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Sales Representative, Healthcare-logo
Sales Representative, Healthcare
First Quality Enterprises Inclakefield, MN
First Quality was founded in 1989 and has grown to be a global privately held company with over 4,000 employees. Its corporate offices are located in Great Neck, New York, with manufacturing facilities and offices in Pennsylvania, South Carolina, Georgia, and Canada. First Quality is a diversified family of companies manufacturing consumer products ranging from Absorbent Hygiene (adult incontinence, feminine care, and baby care), Tissue (bath and towel), and Industrial (print and packaging materials), serving institutional and retail markets throughout the world. First Quality focuses on private label and branded product lines. We are seeking a Sales Representative, Healthcare for our First Quality Products, LLC working remotely from Minnesota. This position will be responsible for hunting and closing new Healthcare opportunities in assigned territory for First Quality's full range of absorbent and wipe product lines. Work closely with Sales Ambassadors Account Directors to identify and target new accounts, maintain and grow existing within geographic territory. Support chain level accounts where necessary within and outside of assigned territory. Primary responsibilities include: Work closely and effectively with internal teams and distributors to achieve company and customer objectives. Develop, grow, and maintain an active and robust sales pipeline. Identify potential new Healthcare opportunities by researching and uncovering new potential opportunities. Lead in the gathering and analyzing competitive intelligence in the region. Make recommendations to the Healthcare Leadership based on intelligence to further sales growth. Develop distributor representative relationships. Utilize sales reports and data to analyze business to determine customer needs and develop and communicate plan to support business and customer needs. Conduct customer education as necessary for proper usage and ensure full formulary utilization. Represent company to promote our products and programs at trade shows, conferences, and other association meetings to grow to grow and maintain sales. Understand the needs and expectations of the customer and provide relevant solutions. The ideal candidate should possess the following: 1 year of Sales Experience preferred. Bachelor's degree preferred. Demonstrated sales skills. Excellent verbal and written communication skills. Proficient analytical skills. Comfortable and effective presenter digitally and virtually. Standard knowledge of Microsoft Office Suite. Word, PowerPoint, and Excel. Creative thinking, possess ability to resolve critical problems Ability to work independently as well as in a team environment Understanding of Healthcare industry and current with trends. Travel within Territory as needed and some travel outside of territory for meetings and industry events. Expect 50% overnight travel. First Quality is committed to protecting information under the care of First Quality Enterprises commensurate with leading industry standards and applicable regulations. As such, First Quality provides at least annual training regarding data privacy and security to employees who, as a result of their role specifications, may come in to contact with sensitive data. First Quality is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, sexual orientation, gender identification, or protected Veteran status.

Posted 30+ days ago

Sr. Healthcare Quality Specialist RN-logo
Sr. Healthcare Quality Specialist RN
UnitedHealth Group Inc.Pearland, TX
Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Responsible for evaluating and improving quality of care and patient safety at Kelsey-Seybold Clinic (KSC) Combines clinical expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best practices, and achieve optimal patient outcomes 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: Bachelor's degree in nursing (BSN) Licensed RN in TX 5+ years of clinical nursing experience working in the inpatient or ambulatory setting Preferred Qualifications: Masters in nursing Certification in healthcare quality or patient safety (e.g., CPHQ, CPPS) Experience working in the fields of healthcare quality, patient safety, and/or risk management Experience working with Epic Proficiency in Microsoft Word, Excel, and PowerPoint Knowledge of quality improvement methodologies (e.g., Lean, Six Sigma, PDSA) Knowledge of quality measures (e.g. HEDIS) Special Skills: Working Knowledge of computers and electronic data processing Working knowledge of modern office practices and procedures. Ability to perform arithmetic computations accurately and quickly; ability to communicate effectively verbally and in writing; ability to establish successful working relationships; ability to work under pressure and /or frequent interruptions; ability to work with the public Ability to read and comprehend instructions, correspondence, and memos. Ability to effectively present information in one-on-one and small group situations to customers and other employees of the organization Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 1 week ago

Adjunct Faculty - Healthcare Specialist-logo
Adjunct Faculty - Healthcare Specialist
Ivy Tech Community CollegeIndianapolis, IN
Creating seats for Healthcare adjuncts being onboarded for Fall 2023. Pay Rate: $48.67 Per Contact Hour PROGRAM OPERATION: Perform all instructional duties necessary to teach and facilitate student learning in assigned classes. Provide syllabus appropriate to course(s) being taught to students and follows syllabus content and requirements. Maintain student attendance and grading records according to College policy as outlined in the Adjunct Handbook. Submits requested information within established timelines. STUDENTS: Is available to students outside scheduled class time to answer questions/provide assistance. Deal with student concerns and, if necessary, consult with program coordinator to resolve issues. INSTRUCTION: Meet all scheduled classes of contracted course(s). Use technology such as Blackboard, PowerPoint, etc. as appropriate. In event of emergency absence, notifies program/department chair. Conduct all activities with an appreciation and respect of people, styles, and views. Promote same as an integral part of one's work. Education, Experience And Other Requirements: Healthcare Specialist Program Standard: A qualified faculty member in Healthcare Specialist meets all three of the following criteria: 1. Possesses an earned baccalaureate or higher degree from a regionally accredited institution; and 2. Has a minimum of 2 years directly related work experience; and 3. Holds certification or licensure in a health care discipline providing care or service directly to patients. HLHS 117 and HLHS 130 Course Standard: A qualified faculty member teaching HLHS 117 and HLHS 130 meets all of the following criteria: 1. Possesses an earned associate's or higher degree from a regionally accredited institution, and 2. Is a licensed Registered Nurse holding an unencumbered license in the state of Indiana, and 3. Has a minimum of two years licensed nursing experience, of which at least one year must be in the provision of long term care services, and 4. Completed the required Indiana state department of health instructor QMA course. HLHS 112, 114 Course Standard: A qualified faculty member teaching HLHS 112 and 114 meets all four of the following criteria: 1. Possesses an earned associate's or higher degree from a regionally accredited institution, and 2. Is a registered Nurse, and Has a minimum of two years licensed nursing experience, of which at least one year must be in the provision of home health care, and 4. Completed the required train the trainer sessions from the Indiana Home and Hospice Care Foundation HLHS 221/222 Course Standard: A qualified faculty member for HLHS 221 and 222 meets both of the following criteria: 1. Is a licensed Registered Nurse holding an unencumbered license in the state of Indiana, and 2. Has a minimum of two years of licensed nursing experience, at least one of which must be experience in an acute care setting. Pay Rate: $48.67 Per Contact Hour Ivy Tech Community College is an accredited, equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, ethnicity, national origin, marital status, religion, sex, gender, sexual orientation, gender identity, disability, age or veteran status. As required by Title IX of the Education Amendments of 1972, Ivy Tech Community College does not discriminate on the basis of sex, including sexual harassment in its educational programs and activities, including employment and admissions. Questions specific to Title IX may be referred to the College's Title IX Coordinator or to the US Department of Education Office of Civil Rights.

Posted 30+ days ago

Senior Manager - Healthcare Consulting-logo
Senior Manager - Healthcare Consulting
EisnerAmperBoston, MA
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. EisnerAmper is seeking a Senior Manager for our Health Care Consulting Group. In this role, you will focus on client service projects pertaining to Hospitals and Medical Centers, Physician Practices and Networks, Government Entities, and Accountable Care Organizations. In addition, you will be responsible for the oversight and execution of large, multi-faceted client projects and/or multiple projects simultaneously. 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: Performs comprehensive assessments of client needs and develops client delivery strategy to address the needs while driving profitability. Promote the longevity of the client relationship through quality delivery, innovative solutions, and singular business insights Works with other leadership to define project scope and deliver a detailed plan for a successful outcome based on project objectives. Estimates effort and resources required for responsibilities and ensures all are prioritized effectively and delivered on time Proven ability to assess and improve RCM processes to enhance reimbursement, reduce denials, and decrease days in A/R. Lead RCM transformation projects such as workflow redesign, technology implementation or vendor optimization Exhibits excellent client service skills including the identification of opportunities to provide additional services to clients and/or non-clients. Supports business development activities including client relationship development, program-specific positioning activities, teaming arrangements, proposal preparation, presentations, and contract negotiations consistent with established business development processes. Builds and maintains a growth pipeline, gather referrals, and maintain extensive knowledge on the firm's service lines and offerings, as well as market conditions and penetration of services and solutions. Reports to EisnerAmper Advisory leadership (Partners, Directors, Managing Directors) regarding status of client engagements, including all risks, issues, and opportunities and proactively identifies solutions to address them. May be required to occasionally work extended hours, or travel to/work from different firm offices and/or client locations Basic Qualifications: Bachelor's degree in Business, Health Administration, or related field is required 5+ years in a management or supervisory role 8+ years of related and progressive health care management consulting or health care financial and operations experience Revenue Cycle Management experience is required Preferred/Desired Qualifications: Ability to travel up to 30% Master's Degree in Business, Health Administration, or related field is preferred 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. The Health Care Consulting Group takes a hands-on approach to optimize performance and revenue through improved operations, governance structures and planning processes while leveraging data and analytics. The team has significant experience with deal structure design, valuation, and negotiations, as well as value-based contracting and assessing clinical programs. 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-LH1 #LI-Hybrid #LI-Remote Preferred Location: New York For NYC and California, the expected salary range for this position is between 120000 and 200000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 2 weeks ago

P
Healthcare Strategist II
Perkins WillDallas, TX
Healthcare Strategist II Common and Baseline Responsibilities Uses enhanced knowledge of healthcare project complexity to proactively contribute to the overall success of the team by adhering to firm and project goals and standards of excellence in design, execution, and living design. Applies quantitative methodologies to optimize healthcare operations, focusing on improving efficiency, quality, and cost-effectiveness within healthcare facilities by analyzing processes, designing systems, and implementing solutions to streamline patient care delivery and administrative functions Identifies inefficiencies in healthcare processes, such as patient flow, staff workflows, and supply chain management, and design improvements using data analysis and optimization techniques. Contributes to the design and layout of new healthcare facilities, considering factors like patient experience, volume and growth projections, and space utilization. Prepares materials for client presentations. Collaborates with design teams to evaluate design options based on client-driven criteria. Develops and facilitates data collection through interviews, data requests at the DRG and CPT levels, focus groups, end-user surveys, observation, and post occupancy evaluation. Objectively manages and analyzes collected data through processes such as dashboards and visualizations. Prepares and supports change management documentation. Uses a creative approach to complete tasks and responsibilities on projects, within the scope of schedule and budget, in an organized, timely, and consistent way. Self-checks work for accuracy, omissions, legibility, and for document compliance. Expresses curiosity about the world of design and industry at large. Takes increasing ownership on tasks within project teams and studio activities. Participates and collaborates in design reviews, charettes, and pin-ups. Keep open communication within team and with designated team leader. Communicates ideas and thoughts in a way that inspires others. Coordinates effectively with partners and consultants. High-level Summary of Critical, Baseline Technical Skills and Certifications Proficiencies Analytical skills Graphic design and data visualization Excellent writing and verbal communication skills Problem-solving skills Critical thinking Storytelling Travel required, as necessitated by clients and your role Software Microsoft Office, Adobe Suite Presentation Tools (deep PowerPoint expertise, InDesign, Photoshop, etc.) Data Analysis Software (Excel) Power BI Licensure/Certifications/Education Professional degree in industrial engineering, systems engineering, business management/business administration (with quantitative focus), healthcare administration, data science, or other related degree. LEED GA within 6 months of hire LEAN and/or Six Sigma Greenbelt preferred but not required Qualified and interested candidates should submit a resume and work samples. Include your resume and a compact, representative sample of your work (no larger than 4MB). At Perkins&Will we believe that inclusion spurs creativity, and that innovation is born from an engaged culture of diverse people and ideas. By moving beyond barriers and stereotypes of gender, race, color, religion, national origin, ancestry, age, medical condition, disability, sexual orientation, gender identity, veteran status; we are committed to building an organization that reflects the diversity of the communities and clients we serve. Equal Employment Opportunity Statement Perkins&Will has established and adopted an Equal Employment Opportunity Employment policy ("EEO"), which is part of the Company's Human Resources Policy. The purpose of this EEO policy is to ensure that all employment decisions are made on a non-discriminatory basis, and without regard to sex, race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity or expression, gender reassignment, citizenship, pregnancy or maternity, veteran status, or any other status protected by applicable national, federal, state, or local law. In some cases, local laws and regulations may provide greater protections than those outlined here and employees will be covered by the laws of their local jurisdiction. #LI-AS1

Posted 30+ days ago

J
Traveling Superintendent - Healthcare
JEDunnKansas City, MO
Best People + Right Culture. These are the driving forces behind JE Dunn's success. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years. Our diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in our pursuit of building perfection. Role Summary Based in Kansas City, MO, this is a full-time traveling position. The role requires regular travel to various jobsites across the Midwest region. Candidates should be comfortable with frequent travel and extended time on location as project needs dictate. The Superintendent 1 will help plan, manage and execute all aspects of assigned projects. This position will be responsible for managing material and equipment, assisting with people management, ensuring documentation is complete and meeting project goals to achieve timely and profitable completion of each project. All activities will be performed in support of the strategy, vision and values of JE Dunn. Autonomy and Decision Making: Makes decisions within defined limits of authority and consults supervisor on other decisions. Career Path: Superintendent 2. Key Role Responsibilities- Core SUPERINTENDENT FAMILY- CORE Leads all aspects of the company's safety culture and creates awareness by demonstrating commitment to an injury-free environment through individual actions and mentoring others. Investigates safety incidents and retrains staff and needed. Provides management of subcontractors and organization of the overall job and workflow. Manages and oversees company staff, subcontractors, suppliers and programs such as Safety, Quality and EEOC for a small project or a major portion of a larger project. Develops work plans for subcontractors and self-performed work. Coordinates and manages the care, custody and control of the project site. Leads various meetings including daily standup and weekly trade meetings. Attends, manages and participates in appropriate progress and/or project OAC meetings. Creates, manages, changes and implements the project's schedule as needed, in conjunction with the Project Manager. May be responsible for tracking and monitoring project budget and costs by using the project management system's cost reports and data from the project manager. Communicates key project information to owners, design team, governing authorities, subcontractors, suppliers and other departments. Follows the project filing and documentation organization system as dictated for the project. Updates drawings, logs, diaries and inspection notebooks. Approves and/or records unit cost information for weekly reports and completes daily reports, logs and tracking reports. Evaluates progress on self-perform work and make adjustments as needed. Manages material and equipment needs for the project. Supports the MOC (Material and Other Costs) and DLSC (Dunn Logistics Service Center) procurement and approval processes. Assists in the selection of the formwork, tools and equipment necessary to complete self-perform operations. Manages timecard approval process to ensure reporting of accurate hours and proper cost codes. Ensures quality compliance through use of specifications, setting quality standards, in-house QA/QC and outside resources. Supports the project closeouts by supervising pre-punch activities and coordinating activities with the owner, architect and governing authorities. Gains understanding of the project pursuit process and methodology. Participates with the field operations leadership and the project team to put together a project pre plan; implements, monitors and adjusts as needed throughout the project lifecycle. Partners with field leadership to establish field staffing for their assigned project. Partners with project management to identify schedule and costs associated with project changes. Participates in the negotiation process with the owner and architect to gain agreement for project changes. Participates with the project team in preparation and presentation for all project review meetings, including the monthly review process and other key project meetings. Participates in the project buy out meetings with subcontractors and vendors. Understands and applies the terms and conditions of the owner and subcontractor contracts for the project. Responsible for identifying and recruiting top talent. Leads, supports and promotes a culture of diversity and inclusion within JE Dunn. Understands JE Dunn's policy of non-discrimination and ensures positive, proactive implementation throughout the organization. Key Role Responsibilities- Additional Core N/A Knowledge, Skills & Abilities Ability to perform work accurately and completely, and in a timely manner. Communication skills, verbal and written (Intermediate). Ability to conduct effective presentations. Proficiency in MS Office (Intermediate). Ability to apply fundamentals of the means and methods of construction management to projects. Knowledge of project processes and how each supports the successful completion of a project. Ability to build relationships with team members that transcend a project. Proficiency in project management and accounting software. Proficiency in required JE Dunn construction technology. Proficiency in scheduling software. Ability to apply Lean process and philosophy. Demonstrated knowledge of specific trades and scopes of work (Intermediate). Demonstrated knowledge of self-perform and labor productivity. Ability to manage budgets, maximize profitability and generate future work through building relationships. Knowledge of organizational structure and available resources. Knowledge of layout skill (Intermediate). Knowledge of crane flagging and rigging (Intermediate). Ability to understand document changes and impact to the project schedule. Ability to build relationships and collaborate within a team, internally and externally. Education High School Diploma or GED. Bachelor's degree in construction management, engineering or related field (Preferred). Experience 3+ years construction experience. 1+ years field supervision experience. Working Environment Must be able to lift at least to 50 pounds May require periods of travel and/or relocation May be exposed to extreme conditions (hot or cold) Must be willing to work non-traditional hours to meet project needs Frequent activity: Standing, Walking, Climbing, Bending, Reaching above Shoulder, Pushing, Pulling Occasional activity: Sitting, Viewing Computer Screen Benefits Information The benefits package aligned to this position is Professional Non-Union. Please click the link below for more details. Click here for benefits details. JE Dunn Construction is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer and it is our policy to provide equal opportunity to all people without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, citizenship status, sex, sexual orientation, gender identity or any other legally protected category. JE Dunn Construction is a background screening, drug-free workplace. JE Dunn provides reasonable accommodations to qualified individuals with disabilities. If you would like to request a reasonable accommodation in order to apply for a job, please submit your request to accommodations@jedunn.com JE Dunn Construction Company does not accept unsolicited resumes from search firms or agencies. Any resume submitted to any employee of JE Dunn Construction without a prior written search agreement will be considered unsolicited and the property of JE Dunn Construction Company. Please, no phone calls or emails. Why People Work Here At JE Dunn we offer our employees an inspired place to enrich their life and the lives of those around them Building on our rich history, our employee owners are shaping the future of JE Dunn. In our team-focused environment we do life together and are generously rewarded for our efforts About JE Dunn For more information on who we are, click here. EEO NOTICES Know Your Rights: Workplace Discrimination is Illegal California Privacy Policy E-Verify JE Dunn participates in the Electronic Employment Eligibility Verification Program. E-Verify Participation (English and Spanish) Right to Work (English) Right to Work (Spanish)

Posted 30+ days ago

Director, Clinical Execution & Operations - Cigna Healthcare - Hybrid-logo
Director, Clinical Execution & Operations - Cigna Healthcare - Hybrid
CignaPhiladelphia, PA
Job Summary The Director, Clinical Execution & Operations is a key operational leader responsible for translating clinical strategies into scalable, high-impact programs across Cigna Healthcare (CHC). This role is pivotal in ensuring that clinical priorities are operationalized with clarity, accountability, and ultimately, measurable results that improve member care. This role oversees a team of 15-20 FTEs, including 4 direct reports, and is accountable for driving operational excellence and cross-functional coordination across clinical initiatives. The ideal candidate brings a strong background in healthcare operations, people leadership, and executional rigor. This role reports to the Managing Director, Clinical Strategy and Operations. Responsibilities Operational Leadership Oversee CHC clinical programs and initiatives, ensuring alignment with strategic goals and performance expectations. Manage a team of 15-20 FTEs, including 4 direct reports, fostering a high-performance culture and supporting professional development. Partner with senior clinical and business leaders to shape execution plans, resolve barriers, and ensure visibility and alignment at the executive level. Develop and implement scalable processes, tools, and governance models to support clinical program delivery and performance tracking. Ensure timely and effective execution of CHC clinical initiatives, overseeing resource planning, milestone tracking, and risk mitigation. Cross-Functional Coordination Partner with CHC clinical teams, including strategy, medical management, provider network, data and analytics, and product teams to ensure continuity and management of clinical programs and priorities. Serve as the operational liaison between strategic planning and frontline implementation teams within CHC and across the enterprise. Support readiness and enablement efforts for new clinical programs and services, establishing escalation and acute-resolution pathways as needed. Foster a culture of ownership, executional excellence, and professional growth within CHC and across the enterprise. Performance Management & Reporting Establish a reporting and oversight strategy for all CHC clinical programs, leveraging KPIs and dashboards to monitor program performance, operational efficiency, and clinical impact. Manage all data and reporting needs for CHC clinical, partnering with technology and data and analytics colleagues across the enterprise. Create clear and supportive accountability structures across program execution. Lead continuous improvement efforts based on performance insights, stakeholder feedback, and evolving business needs. Oversee executive-level updates and reporting for senior leadership and key stakeholders. Required Qualifications Bachelor's degree required; advanced degree (e.g., MBA, MPH, MHA) preferred. 10+ years of experience in healthcare operations, clinical program management, or related fields. 5+ years of people leadership experience, including managing direct reports and cross-functional teams. Proven ability to lead complex initiatives from strategy through execution in a matrixed environment. Strong organizational, project management, and communication skills. Expertise with performance measurement, operational dashboards, and continuous improvement methodologies. Preferred Qualifications Experience in payer, provider, or integrated delivery system environments. Familiarity with clinical care models, value-based care, and population health strategies. Exposure to digital health tools and operational enablement platforms. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 6 days ago

Director, Healthcare Economics-logo
Director, Healthcare Economics
Sun Life FinancialNashville, TN
Sun Life U.S. is one of the largest providers of employee and government benefits, helping approximately 50 million Americans access the care and coverage they need. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. We have more than 6,400 employees and associates in our partner dental practices and operate nationwide. Visit our website to discover how Sun Life is making life brighter for our customers, partners and communities. Job Description: Sun Life embraces a hybrid work model that balances in-office collaboration with the flexibility of virtual work. Internal candidates are not required to relocate near an office. The opportunity: The Director of Healthcare Economics will support the Health & Risk Solutions business via the Actuarial Pricing team. Primary focus will be pricing PPO Networks, PBMs, TPAs, and measurement of health capability vendor offerings within our Stop-Loss product. This role will work with Distribution, Underwriting, and Health Capabilities teams to identify, manage, and capitalize on viable growth opportunities. How you will contribute: Develop and enhance rate study methodologies Establish and maintain effective pricing models for evaluating traditional medical networks Identify, evaluate, and monitor new medical network structures (ACOs, reference-based pricing, narrow networks) Provide ongoing pricing assessments of administrators and PBMs as well as any associated cost containment programs Evaluate impact of external vendors on catastrophic claims and develop strategies to reflect impact in stop-loss pricing Lead the development of measurement techniques for health capability offerings Proactively search for additional information used to enhance pricing models Identify and execute corrective actions as needed to manage pricing for networks, TPAs, PBMs, and other vendors Partner with Underwriting, Distribution, and Product Management to identify, support, and grow profitable relationships or fix unprofitable relationships Act as a subject matter expert related to network offerings, vendor capabilities, and their associated values to both internal and external partners, including serving as relationship manager on key partnerships Proactively identify opportunities to share information with business partners through formal training sessions, internal documentation, etc. Provide leadership and direction to Healthcare Economics team, develop and monitor performance of others What you will bring with you: Ability to work with a diverse range of people FSA with 7+ years of proven healthcare actuarial experience, stop-loss experience a plus Superior analytical, technical, and communication skills Ability to deal with imperfect data, and identify supplemental data sources Proven ability to navigate and manage ambiguous situations effectively Ability to work across different functional areas Prior experience with medical networks or provider contracting a plus Prior management experience preferred Salary: $153,400-$230,100 At our company, we are committed to pay transparency and equity. The salary range for this role is competitive nationwide, and we strive to ensure that compensation is fair and equitable. Your actual base salary will be determined based on your unique skills, qualifications, experience, education, and geographic location. In addition to your base salary, this position is eligible for a discretionary annual incentive award based on your individual performance as well as the overall performance of the business. We are dedicated to creating a work environment where everyone is rewarded for their contributions. Not ready to apply yet but want to stay in touch? Join our talent community to stay connected until the time is right for you! We are committed to fostering an inclusive environment where all employees feel they belong, are supported and empowered to thrive. We are dedicated to building teams with varied experiences, backgrounds, perspectives and ideas that benefit our colleagues, clients, and the communities where we operate. We encourage applications from qualified individuals from all backgrounds. Life is brighter when you work at Sun Life At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program. Plan for your future with our 401(k) employer match, stock purchase options and an employer-funded retirement account. Enjoy a flexible, inclusive and collaborative work environment that supports career growth. We're proud to be recognized in our communities as a top employer. Proudly Great Place to Work Certified in Canada and the U.S., we've also been recognized as a "Top 10" employer by the Boston Globe's "Top Places to Work" for two years in a row. Visit our website to learn more about our benefits and recognition within our communities. We will make reasonable accommodations to the known physical or mental limitations of otherwise-qualified individuals with disabilities or special disabled veterans, unless the accommodation would impose an undue hardship on the operation of our business. Please email thebrightside@sunlife.com to request an accommodation. For applicants residing in California, please read our employee California Privacy Policy and Notice. We do not require or administer lie detector tests as a condition of employment or continued employment. Sun Life will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including applicable fair chance ordinances. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Category: Actuarial Posting End Date: 24/08/2025

Posted 1 week ago

Government Healthcare Actuarial Lead-logo
Government Healthcare Actuarial Lead
Clark InsuranceAtlanta, GA
Company: Mercer Description: We are seeking a talented individual to join our Government Human Services Consulting team at Mercer. T Mercer's Government Human Services Consulting (GHSC) practice is dedicated to helping publicly funded health and human services clients transform their healthcare programs, impacting the lives of millions in our most vulnerable communities. We believe that each project is an opportunity to build trust between our team and our clients, and we back each project with industry leading experience and multi-disciplinary specialists. We will count on you to: Lead a team that of actuaries, actuarial and data analysts, clinicians and health policy consultants supporting multiple large, complex capitation rate-setting and other actuarial projects In conjunction with other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards Oversee the development of rate-setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process Work directly with clients on emerging and/or unique challenges facing their programs, and leverage the skills and expertise of Mercer actuaries, clinicians, and health policy consultants to design innovative and comprehensive solutions Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion Work with project leaders to identify growth and development opportunities for experienced actuaries, junior actuaries, and actuarial students on project teams. Provide guidance, oversight and mentoring for actuarial staff as needed What you need to have: BA/BS degree 10+ years minimum health actuarial experience, with 5+ years of Medicaid actuarial experience Actuarial credentials (ASA, FSA, MAAA) Experience leading large multi-disciplinary teams and large, complex projects What makes you stand out? Medicaid actuarial experience spanning multiple states, programs, health insurers, or Federal agencies and actuarial consulting experience Ability to handle client and project management in a demanding work environment with tight deadlines Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work, and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients, and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $150,500 to $301,000. 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 1 week ago

Senior Medical Science Liaison Women's Healthcare South Florida-logo
Senior Medical Science Liaison Women's Healthcare South Florida
Bayer Inc.Miami, FL
At Bayer we're visionaries, driven to solve the world's toughest challenges and striving for a world where 'Health for all Hunger for none' is no longer a dream, but a real possibility. We're doing it with energy, curiosity and sheer dedication, always learning from unique perspectives of those around us, expanding our thinking, growing our capabilities and redefining 'impossible'. There are so many reasons to join us. If you're hungry to build a varied and meaningful career in a community of brilliant and diverse minds to make a real difference, there's only one choice. Senior Medical Science Liaison Women's Healthcare South Florida The Senior Medical Science Liaison (MSL) serves as a trusted scientific expert and partner representing Bayer in the medical community through the dissemination of and education on scientific data related to Bayer products across the product lifecycle. The MSL establishes proactive long- term scientific/strategic relationships with key, influential healthcare providers, and stakeholders, and with major medical associations and academic centers of excellence. These relationships will ensure that healthcare providers and organizations have access to relevant scientific information and that pertinent information is shared with the medical community. The MSL serves as technical and scientific support in the field for healthcare providers ensuring safe and effective use of Bayer products including timely adverse event reporting and responses to unsolicited requests for detailed product and disease state information. The MSL also develops a complete understanding of national, regional, and local experts and stakeholders in specific therapeutic categories and the healthcare environment in which they work. The MSL is an expert in specific therapeutic areas covering a specific region and Area Business Unit, collaborating with internal business partners and external contacts addressing specific scientific and educational needs. The Territory will cover South Florida. Candidates will need to reside near/within territory. YOUR TASKS AND RESPONSIBILITIES The primary responsibilities of this role, Senior Medical Science Liaison, are to: Scientific Expertise Complete core training curriculum and basic MSL and Therapeutic Area (TA) Certification; Demonstrated accountability to continuous learning and growth (Franchise data, MSL role, Soft Skills, Personal Development). Completes recertification where applicable; Professional licensure with CEU documentation where applicable; Depth of knowledge within the therapeutic area exceeds that of peers and/or Medical Affairs experience in multiple therapeutic areas; Coordinates and lead TA updates, team discussions, training initiatives (i.e. journal clubs); Attend and report on local, regional and national medical conferences and other meetings of value; Coordinate team coverage of major regional or national meetings including program evaluation, required attendance and coordination of high quality meeting reports; Identifies educational gaps and provides subsequent recommendations for educational resource, content, or initiative development. External HCP and Stakeholder Engagement Establishes robust long-term relationships with Thought Leaders and other key stakeholders through education on up to date scientific information in alignment with US, Global, and Area Business Unit definitions and strategies; Impactful proactive engagement with TLs, HCPs, research sites, associations, societies, & other stakeholders according to defined scope and engagement plans. Actively seeks future stakeholders and emerging Thought Leader groups in alignment with local health care system and medical strategy; Leverage knowledge of US and Global definitions and strategies to develop and pull through local Area Business Unit strategy; Responsible and Accountable for driving medical strategy by translating the local medical plan into implementable TL and stakeholder engagement strategies with cross-functional teams and identify synergies with the interests of Bayer and the general medical community; Approach accounts, customers, and Area Business Unit strategically, utilizing key metrics to ensure alignment to territory plan and medical objectives; Compliantly supports speaker training and evaluation and medical evaluation of scientific merit; Advisory Board or other Bayer Program coordination or support during meeting; Coordinates TL engagement with Franchise Medical Affairs team and relevant internal stakeholders. Education Delivers educational presentations to external audiences, stakeholders, and customers groups. Proactive identification of educational opportunities within assigned Area Business Unit to stakeholders or customers groups; Responsible for timely, accurate, specific and balanced responses to Medical Inquires in collaboration with Medical Communications; Adherence to SOP and FDA guidance for distribution of scientific information; Adherence to SOP and compliance guidelines for all external contacts; Prepares and presents data to internal audiences including MA and Commercial partners. Research Responsible for supporting research projects aligned with medical and brand strategy; including facilitating investigator-initiated research (IIR) and research site identification; Responsible for supporting clinical trial team and engaging with appropriate stakeholders for Bayer sponsored clinical trials. Support with data collection, feasibility & initiation visits, and study support as appropriate. Insights Responsible and Accountable for generating relevant HCP and stakeholder insights that deepen understanding of patients, HCPs, consumers, or treatment landscape. Document and communicate them accordingly within system or to stakeholders to inform, refine, and enhance tactics and strategy; Report new compound development information and potential collaborations when appropriate or requested in line with corporate strategy. Collaboration Compliant active strategic partnership and collaboration with territory cross-functional stakeholders (i.e. Area General Manager, Area Business Unit team, Field DGOS, etc.) as part of Area Business Unit team; Presentations to internal audiences including Therapeutic Area Medical Affairs (MA) or commercial partners; Lead project teams or task forces as appropriate within Franchise Medical Team; Initiates best practice discussions for MSL team and internal partners; Responsible and accountable as MSL mentor as appropriate. New Ways of Working (Data Collection / Analysis / Interpretation) Internal champion of new ways of working including platforms, systems, capabilities. Train, mentor, and empower Field Medical team to leverage new ways of working; Complete all required customer activity documentation, training, expense reporting, and other administrative responsibilities in a timely, accurate, and compliant manner; Responsible for reviewing and interpreting interaction analytics related to TL engagement and take appropriate actions to execute stakeholder plans; Use data and analytics to seek out and maximize customer engagement opportunities within the territory; Leverage evolving country and Global platforms and systems to ensure data driven tailored approach to customer engagement; Leverage omnichannel methods of engagement with stakeholders to ensure customer-centric approach to data dissemination and education. WHO YOU ARE Bayer seeks an incumbent who possesses the following: Required Qualifications: BA/ BS Degree is required; Experience in a scientific or healthcare clinical setting; or pharmaceutical industry experience in Medical Affairs, Sales, Marketing or Clinical Development; or post-graduate fellowship experience in a hospital or industry setting; Rotations or fellowships do not contribute to above requirements; MSL experience is required; Demonstrated project management ability; Demonstrated expertise in communicating scientific information; Demonstrated project management ability; Excellent oral and written communication skills; Excellent interpersonal skills; Demonstrates understanding of clinical trial design; Ability to critically evaluate the medical literature; Ability to work in a team environment; Established ability to build productive work relationships both internally and externally; Travel 50+% and manage a demanding schedule; Valid Driver's License and eligibility to drive a company car or pooled vehicle (driving record must meet guidelines base on the company's Risk Screening for Hiring Drivers and MVR will be reviewed as part of pre-employment screening). Preferred Qualifications: Advanced terminal Doctorate degree in medical or health sciences (e.g M.D., PhD, PharmD, DPH, EdD) or an advanced degree in Pharmacology, Pharmacy, Medicine, Nursing or equivalent experience is preferred; Working knowledge of FDA, OIG requirements; A minimum of 1 year MSL experience or 2 years experience working within the pharmaceutical/biotech industry or post-graduate fellowship experience in a hospital or industry setting. Employees can expect to be paid a salary of between $140,500 to $223,600. Additional compensation may include a bonus or commission (if relevant). Additional benefits include health care, vision, dental, retirement, PTO, sick leave, etc.. This salary range is merely an estimate and may vary based on an applicant's location, market data/ranges, an applicant's skills and prior relevant experience, certain degrees and certifications, and other relevant factors. This posting will be available for application until at least:7/25/2025 #LI-US YOUR APPLICATION Bayer offers a wide variety of competitive compensation and benefits programs. If you meet the requirements of this unique opportunity, and want to impact our mission Science for a better life, we encourage you to apply now. Be part of something bigger. Be you. Be Bayer. To all recruitment agencies: Bayer does not accept unsolicited third party resumes. Bayer is an Equal Opportunity Employer/Disabled/Veterans Bayer is committed to providing access and reasonable accommodations in its application process for individuals with disabilities and encourages applicants with disabilities to request any needed accommodation(s) using the contact information below. Bayer is an E-Verify Employer. Location: United States : Florida : Miami United States : Florida : Residence Based United States : Florida : Sarasota United States : Florida : Tampa Division: Pharmaceuticals Reference Code: 849967 Contact Us Email: hrop_usa@bayer.com Job Segment: Pharmaceutical, Project Manager, Franchise, PLM, Pharmaceutical Sales, Science, Technology, Retail, Management, Sales

Posted 1 week ago

Quickstat Air Logistics Healthcare Operational Care Specialist-logo
Quickstat Air Logistics Healthcare Operational Care Specialist
Kuehne & Nagel Logistics, Inc.Jamaica, NY
It's more than a job When you work in Freight Logistics and Operations at Kuehne+Nagel, you play a key role in optimising processes and ensuring that inventory and shipments move efficiently. But that is not all. Your work also helps ensure that vital medicines reach patients on time and supports other essential deliveries, from wind turbines to semiconductors. At Kuehne+Nagel, our contribution counts in more ways than we imagine. As the Operational Care Specialist is responsible for managing the coordination of customer shipments by securing buy rates (when required) as well as capacity with qualified carriers/partners. Specifically, the Operational Care Specialist will be part of a team responsible for coordinating transport activities by: executing the necessary bookings with our partners, executing the requisite data entry associated with transport document generation, generating the required documentation, and liaising with our customer care specialists to ensure specific requirements are met (Transit Times, Carrier selection, Routings etc). How you create impact Track and trace shipments thru alarm management and checkpoint verification at key milestones. Communicate effectively with QuickSTAT vendors (service partners and airlines / carriers to ensure that the needs of QuickSTAT customers are being satisfied consistently To work collaboratively with Customer Relationship Managers (CRMs), Customer Service and the Commercial Business Development (BD) team to ensure maximum client satisfaction. To identify discrepancies and escalate issues to the Management and update clients in conjunction with Customer Service. Ensure compliance with company policies and procedures Understand and embrace the company mission by providing the highest quality global transportation and logistics services for our customers Ensure compliance with all required training certifications Report to Air Logistics Healthcare Operational Care Specialist What we would like you to bring Associate's degree or equivalent experience 1+ year of experience in logistics or Call Center Customer Service Must be able to type 30+ WPM What's in it for you At QuickSTAT we strive daily to inspire, empower, and deliver not only to our customers, but also to our colleagues. We offer a dynamic global work environment with opportunities for excellent training programs and career mobility. The target salary range for this position is between $20 and $23. Base wage is part of a competitive total rewards package that includes health and welfare benefits, a 401k retirement savings plan, tuition reimbursement, and incentive compensation for eligible roles. Individual pay may vary from the target range and is determined by a number of factors including experience, skills, job location, internal pay equity, and other relevant business considerations. QuickSTAT reviews pay ranges regularly to ensure competitive and fair pay based on industry market data. Kuehne+Nagel is committed to Equal Employment Opportunity ("EEO") and to compliance with all federal, state, and local laws that prohibit workplace discrimination and unlawful retaliation. Kuehne+Nagel strictly prohibits all discrimination on the basis of race, ancestry, color, age, national origin, ethnicity, religious creed or belief, physical or mental disability, marital or familial status, legally protected medical condition, genetic information, military or veteran status, sex (including pregnancy, childbirth, breastfeeding, or related medical condition), gender (including gender identity and gender expression), sexual orientation, citizenship status, protected activity (such as opposition to or reporting of prohibited discrimination or harassment. Kuehne+Nagel will also make reasonable accommodations for disabled applicants and employees, including accommodations for pregnancy and childbirth, and for the sincerely held religious beliefs of applicants and employees depending upon individual circumstances unless such accommodation would create an undue hardship on Kuehne+Nagel. #LI-SB1 Who we are Logistics shapes everyday life - from the goods we consume to the healthcare we rely on. At Kuehne+Nagel, your work goes beyond logistics; it enables both ordinary and special moments in the lives of people around the world. As a global leader with a strong heritage and a vision to move the world forward, we offer a safe, stable environment where your career can make a real difference. Whether we help deliver life-saving medicines, develop sustainable transportation solutions or support our local communities, your career will contribute to more than you can imagine. We kindly advise that placement agencies refrain from submitting unsolicited profiles. Any submissions of candidates without prior signed agreement will be considered our property and no fees will be paid.

Posted 30+ days ago

National Solutions Project Developer - Healthcare-logo
National Solutions Project Developer - Healthcare
Limbach Holdings, Inc.Tampa, FL
Who We Are… Since our founding in 1901, Limbach's primary core value has always been: We Care. We are committed to creating a culture of belonging for our employees, our We Care culture, and our industry as a whole. Limbach Company LLC, a subsidiary of Limbach Holdings, Inc., (NASDAQ: LMB) is an integrated building systems solutions firm whose expertise is the design, installation, management, service, and maintenance of HVAC, mechanical, electrical, plumbing and control systems. We engineer, construct, and service the mechanical, plumbing, air conditioning, heating, building automation, electrical and control systems in both new and existing buildings and infrastructure. We work for building owners in the private, not-for-profit, and public/government sectors. Our vision is to create value for building owners targeting opportunities for long term relationships. Our purpose is to create great opportunities for people. We carry out our vision and purpose through a commitment to our four core values… We Care We Act with Integrity We Are Innovative We Are Accountable The Benefits & Perks… Base salary range of $180K - $225K Full portfolio of medical, dental, and vision benefits, along with 401K plan and company match. HSA, FSA, and life insurance offerings. Maximize your professional development with our award-winning Learning & Engagement team. Engage in our "We Care" culture through our ERGs, brought to you by EMBRACE. Career pathing flexibility and mobility. Who You Are… As National Solutions Project Developer, you will lead the development of large-scale, turnkey infrastructure projects across the Eastern United States. This role requires a rare blend of engineering excellence, business acumen, and healthcare industry insight, with the ability to create fully integrated, high-ROI solutions that drive sustainability, operational efficiency, and long-term value for healthcare systems. The incumbent will work closely with healthcare executives and internal stakeholders to assess facility needs, craft strategic infrastructure plans, and lead the design and technical development of complex, multi-million-dollar projects that align with regulatory, financial, and sustainability goals. This Position… Some examples of the work you might do includes: Leads technical development of large, turnkey infrastructure solutions for healthcare clients, including energy efficiency, decarbonization, resiliency, and modernization projects. Works directly with C-level healthcare executives, facilities teams, and capital planners to assess existing infrastructure, operational challenges, and long-term goals. Conducts comprehensive facility assessments, site audits, and energy analyses to identify strategic opportunities and calculate project ROI. Translates complex engineering concepts into strategic, business-aligned proposals that address operational, financial, and regulatory healthcare drivers. Develops integrated technical scopes of work, conceptual designs, and budgets across mechanical, electrical, controls, and infrastructure systems. Collaborates with sales, project management, and external partners to ensure alignment and feasibility through design, implementation, and handoff phases. Ensures that proposed solutions meet or exceed client expectations in terms of sustainability outcomes, resiliency, and operational excellence. Stays abreast of healthcare trends, regulations, and technologies influencing infrastructure and energy planning. Supports internal proposal development, pricing strategy, and capital planning models including performance contracts, utility incentives, and other innovative funding approaches. Serves as a subject matter expert and technical advisor throughout the customer engagement and project lifecycle. What You Need… 10+ years of experience in engineering or project development of large-scale infrastructure, energy, or turnkey facility projects. At least 5 years of experience specifically within the healthcare vertical, working with hospitals, health systems, or IDNs. Proven ability to design and develop complex technical solutions for large healthcare campuses with a clear ROI and sustainability narrative. Strong knowledge of building systems (HVAC, electrical, controls, energy systems) and infrastructure modernization practices. Deep understanding of healthcare operational standards, compliance frameworks (e.g., Joint Commission, ASHE), and patient-centric facility constraints. Highly proficient in energy modeling, financial modeling, and life-cycle cost analysis. Strong project development and presentation skills with the ability to engage both technical and executive stakeholders. Bachelor's degree in Mechanical, Electrical, or Energy Engineering required; PE license or advanced technical certification strongly preferred. Must have a valid driver's license. Must have a driving record compliant with the Company's policies and MVR requirements, and consent to ongoing driving record monitoring by the Company. Ability to travel up to 50% of the time. Preferred Qualifications: Familiarity with Energy Star for Healthcare, LEED for Healthcare, or similar sustainability frameworks. Knowledge of state and federal energy incentive programs and funding mechanisms. Advanced proficiency in tools such as eQUEST, TRACE, Excel-based modeling, AutoCAD, or Revit. Experience with ESCOs, P3s, performance contracting, or innovative energy service models. Conduct Standards: Maintains appropriate Company confidentiality at all times. Protects the assets of the Company and ethically upholds the Code of Conduct & Ethics in all situations. Cultivates and promotes the "Hearts & Minds" safety culture. Consistently exemplifies the Core Values of the Company (we CARE, we act with INTEGRITY, we are INNOVATIVE, and we are ACCOUNTABLE). Work Environment: This position operates primarily in a professional office environment, and routinely utilizes standard office equipment, such as computers, phones, copiers, and filing cabinets. Work duties may regularly necessitate walk-throughs of local job sites, during which the incumbent may utilize basic tools (measuring tape, screwdriver, wrench, etc.), and be intermittently exposed to the conditions typically associated with a construction site. Physical Demands: In performing the duties of this job, the incumbent is regularly required to sit, stand, talk, walk, hear, and possess an appropriate degree of both visual acuity and manual dexterity. S/he may occasionally be required to climb, stoop, crouch, crawl, reach, and/or perform repetitive motion. This is considered a light work position, which means possible exertion of up to twenty (20) pounds of force occasionally, and/or up to ten (10) pounds of force frequently, and/or a negligible amount of force constantly to lift, carry, push, pull, or otherwise move objects. This job description is intended to describe the general nature of work being performed by the individual who assumes this role, not an exhaustive list of responsibilities. Duties, responsibilities, and activities may change at any time, with or without notice, as business needs dictate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Limbach Facility Services LLC is an Equal Opportunity Employer.

Posted 30+ days ago

B
Superintendent - Healthcare
Big-D CompaniesSalt Lake City, UT
Big-D is looking for a dynamic Superintendent- Healthcare. This is a great opportunity to start a career with a company that is on a mission to be the most sought-after company in the business. We seek and employ exceptional, hard-working, lifetime learners; we give them the tools to succeed when we find them. We have a culture of growth and achievement powered by innovation, supported by purpose and joy. Big-D Construction, is looking for a Superintendent- Healthcare to join our team based in Salt Lake City, UT. Key responsibilities include: Manage safety, quality, schedule, production, logistics and coordination Represents the company in meetings and interfaces with all project stakeholders Coordinates and directs all subcontractor and vendors Works with the project team to establish goals and develop accountability Assumes responsibility for productivity of crafts, efficient use of materials and equipment, and contractual performance of the project Works closely with city officials in requesting and coordinating applicable inspections, including starting dialogue with officials from day one Verifies to ensure subcontractor completes the assigned scope of work Seeks to learn changes in the industry Requirements: 7+ years of related experience working on ground-up construction projects as a Superintendent Project experience as the main Superintendent on ground-up healthcare projects Possess strong computer skills: proficient in Procore, MS Excel, MS Word, MS Outlook, Procore, P6 (Primavera 6) Ability to effectively lead and manage teams. Ability to interact and communicate effectively with project team, customers, subcontractors, vendors, inspectors, and employees at all levels of the organization. Extensive knowledge of established construction practices, procedures, and techniques as well as applicable local, state and federal building codes. Ability to read and understand work orders, budget, change orders, safety standards, plans specifications, shop drawings, blue prints, submittals, manufacturer's literature, contract documents and specifications, and CPM schedules. Understand construction scheduling and sequencing, and cost control. Ability to maintain confidentiality and professionalism in the workplace. Thorough and attentive to details; extremely organized and able to prioritize and multitask. Ability to solve practical problems and deal with a variety of abstract variables in situations where only limited standardization exists. BENEFITS: 100% Medical & Dental premiums paid for Health Savings Account (HSA) with Employer Contribution PTO & Paid Holidays 401k with match Life Insurance & Disability paid for Supplemental Benefits available Company Vehicle, Phone, and computer NOTE: Interested applicants must submit their resume for consideration using our applicant tracking system. Due to the high volume of applications received, only candidates selected for interviews will be contacted. Candidates must be legally authorized to work in the United States. Unsolicited resumes from search firms or employment agencies, or similar, will not be paid a fee and become the property of Big-D Construction. #LI-Onsite

Posted 30+ days ago

C
Healthcare Accounts Receivable (Ar) Specialist
ClinicaLafayette, CO
As our Accounts Receivable Specialist, you will work with assigned payers and accounts from initiation of one-touch, clean claim submission through payment resolution, including billing, rebilling/appeals, account resolution, and denial management. You will ensure that our receivables are entered and processed while maintaining customer/client support in a trauma-informed approach. You will report to the AR Supervisor. You will be in a hybrid setting, coming to the Lafayette, CO office twice per week. Job Profile: Do you have experience complete billing process with Medicaid regarding mental and behavioral health, including substance use disorders (SUD), submitting claims to assigned payers within filing requirements? Are you accurate in posting payments? Do you have experience following-up on all rejections, denials, and past due accounts to maximize collections? Are you good at resolving problems regarding billing failures and re-bills for assigned payers and accounts? You will prepare and complete the deposit process daily from start to finish including copying, tracking, and maintaining accurate files and recording in the General Ledger. Have you completed worked with refunds, unclaimed funds, and escheatment process for assigned payers? In your experience, have you responded to requests for information from customers (internal and external), work with other staff, clients or external third-party payers to resolve problems, challenges, or systemic issues? If this sounds like you, it may be a good time to join us at Mental Health Partners and grow your career with us. Today is the day to apply with us! What's In It For You: Medical (Kaiser and Cigna options), dental, vision, FSA, HSA, life, disability, and retirement (with company match) plans Paid time off, paid holidays, and a comprehensive wellness program Commitment to Justice, Equity, Diversity, and Inclusion work Company contribution to student loans Engaged employer who believes you are an important factor in delivering our mission to the community with lots of opportunity to for dialogue with leaders Training, personal, and professional growth opportunities What We Need: High School diploma or equivalent required. Post high school business training desired. Three (3) years recent accounts receivable/customer service experience in mental healthcare Medicaid billing and collections to include computerized billing systems, cash receipts, private collections, Medicaid, Medicare, managed care and/or traditional insurance. This position will be posted, at minimum, until 5/28/25 and may remain open until a sufficient candidate pool has been collected. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. As a condition of employment, you will be required to receive the annual influenza vaccine. Medical exemptions or religious accommodations may be requested.

Posted 30+ days ago

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

Posted 30+ days ago

Account Executive - Healthcare / Life Sciences-logo
Account Executive - Healthcare / Life Sciences
AppianDenver, CO
We are seeking a dynamic and driven Account Executive to join our sales team, focusing on the life sciences and healthcare verticals. The ideal candidate will be responsible for driving sales growth and expanding our client base within the Western United States. This role requires a strong understanding of the unique challenges and opportunities within the life sciences and healthcare industries, as well as the ability to build and maintain relationships with key decision-makers. Key Responsibilities: Identify and develop new business opportunities within the life sciences and healthcare sectors across Western US. Build and maintain strong relationships with key stakeholders, including C-suite executives, procurement teams, and other decision-makers. Effectively present and demonstrate our products and solutions, highlighting their benefits to meet client needs in the life sciences and healthcare industries. Collaborate with internal teams to develop tailored proposals and solutions that address client challenges and drive value. Manage the entire sales cycle from prospecting to closing, ensuring a seamless and positive customer experience. Meet or exceed sales targets and KPIs, with a focus on growing market share within assigned territories. Stay current on industry trends, competitor activities, and regulatory changes that impact the life sciences and healthcare markets. Regularly update CRM systems with accurate and timely information on sales activities, pipeline status, and forecasts. Qualifications: Proven experience in a sales or account management role, preferably within the life sciences or healthcare sectors. Strong understanding of the key players in the life sciences and healthcare industries. Excellent communication, presentation, and negotiation skills. Ability to work independently and manage multiple priorities in a fast-paced environment. Demonstrated track record of meeting or exceeding sales goals. Willingness to travel within the assigned territories as needed. Why Join Us? Be part of a fast-growing team with a strong market presence in the life sciences and healthcare industries. Competitive salary, commission structure, and comprehensive benefits package. Opportunities for professional development and career growth. #LI-MB1

Posted 1 week ago

A
Housekeeper - Colonial Manor Advanced Rehab. & Healthcare - CMM - Pharr - EVS Labor
Aramark Corp.Pharr, TX
Job Description It's time for a sweeping change to your career so that you can pursue what matters to you! At Aramark, making sure we provide clean environments is something in which we take pride and is a skill set that can help take you further in your career. As a professional Housekeeper on our team, you'll take pride in cleaning and maintaining the cleanliness of our locations to help keep our guests happy and healthy. Integrity and attention to detail are also two must-have tools that you keep in your cleaning case. By helping us create clean, safe, and orderly environments for our guests, you'll pave the way to more opportunities for yourself at Aramark! Job Responsibilities Maintains friendly, efficient, positive customer service demeanor toward customers, clients, and co-workers. Is adaptable to customer needs. Maintains all assigned ancillary and department areas and corridors in a clean neat and sanitary manner, to protect safety and health of others and in compliance with accurate preventative maintenance procedures as outlined in department policy. Inspects and uses judgment in determining which cleaning techniques outlined in orientation guidelines to follow. Demonstrates efficient and safe use of housekeeping equipment and solutions as observed by supervisor. May disinfect and sterilize equipment and supplies, using germicides and sterilizing equipment. Diligently employs universal precautions when disposing of trash and bio-hazardous materials. Keeps cart properly stocked with equipment and cleaning supplies; ensures all chemicals are accurately labeled, and all equipment is in good working condition. Promotes effective interpersonal and interdisciplinary relationships, maintains professional conduct at all times. Assists in improving productivity and efficient operations of the department. Demonstrates commitment to professional growth and competence by adherence to component and departmental training commitments. At Aramark, developing new skills and doing what it takes to get the job done make a positive impact for our employees and for our customers. In order to meet our commitments, job duties may change or new ones may be assigned without formal notice. Qualifications Past cleaning experience preferred Attention to detail Ability to communicate effectively with clients, senior management, and Aramark support staff Ability to respond effectively to changing demands This role may have physical demands including, but not limited to, lifting, bending, pushing, pulling and/or extended walking and standing. This role may also require uniforms and/or usage of Personal Protective Equipment (PPE). Education About Aramark Our Mission Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law. About Aramark The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter. Nearest Major Market: Mc Allen

Posted 2 weeks ago

Healthcare Planner - Junior-logo
Healthcare Planner - Junior
GenslerHouston, TX
Our approach to healthcare is holistic. It is research-driven and designed to create engaging experiences for everyone from patients and families to staff and providers. Gensler seeks innovation for the individual, the community, and the region from a diverse global platform. We call our approach Radically Human. Gensler applies this approach to our work and in building our teams. We seek partners that share our view and are motivated to drive positive change in human health and wellness. Your Role As a Healthcare Planner, your job is to combine creativity and technical knowledge with business skills and understanding to produce functionally beautiful spaces for clients. It's your job to collaborate with a team of architects and designers to deliver unparalleled architectural projects. With you as part of the design team, architecture has never been so engaging. You will leverage your technical acumen and Revit skills to drive client projects from concept through build in a collaborative team. What You Will Do Assist in creating, reviewing, and coordinating the architectural floor plans, interior elevations, reflected ceiling plans and equipment plans of clinical spaces Follow the planning and design information through the production and implementation documentation process to ensure continuity of the design intent Actively support firmwide sustainability and resilience goals, guiding clients and project teams toward multi-benefit sustainable and resilient design solutions Participate in the conceptual design of healthcare projects (medical centers, medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.) Translate client operational model into architectural design/medical plan May serve as the point of contact for client questions Apply governing regulatory codes and hospital licensing standards, and validates that those requirements are met Collaborate with end users to create solutions in real-time Coordinate or prepares drawings and designs in accordance with Gensler standards, best practice, and quality expectations Participate in and may lead team meetings to discuss project issues, technical issues and coordination with other disciplines Maintain detailed documentation of client meetings May be responsible for preparing meeting minutes and other appropriate documents for consultant coordination meetings Understand fundamental accounting principles and the project accounting process Collaborate in and may be responsible for delivering a project on defined budget requirements Understand research methodology and integrates research into practice Leverage cross functional teams and the Gensler Research institute to develop informed and purposeful user-centric design solutions to unlock strategies which will drive innovation in the healthcare industry Your Qualifications Bachelor's degree in Architecture from an accredited school 2+ years of related experience as a Medical Planner, healthcare design and planning background Highly proficient with Revit Knowledge of 3D modeling software (including Rhino and Grasshopper) preferred LEED AP and Registered Architect (or in process) preferred Experience with developing thought leadership publications and participating in speaking engagement preferred Experience leading user group meetings and working with hospital senior leadership Advanced knowledge of current healthcare planning and programming concepts including patient safety, evidence-based design principles, and general industry benchmarks. Understanding of the medical equipment planning process and experience working with medical equipment planners Strong knowledge of architectural building systems, building codes and accessibility guidelines Flexibility to focus on concurrent projects in various stages of development A quick learner with an ability to thrive in a fast-paced work environment Collaborative and team-conscious Must have the ability to maintain existing client relationships and build new client relationships through successful project delivery This position is in-person and requires weekly out-of-state travel for an internationally recognized healthcare institution. If you're open to relocating to the Houston, Texas area, please apply! Non-local candidates are welcome. U.S. News & World Report's 2023-2024 study ranks Houston in the top 10 places to live in Texas!! Life at Gensler As a people-first organization, we are as committed to enjoying life as we are to delivering best-in-class design. From curated art exhibits to internal design competitions to "Well-being Week," our offices reflect our people's diverse interests. We encourage every person at Gensler to lead a healthy and balanced life. Our comprehensive benefits include medical, dental, vision, disability, wellness programs, flex spending, paid holidays, and paid time off. We also offer a 401k, profit sharing, employee stock ownership, and twice-annual bonus opportunities. Our annual base salary range has been established based on local markets. As part of the firm's commitment to licensure and professional development, Gensler offers reimbursement for certain professional licenses and associated renewals and exam fees. In addition, we reimburse tuition for certain eligible programs or classes. We view our professional development programs as strategic investments in our future. #LI-TP1

Posted 30+ days ago

RN Healthcare Manager Bilingual Preferred Wellmed Plant City-logo
RN Healthcare Manager Bilingual Preferred Wellmed Plant City
UnitedHealth Group Inc.Plant City, FL
$5,000 Sign-on Bonus For External Candidates WellMed, part of the Optum family of businesses, is seeking a RN Healthcare Manager to join our team in Naples, FL. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. The Healthcare Manager is responsible for successfully supporting patients with high-risk health conditions to navigate the healthcare system. The Healthcare Manager assists in developing patient empowerment by acting as an educator, resource, and advocate for patients and their families to ensure a maximum quality of life. The Healthcare Manager interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. The Healthcare Manager acts as a resource for clinic staff. The Healthcare Manager works in a less structured, self-directed environment and performs all nursing duties within the scope of a RN license of the applicable state board of nursing. Work Hours: 8 AM - 5 PM Work Location: Plant City, FL Primary Responsibilities: Works with the providers and clinic staff to identify patients at high risk Supports longitudinal care of the patient with chronic care conditions by: Performing assessment of health conditions Performing medication reconciliation Conducting Motivational Interviewing and Self-Management Goal setting Providing patient education, creating referrals to appropriate agencies and resources Supports transition of the patient with chronic care conditions from inpatient to outpatient setting, by: Performing assessment of transitional needs Performing medication reconciliation Establishing and reviewing contingency plan Providing patient education Assisting with post discharge needs such as prescriptions, transportation, Durable Medical Equipment (DME), appointments Coordinate with providers to establish or update plan of care Performs accurate and timely documentation in the electronic medical record Participates in daily huddles and Patient Care Coordination (PCC) meetings Prepares accurate and timely reports, as required, for weekly meetings Maintains continued competence in nursing practice and knowledge of current evidence-based practices May perform clinical tasks within their scope of practice In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. 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: Bachelor's degree in Nursing or Associate's degree in Nursing with 4+ years of experience Registered Nurse with an active and unrestricted license to practice in the state of employment Current BLS certification or the ability to obtain wtihin 30 days Proven knowledge of chronic diseases, especially COPD / asthma, diabetes, CHF and IHD Proficient computer skills to work efficiently with electronic medical records Preferred Qualifications: Experience related to patient education and / or motivational interviewing skills and self-management goal setting 2+ years of experience in a physician's office, clinical or hospital setting 1+ years of Case Management experience Bilingual - able to speak fluent English and Spanish Proven excellent verbal and written skills Proven excellent organizational and prioritization skills Proven solid interpersonal skills Proven ability to interact productively with individuals and with multidisciplinary teams Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Posted 1 week ago

Actuarial Consultant - Government Healthcare-logo
Actuarial Consultant - Government Healthcare
Clark InsuranceBoston, MA
Company: Mercer Description: We are seeking a talented individual to join our Government Human Service Consultant (GHSC) team at Mercer. Medicaid is a government-sponsored health insurance program in the United States designed to provide healthcare coverage to low-income individuals and families. As a consulting firm specializing in Medicaid, Mercer's GHSC team assists state governments in optimizing their Medicaid programs. Our team plays a vital role in managing and analyzing Medicaid claims data to enhance patient access to care, improve cost efficiency, and elevate the quality of services provided to these individuals. As a Government Healthcare Actuarial Consultant, you will have the opportunity to collaborate with experienced programmers, actuaries, and clinicians, contributing to meaningful projects that aim to positively impact the lives of individuals and families in need. Join us in making a difference! We will count on you to: Serve as actuary on large and complex capitation rate setting and other actuarial projects. In conjunction with the project leader, work with the client to define the scope of the project and serve as an expert on rate structure and methodology and ensure consistency with federal regulations and actuarial standards Develop the rate setting assumptions that are built into the data model and informs client and project team on impact of data assumptions and provide on-going review and guidance during the data analysis process Collaborate with client team and project team to finalize rates and educate client on the impact of their policies on the data and rates Draft project communications, including rate capitation letters and act as actuarial authority that signs and certifies rate capitation letters What you need to have: BA/BS degree Actuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials 3+ years minimum health actuarial experience, with Medicaid actuarial 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 What makes you stand out? Medicaid actuarial experience (any state program) or actuarial consulting experience Experience related to health plan analysis or capitated rate development Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X. Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com. Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person. The applicable base salary range for this role is $73,500 to $147,000. 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 1 week ago

First Quality Enterprises Inc logo
Sales Representative, Healthcare
First Quality Enterprises Inclakefield, MN

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Job Description

First Quality was founded in 1989 and has grown to be a global privately held company with over 4,000 employees. Its corporate offices are located in Great Neck, New York, with manufacturing facilities and offices in Pennsylvania, South Carolina, Georgia, and Canada. First Quality is a diversified family of companies manufacturing consumer products ranging from Absorbent Hygiene (adult incontinence, feminine care, and baby care), Tissue (bath and towel), and Industrial (print and packaging materials), serving institutional and retail markets throughout the world. First Quality focuses on private label and branded product lines.

We are seeking a Sales Representative, Healthcare for our First Quality Products, LLC working remotely from Minnesota. This position will be responsible for hunting and closing new Healthcare opportunities in assigned territory for First Quality's full range of absorbent and wipe product lines. Work closely with Sales Ambassadors Account Directors to identify and target new accounts, maintain and grow existing within geographic territory. Support chain level accounts where necessary within and outside of assigned territory.

Primary responsibilities include:

  • Work closely and effectively with internal teams and distributors to achieve company and customer objectives.
  • Develop, grow, and maintain an active and robust sales pipeline. Identify potential new Healthcare opportunities by researching and uncovering new potential opportunities.
  • Lead in the gathering and analyzing competitive intelligence in the region. Make recommendations to the Healthcare Leadership based on intelligence to further sales growth.
  • Develop distributor representative relationships.
  • Utilize sales reports and data to analyze business to determine customer needs and develop and communicate plan to support business and customer needs.
  • Conduct customer education as necessary for proper usage and ensure full formulary utilization.
  • Represent company to promote our products and programs at trade shows, conferences, and other association meetings to grow to grow and maintain sales.
  • Understand the needs and expectations of the customer and provide relevant solutions.

The ideal candidate should possess the following:

  • 1 year of Sales Experience preferred.
  • Bachelor's degree preferred.
  • Demonstrated sales skills.
  • Excellent verbal and written communication skills.
  • Proficient analytical skills.
  • Comfortable and effective presenter digitally and virtually.
  • Standard knowledge of Microsoft Office Suite. Word, PowerPoint, and Excel.
  • Creative thinking, possess ability to resolve critical problems
  • Ability to work independently as well as in a team environment
  • Understanding of Healthcare industry and current with trends.

Travel within Territory as needed and some travel outside of territory for meetings and industry events. Expect 50% overnight travel.

First Quality is committed to protecting information under the care of First Quality Enterprises commensurate with leading industry standards and applicable regulations. As such, First Quality provides at least annual training regarding data privacy and security to employees who, as a result of their role specifications, may come in to contact with sensitive data.

First Quality is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, sexual orientation, gender identification, or protected Veteran status.

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