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Marsh & McLennan Companies, Inc. logo
Marsh & McLennan Companies, Inc.Atlanta, GA
We are seeking a talented individual to join our Government Healthcare Consulting team (GHSC) at Mercer. The Sr. Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently. We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients address their issues. We will count on you to: Work with client and team project managers to clearly define the scope, timelines and deliverable(s) of the project; ensure development and proposes essential project documents, including the budget and work plans Ensure regular communication with client to review project status and expectations; provide expertise and insight to the client and team to solve potential problems within the project; manage scope of project, budget and timelines What you need to have: BA/BS degree 5+ years of healthcare financial analysis experience, including financial modeling, or rate setting Ability to lead large teams, projects, and initiatives in a dynamic environment Advanced MS Office skills What makes you stand out? Medicaid program experience is strongly preferred Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

Posted 3 weeks ago

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Joliet Junior College, ILJoliet, IL
Position Title: Healthcare Pathway Peer Tutor, Internship Job Description: Healthcare Pathway Peer Tutor, Internship tutor and mentor students in their various programs POSITION TITLE: Healthcare Pathway Peer Tutor, Internship STATUS: Part time DEPARTMENT: Center for Academic Success in Healthcare DIVISION: Nursing, Health and Public Services REPORTS TO: Manager, Center for Academic Success in Healthcare CLASSIFICATION: Non-exempt HIRING RANGE: $15.50 per hour ESSENTIAL JOB DUTIES AND KEY RESPONSIBILITIES Professionally represent Joliet Junior College and uphold the College's core values. Tutor students using both individual and small group sessions in the following subject areas: Nursing, Pharmacology Maintain accurate and timely records of tutoring activities. Visit instructors, departments, and classrooms to distribute flyers to help create awareness of tutorial services as well as other services offered through the CASH Center. With assistance from the coordinators, select appropriate instructional support materials recognizing and addressing individual student needs. Participate in staff meetings, in-services, and training as may be required. Assist with receptionist duties as necessary. Assist with light office work including but not limited to the following: keeping the CASH Center appearance neat at all times, running errands within the campus, preparing materials, filing, photocopying, etc. Assist with promotion and coordination of programs and events. Assist with note-taking duties as necessary. Perform other duties as assigned. MINIMUM QUALIFICATIONS High school diploma or equivalent. Must have completed one semester of college-level courses while maintaining a minimum cumulative GPA of 3.0 Must be enrolled at JJC in at least 6 credit hours. Must be a current student in one of our healthcare programs. Must have received an A or B in the subject area to be tutored - preference given to students who have completed three or more courses in the subject area Ability to work a minimum of 20 hours per week. CASH Manager approval. One faculty reference. Excellent customer service skills. Ability to communicate effectively with students/faculty. Ability to work with minimum supervision and maintain confidentiality in accordance with FERPA guidelines. Patience, problem-solving abilities, and a willingness to accept responsibility. PREFERRED QUALIFICATIONS Two or more faculty references. Previous work experience. Ability to work in the CASH Center for at least one full academic year. PHYSICAL DEMANDS Normal office physical demands. WORKING CONDITIONS Duties are performed indoors in the usual office and/or outdoor environment. WORK SCHEDULE Varies by semester - several interns hired each semester. Job Families for Job Profiles Internship Worker Sub-Type Internship (Seasonal) (Trainee) Scheduled Weekly Hours: This is an internship position that works around your class schedule. May work up to 20 hours per week during the fall and spring semesters. During summer and holiday breaks (Winter/Spring), may work up to 28 hours per week with supervisor approval. Full Time/Part Time: Part time Union (If Applicable): Scheduled Hours: 20

Posted 3 weeks ago

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Cambia HealthPortland, OR
SYSTEMS ANALYST III (HEALTHCARE) Hybrid (In office 3 days/week) within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's Software Engineering Team is living our mission to make health care easier and lives better. The Systems Analyst participates in a team environment for the development, maintenance, and delivery of product/application (s) and data integrations as an integral part of a multi-functional team. This position is generally responsible for business, data and product/application analysis. This position requires business, analytical, design, interpersonal, technical and administrative skills in performing day to day work. - all in service of making our members' health journeys easier. If you're a motivated and experienced Systems Analyst looking to make a difference in the healthcare industry, apply for this exciting opportunity today! What You Bring to Cambia: Preferred Key Experience (MUST HAVE): Healthcare Experience Facets Experience API - Not development Qualifications and Certifications: Bachelor's degree in Computer Science, Mathematics, Business Administration, or a related field and minimum 5 years business or system experience developing requirements for projects where computer software is created The equivalent combination of education and/or experience including experience with methodologies and structured analytical approach Skills and Attributes (Not limited to): Ability to work with teammates and with business partners to participate in sessions to gather, translate and document and system requirements to support transforming requirements into effective technology solutions. Ability to create simple story cards and understand simple acceptance criteria enough to verify results; develop simple technical documentation and understand technical documentation and concepts. Ability to coordinate and facilitate one to one and small groups (3-5) of customers or other analysts for small work efforts. Ability to develop positive relationships among business partners, teammates and management. Ability to follow direction, collaborate effectively with peers to provide results, and relay status to management and peers in a timely manner. Additional Minimum Requirements for level II Understands moderately complex acceptance criteria enough to verify results; develops technical documentation and can understand moderately complex technical documentation. Ability to facilitate and lead small teams (1-3) for moderate work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues. Able to participate in requirements sessions/interviews and document clear requirements for moderate work efforts. Mastering knowledge and skills of common software development methodologies. Additional Minimum Requirements for level III Ability to lead small teams (3-5) for complex work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues and creating status reports. Ability to present and effectively communicate with leadership. Ability to participate in the definition of a QA plan. Ability to use and coach more junior team members and business partners on development methodologies. What You Will Do at Cambia (Not limited to): Read and create simple structured specifications such as use cases, story cards. Read and understand design and business models including basic technical understanding. Writes SQL queries, reads simple data models. Understands and participates in the creation of deliverables by acting as a liaison between the development team and the end users. Contributes to deliverables including analysis, development that may include writing SQL/scripting, quality and validation. Additional General Functions and Outcomes for level II Reads and creates moderately complex and structured specifications such as use cases, story cards and requirements. Provides support for applications and products during releases and warranty which may include quality and validation. Actively acquires basic understanding of API concepts as applicable to the products and teams. Reads most data models and has the ability to participate in logical data model creation. Writes moderately complex SQL queries. Additional General Functions and Outcomes for level III Applies in depth knowledge on health insurance terminology and concepts as needed by the product/application (s) the teams support. Reads and creates complex structured specifications such as use cases, story cards. Reads complex and creates moderately complex business models. Writes well designed complex SQL queries and trains the more junior analysts. Participate/ Actively develop automated validation techniques (QA automation) as applicable to the product and team. Understands basic API concepts, such as API structures, JSON, collections and how to document in a technical design as applicable to the product and team. Reads complex data models and creates basic logical data models. Provide estimates for complex size work efforts increasing accuracy of the estimate as work effort progresses. Trains and coaches less experienced and peer analysts. May participate in the research, evaluation and selection of vendor products, methodologies and processes. Lead medium size groups including multiple departments with a structured approach (i.e. JRP or grooming sessions). Manages own tasks on moderate size enterprise-wide work efforts. The expected target hiring range for the Systems Analyst III is $92k - $124k is depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% . The current full salary range for the Product Manager is $86k / $141k. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Posted 6 days ago

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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 creative and strategic Healthcare Content Marketing Director to join our innovative marketing team. This role will be responsible for developing engaging healthcare-specific content and managing our social media presence. Responsibilities Create, curate, and oversee production of high-quality healthcare-related content including blogs, videos, infographics, whitepapers, webinars, and patient/customer success stories. Develop and execute content and social media strategies tailored specifically to healthcare audiences, aligning closely with brand and business goals. Build foundational content for sales assets, including presentations and support copy for sales enablement activities. Build foundational content for partner onboarding support. Collaborate with clinical teams, subject matter experts, sales, and customer experience teams to ensure accuracy, relevancy, and consistency of healthcare messaging. Monitor industry trends, healthcare news, and competitor strategies to inform content direction and identify new engagement opportunities. Qualifications Required: Bachelor's degree in Marketing, Communications, Healthcare Administration, or related field. 10+ years of experience in content marketing or healthcare communication roles. Exceptional writing, editing, and storytelling skills, particularly for healthcare or patient-focused audiences. Proficiency in content management systems (CMS), social media platforms, analytics tools (Google Analytics, Hootsuite, Sprout Social), and SEO tools. Strong knowledge of healthcare terminology, patient communication, compliance considerations, and healthcare content best practices. Proven ability to manage multiple projects, prioritize tasks, and meet deadlines in a fast-paced environment. Preferred: Formerly a clinician. Experience working within healthcare organizations or health tech companies. Previous experience multimedia storytelling in healthcare settings. Social media experience. We are looking forward to welcoming a passionate healthcare storyteller who can drive meaningful conversations and improve patient experiences through compelling content. 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

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Bronson Battle CreekKalamazoo, MI
CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BBC Bronson Battle Creek, BLH Bronson LakeView Hospital, BMH Bronson Methodist Hospital, BSH Bronson South Haven Title Nurse Extern - Bronson Healthcare (All Locations) - PRN Thank you for your interest in Bronson's Nurse Externship! Please review the important notes below: We strive to match you with your top preferred areas based on availability and compatibility. However, if you are not matched with your top choices, remember that this is still a valuable opportunity, and you'll have the chance to explore other areas as you advance your career with Bronson. Please note that if you accept an offer, you will be expected to complete the nurse externship on that unit until you graduate. You will be prompted in the application to specify your top five areas of interest. Ensure you indicate the hospital(s) and specific unit(s) of interest. Please include at least 1 med/surg area of interest. We are actively seeking Nurse Externs ONLY for the below locations and units: Bronson Methodist Hospital Ortho Surgical Unit (OSU) General Surgical Unit (GSU) Neuro Vascular Unit (NVU) General Medical Unit (GMU) Adult Medical Unit (AMU) Extended Medical Care Unit (EMCU) Bronson Battle Creek Hospital Bed U Rotation (Med/Surg Rotation) Bronson South Haven Hospital General Care Unit (GCU) Emergency Department (ED) Bronson Lakeview Hospital General Care Unit (GCU) Emergency Department (ED) Additional Information: The externship will begin on December 15, 2025. This is a paid, year-round position working 12-hour variable shifts (7a to 7p or 7p to 7a). A minimum of four shifts per month is required (two of the four shifts will be weekend shifts) typically equating to one 12-hour shift per week. The position is PRN and not eligible for benefits. Nurse Externs selected for a position will undergo a two-week, full-time (day shift) orientation program to ensure preparedness for working on the unit. Under general supervision and in accordance with the policies, procedures, and guidelines established within the organization, unit, and the Nurse Practice Act, the Nurse Extern works with an RN to implement patient care based on the patient's age, and maintain and upgrade his/her skills based on the patient population served, the type and nature of care provided, and advances in health care technology. The Nurse Extern is responsible for communicating learning needs to the nurse preceptor. The Nurse Extern will seek out a variety of learning experiences and is accountable, under the direction of an RN, for setting priorities, meeting deadlines, and promoting the achievement of patient outcomes as defined in the nursing care plan, as follows: utilizing the nursing process of assessment, planning, implementation and evaluation; coordinating the care provided by other professionals and unlicensed staff, including delegation and coaching in selected situations; providing selected aspects of physical care within the scope of professional nursing practice as appropriate given the patient's level of acuity and complexity of care required; and documenting and communicating during each tour of duty the patient's response to care provided, consumption of resources and anticipated needs. Employees providing direct patient care must demonstrate competencies specific to the population served. High school diploma or general education degree (GED) required. Applicants must be enrolled in an accredited school of nursing and be within one year of graduation, with an expected graduation date in Spring 2026 or Winter 2026. The Nurse Extern must complete the individual unit requirements for orientation which includes Hospital, Core, and Department specific orientation based upon the unit and experience level (the Nurse Extern is considered to be in orientation during the full time of employment as a Nurse Extern). BLS Certification Ability to read, interpret, and analyze data from various computer systems and equipment in order to set an appropriate plan of action. Satisfactory completion of a pharmacology course or satisfactory performance on a pharmacology medication test. Must be able to constantly communicate in a clear and caring manner, both verbally and in writing. Work which produces levels of mental/visual fatigue which are typical of jobs that perform a wide variety of duties with frequent and significant uncontrollable deadlines. Work may include the operation of and full attention to a personal computer or CRT up to 40 percent of the time. Involves considerable standing or walking, regular lifting of light-weight objects (i.e., 20 pounds or less) and assisting with heavier tasks such as assisting in lifting and moving patients. Minor straining or fatiguing positions must be assumed, and some fatiguing physical motions are required. Collaboration with an RN preceptor the Nurse Extern performs the following: Documents nursing history and physical/emotional needs/strengths for assigned patients. Develops a plan of care for assigned patients, based upon assessment. Manages care plan for assigned patients by organizing and delegating therapeutic patient care interventions to be implemented and evaluating effectiveness of care given by self and others. Takes temperature, pulse, blood pressure, and other vital signs to assess condition of patient and detect deviations from normal. Observes patient, records significant conditions and reactions, implements appropriate interventions and/or notifies supervisor or Physician of patient's condition and reaction to drugs, treatments, and significant incidents. Administers prescribed medications and treatments in accordance with approved nursing techniques and policies. Explains procedures and treatments to patient to gain cooperation, understanding, and allay apprehension. Prepares equipment and aids physician during treatment and examination of patient. Maintains awareness of comfort and safety needs of patient. Initiates a patient education plan according to the individualized needs of the patient, as prescribed by Physician, and/or hospital policy and nursing care plan, including patient and family instruction. Responds to life saving situations based upon nursing standards, policies, procedures, and protocol. Manages discharge planning and preparation for assigned patients. Manages personal, unit, and hospital resources effectively. Rotates among clinical services of institution within cluster (i.e., obstetrics, surgery, orthopedics, outpatient and admitting, pediatrics, etc.). Prepares rooms, appropriate instruments, equipment, and supplies for procedures of surgery (as assignment indicates). Participates in department or unit performance improvement activities. Assumes responsibility for professional development. Develops and provides a positive work climate and the overall team effort of the department. May act as a clinical resource and role model to Unit Clerk, USAs, PCAs, and LPNs. NOTE: There are some aspects of the RN role that the Nurse Extern cannot assume accountability for, nor perform independently. A listing of these duties is provided and signed by the individual as a part of the orientation process. This listing is attached to the Nurse Extern Skills List. Shift Variable Time Type Part time Scheduled Weekly Hours 10 Cost Center 1507 Nursing Talent Development (BMH) Agency Use Policy and Agency Submittal Disclaimer Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration. Please take a moment to watch a brief video highlighting employment with Bronson!

Posted 30+ days ago

Milliman logo
MillimanIndianapolis, IN
Overview Milliman's Indianapolis Health practice is seeking a Healthcare Business Analyst Intern (Summer 2026). Our Healthcare Business Analyst internship is designed to give up-and-coming business leaders exposure to key data-driven questions in the healthcare field and provide a look into the support we offer our life sciences client teams on a day-to-day basis. You will be part of a dynamic client delivery team and receive mentoring from colleagues on your team. Successful business analyst interns are interested in both solving data-driven problems and forming trusted relationships with our clients and will display a proficiency for communicating technical results to external audiences less familiar with the underlying data. Responsibilities In this role, you will: Utilize your analytical, written, and verbal communication skills to answer data-driven questions on key topics in the healthcare industry Use complex databases to analyze client data and summarize findings through presentations, spreadsheets, data visualizations, and other reports Develop and track progress on detailed project plans to serve as a critical communication tool Show an aptitude for and interest in developing trusted client-facing relationships Coordinate project reviews and quality assurance procedures Turn data insights into actionable solutions and strategies to solve complex problems Communicate outcomes to audiences who are less familiar with the data Qualifications Possess a working knowledge of mathematical and statistical concepts, alongside a genuine interest in growing into a client-facing consulting role Be a naturally curious self-starter and willing to learn when faced with an unfamiliar subject Be proficient in managing time to ensure successful completion of assigned tasks by deadlines while involved with multiple projects Passionate about building trusted relationships with both external clients and internal colleagues Interested in developing a diverse skill set and taking on a variety of responsibilities across projects Strong presentation, organization, time management skills Detail-oriented and capable of carrying out tasks independently as part of a cross-functional project team Required Currently enrolled in a degree program working toward a Bachelor's degree or higher, with a concentration in a relevant field (e.g., Business Analytics, Statistics, Applied Mathematics) Experience with Microsoft Excel and PowerPoint, or other similar software, for the analysis and communication of quantitative results Exposure to performing data analysis using a quantitative software (e.g., Python, R, SAS, SQL) Internship Highlights 1:1 mentoring Exposure to senior consultants and practice leaders Structured opportunities for professional learning and development i.e. Lunch & Learn Series Guest speaker series covering a wide range of professional development skills Housing or housing stipend Social activities - intern-only and practice-wide Cultural excursions- Get to know Indy by visiting iconic sites Conclude the program with a presentation on a business project or problem to leadership and peers Ample opportunity to discuss transitioning to full-time employment Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. The Team The life sciences consulting team is a group of 60+ individuals in the Indianapolis Health practice from varying backgrounds including actuaries, data analysts, pharmacists, and graphic designers. This group works primarily with life sciences companies and consults on their relationship with insurance companies and other stakeholders of the pharmaceutical value chain. Location This position is based out of the Milliman office in Indianapolis, IN. Candidates hired into this role must be willing to work onsite full-time. Who We Are Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation. Milliman invests in skills training and career development, and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG's) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site https://www.milliman.com/en/social-impact to learn more about Milliman's commitments to our people, diversity and inclusion, social impact and sustainability. Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance. Benefits We offer competitive benefits which include the following based on plan eligibility: Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges. 401(k) Plan- When an employee reaches 1,000 hours worked within 12 consecutive months, they become eligible for a 401(k) plan that includes a company matching program and profit-sharing contributions. Paid Time Off (PTO) - Begins accruing on the first day of work; Interns, Temporary, and Seasonal Employees will earn PTO each pay period, based on 1 hour for every 30 hours worked. Transportation- Pre-tax savings for eligible transit and parking expenses. Equal Opportunity All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, national origin, disability, or status as a protected veteran. #LI-KM1 #LI-ONSITE

Posted 30+ days ago

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CignaIndependence, OH
WORK LOCATION: Must reside in the Cleveland or Independence, OH area. The Director, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Hospital contracting and negotiating experience involving complex delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,200 - 152,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. 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 30+ days ago

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Texas Capital Bancshares, Inc.San Antonio, TX
Texas Capital is built to help businesses and their leaders. Our depth of knowledge and expertise allows us to bring the best of the big firms at a scale that works for our clients, with highly experienced bankers who truly invest in people's success - today and tomorrow. While we are rooted in core financial products, we are differentiated by our approach. Our bankers are seasoned financial experts who possess deep experience across a multitude of industries. Equally important, they bring commitment - investing the time and resources to understand our clients' immediate needs, identify market opportunities and meet long-term objectives. At Texas Capital, we do more than build business success. We build long-lasting relationships. Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance, retirement savings plans with a generous 401K match, paid leave programs, paid holidays, and paid time off (PTO). Headquartered in Dallas with offices in Austin, Fort Worth, Houston, Richardson, Plano and San Antonio, Texas Capital was recently named Best Regional Bank in 2024 by Bankrate and was named to The Dallas Morning News' Dallas-Fort Worth metroplex Top Workplaces 2023 and GoBankingRate's 2023 list of Best Regional Banks. For more information about joining our team, please visit us at www.texascapitalbank.com. As a key member of our healthcare corporate banking team, the Relationship Manager (RM) will lead strategic client engagement across a diverse portfolio of healthcare entities. This role is responsible for delivering tailored financial solutions, managing complex credit structures, and deepening relationships with for-profit, non-real estate healthcare organizations. The RM will serve as a subject matter expert across the bank, helping to grow the healthcare vertical and collaborating closely with internal partners including investment banking, credit, and product teams. Key Responsibilities: Client Relationship Management: Serve as the primary contact for C-suite executives and decision-makers across a portfolio of healthcare clients, ensuring high levels of engagement and satisfaction. Strategic Growth: Develop and execute a disciplined calling strategy and client acquisition pipeline to expand the bank's presence in the healthcare sector. Tailored Solutions: Leverage deep industry knowledge to deliver customized banking solutions, including credit, treasury, and capital markets products. Cross-Functional Collaboration: Partner with internal teams to structure and execute deals, cross-sell products, and deliver comprehensive financial support. Credit & Risk Oversight: Work closely with credit teams to underwrite and monitor transactions, proactively identifying and managing risk. Deal Execution: Lead client pitches, negotiations, and presentations to secure new business and expand existing relationships. Mentorship & Team Leadership: Mentor junior talent, fostering a collaborative and high-performing culture within the Corporate Banking team. Compliance & Governance: Ensure adherence to regulatory requirements, internal policies, and risk frameworks. Qualifications: Bachelor's degree in Finance, Accounting, Business, Economics, or a related field. 10+ years of experience in Corporate or Commercial Banking, with a strong focus on healthcare clients. Formal credit training or equivalent experience in credit analysis and underwriting. Proven track record of relationship management, business origination, and portfolio growth. Strong understanding of capital markets, bank products, and financial regulations. Excellent communication, organizational, and problem-solving skills. Proficiency in Salesforce and Microsoft Office (Teams, Word, Excel, PowerPoint). FINRA Series 79, 63, and SIE licenses required (or must be obtained within 120 days of employment). The duties listed above are the essential functions, or fundamental duties within the job classification. The essential functions of individual positions within the classification may differ. Texas Capital Bank may assign reasonably related additional duties to individual employees consistent with standard departmental policy.Texas Capital is an Equal Opportunity Employer.

Posted 2 weeks ago

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RYAN COS. US INCMinneapolis, MN
Job Description: Ryan Companies is looking for a creative, innovative, collaborative and forward-thinking Senior Interior Designer who aims for the highest standards of excellence. The ideal candidate will be able to problem solve and design both as part of a collaborative team and independently. This individual will be responsible for creating extraordinary design solutions and inspiring design excellence. Candidates with at least 9-12 years of healthcare-specific experience are most likely to be successful in this role, however those with unique career experience or display clear potential for the role will be considered. Ryan Companies uses a unique integrated delivery process that involves architecture, engineering, construction, development, real estate management and capital markets. Ryan's integrated process requires an individual to be able to work in a proactive and positive manner in tandem with local teams and cross regionally within a national design practice. To be successful in this role, you must have: Interior Design licensure required. Professional Interior Design degree or related field experience preferred. EDAC, CHID or other healthcare accreditation preferred. Relevant professional work experience in healthcare design, including the design of acute care, ambulatory care, medical office buildings, laboratory, and pharmacy. Excellent organizational skills. Excellent written and verbal communication skills. Proven ability to collaborate and lead a diverse team on large, complex projects. Proven track record of leading and coordinating work efforts of staff, with thoughtful, inspirational and collaborative leadership. Advanced knowledge of healthcare interiors and design concepts, practices and methods. Strong knowledge of Revit required. Proficiency in MS Office Suite, Adobe Suite, Enscape, SketchUp and Bluebeam required. LEED AP and/or WELL AP preferred. Strong knowledge of building regulations, Facility Guidelines Institute (FGI), safety codes and ability to research and apply/incorporate into technical documents. Some things you can expect to do: Works in tandem with Client, Project Architect, Design Project Manager, Designers, Development, Construction and Consultants to develop documentation for coordination and construction. Leads the development of an Interior design vision on projects and ensures the vision is maintained through all phases of design and construction. Leads team of Interior Designers through the project delivery process of complex, large projects. Project Delivery: Manages and coordinates a complete and thorough set of Interior design documents to meet project goals, milestones and schedule. Leads all phases of the Interiors project scope from programming to construction administration, with specific attention to interior related building codes, interior detail documentation and constructability. Leads development and implementation of an overall design palate that supports the aesthetic, budget and functional goals of the project. Advises client on appropriate finish and material selections. Leads design meetings, consultant meetings and project team meetings. Leads team to solve problems and apply basic principles of design. Collaborates with healthcare project team and clients during programming and planning efforts. Provides guidance to Interior Design team members on unusual or complex technical issues. Researches and leads interior design code reviews. Manages and coordinates Ryan's QA/QC process and project specifications for interior scope of work. Identifies and communicates deviations in interior project scope to client and Construction. Performs tasks with a high level of collaboration and sets an example for others to follow. Attends project interviews and participates in business development. Contributes to Ryan culture through participation in office activities, initiatives and learning programs. Establishes and pursues annual goals, based on personal, professional and company growth in the industry. Ensures firm and project goals of design excellence, execution and sustainability. Direct, supervise and mentor staff. Responsible for execution of Ryan's yearly review and goal setting process based on personal and professional, development goals. Actively participates in Ryan Companies and Ryan A+E's 5-year vision/initiatives and 1-year business plans and goals. Eligibility: Positions require verification of employment eligibility to work in the U.S. Must be authorized to work in the U.S. Compensation: The annual salary range is $89,200 - $111,500 per year . The salary may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission and/or an incentive program. Benefits: Competitive Salary Medical, Dental and Vision Benefits Retirement and Savings Benefits Flexible Spending Accounts Life Insurance Educational Assistance Paid Time Off (PTO) Parenting Benefits Long-term Disability Ryan Foundation - charitable matching funds Paid Time for Volunteer Events Ryan Companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Non-Solicitation Notice to Recruitment Agencies: Ryan Companies kindly requests that recruitment agencies and third-party recruiters do not submit unsolicited resumes or candidate information to any Ryan Companies employee or office. Ryan Companies will not be responsible for any fees or expenses associated with unsolicited submissions. If recruitment services are required, we will reach out directly to agencies on our approved vendor list. We appreciate your understanding and cooperation.

Posted 30+ days ago

CareBridge logo
CareBridgeNashville, TN
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Title: Quality of Life Program Manager- Paragon Ideal candidates will be comfortable traveling 60-70% of the time to local Hemophilia chapters across the U.S. The ability to attend Programs scheduled on nights and weekends will be required. Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Build the Possibilities. Make an Extraordinary Impact. The Quality of Life Program Manager- Paragon is responsible for developing and implementing innovative ""Quality of Life"" (QOL) programs for individuals with bleeding disorders to drive health outcomes and improve therapy adherence. How you will make an impact: Primary duties may include, but are not limited to: Collaborate with territory representatives to leading the increased business generation and customer retention. Develops and maintain business relationships with local chapters, clinics, and healthcare providers to enhance the business unit presence and impact in respective territories. Utilize lifestyle tools and resources within the QOL program to empower patients in managing their health, thus fostering a sense of control over their condition. Strategically integrate QOL initiatives into sales efforts to shorten the sales cycle and promote seamless health management solutions for patients. Leverage the QOL program as a significant referral source, contributing to business growth while maintaining cost-effectiveness compared to traditional event sponsorships. Monitor and evaluate the effectiveness of QOL programs regularly, making data-driven adjustments to ensure optimal patient engagement and satisfaction. Collaborate with cross-functional teams to align QOL initiatives with overall company objectives and marketing strategies. Minimum Requirements: Requires a BA/BS degree and a minimum of 10 years of related experience in Specialty Pharmacy; and experience in marketing software (Aperture and Photoshop); or any combination of education and experience which would provide an equivalent background. Joint Health, Health and Nutrition and CPR certification are required. Preferred Skills, Capabilities and Experiences: Prior experience as a professional Public Speaker is strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $71,544 to $112,194 Locations: Colorado, Washington State In addition to your salary, Elevance Health 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

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University of Miami Miller School of MedicineMiami, FL
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet. The University of Miami/UHealth has an exciting opportunity for a Recruiter. The Recruiter interviews, checks references, makes offers, and assists with the facilitation of orientation for new employees in furtherance of the assigned department's recruitment goals. Furthermore, the Recruiter anticipates and meets the evolving needs of the organization by consistently delivering the best talent to the assigned division. This job level serves as a lead and guide to lower level recruitment staff. Core Job Functions: Builds and develops talent pipeline to strengthen organizational talent pool to ensure the University has a diverse pool of qualified applicants. Partners with department hiring managers to build recruitment strategies that meet staffing needs. Coordinates strategic planning meetings with departments in order to determine current and future recruitment needs. Develops a thorough understanding and business acumen for each area, and translates knowledge into a recruitment strategy. Develops and proposes solutions and strategies to overcome recruitment obstacles in competitive labor market: to include new ad campaigns, college and job fair recruitment, establishing and building long-term relationships/networks with outside agencies, professional organizations and associations in which candidature belong/associate. Partners with compensation and our internal customers to overcome recruitment obstacles and resolve these challenges. Pre-screens, interviews, and suggests top candidate pool from recruitment efforts for departments to review and consider. Schedules and manages interview through selection process to include offer letter, new hire paperwork, drug screen and background check process. Collaborates with external departments and staff (i.e. Compliance Specialist etc.) in coordinating the hiring procedures for employees sponsored on Green Cards, H-1 B, J-1, and TN visas. Conducts talent searches through online applicant tracking system. Creates, writes, and reviews competitive advertising for print and on line campaigns by collaborating with outside advertising agency and UM's Marketing Department. Conducts searches and tracks applicant data throughout interview process, using the appropriate software. Provides reporting as necessary. Ensures all positions submitted are accurate and posted within the established timeframe. Facilitates new hire orientation and on-boarding sessions, as needed. Provides excellent customer service on a daily basis to all departments. Consults with departments on areas of recruitment, required documentation, and process flow as needed. Partners with other Human Resources functions in order to review and resolve recruitment issues. Interprets recruitment, retention and other related policies as needed. Provides back-up support to other recruitment team members. Serves as a lead and guides lower level recruitment staff in the day-to-day operations of the department. Oversees the hiring of agency staff and ensures compliance of all required documents. Adheres to University and unit-level policies and procedures and safeguards University assets. This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary. CORE QUALIFICATIONS Education: Bachelor's Degree in relevant field Experience: Minimum 1 year of relevant experience. Healthcare experience highly preferred. Knowledge, Skills and Attitudes: Ability to lead, motivate, develop and train others Ability to accurately prepare and maintain records, files, reports and correspondence Ability to communicate effectively in both oral and written form Ability to maintain effective interpersonal relationships Skill in completing assignments accurately and with attention to detail Ability to analyze, organize and prioritize work under pressure while meeting deadlines Ability to process and handle confidential information with discretion Ability to work independently and/or in a collaborative environment Proficiency in computer software (i.e. Microsoft Office) The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more. UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for. The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information. Job Status: Full time Employee Type: Staff Pay Grade: H9

Posted 4 weeks ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.San Juan, PR
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. Are you looking for a chance to get your foot in the door with a great company? You've found it here. Already one of the world's leading health care companies, Optum, part of the UnitedHealth Group family of businesses, is restlessly pursuing new ways to operate our service centers, improve our service levels and help people lead healthier lives. Here, you're not just working. You are making great things happen for the people who rely on us for healthcare across the United States. You're part of an elite team that is equipped with the best tools and resources, the most thorough training and learning opportunities and a mission that can inspire you every day. This employee will be part of the Intake Operations team covering areas of concurrent intake, appeals intake, and support services, based on business needs. As a Case Coordinator, this individual will be trained in all three areas, staying current on any changes in process, and assist in each area as directed. This individual will be responsible for gathering data and processing information sent from client hospitals to OPAS as documents, image files, and other channels and will manage their safe keeping and entry into OPAS's internal database. The individual in this role will also track and verify the quality of this data in a timely manner, taking action when appropriate to ensure that the data is accurate and complete. Work Schedule: This position is full-time (40 hours/week) as assigned, with a weekend requirement including Holidays. It may be necessary, given the business need to work overtime. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am- 12:00am AST. (Several shifts available) Primary Responsibilities: Enter demographic and clinical data into the clinical database for both concurrent intake and appeals intake, as assigned Electronically access client clinical systems to obtain data as well as enter case recommendations into the client system, assisting with document retrieval and troubleshooting from client/vendor systems as needed Documentation, preparation, data entry, indexing, and quality control of documents related to retrospective appeals intake Assist in placing telephonic calls to provide case updates and/ or recommendations to clients and payors Maintain the integrity, accuracy, and organization of retrospective and concurrent related documents Communicate with the concurrent and retrospective teams, vendors, and the OPAS application support teams as needed Monitor daily workflow for changing priorities, maintaining flexibility with responsibilities and hours, multi-tasking if needed Perform other related duties as assigned ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION * You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School diploma or higher degree 1+ years of experience with medical record management or medical billing (healthcare information) Proven knowledge of office procedures and methods including telephone communications, office systems (Outlook, Excel, Word), and record keeping Bilingual proficiency both Spanish and English Available to work full-time (40 hours/week) as assigned, with a weekend requirement including Holidays. It may be necessary, given the business need to work overtime. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am- 12:00am AST. (Several shifts available) Preferred Qualifications: Demonstrated understanding of confidentiality and HIPAA compliance Proven knowledge of insurance appeal processes Demonstrated computer and typing skills as well as prior knowledge and use of portals, websites, and download data files 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 2 weeks ago

Wolters Kluwer logo
Wolters KluwerBaltimore, MD
Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions with confidence. Every day, our customers make critical decisions to help save lives, improve the way we do business, build better judicial and regulatory systems. We help them get it right. Who We Are: Wolters Kluwer: The world is a big place, find your place here. Health Language: Simplifying Healthcare Data | Health Language | Wolters Kluwer What We Offer: The Senior Account & Relationship Executive role offers growth potential opportunities, professional development, an engaging team environment, and amazing benefits. What You'll be Doing: As a Senior Account & Relationship Executive, you will manage the most complex and high-profile accounts with discretion. Your strategic planning and deep understanding of account needs will drive business growth and enhance customer satisfaction. You may also serve as a lead for a small team, contributing to the development and success of junior team members. Our ideal candidate will be located in the Eastern or Central time zone, have experience in the Healthcare Technology space with either Payer, Provider, or Vendor. Key Tasks: Manage and nurture relationships with complex and high-profile accounts. Conduct strategic planning to meet account-specific business needs. Exercise broad authority in setting and negotiating product/service terms. Create, implement, and monitor comprehensive sales plans. Lead and mentor a small team of junior account managers. Conduct regular strategic meetings with senior management of client accounts. Resolve critical and complex customer issues. Develop and execute upselling and cross-selling strategies within accounts. Drive customer satisfaction through tailored service delivery. Contribute to the development of sales policies and strategies. You're a Great Fit if You Have/Can: Bachelor's Degree or equivalent relevant experience. 7+ years' experience in Field Sales or Account Management or other equivalent experience. Experience in the healthcare technology space either in payer, provider, or vendor. Experience working with risk adjustment software. Strategic Communication: Advanced communication skills for high-level interactions. Leadership: Ability to lead and mentor junior team members. Deep Product Knowledge: In-depth understanding of the organization's products or services. Sales Strategy: Proficient in complex sales strategy development and implementation. High-Level Negotiation: Expertise in negotiating complex sales terms. CRM Mastery: Mastery of CRM tools for managing complex accounts. Analytical Insight: Advanced analytical skills for strategic planning and performance tracking. Relationship Management: Exceptional ability to maintain and enhance long-term client relationships. We are an incredibly supportive team that truly enjoys what we do and who we do it with. We play a key role within WK and assist in driving the daily success. If you have a passion for making a true difference within an organization, while working alongside a genuinely caring and supportive team, we highly encourage you to apply. #Bethedifference Additional Information: Wolters Kluwer offers great benefits and programs to help meet your needs and balance your work and personal life, including Medical, Dental, & Vision Plans, 401(k), FSA/HSA, Commuter Benefits, Tuition Assistance Plan, Vacation and Sick Time, and Paid Parental Leave. Full details of our benefits are available at https://www.mywolterskluwerbenefits.com/index.html Diversity Matters: Wolters Kluwer strives for an inclusive company culture in which we attract, develop, and retain diverse talent to achieve our strategy. As a global company, having a diverse workforce is of the utmost importance. We've been recognized by employees as a European Diversity Leader in the Financial Times, as one of Forbes America's Best Employers for Diversity in 2022, 2021 and 2020 and as one of Forbes America's Best Employers for Women in 2021, 2020, 2019 and 2018. In 2020, we placed third in the Female Board Index, and were recognized by the European Women on Boards Gender Diversity Index. Wolters Kluwer and all of our subsidiaries, divisions and customer/departments is an Equal Opportunity / Affirmative Action employer. For more information about our solutions and organization, visit www.wolterskluwer.com, follow us on Twitter, Facebook, and LinkedIn The above statements are intended to describe the general nature and level of work being performed by most people assigned to this job. They're not intended to be an exhaustive list of all duties and responsibilities and requirements. Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process. Compensation: Target salary range CA, CT, CO, DC, HI, IL, MA, MD, MN, NY, RI, WA: $121,350 - $170,050

Posted 1 week ago

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Gong.io Inc.Chicago, IL
Gong empowers everyone in revenue teams to improve productivity, increase predictability, and drive revenue growth by deeply understanding customers and business trends; driving impactful decisions and actions. The Gong Revenue AI Platform captures and contextualizes customer interactions, surfaces insights and predictions, and powers actions and workflows that are essential for business success. More than 4,500 companies around the world rely on Gong to unlock their revenue potential. For more information, visit www.gong.io. Our Customer Success Managers (CSMs) are trusted strategic advisors to revenue and operational leaders. They are responsible for driving strategic plans and business transformation while delivering measurable business impact. As a CSM at Gong, you will drive customer engagement and product adoption, deliver meaningful business outcomes, mitigate risk, and drive account growth. CSMs are measured on quarterly metrics related to gross dollar retention, expansion, and driving multi-year renewals. This particular role will be a foundational member of our new Industry Expansion (IX) team, which is building out the strategy for the newest segment in Gong CS. You will be joining a "startup within a startup," contributing to shaping the customer journey and success model for emerging industries and use cases. You'll help to build the IX outcomes realization journey, leveraging automation, AI, content, and self-service strategies to improve customer health, reduce churn, and increase NDR (Net Dollar Retention) for this critical new segment. RESPONSIBILITIES Be a trusted strategic advisor to senior revenue and revenue operations leaders, especially within our new Industry Expansion segment, effectively uncovering and driving towards board-level business outcomes and strategically mapping those to Gong workflows and subsequent value. Own overall customer relationships within your IX portfolio, driving engagement and adoption, mining data to effectively measure value, unearthing and mitigating risk, and creating customer advocacy. Own the end-to-end renewal process, including strategy, execution, and collaboration with internal teams, to secure retention, maximize ARR (Annual Recurring Revenue), and deliver a positive customer experience. Drive quarterly metrics tied directly to achievement of gross dollar retention, upsell, and multi-year renewals, contributing directly to the IX team's targets for GDR and NDR. Achieve cross sell and upsell targets by partnering with Account Executive counterparts to source opportunities, secure growth, and increase the value of your IX portfolio. Partner with Gong's Professional Services organization to ensure customers within the IX segment onboard successfully and achieve the fastest path to value against their desired outcomes. Work successfully with a wide variety of cross-functional internal partners, including RevOps, Product, and Marketing, to define and refine the IX customer experience and feedback loops. Contribute to Gong's environment and culture of "builders" versus "scalers," proactively identifying and leading team process improvements and helping us build a world-class CSM team, contributing to the foundational strategies and scalable programs for the Industry Expansion team. QUALIFICATIONS 7+ years of relevant work experience. Previous B2B SaaS and enterprise software experience. Experience working with Healthcare customers, or working in the Healthcare industry Account management experience a plus. Ability to independently analyze and leverage data to make a persuasive argument or generate a compelling customer value / customer ROI narrative. Demonstrated ability to provide prescriptive project plans, and paths for successful onboarding, support, and change management to customers to deliver high customer satisfaction, advocacy, and loyalty. Excellent verbal and written communication skills. Passionate about providing an exceptional customer experience. Creative, resourceful, detail-oriented, and well-organized. A strong team player and resourceful individual who thrives in a fast-paced, high-growth startup environment. Someone who flourishes when given responsibility and a sense of ownership, often with limited direction. Track record of completing complex projects when the path to success may be unclear and / or requires clarity and focus. Proven ability to lead, challenge, and persuade Fortune 100 customers and executive stakeholders. Comfortable giving and receiving feedback. PERKS & BENEFITS We offer Gongsters a variety of medical, dental, and vision plans, designed to fit you and your family's needs. Wellbeing Fund - flexible wellness stipend to support a healthy lifestyle. Mental Health benefits with covered therapy and coaching. 401(k) program to help you invest in your future. Education & learning stipend for personal growth and development. Flexible vacation time to promote a healthy work-life blend. Paid parental leave to support you and your family. Company-wide recharge days each quarter. Work from home stipend to help you succeed in a remote environment. The annual salary hiring range for this position is $167,000 - $172,000 USD OTE (70/30 split). Compensation is based on factors unique to each candidate, including, but not limited to, job-related skills, qualification, education, experience, and location. At Gong, we have a location-based compensation structure, which means there may be a different range for candidates in other locations. The total compensation package for this position, in addition to base compensation, may include incentive compensation, bonus, equity, and benefits. Some of our sales compensation programs also offer the potential to achieve above targeted earnings for those who exceed their sales targets. We are always looking for outstanding Gongsters! So if this sounds like something that interests you regardless of compensation, please reach out. We may have more roles for you to consider and would love to connect. We have noticed a rise in recruiting impersonations across the industry, where scammers attempt to access candidates' personal and financial information through fake interviews and offers. All Gong recruiting email communications will always come from the @gong.io domain. Any outreach claiming to be from Gong via other sources should be ignored. Gong is an equal-opportunity employer. We believe that diversity is integral to our success, and do not discriminate based on race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, military status, genetic information, or any other basis protected by applicable law. To review Gong's privacy policy, visit https://www.gong.io/gong-io-job-candidates-privacy-notice/ for more details. #LI-AC1

Posted 30+ days ago

Rothschild logo
RothschildNew York, NY
About Us Rothschild & Co is a leading global financial services group with seven generations of family control and a history of over 200 years at the centre of the world's financial markets. Our expertise, intellectual capital and global network enable us to provide a distinct perspective that makes a meaningful difference to our clients, communities and planet. We have 4,600 talented specialists on the ground in over 40 countries around the world, enabling us to deliver a unique global perspective across four market-leading business divisions - Global Advisory, Wealth Management, Asset Management and Five Arrows. As a family-controlled business built on relationships, we place a huge emphasis on our people and finding the right colleagues to take our business forward. Rothschild & Co is committed to an inclusive and supportive environment where different perspectives are valued. We are focused on the attraction and recruitment, development and retention and progression of high calibre talent to ensure we and our clients benefit from the value of difference. Overview of Role This Associate level role will be for the Healthcare team in New York or Boston providing Mergers & Acquisitions, Restructuring and Debt and Equity Capital Markets advisory work across a number of industries. It plays a critical role in helping the firm achieve its objective to be the most successful independent advisory investment bank in the world. The Healthcare team currently focuses on transactions in the Healthcare Services, Pharma, HCIT sectors. Given the global nature of our firm and broad reach of our M&A practice, this role will involve working collaboratively with colleagues in the North American industry coverage teams and other colleagues globally on international / cross-border projects. Responsibilities Execute live deals in Healthcare which may include sell-side M&A, buy-side M&A, spin-offs, split-offs/carve-outs, LBOs, Debt Advisory and Equity Advisory with significant cross-border emphasis Oversee and assist in financial modelling, valuation, comparable and relative value analyses and market-specific analysis, including three-statement integrated financial models and relevant valuation outputs/sensitivities Spearhead analysis of broad range of corporate finance transactions for reviewing strategic alternatives, acquisitions, mergers and equity and debt capital market's events Draft client pitches and marketing materials including acquisitions, disposals, mergers, refinancing and equity capital market alternatives, as well as associated internal documentation through coordination with internal and external resources Conduct extensive quantitative and qualitative economic, industry and company research and analysis Managing analysts and overseeing various work streams Attend client meetings, industry conferences, and external training sessions Adhere to all compliance regulations and confidentiality policies Contribute to Rothschild & Co's unique firm culture, and recruiting, training and development efforts Education and Qualifications Bachelor's Degree in finance (or similar) from a leading academic institution. MBA or equivalent graduate degree in Finance with prior experience, preferred Experience, Skills and Competencies Required Prior experience within a top tier corporate finance adviser/investment bank in M&A required Prior Healthcare M&A experience at an advisory firm or investment bank required Proven quantitative and analytical skills to develop corporate financial models and valuations with a deep understanding of financial statement analysis Ability to provide direction and leadership in order to build a strong team environment and to build effective relationships between individuals, teams and lines of business, across different geographies Ability to build long-term, professional relationships that add value to the client and lead to the expansion of the business Experience leading client presentations, managing projects and the execution of transactions Well organized, detailed and the ability to simultaneously manage several projects in an extremely fast paced environment in order to meet critical deadlines Knowledge of the relevant financial and regulatory environments that surrounds M&A Exceptional analytical, quantitative and communication skills Team player, capable of working in cross-border deal teams Advanced Microsoft Office skills (Word, PowerPoint and Excel) Expected base salary rates for this role in our New York Office will be between $175,000 and $225,000 per year at the commencement of employment. However, salary offers are determined on an individualized basis and are based on a wide range of factors, including relevant skills, training, experience and education. Market and organizational factors are also considered. In addition to salary and our Rothschild & Co employee benefits package, successful candidates may be eligible to receive a discretionary bonus. Rothschild & Co North America is an equal opportunity employer. If you are a qualified individual with a disability or disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to use or access this career website.

Posted 3 weeks ago

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

Posted 30+ days ago

CareBridge logo
CareBridgeHouston, TX
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Referral Specialist II - Paragon Healthcare Schedule: Monday- Friday; 9:00am- 6:00pm Central Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Referral Specialist II is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals. How you will make an impact: Acts as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects. Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews complex referrals for completeness and follows up for additional information if necessary. Assigns referrals to staff as appropriate. Verifies insurance coverage and obtains authorizations if needed from insurance plans. Contacts physician offices as needed to obtain demographic information or related data. Enters referrals, documents communications and actions in system. Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers. Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. Performs other duties as assigned. Minimum Requirements: Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred. Benefit verification and authorization HIGHLY preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

H logo
Hill RegionZionsville, Indiana
Benefits: 401(k) 401(k) matching Bonus based on performance Company parties Dental insurance Flexible schedule Health insurance Opportunity for advancement Training & development Vision insurance Transition Your Healthcare Expertise into Financial Services with the Hill Region- Modern Woodmen of America! Leverage Your Healthcare Background for a Rewarding Career in Financial Services: Build Direct Client Relationships: Professionals from healthcare—whether it's pharma, medical sales, or clinical roles—are drawn to financial services because it allows them to work directly with clients, offering personalized advice rather than working through intermediaries. Make a Meaningful Impact: Use your knowledge and experience in healthcare to guide clients through critical life stages. Whether it’s helping individuals plan for medical expenses, retirement, or higher education, your insights can help clients secure their financial futures and improve their lives. Unlimited Growth Potential: As healthcare professionals understand the complexities of life’s important decisions, they know that each life stage brings new financial planning needs. Your ambition, dedication, and expertise will determine how far you can go in this fulfilling career. A Rewarding Career Path: Transition to a career where you can build long-term relationships, create meaningful outcomes for your clients, and make a lasting impact, all while using your healthcare expertise to navigate the financial landscape. About the Role: We are looking for passionate and driven individuals to join our team as Insurance Agents. In this role, you will provide tailored financial solutions to meet the needs of our members while building and maintaining strong relationships within the community. You will actively engage in community service and outreach programs to strengthen local connections and support the organization’s mission. About Modern Woodmen of America: Founded in 1883 by Joseph Cullen Root, Modern Woodmen of America is the nation's third-largest fraternal benefit society in terms of assets. The organization is rooted in the concept of fraternalism, combining business with giving back to the community. With over 700,000 members, Modern Woodmen is dedicated to providing financial security, promoting quality family life, and making a positive impact in local communities. Meet Our Leaders: Lucas Hill- Regional Director Prior experience: Started as an Advisor, became a Managing Partner (MP), now a Regional Director (RD); 12 years in the industry. Outside of work: Avid golfer and enjoys traveling, watching Pacers games, and playing soccer. About: Grew up in a Chicago suburb, attended college south of Indy, deeply values real financial planning and education. Beau Jackson- Managing Partner Prior Experience: Former director of a youth soccer academy, now a Managing Partner in Greenwood. Time in Seat: 4 years as Managing Partner. Outside of Work: Enjoys golfing, traveling, and volunteering in his local community. About: Married with two children, integrates his passion for sports and community service into his personal and professional life. Kurtis Iseminger- Financial Advisor Prior Experience: Senior Financial Advisor at MWA. Time in Seat: 7 years in Wanatah, Indiana. Outside of Work: Loves outdoor activities with his wife and spending quality time with friends and family. About: Focuses on fostering strong personal and financial relationships. Amanda Meyer- Financial Advisor Prior Experience: Former counselor, now a Financial Advisor at MWA. Time in Seat: 1 year in the financial sector. Outside of Work: Plays professional soccer for Indy Eleven. About: Originally from Cincinnati, now living in Indianapolis, dedicated to blending her skills in counseling with financial advising. Benefits: Competitive compensation range Opportunity for personal and professional growth Fraternal programs and activities to enhance quality family life Involvement in local volunteer projects and community impact Supportive and open communication culture Target Achievement: Meet or exceed business development goals Qualifications: Team-Oriented Enthusiastic Positive Attitude Self-Starter Community-Focused Coachable Athletic Background (bonus) Military Background (bonus) Goal-Driven Willingness to Obtain State Insurance License College Degree (preferred, not required) Role Responsibilities: Member Consultation: Meet with client members to assess their insurance needs and recommend appropriate coverage. Customer Service: Provide exceptional customer service, addressing client inquiries and resolving issues promptly. Networking: Build and maintain a network of client members through referrals, networking events, and community engagement. Training and Development: Participate in ongoing training and professional development to stay current with industry changes and enhance sales skills. Deadline: Apply soon as this position will go fast. Flexible work from home options available. Compensation: $86,000.00 - $135,000.00 per year

Posted 3 weeks ago

Elevance Health logo
Elevance HealthAtlanta, Illinois
Anticipated End Date: 2025-11-28 Position Title: Senior Healthcare Economics Analyst – Cost of Care Job Description: Senior Healthcare Economics Analyst Location: Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. PLEASE NOTE: This position is not eligible for current or future visa sponsorship. The Senior Healthcare Economics Analyst (Advanced Analytics Analyst Senior) creates statistical models to predict, classify, quantify, and/or forecast business metrics. Measures financial performance of core Carelon products leveraging claims, authorization, and membership data to tell a detailed story to respective business stakeholders. Design modeling studies to address specific business issues determined by consultation with business partners. How you will make an impact: Prepare financial reports and insights on Care Management programs. Build, test, and validate statistical models. Publishes results and addresses constraints/limitations with high-level business partners. Proactively collaborates with business partners to determine identified population segments. Develop actionable plans to enable the identification of patterns related to quality, use, cost, and other variables. Minimum Requirements: Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Actuarial experience strongly preferred. Intermediate to advanced expertise with software such as SQL, SQL Server, Teradata, or equivalent strongly preferred. Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, constructing robust and efficient analytical data sets strongly preferred. Significant experience in healthcare related field strongly preferred. Ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communications skills, and to present to large multi-disciplinary audiences on a regular basis strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $98,120 to $147,180. Locations: Chicago, IL In addition to your salary, Elevance Health 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: RDA > Reporting & Data Analysis Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 1 week ago

S logo
ServiceMaster Janitorial PartnersBoiling Springs, South Carolina
Job Position Description:This job is M-F after 5pm for 3-4 hours. This position is responsible for maintaining a clean and healthy environment for a Healthcare Facility. Duties and responsibilities may be assigned as follows: Overall duties include removing debris, maintaining common space areas, restocking bathrooms and responding to all cleaning emergencies. 1 year or more experience in Healthcare Cleaning is preferred but not required. Any Janitorial or Housekeeping experience will be considered. Perform all cleaning duties for facilities using provided ServiceMaster products, tools and procedures Cleaning duties include vacuuming, mopping, polishing, trash, windows cleaning and moving furniture, equipment etc.. Maintain inventory of supplies and equipment. Use proper PPE where required Clean all common space areas including kitchen, cafeteria, lobby and break room Place safety hazard signs in the building including “wet floor” signs as necessary Monitor, clean, service and restock bathrooms Respond immediately to any major spills or other cleaning crisis Remove litter and debris from common space areas Will provide on-the-job training to those with strong work ethic and willingness to learn. Experience working for a professional janitorial company, office complex, hotel, hospital or school is a plus. The ability to be flexible, work at a good pace, and respond well to redirection, is a must. Contribute to a positive work climate with a pleasant attitude and contribute to the overall team effort including being in uniform, dependable and on time. Has respect and understanding for co-workers and customers. Must be able to communicate in English. Physical Demands and Qualifications: Constant (up to 100%) standing, walking, pushing, balancing, stooping, kneeling, crouching, twisting, reaching over head, reaching forward. Must be able to lift and and/or carry 25lbs. Ability to read cleaning instructions. Ability to differentiate between cleaning products and uses. Willingness to be teachable. Disclaimer The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. Apply and become a part of ServiceMaster, one of the most respected professional cleaning companies in the Country. We pride ourselves on creating cleaner and healthier environments for our customers, their employees and customers. As a ServiceMaster Service Partner you belong to a team that works together to deliver the best solutions and customer service to our clients. We offer paid training, excellent work/life balance and opportunities for advancement and a career path that matches your interests and goals. Compensation: $13.00 per hour Company and Culture For more than 60 years, ServiceMaster Clean has taken great pride in exceeding the expectations of our customers. Behind our commitment to excellence are five key attributes that define who we are and what makes us different from any other. We Are Experts and dominate the industry in scale and scope with an adaptable, extensive network that consistently delivers exceptional results We Are Committed to our customers and are guided in all we do by their needs. We Are Complete and seek to provide exceptional service and engage in proactive behavior. We Are Driven to pursue the highest standards and continuously improve in all aspects of our business. We Are Steadfast and here for the long haul with consistent service that ensures ongoing customer satisfaction Our essential team members enjoy: *Competitive Pay *Flexible Schedules *Career Path Opportunities *Paid Training This franchise is independently owned and operated by a ServiceMaster Clean® franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this location should be made directly to the franchisee, and not to The ServiceMaster Company, LLC.

Posted 5 days ago

Marsh & McLennan Companies, Inc. logo

Senior Government Healthcare Financial Consultant

Marsh & McLennan Companies, Inc.Atlanta, GA

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Job Description

We are seeking a talented individual to join our Government Healthcare Consulting team (GHSC) at Mercer.

The Sr. Government Healthcare Financial Consultant partners with state governments to examine financial reports in order to understand emerging Medicaid health care experience as well as the financial performance of managed care organization and interacts with credentialed actuaries and financial executives to ensure Medicaid dollars are being utilized efficiently. We specialize in assisting government-sponsored programs in becoming more efficient purchasers of health services. We bring the best critical thinkers forward in helping our clients address their issues.

We will count on you to:

  • Work with client and team project managers to clearly define the scope, timelines and deliverable(s) of the project; ensure development and proposes essential project documents, including the budget and work plans
  • Ensure regular communication with client to review project status and expectations; provide expertise and insight to the client and team to solve potential problems within the project; manage scope of project, budget and timelines

What you need to have:

  • BA/BS degree
  • 5+ years of healthcare financial analysis experience, including financial modeling, or rate setting
  • Ability to lead large teams, projects, and initiatives in a dynamic environment
  • Advanced MS Office skills

What makes you stand out?

  • Medicaid program experience is strongly preferred

Why join our team:

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.
  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

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