, our employee owners are shaping the future of JE Dunn. In our team-focused environment we do life together and are generously rewarded for our efforts About JE Dunn For more information on who we are, click here. EEO NOTICES Know Your Rights: Workplace Discrimination is Illegal California Privacy Policy E-Verify JE Dunn participates in the Electronic Employment Eligibility Verification Program. E-Verify Participation (English and Spanish) Right to Work (English) Right to Work (Spanish)

Posted 30+ days ago

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

Posted 5 days ago

S
Healthcare Assistant- Medical Surgical (5N)- Sharp Memorial Hospital -Night Shift- Full Time
Sharp HealthplanSan Diego, CA
Hours: Shift Start Time: 7 PM Shift End Time: 7:30 AM AWS Hours Requirement: 12/36 - 12 Hour Shift Additional Shift Information: Weekend Requirements: Every Other On-Call Required: No Hourly Pay Range (Minimum- Midpoint- Maximum): $24.250 - $28.040 - $31.820 This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement. What You Will Do Collaborates with the interprofessional team in the delivery of quality patient/resident care under the direction of a licensed nurse. Delivers care with consideration to populations served including age specific needs/care. Contributes to overall unit functions. Functions as the coordinator of communication for the unit and assumes primary responsibility for medical record management. Facilitates patient data management through transcription, order entry, and documentation. Supports best use of resources in management of equipment, supplies, and other department resources. Required Qualifications AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association- REQUIRED Preferred Qualifications H.S. Diploma or Equivalent Other Comparable to certified nursing assistant course. 1 Year recent experience in geriatric setting or recent experience in an acute care hospital. 1 Year experience as unit clerk/secretary. Essential Functions Teamwork and Communication Greets and makes welcome a variety of customers by telephone and in-person. Obtains information from visitors/callers, directs as appropriate or takes complete and accurate messages. Acts on requests for customer assistance. Uses scripts as appropriate including answering phones, transferring calls and service recovery. Answers call lights within four (4) rings or calls into patient rooms to validate request. Answers phone within four (4) rings and transfers calls as indicated. Responds to all inquiries with a timeliness that promotes customer satisfaction. Coordinates with physicians and department team members via paging system or phones. Assists in directing others during crisis intervention (codes, disasters, etc.). Communicates effectively with all levels of staff and uses chain of command per unit guidelines. Prioritizes workload in accordance with patient's needs and staffing patterns, as appropriate. Validates understanding of new patient needs or changes in assignment. Communicates with other staff to develop plan for best use of resources. Asks for assistance to get workload completed. Reports to license nurse or supervisor when unable to respond to number of current demands. Seeks feedback from co-workers about strategy to complete work more efficiently. Completes and signs appropriate documents accurately and timely. Admissions, Discharge and Transfer Responsibilities Ensures complete room set up for new admission (bedpan, urine container, tissue paper, basin, fresh water, etc.). Meets and greets new patient/resident and family members on admission to the unit. Orients patient/resident and family to the facility/room. Inventories and documents patient's personal belongings on inventory sheet upon admission and updates as needed. Accounts for patient's belongings during transfer and discharge process. Transfers/transports patient to activities, therapies and other departments on time and in a safe manner. Removes all patient's equipment and supplies upon discharge. D/c's patient from IDX within expected timeframe of patient leaving unit. As directed by RN, appropriately enters orders related to equipment, supplies and dietary needs; seeks RN clarification when needed to ensure accuracy. Patient Care Activities Completes and signs appropriate documents accurately and timely. Provides patient care within scope of responsibilities. Provides and documents daily care of patient per unit standards. In monitored units, follows telemetry process and collaborates with central telemetry for initiating/discontinuing monitoring. Communicates or questions requests outside of scope of practice to licensed nurse. Identifies and communicates new resident/patient care issues/concerns. Communicates changes in patients/residents condition. Takes rapid action in life threatening situations and immediately notifies the licensed nurse. Communicates plans to transfer patients/residents to other departments or discharge to home. Safety Complies with universal precautions and hospital infection control policies. Uses proper body mechanics and safe patient mobilization equipment to ensure patient's safety and avoid personal injury. Follows safety procedures required for equipment use. Reports observed hazards and unsafe practices. Reports personal injury within two hours after incident happened, and completes the ART and state claim forms. Identifies and communicates patients who are at risk for injury to self and others. Complies with hospital policy in management of patients in restraints. Labels/stores, ensures safety of patient belongings (hearing aids, glasses, dentures). Medical Record/Information Management Obtains chart inserts for admissions and maintains charts, ensuring additional forms are available and placed in charts. Obtains previous charts from medical records. Dismantles charts to return to Medical Records, including old charts. Requests Medical records, films, or other medical information from other facilities as needed. Files interdisciplinary and diagnostic printouts in chart per standards. Dates, times, and initials all entries. Assists team members in locating patient data information. Collects and prepares patient data necessary to support inter-facility transfers. Accurately updates electronic information systems (i.e. tracking shell, Stafflink, NaviCare Hill-Rom systems). Ensures timely teletracking updates/requests. Enters accurate disposition of patient requiring admission, transfer, or discharge per unit time guidelines. Coordinates scheduling of test and retrieving results to support patient progress. Retrieves diagnostic study, lab results, and other relevant patient information supportive of patient assessment. Prepares/stocks downtime packets. Knowledge, Skills, and Abilities Knowledge of basic patient/resident care skills. Effective interpersonal skills. Ability to perform all baseline resident / patient care skills under guidance of licensed nurse. Fluent knowledge (written and spoken) of English. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Posted 30+ days ago

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

Posted 1 week ago

Adjunct Faculty For Healthcare Program-logo
Adjunct Faculty For Healthcare Program
Florida Memorial UniversityMiami Gardens, FL
The Adjunct Faculty for Healthcare position shall have the primary responsibility to play an active role in FMU's existing academic success. This is an adjunct faculty position supporting the Division of Arts and Sciences in maximizing the University's operating performance while achieving institutional goals and objectives. Essential Functions Meet all scheduled class meetings for the assigned period. Be available to students before and after class for individual consultation. Cooperate in the dissemination of information to students. Faculty must develop curricula and must attend all adjunct faculty meetings and orientation. To teach one or two courses during a designated semester, as defined in the Faculty Handbook, according to the official schedule, using an approved syllabus, which conforms with University requirements. To keep students informed about their progress through the prompt grading and returning of assignments. To maintain accurate and complete scholastic records, including attendance. To assess student learning outcomes which conform with University requirements, and to document the use of the results of the assessment to improve student learning. To collect and submit data for assessment every semester, and to meet with area faculty, as prescribed by the dean/chair, in the preparation of the assessment reports. The omission of specific duties does not preclude the supervisor from assigning duties that logically relate to the position. Required Knowledge, Skills and Abilities Knowledge of healthcare industry regulatory practices, code of ethics and standards. Clinical and/or non-clinical Healthcare experience/skills/abilities appropriate for specific Healthcare subject matter instruction. Ability and knowledge on how to pivot to an online/hybrid instructional modality Demonstrated confirmation of teaching effectiveness, exceptional oral and written communication skills, and evidence of, and/or potential for scholarships. Ability to handle information of sensitive and confidential nature in the utmost professional manner. Demonstrate a high level of professionalism, initiative, resourcefulness, and personal accountability. Effective analytical and decision-making skills. Excellent communication (oral and written), organizational, and time management skills. Effective interpersonal skills and ability to work with diverse constituents. Attention to detail and adaptability to a changing environment is extremely important as well as dependability. Moderate physical activity. Requires handling objects of average-weight up to fifty (50) pounds or standing and/or walking for more than four (4) hours per day. Qualifications The position requires a master's degree in a related field from a regionally accredited institution and/or a minimum of 5 years of experience in the healthcare field; an established record of teaching and service in the discipline. Minimum of two years of instructional experience in higher education. Knowledge of Learning Management Systems (LMS). A thorough understanding of technology, learning management systems, and computer applications is essential (i.e. Blackboard, Canvas, Powercampus, Jenzabar, LinkedIn Learning). Proficiency in MS Office Suite, as well as knowledge and understanding of the organizational structure, workflow, and operating procedures. Pre-Employment screening is required: criminal background check and drug testing. Qualified applicants are asked to upload a cover letter of interest, resume/curriculum vitae, and/or certifications, if applicable. Supplemental Information In addition to the completed application, candidates must submit a list of three professional references (at least one from a previous employer) that includes names and contact information. Review of application materials will begin ASAP and will continue until the position is filled. No phone calls please. Florida Memorial University is an Equal Employment Opportunity Employer.

Posted 2 weeks ago

X-Ray Tech - Crystal Run Healthcare-logo
X-Ray Tech - Crystal Run Healthcare
UnitedHealth Group Inc.Warwick, NY
Sign on Bonus $10,000 Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Health and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. The X-Ray Tech is responsible for performing the primary diagnostic examination to either diagnose or decide the optimal procedure that will best help the patient. This also includes creating a tranquil environment, so patients will be able to adhere to examination instructions. Primary Responsibilities: Identify anatomical orientation on all required images and assures proper file identification on all images Greet patients, obtain history, and enters information into computer system Perform x-rays at the optimal quality Demonstrate patient care; make sure to protect patient as best as possible from excessive radiation Provide coverage as needed (i.e. in the event of call outs or extended patient schedules) Provide instruction/mentoring to new hires Perform procedures in compliance with Standards of Care, facility and regulatory requirements, and ARRT Standards of Ethics Maintain quality standards as it relates to HIPPA regulations Demonstrate a positive experience; share information with patients, providing knowledge about the procedure; ensuring they are aware of follow-up steps and requirements Review each examination for technical accuracy, presents completed examinations to radiologist, and communicates pertinent data to persons responsible for the care of patients following the procedure You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Associates degree or BS in radiography, radiation therapy, or nuclear medicine ARRT certified 1+ years of experience in general radiologic technologist Preferred Qualification: High School diploma or equivalent The hourly range for this role is $23.70 to $46.35 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 30+ days ago

UnitedHealth Group Inc. logo
Healthcare Advocate - Field Based Philly Or DE Market - Remote
UnitedHealth Group Inc.Philadelphia, PA

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Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

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

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

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

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

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

Primary Responsibilities:

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

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

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

Preferred Qualifications:

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

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

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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