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

Posted 1 week ago

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

Posted 30+ days ago

W
Senior Product Manager, Consumer Driven Healthcare
WEX Inc.Dallas, TX
Job Description- Senior Product Manager About the Team / Role At WEX Benefits, we're building world-class experiences that simplify complex processes and empower our customers to thrive. As a Senior Product Manager, you'll play a key role in shaping and delivering solutions that drive value for our customers and business. You'll turn insights into action, guide product strategy, and lead agile teams to bring innovative ideas to life. In this role, you'll own and evolve the product roadmap, collaborate across disciplines, and lead initiatives that elevate our platform and fuel growth. If you're passionate about solving real customer problems, enjoy working in fast-paced, cross-functional teams, and want to make a meaningful impact-this role is for you. What You'll Do Champion the voice of the customer and use data to inform decisions, shape strategy, and drive outcomes Lead 1-2 scrum teams, guiding execution from concept through delivery using agile best practices Build strong partnerships across engineering, UX, analytics, and business teams to align on vision and priorities Identify and drive opportunities to grow our platform, expand revenue streams, and support new business models Translate strategy into actionable plans by defining product requirements, writing user stories, and managing backlogs Continuously experiment, measure impact, and iterate to improve product performance and user experience Coach and collaborate with other PMs to share insights, align roadmaps, and deliver cohesive solutions How You'll Engage Strategic Mindset- Connect daily work to company strategy and market trends Customer Obsessed- Deeply understand user needs and champion their experience Results Focused- Drive measurable business value through thoughtful prioritization and execution Insights Driven- Use data and experimentation to guide decisions Trusted Partner- Communicate clearly, collaborate openly, and influence with credibility Relevant Expertise- Bring strong product instincts, technical curiosity, and domain depth Inspiring Communicator- Present product strategy and outcomes with clarity and confidenc What You'll Bring 8+ years of experience in product management or related roles (product owner, UX, business analyst, etc.) Bachelor's degree required Proven track record of delivering impactful, technology-driven products Strong understanding of agile methodologies, product discovery, and iterative delivery Experience writing clear, actionable requirements and documentation Ability to navigate technical conversations and align on solutions with engineering Experience defining and testing hypotheses to drive product improvement A collaborative spirit, continuous learning mindset, and a passion for innovation The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX's total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the "About Us" section. Pay Range: $113,000.00 - $150,000.00

Posted 2 weeks ago

Account Executive, Healthcare & Life Sciences-logo
Account Executive, Healthcare & Life Sciences
AnthropicSan Francisco, CA
About Anthropic Anthropic's mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers, engineers, policy experts, and business leaders working together to build beneficial AI systems. About the role As an Account Executive, Healthcare & Life Sciences at Anthropic, you'll play a crucial role in supporting our Healthcare & Life Sciences Enterprise Account Executives as they drive the adoption of safe, frontier AI by securing strategic deals with top enterprises. You'll be responsible for managing the administrative and operational aspects of the sales process, ensuring smooth onboarding of large enterprises to Anthropic's family of models and enterprise products. Your work will be essential in freeing up time for Enterprise Account Executives to focus on strategic activities such as crafting proposals, pitching custom solutions, and building relationships with prospects. Responsibilities: 70% Deal Support: Support Account Executives throughout the sales cycle, from initial prospect engagement to successful onboarding 30% Acquisition Sales: Win new business and drive revenue for Anthropic within the healthcare and life sciences sector. You'll own the full sales cycle, from first outbound to close Coordinate and manage compliance reviews with potential prospects, ensuring all necessary documentation is completed accurately and efficiently Handle security questionnaires, working with internal teams to gather and provide required information Manage legal redlines on our terms of service, liaising between prospects and Anthropic's legal team to address concerns and facilitate agreement Assist in the onboarding process for new enterprise clients, ensuring a smooth transition from sales to implementation Maintain accurate and up-to-date records in our CRM system, providing regular reports on pipeline status and account activities Collaborate with cross-functional teams including legal, security, product and partnership teams to address client needs and resolve issues Develop and maintain a deep understanding of Anthropic's products, services, and value proposition to effectively communicate with clients and internal stakeholders Identify process improvements and contribute to the development of best practices for the sales and onboarding processes You may be a good fit if you have: 3+ years of experience in a sales support, account management, or customer success role, preferably in the technology or SaaS industry Strong organizational skills with the ability to manage multiple projects and priorities simultaneously Excellent communication skills, both written and verbal, with the ability to interact professionally with clients and internal teams Attention to detail and a commitment to accuracy in all aspects of work Experience with CRM systems and proficiency in Microsoft Office or Google Workspace A basic understanding of enterprise software sales cycles and contract processes Familiarity with compliance and security requirements in healthcare and life sciences (e.g., HIPAA, FDA regulations, GxP) Adaptability and a proactive approach to problem-solving in a fast-paced environment A passion for AI technology and its potential impact on healthcare, pharmaceutical research, and patient outcomes Bachelor's degree in Business, Biology or Biomedical Engineering preferred Ability to work independently while also collaborating effectively as part of a team Interest in learning about advanced AI systems and contributing to their safe and beneficial development in healthcare settings Deadline to apply: None. Applications will be reviewed on a rolling basis. The expected salary range for this position is: Annual Salary: $150,000-$270,000 USD Logistics Education requirements: We require at least a Bachelor's degree in a related field or equivalent experience. Location-based hybrid policy: Currently, we expect all staff to be in one of our offices at least 25% of the time. However, some roles may require more time in our offices. Visa sponsorship: We do sponsor visas! However, we aren't able to successfully sponsor visas for every role and every candidate. But if we make you an offer, we will make every reasonable effort to get you a visa, and we retain an immigration lawyer to help with this. We encourage you to apply even if you do not believe you meet every single qualification. Not all strong candidates will meet every single qualification as listed. Research shows that people who identify as being from underrepresented groups are more prone to experiencing imposter syndrome and doubting the strength of their candidacy, so we urge you not to exclude yourself prematurely and to submit an application if you're interested in this work. We think AI systems like the ones we're building have enormous social and ethical implications. We think this makes representation even more important, and we strive to include a range of diverse perspectives on our team. How we're different We believe that the highest-impact AI research will be big science. At Anthropic we work as a single cohesive team on just a few large-scale research efforts. And we value impact - advancing our long-term goals of steerable, trustworthy AI - rather than work on smaller and more specific puzzles. We view AI research as an empirical science, which has as much in common with physics and biology as with traditional efforts in computer science. We're an extremely collaborative group, and we host frequent research discussions to ensure that we are pursuing the highest-impact work at any given time. As such, we greatly value communication skills. The easiest way to understand our research directions is to read our recent research. This research continues many of the directions our team worked on prior to Anthropic, including: GPT-3, Circuit-Based Interpretability, Multimodal Neurons, Scaling Laws, AI & Compute, Concrete Problems in AI Safety, and Learning from Human Preferences. Come work with us! Anthropic is a public benefit corporation headquartered in San Francisco. We offer competitive compensation and benefits, optional equity donation matching, generous vacation and parental leave, flexible working hours, and a lovely office space in which to collaborate with colleagues. Guidance on Candidates' AI Usage: Learn about our policy for using AI in our application process

Posted 30+ days ago

Licensed Practical Nurse - GI, Crystal Run Healthcare-logo
Licensed Practical Nurse - GI, Crystal Run Healthcare
UnitedHealth Group Inc.Middletown, NY
Optum NY, (formerly Optum Tri-State NY) is seeking a Licensed Practical Nurse - GI, Crystal Run Healthcare to join our team in Middletown, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Primary Responsibilities: Provides nursing care to patients/significant others via direct and/or telephone contact, following established standards and practices 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 and participates in patient teaching Provides Direction To: Clerical assistants, medical assistants, and other non-licensed personnel Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Graduate of an accredited school of Practical Nursing New York State (NYS) license with current NYS registration, in good standing Preferred Qualifications: Current CPR/BLS certification 1+ years of experience as a licensed practical nurse or 2+ years as a Medical Assistant in a pertinent practice area 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 $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 1 week ago

Tax Manager - Healthcare-logo
Tax Manager - Healthcare
Adams BrownWichita, KS
Description Position Summary A Tax Manager is a professional who has the technical ability to prepare and review tax returns, standard accounting work papers and statements, and other financial reports while guiding and mentoring other staff. This role demonstrates the ability to work well with others especially in the capacity to earn the confidence and respect of clients, principals, staff, and administrative support personnel. The Tax Manager is familiar with tax and audit standard concepts, practices, and procedures, and relies on extensive experience and judgment to accomplish goals. A wide degree of creativity and latitude is expected. This individual will work on the Healthcare Focus Area team. FLSA Status: Exempt Requirements Required Experience and Education A current and valid CPA license is required. Must be a member in good standing with the American Institute of CPAs and respective state societies. 5-7 years' experience in public accounting or relevant position, demonstrating a progression in complexity, scope, and number of projects. Special consideration will be made to waive the requirement of the CPA license in lieu of comparable experience and demonstrated expertise. Major Duties and Responsibilities Responsible for maintaining tax records and preparing tax returns, related schedules, and related reports Responsible for supervising and reviewing the work of others Maintains in depth knowledge of accounting and tax matters, and specialized industries or functional/technical areas Ensures top quality client service through a cadence of in-person and virtual communications Consistently applies effective project management skills in order to plan and coordinate multiple engagements Participates in mentoring, training, recruiting, retention, and team-building activities Complies with all firm policies and procedures Recognizes complex technical issues, reaches appropriate conclusions, and applies authority to support conclusions Maintains accurate time and expense records to ensure proper billing of clients Anticipates problem areas and questions that will arise during the course of a project Uses established network of business relationships to generate new sales opportunities for continued development of client base Demonstrates knowledge of all technical aspects of the job, including related knowledge of necessary systems and procedures Demonstrates advanced technical knowledge effectively through written and verbal communication; seeks to continuously develop communication skills Increasingly builds knowledge base on the firm's industry lines and service offerings Performs other duties as assigned Desired Skills, Abilities and Characteristics Leads by example exhibiting integrity, energy, enthusiasm, dedication, and commitment to excellent client service, firm reputation, and the one team concept Professional and forward-looking mindset Ability to maintain confidentiality of firm and client information Effectively communicates verbally as well as short-form, and long-form writing Client service oriented Effectively manage people with poise and professionalism Promotes the vision, missions, and core values of the firm and supports the one-firm concept Demonstrates the ability to properly delegate and manage workload and train others on the proper delegation and management of work Continually strives to improve effectiveness through a mindset of lifelong learning Ability to apply principles of accounting to analyze and prepare financial information Excellent organizational skills Ability to demonstrate confidence and good judgment when interacting with colleagues, supervisors, and clients Strong presentation skills Ability to work well with others Working Environment Adams Brown, LLC promotes a flexible work environment with a deep commitment to technology and modern work arrangements. Our offices are open from 8:00 a.m. - 5:00 p.m. Monday through Friday through tax season and close at noon on Fridays outside of tax season. We are closed on major holidays, offer substantial paid-time-off, a comprehensive benefit package, competitive pay structure, and a culture of growth, clarity, and respect. Click here to learn more about our benefits. AdamsBrown, LLC. is an Equal Opportunity Employer.

Posted 30+ days ago

Principal, Clinical & Provider Strategy - Cigna Healthcare - Hybrid-logo
Principal, Clinical & Provider Strategy - Cigna Healthcare - Hybrid
CignaSaint Louis, MO
Job Summary The Principal, Clinical & Provider Strategy is a strategic leadership role responsible for driving the development of clinical and provider strategies across the Cigna Healthcare organization, specifically partnering with clinical sales, provider network, trend, and medical management teams. This role seeks a visionary strategist with deep healthcare expertise, capable of influencing executive decision-making, launching complex cross-functional initiatives, and delivering actionable plans to provide measurable improvements in clinical outcomes, provider performance, and business growth. The ideal candidate will bring a consulting-grade strategic toolkit, strong analytical acumen, and a proven ability to operate at the intersection of clinical innovation, business strategy, and operational execution. This role will report to the Managing Director, Clinical Strategy and Operations at Cigna Healthcare. Responsibilities Serve as a strategic advisor to Cigna Healthcare senior clinical and business leadership, translating enterprise and organizational priorities into actionable strategies. Drive organizational alignment by partnering with clinical sales, provider network, and medical management teams, alongside functional teams including analytics, provider relations, and case management. Act as a catalyst for change, positioning the Cigna Healthcare clinical team as a strategic growth engine within the organization. Apply rigorous strategic thinking and data-driven insights to inform investment decisions, resource allocation, and performance optimization. Architect scalable frameworks for clinical innovation, from ideation through implementation, with a focus on speed-to-impact and measurable ROI. Lead intelligence and due diligence efforts to inform strategic decision-making, including competitive landscape analysis, market sizing, customer segmentation, and identification of emerging trends and disruptors in the healthcare ecosystem. Synthesize internal and external insights into actionable recommendations that shape enterprise and organizational growth initiatives and clinical priorities. Lead annual strategic planning cycles, contribute to enterprise- and organization-wide strategy development, and ensure alignment with P&L and growth objectives. Required Qualifications Bachelor's degree required; MBA or relevant advanced degree preferred. Minimum of 8 years with progressive experience in healthcare strategy, ideally with exposure to top-tier consulting or payer/provider strategy roles. Demonstrated expertise in clinical strategy, provider engagement, and healthcare innovation. Exceptional strategic thinking, problem-solving, and executive communication skills. Proven ability to deliver creative solutions to complex challenges. Financial acumen and experience with business case development. Experience working in a matrixed organization with strong internal relationship-building skills. Excellent communication skills with the ability to translate complex topics into clear, actionable insights. Preferred Qualifications Experience in a top-tier strategy consulting firm or in a corporate strategy function within a leading healthcare organization. Experience in payer or integrated delivery system environments. Familiarity with clinical care delivery and population health strategies. 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 The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. 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 6 days ago

Performance Improvement Analytics Associate, Healthcare-Workforce-logo
Performance Improvement Analytics Associate, Healthcare-Workforce
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Associates play an indispensable role at Huron. Our dynamic Associates lead one or more project work streams utilizing Huron approaches, methodologies and tools to implement impactful and innovative solutions to address our clients' business challenges. Skilled relationship builders, our Associates collaborate with client staff and leadership while simultaneously managing junior Huron staff. Everyone works in symphony to achieve a common objective: create and implement sustainable solutions. Through our varied projects, Associates gain valuable, hands-on consulting and change management experience, while positively impacting mission-driven healthcare organizations. Huron prides itself on being a firm big enough to boast a global footprint - yet not too big to hinder our entrepreneurial spirit. This allows everyone to make an impact and gives you access to a multitude of career paths both within and beyond your areas of expertise. Our focus on professional development is unmatched as you build critical leadership skills to grow your career and mentor junior Huron staff to do the same. We're dedicated to helping you reach your true potential! Create your future at Huron. RESPONSIBILITIES: Digest and analyze data encompassing Workforce productivity, benchmarking and department specific analytics for Huron client engagements. Extract and analyze data from Huron's analytics platform to identify patterns and trends, transforming data into actionable insights. Build dashboards, reports, and visualizations containing Huron's next generation metrics. Perform data mapping, standardization, validation, and quality assurance to maintain the highest standards of data integrity throughout the data collection and reporting pipeline. Define and monitor comparability across multiple organizations (cohort comparisons or benchmarking) in alignment with industry best practices and peer groups. Query data to answer internal or client questions accurately and efficiently. Collaborate with functional and technical resources to implement and support new technologies and processes, enhancing the analytical and reporting performance of the Insights Management team and Huron in serving its clients. CORE QUALIFICATIONS: A Bachelor's degree (BS, BA) is required. Preferred areas of study include Health Care Informatics, mathematics, statistics, finance, technical or health care analytics-related disciplines, or equivalent experience. 2-4+ years of relevant experience in healthcare. Demonstrated analytical skills, particularly with large, comprehensive data sets. Strong critical thinking skills in both data collection and complex analysis; ability to identify data gaps and risks, develop sound conclusions, and create implementable and sustainable recommendations for improvement. Ability to apply proven methodologies and best practices to unique client situations; skilled at collaborating with project team members and client stakeholders to identify opportunities for improvement. Proven ability to communicate ideas clearly and concisely to internal and client stakeholders, including complex, technical information, with a strong attention to detail. The role is predominantly remote, with an expectation of up to 15% travel for internal or client meetings. Experience with comprehensive healthcare data sets (payroll, financial performance, clinical, or other related healthcare data). Recent healthcare analytics, and/or technical experience in a team-based professional services environment. US Work Authorization required. REQUIRED SKILLS/COMPETENCIES: Proficient in MS Office programs and tools, including PowerPoint, Word, and Excel. Experience with SQL and cloud infrastructure Preferred experience with AWS Quicksight, Athena, and machine learning Skilled in advanced data analysis and visualization tools such as QuickSight, Tableau, and Power BI. Proven ability to prioritize and manage multiple projects simultaneously. Consistently delivers high levels of customer satisfaction. Experienced in issue resolution. Strong problem-solving skills with a systematic and logical approach. Capable of working independently and collaboratively with minimal supervision, even in uncertain environments. Excellent written communication and documentation skills for creating and editing internal and client deliverables that meet Huron's quality standards. Outstanding organizational and time management skills to handle multiple priorities with quick turnaround times. #LICV The estimated base salary range for this job is $100,000 - $130,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes, and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $112,000 - $153,400. The job is also eligible to participate in Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Associate Country United States of America

Posted 30+ days ago

National Healthcare Advisory Services Practice Leader-logo
National Healthcare Advisory Services Practice Leader
EisnerAmperNew York, NY
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. We are seeking a Partner to lead the strategic growth, innovation, and client delivery of our national healthcare advisory platform. The ideal candidate will bring deep healthcare industry expertise, a proven ability to scale advisory practices, and a client-first mindset focused on driving measurable value and long-term relationships. 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 What Work You Will be Responsible For: Provide overall leadership and strategic direction for EisnerAmper's national Healthcare Advisory Services practice, driving the development and execution of advisory solutions focused on performance improvement, regulatory compliance, digital health, revenue cycle and enterprise transformation for healthcare organizations ensuring high-quality delivery that meets the evolving operational and strategic needs Serve as a trusted advisor to a diverse portfolio of healthcare clients-including hospitals, academic medical centers, physician groups, health systems, investors, private equity, and venture-backed entities-by building and sustaining long-term relationships through exceptional service, innovation, and deep industry insight While Provider is the main industry Sub-Sector, familiarity with Payor, Life Sciences and Health Tech is valued Lead and grow a high-performing multidisciplinary team of professionals serving healthcare clients across the U.S. Advance practice growth through strategic planning, business development, and expansion of service offerings in emerging areas Collaborate with cross-functional teams across EisnerAmper to deliver integrated solutions and maximize client value. Teaming with our Restructuring team in the marketplace and in delivery is a high priority Represent the firm in external forums including speaking engagements, publications, and thought leadership within the healthcare industry Monitor regulatory and market trends and adapt the practice's offerings to meet changing client needs. Basic Qualifications: Bachelor's degree in Accounting, Finance, Health Administration, or related field Minimum of 15 years of experience in healthcare advisory, consulting, or healthcare financial services Demonstrated experience leading complex engagements and advisory teams within a professional services environment Proven record of managing P&L, client delivery, and practice development at the partner level Preferred/Desired Qualifications: Master's degree in Business Administration, Health Administration, or related advanced degree Certifications such as Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), Project Management Professional (PMP) Deep understanding of healthcare regulatory frameworks, reimbursement models, and industry transformation trends 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. About our Healthcare Sector Services Group: The Health Care Consulting Group provides tailored services to a wide range of clients: hospitals and health systems, academic medical centers, physician and ancillary services practices, entrepreneurs and PE Firms, managed care entities and government agencies. EisnerAmper assists our health care clients in creating and maintaining a value-based network, implementing positive operational improvements and building sustainable plans to meet strategic, financial and growth goals. 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 and 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. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com #LI-Remote For NYC and California, the expected salary range for this position is between $500,000.00 and $700,000.00. 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. Preferred Location: New York

Posted 30+ days ago

W
Senior Product Manager, Consumer Driven Healthcare
WEX Inc.Seattle, WA
Job Description- Senior Product Manager About the Team / Role At WEX Benefits, we're building world-class experiences that simplify complex processes and empower our customers to thrive. As a Senior Product Manager, you'll play a key role in shaping and delivering solutions that drive value for our customers and business. You'll turn insights into action, guide product strategy, and lead agile teams to bring innovative ideas to life. In this role, you'll own and evolve the product roadmap, collaborate across disciplines, and lead initiatives that elevate our platform and fuel growth. If you're passionate about solving real customer problems, enjoy working in fast-paced, cross-functional teams, and want to make a meaningful impact-this role is for you. What You'll Do Champion the voice of the customer and use data to inform decisions, shape strategy, and drive outcomes Lead 1-2 scrum teams, guiding execution from concept through delivery using agile best practices Build strong partnerships across engineering, UX, analytics, and business teams to align on vision and priorities Identify and drive opportunities to grow our platform, expand revenue streams, and support new business models Translate strategy into actionable plans by defining product requirements, writing user stories, and managing backlogs Continuously experiment, measure impact, and iterate to improve product performance and user experience Coach and collaborate with other PMs to share insights, align roadmaps, and deliver cohesive solutions How You'll Engage Strategic Mindset- Connect daily work to company strategy and market trends Customer Obsessed- Deeply understand user needs and champion their experience Results Focused- Drive measurable business value through thoughtful prioritization and execution Insights Driven- Use data and experimentation to guide decisions Trusted Partner- Communicate clearly, collaborate openly, and influence with credibility Relevant Expertise- Bring strong product instincts, technical curiosity, and domain depth Inspiring Communicator- Present product strategy and outcomes with clarity and confidenc What You'll Bring 8+ years of experience in product management or related roles (product owner, UX, business analyst, etc.) Bachelor's degree required Proven track record of delivering impactful, technology-driven products Strong understanding of agile methodologies, product discovery, and iterative delivery Experience writing clear, actionable requirements and documentation Ability to navigate technical conversations and align on solutions with engineering Experience defining and testing hypotheses to drive product improvement A collaborative spirit, continuous learning mindset, and a passion for innovation The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX's total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX's comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the "About Us" section. Pay Range: $113,000.00 - $150,000.00

Posted 2 weeks ago

Adjunct Faculty - Healthcare Specialist-logo
Adjunct Faculty - Healthcare Specialist
Ivy Tech Community CollegeSouth Bend, IN
Adjunct Faculty are hired each semester on an as-needed basis. Adjunct Faculty are responsible for creating a learning environment that assists students in reaching their goals; and for providing effective instruction and assessment within the framework of common syllabi provided. MAJOR RESPONSIBILITIES: Facilitates student learning by delivering assigned classes in accordance with college policy and course objectives. Makes optimal use of available technology to enhance instructional methods. Develops/maintains course outlines, syllabi, lesson plans, assignments, tests, and materials. Maintains accurate student records, grades, and other requirements. Engages with students in meaningful and productive ways that impact student learning and leads to a positive experience with Ivy Tech Community College, shows evidence of developing and implementing active classroom teaching strategies focused on engaging students with their learning (curricular). Interacts with students and co-workers in a professional and cooperative manner, complies with college policies, campus guidelines and expectations. Ensures knowledge of and implements emergency and safety procedures for classrooms, labs, and all learning environments. This is not to be construed as an exhaustive list. Other duties logically associated with this position may be assigned. All responsibilities will be conducted within the parameters of the Family Educational Rights and Privacy Act (FERPA), other applicable regulatory requirements, and professional standards. MINIMUM QUALIFICATIONS: A qualified faculty member teaching HLHS courses meets the Healthcare Specialist program standard or the course standard, whichever standard applies to the specific course. This posting is for non-clinical courses: The Program Standard is: Possesses an earned baccalaureate or higher degree from a regionally accredited institution; and Has a minimum of 2 years directly related work experience; and Holds certification or licensure in a health care discipline providing care or service directly to patients; or Holds a current Workplace Specialist License granted by the Indiana Department of Education in any Health Science or Dental Careers with relevant medical Terminology coursework. PREFERRED QUALIFICATIONS: College level teaching experience. RETENTION AND STUDENT SUCCESS Provide academic-related coaching and academic monitoring to assigned student advisees in partnership with professional academic advising staff. Monitor and document student performance throughout the semester, including use of technology for academic advising alerts; provide necessary interventions to include communication with students, tutoring and other academic supports, and referrals to appropriate college resources. Maintain posted office hours and student engagement hours in accordance with campus expectations and the faculty loading policy in the Academic Support and Operations Manual (ASOM 7.2). Promote and assist in student recruitment, retention, and successful completion of programs, including outreach to students by phone, technology tools, and other electronic means. Must have strong working knowledge of current technologies appropriate to area of instruction and meet faculty credentials as outlined in the ASOM 7.1 for the specific area(s) of instruction. Conducts all activities with an appreciation, respect, and promotion of diversity of people, styles, and views. Ivy Tech Community College is an accredited, equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, national origin, marital status, religion, sex, gender, sexual orientation, gender identity, disability, age or veteran status. As required by Title IX of the Education Amendments of 1972, Ivy Tech Community College does not discriminate on the basis of sex, including sexual harassment in its educational programs and activities, including employment and admissions. Questions specific to Title IX may be referred to the College's Title IX Coordinator or to the US Department of Education Office of Civil Rights.

Posted 30+ days ago

Culinary Server Healthcare Services-logo
Culinary Server Healthcare Services
Buckner InternationalDallas, TX
Buckner Retirement Services Community: Ventana by Buckner Location: Dallas, TX - Onsite Address: 8301 N Central Expy, Dallas, TX 75225 Shifts: Split AM/PM shift: 6:30 AM - 2 PM & 2:30 PM - 7 PM; 4 days on, 2 days off Job Schedule: Fulltime We are seeking Culinary Servers to join our community committed to delivering outstanding service to our residents. As a Culinary Server, you will impact the lives of all members and residents through assisting with food preparation, serving meals, and maintaining cleanliness in the kitchen and dining areas. Join our team and inspire happiness in the lives of others! What You'll Do: Provide 5 STAR service: Smile and Greet, Take Initiative, Accept Responsibility, Respect the Whole Person, Seek to Understand. Set, bus, and clean tables. Prepare and serve food and beverages. Maintain cleanliness of work area. Assist with trash disposal. Receive, store, and rotate groceries. Observe and report resident symptoms and changes. Ensure compliance with policies and regulatory guidelines. What You'll Bring: High School diploma or GED. Current Food Handlers Certification. Minimum one-year related experience preferred, or appropriate formal education or Buckner training. Working knowledge of food preparation, food handling and sequence of service. Requires ability to read, write and understand business documents which are written in English. A friendly attitude and a servant's heart. The above description reflects the details considered necessary to describe the essential functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. About Buckner Retirement Services: Buckner Retirement Services comprises a network of senior living communities across Texas. As a not-for-profit, faith-based organization with over 60 years of experience, we're dedicated to providing exceptional care. Recognized as a Great Place to Work at all our locations, we offer rewarding opportunities for those passionate about working with seniors. If you're seeking a career in the senior living field, consider joining us at Buckner, where our purpose sets us apart. Buckner is an Equal Opportunity Employer. The same way we treat our employees is how we treat all applicants - with respect. Buckner is an equal opportunity employer (EEO is the law). You will be treated fairly throughout our recruiting process and without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or veteran status in consideration for a career at Buckner.

Posted 30+ days ago

Healthcare Managed Services Domestic Coding Leader-logo
Healthcare Managed Services Domestic Coding Leader
Huron Consulting GroupChicago, IL
Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. Join our team as the expert you are now and create your future. Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and employee engagement across the enterprise. The Huron Managed Services Coding Operations Director oversees a portfolio of clients and is responsible for ensuring smooth day-to-day operations, contractual compliance, and coding operations performance. Core functions include Client Relationship Management, Business Analytics, Resource Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations management team to execute on core activities related to sustained coding operations performance. This position has a pulse on the day-to-day operational needs for existing client engagements, as well as planning for future client opportunities. This leader works directly with HMS Senior Leadership to design and deliver both internal and client facing work. KEY JOB DUTIES: Executes the HMS Coding Operations objectives, responsibilities, and initiatives Makes key operational decisions independently and effectively prioritizes projects Establishes quarterly goals and works with both the domestic and international business offices and HMS leadership teams to ensure they are achieved Analyzes, interprets, and summarizes pertinent coding operations data components, and monitors performance against Key Performance Indicators Identifies issues, risks, barriers, and opportunities for improvement related to Huron Coding Support Services along with both the domestic and international business office responsibilities, processes, service level agreements, technology, and people Manages a cohort of Coding Operations Managers and clients, providing direction and removing barriers Provides coaching, development, and mentorship to direct reports and other subordinates Establishes and maintains strong relationships with both domestic and international service center stakeholders Establish systems and processes to ensure the quality and compliance of all coding activities REQUIRED SKILLS: Leadership and integrity Strong communication skills and executive presence Strategic decision-making and critical thinking Results-oriented Effective relationship building and networking People development and coaching Mental/physical health sufficient to meet the demands and pressures of the position Ability to read and write in the English language Preferred experience in a matrixed organization CORE QUALIFICATIONS: Current permanent U.S. work authorization required Bachelor's degree in healthcare administration, business, finance, or a related field required. A master's degree is preferred Limited travel required Proficient in Microsoft office (Word, PowerPoint, Excel) Direct Supervisory Experience 7+ years of healthcare operations experience with 5+ in managerial positions Strong leadership and management skills aligning to Huron's core values and competencies Excellent analytical, problem-solving, and decision-making skills Proven ability to lead and motivate a team, with strong interpersonal and communication skills Oversight/Management of International teams strongly preferred PHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. TECHNICAL QUALIFICATIONS: Required Certifications: Certified Coding Specialist (CCS) Certified Coding Specialist - Physician (CCS - P) Registered Health Information Administrator (RHIA) preferred Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred Epic experience preferred Cerner experience preferred Meditech experience preferred The estimated salary range for this job is $130,000 - $170,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy and Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Director Country United States of America

Posted 2 weeks ago

S
Associate Practice Area Director - Healthcare
Syska Hennessy Group, Inc.Los Angeles, CA
Associate Practice Area Director - Healthcare As a global leader in consulting, engineering, and commissioning services, we specialize in highly technical buildings and the systems that bring them to life. We are currently seeking a performance-driven, highly motivated leader to collaborate with our global science and technology team with the opportunity to grow into and oversee this practice area in Los Angeles, CA. This is an exciting opportunity to leverage our well-established legacy and brand with existing clients and innovative projects. Travel will be required. In this high-level role, you will lead the efforts to pursue, win and execute healthcare projects including inpatient hospitals, ambulatory surgery centers, behavioral health facilities, medical office buildings and other facilities. You will provide management review and oversee our regional healthcare team including development of business plans, target pursuits and execute a wide variety of projects, organizational structures, and processes. This role will report regional and practice area leadership for the firm. Our dynamic work environment provides the optimal setting to take your engineering career to the next level. From our supportive culture, diverse workforce, and competitive compensation to our flexible work schedule Monday to Thursday in the office for 9 hours and Friday for 4 hours remotely at home and fun social events, it is everything you will need for an exciting, challenging, and rewarding career. As a management owned private entity, we seek to reward our key leaders with ownership opportunities to drive overall performance and recognition. Job Responsibilities As an Associate Practice Area Director, you will oversee and expand an existing staff, coordinate the execution of all healthcare activities in your region and maintain client satisfaction. You will generate new revenue and increase existing revenue streams within the Healthcare Market Focus. You will stay externally focused on developing and deepening your network of prospective clients and business partners, including owners, architects, and PM/CM firms, as well as key general contractors. Track leads for major pursuits, forecast a pipeline of projects and develop winning strategies and teams. Additional responsibilities: Stay abreast of the market both regionally and nationally and keep key team members at the technical forefront of this practice area Develop an appropriate network within the company to facilitate identification and sharing of relevant information between our global team for staffing and project pursuits Focus on ensuring technical excellence of project delivery and providing expert resolution of issues Develop, review and coordinate the regional practice area business plan in conjunction with the global Healthcare plan including coordinating the business plan with other practice areas, geographies, and service Demonstrate a knowledge of Design/Build proposals and contracts. Coordinate goals with other members of the global team to help execute business plan Develop strategies and tactics to explore and penetrate new clients to increase national sales and higher margin work Oversee project financials and interoffice / client reporting structure Work towards revenue generation goal of $1 million to $3 million (annual average for two years) Develop and articulate the firm's value proposition in the market segment to develop market distinction Lead and/or support sales presentations while focusing on selling integrated services Be an active leader and problem solver guiding our team and our partners to successfully deliver exceptional projects Write articles, white papers and speak at industry conferences and events Responsible for strategic recruitment of senior staff with market specific experience; provide leadership to newly hired direct reports Job Requirements: The ideal candidate will possess the necessary leadership skills to oversee all efforts for clients, demonstrating an understanding of owner / client big picture business strategies and revenue goals, as well as the ability to foresee challenges. To succeed in this role, your technical expertise must be complemented by self-motivation, relationship building skills, effective communication skills, and the ability to effectively work in a fast-paced environment. The ideal candidate will be a recognized expert in the science and technology market focus within the industry. Additional requirements: Bachelor's Degree in Electrical or Mechanical Engineering; exceptional candidates may substitute significant years of experience 15+ years of Life Science design experience, preferably a minimum of 5 years in consulting engineering or A/E firm Minimum of 7 years of management experience 5+ years' experience in developing business for engineering Thorough knowledge of MEP systems PE registration is required. Effective team player with the ability to work independently or in a team environment Excellent organization skills, with the ability to manage multiple tasks simultaneously Benefits As an Associate Practice Area Director with Syska Hennessy Group, you will be part of a global firm with an amazing history! We are committed to being the best, advancing engineering design practice, and to supporting our clients with integrity. To make all of that happen, we rely on the talent, drive, enthusiasm, and total job satisfaction of the great people who work here. As a member of our highly collaborative team, we provide you with a flexible benefits package that reflects our respect for your workplace contributions, professional goals, and personal priorities. The personal benefits program at Syska Hennessy Group includes: Medical, Dental, and Vision insurance 401(k) retirement plan with employer matching Roth 401(k) Option Individual and Dependent Life Insurance Short- and Long-Term Disability Health Wellness Programs, including flu shots and biometric screenings Tuition Reimbursement Training and professional development courses Professional development incentive bonuses Opportunities for community outreach through internal networks A Generous Personal Time Off Program (PTO) Transit/parking program Monthly business phone stipend Work from home Fridays Opportunity for ownership as part of this management owned company At Syska, we promote an environment that is committed to embedding diversity and equality into the core of our business and culture. We empower our employees so they can take ownership of their work and development and strive to continually improve themselves and our firm. Syska is a place where you can build an exceptional career and have a lasting impact on the world. Syska Hennessy Group | Integrating the best minds and technology to help clients create exceptional environments The salary range listed below is for this particular job posting. Actual pay range for candidates will be commensurate with candidate's experience, skillsets and competencies and may differ based on the cost of labor in their particular location. California Pay range $116,426-$174,639 USD

Posted 2 weeks ago

Underwriter, Healthcare IRE-logo
Underwriter, Healthcare IRE
Merchants Bank of IndianaCarmel, IN
Apply Job Type Full-time Description The Healthcare Underwriter plays a critical role in the underwriting of healthcare real estate loans. The Healthcare Underwriter will analyze proposed transactions, prepare formal recommendations, and assist in the closing and delivery of approved loans to necessary constituents. A candidate with the desire to learn and grow will have the opportunity to advance within the team and company overall. The position's primary focus will be on healthcare real estate loans, but the responsibilities could also include working with other real estate-related loan products. Requirements Input and analyze income and expense statements to determine maximum loan amounts. Conduct reviews of market areas, properties, and site characteristics. Complete review of borrower and management qualifications. Assist analysts in learning methodology for building proforma income & expenses. Assist analysts in learning healthcare underwriting requirements along with reviewing any lender updates on an on-going basis. Conduct site visits to assess the condition and quality of healthcare projects, their operations, and the market. Order and complete review of third-party reports including appraisals, engineering, seismic, Phase I environmental assessments, and operations & maintenance (O&M) plans. Maintain organized and fully documented underwriting files and manage underwriting checklists. Responsible for crafting the narratives/final loan packages for committee review. Communicate closely with the Underwriting, Production, Closing, and Insurance teams, and others as appropriate to problem-solve deal issues. Responsible for completing underwriting deliverables as part of the closing and submission of the loan to the investor. Expected Experience, Skills, and Education: Bachelor's degree in business or finance preferred. 3-5 years of experience within the real estate industry preferred. A high level of computer proficiency in Microsoft Office (Word and Excel). Demonstrated analytical skills with the ability to evaluate data quickly and take action to move transactions forward. Excellent interpersonal and presentation skills with strong work ethic to meet the daily challenges of a fast-paced environment. Demonstrated ability to develop and execute solutions to complex issues and transactions. Requires critical thinking skills and multitasking. Ability to show ownership of your work, take on challenges, and demonstrate patience. About Merchants Ranked as a top performing U.S. public bank by S&P Global Market Intelligence, Merchants Bancorp is a diversified bank holding company headquartered in Carmel, Indiana operating multiple segments, including Multi-family Mortgage Banking that offers multi-family housing and healthcare facility financing and servicing; Mortgage Warehousing that offers mortgage warehouse financing; and Banking that offers retail and correspondent residential mortgage banking, agricultural lending, and traditional community banking. Merchants Bancorp, with $18.8 billion in assets and $11.9 billion in deposits as of December 31, 2024, conducts its business primarily through its direct and indirect subsidiaries, Merchants Bank of Indiana, Merchants Capital Corp., Merchants Capital Investments, LLC, Merchants Capital Servicing, LLC, Merchants Asset Management, LLC, and Merchants Mortgage, a division of Merchants Bank of Indiana. Merchants Bank and Merchants Capital have recently been honored with the 2025 USA Today Top Workplaces recognition, ranking 22nd nationally within the 500-999 employee category. This is the second year that Merchants has been recognized with this award. These accolades build on our strong history of workplace recognition, including being named a Best Place to Work in Indiana for seven consecutive years (2016-2022). For more information read the entire article here.

Posted 3 weeks ago

Medical Assistant - 4 Days/Week - Crystal Run Healthcare-logo
Medical Assistant - 4 Days/Week - Crystal Run Healthcare
UnitedHealth Group Inc.Middletown, NY
Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York 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 Associate Medical Assistant is responsible for delivery of patient care to individuals, and families in an ambulatory care setting. Under the direction of nurses and providers, the MA assists with patients' wellness, acute illness, chronic disease, disability and end of life needs while maintaining the practice standards. 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: High School diploma/GED 1+ years of clinical experience in a medical office, clinic or hospital setting Preferred Qualifications: 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. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 4 weeks ago

Registered Nurse, Cardiology - Crystal Run Healthcare-logo
Registered Nurse, Cardiology - Crystal Run Healthcare
UnitedHealth Group Inc.Middletown, NY
We offer excellent compensation, benefits within 30 days that include generous PTO, paid holidays, tuition reimbursement, along with opportunities for continued career progression! Optum NY, (formerly Optum Tri-State NY) is seeking a Registered Nurse for Cardiology to join our team in Middletown, NY. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Registered Nurse for Cardiology provides professional nursing care to patients 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, performs telephone triage as needed, and participates in patient teaching. Provides Direction To: Licensed Practical Nurses, clerical assistants, medical assistants, and other non-licensed personnel. Primary Responsibilities: Demonstrates clinical competence in the direct care of patients/significant others in established area of practice, considering developmental differences among patients Demonstrates basic knowledge of common disease processes and treatments, including pertinent diagnostic/laboratory testing and medical/nursing interventions; familiar with preventative health measures related to population served 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 Utilizes evidence-based approaches with patients/families/caregivers to support self-management, self-efficacy, and health-promoting behavior change Collaborates with patients/significant others and other members of the healthcare team to establish goals and priorities to meet patients' immediate and future needs; Actively participates in the care team to ensure that patient needs and preferences are incorporated into the comprehensive plan of care Using population-specific knowledge and clinical expertise, contributes to the continual assessment and effective management of the health needs of assigned patient populations Performs telephone triage with particular emphasis on assessment, problem/priority identification, and decision-making Demonstrates knowledge, skills, and technical ability in medication/treatment administration; administers prescribed medications correctly, with knowledge of proper dosage, route, site, and possible side effects Provides accurate, up-to-date clinical information to patients consistent with professional nursing scope of practice and accepted practice standards, policies, and protocols Performs authorized technical procedures competently (e.g., EKG, phlebotomy, starting/ monitoring IVs, selected laboratory tests, etc.) as may be required in clinical practice area Seeks validation/guidance from physician or other provider and nurse colleagues when necessary Optum NY/NJ was formed in 2022 by bringing together Riverside Medical Group, CareMount Medical and ProHealth Care. The regional alignment combines resources and services across the care continuum - from preventative medicine to diagnostics to treatment and beyond across New York, New Jersey, and Southern Connecticut. As a Patient Centered Medical Home, Optum NY/NJ can provide patient-focused medical care to the entire family. You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Graduate of an accredited school of nursing Registered Nurse licensed to practice in New York State (NYS) with current NYS registration and in good standing Preferred Qualifications: Bachelor of Science in Nursing (B.S.N.) Current BLS certification 2+ years of recent pertinent professional nursing experience in a hospital, medical office, or other clinical setting 1+ years of experience as a registered nurse or 2+ years as a licensed practical nurse in a pertinent practice area 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 $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 1 week ago

T
Floating Director Of Nursing DON For PNW $10,000 Sign On Bonus - Mental Healthcare 901
Telecare Corp.Tacoma, WA
Sign On Bonus: $10,000.00 "They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from Telecare What You Will Do to Change Lives The Floating DON is responsible for activities and functions related to the administration of patient care systems, nursing areas and departments on an interim basis. This position will provide DON functions intermittently in assigned programs. This position will travel extensively as they will be working in different locations as needed. Shifts Available: Full Time position with 100% travel. Hours can fluctuate based on program needs but working hours will be approx 8:00 am- 5:00 pm Monday- Friday Expected starting wage range is $136,906.57 - $169,119.80. The full wage range goes up to $201,333.04. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. What You Bring to the Table (Must Have) Graduate of an accredited school of nursing and four (4) years of experience with two (2) in psychiatric nursing and two (2) years in a supervisory capacity OR a baccalaureate degree in nursing and (2) years of experience, including one (1) year in a supervisory capacity Current valid licensure as an RN in the state of residency, and/or eligible for licensure in the state of operation Personal car that you are willing to drive for work. Personal car insurance with your name listed as a driver. What's In It for You* Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan Paid Time Off: For FT Employee it is 16.7 days in your first year Nine Paid Holidays Career growth opportunity: company has grown 10%+ yearly for the past 5 years For more information visit: https://www.telecarecorp.com/benefits What You Will Love About Working at Telecare Culture of power-with not power-over Your contribution is valued Opportunity to work alongside a multidisciplinary team of clinical professionals Personal commitment to the mission from your team and colleagues Diverse mental health program types with lifelong career advancement opportunities What You Will Do Requires travel 100%. Assignments to a location providing Interim DON functions in new business and/or in the event of program vacancy will vary and may be 2 to 3-month assignments Plans, organizes, directs and controls nursing services Develops departmental goals, objectives, standards of performance, policies and procedures; organizes the department to meet legal, organizational and medical staff guidelines; functions in an advisory capacity to the Administrator in evaluating procedural changes as they relate to care of members served Makes use of management practices that include empowerment of staff, the provision of clear and concise expectations regarding duties assigned employees, frequent feedback focusing on both positive and problematic aspects of work performance and other management practices that are consistent with Continuous Quality Improvement Collaborates with other administrative staff in strategic planning activities with the goal of ensuring ongoing effectiveness of the facility Is available to assist at other Telecare facilities, which may involve travel Establishes staffing requirements and recommends to administration the numbers and classifications of personnel to be employed Directs the recruitment, selection and when necessary disciplinary action within the Nursing Department Implements the safety program and actively participates in reducing Workers Compensation Establishes standards for procurement of supplies and equipment for the department Manages the Nursing Department within allocated budgetary parameters and participates in the development of the fiscal budget Ensures that the nursing department is in compliance with all related state, federal and local licensing regulations and requirements Oversees and ensures medication management and infection control standards Collaborates with leadership team and all departments on quality initiatives Coordinates nursing services with other clinical and ancillary services. In the process of accomplishing this, promotes the cost-effective use of personnel, supplies and equipment Participates and encourages participation from staff in activities, including professional and trade organizations, that promote mental health services Establishes and defines standards which ensure safe and therapeutically effective care Assesses the quality of care rendered by the Nursing Department and ensures sound practice Establishes and maintains a comprehensive Quality Assurance/Quality Improvement program within the Nursing Department which includes frequent collaboration with other departments, employee education and a focus on monitoring departmental standards and actively removing barriers to the provision of high-quality care Is an active participant of all committees involving members served safety, nursing policies, practices and procedures EOE AA M/F/V/Disability May vary by location and position type Full Job Description will be provided if selected for an interview. DON, Nursing, Registered Nurse, RN, Manager, Supervisor If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.

Posted 2 weeks ago

V
Senior Director, Healthcare Law
Vir Biotechnology, Inc.San Francisco, CA
Vir Biotechnology is a clinical-stage biopharmaceutical company focused on powering the immune system to transform lives by discovering and developing medicines for serious infectious diseases and cancer. Its clinical-stage portfolio includes programs for chronic hepatitis delta and multiple dual-masked T-cell engagers across validated targets in solid tumor indications. Vir Biotechnology also has a preclinical portfolio of programs across a range of infectious diseases and oncologic malignancies. We believe the success of our colleagues drives the success of our mission. We are committed to creating a company where everyone feels supported and encouraged to give their best. THE OPPORTUNITY Vir Biotechnology is looking for a dynamic and experienced Healthcare Law Attorney with compliance and privacy experience to join our Legal team as we further our mission of addressing unmet need in infectious diseases and other serious conditions. Reporting to our EVP, General Counsel & Corporate Secretary, you will provide and oversee the development, execution, analysis, interpretation and communication of healthcare law aspects to Vir Biotechnology. You will advise on privacy matters and provide strategic advice on healthcare compliance issues to the company. This role is located in our San Francisco headquarters with an expectation of 4 days per week in office. WHAT YOU'LL DO Be the lead counsel for healthcare law issues related to our product candidates, including review of scientific, clinical, and medical publications, and participating in cross-functional committees charged with setting/implementing clinical and commercial development. Support our clinical operations by providing review of Informed Consent Forms (ICFs), management of adverse events/patient injury issues, and handling of site-specific issues/study promotions. Advise internal teams on clinical, commercial, privacy, and governmental legal matters, including support for Freedom of Information Act (FOIA) requests. Provide guidance on healthcare laws and regulations affecting biopharmaceutical products and operations-this includes compliance, fraud and abuse, privacy, pharmacovigilance, product liability, advertising/labeling and other matters relevant to investigational and commercial therapeutic products. Lead Vir Legal function on all data privacy matters specifically related to clinical operations Support our internal teams on healthcare compliance including the Food, Drug, and Cosmetic Act (FDCA), FDA guidance, U.S. PhRMA Code, Sunshine Act, HIPAA, Stark Law, Anti-Kickback Statute, GDPR, and similar regulations. Support our transactional group by providing regulatory and compliance guidance for clinical trial agreements, consulting agreements, speaker agreements, advisory board agreements, and certain vendor services agreements. Provide compliance guidance related to contracting with HCPs, including conducting FMV analysis and transparency reporting with respect to our external advisory boards. WHO YOU ARE AND WHAT YOU BRING Bachelor's degree and J.D. from a nationally accredited law school; and admitted and in good standing in a U.S. Jurisdiction (preferably California). 15+ years as healthcare law counsel at a biotechnology or pharmaceutical company and/or a law firm supporting pharmaceutical/biotech clients, preferably with product launch experience Command of relevant laws, regulations, guidance and industry codes governing healthcare products, regulatory aspects of healthcare products, healthcare fraud and abuse, global clinical trials, pharmacovigilance, advertising and labeling, product liability, pricing and reimbursement, antitrust, and data privacy Experienced in building, advising, and implementing compliance programs, following guidelines such as OIG and Federal Sentencing Guidelines. #LI-AM1 #LI-Onsite WHO WE ARE AND WHAT WE OFFER The expected salary range for this position is $235,500 - $329,500 per year. Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors. Applicants must currently be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. All employment decisions at Vir Biotechnology are based on legitimate, non-discriminatory business requirements, job duties and individual qualifications. Employment decisions are made without regard to any legally protected characteristics. This commitment extends to all management practices and decisions, including recruitment and hiring, compensation, appraisal systems, promotions, training and career development programs. Vir Biotechnology also strongly commits to providing employees with a work environment free of unlawful conduct or harassment. Vir Biotechnology Human Resources leads recruitment and employment for Vir Biotechnology. Unsolicited resumes sent to the company from recruiters do not constitute any type of relationship between the recruiter and Vir Biotechnology and do not obligate us to pay fees should we hire from those resumes. We ask that external recruiters and/or agencies not contact or present candidates directly to our hiring manager or employees. For hires based in the United States, Vir Biotechnology, participates in E-Verify. Candidate Privacy Notice

Posted 30+ days ago

Manager, Major Account Sales, Healthcare & Education-logo
Manager, Major Account Sales, Healthcare & Education
BrotherColorado Springs, CO
The Company at a Glance Brother is a leading provider of home and office equipment, sewing and crafting products, and industrial solutions. With a legacy spanning over 115 years, our brand is renowned for producing award-winning printers, sewing machines, P-touch labelers, and more. Brother International Corporation (BIC) was established in 1954, marking over 70 years of operations in the United States. Our Americas headquarters is located in Bridgewater, New Jersey. BIC is a wholly owned subsidiary of Brother Industries Limited (BIL), which was founded in 1908 in Nagoya, Japan, and operates in more than 30 countries worldwide. Brother's Americas presence includes subsidiaries in Canada, Mexico, Brazil, Argentina, Chile, and Peru. Why Work at Brother? Brother has consistently been recognized as a best place to work, reflecting our commitment to fostering a workplace culture aligned with our core values of being inclusive, collaborative, customer centric, and socially responsible. We value work-life balance and flexibility, and as a result have introduced policies such as our hybrid office schedule, casual dress code, and flexible Fridays, which allow us to wrap up meetings for dedicated focus time or to start our weekends sooner, year-round. Our commitment to employee growth and development is demonstrated through our offering of facilitated courses and certificate programs and our investment in resources that enable self-paced learning. The Manager, Major Account Sales, Healthcare & Education develops a sales strategy/business plan to expand Brother sales within the assigned territory and achieve sales quota with Healthcare and Education vertical end-user accounts in the U.S. The Manager opens net new accounts and continue to increase business with current customers through an executable sales strategy. Additionally, the role manages current accounts and engages with customers to foster strong relationships and add critical net new sales. WHAT YOU'LL DO Account Management: Identify top current end-users in territory; engage regularly with these customers to drive solid relationships, continue current customer sales, and add critical new net sales Participate in relevant market events, including but not limited to trade shows, technology seminars, and association meetings Collaborate with cross functional teams such as marketing, engineering, and business development to discuss Healthcare and Education vertical solutions and provide feedback on customer needs, workflows, and applications Coordinate team selling activities to ensure utilization of all available resources in prospecting/account management activities Manage all territory HC-EDU bids and RFPs that Brother participates in- both directly and via authorized resellers Stay current with and monitor all variants of contracts in the HC/ED space--- including state contracts, GOV-SLED buying groups, consortiums, and cooperative agreements Sales Strategy Development: Develop an ongoing sales & market business plan/strategy for the territory with objectives and measures to meet sales goals Identify key applications and solutions market for our printing, scanning, and labeling products in the territory Identify and capitalize on strategic partnerships, both internally and externally, communicating frequently so as to penetrate specific end-user customers through a variety of ways, including but not limited to training, inside sales strategy, new solutions, webinars, promotions, and key sales calls Execute strategic sales plan & review findings with management chain weekly Reporting & Administrative Requirements: Provide a monthly report on events of the month and keep all details updated in CRM system weekly Manage and keep an updated calendar at least 90 days in advance Review all vertical sales information from the CRM (Salesforce) detailing specific sales opportunities and all relevant activity Analyze and strategize on report findings with management chain, continually monitoring and adjusting sales strategy as needed ABOUT OUR IDEAL CANDIDATE Education Bachelor's Degree (or equivalent experience) in Business, Marketing, IT, or related field- Preferred Experience Minimum 7 years a combination of experience spanning the following areas:Experience in a Sales environment, managing accounts within a region Experience managing Medium-Large end-user accounts, preferably with specific knowledge on industry operations Licenses & Certifications HIPPA Privacy and Security Trained; Google for Education- Certified Education Level 1- Preferred Software/Technical Skills "Computer peripheral" area (e.g. Printer/Fax/MFC products & solutions) Automation products (e.g. Digital copiers network applications) Customer Relationship Management (CRM) (Salesforce preferred) Other Skills, Knowledge, & Abilities Demonstrated ability to collaborate effectively with internal/external teams, and maintain positive client relationships Excellent communication & presentation skills (verbal & written) Ability to diagnose customer issues & problem-solve for solutions Knowledge of existing contacts, Book of Business with Healthcare, and/or Education (K-12, Higher Education) end customers ADDITIONAL DETAILS FOR THIS ROLE Base Salary The targeted base salary range for this position is $90,000 - $110,000 per year. Base salary is determined by the education, experience, knowledge, skills, and abilities of the successful candidate, as well as factors such as internal equity, cost of labor in the hiring location, and alignment with market data. Additional Compensation This position is eligible for a $34,000 sales bonus in annual total at 100% of target, with the opportunity to achieve above 100% dependent on individual performance and in alignment with company sales and bonus plans. This position is also eligible for a 6.86% bonus at 100% of target, with the opportunity to achieve above 100% dependent on company performance and in alignment with company bonus plans. Bonus awards are discretionary and contingent upon individual performance as well as Brother achieving its corporate objectives, in accordance with the applicable bonus plan in effect. This position is also eligible for an auto allowance paid monthly in the first pay period of each month. This auto allowance may be used in the employee's sole discretion but is intended toward maintenance of the employee's own vehicle they'll be using for business commuting. This is independent and in addition to the company's Travel & Entertainment policy, which covers mileage reimbursement and additional business travel expenses. Benefits Benefits include, but are not limited to, healthcare and wellness coverage, life and disability insurance, 401(k), tuition reimbursement, and paid time off. Details are available at https://mybenefits.nfp.com/Brother/2025/guidebook/ Benefits We offer a comprehensive benefits package with diverse plan options to meet your family's needs, including health, vision, and dental insurance-all effective from day one of employment. Under our 401(k) retirement savings plan, we match up to 100% of the first 4% of employee contributions, with employer matches vesting immediately. Additionally, we offer an educational assistance program that reimburses up to 100% of tuition, lab fees, textbooks, and other related expenses for qualifying programs. To learn more, visit our benefits page: https://careers.brother-usa.com/benefits Our Mission, Vision, & Culture Our mission is to live our "at your side" promise to simplify and enrich the lives of our customers, employees, and communities. We aim to be where people and technology meet, providing products and solutions that enhance how people live, work, and create. We look to our strategic culture drivers - accountability, authenticity, boldness, and excellence - to enable us to consistently deliver on our vision, mission, and shared values. These drivers help us shape a culture that empowers the business to succeed. To learn more about our culture drivers and company culture, visit: https://careers.brother-usa.com/ourculture About Where We Work Brother's corporate headquarters for the Americas is in Bridgewater, NJ, across from the Bridgewater Commons Mall. This location houses key corporate functions, including HR, legal, finance, IT, and supply chain, and a significant presence of our business unit leadership and marketing teams. Our manufacturing and distribution facility in Bartlett, TN spans an impressive 1.5 million square feet - equivalent to 26 football fields - and is located on Brother Boulevard. In addition to the distribution center operations team, this facility hosts several other departments, including our customer service group. Brother also has employees based in other locations, such as Westminster, CO, where many of our marketing and product engineering team members from the mobile solutions division operate, as well as our distribution centers in Richmond, VA and Perris, CA. Additionally, our outside sales teams work remotely within their territories, staying geographically close to the accounts they support to ensure they are always "at your side" for our customers. Links to Learn More To hear more about our business and culture, visit these helpful links: Brother's Product Categories: https://careers.brother-usa.com/our-products Diversity, Equity, and Inclusion (DEI) and Employee Resource Groups (ERGs): https://careers.brother-usa.com/employee-resource-groups-diversity Corporate Social Responsibility: https://careers.brother-usa.com/our-corporate-social-responsibility-sustainability Work-Life and Flexibility: https://careers.brother-usa.com/lifeatbrother Growth and Development: https://careers.brother-usa.com/career-development Follow us on LinkedIn: https://www.linkedin.com/company/brother-usa/ Brother International Corporation ("Brother") is an equal opportunity employer and does not discriminate or make employment decisions on the basis of race, color, religion, sex, disability, or any other characteristic protected by applicable state or federal laws. If you require any physical or other assistance in completing this application or any other aspect of the application or interview process, a reasonable accommodation will be made upon request.

Posted 30+ days ago

C
Complex Claims Consultant - Healthcare
CNA Financial Corp.Louisville, KY

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Job Description

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including dentists, physicians, nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers, along with the facilities and practices in which they work. This role will support the Healthcare business and interact with these key customers.

You will be responsible for the overall investigation, management and resolution of Healthcare professional liability claims in multiple states. You will be recognized as a technical expert in the interpretation of complex or unusual policy coverages. Under general management direction, you will work within defined authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting and Risk Control, to share claim insights that aid in good underwriting and risk management decisions.

The individual will work with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. The individual will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. They should be able to utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.

This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

  • Manages an inventory of highly complex healthcare professional liability claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
  • Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
  • Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language, estimating potential claim valuation, working with counsel and following the company's claim handling protocols.
  • Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
  • Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts where necessary, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
  • Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
  • Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
  • Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
  • Keeps leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
  • Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
  • Mentors, guides, develops and delivers training to less experienced Claim Professionals.

May perform additional duties as assigned.

Reporting Relationship

Typically Director or above

Skills, Knowledge & Abilities

  • Thorough knowledge of the professional liability insurance industry, products, policy language, coverage, and claim practices. Understanding of dental malpractice claims and policies is strongly favored.
  • Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
  • Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
  • Strong work ethic, with demonstrated time management and organizational skills.
  • Ability to work in a fast-paced environment at high levels of productivity.
  • Demonstrated ability to negotiate complex settlements.
  • Experience interpreting complex insurance policies and coverage.
  • Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
  • Knowledge of Microsoft Office Suite and ability to learn business-related software.
  • A commitment to collaboration and demonstrated ability to value diverse opinions and ideas.

Education & Experience:

  • Bachelor's Degree or equivalent experience. JD a plus.
  • Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
  • Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
  • Professional designations are a plus (e.g. CPCU).

#LI-KP1

#LI-Hybrid

In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact leaveadministration@cna.com.

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