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

Posted 2 weeks ago

Solution Architect, Healthcare Integrations-logo
Solution Architect, Healthcare Integrations
Health GPT IncPalo Alto, CA
About Us: Hippocratic AI has developed a safety-focused Large Language Model (LLM) for healthcare. The company believes that a safe LLM can dramatically improve healthcare accessibility and health outcomes in the world by bringing deep healthcare expertise to every human. No other technology has the potential to have this level of global impact on health. About the role: We are seeking a dynamic and experienced individual to join our team as the Solution Architect focused on Healthcare Integrations. In this role, you will play a pivotal role in driving successful product integrations with organizations in the payor, provider, and digital health sectors. You will collaborate closely with our client's technical and operational teams to facilitate smooth implementation processes and ensure optimal utilization of our solutions. Key Responsibilities: Lead the technical aspects of pre-sales and post-sales cycles, ensuring a seamless and tailored experience for each client. Educate clients on the features and functionalities, serving as their first point of contact for technical inquiries. Act as the primary technical resource during product implementation and evaluation, adeptly navigating complex topics such as data integration, product configuration, etc. Collaborate closely with cross-functional teams, including product, engineering, AI, clinical, and sales teams, to ensure successful outcomes for clients. Develop tooling and playbooks to streamline and automate key pre-sales activities, improving efficiency and scalability. Qualifications: Bachelor's or Master's degree in Computer Science, Business or a related field Minimum of 5 years of experience in healthcare implementation or product management. Minimum of 5 years of experience integrating with enterprise EHRs (Epic, Cerner, Athena, etc.). Familiarity with healthcare data and interoperability standards (such as FHIR, HL7v2, etc.). Experience in hospital operations, especially in the ambulatory or home health contexts. Experience with ancillary healthcare integrations, including population health systems, CRM, ERP, etc. Proven ability to cultivate strong customer relationships and deliver exemplary product support. Demonstrated proficiency in translating external stakeholder needs into internal product requirements. Preferred Qualifications: Comfortable reading and debugging Python. Start-up experience preferred. Why Join Our Team: Innovative Mission: We are developing a safe, healthcare-focused large language model (LLM) designed to revolutionize health outcomes on a global scale. Visionary Leadership: Hippocratic AI was co-founded by CEO Munjal Shah, alongside a group of physicians, hospital administrators, healthcare professionals, and artificial intelligence researchers from leading institutions, including El Camino Health, Johns Hopkins, Stanford, Microsoft, Google, and NVIDIA. Strategic Investors: We have raised a total of $278 million in funding, backed by top investors such as Andreessen Horowitz, General Catalyst, Kleiner Perkins, NVIDIA's NVentures, Premji Invest, SV Angel, and six health systems. World-Class Team: Our team is composed of leading experts in healthcare and artificial intelligence, ensuring our technology is safe, effective, and capable of delivering meaningful improvements to healthcare delivery and outcomes. For more information, visit www.HippocraticAI.com. We value in-person teamwork and believe the best ideas happen together. Our team is expected to be in the office five days a week in Palo Alto, CA unless explicitly noted otherwise in the job description

Posted 3 days ago

Account Supervisor, Healthcare-logo
Account Supervisor, Healthcare
Ruder FinnNew York, NY
As one of the leading independent global communications and integrated marketing agencies, Ruder Finn thrives off a spirit of innovation and entrepreneurship that is singular in today's communication world. We value excellence before seniority, hunger for knowledge and achievement, and independence to pursue what's next. Ruder Finn provides global perspectives, insights, and resources combined with the knowledge, creativity, and exceptional client service of a local agency. Ruder Finn is seeking an exceptional Account Supervisor in the Healthcare Practice. As an Account Supervisor, you will be an integral part of our dynamic team, helping to manage and execute strategic communications programs for our healthcare clients to drive disease awareness, execute social and influencer programs, support data milestones and more. Your role will involve close collaboration with senior leadership and clients to create and execute campaigns that achieve client objectives and management of junior team members. If you have a passion for healthcare, love tackling new challenges, and working with a team, this role is perfect for you! We want someone who is excited to work on breakthrough product communications in the areas of oncology and ophthalmology. This individual will need to build strong client relationships and drive growth within an agency environment and possess a strong record of account management with exceptional client service. Key Responsibilities Serve as client and account lead, managing day-to-day activities and ensuring client's objectives and strategic vision are being met Oversee multiple projects for multiple clients from conception to completion by anticipating challenges, troubleshooting problems, proposing solutions, offering client counsel, overseeing work quality and ensuring deadline and budget adherence Demonstrate in-depth knowledge of client's business, including its competitors and their products, public opinion/market trends, influencers and media trends, and understanding how those factors may impact client's business Contribute significantly to the research, planning, and development of comprehensive, contemporary, and strategic public relations campaigns. Employ innovative thinking to generate alternative strategies and options for campaigns and programs Elevate problems to senior team members along with proposed solutions, soliciting their counsel when needed Lead the development of core materials, including media strategy, press releases, key message documents, social media content and communications plans Show a high level of responsiveness and communicate with clients, supervisors and account teams in a clear and timely manner Adapt communication style according to the audience and message being communicated Promote two-way communication within the team and invite ideas and creativity from junior team members. Motivate team members to collaborate to reach shared objectives Convey ideas clearly and confidently in client meetings and presentations Set a good example for others to follow; bring new ideas and embrace different ways of thinking Provide direct, complete and actionable positive and constructive feedback to others Delegate effectively, set clear expectations and deadlines Build program budgets, track finances, create SOWs, and support forecasting while ensuring resources align with client needs Qualifications Minimum 4 years of experience within public relations/communications, healthcare or pharmaceutical experience is preferred Bachelor's degree in communications, public relations, biology or a related field Understanding of product communications, patient advocacy and the data/regulatory processes (e.g., clinical trial phases, FDA approvals) Experience with MLR process, using systems such as Veeva, is preferred Effective written and verbal communication skills, presentation skills and organizational skills Knowledge and experience of public relations campaigns in key therapeutic areas - specific experience with oncology and ophthalmology is preferred Benefits & More Competitive base salary and bonus opportunity Health, Dental, Vision, company paid Life Insurance, Flexible Spending Account, as well as 401k (match) plan. Monthly allowance for cell phone, office equipment, etc. Generous PTO policy with paid maternity/paternity leave Professional learning and development opportunities Workplace flexibility On-site and off-site social gatherings The anticipated salary range for this position, at the time of posting, is $75,000 - $100,000. The salary of the applicant selected for this role will be based on a variety of factors, including but not limited to, education, internal equity, geography, relevant years of experience, certifications, skills, abilities of the selected applicant, and other job-related Ruder Finn provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information, military and veteran status, and any other characteristic protected by applicable law. Ruder Finn will not tolerate discrimination or harassment based on any of these characteristics. Ruder Finn believes that diversity and inclusion among our employees is critical to our success as a global company, and we seek to recruit, develop and retain the most talented people from a diverse candidate pool.

Posted 1 week ago

Healthcare Consulting Associate - CDI Inpatient Coding-logo
Healthcare Consulting Associate - CDI Inpatient Coding
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. At Huron, An Associate leads with expertise and collaboration, partnering with Huron and client leaders to create sustainable solutions that drive meaningful results. As an Associate, with our Healthcare CDI team, you will lead one or more project work streams utilizing Huron approaches, methodologies helping clients solve their business challenges to advance their clinical and financial outcomes. You'll work on varied projects, gain valuable, hands-on consulting and change management experience, while positively impacting mission-driven healthcare organizations. Your role will foster a supportive, inclusive environment, empowering team members and creating a workplace where diverse perspectives are valued. You will build critical leadership skills to grow your career and mentor junior Huron staff. This allows you to make an impact and provide you career opportunities both within and beyond your areas of expertise. If you're passionate about driving impactful solutions and believe in the power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Associate in CDI, you will: Partner with project team members and client stakeholders to design and implement effective solutions by leveraging proven methodologies and best practices Leverage critical thinking skills in both data collection and complex analysis identifying data gaps and risks to develop sound conclusions and create implementable, sustainable recommendations for improvement Effectively summarize information and present findings and recommendations to varying levels of Huron and client leadership Provide direct supervision of junior project team members including coaching mentorship, leading teams, and providing feedback through performance management Deliver solutions tailored to each client's unique needs, enhancing both impact and accessibility across healthcare services Requirements: Bachelors' degree and RHIT (or RHIA) and CCS certifications required Minimum 3 years of inpatient coding experience across all specialties in an acute care hospital Strong leadership and management skills aligning to Huron's core values and competencies Proficient in ICD-10-CM/PCS and both MS-DRG and APR-DRG assignment Maintains 95%+ DRG assignment accuracy Experienced with Epic and Cerner EHR systems Skilled in coding quality audits and inpatient coding education Proficiency in Microsoft Office (Word, PowerPoint, Excel) Willingness and ability to travel every week up to 80% (Monday-Thursday with occasional onsite Fridays) and work extended hours as needed US Work Authorization required Preferences: Experience in a matrixed organization or cross-functional team environment CCDS/CDIP certification #LI-CM1 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 1 week ago

Government Healthcare Actuarial Manager-logo
Government Healthcare Actuarial Manager
Marsh & McLennan Companies, Inc.Minneapolis, MN
We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. This role will be based in Phoenix, Atlanta, D.C., or Minneapolis. This is a hybrid role that has a requirement of working at least three days a week in the office. Mercer's Government Human Services Consulting (GHSC) practice has touched more than 60 million lives since our inception in 1985, working with state Medicaid agencies to transform Medicaid programs to better serve our most vulnerable communities. Our nearly 500 specialists provide comprehensive services including actuarial and financial, clinical and behavioral health, pharmacy, policy, and more. We will count on you to: Lead routine client engagements, managing overall service delivery and strategy, financial evaluations, plan design, and more Draft and review client reports and presentations to summarize findings and implications, and recommend strategies and solutions to the client Perform and review complex analyses and cost projects by using or modifying existing tools and pricing models, and review analyses conducted by junior staff to ensure actuarial soundness and correct use of models Handle day-to-day client contact and management, resolving any project-related questions and challenges, and guide junior staff members in client interactions Assist senior team members in the development of the business by identifying potential areas of growth in existing projects, and provide assistance in responding to requests for information or proposals What you need to have: BA/BS degree 5+ years minimum health actuarial experience, with 3+ years of Medicaid actuarial experience Actuarial credentials (ASA, FSA, MAAA) Ability to handle client and project management in a demanding work environment with tight deadlines What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Experience leading large teams and/or large, complex projects Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $117,000 to $234,500. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 3 weeks ago

ICG Business Development Officer (Bdo), Healthcare-logo
ICG Business Development Officer (Bdo), Healthcare
US BankChicago, IL
At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed. We believe it takes all of us to bring our shared ambition to life, and each person is unique in their potential. A career with U.S. Bank gives you a wide, ever-growing range of opportunities to discover what makes you thrive at every stage of your career. Try new things, learn new skills and discover what you excel at-all from Day One. Job Description U.S. Bank is the fifth-largest commercial bank in the United States. The Institutional Client Group (ICG) is the relationship-management team that serves our largest clients - ranging from $25MM in annual revenue to large corporate institutions - delivering solutions from across the bank to help companies meet their business goals. ICG operates in every state and supports multiple sectors, from healthcare to technology. Its new team of Business Development Officers (BDOs) will drive growth by building a network of contacts and leads, identifying new opportunities, and cultivating strong client relationships that increase revenue and market share for U.S. Bank. Position Summary: As Business Development Officer (BDO), your primary focus is driving growth by identifying, prospecting, and acquiring new corporate and commercial banking clients within the critical healthcare sector with over $50MM in annual revenue. This role is tailored for a results-driven professional passionate about building strong client relationships and expanding the bank's market presence. High performers will develop relationships with medical practices, hospitals, healthcare systems, and related businesses to provide tailored financial solutions to this industry. Success will be measured by the ability to cultivate leads, secure new business, and contribute to the bank's overall revenue and market share growth. The BDO will collaborate closely with our Healthcare Specialized Industry Group to ensure seamless client experience and capitalize on market opportunities in this sector. Key Responsibilities: Prospecting & Lead Generation: Identify potential commercial clients through market research, industry networks, referrals, and events Develop and execute a strategic prospecting plan to build and maintain a robust pipeline of new business opportunities Client Acquisition: Initiate contact and engage with decision-makers, presenting tailored banking solutions that meet client needs Conduct thorough needs assessments and deliver compelling proposals to secure new client relationships Stay ahead of market needs by providing insights on market trends and tailored financial strategies Market Expertise: Stay informed about market trends, competitor offerings, and industry developments to position the bank as a leader in commercial banking Leverage market intelligence to identify untapped opportunities and optimize outreach strategies Relationship Building: Collaborate with internal teams (RMs, Treasury, Payments, Product, Credit, etc.) to deliver seamless onboarding experiences for new clients Represent the bank at community and industry events, enhancing brand visibility and credibility Monitor client satisfaction and resolve issues promptly, ensuring long-term loyalty Performance Metrics: Achieve and exceed monthly, quarterly, and annual new business development goals through robust scorecard measurement Maintain accurate and up-to-date records of prospecting activity, pipeline status, and closed deals in CRM tools Qualifications & Skills: Bachelor's degree in Business, Finance, or a related field (preferred) 5+ years of proven success in a corporate/commercial banking environment or similar sales role, with a focus on new client acquisition Strong understanding of commercial banking products and services, including credit, treasury, and cash management Proficient in CRM platforms and prospecting tools Exceptional communication, negotiation, and presentation skills Entrepreneurial and driven to achieve ambitious goals Ability to build trust and credibility with clients and internal stakeholders Other Requirements: Willingness to travel as required for prospect meetings and industry events Established network within healthcare industry, or previous experience serving as RM to healthcare industry If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. Benefits: Our approach to benefits and total rewards considers our team members' whole selves and what may be needed to thrive in and outside work. That's why our benefits are designed to help you and your family boost your health, protect your financial security and give you peace of mind. Our benefits include the following (some may vary based on role, location or hours): Healthcare (medical, dental, vision) Basic term and optional term life insurance Short-term and long-term disability Pregnancy disability and parental leave 401(k) and employer-funded retirement plan Paid vacation (from two to five weeks depending on salary grade and tenure) Up to 11 paid holiday opportunities Adoption assistance Sick and Safe Leave accruals of one hour for every 30 worked, up to 80 hours per calendar year unless otherwise provided by law U.S. Bank is an equal opportunity employer. We consider all qualified applicants without regard to race, religion, color, sex, national origin, age, sexual orientation, gender identity, disability or veteran status, and other factors protected under applicable law. E-Verify U.S. Bank participates in the U.S. Department of Homeland Security E-Verify program in all facilities located in the United States and certain U.S. territories. The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Learn more about the E-Verify program. The salary range reflects figures based on the primary location, which is listed first. The actual range for the role may differ based on the location of the role. In addition to salary, U.S. Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401(k) contribution and pension (all benefits are subject to eligibility requirements). Pay Range: $159,970.00 - $188,200.00 - $207,020.00 U.S. Bank will consider qualified applicants with arrest or conviction records for employment. U.S. Bank conducts background checks consistent with applicable local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act as well as the San Francisco Fair Chance Ordinance. U.S. Bank is subject to, and conducts background checks consistent with the requirements of Section 19 of the Federal Deposit Insurance Act (FDIA). In addition, certain positions may also be subject to the requirements of FINRA, NMLS registration, Reg Z, Reg G, OFAC, the NFA, the FCPA, the Bank Secrecy Act, the SAFE Act, and/or federal guidelines applicable to an agreement, such as those related to ethics, safety, or operational procedures. Applicants must be able to comply with U.S. Bank policies and procedures including the Code of Ethics and Business Conduct and related workplace conduct and safety policies. Posting may be closed earlier due to high volume of applicants.

Posted 1 week ago

Complex Claims Consultant (Healthcare)-logo
Complex Claims Consultant (Healthcare)
CNA Financial Corp.Tarrytown, NY
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Start the next chapter of your career as a Complex Claims Consultant in Healthcare for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities, including 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. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling, healthcare/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 Specialist 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 day ago

Healthcare Construction Senior Project Manager-logo
Healthcare Construction Senior Project Manager
STV Group, IncorporatedEmpire State Building, NY
STV currently has opening for a Healthcare Senior Project Manager in the Construction Management group in Nassau County. We are seeking Healthcare Senior Project Managers in the Nassau County with a strong history of recent healthcare experience representing owner's on capital programs, facility upgrades, renovations and additions for both new and occupied healthcare facilities. The successful candidate will assume a role in our division managing Capital Program Management/Owners Representative assignments. The successful candidate will represent the owner and owner stakeholder groups and be an integral part of a high preforming team of professionals leading the delivery of projects and or programs for healthcare specific clients in Southern Florida. The Senior Project Manager will represent the owner's interest in managing design professionals and contractors constructing state of the art Healthcare, Pharmaceutical and Bio Life Science facilities. In this role the Senior Project Manager will work alongside of executive managers and will guide the project team to manage all phases of the project life cycle including but not limited to budgeting, planning, design, bidding, construction, commissioning, move management planning and close out services. Join STV and become part of one of the most dynamic and fast paced market sectors in the construction industry. Responsibilities: Responsibilities include assisting the Executive Managers in leading the project team. The SPM will set goals, develop project implementation strategies, policies and procedures to guide the project/program and mentoring team members. The SPM shall manage staff, recruit new staff, manage program financials and schedules. In addition, the SPM shall carry out duties as assigned by the Executive Team to achieve the successful completion of the program. The SPM shall lead cross functional healthcare infrastructure projects/programs and initiatives with demanding resource requirements, risk, and/or complexity. Negotiate program scope changes, staffing assignments, and fees on behalf of STV. Develop program organizational structures and implementation strategies. Define program resource requirements. Manage the client relationship. Monitor design and construction activities to ensure that all phases of work are done in accordance with contractual agreements and corporate quality standards. Define and assign project responsibilities to the Project/Program Team. Develop policies and procedures to foster the growth of a high performing team. Evaluate program financials, cash flow analyses, and cost estimates, as well as purchase orders, change orders, and invoices and implement actions to facilitate program compliance and the successful delivery of the program. Work with team to forecast, identify and addresses areas of potential liabilities and risks. Work with team to develop, monitor, and maintain project schedules. Ensures that project objectives are met. Develop and implement policies and procedures to maintains client, consultant, contractor, and vendor relationships. Works with team to manage conflict resolution. Communicates complex ideas, anticipates potential concerns and persuades others, which may include executive leadership, to adopt positions to facilitate the successful conclusion of the project. Develop standards, protocols, policies and procedures to facilitate project success. Build a collaborative work environment. Provides guidance, direction, and instruction to less experienced team members and colleagues. Required Skills: The ideal candidate will have a bachelor's degree in Civil, Mechanical or Electrical engineering in conjunction with commensurate years of industry experience Minimum of 15 years of infrastructure owner representative/project management experience, specifically in Hospital, Healthcare Systems. Demonstrated history in managing a minimum of $100 million in healthcare or related construction types. Demonstrated experience in managing high-rise construction projects. Demonstrated experience in managing program/project teams on large complex healthcare projects. Demonstrated experience, knowledge, and a track record in project management techniques, concepts, principles, and standards. Requires excellent written and verbal communication skills and the ability to effectively communicate at all levels internally and externally to establish credibility on project teams. Knowledge and ability to creatively resolve issues as they arise. Knowledge and ability to supervise people including recruitment, training, performance management, and people development. High proficiency with general Microsoft applications, including MS Project and Share Point. Demonstrated experience with project management software and applications. Compensation Range: $134,105.70 - $178,807.60 Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At STV, we are fully committed to expanding our culture of diversity and inclusion, one that will reflect the clients we serve and the communities we work in, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description we encourage you to apply anyways. You may be just the right candidate for this or other roles. STV offers the following benefits • Health insurance, including an option with a Health Savings Account • Dental insurance • Vision insurance • Flexible Spending Accounts (Healthcare, Dependent Care and Transit and Parking where applicable) • Disability insurance • Life Insurance and Accidental Death & Dismemberment • 401(k) Plan • Retirement Counseling • Employee Assistance Program • Paid Time Off (16 days) • Paid Holidays (8 days) • Back-Up Dependent Care (up to 10 days per year) • Parental Leave (up to 80 hours) • Continuing Education Program • Professional Licensure and Society Memberships STV is committed to paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is STV's good-faith salary estimate for this position. Please note that the final salary offered for this position may be outside of this published range based on many factors, including but not limited to geography, education, experience, and/or certifications.

Posted 30+ days ago

Network Contracting Manager (Healthcare) - Roseburg, OR-logo
Network Contracting Manager (Healthcare) - Roseburg, OR
P3 Health PartnersRoseburg, OR
People. Passion. Purpose. At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. We are looking for a Provider Contracts Manager (Network Contracting Manager). If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team. P3 is headquartered in Nevada with additional offices in OR, CA, AZ and FL. This is an on-site position in Oregon. Must be able to travel up and down the I5 corridor. Network Contracting Manager Overall Purpose: The Provider Contracts Manager (Network Contracting Manager) is responsible for developing, negotiating, and managing contractual, legal and financial arrangements with providers that ensure our patients have superior access to the highest quality, cost-effective providers of healthcare services. Education and Experience: Bachelor's Degree preferred or in process of completion or equivalent experience. Must have a minimum of five years of specific work experience in managed care contracting to include network expansion projects, hospital contracting, primary and specialty physician contracting, and ancillary contracting. Must be well versed in CMS reimbursement methodologies, including capitation, per visit, per diem, DRG, APC, and value-based incentives. Robust understanding of Medicare Advantage is highly preferred. Prefer national contracting negotiation experience. Prefer network operations experience. Knowledge, Skills and Abilities: Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy. Excellent verbal and written skills. Ability to interact and communicate with individuals at all levels of the organization and external parties. Demonstrated knowledge of variety of computer software applications in word processing, spreadsheets, database, and presentation software (Word, Excel, Access, PowerPoint) Work requires continual attention to detail in composing, typing and proofing contracts. Demonstrated ability to create applicable contract language and have taken college level courses in writing contracts. Ability to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands. Excellent planning and coordinating skills. Ability to travel. Travel will be required to engage with potential providers, develop relationships with physicians, clinical teams, etc. and overall building of the organization's networks. Travel may include local daytime to the market or may also be overnight travel as assigned. Essential Functions: Assist with all network contracting activities, including physician, ancillary and hospital contracting. Support Network Development & Contracting with payer negotiations and implementations. Participate in all new network expansions and future organizational opportunities. Acts as a liaison for various contracting and operational projects for hospitals, ancillary providers, and physicians. Coordinates managed care contracting for acquisitions and networks. Coordinates and produces Monthly Network Contracting Reports. Oversees variety of Network Contracting processes. Applies approaches and methodologies to accomplish project deliverables, such as analysis, documentation, and training. Handles confidential and non-routine information. Delivers assigned projects on time and compliant to applicable state and federal regulations. Assure project milestones and deliverables are met. Must have car and ability to travel overnight. Organizes and prioritizes large volumes of information. General administrative duties.

Posted 30+ days ago

Assurance Manager - Healthcare-logo
Assurance Manager - Healthcare
EisneramperMinneapolis, MN
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 an Assurance Manager to join the Healthcare Assurance practice, able to sit in a number of our offices. We are seeking someone who thrives in a growing environment and providing clients with exceptional services. 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: Collaborate to plan audit objectives and determine an audit strategy Lead multiple audit engagements and competing priorities Review and examine, and analyze accounting records, financial statements, and other financial reports to assess accuracy, completeness, and conformance to reporting and procedural standards Maintain active communication with clients to manage expectations, ensure satisfaction, and lead change efforts effectively Understand and manage firm risk on audits and proposals Supervise, train and mentor staff during engagement Assess performance of staff for engagement evaluations Basic Qualifications: Bachelor's degree in Accounting or equivalent field 5+ years of progressive audit and/or assurance experience CPA Experience with healthcare clients Preferred/Desired Qualifications: Master's degree in Accounting or equivalent field 1+ year of supervisory experience 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 Assurance Team: In the EisnerAmper Assurance Group, we're transforming the traditional reputation of auditing. By operating on the core tenets of profound trust, professional integrity, and consistent results, we strive to create lasting partnerships with our clients based on solutions rather than simply identifying issues in their financial statements. To stay up to date with evolving industry processes and regulations, we place a heavy emphasis on continued education and the consistent adoption of new technologies. This enables us to effectively innovate, grow as individuals, and provide faster, more accurate solutions and due diligence for our partners. Acting as a trusted third party to our clients, we provide solutions that create assurance and peace of mind. Because we understand trust comes with time, we define success by the relationships we create and foster. We act as a trusted business advisor every step of the way, from a client's first financial report to their close of business. 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. For Minnesota, the expected salary range for this position is between $112,000 - $121,000 USD Annual. 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. #LI-Hybrid #LI-MC1 Preferred Location: New York For NYC and California, the expected salary range for this position is between 85000 and 150000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 30+ days ago

Director, Key Account Development - Healthcare - Global Account Program | North America |-logo
Director, Key Account Development - Healthcare - Global Account Program | North America |
Kuehne & Nagel Logistics, Inc.Memphis, TN
It's more than a job With a sales career at Kuehne+Nagel, you'll drive long-term business success by mastering sales strategies, nurturing customer relationships and identifying new opportunities. At Kuehne+Nagel, our work is about more than we imagine. Due to continued growth within our Global Healthcare organisation, Kuehne+Nagel are expanding our Global Key Account Team to manage some of our most strategic Healthcare customers. Reporting to our vertical lead in North America, this role will form a key part of our global account program and is a senior strategic key account management role. The role is based in the US but will be focussed on both managing and leading Global customers within our portfolio. If you excel in building strong relationships, managing senior stakeholders and growing business, this role is perfect for you! How you create impact Our Director, Key Account Development members are strategic consultants with the ultimate responsibility to understand our customers' requirements in proposing solutions that add value and build long lasting partnerships. As a Director of Key Account Development in our Healthcare Global Account Program, you will oversee the end-to-end commercial customer journey for a dedicated portfolio of key accounts. Acting as the leading Kuehne+Nagel representative, you'll manage relationships, develop business strategies, and ensure alignment with our logistics services across all business units. Your role will focus on translating customer needs into actionable plans and driving business growth through strategic sales and account management. Manage and develop key customer relationships across the globe, aligning our logistics services with their needs. Identify new opportunities: increasing the footprint of business and solutions with assigned customer(s), ensuring an attractive and sizeable pipeline and high closing ratio. Drive business development and sales initiatives, focusing on up-selling and cross-selling. Negotiate rates and service contracts, ensuring all commercial requirements are met. Monitor performance metrics and take action to ensure targets are achieved. Develop and maintain detailed account plans, ensuring alignment with customer needs. Transition new business to operations smoothly, ensuring commitments are met. Conduct regular review sessions with customers, emphasising continuous improvement and innovation. Lead and work as part of a Global Customer Management team to drive global share of wallet growth for your specific customers. This position can be located in the East or Central Region of the US, with proximity to a major airport preferred. What we would like you to bring Proven experience in senior key account management and business development within the logistics sector (5+ years of freight forwarding sales experience) with a strong sales track record. Deep understanding of the healthcare industry and supply chain management. Strong stakeholder management and communication skills, with the ability to manage relationships across various organisational levels. Competitive mindset with excellent negotiation skills and a drive to achieve business goals. Proficiency in CRM systems and familiarity with sales management processes. Ability to work independently and collaboratively with cross-functional teams. What's in it for you Kuehne+Nagel offer you a challenging position in a vibrant work environment where development and progress are a priority. Additional to opportunities for professional learning, you will learn to work with cutting-edge IT systems. You will join an ambitious and dynamic team, within a pleasant and casual working climate. You start in a full time role with a very competitive salary, complemented with a suite of additional value add incentives. Apply today to join Kuehne+Nagel as our new Director, Key Account Development- Healthcare and make a significant impact in the healthcare logistics sector! Who we are Logistics shapes everyday life - from the goods we consume to the healthcare we rely on. At Kuehne+Nagel, your work goes beyond logistics; it enables both ordinary and special moments in the lives of people around the world. As a global leader with a strong heritage and a vision to move the world forward, we offer a safe, stable environment where your career can make a real difference. Whether we help deliver life-saving medicines, develop sustainable transportation solutions or support our local communities, your career will contribute to more than you can imagine. The target salary range for this position is between $140,000 and $160,000. Base salary is part of a competitive total rewards package that includes incentive compensation, health and welfare benefits, a 401k retirement savings plan and tuition reimbursement. Individual pay may vary from the target range and is determined by a number of factors including experience, skills, job location, internal pay equity, and other relevant business considerations. Kuehne+Nagel reviews pay ranges regularly to ensure competitive and fair pay based on industry market data. We kindly advise that placement agencies refrain from submitting unsolicited profiles. Any submissions of candidates without prior signed agreement will be considered our property and no fees will be paid.

Posted 1 day ago

Healthcare Sales Specialist-logo
Healthcare Sales Specialist
Welbe HealthLos Angeles, CA
WelbeHealth provides life-extending health care to our most vulnerable seniors. Our PACE model of care is unique, in that we are the health plan and the provider of primary care services that allow our participants to stay in their homes rather than a skilled nursing facility. The Outreach Specialist is a member of our Marketing, Outreach, & Enrollment (MOE) team and is the owner and driver accountable for successful enrollment of prospective participants into our PACE program. They do this by developing and building relationships and generating quality participant referrals that lead to enrollment. They are key to our success and why we are the fastest growing PACE program in California. Our Outreach Specialists are sales professionals who are metrics-driven, thrive in a fast-paced environment, and are great collaborators who promote Welbehealth's values, team culture, and mission. Essential Job Duties: Coordinate and initiate outreach and engagement activities in the communities where seniors live Consistently meet monthly enrollment metric goals Identify opportunities to collaborate with community organizations to generate qualified leads, leading to potential enrollments Establish and maintain best-in-class relationships with community leaders and partners including senior centers, assisted living facilities, food banks, churches, and other community-based organizations Develop and implement monthly marketing plans to achieve monthly enrollment goals with MOE Director Provide education regarding WelbeHealth's services to referral sources in the community Job Requirements: Bachelor's degree in marketing or health care administration preferred DHCS training and exam as a marketing representative within 30 days of hire Minimum of two (2) years of experience in a sales and marketing role with at least one (1) year in a healthcare or senior care setting (within service area preferred; outside sales experience preferred) Technology experience which can include Salesforce, Athena, etc. Benefits of Working at WelbeHealth: Apply your sales expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for. Medical insurance coverage (Medical, Dental, Vision) Work/life balance - we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and sick time 401 K savings + match And additional benefits Salary/Wage base for this role is $75,000/ year + uncapped commission+ Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications. Compensation $75,000-$75,000 USD COVID-19 Vaccination Policy At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. Our Commitment to Diversity, Equity and Inclusion At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law. Beware of Scams Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

Posted 4 weeks ago

Healthcare Associate (Hca) - Med Surg - St. Joseph Warren-logo
Healthcare Associate (Hca) - Med Surg - St. Joseph Warren
Mercy HealthWarren, OH
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 32 Work Shift: Evenings/Nights (United States of America) This position is represented by a Collective Bargaining Agreement * SHIFT/SCHEDULE Full-time 32 hours per week Shift: 10:00pm-6:30am This position will have scheduled shifts every other weekend and holiday Education Requirements: STNA (State-tested Nurse Assistant) or completion of HCA training course with Certification related to acute care setting, or a Nursing Student who has completed first semester of an acute care hospital-based clinical experience or 1 year of relevant experience in a clinical setting JOB SUMMARY: The Health Care Associate(HCA) /Patient Care Associate (PCA) works with his/her team partner(s), the Registered Nurse and the Unit Secretary, to provide direct patient care. As a member of the Patient Care Team, the HCA/PCA is cross-trained to perform a wide range of essential patient services. The HCA/PCA performs a variety of basic age-specific duties to assist in the care of the patients under the direction of a Registered Nurse (RN). All clinical care will be done under the direction of the RN who has determined appropriate tasks for delegation. The HCA/PCA makes observations as directed by the RN and reports deviations to the RN. EDUCATION: High School Diploma/GED preferred STNA (State-tested Nurse Assistant) or completion of HCA training course with Certification related to acute care setting, or a Nursing Student who has completed first semester of an acute care hospital-based clinical experience or I year of relevant experience in a clinical setting. BLS certified by American Heart Association EXPERIENCE: Experience in providing direct patient care. Computer literacy. Previous experience working in specialty area. KNOWLEDGE AND SKILLS: Follows detailed written and oral instructions. Completes specific, routine tasks. Requires basic reading, writing or simple arithmetic skills. May operate basic equipment/machinery. Basic computer skills required PRINCIPAL JOB ACCOUNTABILITIES: Performs general patient care including, but not limited to: bathing, mouth care, changing linens, dressing patient, back rubs, elimination, hygiene and other needs as expressed. Observes patient's responses and reports any adverse reaction or other pertinent information to Registered Nurse and Physician. Demonstrates competency in providing age appropriate care to defined patient populations based on unit/area's scope of service. Obtains and records vital signs, height and weight. Lifts, ambulates and transports patient. Seeks assistance as needed. Positions patient and performs range of motion. Assists physical therapist as needed. Anticipates patient's needs and responds in a timely manner to patient and other caregiver requests. Provides friendly assistance to patient's family members and visitors strong emphasis on customer service. Performs venipunctures for blood collection. Collects specimens (i.e. urine, sputum) and ensures timely transport of specimens to the lab. Performs designated bedside lab tests. Applies oxygen therapy. Performs electrocardiogram (ECG). Performs wound care as directed by the RN. Performs urinary catheterizations and enemas. Observes universal precautions and aseptic techniques. Performs computer order/entry functions as required by care center. Accurately charts patient information following the guidelines for charting by standards. Delivers menus. Prepares patient for meals, distributes food trays, feeds patient and removes trays. Distributes drinking water. Answers phones courteously and quickly addresses the caller's needs. Initiates emergency procedures when necessary. Works overtime as needed. Assists in orientation of new personnel. Job Accountabilities - other Performs other duties as assigned. Acts as a liaison and supports person for family members. Assists with patient education and discharge planning under supervision of RN. Inventories unit and determines supply needs. Conveys needs to appropriate personnel. Assists in daily cleaning of patient rooms and care center. Helps prepare room(s) for incoming patients. Assesses maintenance needs. a. Initiates maintenance requisition to repair equipment, furniture and building fixtures. b. Performs simple maintenance (light bulbs, batteries) Mercy Health is an equal opportunity employer. Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more Benefits offerings vary according to employment status. Department: Med/Surg Unit 3 - St. Joseph It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com.

Posted 6 days ago

Government Healthcare Data Manager-logo
Government Healthcare Data Manager
Marsh & McLennan Companies, Inc.Phoenix, AZ
We are seeking a talented individual to join our Government Healthcare Consulting (GHSC) team at Mercer. This role will be based in Phoenix, Minneapolis, or Atlanta. This is a hybrid role that has a requirement of working at least three days a week in the office. The Government Healthcare Data Manager will serve as a data team leader, working directly with actuarial, financial and data analysts, clinicians and health policy consultants, on large, complex projects. We will count on you to: Act as a project lead and partner with the client to define and manage the scope of the project, serve as an expert on data methodologies, and ensure consistency with industry standards. Oversee all data strategy and processing activities and provide on-going review and guidance throughout the process. Inform client and project teams on the reasons and impacts of data anomalies, exceptions on the analysis, and formulate solutions. Utilize SAS programming software to interpret, validate and analyze large health care data sets. Collaborate with client and project teams to finalize methodologies and educate clients on the impact of their policies on the data. Work with Mercer actuaries, clinicians, and health policy consultants using data to support the design and implementation of innovative and comprehensive solutions to emerging and/or unique challenges faced by clients. Work with project leaders to identify growth and development opportunities for junior data analysts on project teams. Provide guidance, oversight and mentoring to junior data staff as needed. What you need to have: BA/BS or equivalent experience required 10+ years of healthcare claims data, project management experience required 3+ years' experience leading teams Experience overseeing project teams and working in a client-facing capacity Experience using SAS, SQL or equivalent programming language What makes you stand out? Experience working with Medicaid claims data Experience managing large complex projects (preferably in a Consulting setting) Excellent interpersonal skills; strong oral and written communication skills Ability to prioritize and handle multiple tasks in a demanding work environment Strong critical thinking and analytical problem-solving skills Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $115,200 to $230,400. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

Posted 6 days ago

Medical Assistant, Endocrinology - Crystal Run Healthcare-logo
Medical Assistant, Endocrinology - Crystal Run Healthcare
Unitedhealth Group Inc.Monroe, NY
Excellent benefits within 30 days, annual bonus potential, PTO, paid holidays, 401K , tuition reimbursement and more! Opportunities with Optum in the Tri-State region (formerly CareMount Medical, ProHEALTH New York and Riverside Medical Group). Come make a difference in the lives of people who turn to us for care at one of our hundreds of locations across New York, New Jersey and Connecticut. Work with state-of-the-art technology and brilliant co-workers who share your passion for helping people feel their best. Join a dynamic health care organization and discover the meaning behind Caring. Connecting. Growing together. The role of the Associate Medical Assistant is to provide care to patients/significant others via direct and/or telephone contact, following established standards and practices. S/he coordinates with other members of the care team to ensure seamless care delivery, maximal coordination of efforts, and active patient participation in planning and care. Assists physician or other provider with clinical procedures. Location: Monroe Specialty: Endocrinology Required Travel: None Schedule: 8-6 x 4 days. No nights or weekends Primary Responsibilities: Demonstrates clinical competence in the direct care of patients in established area(s) of practice and assisting MDs with procedures Performs clinical duties within scope of practice complying with the accepted department standards, policies, and protocols Demonstrates a proactive approach to patient care, focusing on addressing each patient's individual and family needs at the time of service; communicates identified needs in a timely manner Directs and/or escorts patients to exam rooms in a timely manner Demonstrated clinical competence when assisting physician/mid-level healthcare professional and/or nurse during exams and office diagnostic procedures/treatments Performs authorized procedures competently (i.e. vital signs, vision screening, selected laboratory tests) as directed by physician or nurse in clinical practice area Seeks validation/guidance from physicians, mid-level healthcare professional and/or nurse when necessary Prepares e-prescriptions for processing to pharmacies when instructed to do so by physician per policy Inspects, cleans/prepares and processes instruments/equipment according to manufacturers' guidelines Processes specimens for transport to laboratory, ensuring that specimens are properly labeled, and appropriate orders have been placed in EPIC You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High school diploma or GED 2+ years of relevant entry level work experience Preferred Qualifications: Graduate of an accredited medical assistant program with 1+ years of recent experience as a medical assistant Current CPR / BLS certification The hourly range for this role is $16.00 to $24.42 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 30+ days ago

Housekeeping/Dining Assistant - NHC Healthcare Chattanooga (Parkwood Apartments)-logo
Housekeeping/Dining Assistant - NHC Healthcare Chattanooga (Parkwood Apartments)
National Healthcare CorporationChattanooga, TN
Why NHC? At NHC, we "Put our Heart in Everything We Do!" We take pride in working together as a team in our family-oriented work environment. We provide a culture of excellence, recognition, empowerment, and fun. We offer professional growth opportunities along with competitive compensation wage increases based on performance. If you want this experience in your career, apply today! Position: Housekeeping/ Dining Assistant Work Schedule: 9am - 5pm, including Weekends Job Type: Part Time Benefits include: Flexible Schedules Dental, Vision and Life insurance Opportunity for Advancement Opportunities for Continued Education Competitive Pay Company Stock Purchase Option 401k with matching Housekeeping/Dietary Position Highlights: Assist with cleaning of resident rooms and public areas, as well as assisting with serving meals in our dining room. The ideal candidate will have good customer service skills and be dependable. Must be able to read and understand standard English Must be able to deal tactfully and effectively with residents, families, fellow employees and visitors. Parkwood Retirement Apartments is a small community of neighbors and friends set in a convenient Chattanooga location near Missionary Ridge. At Parkwood Retirement Apartments, residents enjoy the privacy of their own apartment home with the option to take advantage of community features and socialize with other residents. The natural beauty and entertainment and cultural opportunities of Chattanooga surround you. NHC Chattanooga / Parkwood Retirement Apartments is located at the foot of Missionary Ridge across from Memorial Hospital at: 2700-A Parkwood Avenue Chattanooga, TN 37404 If you are interested in working as a Housekeeping/ Dining Assistant for a leader in senior care, share NHC's values of honesty and integrity, and have a heart for the geriatric patient, please apply today and visit our website at nhccare.com/locations/parkwood-retirement-apartments/ We look forward to talking with you! EOE

Posted 30+ days ago

Healthcare Project Manager-logo
Healthcare Project Manager
NbbjNew York, NY
We are an award-winning design firm, fueled by ideas and a culture of collaboration. Our purpose-driven approach creates healthy places, strong communities and a resilient environment. That's where you come in. With leading clients, diverse colleagues and offices in creative capitals around the globe, a career at NBBJ will inspire you to be extraordinary and help create lasting change. You can learn more about our firm, see what it's like to work here and explore recent projects and ideas at NBBJ.com. Join us to make an impact today! The role at a glance: NBBJ New York is seeking a Healthcare Project Manager. The studio is seeking someone who can work independently and collaboratively with a team to manage healthcare projects of varying sizes and lead work efforts of others, oversee the production of project deliverables, and interpret client needs. The successful candidate will have excellent communication and teamwork skills, and the motivation to engage with the array of NBBJ's resources in achieving high-performance, sustainable outcomes. In your new role, you will: Build and maintain day-to-day working relationship with clients and consultants Develop and execute a management work plan for projects Manage team complexity - plan, organize, and supervise the work of a design staff of approximately 3 to 10+ individuals Negotiate and draft contracts and amendments. Proactively work to ensure financial success of each project Be responsible for accuracy and applicability of documents for entire projects Lead decision making process with fiscal accountability and responsibility Assist with proposal preparation and participate in client presentations/interviews Be responsible for all correspondence, reports, documentation, and general administration for each project Be responsible for execution of projects within the boundaries of the design intent Apply sound and diversified knowledge of architectural principals for all aspects of projects Make independent decisions on architectural problems and methods Solve problems creatively with consultants Assist with business development and collaborate with other studios, as needed Develop and leverage existing client relationship for the purposes of wining work What you will need to succeed: 5-10 years or more of professional experience in Architecture At least five years as a licensed Architect Must have a proven track record as a Project Manager with complex healthcare projects involving work that ranges from Pre-design through Construction Administration, including contract negotiation, work plan development and the ability to work with a variety of project delivery methodologies Bachelor's degree; B Arch or M Arch desired LEED Accreditation or within 18 months of hire Excellent leadership, verbal and communication skills, and effective client relationship skills and talent for leading and working with diverse teams of designers Ability to potentially lead and manage multiple projects with competing deadlines Ability to work in a collaborative, design focused open environment Ability to travel as the project(s) requires The annual base pay range for this role is anticipated to be between $90,000 and $115,000. Actual compensation for successful candidates will be carefully determined based on a number of factors, including their skills, qualifications and experience. Why choose NBBJ? We believe that all NBBJ employees should love their work. This means not only loving what you do but having pride in your workplace. We strive to be that irresistible place to work by enhancing your employee experience with customized programs and comprehensive benefits. In addition to 100% covered employee healthcare costs and 401k contributions, we offer unique professional development opportunities, volunteer opportunities and access to leading technology and resources to further help you love your work and advance your career. NBBJ has been named three times by Fast Company as one of the most innovative architecture firms. Founded in 1943, our first office opened over 75 years ago in Seattle, Washington. We now have over 10 office locations around the globe. We are a transdisciplinary, cross-practice focused firm with a deep portfolio of Civic & Cultural, Commercial, Corporate, Healthcare, Higher Education, Science and Technology, Sports, and Urban Environment projects. We also have several areas of service expertise including: Architecture, Environmental Graphic Design, Interior Design, Lighting Design, Workplace Consulting and more. In the past decade, NBBJ has received more than 300 awards from leading global, national and regional award programs across the business, real estate and design communities. We work with 5 of the top global high-tech companies, 14 of the U.S. News and World Report Top Hospitals, and 4 of the top 10 highest-ranked learning institutions. Our clients include institutional leaders such as Cambridge University, Google, Samsung, Cleveland Clinic, Tencent, and Stanford University. NBBJ is an Equal Opportunity Employer. M/F Disabled and Vet EEO/AA Employer. NBBJ does not accept unsolicited resumes or similar submissions from third party recruiters or employment agencies. Any unsolicited materials received by NBBJ from a source other than an individual candidate will be considered NBBJ property and NBBJ reserves the right to pursue and hire candidates referred to us without any financial obligation to the third party in question. If you are interested in becoming an approved NBBJ external recruiter, please contact a member of the NBBJ Talent Acquisition Team.

Posted 30+ days ago

Project Architect - Healthcare-logo
Project Architect - Healthcare
Perkins WillDurham, NC
As a Project Architect on the Perkins&Will team, you will: Be responsible for planning, developing, and executing technical documentation which may include interpreting, organizing, and coordinating project team assignments Direct and coordinate production of schematic, design development and construction documents in collaboration with Project Manager Perform construction administration duties (e.g., RFI's, RFP's, change orders, etc.) Execute applicable agency review analysis (accessibility, zoning, life-safety, etc.) Establish budget, task schedule, and other components of the work plan with Project Manager Participate in marketing efforts and may lead presentations to prospective clients Work with engineering consultants through schematic and design development phases Direct, organize, and mentor junior staff with responsibility for oversight Utilize your rock star technical skills in Revit and other design application software Work hard, play hard, and learn a lot along the way! To join us, you should have: A professional degree in Architecture, Design, or related discipline 8+ years of experience including healthcare experience Proficiency in 3D modeling, visualization, and graphic software; Revit strongly preferred Ability to direct and coordinate work efforts of junior staff Experience in all phases and aspects of a project Familiarity with building codes, specifications, building and engineering systems Understanding of project management process Effective verbal and written communication skills Collaborative and professional work ethic LEED AP or within 6 months of hire Licensure required Equal Employment Opportunity Statement Perkins&Will has established and adopted an Equal Employment Opportunity Employment policy ("EEO"), which is part of the Company's Human Resources Policy. The purpose of this EEO policy is to ensure that all employment decisions are made on a non-discriminatory basis, and without regard to sex, race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity or expression, gender reassignment, citizenship, pregnancy or maternity, veteran status, or any other status protected by applicable national, federal, state, or local law. In some cases, local laws and regulations may provide greater protections than those outlined here and employees will be covered by the laws of their local jurisdiction. Pay Transparency Nondiscrimination Provision Perkins&Will will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

Posted 3 weeks ago

Complex Claims Consultant (Healthcare)-logo
Complex Claims Consultant (Healthcare)
CNA Financial Corp.Radnor, PA
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. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling, healthcare/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 Specialist 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 day ago

Healthcare Consulting Manager - Workforce-logo
Healthcare Consulting Manager - 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. At Huron, Managers are pivotal in driving success by leveraging their expertise to manage projects and lead teams. They forge lasting client partnerships, collaborating to solve business challenges and align results with client goals. Managers mentor junior staff, fostering a culture of respect, unity, and personal achievement. Specializing in areas of expertise while gaining broad exposure, Managers benefit from career growth opportunities and personalized professional development. Every colleague's growth contributes to the organization's success. If you're passionate about leading impactful projects and nurturing talent, Huron offers a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Workforce, you will: Manage complex multi-workstream projects and oversee junior team members Analyze data to implement performance improvement and organizational change Collaborate with team members and clients to align with business objectives Communicate effectively with project teams and stakeholders Lead and develop team members through training, supervision, and feedback Requirements: Bachelor's degree required 6 + years project leadership and workplan management experience with a focus on workforce, labor productivity and benchmarking Relevant hospital operations experience managing department and/or team-based projects with a focus on process re-engineering/performance improvement initiatives and change management within workforce, AND/OR Project leadership and project-plan management experience within a consulting firm setting with a focus on workforce management Willingness and ability to travel every week up to 80% (Monday-Thursday with occasional onsite Fridays) and work extended hours as needed Proficiency in Microsoft Office (Word, PowerPoint, Excel) US Work Authorization required Preferences: Experience in a matrixed organization or cross-functional team environment #LI-CM1 The estimated base salary range for this job is $140,000 - $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. Inclusive of annual incentive compensation opportunity, the total estimated compensation range for this job is $161,000 - $212,500. 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 Manager Country United States of America

Posted 30+ days ago

CareBridge logo
Biostatistician-Healthcare Research
CareBridgeAtlanta, GA
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Job Description

Biostatistician- Healthcare Research

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Newton, MA, Wilmington, DE, Durham, NC, Atlanta, GA, Indianapolis, IN, Mason, OH, Richmond, VA, Norfolk, VA or Louisville, KY.

The Biostatistician- Healthcare Research is responsible for developing and implementing clinical prediction models, experimental design, program evaluation and effectiveness methodologies, and statistical sampling for health plan functions. Will leverage large, complex, and linked real world data assets to provide analytic and programming capabilities to lead and support healthcare research studies. Performs substantive statistical analyses and reporting and will lead data management, share expertise regarding real world evidence (RWE)/claims data and statistical analyses activities for healthcare research studies for Carelon Research's Safety and Epidemiology line of business.

How you will make an impact:

  • Serves as a statistical subject matter resource on Carelon Research's integrated healthcare database.

  • Uses pharmacoepidemiologic methods to assess the safety and effectiveness of drugs and other biologic interventions.

  • Uses a large claims database to conduct studies which focus on improving health outcomes.

  • Leads data management activities by developing programming requirement documents and/or using Instant Health Data (IHD)/SAS/R.

  • Supports the development of protocols, SAPs, tables, figures, and listings (TFLs), and timelines.

  • Leads data analysis activities (e.g. comparative safety and effectiveness analyses, validation, adherence, natural history, and drug utilization studies) following protocol/statistical analysis plan (SAP) development.

  • Creates tables, figures, and other report and publication materials.

  • Articulates methods, progress, and results to study team.

  • Performs quality control to ensure integrity of analysis.

  • Participates in process and/or scientific initiatives.

  • Develops and implements predictive models using artificial intelligence/machine learning methods

  • Responds to and manages ad hoc client requests to ensure accurate, in-depth results/data are delivered in a timely manner.

  • Develops and implements prediction models for member and provider-based interventions.

  • Conducts competitive analysis of risk stratification models and makes recommendations to management.

  • Designs and executes care management program evaluations.

  • Develops evaluation methodologies for measuring the effectiveness of clinical programs.

  • Researches and analyzes broadly defined business scenarios, trends, and patterns and develops recommendations for management.

  • Prepares results for presentation to clients.

Minimum Requirements:

Requires a MS in Biostatistics, Statistics or related field; 3 years healthcare and/or consumer data analysis experience; 2+ years of experience in the development of predictive models; 3 years coding experience with SAS; 3 years of experience manipulating and processing large multi-source datasets with SAS and SQL programming tools; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Experience conducting data management and analyses in claims databases highly preferred.

  • Experience using Panalgo's Instant Health Data (IHD) highly preferred.

  • Experience using SAS highly preferred.

  • Experience using R preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.