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Cambia HealthLewiston, ID
SYSTEMS ANALYST III (HEALTHCARE) Hybrid (In office 3 days/week) within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's Software Engineering Team is living our mission to make health care easier and lives better. The Systems Analyst participates in a team environment for the development, maintenance, and delivery of product/application (s) and data integrations as an integral part of a multi-functional team. This position is generally responsible for business, data and product/application analysis. This position requires business, analytical, design, interpersonal, technical and administrative skills in performing day to day work. - all in service of making our members' health journeys easier. If you're a motivated and experienced Systems Analyst looking to make a difference in the healthcare industry, apply for this exciting opportunity today! What You Bring to Cambia: Preferred Key Experience (MUST HAVE): Healthcare Experience Facets Experience API - Not development Qualifications and Certifications: Bachelor's degree in Computer Science, Mathematics, Business Administration, or a related field and minimum 5 years business or system experience developing requirements for projects where computer software is created The equivalent combination of education and/or experience including experience with methodologies and structured analytical approach Skills and Attributes (Not limited to): Ability to work with teammates and with business partners to participate in sessions to gather, translate and document and system requirements to support transforming requirements into effective technology solutions. Ability to create simple story cards and understand simple acceptance criteria enough to verify results; develop simple technical documentation and understand technical documentation and concepts. Ability to coordinate and facilitate one to one and small groups (3-5) of customers or other analysts for small work efforts. Ability to develop positive relationships among business partners, teammates and management. Ability to follow direction, collaborate effectively with peers to provide results, and relay status to management and peers in a timely manner. Additional Minimum Requirements for level II Understands moderately complex acceptance criteria enough to verify results; develops technical documentation and can understand moderately complex technical documentation. Ability to facilitate and lead small teams (1-3) for moderate work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues. Able to participate in requirements sessions/interviews and document clear requirements for moderate work efforts. Mastering knowledge and skills of common software development methodologies. Additional Minimum Requirements for level III Ability to lead small teams (3-5) for complex work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues and creating status reports. Ability to present and effectively communicate with leadership. Ability to participate in the definition of a QA plan. Ability to use and coach more junior team members and business partners on development methodologies. What You Will Do at Cambia (Not limited to): Read and create simple structured specifications such as use cases, story cards. Read and understand design and business models including basic technical understanding. Writes SQL queries, reads simple data models. Understands and participates in the creation of deliverables by acting as a liaison between the development team and the end users. Contributes to deliverables including analysis, development that may include writing SQL/scripting, quality and validation. Additional General Functions and Outcomes for level II Reads and creates moderately complex and structured specifications such as use cases, story cards and requirements. Provides support for applications and products during releases and warranty which may include quality and validation. Actively acquires basic understanding of API concepts as applicable to the products and teams. Reads most data models and has the ability to participate in logical data model creation. Writes moderately complex SQL queries. Additional General Functions and Outcomes for level III Applies in depth knowledge on health insurance terminology and concepts as needed by the product/application (s) the teams support. Reads and creates complex structured specifications such as use cases, story cards. Reads complex and creates moderately complex business models. Writes well designed complex SQL queries and trains the more junior analysts. Participate/ Actively develop automated validation techniques (QA automation) as applicable to the product and team. Understands basic API concepts, such as API structures, JSON, collections and how to document in a technical design as applicable to the product and team. Reads complex data models and creates basic logical data models. Provide estimates for complex size work efforts increasing accuracy of the estimate as work effort progresses. Trains and coaches less experienced and peer analysts. May participate in the research, evaluation and selection of vendor products, methodologies and processes. Lead medium size groups including multiple departments with a structured approach (i.e. JRP or grooming sessions). Manages own tasks on moderate size enterprise-wide work efforts. The expected target hiring range for the Systems Analyst III is $92k - $124k is depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% . The current full salary range for the Product Manager is $86k / $141k. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Posted 6 days ago
Marsh & McLennan Companies, Inc.Atlanta, GA
We are seeking a talented individual to join our Government Healthcare Consulting team at Mercer. This role will be based in any metropolitan market. This is a hybrid role that has a requirement of working at least three days a week in the office. The Sr. Government Healthcare Data Consultant will define the data process based on project scope, insight from the project lead and direction from the project's senior actuarial staff. We will count on you to: Utilize SAS programming software to interpret, validate and analyze large health care data sets Participate in initial meetings with client or project lead to define the scope of the project and provide insight and expertise including knowledge of the capabilities and flexibility of various approaches Understand the reasons and impacts of data anomalies and exceptions on the analysis, formulate solutions, and communicate to client teams Perform technical peer review for data analysis projects Act as a mentor for junior staff What you need to have: BA/BS or equivalent experience required 5+ years of data analysis experience required Thorough understanding of health care data Experience using SAS, SQL or equivalent programming language What makes you stand out? Experience with Medicaid programs and associated health care data, preferably in a consulting environment Previous leadership experience strongly preferred Excellent interpersonal skills; strong oral and written communication skills Ability to prioritize and handle multiple tasks in a demanding work environment Strong critical thinking and analytical problem-solving skills 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 $88,000 to $176,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
Posted 3 weeks ago
UnitedHealth Group Inc.Albany, NY
Crystal Run, part of the Optum family of businesses, is seeking a Dermatologist to join our team in the New York suburbs. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Position Highlights: Physician-led, patient centered team-based care environment Moderate scheduling templates promoting Work-Life Balance Educate and empower your patients to take ownership of their health Growth and Leadership Opportunities Full complement of support teams to assist with patient care Supplemental Income, Leadership and Teaching Opportunities Independent practice with strong affiliation with local tertiary care hospital that provides a full range of Dermatology medicine Primary Responsibilities: Provide comprehensive skin consultations by evaluating patient skin conditions and screening for disease Utilize patient medical history as part of skin assessments and prescribing medication for the treatment of skin conditions Perform non-invasive surgical procedures on skin Refer patients to advanced specialists as needed Consult with patients about the status of their skin health What makes an Optum Career Different: Be part of a best-in-class employee experience that enables you to practice at the top of your license We believe that better care for clinicians equates to better care for patients We are influencing change collectively on a national scale while still maintaining the culture and community of our local care organizations Practice medicine autonomously in an ambulatory setting partnering with primary care, with a sustainable and thriving national health care organization Compensation & Benefits Highlights: Competitive Compensation with Bonus eligibility Incentivized metrics incorporating Productivity and Quality Outcomes Dedicated CME Time-Off and Allowance as well as accrued Paid Time-Off Growth, Development, Teaching, and Leadership opportunities Robust Retirement package (including employer funded contributions) Company paid Malpractice Insurance Discounted Stock Purchase Plan (UHG: UnitedHealth Group) - ESPP Optum Physician Partnership Program At Crystal Run Health, a part of Optum, we are focused on fostering professional growth, providing the latest technologies, state-of-the-art facilities and a collegial environment that embraces innovation and diversity. As one of the largest private employers in the region, we understand the importance of a healthy work-life balance, offering flexible scheduling, excellent benefits, competitive compensation, and growth opportunities. Together, we're making health care work better for everyone. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Unrestricted licensure in the state of (NY) at time of employment Board Certification or board eligibility in Dermatology Active and unrestricted DEA license or ability to obtain prior to start The salary range for New York residents is $408,034 to $635,717 per year. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. 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. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPOLinkedIn
Posted 30+ days ago
Always Best CareChicago, IL
Home Healthcare Sales & Marketing Director Description of the role: The Home Healthcare Sales & Marketing Director will be responsible for driving sales and marketing initiatives to promote our senior care services in Chicago, Illinois. This position requires a dynamic individual with a passion for sales, marketing, and providing exceptional customer service to our clients. Responsibilities: Develop and execute strategies to generate leads and expand client base Build and maintain relationships with referral sources, such as hospitals, physicians, and assisted living facilities Create and implement marketing campaigns to increase brand awareness and promote our services Monitor industry trends and competitive landscape to identify opportunities for growth Provide guidance and support to the sales team to achieve targets Collaborate with the management team to develop effective pricing strategies Track and analyze sales data to measure performance and identify areas for improvement Requirements: Minimum of 3 years of experience in sales and marketing within the healthcare industry Proven track record of meeting or exceeding sales targets Strong knowledge of the home healthcare market in Chicago Excellent communication and negotiation skills Ability to build and maintain professional relationships Proficient in Microsoft Office and CRM software Benefits: Competitive compensation: $3000 - $4000 per month Healthcare benefits package Paid time off Opportunity for career growth About the Company: Always Best Care Senior Services - Chicago is a leading provider of in-home care services for seniors. We are dedicated to delivering personalized and compassionate care to enhance the quality of life for our clients. With a team of experienced professionals, we strive to be the premier choice for senior care in the Chicago area.
Posted 30+ days ago
American International GroupJersey City, NJ
Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class claims function. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department of General Insurance (AIG Claims, Inc.). Manages an active claims portfolio of the most complex and high exposure medical malpractice (and some GL) claims at primary and excess coverage layers, applying best claims handling practices and following company protocols to manage and oversee all aspects of claims handling, including coverage determinations, investigations, and trial and resolution strategies. The analyst will investigate losses, orchestrate defense strategies for healthcare provider insureds, conduct independent assessments as to exposures and develop/implement effective litigation and action plans, including opportunities for contribution. Drives resolution of 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, negotiating complex settlements, and partnering with insureds and counsel to manage complex litigation. Determines the scope and extent of available coverage and vets/reports complex coverage issues when conflicts arise or are conceivable which may require increased internal coordination with the corporate legal team. Achieves quality standards by effectively 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. Reports large losses and potential challenges anticipated in a given claim early and often to senior leadership. Prepares and presents high profile, complex information to senior leadership, customers, counsel, insureds, brokers, and others by effectively identifying high profile matters, developing executive loss summaries, coordinating and communicating resolution strategies and sharing relevant current events and case law. Maintains full compliance with NPDB and state medical malpractice reporting requirements. Participates in mediations, attend trials and occasionally conduct outside claim audits. Obtains appropriate authority to independently negotiate multi-million dollar claims with premier plaintiffs' counsel nationwide. Utilize ADR when necessary. Effectively strategizes and coordinates litigation budgets with counsel, insureds and third party vendors. Establish clear ground rules with defense and coverage counsel to maintain budget and work product expectations. Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical malpractice), and regulatory changes. Some travel will be required. What you'll need to succeed 7+ years of medical malpractice / professional liability complex claims and/or complex litigation experience. Law Degree (J.D.) or equivalent preferred. Strong written and verbal communication skills along with strong negotiation, litigation management and interpersonal skills. Excellent organizational and computer skills combined with the ability and flexibility to work in a dynamic, challenging and fast-paced environment. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Must be willing and able to travel occasionally. Ready to take your career to the next level? We would love to hear from you. The base salary range for this position in Jersey City, NJ, is $96,000 - $129,000. In addition, the position is eligible for a bonus in accordance with the terms of the applicable incentive plan. We're proud to offer a range of competitive benefits, a summary of which can be viewed here: US Benefits Overview #LI-NT1 At AIG, we value in-person collaboration as a vital part of our culture, which is why we ask our team members to be primarily in the office. This approach helps us work together effectively and create a supportive, connected environment for our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what's most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security-as well as your professional development-to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world's most far-reaching property casualty networks. It is an exciting time to join us - across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of inclusion We're committed to creating a culture that truly respects and celebrates each other's talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The talent of our people is one of AIG's greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com. Functional Area: CL - Claims AIG Claims, Inc.
Posted 2 weeks ago
VizientIrving, TX
When you're the best, we're the best. We instill an environment where employees feel engaged, satisfied and able to contribute their unique skills and talents while living and working as their authentic selves. We provide extensive opportunities for personal and professional development, building both employee competence and organizational capability to fuel exceptional performance through an inclusive environment both now and in the future. Summary: In this role, you will serve as a strategic sourcing expert, delivering best-in-class sourcing and contracting strategies that optimize value for Vizient clients. You will lead all aspects of the sourcing process, including opportunity identification, strategy development, contract execution, negotiations, implementation, and supplier relationship management. You will collaborate with stakeholders and suppliers to design and execute customized sourcing strategies that drive cost savings, improve contract terms, and create new value propositions while building trusted, long-term relationships. Responsibilities: Lead the development and execution of sourcing workplans that align with client objectives and savings goals. Analyze category spend and market trends to prioritize initiatives and develop sourcing roadmaps. Partner with clients to create customized contract portfolios. Manage sourcing projects from RFP development through negotiation, award, and implementation. Monitor pricing and contract performance using Vizient tools and market intelligence to support negotiations. Collaborate with legal and cross-functional teams to ensure compliance with organizational standards. Communicate updates on sourcing opportunities, progress, and challenges to stakeholders. Facilitate stakeholder feedback to drive continuous improvement. Qualifications: Relevant degree preferred. Advanced degree desired. 5 or more years of relevant experience required. (i.e., strategic sourcing, contract management, and / or supply chain) Experience in a healthcare setting preferred. Experience across multiple healthcare supply categories preferred. Proficiency in Microsoft Office with ability to translate data into strategic insights. Experience with procurement or contracting platforms a plus. Skilled in fostering collaboration and alignment, leveraging strong interpersonal and communication abilities to influence and partner with cross-functional teams and external stakeholders. Willingness to travel. Estimated Hiring Range: At Vizient, we consider skills, experience, and organizational needs in our compensation approach. Geographic factors may adjust the range estimate and hires typically fall below the top range. Compensation decisions are tailored to individual circumstances. The current salary range for this role is $88,900.00 to $155,500.00. This position is also incentive eligible. Vizient has a comprehensive benefits plan! Please view our benefits here: http://www.vizientinc.com/about-us/careers Equal Opportunity Employer: Females/Minorities/Veterans/Individuals with Disabilities The Company is committed to equal employment opportunity to all employees and applicants without regard to race, religion, color, gender identity, ethnicity, age, national origin, sexual orientation, disability status, veteran status or any other category protected by applicable law.
Posted 30+ days ago
Perkins WillDenver, CO
The Denver Studio is growing, and we are looking for highly motivated individuals excited to help us grow our Healthcare project sector. Perkins&Will offers a comprehensive benefits package, including medical, dental, vision, wellness, STD, LTD, Life Insurance, 401k, and PTO. Employee perks include a hybrid/flexible work environment supported by cutting-edge technology, professional development time and expense budget, bonuses, studio initiatives and firmwide affinity groups, and a Justice, Equity, Engagement, Diversity, and Inclusion foundation to everything we do. As a Senior Project Architect on the Perkins&Will team, you will: Responsible for leading all phases of the design process with a high level of proficiency and expertise while adhering to firm and project goals and standards of excellence in design, project management, execution and living design. Understands and responds to technical implications, design decisions and project financial goals. Leads and participates in project documentation development and the production of deliverable drawings and specifications. Oversees and manages Quality Control reviews at each phase for conformance with firm standards, contractual obligations and project design intent, with a focus on quality, accuracy, legibility, completeness and constructability. Directs project Quality Assurance efforts and responsible for adherence with Perkins&Will standards. Accountable for effective project coordination efforts among internal disciplines (architecture, interior design, landscape architecture) and with external consultants. Communicates with clients related to project technical matters. Oversees project regulatory reviews (building code, accessibility, zoning) and coordination with, and submission to, authorities having jurisdiction. Ensures effective and efficient of team performance of construction contract administration responsibilities. Maintains awareness of evolving building technology and engineering systems relevant to project work. Contributes to project marketing pursuits, proposal preparation and interviews. Leads collaborative teams in design reviews, charettes and pin-ups. Demonstrates strong and effective communication, decision making and collaboration, which inspires high team performance. Mentors staff and provides oversight of assignments. High-level Summary of Critical, Baseline Technical Skills and Certifications Proficiencies Building, zoning, energy and zoning codes Site analysis Preliminary design studies Contract documents Specifications Construction contract administration Project team organization and management Consultant coordination Client communication Software Advanced Revit Conceptual and computational modeling tools such as Rhino, including Grasshopper scripting Microsoft Office Suite and 365 Adobe Creative Cloud including presentation skills such as InDesign and Photoshop Visualization tools such as Enscape, Lumion and VRay Physical modeling tools such as 3D printing and laser cutting Presentation tools such as InDesign and Photoshop Environmental Analysis software such as Pollination Ladybug and Climate Studio Licensure/Certifications/Education LEED GA within 6 months of hire Professional Accreditation in one area of Living Design that interests you: LEED AP with Specialty, BREEAM AP, WELL AP, SITES AP, Passive House Institute Certified Passive House Consultant/Designer CPHC/CPHD, or ILFI Living Future Accreditation Architectural license Bachelor's degree in architecture or related discipline required HOW TO APPLY Qualified and interested candidates, should apply online. Include your resume, salary requirements, and compact representative sample of your work. Your work samples should include a sample set. You may upload multiple attachment however, each attachment has a file size limit of 6MB. APPLICATIONS WITHOUT A PORTFOLIO/WORK SAMPLE WILL NOT BE CONSIDERED. We foster a culture that is diverse and inclusive and strive for pay practices that are fair, competitive and reflect our commitment to pay equity. Our compensation decisions include but are not limited to a candidate's qualifications including skill sets, education, experience and training, licensure and certifications credentials if applicable, and business-related factors. This practice extends to all employees, including performance considerations for merit increases, job promotions, and transfer opportunities. We additionally review our pay practices, conduct pay equity audits, and ensure our managers are trained in our pay practices on an annual basis. At the time of posting this job advertisement, the annual pay salary range for this position is between $104,500 and $153,600 commensurate with qualifications. Equal Employment Opportunity Statement Perkins&Will has established and adopted an Equal Employment Opportunity 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. #LI-Hybrid
Posted 30+ days ago
Capstone DCWashington, DC
We are seeking a highly motivated Senior Associate with at least four years of experience in pharmaceutical pricing or deep healthcare industry expertise. The ideal candidate will possess a strong understanding of pricing metrics, reimbursement models, and rebate mechanics, with the ability to translate complex policy and pricing frameworks into actionable investment insights. This role requires hands-on analytical skills, proficiency in Excel, SQL, and Python, and experience working with government or commercial claims data. Key Responsibilities Analyze pharma pricing structures, reimbursement models, and rebate mechanics to identify investment opportunities. Work with large datasets and apply quantitative skills (Excel, SQL, Python) to develop insights. Monitor policy developments affecting pharma pricing, market access, and rebates. Synthesize findings into clear, data-driven reports and recommendations. Collaborate with policymakers, investors, and healthcare stakeholders. Qualifications 4+ years of relevant experience in pharma pricing, market access, policy analysis, or healthcare consulting. Deep knowledge of rebate structures and reimbursement models. Strong quantitative and technical skills: Excel, SQL, and Python proficiency required. Experience with government or personal claims data. Exceptional written and verbal communication skills. Bachelor's degree required; advanced degree a plus. Capstone offers a competitive benefits package, including health, vision, dental insurance, paid vacation, travel stipend and 401(k). The expected compensation for this role will be $90,000-$120,000 per annum with eligibility in Capstone's annual bonus pool. This position is based in our New York or D.C. office. Capstone is in-person Monday thru Thursday with flexible work from home Fridays. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Posted 30+ days ago
Wolters KluwerWhite Plains, NY
Wolters Kluwer is a global leader in professional information services that combines deep domain knowledge with specialized technology. Our portfolio offers software tools coupled with content and services that customers need to make decisions with confidence. Every day, our customers make critical decisions to help save lives, improve the way we do business, build better judicial and regulatory systems. We help them get it right. Who We Are: Wolters Kluwer: The world is a big place, find your place here. Health Language: Simplifying Healthcare Data | Health Language | Wolters Kluwer What We Offer: The Senior Account & Relationship Executive role offers growth potential opportunities, professional development, an engaging team environment, and amazing benefits. What You'll be Doing: As a Senior Account & Relationship Executive, you will manage the most complex and high-profile accounts with discretion. Your strategic planning and deep understanding of account needs will drive business growth and enhance customer satisfaction. You may also serve as a lead for a small team, contributing to the development and success of junior team members. Our ideal candidate will be located in the Eastern or Central time zone, have experience in the Healthcare Technology space with either Payer, Provider, or Vendor. Key Tasks: Manage and nurture relationships with complex and high-profile accounts. Conduct strategic planning to meet account-specific business needs. Exercise broad authority in setting and negotiating product/service terms. Create, implement, and monitor comprehensive sales plans. Lead and mentor a small team of junior account managers. Conduct regular strategic meetings with senior management of client accounts. Resolve critical and complex customer issues. Develop and execute upselling and cross-selling strategies within accounts. Drive customer satisfaction through tailored service delivery. Contribute to the development of sales policies and strategies. You're a Great Fit if You Have/Can: Bachelor's Degree or equivalent relevant experience. 7+ years' experience in Field Sales or Account Management or other equivalent experience. Experience in the healthcare technology space either in payer, provider, or vendor. Experience working with risk adjustment software. Strategic Communication: Advanced communication skills for high-level interactions. Leadership: Ability to lead and mentor junior team members. Deep Product Knowledge: In-depth understanding of the organization's products or services. Sales Strategy: Proficient in complex sales strategy development and implementation. High-Level Negotiation: Expertise in negotiating complex sales terms. CRM Mastery: Mastery of CRM tools for managing complex accounts. Analytical Insight: Advanced analytical skills for strategic planning and performance tracking. Relationship Management: Exceptional ability to maintain and enhance long-term client relationships. We are an incredibly supportive team that truly enjoys what we do and who we do it with. We play a key role within WK and assist in driving the daily success. If you have a passion for making a true difference within an organization, while working alongside a genuinely caring and supportive team, we highly encourage you to apply. #Bethedifference Additional Information: Wolters Kluwer offers great benefits and programs to help meet your needs and balance your work and personal life, including Medical, Dental, & Vision Plans, 401(k), FSA/HSA, Commuter Benefits, Tuition Assistance Plan, Vacation and Sick Time, and Paid Parental Leave. Full details of our benefits are available at https://www.mywolterskluwerbenefits.com/index.html Diversity Matters: Wolters Kluwer strives for an inclusive company culture in which we attract, develop, and retain diverse talent to achieve our strategy. As a global company, having a diverse workforce is of the utmost importance. We've been recognized by employees as a European Diversity Leader in the Financial Times, as one of Forbes America's Best Employers for Diversity in 2022, 2021 and 2020 and as one of Forbes America's Best Employers for Women in 2021, 2020, 2019 and 2018. In 2020, we placed third in the Female Board Index, and were recognized by the European Women on Boards Gender Diversity Index. Wolters Kluwer and all of our subsidiaries, divisions and customer/departments is an Equal Opportunity / Affirmative Action employer. For more information about our solutions and organization, visit www.wolterskluwer.com, follow us on Twitter, Facebook, and LinkedIn The above statements are intended to describe the general nature and level of work being performed by most people assigned to this job. They're not intended to be an exhaustive list of all duties and responsibilities and requirements. Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process. Compensation: Target salary range CA, CT, CO, DC, HI, IL, MA, MD, MN, NY, RI, WA: $121,350 - $170,050
Posted 1 week ago
CareBridgewarrenton, OR
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Title: Clinical Nurse Liaison- Paragon Ideal candidates will reside in Alaska and comfortable traveling 50% of the time between Alaska, Washington, Oregon, and California Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Build the Possibilities. Make an Extraordinary Impact. The Clinical Nurse Liaison- Paragon is responsible to provide patient education and continuing education programs, as well as problem solves and resolves questions and issues for referral sources and patient. How you will make an impact: Primary duties may include, but are not limited to: Determines clinical and service needs for established and new accounts and referrals. Effectively communicates with the referral source, branch, physician, and family to coordinate and facilitate plan of care for patients. Markets all therapies, services, and products to referral sources. Provides in-services and continuing education programs for hospital case managers and other referral sources and support staff. Identifies and pulls through appropriate specialty infusion referrals and assists in maximizing revenue within local / regional market. Partners with leadership team to communicates opportunities for relationship building and business expansion. Minimum Requirements: Requires a minimum of 3 years of expansive work experience in a clinical environment; or any combination of education and experience which would provide an equivalent background. Licensed Registered Nurse required. Preferred Skills, Capabilities and Experiences: Bachelor's degree preferred. Strongly prefer experience in the home care setting. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $78,016 to $117,024 Locations: California, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Posted 30+ days ago
Sutter HealthEmeryville, CA
We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Bay Position Overview: Provides direct support in programming and planning for capital construction projects; coordinates multidisciplinary user meetings; facilitates clinical process assessment, clarifies functional needs; works with architects to ensure that schematic designs are optimally laid out; reviews drawings at various stages up to and through design development to ensure adherence to optimized processes and program requirements. Advises construction project representatives on medical equipment planning requirements for major construction, renovations, and expansion projects, and helps establish guidelines for medical equipment and standard room templates. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's: Architecture, interior design, health planning, healthcare sciences, or related fields Architectural licensure, state of California preferred TYPICAL EXPERIENCE: 5 years recent relevant experience SKILLS AND KNOWLEDGE: General understanding of project coordination/management, budgeting and scheduling concepts and procedures, as well as the process of project planning, design and construction. Possess knowledge of basic concepts of the various professional services contracts implemented in the industry. Proficient in interpretation of architectural and engineering designs and computer modeling. Ability to work independently and as a team member and achieve designated goals and objectives. Demonstrate oral, written and, presentation communication skills. Capable of interacting effectively with individuals/groups at various levels within the organization. Problem-solving skills and the ability to manage numerous and rapidly changing tasks/priorities. Detail-oriented, producing timely results and able to work with a minimum of close supervision. Demonstrated ability to lead teams, manage and balance multiple interests and resolve conflicts. MEP systems engineering subject matter expert (SME) should be capable of providing engineering support on up to 10 concurrent projects with an aggregate project cost up to $100,000,000.00. Entitlements/Land use, standards development and management, and medical equipment/furniture planning SMEs must be conversant and capable of competently providing either individually or as support staff general facility planning/capital project accountabilities on up to 10 concurrent projects with an aggregate project cost up to $100,000,000.00 of the MEP systems engineer SME. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $76.79 to $115.19 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Posted 2 weeks ago
CignaAtlanta, GA
WORK LOCATION: Atlanta, GA The Director Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES: Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS: Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Posted 3 weeks ago
Baker Tilly Virchow Krause, LLPPhiladelphia, PA
Overview Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram. Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring. Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law. Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system. Job Description: Manager, Client Accounting Services, Small Business-Healthcare Are you ready for a new accounting challenge? Do you want to use your experience from public or private accounting in a new way? We're looking for a Manager to join our outsourced client accounting practice. In this role, you will work in a cloud-based environment and serve as an Accounting Manager for multiple clients across the country, working with a team of professionals. This position is responsible for providing our client companies best-in-class service and financial expertise. This position is accountable for the accounting operations of their clients' company, to include the preparation of periodic financial reports, maintenance of an adequate system of controls designed to mitigate risk, enhancing the accuracy and relevancy of reported financial results, and ensuring that reported results comply with the appropriate accounting framework. Additionally, the Manager acts as a business advisor by providing analysis and insights to their clients based on their knowledge of current business trends, industry experience and capabilities of other experts within Baker Tilly. Oversee and provide exceptional service to clients including accounting and advisory services Manage production of monthly, quarterly, and financial reports and benchmarking Provide recommendations for business and process improvements Work with other managers to ensure workflows are efficient and streamlined in and between offices and in and between audit and tax functions Coach, train, and mentor staff on client service, tax, and accounting matters Oversight and management of current client engagement team Provide leadership by promoting teamwork, developing proper training and mentoring, and managing workflows Qualifications Bachelor's Degree in Accounting or related field required CPA and/or MBA preferred Public Accounting experience a plus Six (6) plus years of progressively responsible experience in professional accounting functions required, experience in professional services/consulting preferred Advanced knowledge of accounting principles related to classifying, recording, and summarizing data and making computations to compile financial records Excellent understanding of Generally Accepted Accounting Principles (GAAP) Strong understanding of the Healthcare and Senior Living sectors; willing to train the right candidate Effective communication skills and ability to manage client relationships Exceptional attention to detail Experience with industry software systems, including Sage Intacct, QBO, Yardi, Point Click Care and/or Matrix Care; willing to train the right candidate Personable, professional demeanor with growth potential within the firm Knowledge of MS Office, including Word, Excel, PowerPoint and Outlook
Posted 2 weeks ago
CareBridgeSeattle, WA
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Title: Clinical Nurse Liaison- Paragon Ideal candidates will reside in Alaska and comfortable traveling 50% of the time between Alaska, Washington, Oregon, and California Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Build the Possibilities. Make an Extraordinary Impact. The Clinical Nurse Liaison- Paragon is responsible to provide patient education and continuing education programs, as well as problem solves and resolves questions and issues for referral sources and patient. How you will make an impact: Primary duties may include, but are not limited to: Determines clinical and service needs for established and new accounts and referrals. Effectively communicates with the referral source, branch, physician, and family to coordinate and facilitate plan of care for patients. Markets all therapies, services, and products to referral sources. Provides in-services and continuing education programs for hospital case managers and other referral sources and support staff. Identifies and pulls through appropriate specialty infusion referrals and assists in maximizing revenue within local / regional market. Partners with leadership team to communicates opportunities for relationship building and business expansion. Minimum Requirements: Requires a minimum of 3 years of expansive work experience in a clinical environment; or any combination of education and experience which would provide an equivalent background. Licensed Registered Nurse required. Preferred Skills, Capabilities and Experiences: Bachelor's degree preferred. Strongly prefer experience in the home care setting. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $78,016 to $117,024 Locations: California, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Posted 30+ days ago
Community Health Plan of WashingtonSeattle, WA
This position is a hybrid location. It is remote from home, besides quarterly in-person meetings in our Seattle office. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: Strive to apply an equity lens to all our work. Reduce health disparities. Create an equitable work environment. About the Role The Senior Healthcare Actuary will be responsible for developing and monitoring risk and rating assumptions and will lead required state and federal documentation pertaining to actuarial assumptions used in pricing of the products. The Senior Healthcare Actuary will provide management with analyses, reporting and recommendations on product performance. Other responsibilities include calculation/review of reserves and forecasting/trend analysis. To be successful in this role, you: Have a Bachelors degree in Actuarial Science, Statistics or Mathematics. Have a current Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential. Have a minimum of eight (8) years working as Healthcare Actuary preferably at or on behalf of a health plan in managed Medicaid and/or Medicare Advantage and/or Individual & Family lines of business. Have experience in all aspects of health care actuarial practice including pricing, reserving, and forecasting. Have a current driver's license, an acceptable driving record, and proof of automobile insurance for travel on behalf of CHPW. Essential functions and Roles and Responsibilities: Responsible for interpreting state and federal requirements related to product design, rate development, and premium stabilization programs. Completes actuarial modeling including development of lag triangles, completion factors, trends and reserve requirements. Manages federal actuarial filings. Manages state actuarial pricing submissions and review of proposed rating assumptions. Designs and builds complex data models. Performs quantitative analysis of actuarial, financial, utilization and cost data. Responsible for reviewing work of outside actuarial consultants to ensure accuracy and compliance with state and federal requirements. Manage projects from inception to completion. Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. Knowledge, Skills, and Abilities: Knowledge of recent healthcare related legislation Project management skills. Data analysis skills, including skilled in analysis of large data sets. Skilled in using Microsoft Office programs. Including Microsoft Excel spreadsheets and database applications. Communication skills including oral presentations and written reports. Ability to develop strong working relationships with state, federal, and consulting actuaries. Ability to prepare health plan statistical, financial, budgetary, and other specialty reports. As part of our hiring process, the following criteria must be met: Complete and successfully pass a criminal background check. Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency. Vaccination requirement (CHPW offers a process for medical or religious exemptions) Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Exempt and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: Medical, Prescription, Dental, and Vision Telehealth app Flexible Spending Accounts, Health Savings Accounts Basic Life AD&D, Short and Long-Term Disability Voluntary Life, Critical Care, and Long-Term Care Insurance 401(k) Retirement and generous employer match Employee Assistance Program and Mental Fitness app Financial Coaching, Identity Theft Protection Time off including PTO accrual starting at 17 days per year. 40 hours Community Service volunteer time 10 standard holidays, 2 floating holidays Compassion time off, jury duty Sensory/Physical/Mental Requirements: Sensory*: Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: Extended periods of sitting, computer use, talking and possibly standing Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Frequent torso/back static position; occasional stooping, bending, and twisting. Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
Posted 5 days ago
CignaColorado Springs, CO
WORK LOCATION: Denver or Colorado Springs, CO The Provider Contracting Manager serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required. Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Knowledge and use of Microsoft Office tools. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 91,200 - 152,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Posted 3 weeks ago
Marsh & McLennan Companies, Inc.Atlanta, GA
We are seeking a talented individual to join our Government Healthcare Consulting (GHSC) team at Mercer. 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 leadership 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 4 weeks ago
PwCColumbia, SC
Industry/Sector Not Applicable Specialism Advisory - Other Management Level Associate Job Description & Summary At PwC, our people in management consulting focus on helping clients seize essential advantages by working alongside business leaders to solve their toughest problems and capture their greatest opportunities. They work with some of the world's largest and most complex companies to understand their unique business issues and opportunities in an ever changing environment. These individuals help create sustainable change by stimulating innovation, unlocking data possibilities, navigating risk and regulatory complexity, optimising deals, and aligning costs with business strategy to create a competitive advantage. Management consultants help the world's most significant organisations, public and private, quickly become more effective. They improve the way organisations operate; manage costs; better align people, process and technology initiatives; support business growth to maintain or improve competitive edge and complete market and regulatory risk assessment. As a management consulting generalist at PwC, you will play a vital role in helping clients optimise their operations, improve performance, and achieve strategic objectives. Your work may include analysing business data, developing strategies, supporting management teams, collaborating across teams, optimising tools and technology, improving organisational performance, monitoring compliance, and/or managing change. Driven by curiosity, you are a reliable, contributing member of a team. In our fast-paced environment, you are expected to adapt to working with a variety of clients and team members, each presenting varying challenges and scope. Every experience is an opportunity to learn and grow. You are expected to take ownership and consistently deliver quality work that drives value for our clients and success as a team. As you navigate through the Firm, you build a brand for yourself, opening doors to more opportunities. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: Apply a learning mindset and take ownership for your own development. Appreciate diverse perspectives, needs, and feelings of others. Adopt habits to sustain high performance and develop your potential. Actively listen, ask questions to check understanding, and clearly express ideas. Seek, reflect, act on, and give feedback. Gather information from a range of sources to analyse facts and discern patterns. Commit to understanding how the business works and building commercial awareness. Learn and apply professional and technical standards (e.g. refer to specific PwC tax and audit guidance), uphold the Firm's code of conduct and independence requirements. The Opportunity As part of the Sector Operations team you will support healthcare consulting solutions to PwC clients. As an Associate you will focus on learning and contributing to client engagement and projects while developing your skills and knowledge to deliver quality work. This role offers the chance to collaborate closely with client stakeholders, manage multiple project deliverables, and gain valuable insights into the US healthcare system, particularly in pharmacy benefits and health insurance. Responsibilities Assist in the development of healthcare consulting solutions for clients Engage in client interactions to enhance understanding of their needs Support project management by tracking deliverables and timelines Contribute to the preparation of client presentations and reports Foster relationships with stakeholders to facilitate project success What You Must Have Bachelor's Degree At least 1 year of experience What Sets You Apart Bachelor's Degree in Computer Management, Management Information Systems, Data Processing/Analytics/Science, Health Administration, Public Health, Engineering preferred Agile or other project management certifications preferred Demonstrating knowledge of the US healthcare system Working with health payers and insurance companies Configuring and implementing SaaS platform solutions Managing multiple project deliverables and timelines Identifying and resolving issues proactively Leading initiatives within cross-functional teams Maintaining up-to-date knowledge of pharmacy benefit strategies Travel Requirements Up to 40% Job Posting End Date Learn more about how we work: https://pwc.to/how-we-work PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. The salary range for this position is: $63,000 - $140,000, plus individuals may be eligible for an annual discretionary bonus. For roles that are based in Maryland, this is the listed salary range for this position. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance
Posted 2 weeks ago
EisnerAmperNew York, NY
Job Description At EisnerAmper, we look for individuals who welcome new ideas, encourage innovation, and are eager to make an impact. Whether you're starting out in your career or taking your next step as a seasoned professional, the EisnerAmper experience is one-of-a-kind. You can design a career you'll love from top to bottom - we give you the tools you need to succeed and the autonomy to reach your goals. We are seeking a Partner to lead the strategic growth, innovation, and client delivery of our national healthcare advisory platform. The ideal candidate will bring deep healthcare industry expertise, a proven ability to scale advisory practices, and a client-first mindset focused on driving measurable value and long-term relationships. What it Means to Work for EisnerAmper: You will get to be part of one of the largest and fastest growing accounting and advisory firms in the industry You will have the flexibility to manage your days in support of our commitment to work/life balance You will join a culture that has received multiple top "Places to Work" awards We believe that great work is accomplished when cultures, ideas and experiences come together to create new solutions We understand that embracing our differences is what unites us as a team and strengthens our foundation Showing up authentically is how we, both as professionals and a Firm, find inspiration to do our best work What Work You Will be Responsible For: Provide overall leadership and strategic direction for EisnerAmper's national Healthcare Advisory Services practice, driving the development and execution of advisory solutions focused on performance improvement, regulatory compliance, digital health, revenue cycle and enterprise transformation for healthcare organizations ensuring high-quality delivery that meets the evolving operational and strategic needs Serve as a trusted advisor to a diverse portfolio of healthcare clients-including hospitals, academic medical centers, physician groups, health systems, investors, private equity, and venture-backed entities-by building and sustaining long-term relationships through exceptional service, innovation, and deep industry insight While Provider is the main industry Sub-Sector, familiarity with Payor, Life Sciences and Health Tech is valued Lead and grow a high-performing multidisciplinary team of professionals serving healthcare clients across the U.S. Advance practice growth through strategic planning, business development, and expansion of service offerings in emerging areas Collaborate with cross-functional teams across EisnerAmper to deliver integrated solutions and maximize client value. Teaming with our Restructuring team in the marketplace and in delivery is a high priority Represent the firm in external forums including speaking engagements, publications, and thought leadership within the healthcare industry Monitor regulatory and market trends and adapt the practice's offerings to meet changing client needs. Basic Qualifications: Bachelor's degree in Accounting, Finance, Health Administration, or related field Minimum of 15 years of experience in healthcare advisory, consulting, or healthcare financial services Demonstrated experience leading complex engagements and advisory teams within a professional services environment Proven record of managing P&L, client delivery, and practice development at the partner level Preferred/Desired Qualifications: Master's degree in Business Administration, Health Administration, or related advanced degree Certifications such as Certified Public Accountant (CPA), Certified Information Systems Auditor (CISA), Project Management Professional (PMP) Deep understanding of healthcare regulatory frameworks, reimbursement models, and industry transformation trends EisnerAmper is proud to be a merit-based employer. We do not discriminate on the basis of veteran or disability status or any protected characteristics under federal, state, or local law. About our Healthcare Sector Services Group: The Health Care Consulting Group provides tailored services to a wide range of clients: hospitals and health systems, academic medical centers, physician and ancillary services practices, entrepreneurs and PE Firms, managed care entities and government agencies. EisnerAmper assists our health care clients in creating and maintaining a value-based network, implementing positive operational improvements and building sustainable plans to meet strategic, financial and growth goals. About EisnerAmper: EisnerAmper is one of the largest accounting, tax, and business advisory firms, with approximately 450 partners and 4,500 employees across the world. We combine responsiveness with a long-range perspective; to help clients meet the pressing issues they face today and position them for success tomorrow. Our clients are enterprises as diverse as sophisticated financial institutions and start-ups, global public firms, and middle-market companies, as well as high net worth individuals, family offices, not-for-profit organizations, and entrepreneurial ventures across a variety of industries. We are also engaged by the attorneys, financial professionals, bankers, and investors who serve these clients. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com #LI-Remote For NYC and California, the expected salary range for this position is between $500,000.00 and $700,000.00. The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law. Preferred Location: New York
Posted 30+ days ago
Marsh & McLennan Companies, Inc.Washington, DC
We are seeking a talented individual to join our Government Healthcare Consulting (GHSC) team at Mercer. 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 leadership 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 4 weeks ago
Systems Analyst III (Healthcare)
Cambia HealthLewiston, ID
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Job Description
SYSTEMS ANALYST III (HEALTHCARE)
Hybrid (In office 3 days/week) within Oregon, Washington, Idaho or Utah
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's Software Engineering Team is living our mission to make health care easier and lives better. The Systems Analyst participates in a team environment for the development, maintenance, and delivery of product/application (s) and data integrations as an integral part of a multi-functional team. This position is generally responsible for business, data and product/application analysis. This position requires business, analytical, design, interpersonal, technical and administrative skills in performing day to day work. - all in service of making our members' health journeys easier.
If you're a motivated and experienced Systems Analyst looking to make a difference in the healthcare industry, apply for this exciting opportunity today!
What You Bring to Cambia:
Preferred Key Experience (MUST HAVE):
Healthcare Experience
Facets Experience
API - Not development
Qualifications and Certifications:
Bachelor's degree in Computer Science, Mathematics, Business Administration, or a related field and minimum
5 years business or system experience developing requirements for projects where computer software is created
The equivalent combination of education and/or experience including experience with methodologies and structured analytical approach
Skills and Attributes (Not limited to):
Ability to work with teammates and with business partners to participate in sessions to gather, translate and document and system requirements to support transforming requirements into effective technology solutions.
Ability to create simple story cards and understand simple acceptance criteria enough to verify results; develop simple technical documentation and understand technical documentation and concepts.
Ability to coordinate and facilitate one to one and small groups (3-5) of customers or other analysts for small work efforts.
Ability to develop positive relationships among business partners, teammates and management.
Ability to follow direction, collaborate effectively with peers to provide results, and relay status to management and peers in a timely manner.
Additional Minimum Requirements for level II
Understands moderately complex acceptance criteria enough to verify results; develops technical documentation and can understand moderately complex technical documentation.
Ability to facilitate and lead small teams (1-3) for moderate work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues.
Able to participate in requirements sessions/interviews and document clear requirements for moderate work efforts.
Mastering knowledge and skills of common software development methodologies.
Additional Minimum Requirements for level III
Ability to lead small teams (3-5) for complex work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues and creating status reports. Ability to present and effectively communicate with leadership.
Ability to participate in the definition of a QA plan.
Ability to use and coach more junior team members and business partners on development methodologies.
What You Will Do at Cambia (Not limited to):
Read and create simple structured specifications such as use cases, story cards.
Read and understand design and business models including basic technical understanding.
Writes SQL queries, reads simple data models.
Understands and participates in the creation of deliverables by acting as a liaison between the development team and the end users.
Contributes to deliverables including analysis, development that may include writing SQL/scripting, quality and validation.
Additional General Functions and Outcomes for level II
Reads and creates moderately complex and structured specifications such as use cases, story cards and requirements.
Provides support for applications and products during releases and warranty which may include quality and validation.
Actively acquires basic understanding of API concepts as applicable to the products and teams.
Reads most data models and has the ability to participate in logical data model creation.
Writes moderately complex SQL queries.
Additional General Functions and Outcomes for level III
Applies in depth knowledge on health insurance terminology and concepts as needed by the product/application (s) the teams support.
Reads and creates complex structured specifications such as use cases, story cards.
Reads complex and creates moderately complex business models.
Writes well designed complex SQL queries and trains the more junior analysts.
Participate/ Actively develop automated validation techniques (QA automation) as applicable to the product and team.
Understands basic API concepts, such as API structures, JSON, collections and how to document in a technical design as applicable to the product and team.
Reads complex data models and creates basic logical data models.
Provide estimates for complex size work efforts increasing accuracy of the estimate as work effort progresses.
Trains and coaches less experienced and peer analysts.
May participate in the research, evaluation and selection of vendor products, methodologies and processes.
Lead medium size groups including multiple departments with a structured approach (i.e. JRP or grooming sessions).
Manages own tasks on moderate size enterprise-wide work efforts.
The expected target hiring range for the Systems Analyst III is $92k - $124k is depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% . The current full salary range for the Product Manager is $86k / $141k.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside diverse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
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