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Sompo International logo
Sompo InternationalDallas, TX

$150,000 - $250,000 / year

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

Posted 30+ days ago

C logo
CNA Financial Corp.Lake Mary, FL

$97,000 - $189,000 / year

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

Posted 30+ days ago

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

Posted 30+ days ago

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

Posted 30+ days ago

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

Posted 30+ days ago

Quest Analytics logo
Quest AnalyticsOverland Park, KS
Your Quest: Help make a big difference in healthcare access At Quest Analytics our team members can fulfill their quest to work in an innovative, collaborative, challenging and flexible environment supportive of personal growth every day. The team is driven to make healthcare more accessible for all Americans. We're looking for a dedicated full-time Client Services Consultant to join our team. You will provide analytical support to our clients in solving hard problems in improving access to healthcare. The mission of the Client Services Consultant is to serve as the primary contact for our clients after the sale of our software solutions. The consultant is responsible for successful software implementation, maintenance and ongoing support and delivery of our cloud-based products as well as any consulting services purchased by the client. Our Consultants develop and maintain a deep understanding of their client's data and provider network management workflows to ensure that clients are consistently using the platform to achieve their strategic objectives. This role is ideal for you if you are someone who is analytically-minded and can communicate clearly, and are passionate about forming and growing relationships. If you are excited about working in a great workplace environment and eager to maintain that positive culture through your responsibilities and attitude, awesome at solving client issues with excellent service, then this is the right job for you! What you'll do: Develop comprehension of the client's internal process for delivering data in a consistent manner and on a regular schedule Write SQL queries to bring data sets into the platform including data cleaning and standardization Build and deliver initial implementation per client specifications, discover expansion opportunities and adjust as needed along the way Train end-users in the features and functionality of the platform Be a key player in coordinating adoption efforts with client partners Facilitate and document monthly meetings with clients Promote platform utilization and return on investment analyses to support renewal conversations Clearly and thoroughly communicate and document any product enhancement suggestions or improvement performance challenges Collaborate with product and development team when additional details are requested about client needs Perform user acceptance testing releases before moving to production What it requires: Prior Client Implementation / Consultant experience required, within health insurance payor or healthcare software company is preferred Bachelor's degree or 2 years of prior consultant work experience Intermediate level experience in Excel including creating pivot tables and extensive formulas is required or MS Access skills with the ability to create and modify tables, queries, forms, and reports; use basic SQL; manage relationships; and perform data validation for accurate reporting. Microsoft Office Suite proficiency using Word, PowerPoint, Outlook, SharePoint and OneDrive Proficiency working with data in SQL is preferred Deep analytical skill set Strong business aptitude Innovative with the ability to think outside the box Superior Communication Skills Desire to cultivate deep client relationships Ability to thrive in an unstructured and fast-paced environment Demonstrate interpersonal strengths including a personable and approachable demeanor Strong collaborative spirit What you'll appreciate: Workplace flexibility - you choose between remote, hybrid or in-office Company paid employee medical, dental and vision Competitive salary and success sharing bonus Flexible vacation with no cap, plus sick time and holidays An entrepreneurial culture that won't limit you to a job description Being listened to, valued, appreciated -- and having your contributions rewarded Enjoying your work each day with a great group of people Apply TODAY! careers.questanalytics.com About Quest Analytics For more than 20 years, we've been improving provider network management one groundbreaking innovation at a time. 90% of America's health plans use our tools, including the eight largest in the nation. Achieve your personal quest to build a great career here. Visa sponsorship is not available at this time. Preferred work locations are within one of the following states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois (outside of Chicago proper), Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin, or Wyoming. Quest Analytics provides equal employment opportunities to all people without regard to race, color, religion, sex, national origin, ancestry, marital status, veteran status, age, disability, sexual orientation or gender identity or expression or any other legally protected category. We are committed to creating and maintaining a workforce environment that is free from any form of discriminations or harassment. Applicants must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Persons with disabilities who anticipate needing accommodations for any part of the application process may contact, in confidence [email protected] NOTE: Staffing agencies, headhunters, recruiters, and/or placement agencies, please do not contact our hiring managers directly. We are not currently working with additional outside agencies at this time. Any job posting displayed on websites other than questanalytics.com or jobs.lever.co/questanalytics/ may be out of date, inaccurate and unavailable 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 6 days ago

Inmar logo
InmarWinston Salem, NC

$181,720 - $302,867 / year

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

Posted 30+ days ago

Sompo International logo
Sompo InternationalBoston, MA

$150,000 - $250,000 / year

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

Posted 30+ days ago

STV Group, Incorporated logo
STV Group, IncorporatedSacramento, CA
We are seeking s Healthcare Assistant Project Manager with a strong history of recent healthcare experience representing owner's on capital programs, facility upgrades, renovations and additions for both new and occupied healthcare facilities. The successful candidate will assume a role in our division managing Capital Program Management/Owners Representative assignments. The successful candidate will represent the owner and owner stakeholder groups and be an integral part of a high preforming team of professionals leading the delivery of projects and or programs for healthcare specific clients. The Assistant Project Manager will represent the owner's interest in managing design professionals and contractors constructing state of the art Healthcare, Pharmaceutical and Bio Life Science facilities. In this role the Assistant Project Manager will work with the team to manage all phases of the project life cycle including but not limited to budgeting, planning, design, bidding, construction, commissioning, move management planning and close out services. Join STV and become part of one of the most dynamic and fast paced market sectors in the construction industry. Responsibilities: Responsibilities include assisting the Project Manager in leading the project team, goal setting, developing policies and procedures to guide the project/program and mentor team members. In addition, the Assistant PM shall carry out duties as assigned by the Project Manager to achieve the successful completion of the project/program. Assist the PM in leading cross functional healthcare projects and initiatives with demanding resource requirements, risk, and/or complexity. Monitor design and construction activities to ensure that all phases of work are done in accordance with contractual agreements and corporate quality standards. Monitors, evaluates and or develops project budgets, cash flow analyses, and cost estimates, as well as reviews purchase orders, change orders, and invoices. Forecast, identify and addresses areas of potential liabilities and risks. Develops, monitors, and maintains project schedules. Ensures that project objectives are met. Maintains client, consultant, contractor, and vendor relationships. Manages conflict resolution. Communicates complex ideas, anticipates potential concerns and persuades others, which may include executive leadership, to adopt positions to facilitate the successful conclusion of the project. Assist in the evaluation, development, and selection of standards, protocols, policies and procedures to facilitate project success. Provides guidance, direction, and instruction to less experienced team members and colleagues. Required Skills: Bachelor's Degree, in Architecture, Engineering or Construction Management. 2-5 years of owner representative/project management experience, specifically in Hospitals, Healthcare Systems, Pharmaceutical, Bio Life Science and related projects. Demonstrated history of managing minimum of $10 million in healthcare or related construction types. Demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Requires excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams. Knowledge and ability to creatively resolve issues as they arise. Knowledge and ability to supervise people including recruitment, training, performance management, and people development. High proficiency with general Microsoft applications, including MS Project and Share Point. Demonstrated experience with project management software and applications. Ability to forecast project challenges and define solutions to maintain compliance with safety protocols, quality, schedule and budget. Compensation Range: $0.00 - $0.00 Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At STV, we are fully committed to expanding our culture of diversity and inclusion, one that will reflect the clients we serve and the communities we work in, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description we encourage you to apply anyways. You may be just the right candidate for this or other roles. STV offers the following benefits • Health insurance, including an option with a Health Savings Account • Dental insurance • Vision insurance • Flexible Spending Accounts (Healthcare, Dependent Care and Transit and Parking where applicable) • Disability insurance • Life Insurance and Accidental Death & Dismemberment • 401(k) Plan • Retirement Counseling • Employee Assistance Program • Paid Time Off (16 days) • Paid Holidays (8 days) • Back-Up Dependent Care (up to 10 days per year) • Parental Leave (up to 80 hours) • Continuing Education Program • Professional Licensure and Society Memberships STV is committed to paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is STV's good-faith salary estimate for this position. Please note that the final salary offered for this position may be outside of this published range based on many factors, including but not limited to geography, education, experience, and/or certifications.

Posted 30+ days ago

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

Posted 30+ days ago

American Family Care, Inc. logo
American Family Care, Inc.Ladera Ranch, CA

$25 - $30 / hour

Benefits/Perks Great small business work environment Flexible scheduling Paid time off, health insurance, dental insurance, retirement benefit, and more! Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Job Summary To sell and market urgent care medical services to local businesses, physicians, and consumers. The main focus will be to grow the patient counts per day, increase the number of local businesses using our services, and brand American Family Care to the consumer through marketing and sales events. Responsibilities Increase the total number of patients per day Develop strategies to increase market awareness of urgent care and occupational health services in the local area Develop definitions of target markets, business opportunities, and customers through data mining, research, and experience Represent the company through calling on local businesses, medical practices, presentations, or industry events and assume full accountability for the ongoing management of these opportunities Develop and manage the departmental budget Establish and maintain effective, positive working relationships with all departments, center, and corporate employees, and franchisees. Other duties and responsibilities as assigned. Qualifications Bachelor's degree or relevant education Successful experience developing, implementing, and achieving results with sales and marketing strategies Ability to conduct face to face sales appointments, cold and warm calling, including but not limited to direct-to-consumer, business, and physicians Strong organization and communication skills Possess the skills to be independent, motivated, and results-driven in establishing new business, following through with communication with all accounts, and being held accountable for the growth of business Compensation: $25.00 - $30.00 per hour PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Posted 30+ days ago

West Monroe Partners, LLC logo
West Monroe Partners, LLCChicago, IL
Our Mergers and Acquisitions Practice (M&A) is seeking an Experienced Consultant to join our growing Healthcare and Life Sciences value creation team. In this dynamic role, you will work within our national M&A practice servicing both corporate and private equity clients investing in or operating software, services and technology-enabled services businesses across payer, provider and life sciences domain areas. This team leads projects that deliver West Monroe's core value creation and due diligence offerings, including platform acquisitions, mergers/integrations, corporate divestiture/carve-outs, sell-side readiness, and post-close value creation and execution. Our M&A team includes a variety of seasoned, expert, and award-winning professionals. Experienced consultants at West Monroe have three main responsibilities: Client Delivery: Work directly with clients and the Targets they are/have invested in to define how technology supports business functions and creates value, identify opportunities for improvement, highlight investment risks and associated tactics to mitigate identified risk Help prepare for interviews and workshops to understand Targets' business models, issues they are facing, and initiatives they have implemented to address challenges and support growth Develop client-ready communications to facilitate decision making, communicate status, identify and mitigate risk, and resolve issues Provide direct input to key areas of project-related deliverables such as diligence reports and assessments, project plans, implementation plans, communication plans, and financial models Work closely with engagement management to identify and mitigate project risk Work closely with members of WMP as well as our clients to quickly establish highly functioning joint project teams Lead evaluations against best practices in the Healthcare & Life Sciences end-markets specific to Client/Target companies Be accountable for project deliverables validated for completeness and appropriateness Interface with all levels of management both internally and with clients/Targets Practice Development: Participate in the practice development process by contributing to the development of tools, templates, frameworks, methodologies, trainings, and other collateral used by West Monroe on client assignments and internal initiatives Contribute to the growth of the practice through supporting development of the Healthcare & Life Sciences - Mergers & Acquisition team's core offerings and client delivery capabilities Actively participate in the performance management process Assist with company campus and experienced recruiting as requested Business Development: Participate in the business development process by understanding business needs and driving development of project approaches, proposals, and statements of work Support development of work plans, pricing estimates, and risk assessments for prospects Actively build a professional network and affiliate network in the local community Actively participate in Healthcare & Life Sciences M&A industry events Understand client investment needs/constraints and help tailor proposals appropriately to meet their needs Qualifications: Bachelor's degree preferred, or equivalent experience required 2+ years of experience in team-based roles within at least two of the following: Healthcare, Healthcare IT, M&A/Corp Dev Experience working with Payer (medical, dental, etc.), Provider (healthcare services), Life Sciences (pharma services, medical device, biotech/pharma, etc.) and/or healthcare IT/healthcare software organizations Interest in healthcare business/economics (including healthcare reimbursement models), healthcare policy and regulatory changes and/or healthcare technology/interoperability is required Strong financial acumen and ability to analyze and interpret P&L statements, with an emphasis on understanding healthcare and/or technology P&L drivers Experience managing multiple tasks efficiently with ability to adapt to priority shifts Exceptional analytical and quantitative problem-solving skills Ability to work collaboratively in a fast paced, team-oriented environment Ability to communicate complex ideas effectively and succinctly, both in writing and orally Ability to travel up to 50%; Travel is short term (1-2 days on-site per diligence project, 50-75% during post-close engagements) Commitment to Diversity, Equity, and Inclusion, and openness to new ideas and perspectives Ability to work permanently in the United States without limitation

Posted 30+ days ago

Wolters Kluwer logo
Wolters KluwerChicago, IL

$145,500 - $203,900 / year

Lead AI Healthcare Product Manager This is a hybrid position requiring 8 days per month at an approved Wolters Kluwer location. * Healthcare is complex, and meaningful change requires products built with clinical insight, empathy, and responsible AI. At Wolters Kluwer, we combine medical expertise with modern AI to help clinicians deliver better, more efficient care. We're hiring a Lead AI Product Manager to lead the next stage of UpToDate Expert AI, partnering with clinicians, engineers, and business leaders to shape solutions that improve real-world care. We're looking for a strategic product manager who combines curiosity with strong customer engagement skills-someone who partners with clinicians and customers early to uncover needs, translate insights into clear product direction, and guide innovative AI features from concept to scale. Responsibilities: Product Strategy & Direction Partner to shape and influence the vision and roadmap, driving alignment with OKRs and ensuring strong product-market fit and measurable outcomes. Define and drive product OKRs; communicate progress through insights and data. Identify new use cases and workflow opportunities that expand product value. Clinical Discovery & Workflow Insight Engage directly with clinicians and customers early in the product lifecycle to validate ideas and ensure solutions meet real-world needs. Translate clinical insights into actionable product requirements. Partner with health systems and EHR vendors to understand integration pathways. AI Product Development Guide AI features from concept to launch, shaping problem definition and solution design. Define evaluation, safety, and monitoring needs for responsible clinical AI. Collaborate with clinical, data science, and engineering teams on model lifecycle needs. Execution & Cross-Functional Leadership Align engineering, design, clinical, and business partners around priorities. Build feedback loops and metrics into products; iterate using data insights. Maintain consistent user engagement to validate product decisions. Integration, Partnerships & GTM Support Collaborate on future integration opportunities to enable seamless workflows as the product evolves. Support product marketing with positioning, messaging, and customer materials. Identify partnerships that strengthen interoperability or accelerate adoption. Performance & Continuous Improvement Define and track core metrics across engagement, reliability, and clinical impact. Monitor usage trends to guide improvements and scaling decisions. Qualifications: 5+ years product management experience in AI, healthcare, or enterprise SaaS. Proven success leading products from 0→1 in complex or regulated environments. Strong understanding of clinical workflows and provider pain points. Experience with user discovery, product analytics, and hypothesis-driven development. Excellent communication with clinicians, executives, and technical teams. Ability to simplify ambiguity and drive clarity across teams. Preferred Technical fluency in AI/ML, LLMs, NLP, and cloud environments. Experience with knowledge management or structuring complex information for usability. Familiarity with HIPAA, SOC 2, HITRUST, MDR/IVDR. Experience designing or interpreting experiments and pilots. Our Interview Practices To maintain a fair and genuine hiring process, we kindly ask that all candidates participate in interviews without the assistance of AI tools or external prompts. Our interview process is designed to assess your individual skills, experiences, and communication style. We value authenticity and want to ensure we're getting to know you-not a digital assistant. To help maintain this integrity, we ask to remove virtual backgrounds and include in-person interviews in our hiring process. Please note that use of AI-generated responses or third-party support during interviews will be grounds for disqualification from the recruitment process. 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: $145,500 - $203,900

Posted 1 week ago

Boston Health Care for the Homeless Program logo
Boston Health Care for the Homeless ProgramBoston, MA

$22+ / hour

Who We Are: Since 1985, BHCHP's mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community's most vulnerable-and most resilient-citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Job Summary: Hours: Full-time; 40 hours per week, Monday-Friday, 8:30am - 5:00pm Union: None Union Name: None Patient Facing: No Boston Health Care for the Homeless Program is seeking a Compliance Specialist to join our team! This position entails overseeing all activities related to making certain that the organization adheres to applicable laws, regulations, and policies, including overseeing government grants and contracts with the health center. The ideal candidate for this position will have excellent writing, proofreading, and editing skills, as well as strong attention to detail. The ideal candidate will also have familiarity with HRSA and other federal, state, and city government grant programs for health centers. Responsibilities: Overseeing all activities to ensure the organization complies with federal, state, and city laws, regulations, and health care standards (e.g., HIPAA, HRSA, OSHA, etc.). Supports BHCHP contracting processes including reviewing proposed contracts, drafting new contracts (or provisions of contracts), tracking contract deadlines, coordinating signatures, and organizing record-keeping systems. Supports strong, stable relationships with government funders by contributing to government grant proposals and reports, tracking deadlines for grant deliverables; and coordinating site visits. Manages existing government grants, grant reporting, and grant applications from HRSA through their online portal system, EHB. Performs research to identify new government grant opportunities. Writes, proofreads, and edits content for narrative grant reports, proposals, and other deliverables. For complex contracts and/or grants, serves as project manager to foster collaboration among internal colleagues and external stakeholders. Performs additional compliance, contract, grants, or compliance duties as assigned. Qualifications: High school diploma required; bachelor's degree or relevant experience in healthcare compliance, grant writing, health care contracting, or related fields preferred. Two or more years' experience in grant writing, grant management, and or contract management. Prior experience with federal HRSA grants and/or community health center experience. Experience with Massachusetts and/or Boston government grant making agencies. Excellent writing and research skills. Strong interpersonal, planning, and problem-solving skills. Compensation and Benefits: The compensation starts at $22.00 per hour and increases based on years of experience. BHCHP full time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees. Does this amazing opportunity interest you? Then we'd love to hear from you. As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law. Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to. Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.

Posted 4 weeks ago

PwC logo
PwCIrvine, CA

$155,000 - $410,000 / year

Industry/Sector Not Applicable Specialism Oracle Management Level Director Job Description & Summary A career in our Finance team, within our Oracle consulting practice, will provide you with the opportunity to help organizations use enterprise technology to achieve their digital technology goals and capitalise on business opportunities. We help our clients implement and effectively use Oracle offerings to solve their business problems and fuel success in the areas of finance, operations, human capital, customer, and governance, risk and compliance. As part of our finance team, you'll focus on providing the support companies need in their Finance Transformation journey enabled by Oracle Cloud ERP and EPM. You will be part of a team that helps clients rethink their Finance functions as they leverage new Cloud technology including RPA, Machine Learning and Analytics in conjunction with their ERP platform. You will bring a blend of process and technology expertise to create the next generation Finance function. To really stand out and make us fit for the future in a constantly changing world, each and every one of us at PwC needs to be a purpose-led and values-driven leader at every level. To help us achieve this we have the PwC Professional; our global leadership development framework. It gives us a single set of expectations across our lines, geographies and career paths, and provides transparency on the skills we need as individuals to be successful and progress in our careers, now and in the future. As a Director, you'll work as part of a team of problem solvers, helping to solve complex business issues from strategy to execution. PwC Professional skills and responsibilities for this management level include but are not limited to: Support team to disrupt, improve and evolve ways of working when necessary. Arrange and sponsor appropriate assignments and experiences to help people realise their potential and support their long-term aspirations. Identify gaps in the market and spot opportunities to create value propositions. Look for opportunities to scale efficiencies and new ways of working across multiple projects and environments. Create an environment where people and technology thrive together to accomplish more than they could apart. I promote and encourage others to value difference when working in diverse teams. Drive and take ownership for developing connections that help deliver what is best for our people and stakeholders. Influence and facilitate the creation of long-term relationships which add value to the firm. Uphold the firm's code of ethics and business conduct. The Opportunity As part of the Oracle Finance team you will lead the implementation of innovative Oracle solutions that drive business success. As a Director you will set the strategic direction, inspire teams, and cultivate impactful client relationships while overseeing complex projects that enhance operational effectiveness. This role offers the chance to shape the future of finance technology, mentor emerging leaders, and contribute to PwC's reputation for excellence in the industry. Responsibilities Mentor and develop future leaders within the organization Contribute to the advancement of finance technology initiatives Maintain adherence to industry standards and PwC's reputation for excellence Drive ongoing improvement in project execution and client satisfaction What You Must Have Bachelor's Degree At least 10 years of experience with at least 5 years directly involved in Oracle Cloud implementations In lieu of a bachelor's degree, 12 years of professional experience involving Oracle and/or the Finance sector What Sets You Apart 12 years of professional experience in Oracle and Finance preferred Demonstrating proven leadership in team motivation and direction Excelling in developing market-differentiated Oracle solutions Improving business processes in Oracle environments Building and sustaining client relationships through networking Preparing and presenting complex content effectively Designing and implementing complex business processes Leading teams to foster trust and innovation Understanding personal and team roles for positive collaboration Travel Requirements Up to 60% Job Posting End Date Learn more about how we work: https://pwc.to/how-we-work PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines The salary range for this position is: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

Posted 4 weeks ago

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

Posted 30+ days ago

UnitedHealth Group Inc. logo
UnitedHealth Group Inc.Middletown, NY

$16 - $24 / hour

Excellent benefits within 30 days, annual bonus potential, PTO, paid holidays, 401K , tuition reimbursement and more! Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York, Crystal Run Healthcare and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey, and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. The role of the Medical Assistant for GI is to provide care to patients/significant others via direct and/or telephone contact, following established standards and practices. S/he coordinates with other members of the care team to ensure seamless care delivery, maximal coordination of efforts, and active patient participation in planning and care. Assists physician or other provider with clinical procedures. Primary Responsibilities: Demonstrates clinical competence in the direct care of patients in established area(s) of practice, and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted CareMount Medical and/or individual department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each patient's individual and family needs at the time of service; communicates identified needs in a timely manner Directs and/or escorts patients to exam rooms in a timely manner Demonstrated clinical competence when assisting physician/mid-level healthcare professional and/or nurse during exams and office diagnostic procedures/treatments Performs authorized procedures competently (i.e. vital signs, vision screening, selected laboratory tests) as directed by physician or nurse in clinical practice area Seeks validation/guidance from physicians, mid-level healthcare professional and/or nurse when necessary Prepares e-prescriptions for processing to pharmacies when instructed to do so by physician per CareMount Medical policy Inspects, cleans/prepares and processes instruments/equipment according to manufacturers' or CareMount Medical guidelines Processes specimens for transport to laboratory, ensuring that specimens are properly labeled and appropriate orders have been placed in NextGen 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 Qualification: 1+ years of clinical experience in a medical office, clinic or hospital setting Driver's License and access to a reliable transportation Preferred Qualifications: High school diploma/GED or higher Graduate of an accredited medical assistant program with 1+ years of recent experience as a medical assistant Current certification as a medical assistant or eligible for certification Current CPR / BLS certification Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $16.00 to $24.23 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 1 week ago

EisnerAmper logo
EisnerAmperNew York, NY

$80,000 - $115,000 / year

Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. The Transaction Advisory Services practice is seeking Senior Associates to join a collaborative, growing Healthcare TAS team that specializes in providing fully integrated transaction services. You will work as an individual contributor as well as part of a team to facilitate and lead client buy-side and sell-side Financial Due Diligence engagements. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work Key Responsibilities: Compile, analyze and prepare financial models and DataBooks with financial and operational information sourced from multiple comprehensive and complex data sources Perform financial analysis and data analytics on comprehensive financial and accounting data sets that serve as the foundation for transaction deliverables to clients Assist with healthcare buy-side and sell-side financial due diligence and financial analysis helping to identify key risks and potential deal breakers, assess the strengths and weaknesses of the target /client against industry benchmarks, and aid in the evaluation of the potential transaction in the context of their clients' investment / divestiture strategy. Work in collaboration with other EisnerAmper Health Care Industry service teams that provide outsourced finance, strategic advisory, audit, tax, and other advisory services to health care payors and providers Analyze detailed financial, business and operational information including income statement, balance sheet, cash flow and key operational and performance metrics and data. Convert the data into meaningful information that is used to drive discussions and analysis with target /client management and drive observations and conclusions. Assess the quality of the target's / client's reported revenues, margins, earnings, net assets, net working capital and cash flows. Assist in the preparation of deal-oriented financial models, databooks, and key findings reports and presentations for clients that highlight the key financial, commercial and business findings. Assist the team in further articulating how such findings should be incorporated into the client's valuation and sale, purchase agreement and provide other negotiating points Participate in and lead certain meetings and conference calls with client and target company management and serve as a secondary point of contact for client personnel with respect to day-to-day execution matters. Work closely with clients, investment banks, PE investors, attorneys and other key stakeholders. Participate in client meetings to gather data and valuable information to perform financial analysis work Participate in building and maintaining client relationships and other business development opportunities. May be required to occasionally work extended hours or travel/to work from different firm offices and/or client locations Basic Qualifications: Bachelor's or Masters degree in Accounting and/or Business CPA is preferred or CPA eligible 3+ years of experience in audit and/or financial due diligence at a major accounting firm Experience providing audit or consulting services to healthcare investors, providers and/or payors Preferred/Desired Qualifications: 1+ years of experience of financial due diligence Strong technical knowledge of US GAAP (revenue recognition, inventory, accrual-based accounting) High proficiency in Excel and PowerPoint Knowledge in Power BI and/or similar financial modeling analytical tools Excellent interpersonal and team building skills Proficient written and oral communication skills Strong project management skills and ability to multi-task on several simultaneous transactions Strong organizational skills Flexibility to work as both a team member and as an individual contributor Ability to thrive and be effective in fast-paced settings About our Transaction Advisory Services Team: The TAS Practice assists financial and strategic investors and lenders in connection with evaluating complex acquisition and divestiture transactions. Our professionals have decades of experience advising clients in every aspect of the transaction, from pre-LOI stage through closing. We are looking for professionals in selected geographic and functional markets to add to the continued growth and expansion of our TAS practice. Our "startup mentality," backed by the institutional knowledge and established reputation of the firm, enables us to be flexible and always evaluate what can take our team and clients to the next level. Whether it's a new internal process, digital platform, or service offering, we believe that innovative ideas come from all levels and every employee should have the opportunity to make an impact on the business, our clients, and their careers. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions, PE firms, start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by the attorneys, financial professionals, bankers, and investors who serve these clients. EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com #LI-LH1 #LI-Hybrid #LI-Remote Preferred Location: Dallas For NYC and California, the expected salary range for this position is between 80000 and 115000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 30+ days ago

Cigna logo
CignaRichmond, VA

$91,200 - $152,000 / year

LOCATION: Virginia, Maryland or Washington, DC The Physician & Ancillary Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with large Physician groups, Ancillaries and Hospital systems May lead a team with direct reports. Point person for complex projects related to contracting strategy in the market. 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. Leads 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. POSITION REQUIREMENTS Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. 3+ years Healthcare Provider Contracting and Negotiating experience involving complex Physician Groups and Ancillaries required. Significant experience leading and mentoring others. 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

CareBridge logo
CareBridgeHouston, TX

$71,544 - $112,194 / year

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

Sompo International logo

Avp/Vp, Healthcare Underwriter

Sompo InternationalDallas, TX

$150,000 - $250,000 / year

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Job Description

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions.

Job Description

Are you looking for your next opportunity?

Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team.

Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition.

Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers.

Our business, your impact, our opportunity:

What you'll be doing:

This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients.

  • Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards;

  • Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks;

  • Authorizes quotes/binders/invoices as appropriate;

  • Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures;

  • Attends client/broker meetings, lunches, dinners and other social outings as applicable;

  • Expands existing portfolio of business by developing existing relationships and new prospective clients;

  • Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results;

  • Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner;

  • Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed;

  • Completes underwriting referral applications for risks outside of authority for higher level approval as necessary

What you'll bring:

  • Undergraduate or advanced degree preferred;

  • 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques;

  • Established relationships with retail and wholesale producers;

  • Strong negotiation skills;

  • Excellent communication (both written and verbal) skills;

  • Ability to plan strategically and prioritize workload to meet production and management objectives;

  • Ability to be a team player.

Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience.

At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees.

Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance.

We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs:

  • Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution

  • Pharmacy benefits with mail order options

  • Dental benefits including orthodontia benefits for adults and children

  • Vision benefits

  • Health Care & Dependent Care Flexible Spending Accounts

  • Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children

  • Company-paid Disability benefits with very competitive salary continuation payments

  • 401(k) Retirement Savings Plan with competitive employer contributions

  • Competitive paid-time-off programs, including company-paid holidays

  • Competitive Parental Leave Benefits & Adoption Assistance program

  • Employee Assistance Program

  • Tax-Free Commuter Benefit

  • Tuition Reimbursement & Professional Qualification benefits

In today's world, what do we stand for?

Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo.

Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

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