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VP, Healthcare And Regulatory Compliance
NationsBenefits, LLCPlantation, FL
NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members. Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction. Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members. We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India. OVERVIEW This executive leader ensures that all policies, procedures, and business activities align with regulatory requirements, including AML, HIPAA, OFAC, FWA, and CMS regulations; the role requires deep expertise in healthcare compliance, risk management, and regulatory affairs to mitigate compliance risks and foster a strong culture of ethics and integrity throughout the organization. The VP of Healthcare and Compliance will work closely with executive leadership, legal teams, and operational departments to maintain a robust compliance program that supports business objectives while ensuring regulatory adherence. PRIMARY RESPONSIBILIES Lead the development, implementation, and monitoring of compliance policies, procedures, and programs to ensure alignment with CMS, HIPAA, OIG, HHS, OFAC, AML, and FWA requirements. Oversee compliance audits, internal investigations, and risk assessments to proactively identify and address compliance concerns. Ensure compliance with state and federal laws governing healthcare operations and managed care contracts. Promote a culture of compliance and ethical business practices across all levels of the organization. Provide guidance and training to employees, executives, and board members on compliance policies and evolving regulations. Develop and oversee the corporate compliance program, ensuring a strong internal reporting mechanism for compliance concerns. Lead fraud, waste, and abuse (FWA) prevention initiatives, ensuring adherence to federal and state fraud-prevention standards. Work with legal counsel and external consultants to investigate and resolve compliance violations. Ensure ongoing monitoring of contracts, claims, and financial transactions to identify and mitigate fraud risks. Oversee Medicare and Medicaid compliance requirements for contracts with managed care organizations. Ensure accurate reporting and documentation in compliance with CMS guidelines. Monitor regulatory changes and recommend policy updates to maintain compliance with Medicare Advantage (MA) and Medicaid Managed Care requirements. Advise the CEO, board of directors, and senior leadership on compliance risks and strategic regulatory decisions. Develop and maintain a comprehensive compliance strategy that aligns with business goals while ensuring regulatory adherence. Collaborate with cross-functional teams (legal, finance, HR, and operations) to integrate compliance into all business processes. SKILL REQUIREMENTS Expertise in regulatory frameworks governing Medicare Advantage, Medicaid Managed Care, and healthcare fraud prevention. Deep understanding of CMS regulations and state/federal healthcare laws. Strong working knowledge of HIPAA, AML, OFAC, FWA, Stark Law, Anti-Kickback Statute (AKS), and False Claims Act (FCA). Expertise in designing and delivering compliance training programs for employees at all levels. Exceptional written and verbal communication skills with the ability to engage senior leadership, regulators, external stakeholders and employees at all levels. Ability to interpret complex regulations and translate them into practical business policies and procedures. Experience in conducting compliance audits, risk assessments, and internal investigations to identify vulnerabilities. Ability to develop and implement corrective action plans to mitigate compliance risks. Skilled in fraud detection and prevention strategies, particularly in Medicare and Medicaid claims and provider billing. Proven ability to design, implement, and update corporate compliance policies that align with regulatory requirements. Ability to develop standard operating procedures (SOPs) to support business compliance objectives. Experience in managing third-party vendor compliance, including contract review and regulatory risk assessments. Proven track record of leading cross-functional teams to integrate compliance within business operations. Ability to develop and execute a compliance strategy that supports long-term business growth while ensuring regulatory adherence. Ability to foster a culture of ethics, accountability, and compliance awareness across the organization. Ability to prepare compliance reports, risk analysis documents, and board presentations. Understanding of data privacy and cybersecurity regulations impacting healthcare organizations. Ability to leverage data analytics for compliance monitoring and risk assessment. QUALIFICATIONS AND EDUCATION REQUIREMENTS Bachelor's degree (Juris Doctor, MBA, or Master's in Healthcare Compliance preferred). 8+ years of experience in healthcare compliance, with at least 5 years in a senior leadership role. Certified in Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP) preferred. NationsBenefits is an Equal Opportunity Employer .

Posted 3 weeks ago

Market Development Representative (Healthcare Workforce)-logo
Market Development Representative (Healthcare Workforce)
NurseDashCleveland, OH
Market Development Representative (Healthcare Staffing) Remote – Requires Travel to Regional Markets Are you a natural connector who thrives in face-to-face conversations and believes healthcare deserves better staffing solutions? NurseDash is hiring a Market Development Representative to drive our expansion efforts across key U.S. markets. In this role, you'll represent NurseDash in the field—building lasting relationships with senior care communities, hospitals, and healthcare providers. You'll help us grow by identifying new prospects, deepening client engagement, and showing healthcare leaders how NurseDash offers a more flexible, cost-effective way to meet their staffing needs—without the typical agency headaches. This is a remote-based position with frequent in-person visits required in one or more of our strategic markets (e.g. Cleveland, Columbus, Cincinnati, Pittsburgh). Travel may be regional depending on the market you're based in. What You'll Do • Drive Market Engagement : Regularly visit current and prospective clients to strengthen relationships, gather feedback, and explore staffing needs. • Own Local Outreach : Identify new leads and initiate conversations through cold visits, warm referrals, and creative outreach. • Be the Face of NurseDash : Represent us at local networking events, industry conferences, and community functions to grow brand awareness and drive new business. • Fuel Sales Strategy : Share insights from the field to help refine messaging, uncover opportunities, and close gaps in market coverage. • Collaborate with Sales & Marketing : Partner with internal teams to align outreach campaigns, support prospect follow-up, and help convert leads into long-term partners. Who You Are • People-Oriented : You love engaging with others and building rapport quickly. • Proactive & Self-Driven : You don't wait for leads—you create them. • Organized & Accountable : You manage your own schedule and follow up consistently. • Experienced in Sales or Outreach : Background in healthcare, field sales, community engagement, or a related area is ideal. • Healthcare Familiarity is a Bonus : Experience with senior living, hospitals, or healthcare staffing is a strong plus. • Willing to Travel : You're comfortable spending a majority of your time meeting clients in-person within your assigned region. Why Join NurseDash? • Impact : Be part of a mission-led company helping healthcare facilities reduce burnout, fill critical staffing gaps, and improve care outcomes. • Innovation : Join a fast-growing platform disrupting outdated staffing models with transparency, flexibility, and tech-forward solutions. • Compensation : Competitive base salary plus performance-based bonuses. • Autonomy & Flexibility : Work remotely with independence while owning your regional strategy. INT1

Posted 3 weeks ago

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Aesthetic Healthcare Provider – Nurse Practitioner or Physician Assistant
Dermafix SpaCincinnati, OH
Job description Position:  Aesthetic Healthcare Provider – Nurse Practitioner or Physician Assistant Job Type:  Part-Time Compensation:  $50–$65 per hour Are you a passionate Nurse Practitioner or Physician Assistant with a flair for aesthetics? Ready to elevate clients' confidence by enhancing their natural beauty? Join our dynamic medical aesthetics team and bring your expertise to life in a role where your skills truly make an impact. In this part-time position, you'll perform advanced, non-invasive cosmetic treatments that transform lives while delivering personalized skincare solutions. If you thrive in a fast-paced, client-focused environment and love staying ahead of the latest beauty trends, this opportunity is for you. What You'll Do: Lead in-depth consultations and medical assessments to understand each client's unique goals Administer Botox, dermal fillers, and weight loss injections with precision and care Craft personalized skincare treatment plans tailored to each individual Educate clients on effective skincare routines and post-treatment care to ensure lasting results Create a safe, comfortable, and welcoming environment for every client Keep detailed and accurate medical records for all treatments performed Stay up-to-date with cutting-edge techniques and innovations in medical aesthetics Uphold the highest standards of professionalism, ethics, and confidentiality What We're Looking For: Current and valid Nurse Practitioner or Physician Assistant license At least 2 years of hands-on experience in aesthetic medicine or cosmetic treatments Expert knowledge and skill with injectables and non-surgical procedures Deep understanding of skincare products, services, and industry best practices Exceptional communication and interpersonal skills to build strong client relationships Outstanding time management and organizational skills A genuine passion for helping clients look and feel their absolute best Ready to Join Us? If you're excited to make a real difference in people's lives through expert aesthetic care, send us your updated resume along with your best contact number and email. Our recruiting team can't wait to connect with you!

Posted 3 weeks ago

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Investment Associate - Healthcare Impact VC
Global Health Investment CorporationNew York, NY
About GHIC The Global Health Investment Corporation (GHIC) is a health impact venture firm focused on investing in transformational technologies and products that will enable a healthier world and safer future for all. A pioneer of impact investing in global health, GHIC has been financing innovation in public health for over a decade. Our new global health security venture investment portfolio will be launched in partnership with BARDA (Biomedical Advanced Research and Development Authority), which is providing funding to GHIC of up to $500M to accelerate the development of technologies that address public health emergencies, such as pandemics and other health security threats. GHIC is growing its team to become the preeminent health impact platform and scaling across a number of roles to support the expansion of its investment portfolio and other programmatic activities. For more information on GHIC, please visit www.ghicfunds.org. About the Role We are looking for an Associate to join our investment team in New York City. As an Associate, you will source, evaluate, and execute investment opportunities and deeply understand the health security landscape across diagnostics, therapeutics, vaccines, and biomanufacturing, as well as chemical, biologic, radiologic and nuclear health security events. We offer a flexible work environment, a diverse set of projects, and a best-in-class peer group to learn from. This is a unique opportunity to explore and generate impact in public health with the tools of venture investing. Responsibilities Screen and source investment opportunities Analyze preclinical and clinical data Conduct interviews with subject matter experts and key opinion leaders Construct market and company valuation models Support negotiation and closing of new investments Track progress of portfolio companies post-investment Research GHIC's areas of interest to inform and develop investment theses Collaborate with the broader GHIC team to provide organizational support as needed Qualifications and Required Skills B.S. in life sciences or related field; an M.D. or Ph.D. is preferred but not a requirement 2-5 years of work experience in a life sciences sell side, buy side, or consulting role Fluency with corporate finance concepts and financial modeling Demonstrated interest in and knowledge of global health and/or health security Ability to be proactive and organized in working independently, as well as in interacting with team members and external stakeholders (companies, co-investors, limited partners, etc.) Excellent communication and presentation skills The expected base salary range for this role is $125k - $150k. This position is also eligible for a discretionary annual bonus. Actual base salary offers will be based on a wide range of factors including relevant skills, experience, and qualifications. Exceptional candidates may be considered for a senior associate role.

Posted 30+ days ago

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Healthcare Business Development Associate (Remote)
YFB StrategiesSt. Louis, MO
First Source Medical Staffing Healthcare Recruiting Business Development $45,000 - $55,000 /yr + Commissions (uncapped) Hybrid / Remote First Source Medical Staffing is a dynamic, fast-growing healthcare staffing company with a passion for connecting top-tier healthcare professionals with organizations that need them most. Our client is looking for driven, motivated individual to join their team as to make a meaningful impact in the healthcare space. If you have experience as a Healthcare Staffing Business Development Associate, you'll have the opportunity to work closely with leadership and fast-track your career. Don't pass up this opportunity to for limitless earning potential through a competitive compensation package with uncapped commission. Take charge of your career now! Responsibilities: Develop and implement strategies to acquire new healthcare clients (nurse, doctors, allied health professionals, hospitals, clinics, nursing homes, etc) Identify new opportunities using network, calls, emails, texts, and digital resources Establish and maintain strong, long-term relationships with existing clients while continuing to attract new opportunities Negotiate billing rates with clients for candidates based on client job requisitions Create and deliver compelling presentations to prospective clients Overlay compliance measures across all processes where necessary Requirements: Prior experience in staffing and perm placement or related sales preferred Proactively seek and cultivate relationships with decision makers within an organization Excellent written and verbal communication skills Comfortable negotiating with and advocating for clients Ability to work independently as well as with a team Desire to work in a growing company in proximity with leadership Sales and customer service skills preferred Bachelor's degree preferred but no required Benefits: Competitive Salary: $45,000 - $55,000 + Commission (uncapped) based on qualifications and experience. Comprehensive Benefits: PTO, health benefits, wellness opportunities, and more! Work Flexibility: Work Life Balance. Office, hybrid, and remote available.   Make an Impact Through Work: Make a difference through the lives of health professionals. Help patients get access to quality care and better outcomes by being a part of the selection process! Advancement Opportunities: Work closely with leadership with opportunities for coaching and mentorship You will be a part of a supportive, small-business environment where your contributions are valued, and your career growth is a priority. If you're ready for a challenge and want to make a real impact in healthcare staffing, we'd love to meet you! Employment is contingent on the successful completion of a background check as part of the hiring process.

Posted 3 weeks ago

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Healthcare Claims Analyst - 100% REMOTE (Remote)
Andeo Group LLCOwings Mills, MD
LOCATION 100% Remote Candidate must reside within the DC, MD, VA area DURATION 6 month contract (extension likely) JOB DUTIES Provides Operations Support by obtaining facts; analyzing problems; designing solutions; developing testing methods; conducting and documenting tests; providing operating information to customers. Research and improve operations by examining and researching systems problems by obtaining facts, analyzing problems/identifying root cause recommending and facilitating resolution. Supports operations systems by providing operating information to customers, answering questions, and providing training. Contributes to operations analysis and organization success by welcoming related, different, and new requests; helping others accomplish job results, development of Standard Operating Procedures (SOP) and other essential documentation, Verifies operations systems by developing testing methods, conducting and documenting tests. Improves operations analysis job knowledge by attending training sessions, reading technical publications. QUALIFICATIONS Bachelor's Degree in Business Administration (In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.) 2 years of experience in (level 2 or above) operational role with Bachelor's or 6 years of experience without degree. Proficient with Microsoft Office

Posted 3 weeks ago

Sales Director - Healthcare LifeSciences (Remote)-logo
Sales Director - Healthcare LifeSciences (Remote)
OnebridgeLos Angeles, CA
Onebridge, a Marlabs Company, is an AI and data analytics consulting firm that strives to improve outcomes for the people we serve through data and technology. We have served some of the largest healthcare, life sciences, manufacturing, financial services, and government entities in the U.S. since 2005. We have an exciting opportunity for a highly skilled Sales Director – Healthcare LifeSciences to join an innovative and dynamic group of professionals at a company rated among the top “Best Places to Work” in Indianapolis since 2015.  Sales Director - Healthcare LifeSciences | About You    As the Sales Director – Healthcare LifeSciences (HCLS), you will be responsible for driving the strategic growth and success of our HCLS vertical, overseeing and managing a team of high-performing sales professionals. You will play a critical role in shaping the overall sales strategy, identifying new opportunities, and leading large-scale enterprise-level deals within the healthcare and life sciences industries. With your deep industry expertise, you will leverage your extensive network to build relationships with C-suite executives, healthcare providers, pharmaceutical companies, and other key decision-makers. You are a visionary leader, known for your ability to develop innovative solutions, lead complex negotiations, and drive long-term growth. Your strategic thinking, industry knowledge, and leadership experience will be essential in ensuring that we achieve aggressive revenue goals while remaining at the forefront of the rapidly evolving healthcare and life sciences landscape.  Sales Director - Healthcare LifeSciences | Day-to-Day    Define and execute the sales strategy for the HCLS vertical, ensuring alignment with broader organizational goals and driving significant revenue growth.  Lead, mentor, and develop a high-performing sales team, fostering a culture of collaboration, accountability, and continuous improvement.  Own and lead the most strategic and complex sales opportunities within healthcare providers, pharmaceutical companies, and life sciences organizations, guiding the sales process from prospecting to deal closure.  Cultivate and strengthen relationships with C-suite executives, senior leaders, and key influencers across the HCLS industry, aligning solutions with their business and operational objectives.  Stay at the forefront of industry trends, regulatory changes, and market shifts to ensure that our solutions remain relevant and impactful in addressing the evolving needs of healthcare and life sciences clients.  Build and manage strategic partnerships and alliances within the HCLS space, identifying new avenues for business expansion and collaboration.  Sales Director - Healthcare LifeSciences | Skills & Experience    20+ years of sales leadership experience, with a proven track record of driving revenue growth and leading sales teams in the healthcare and life sciences sectors.  Extensive knowledge of the healthcare, life sciences, and pharmaceutical industries, including regulatory environments, market dynamics, and emerging trends.  Demonstrated success in developing and executing complex sales strategies, managing enterprise-level deals, and navigating long sales cycles in the healthcare and life sciences space.  Proven ability to lead and mentor high-performing sales teams, focusing on driving performance, fostering collaboration, and developing talent.  Strong relationship-building skills, with a proven ability to connect and maintain relationships with senior executives and key decision-makers in the healthcare and life sciences domain.  Experienced in consultative, solution-based selling to global clients, delivering tailored solutions that drive value across mixed delivery models, including onshore, offshore, and nearshore capabilities. A Best Place to Work in Indiana, since 2015. 

Posted 3 weeks ago

Junior to Mid-Level Litigation Associate - Medical Malpractice/Healthcare - Valhalla, NY (Remote)-logo
Junior to Mid-Level Litigation Associate - Medical Malpractice/Healthcare - Valhalla, NY (Remote)
Kaufman Borgeest & RyanVALHALLA, NY
Job Title: Junior to Mid-Level Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise: 1-4 years of experience Job Location: Westchester (Valhalla), NY, Garden City, NY, New York City or Parsippany, NJ (hybrid office / remote) Description: Represent healthcare professionals and healthcare facilities in malpractice litigation Kaufman Borgeest & Ryan LLP is a leading medical malpractice defense firm with 130+ lawyers and nine offices in New York, New Jersey, Connecticut, and California. The firm's medical malpractice group is well respected for its expertise at all levels of litigation from inception through trial and appeals. In addition to serving clients in the states where our offices are located, the firm also acts as national counsel in various high exposure matters. Medical malpractice is one of the cornerstones of the firm's practice. Known for an enriching, collegial workplace, the firm offers true opportunities for professional growth and advancement. This position is for an attorney with 1-4 years' experience to join the Medical Malpractice team in our Westchester (Valhalla) NY, Garden City, NY, New York City or Parsippany, NJ office, which represents physicians and all other professional healthcare providers, hospitals and other healthcare facilities in all manners of Medical Malpractice litigation. We are looking for a bright, highly motivated and proactive attorney with excellent writing skills – someone with the willingness and capability to act independently and comfortable with client interaction. Responsibilities · Work collaboratively with senior litigators to develop litigation strategy for the defense of medical malpractice actions; · Draft and review pleadings and discovery, memos, briefs and other legal correspondence and litigation documents; · Analysis of medical records; · Represent clients in court; · Participate in depositions, conferences, hearings and all other aspects of medical malpractice litigation; · Interact with medical experts; · Conduct legal and medical research and analysis; · Draft motions; · Work cooperatively with others; and · Interact with clients. Education and Experience Required Admission to practice in New York; At least 1 year of experience in medical malpractice/healthcare litigation. Skills and Abilities Required Strong legal research, writing and verbal communication skills; Ability to interact with clients and command client confidence; Ability to manage and prioritize multiple projects; Excellent organizational and time management skills; Ability to identify and resolve problems quickly. NY Comprehensive Total Rewards Package Kaufman Borgeest & Ryan LLP is proud to offer a comprehensive Total Rewards package. The firm also offers comprehensive health and well-being benefits, personal and professional development, career growth opportunities and a collegial and supportive culture. The anticipated pay range for this role is $100,000 - $130,000, which represents our good faith and reasonable estimate of the starting salary range at the time of posting. In addition, this role is eligible for a discretionary bonus based on performance. The actual offered rate for this position will be determined based on job-related, non-discriminatory factors, including qualifications and experience, geographic location, education, external market data and consideration of internal equity.

Posted 2 weeks ago

Mid-Level to Senior Litigation Associate - Medical Malpractice/Healthcare (Remote)-logo
Mid-Level to Senior Litigation Associate - Medical Malpractice/Healthcare (Remote)
Kaufman Borgeest & RyanNew York, NY
Job Title: Mid-Level to Senior Litigation Associate Role: Associate in Medical Malpractice/Healthcare Expertise:  2-7 years of experience Job Location:  Garden City, NY, New York City, NY, Valhalla, NY or Parsippany, NJ (hybrid office / remote) Description: Represent healthcare professionals and healthcare facilities in malpractice litigation Kaufman Borgeest & Ryan LLP is a leading medical malpractice defense firm with 130+ lawyers and nine offices in New York, New Jersey, Connecticut, and California. The firm's medical malpractice group is well respected for its expertise at all levels of litigation from inception through trial and appeals. In addition to serving clients in the states where our offices are located, the firm also acts as national counsel in various high exposure matters. Medical malpractice is one of the cornerstones of the firm's practice. Known for an enriching, collegial workplace, the firm offers true opportunities for professional growth and advancement. This position is for an attorney with 2-7 years' experience to join the Medical Malpractice team in our Garden City, NY, New York City, Valhalla, NY or Parsippany, NJ office, which represents physicians and all other professional healthcare providers, hospitals and other healthcare facilities in all manners of Medical Malpractice litigation. We are looking for a bright, highly motivated and proactive attorney with excellent writing skills – someone with the willingness and capability to act independently and comfortable with client interaction. Responsibilities Work collaboratively with senior litigators to develop litigation strategy for the defense of medical malpractice actions; Draft and review pleadings and discovery, memos, briefs and other legal correspondence and litigation documents; Analysis of medical records; Represent clients in court; Participate in depositions, conferences, hearings and all other aspects of medical malpractice litigation; Interact with medical experts; Conduct legal and medical research and analysis; Draft motions; Work cooperatively with others; and Interact with clients. Education and Experience Required Admission to practice in New York; At least 2 years of experience in medical malpractice/healthcare litigation. Skills and Abilities Required Strong legal research, writing and verbal communication skills; Ability to interact with clients and command client confidence; Ability to manage and prioritize multiple projects; Excellent organizational and time management skills; Ability to identify and resolve problems quickly. NY Comprehensive Total Rewards Package Kaufman Borgeest & Ryan LLP is proud to offer a comprehensive Total Rewards package. The firm also offers comprehensive health and well-being benefits, personal and professional development, career growth opportunities and a collegial and supportive culture. The anticipated pay range for this role is $115,000 - $165,000, which represents our good faith and reasonable estimate of the starting salary range at the time of posting. In addition, this role is eligible for a discretionary bonus based on performance. The actual offered rate for this position will be determined based on job-related, non-discriminatory factors, including qualifications and experience, geographic location, education, external market data and consideration of internal equity.

Posted 2 weeks ago

Junior Attorney - Healthcare-logo
Junior Attorney - Healthcare
Highlights HealthcareMooresville, NC
We are seeking a dedicated Junior Attorney   to join our corporate support team. Our team supports our ABA therapy Learning Centers and our sister company's hospice locations throughout the southeast. This position will assist in the day-to-day legal functions of the company by providing legal support on healthcare regulatory matters, contract negotiations, compliance issues, and risk management. Why you should consider this position: Competitive pay, commensurate with experience Full time employment Benefits include Paid Time Off (PTO), Health, Dental, and Vision Insurance, Employee Assistance Program (EAP), Flexible Spending Account (FSA), Health Savings Account (HSA) Supportive/collaborative work environment Growing company committed to clinical excellence and its mission Responsibilities / Essential Functions: Ensure compliance with federal, state and local regulations Draft, review and negotiate contracts and agreements and other legal documents litigation support Ensuring compliance with applicable laws, regulations, and internal policies Identify and mitigate legal and financial risks Development and implementation of company policies and procedures Provide legal advice to internal teams on a range of issues Qualifications/Educational Requirements: Juris Doctor (J.D.) from an accredited law school Must be licensed to practice in at least one state Healthcare and Real Estate law experience (preferred) Knowledge, Skills and Experience: Experience managing disputes and litigation. Experience in analyzing non-compete/non-solicit agreements and drafting cease and desist letters. Experience in employment law, preferred but not required. The above tasks reflect the essential functions and other job functions considered necessary of the job identified and shall not be construed as a detailed description of all work requirements that may be inherent in the job or assigned by supervisory personnel.  The job description is used as a guide only and not inclusive of responsibilities and job duties. Highlights Healthcare is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. In addition to federal law requirements, Highlights Healthcare complies with applicable state and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. #INDALL

Posted 2 weeks ago

Junior to Mid-Level Litigation Associate - Medical Malpractice/Healthcare - Buffalo, NY (Remote)-logo
Junior to Mid-Level Litigation Associate - Medical Malpractice/Healthcare - Buffalo, NY (Remote)
Kaufman Borgeest & RyanBuffalo, NY
Job Title: Junior to Mid-Level Litigation Associate Role: Associate in Medical Malpractice/Long-Term Care Expertise: 1-4 years of experience Job Location: Buffalo, NY (hybrid office / remote) Description: Represent healthcare professionals, healthcare facilities and long-term care facilities in malpractice litigation Kaufman Borgeest & Ryan LLP is a leading medical malpractice defense firm with 130+ lawyers and nine offices in New York, New Jersey, Connecticut, and California. The firm's medical malpractice group is well respected for its expertise at all levels of litigation from inception through trial and appeals. In addition to serving clients in the states where our offices are located, the firm also acts as national counsel in various high exposure matters. Medical malpractice is one of the cornerstones of the firm's practice. Known for an enriching, collegial workplace, the firm offers true opportunities for professional growth and advancement. This position is for an attorney with 1-4 years' experience to join the Medical Malpractice/Long-Term Care team in our Buffalo NY office, which represents physicians and all other professional healthcare providers, hospitals and other healthcare facilities in all manners of Medical Malpractice litigation. We are looking for a bright, highly motivated and proactive attorney with excellent writing skills – someone with the willingness and capability to act independently and comfortable with client interaction. Responsibilities Work collaboratively with senior litigators to develop litigation strategy for the defense of medical malpractice actions; Draft and review pleadings and discovery, memos, briefs and other legal correspondence and litigation documents; Analysis of medical records; Represent clients in court; Participate in depositions, conferences, hearings and all other aspects of medical malpractice litigation; Interact with medical experts; Conduct legal and medical research and analysis; Draft motions; Work cooperatively with others; and Interact with clients. Education and Experience Required Admission to practice in New York (or pending admission – passed bar); At least 1 year of experience in medical malpractice/healthcare litigation. Skills and Abilities Required Strong legal research, writing and verbal communication skills; Ability to interact with clients and command client confidence; Ability to manage and prioritize multiple projects; Excellent organizational and time management skills; Ability to identify and resolve problems quickly. NY Comprehensive Total Rewards Package Kaufman Borgeest & Ryan LLP is proud to offer a comprehensive Total Rewards package. The firm also offers comprehensive health and well-being benefits, personal and professional development, career growth opportunities and a collegial and supportive culture. The anticipated pay range for this role is $90,000 - $110,000, which represents our good faith and reasonable estimate of the starting salary range at the time of posting. In addition, this role is eligible for a discretionary bonus based on performance. The actual offered rate for this position will be determined based on job-related, non-discriminatory factors, including qualifications and experience, geographic location, education, external market data and consideration of internal equity.

Posted 2 weeks ago

Senior Account Manager - Healthcare (Remote)-logo
Senior Account Manager - Healthcare (Remote)
DripsChicago, IL
Location: Remote Reports To: Director of Account Management  Type:  Full Time | High Impact| Quota-Carrying About Drips: Drips is a fast-growing, tech enabled managed service transforming how health plans engage their members at scale. Our member engagement solution drives measurable outcomes across the member journey, helping national, regional, and local health plans improve Stars, HEDIS, HOS, Medication Adherence, acquisition, and retention strategies. Our work in direct collaboration with our healthcare customers directly impacts quality scores, member experience, revenue protection, and operational and administrative expenses, making Drips an indispensable partner in today's value-driven landscape. Job Overview: We are seeking a driven Senior Account Manager with healthcare experience to join our growing team during a critical phase of growth. The role is built for a relationship first leader who thrives on growing and expanding existing accounts, retaining high-value clients, and consistently delivering impact at scale across our health plan partners. You'll serve as the strategic point of contact for several strategic accounts – specifically national, regional, and local health plans - working closely with Drips VP of Enterprise Accounts to identify expansion opportunities and ensure alignment to value. Success in this role means proactive leadership, developing and executing account plans with a sharp eye for growth, and the ability to navigate complex health plan organizations with confidence and precision.  What You'll be Responsible For: Manage a portfolio of strategic accounts: executive relationships, expanding our footprint, retention, and delivering on key performance objectives. Partner with client stakeholders (SVPs and Directors of Stars, Quality, Digital, Population Health, etc.) to identify and execute on expansion opportunities tied to measurable outcomes. Lead strategic account planning and quarterly and annual business reviews that highlight value, build trust, and set the stage for long-term growth within our Voice-of-Customer initiatives. Convert Voice-of-Customer feedback into actionable strategies and Objective Key Results (OKRs) to improve outcomes and deepen relationships. Maintain account health by actively mitigating risks, aligning on goals, and ensuring seamless delivery in collaboration with Services and Product teams. Forecast and report on renewal and expansion pipeline, ensuring visibility and accountability across the business. Generate and maintain a strong expansion pipeline, converting qualified expansion opportunities into measurable bookings. Forecast accuracy and maintain CRM discipline on opportunity progress. What You Bring: 5–10+ years of enterprise account management experience, or consultative enterprise sales. Experience in healthcare, health plans, and tech-enabled services (preferred). Consistent sales quota achievement and Gross and Net Retention success. Ability to monitor client health, proactively mitigate risk, and have rigor around problem-solving. Proven ability to sell $1M+ multi-year expansion deals with complex sales motions and 4 – 6+ month cycles. Deep understanding of payer market dynamics, complexities, and decision-making structures who can advise clients with expertise. Command and executive presence with the ability to lead strategic conversations SVP decision-makers. Embraces and contributes to high-performance culture, grounded in team collaboration, discipline, accountability, integrity, and a high drive. Proven natural leader with the ability to influence and elevate the team around them. Strong communication and account planning discipline and execution. Why Join Us?: Category-defining company solving meaningful problems at scale Partner with leading health plans on initiatives that matter Enterprise sales with purpose High performance culture and value-driven teams Competitive base + uncapped commission upside Unlimited PTO

Posted 30+ days ago

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Business Analyst- Healthcare Claims (Remote)
Government Market StrategiesWashington DC, DC
This Business Analyst position is specifically focused on claims operations , including claims processing, benefit reviews, and system configuration. The role is responsible for gathering and documenting internal and client-facing workflows tied to claims administration and benefit delivery. The analyst will review system configuration for alignment with contract and program requirements—including claims setup, pricing, benefits, and UAT outcomes—and will work closely with subject matter experts and leadership to translate operational concepts into clear documentation, process maps, and support materials. Additional responsibilities include reviewing benefit policies and procedures for accuracy and documenting necessary updates. 100% Remote Open to Direct Hire or Contract (1099) This role is not eligible for visa sponsorship (e.g., H-1B, TN, etc.) Key Responsibilities: Meet with clients to gather operational and functional requirements, document processes, dependencies, and decision points in real time. Review system configuration to ensure they are meeting contract or program requirements. This may include claims, pricing, system configuration, UAT results and benefits. Review benefit policy and procedure documents for accuracy and incorporate updates into requirements documentation Collaborate with proposal teams to develop storyboards and solution frameworks aligned to government RFPs and program requirements. Participate in internal kickoff meetings, brainstorming sessions, and review cycles to refine solution narratives and ensure alignment with client objectives. Contribute to the development of SOPs, internal playbooks, staffing models, and other pre- and post-award materials. Serve as the central point of contact for assigned projects—facilitating communication between clients, internal teams, and vendors. Assist with the development of SOPs, internal playbooks, and proposal content as needed to support contract growth or onboarding. Support general administration and compliance oversight, including reporting, and quality control. Preferred Skills & Experience: FACETS Experience preferred. Previous experience in claims audit, processing, or system configurations. Previous healthcare experience; Government healthcare or TRICARE highly preferred. Comfortable interacting with internal and external stakeholders and translating client requests into business-friendly documentation. Experience facilitating meetings, taking detailed notes, and capturing follow-up tasks and dependencies. Strong time management, task tracking, and organizational skills. Government Market Strategies is an Equal Opportunity Employer. We are committed to fostering a diverse and inclusive workplace and consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic under applicable law. We also participate in the E-Verify program and will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. If you require a reasonable accommodation to apply for a position or to participate in the application process, please contact HR-governmentmarketstrategies.com

Posted 1 week ago

Director of FP&A – Healthcare - Metro Atlanta - (HYBRID)-logo
Director of FP&A – Healthcare - Metro Atlanta - (HYBRID)
NorthPoint Search GroupAtlanta, GA
Director of FP&A – Healthcare - Metro Atlanta - (HYBRID) Who: Strong stable PE-Backed Healthcare organization What: Director of FP&A When: Immediate need Where: Atlanta, GA – Hybrid (30% in-office, aligned with executive schedule). Why: Strategic growth and complexity require enhanced financial leadership in a PE-backed healthcare setting. Office Environment: Hybrid Salary: Base $150k–$160k + up to 10% bonus + equity. Position Overview: This role leads the FP&A function at a fast-growing, PE-backed healthcare company, directly supporting executive leadership and playing a key role in strategic financial planning and reporting. Key Responsibilities: ● Lead a team of 5–8 analysts; guide all budgeting, forecasting, and financial modeling efforts. ● Develop and maintain integrated 3-statement models. ● Handle complex lender and PE reporting, including covenant compliance and EBITDA adjustments. ● Conduct M&A modeling and assist in integration activities. ● Manage data sourcing and analysis from platforms such as PayCom, Domo, and ESO Scheduling. ● Utilize tools like Vena and Monday.com for budgeting and project tracking. Qualifications: ● 5–8 years of leadership in FP&A, preferably in PE-backed healthcare. ● Excel expert with strong command of financial systems and data platforms. ● Experience in strategic reporting, lender compliance, and cross-functional collaboration. Powered by JazzHR

Posted 5 days ago

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IT Healthcare Consultant - Project Manager (Hybrid)
Serigor Inc.Columbia, SC
Job Title: IT Healthcare Consultant - Project Manager (Hybrid) Location: Columbia, SC Duration: 12 Months Job Description: The Client is looking for an IT Healthcare Consultant - Project Manager - Consultant The Senior Cúram Operations Consultant will serve as the on-sight technical resource for the Member Management Replacement Project leadership and team. The Senior Cúram Operations Consultant is responsible for providing guidance to the client vendors related to Operations and Maintenance of the IBM Cúram software including requirements, designs and development activities/deliverables. The consultant will work with the team’s business analysts, subject matter experts, system integrator and designated vendors, as well as Enterprise Services team to meet the project goals. Duties include: Serves as a technical resource, providing technical/analytical guidance to project team and vendors; provide advice on best practices for utilizing IBM Cúram software for meeting stated business needs Identifies, reviews, approves approaches/proposed solutions to meeting business requirements utilizing IBM Cúram software; communicates risks and concerns related to proposed solutions and offers alternative solutions as appropriate. Conducts demonstrations and develops proofs of concept utilizing IBM Cúram software, as appropriate, to verify the feasibility of proposed IT approaches/solutions Conducts and coordinates data mapping and gap analysis to determine if the IBM Cúram software meets business needs Ensures transition from DDI implementation to Operations is successful and knowledge is transferred to the Operations team. Uses knowledge of IBM Cúram framework to consult with development leads in resolving issues and meeting business requirements Assists in managing work between IBM, System Integrator team, other vendors and Legacy Systems team to ensure a smooth transition between Medicaid Eligibility Determination System (MEDS) and Cúram while ensuring that the legacy Medicaid Management Information System (MMIS) continues to provide the appropriate information Collaborates with project leadership, business analysts, subject matter experts, technical managers and development leads on business requirements, functional and non-functional specifications, technical design specifications and integration component requirements Works with the Analysis and Testing Manager, Production Manager and vendors to ensure that all deliverables are completed timely and meet quality standards Reports on project status and strategies orally and in writing; communicates any known issues or risks to MMRP leadership and appropriate team members in a timely manner Collaborates with the client agency staff and vendors on implementation requirements Interprets, translates, and communicates highly technical concepts to both business and technical MMRP team members and stakeholders Assists with technical analysis of the IBM Cúram releases Other duties as assigned. Required Skills (Rank in order of importance): Bachelor’s degree in computer science, Engineering, Technical Science or equivalent industry experience. Minimum of three (3) years of technical experience with IBM Cúram framework; must have experience HCR and CGIS. Cúram Certification. Experience delivering in waterfall, scrum, agile, and other methodologies Experience profiling and troubleshooting IBM Cúram Out of the Box and custom code Excellent written and verbal communication skills and strong cognitive ability especially with respect to understanding, documenting, and describing complex technical subjects to both technical and non-technical business users Excellent problem-solving skills Demonstrated teamwork and collaboration in a professional setting. Preferred Skills (Rank in order of importance): Vendor Management experience Knowledge of healthcare insurance principles and processes Medicaid operations experience Public sector and/or academic environment experience is a plus Medicaid Management Information System (MMIS) experience. Powered by JazzHR

Posted 5 days ago

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Vice President of Growth & Development - DH Healthcare
Leap BrandsRed Bank, NJ
Key Responsibilities Strategic Leadership & Planning ⦁ Develop and implement a strategic growth roadmap targeting expansion into new regions and states. ⦁ Conduct market analysis to identify opportunistic areas based on payor landscapes and regulatory frameworks. ⦁ Collaborate with cross-functional teams to identify emerging trends and business opportunities, formulate data-driven strategies, and implement scalable solutions to enhance company performance and competitive advantage. Acquisition Strategy ⦁ Identify, evaluate, and execute mergers, acquisitions, and partnership opportunities that align with the company’s growth objectives, ensuring seamless integration and maximizing long-term value creation. ⦁ Lead due diligence processes, financial assessments, and negotiations for potential acquisitions, ensuring strategic alignment and optimizing return on investment while mitigating risks. Partnership Development ⦁ Establish and maintain strategic partnerships with hospital system, healthcare organizations, non-healthcare companies, municipalities, and school boards. ⦁ Lead the strategy and execution of partnership initiatives, leveraging industry insights to build alliances that enhance the company's product offerings, market positioning, and competitive edge. ⦁ Oversee all joint ventures and ensure alignment with company goals. Go-to-Market Strategy ⦁ Develop and execute the company's go-to-market strategy, ensuring alignment with operational capabilities and market demands. ⦁ Design and implement comprehensive go-to-market strategies that optimize product launches, drive customer acquisition, and accelerate revenue growth across target markets and channels. ⦁ Collaborate with marketing and operations teams to optimize outreach efforts and patient engagement. Financial Goals ⦁ Develop and execute growth strategies that align with financial targets, focusing on revenue generation, profitability, and cost optimization to ensure sustainable long-term business success. ⦁ Drive initiatives to achieve target revenue of $40 million and EBITDA of $13 million by 2025. ⦁ Monitor and report on progress towards financial objectives, adjusting strategies as necessary. Team Leadership ⦁ Foster a high-performance culture by mentoring and developing a diverse team, promoting collaboration, innovation, and accountability to drive organizational success and achieve growth objectives. ⦁ Lead, inspire, and empower cross-functional teams to execute growth initiatives, ensuring alignment with company vision and values while cultivating a dynamic environment that encourages professional development and creativity. Candidate Qualifications ⦁ Bachelors Degree required ⦁ 3+ years in a senior leadership role within the healthcare sector working in business development, and partnership management, capable of executing a comprehensive growth roadmap to achieve revenue goals. ⦁ Strong track record of developing and executing growth strategies, including mergers and acquisitions. ⦁ Exceptional relationship-building skills with the ability to negotiate and manage partnerships effectively. ⦁ Analytical mindset with a results-oriented approach to driving business performance. ⦁ Working knowledge of the healthcare ecosystem at large ⦁ Excellent understanding of healthcare regulations, payor dynamics, and market trends. ⦁ Strong communication and presentation skills, with the ability to influence stakeholders at all levels. ⦁ Proficient in Microsoft Office 365 and associated applications, including but not limited to PowerPoint, Excel, Word, Planner, and Outlook Powered by JazzHR

Posted 5 days ago

Healthcare Litigation Associate Attorney-logo
Healthcare Litigation Associate Attorney
Emerge Talent CloudSan Diego, CA
Healthcare Litigation Associate – California (Barred in CA) Location: California Offices | Salary: $235,000 – $275,000 A leading national law firm is seeking a litigation associate to join its Healthcare practice , a specialized group within a prominent Consumer Financial Services division. This is an excellent opportunity for an attorney who enjoys tackling complex legal issues in the evolving healthcare landscape—especially in the areas of ERISA , payor-provider disputes , and reimbursement litigation . What You’ll Do You’ll represent major healthcare clients in high-stakes litigation matters in both state and federal court , including: ERISA benefits actions and consumer coverage litigation Out-of-network and in-network reimbursement disputes Payor-provider contract and coverage disputes Regulatory compliance challenges affecting plan administration and coverage Class actions and other complex healthcare-related litigation What We’re Looking For Licensed and in good standing with the California State Bar Prior experience in state and federal court litigation Strong legal writing, research, and analytical skills Excellent academic credentials and a professional, team-oriented demeanor Judicial clerkship experience preferred Familiarity with healthcare litigation or ERISA-related matters is a plus, but not required Why This Role? You’ll be part of a growing, nationally respected healthcare litigation team , with access to sophisticated matters, meaningful mentorship, and the opportunity to specialize in one of the most important and complex sectors of the legal industry. Compensation Salary range: $235,000 – $275,000, depending on experience Comprehensive benefits and professional development support included Powered by JazzHR

Posted 5 days ago

Proposal Writer – Healthcare-logo
Proposal Writer – Healthcare
NorthPoint Search GroupAtlanta, GA
Proposal Writer – Healthcare Who:  Healthcare company seeking a detail-oriented and experienced proposal writer. What: You will create compelling proposals for local governments, counties, and hospital systems, with a bonus if you bring light marketing skills to help shape outreach efforts. When: Immediate need Where: Preferably based in Atlanta, GA, but open to candidates across the U.S. Why: Support Growth Office Environment: Remote / Hybrid Salary: Starting at $70,000 to $90,000 based on experience. Position Overview: We are seeking a Proposal Writer with a strong background in healthcare —ideally both—to help expand our reach by securing new contracts in local markets. The ideal candidate will possess excellent writing skills, a sharp attention to detail, and the ability to manage proposal timelines under tight deadlines. A background in marketing or content creation is a strong plus. Key Responsibilities: ● Draft and manage high-quality proposals for public sector and healthcare clients ● Collaborate with business development and operations teams to gather necessary information ● Maintain a proposal calendar and ensure timely submission of materials ● Ensure all proposals align with brand voice and strategy ● Support occasional marketing initiatives such as newsletters or internal communications Qualifications: ● 3+ years of experience in proposal writing, preferably in healthcare or government sectors ● Strong writing, editing, and project management skills ● Detail-oriented with a history of producing error-free, client-ready documents ● Experience in both digital and print-based content creation is a plus If you’re interested in learning more about this opportunity or would like to discuss your qualifications, please apply now. Powered by JazzHR

Posted 5 days ago

Account Executive, Healthcare Marketing-logo
Account Executive, Healthcare Marketing
Coefficient HealthNew York, NY
We have openings for a full-time Account Executive who is interested in joining an industry-leading healthcare marketing and training agency. At Coefficient Health, this position is equivalent to... Account Coordinator / Account Executive level at a pharma ad agency Account Coordinator / Account Executive level at a healthcare PR firm Associate / Jr. Analyst at a management consultancy Are you a problem solver? A hard worker and self-starter? Do you like to learn in many different dimensions? Do you have a passion for life science, communications, and making stuff happen? We need strong collaborators. Quality communicators. Detail drivers. And all-around perfectionist players. We're looking for high-potential people who are ready for an accelerated opportunity. PRIMARY RESPONSIBILITIES:  Work within a multi-functional, interdisciplinary account team to develop innovative, multi-channel marketing + training programs that meet our clients’ needs and exceed their expectations. Project Management Understand project objectives, development plan + timelines Know your tasks in development plan and execute against them Understand and support client promotional review + submission processes Traffic comments through internal teams (design, production, content) Client Relationships Learn how to clearly communicate to appropriate client peer Provide PM with information they need to communicate to client Understand client business, brands, and organizational structure Content Development Review and edit copy Proofread documents Check references (against academic/medical publications) Professional Development Learn role of Project Manager for advancement Take initiative to pursue development opportunities Be proactive + develop solutions within project development WHAT’S IN IT FOR YOU:  You will work directly with the leaders of the business. You will collaborate with a team of smart and friendly people. You will take ownership of your work and be challenged. If you rise to the challenges of your position, you will grow fast, do more and be rewarded. Position offers competitive pay with benefits based on experience and qualifications: Salary Range: $55,000–$70,000 The salary range provided represents what a potential hire may expect to earn in this role at Coefficient Health. Actual salary decisions will be influenced by several factors that we use to determine overall fit, including experience (both direct and indirect), education, training, demonstrated qualifications, and organizational need. Salary is only one component of the total rewards package offered at Coefficient Health, and we encourage you to apply if this range falls outside of your expectations. DESIRED SKILLS AND EXPERIENCE: We seek highly motivated individuals with a strong track record of achievement who can bring intellectual curiosity, determination, and creativity to our client work. You must have the following qualifications: Bachelor's degree (communications, healthcare, science) Work and/or internship experience in a relevant field preferred(pharmaceutical, pharma advertising, medical communications, or life sciences) Excellent communication (written and verbal), interpersonal, and presentation skills Superior organization skills + exacting attention to detail Copy development + proofreading skills Client relationship experience a plus High proficiency in PowerPoint and Word Disciplined self-starter Ability to work in a high-performance, fast-paced team environment with a constantly changing work environment Based in New York City, Coefficient Health is a full-service agency team designed to be more like the commercial leaders we partner with. In the pharmaceutical and biotech industries, we understand that driving change effectively requires expertise in more areas than ever and the ability to integrate that knowledge across teams. Our multidimensional talent has diverse capabilities and experiences at every level. Acting as a complement, we challenge your thinking, translate your vision, and execute with innovation and excellence to help you multiply your efforts. As your organization and brands evolve, we scale to provide the support you need from pre-commercial to LOE. At Coefficient Health, we solve for you. So together, we can solve for more. Coefficient Health LLC. provides Equal Employment Opportunities to all employees and applicants for employment without regard to race, color, religion, creed, national origin, ancestry, sex, age, physical or mental disability, pregnancy, veteran or military status, genetic information, sexual orientation, gender identity or expression, marital status, civil union/domestic partnership status, familial status, domestic violence victim status, or any other legally recognized protected basis under federal, state or local laws. The Company complies with applicable federal, state and local laws governing nondiscrimination in employment in every location in which the company operates. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Applicants with disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform our team if you need assistance completing this application or to otherwise participate in the application process. Powered by JazzHR

Posted 5 days ago

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Temporary- Part Time Healthcare Onsite Liaison - Tyler, TX
Kandu Inc.Tyler, TX
In April 2025, Kandu Health and Neurolutions merged to form Kandu Inc. to pioneer an integrated approach to stroke recovery, combining FDA-cleared brain-computer interface technology with personalized telehealth services. The company’s IpsiHand® device is durable medical equipment that enables chronic stroke survivors to regain upper extremity function in daily home use. Combining this  advanced technology with the support of expert clinicians offers a comprehensive path to recovery– helping survivors improve mobility, independence, and quality of life. Kandu extends recovery beyond the hospital through principal illness navigation, providing one-on-one education, care coordination, and advocacy; grounded in clinical evidence and informed by the lived experiences of patients and their families. Now, the companies are merging to pursue the same goal. As part of the merger, Kandu completed the first close of a $30 million financing. To read the full announcement click here . The opportunity to work with new and exciting technology with the mission of improving the lives of stroke survivors and their families.    What You’ll Do  Client Relationship & Program Implementation Foster long- and short-term client success by aligning on partnership goals, building trusted relationships, and providing feedback on referral and registration outcomes. Serve as a regional liaison between hospital/post-acute care partners and stroke survivors early in recovery. Represent Kandu Health in client meetings, status calls, and community outreach efforts to support engagement and identify new partnership opportunities. Patient Registration, Enrollment & Support Guide stroke survivors and care partners through Kandu program enrollment, including education, consent, insurance verification, eligibility checks, and app training. Conduct in-hospital meetings, review patient census, and collaborate with clinicians to identify and triage appropriate referrals based on discharge plans and language needs. Re-engage survivors on hold due to care interruptions and support onboarding resumption. Technical & Customer Support Provide in-person and remote app and technology support tailored to the cognitive and emotional needs of stroke survivors. Assist with registration troubleshooting and app access issues, collaborating with the Product team as needed. Deliver training to new referral clinicians and support users in video conferencing and scheduling platforms. Operational & Clinical Coordination Coordinate with the Clinical Navigator team to relay survivor needs or concerns that may impact participation. Support pilot and quality improvement projects at partner sites. Communicate user issues and suggest improvements to Client Services leadership for product and process optimization. Reporting & Compliance Complete reports on non-enrollment trends, workflow improvements, and accessibility enhancements. Participate in message testing and barrier identification for program registration. Maintain hospital credentialing requirements, including necessary health screenings and vaccinations. Travel regularly to partner sites in Tyler, TX. What You’ll Bring  Bachelor’s degree in Marketing, Sales, or related field 4–6 years of customer service experience 2–4 years in a healthcare setting 2–4 years in medical device, healthcare, or digital health sales Strong communication and adaptability across audiences Familiarity with health plan benefits and eligibility Tech-savvy; comfortable with mobile apps and smartphones Able to adapt methods in dynamic, evolving environments Reliable personal transportation Quick learner with commitment to product knowledge Effective presenter with concise communication skills Preferred Qualifications Experience working with stroke survivors and their families Conversational Spanish proficiency Work Environment Must live within driving distance of Tyler, TX Daily local travel to partner hospital sites required Willingness to work a late afternoon schedule Salary: Temp, part-time 25-29 hours/week, $29-$35.48/hr, 401k Eligible Please note that the salary information is a general guideline only. Kandu Health, Inc. considers factors such as scope and responsibilities of the position, candidate’s work experience, education/training, key skills, and internal equity, as well as location, market and business considerations when extending an offer.  Kandu Health is an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.   Powered by JazzHR

Posted 5 days ago

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VP, Healthcare And Regulatory Compliance
NationsBenefits, LLCPlantation, FL

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Job Description

NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions. We partner with managed care organizations to provide innovative healthcare solutions that drive growth, improve outcomes, reduce costs, and bring value to their members.

Through our comprehensive suite of innovative supplemental benefits, fintech payment platforms, and member engagement solutions, we help health plans deliver high-quality benefits to their members that address the social determinants of health and improve member health outcomes and satisfaction.

Our compliance-focused infrastructure, proprietary technology systems, and premier service delivery model allow our health plan partners to deliver high-quality, value-based care to millions of members.

We offer a fulfilling work environment that attracts top talent and encourages all associates to contribute to delivering premier service to internal and external customers alike. Our goal is to transform the healthcare industry for the better! We provide career advancement opportunities from within the organization across multiple locations in the US, South America, and India.

OVERVIEW

This executive leader ensures that all policies, procedures, and business activities align with regulatory requirements, including AML, HIPAA, OFAC, FWA, and CMS regulations; the role requires deep expertise in healthcare compliance, risk management, and regulatory affairs to mitigate compliance risks and foster a strong culture of ethics and integrity throughout the organization. The VP of Healthcare and Compliance will work closely with executive leadership, legal teams, and operational departments to maintain a robust compliance program that supports business objectives while ensuring regulatory adherence.

PRIMARY RESPONSIBILIES

  • Lead the development, implementation, and monitoring of compliance policies, procedures, and programs to ensure alignment with CMS, HIPAA, OIG, HHS, OFAC, AML, and FWA requirements.
  • Oversee compliance audits, internal investigations, and risk assessments to proactively identify and address compliance concerns.
  • Ensure compliance with state and federal laws governing healthcare operations and managed care contracts.
  • Promote a culture of compliance and ethical business practices across all levels of the organization.
  • Provide guidance and training to employees, executives, and board members on compliance policies and evolving regulations.
  • Develop and oversee the corporate compliance program, ensuring a strong internal reporting mechanism for compliance concerns.
  • Lead fraud, waste, and abuse (FWA) prevention initiatives, ensuring adherence to federal and state fraud-prevention standards.
  • Work with legal counsel and external consultants to investigate and resolve compliance violations.
  • Ensure ongoing monitoring of contracts, claims, and financial transactions to identify and mitigate fraud risks.
  • Oversee Medicare and Medicaid compliance requirements for contracts with managed care organizations.
  • Ensure accurate reporting and documentation in compliance with CMS guidelines.
  • Monitor regulatory changes and recommend policy updates to maintain compliance with Medicare Advantage (MA) and Medicaid Managed Care requirements.
  • Advise the CEO, board of directors, and senior leadership on compliance risks and strategic regulatory decisions.
  • Develop and maintain a comprehensive compliance strategy that aligns with business goals while ensuring regulatory adherence.
  • Collaborate with cross-functional teams (legal, finance, HR, and operations) to integrate compliance into all business processes.

SKILL REQUIREMENTS

  • Expertise in regulatory frameworks governing Medicare Advantage, Medicaid Managed Care, and healthcare fraud prevention.
  • Deep understanding of CMS regulations and state/federal healthcare laws.
  • Strong working knowledge of HIPAA, AML, OFAC, FWA, Stark Law, Anti-Kickback Statute (AKS), and False Claims Act (FCA).
  • Expertise in designing and delivering compliance training programs for employees at all levels.
  • Exceptional written and verbal communication skills with the ability to engage senior leadership, regulators, external stakeholders and employees at all levels.
  • Ability to interpret complex regulations and translate them into practical business policies and procedures.
  • Experience in conducting compliance audits, risk assessments, and internal investigations to identify vulnerabilities.
  • Ability to develop and implement corrective action plans to mitigate compliance risks.
  • Skilled in fraud detection and prevention strategies, particularly in Medicare and Medicaid claims and provider billing.
  • Proven ability to design, implement, and update corporate compliance policies that align with regulatory requirements.
  • Ability to develop standard operating procedures (SOPs) to support business compliance objectives.
  • Experience in managing third-party vendor compliance, including contract review and regulatory risk assessments.
  • Proven track record of leading cross-functional teams to integrate compliance within business operations.
  • Ability to develop and execute a compliance strategy that supports long-term business growth while ensuring regulatory adherence.
  • Ability to foster a culture of ethics, accountability, and compliance awareness across the organization.
  • Ability to prepare compliance reports, risk analysis documents, and board presentations.
  • Understanding of data privacy and cybersecurity regulations impacting healthcare organizations.
  • Ability to leverage data analytics for compliance monitoring and risk assessment.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

  • Bachelor's degree (Juris Doctor, MBA, or Master's in Healthcare Compliance preferred).
  • 8+ years of experience in healthcare compliance, with at least 5 years in a senior leadership role.
  • Certified in Healthcare Compliance (CHC) or Certified Compliance & Ethics Professional (CCEP) preferred.

NationsBenefits is an Equal Opportunity Employer.

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