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C logo
Cambia HealthSalt Lake City, UT

$92,000 - $124,000 / year

SYSTEMS ANALYST III (HEALTHCARE) Hybrid (In office 3 days/week) within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's Software Engineering Team is living our mission to make health care easier and lives better. The Systems Analyst participates in a team environment for the development, maintenance, and delivery of product/application (s) and data integrations as an integral part of a multi-functional team. This position is generally responsible for business, data and product/application analysis. This position requires business, analytical, design, interpersonal, technical and administrative skills in performing day to day work. - all in service of making our members' health journeys easier. If you're a motivated and experienced Systems Analyst looking to make a difference in the healthcare industry, apply for this exciting opportunity today! What You Bring to Cambia: Preferred Key Experience (MUST HAVE): Healthcare Experience Facets Experience API - Not development Qualifications and Certifications: Bachelor's degree in Computer Science, Mathematics, Business Administration, or a related field and minimum 5 years business or system experience developing requirements for projects where computer software is created The equivalent combination of education and/or experience including experience with methodologies and structured analytical approach Skills and Attributes (Not limited to): Ability to work with teammates and with business partners to participate in sessions to gather, translate and document and system requirements to support transforming requirements into effective technology solutions. Ability to create simple story cards and understand simple acceptance criteria enough to verify results; develop simple technical documentation and understand technical documentation and concepts. Ability to coordinate and facilitate one to one and small groups (3-5) of customers or other analysts for small work efforts. Ability to develop positive relationships among business partners, teammates and management. Ability to follow direction, collaborate effectively with peers to provide results, and relay status to management and peers in a timely manner. Additional Minimum Requirements for level II Understands moderately complex acceptance criteria enough to verify results; develops technical documentation and can understand moderately complex technical documentation. Ability to facilitate and lead small teams (1-3) for moderate work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues. Able to participate in requirements sessions/interviews and document clear requirements for moderate work efforts. Mastering knowledge and skills of common software development methodologies. Additional Minimum Requirements for level III Ability to lead small teams (3-5) for complex work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues and creating status reports. Ability to present and effectively communicate with leadership. Ability to participate in the definition of a QA plan. Ability to use and coach more junior team members and business partners on development methodologies. What You Will Do at Cambia (Not limited to): Read and create simple structured specifications such as use cases, story cards. Read and understand design and business models including basic technical understanding. Writes SQL queries, reads simple data models. Understands and participates in the creation of deliverables by acting as a liaison between the development team and the end users. Contributes to deliverables including analysis, development that may include writing SQL/scripting, quality and validation. Additional General Functions and Outcomes for level II Reads and creates moderately complex and structured specifications such as use cases, story cards and requirements. Provides support for applications and products during releases and warranty which may include quality and validation. Actively acquires basic understanding of API concepts as applicable to the products and teams. Reads most data models and has the ability to participate in logical data model creation. Writes moderately complex SQL queries. Additional General Functions and Outcomes for level III Applies in depth knowledge on health insurance terminology and concepts as needed by the product/application (s) the teams support. Reads and creates complex structured specifications such as use cases, story cards. Reads complex and creates moderately complex business models. Writes well designed complex SQL queries and trains the more junior analysts. Participate/ Actively develop automated validation techniques (QA automation) as applicable to the product and team. Understands basic API concepts, such as API structures, JSON, collections and how to document in a technical design as applicable to the product and team. Reads complex data models and creates basic logical data models. Provide estimates for complex size work efforts increasing accuracy of the estimate as work effort progresses. Trains and coaches less experienced and peer analysts. May participate in the research, evaluation and selection of vendor products, methodologies and processes. Lead medium size groups including multiple departments with a structured approach (i.e. JRP or grooming sessions). Manages own tasks on moderate size enterprise-wide work efforts. The expected target hiring range for the Systems Analyst III is $92k - $124k is depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% . The current full salary range for the Product Manager is $86k / $141k. About Cambia Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through. Why Join the Cambia Team? At Cambia, you can: Work alongside diverse teams building cutting-edge solutions to transform health care. Earn a competitive salary and enjoy generous benefits while doing work that changes lives. Grow your career with a company committed to helping you succeed. Give back to your community by participating in Cambia-supported outreach programs. Connect with colleagues who share similar interests and backgrounds through our employee resource groups. We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more. In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include: Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits. Annual employer contribution to a health savings account. Generous paid time off varying by role and tenure in addition to 10 company-paid holidays. Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period). Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave). Award-winning wellness programs that reward you for participation. Employee Assistance Fund for those in need. Commute and parking benefits. Learn more about our benefits. We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

Posted 30+ days ago

Elliot Davis logo
Elliot DavisCharlotte, NC
WHO WE ARE Elliott Davis pairs forward-thinking tax, assurance and consulting services with industry-leading workplace culture. Our nine offices - located in the fastest growing cities in the US - are built on a foundation of inclusivity, collaboration, and collective growth. We work daily to provide exceptional service to our people, customers, and our communities. Audit and assurance services are provided by Elliott Davis, LLC (doing business in NC and D.C. as Elliott Davis, PLLC), a licensed CPA firm. The role of the Audit Senior is to participate in the audit process from planning to completion for clients as part of the company's annual audit plan. Tasks will include planning the audit process, researching, reviewing current processes, and providing recommendations to enhance company policies and procedures. The Audit Senior is responsible for supervising, motivating, developing, and reviewing the work of the audit staff team. Responsibilities Plan, supervise and perform financial statement audits for clients Build trust-based relationships with clients by developing a comprehensive knowledge of key clients' business Evaluate the client's internal control systems and develop recommendations to improve client processes, accounting systems, control structure and procedures, and efficiency. Prepare financial statements, audit reports, budget and cash flow analyses, and special reports for clients Resolve all open items/issues encountered on assigned engagements Actively monitor engagement economics by managing budgets and seeking efficiencies Bottom-line management of assigned engagements and individual productivity opportunities, becoming a subject-matter expert in one or more technical aspects Teach, develop, and oversee staff throughout engagements, delegate assignments and tasks. Provide honest, objective, and constructive feedback in a timely manner to staff. Collaborate to identify and sell opportunities among existing clients Serve as a mentor and role model through active participation in firm committees, departmental matters, and events Requirements Bachelor's degree in accounting or finance 2+ years of recent public accounting experience CPA certification or significant progress toward certification Ability to prepare and/or review a complete set of financial statements Strong oral and written communication skills; effective listening skills Effective analytical and problem-solving ability Strong time and work management skills #LI-EG1 #LI-Hybrid WHY YOU SHOULD JOIN US We believe that when our employees are able to thrive in all facets of life, their work and impact are that much greater. That's right - all aspects of life, not just your life as an employee, because we understand that there's life beyond your job. Here are some of the ways our work works for your life, your growth, and your well-being: generous time away and paid firm holidays, including the week between Christmas and New Year's flexible work schedules 16 weeks of paid maternity and adoption leave, 8 weeks of paid parental leave, 4 weeks of paid and caregiver leave (once eligible) first-class health and wellness benefits, including wellness coaching and mental health counseling one-on-one professional coaching Leadership and career development programs access to Beyond: a one-of-a kind program with experiences that help you expand your life, personally and professionally NOTICE TO 3RD PARTY RECRUITERS Notice to Recruiters and Agencies regarding unsolicited resumes or candidate submissions without prior express written approval. Resumes submitted or candidates referred to any employee of Elliott Davis by any external recruiter or recruitment agency by any means (including but not limited to via Internet, e-mail, fax, U.S. mail, and/or verbal communications) without a properly executed written contract for a specified position by an authorized member of the Talent Acquisition team become the property of Elliott Davis. Elliott Davis will not be responsible for, or owe any fees associated with, referrals of those candidates and/or for submission of any information, including resumes, associated with individuals. ADA REQUIREMENTS The physical and cognitive/mental requirements and the work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Requirements While performing the duties of this job, the employee is: Regularly required to remain in a stationary position; use hands repetitively to operate standard office equipment; and to talk or hear, both in person and by telephone Required to have specific vision abilities which include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus Cognitive/Mental Requirements While performing the duties of this job, the employee is regularly required to: Use written and oral communication skills. Read and interpret data, information, and documents. Observe and interpret situations. Work under deadlines with frequent interruptions; and Interact with internal and external customers and others in the course of work.

Posted 30+ days ago

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JEDunnNashville, TN
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. Aptitude, JE Dunn's strategic partner for technology integration services, was born out of the growing need to meet the increasingly complex demands of modern building projects. Our diverse teams around the country strive to enrich lives through inspired people and places every day, and we need inspired people like you to join us in our pursuit of building perfection. Role Summary The Senior Precon and Estimating Manager provides overall direction and leadership for the collaborative preconstruction process and delivery. All activities will be performed in support of the strategy, vision and values of JE Dunn. Autonomy & Decision Making: Makes decisions within defined limits of authority and consults supervisor on other decisions. Career Path: Preconstruction Services Director 1 Key Role Responsibilities- Core PRECONSTRUCTION FAMILY- CORE Leads overall preconstruction process, resulting in a comprehensive deliverable which includes competitive bids, negotiated proposals, cost estimates, analysis and budgets. Prepares and executes project win strategies by preparing for interviews and leading internal and external presentations of estimates and proposals to support the business development process. Oversees project teams and ensures successful execution and completion of preconstruction process. Manages relationships with key clients and design team contacts during the preconstruction phase. Capable of performing estimating tasks as needed, including self-perform estimating. Creates conceptual budgets. Reports accurate project cost history. Partners with operations to review project risk assessment, scoring and completion. Reviews project business plan with other stakeholders, such as operations and office leadership, to ensure alignment and profitability. 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 with emphasis on strong Excel skills (Intermediate). Ability to read and understand drawings and specifications (Intermediate). Proficiency in construction estimating software (Intermediate). Proficiency in required construction technology. Ability to prepare quantity surveys. Knowledge of the means and methods of construction management (Intermediate). Knowledge of field operations through project support. Knowledge of specific trades and scopes of work (Intermediate). Knowledge of self-perform and labor productivity. Knowledge of MBE (Minority Business Enterprise), WBE (Women's Business Enterprise), and SBA (Small Business Administration) regulations (Intermediate). Ability to develop General Requirements estimates. Knowledge of project processes and how each supports the successful completion of a project. Ability to develop proficiency in Lens, Revit and/or ASE software. Knowledge of Lean process and philosophy. Ability to build relationships and collaborate within a team, internally and externally. Education Bachelor's degree in construction management, engineering or related field (Required). In lieu of the above requirements, equivalent relevant experience will be considered. Experience 10+ years construction estimating experience. People management experience preferred. Working Environment Valid and unrestricted drivers license required Must be able to lift up to 10 pounds May require periods of overnight travel Must be willing to work non-traditional hours to meet project needs Normal office environment, but may be exposed to extreme conditions (hot or cold) Frequent activity: Sitting, Viewing Computer Screen Occasional activity: Standing, Walking, Bending, Climbing, Reaching above Shoulder, Pushing, Pulling 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. This role is expected to accept applications for at least three business days and may continue to be posted until a qualified applicant is selected or the position has been cancelled. 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 Work at Aptitude Being a part of the Aptitude team offers a unique combination of the excitement of contributing to the growth of an innovative start-up, yet also backed by the stability of a nearly 100-year-old leader in the construction industry. We take pride in hiring smart, capable team players who are subject matter experts in a wide variety of technology systems and who enjoy the challenge of complex, yet rewarding projects. What's more, we enjoy giving back to our communities, and we like to have fun! About Aptitude For more information on who we are, click here. EEO NOTICES Know Your Rights: Workplace Discrimination is Illegal E-Verify We participate 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

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Texas Capital Bancshares, Inc.Houston, TX
Texas Capital is built to help businesses and their leaders. Our depth of knowledge and expertise allows us to bring the best of the big firms at a scale that works for our clients, with highly experienced bankers who truly invest in people's success - today and tomorrow. While we are rooted in core financial products, we are differentiated by our approach. Our bankers are seasoned financial experts who possess deep experience across a multitude of industries. Equally important, they bring commitment - investing the time and resources to understand our clients' immediate needs, identify market opportunities and meet long-term objectives. At Texas Capital, we do more than build business success. We build long-lasting relationships. Texas Capital provides a variety of benefits to colleagues, including health insurance coverage, wellness program, fertility and family building aids, life and disability insurance, retirement savings plans with a generous 401K match, paid leave programs, paid holidays, and paid time off (PTO). Headquartered in Dallas with offices in Austin, Fort Worth, Houston, Richardson, Plano and San Antonio, Texas Capital was recently named Best Regional Bank in 2024 by Bankrate and was named to The Dallas Morning News' Dallas-Fort Worth metroplex Top Workplaces 2023 and GoBankingRate's 2023 list of Best Regional Banks. For more information about joining our team, please visit us at www.texascapitalbank.com. As a key member of our healthcare corporate banking team, the Relationship Manager (RM) will lead strategic client engagement across a diverse portfolio of healthcare entities. This role is responsible for delivering tailored financial solutions, managing complex credit structures, and deepening relationships with for-profit, non-real estate healthcare organizations. The RM will serve as a subject matter expert across the bank, helping to grow the healthcare vertical and collaborating closely with internal partners including investment banking, credit, and product teams. Key Responsibilities: Client Relationship Management: Serve as the primary contact for C-suite executives and decision-makers across a portfolio of healthcare clients, ensuring high levels of engagement and satisfaction. Strategic Growth: Develop and execute a disciplined calling strategy and client acquisition pipeline to expand the bank's presence in the healthcare sector. Tailored Solutions: Leverage deep industry knowledge to deliver customized banking solutions, including credit, treasury, and capital markets products. Cross-Functional Collaboration: Partner with internal teams to structure and execute deals, cross-sell products, and deliver comprehensive financial support. Credit & Risk Oversight: Work closely with credit teams to underwrite and monitor transactions, proactively identifying and managing risk. Deal Execution: Lead client pitches, negotiations, and presentations to secure new business and expand existing relationships. Mentorship & Team Leadership: Mentor junior talent, fostering a collaborative and high-performing culture within the Corporate Banking team. Compliance & Governance: Ensure adherence to regulatory requirements, internal policies, and risk frameworks. Qualifications: Bachelor's degree in Finance, Accounting, Business, Economics, or a related field. 10+ years of experience in Corporate or Commercial Banking, with a strong focus on healthcare clients. Formal credit training or equivalent experience in credit analysis and underwriting. Proven track record of relationship management, business origination, and portfolio growth. Strong understanding of capital markets, bank products, and financial regulations. Excellent communication, organizational, and problem-solving skills. Proficiency in Salesforce and Microsoft Office (Teams, Word, Excel, PowerPoint). FINRA Series 79, 63, and SIE licenses required (or must be obtained within 120 days of employment). The duties listed above are the essential functions, or fundamental duties within the job classification. The essential functions of individual positions within the classification may differ. Texas Capital Bank may assign reasonably related additional duties to individual employees consistent with standard departmental policy.Texas Capital is an Equal Opportunity Employer.

Posted 1 week ago

Sompo International logo
Sompo InternationalMiami, FL

$150,000 - $250,000 / year

As a leading provider of insurance and reinsurance with worldwide operations and employees in Bermuda, U.S., U.K., Continental Europe and Asia, we recognize that our success is derived directly from those who matter the most: our people. At Sompo International, our values of integrity, collaboration, agility, execution and excellence underpin our culture and our commitment to providing an employee experience that attracts and engages the best talent in the industry. As we continue to grow, we strive to find diverse, innovative and driven professionals to join our teams and offer a broad range of career and development opportunities at all levels, in multiple business areas, in each of our locations throughout the world. Our compensation and benefits programs are market driven and competitive, with excellent family friendly policies and flexible working provisions. Job Description Are you looking for your next opportunity? Sompo has a unique opportunity for an AVP or Vice President, Healthcare Underwriting candidate to join our Healthcare team. Our Healthcare Underwriting team offers solutions for Hospitals and Miscellaneous Healthcare facilities writing Healthcare Professional Liability, General Liability, and other ancillary lines for Primary, Umbrella, and Excess risks. We work through a network of brokers who share our commitment to long-term partnerships built on a strong service proposition. Location: This position can be based out of any of the following office locations: Chicago, IL; Dallas, TX; Alpharetta, GA; Boston, MA; Denver, CO; Los Angeles, CA; Miami, FL; New York, NY. We strive for collaboration which is why we offer a work environment where our employees thrive and develop long lasting careers. Our business, your impact, our opportunity: What you'll be doing: This role will manage the total business environment related to the production, development, underwriting, expense control and profitability of the US Healthcare hospital accounts handled via the implementation of company underwriting discipline/guidelines, marketing plans and servicing standards for existing and potential clients. Prioritization and evaluation of new and renewal submissions to identify those accounts that provide the greatest opportunity for profit consistent with the business plan and corporate profit objectives. Reviews applications and financial requirements to determine acceptability of risk in accordance with Sompo International's guidelines and standards; Sets appropriate terms and conditions per the Company underwriting strategy and guidelines to quote qualified risks; Authorizes quotes/binders/invoices as appropriate; Exercises proper underwriting pricing and discipline to meet profitability goals, complying with underwriting guidelines, systems and procedures; Attends client/broker meetings, lunches, dinners and other social outings as applicable; Expands existing portfolio of business by developing existing relationships and new prospective clients; Coordinates production underwriting activity working with the SVP of US Healthcare regarding traveling/marketing and target production plans. Prioritizes time and resources to effectively manage and optimize producer performance. Develops producer relationships to build pipeline, agency intelligence, and drives performance to meet and exceed results; Maintains compliance with all regulatory requirements as well as internal policies, procedures and processing standards. Audits assigned accounts and provides feedback to underwriters. Liaises closely with team to ensure information is input correctly into in-house systems in an accurate and timely manner; Supports our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture. Places emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit's risk appetite. Conducts individual account underwriting audits as needed; Completes underwriting referral applications for risks outside of authority for higher level approval as necessary What you'll bring: Undergraduate or advanced degree preferred; 7+ years of Healthcare underwriting experience; in-depth knowledge of Healthcare products and marketing techniques; Established relationships with retail and wholesale producers; Strong negotiation skills; Excellent communication (both written and verbal) skills; Ability to plan strategically and prioritize workload to meet production and management objectives; Ability to be a team player. Salary Range: $150,000 - 250,000 Actual compensation for this role will depend on several factors including the cost of living associated with your work location, your qualifications, skills, competencies, and relevant experience. At Sompo, we recognize that the talent, skills, and commitment of our employees drive our success. This is why we offer competitive, high-quality compensation and benefit programs to eligible employees. Our compensation program is built on a foundation that promotes a pay-for-performance culture, resulting in higher incentive awards, on average, when the Company does well and lower incentive awards when the Company underperforms. The total compensation opportunity for all regular, full-time employees is a combination of base salary and incentives that gets adjusted upfront based on overall Company performance with final awards based on individual performance. We continuously evaluate and update our benefit programs to ensure that our plans remain competitive and meet the needs of our employees and their dependents. Below is a summary of our current comprehensive U.S. benefit programs: Two medical plans to choose from, including a Traditional PPO & a Consumer Driven Health Plan with a Health Savings account providing a competitive employer contribution Pharmacy benefits with mail order options Dental benefits including orthodontia benefits for adults and children Vision benefits Health Care & Dependent Care Flexible Spending Accounts Company-paid Life & AD&D benefits, including the option to purchase Supplemental life coverage for employee, spouse & children Company-paid Disability benefits with very competitive salary continuation payments 401(k) Retirement Savings Plan with competitive employer contributions Competitive paid-time-off programs, including company-paid holidays Competitive Parental Leave Benefits & Adoption Assistance program Employee Assistance Program Tax-Free Commuter Benefit Tuition Reimbursement & Professional Qualification benefits In today's world, what do we stand for? Ethics and integrity are the foundation of delivering on our commitment to you. We believe that core values drive success, and that when relationships are held in the highest regard, there is nothing that cannot be accomplished. At Sompo, our ring is more than a logo, it is a symbol of our promise. Click here to learn more about life at Sompo. Sompo is an equal opportunity employer and we intentionally value inclusion and diversity. Above all, we want you to work in an environment that respects everyone's unique contributions - we are passionately committed to equal opportunities. We do not discriminate based on race, color, religion, sex orientation, national origin, or age.

Posted 30+ days ago

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Progyny, Inc.New York, NY

$101,500 - $121,500 / year

Thank you for considering Progyny! Progyny is seeking a data-driven and collaborative Manager of Medical Economics and Analytics to support our Commercial teams by delivering actionable insights into improving the effectiveness and efficiency of our Sales process. This role will be responsible for conducting in-depth analyses, developing scalable reporting tools, and partnering with internal stakeholders to optimize the sales process. The ideal candidate will have strong technical skills, a passion for healthcare analytics, and the ability to translate complex data into clear, impactful narratives. What you'll do... Analyze client utilization patterns, member behaviors, and benefit consumption trends to identify opportunities for optimization. Develop and maintain reporting assets using tools such as PowerBI, SQL, and Excel to support self-service analytics across business teams. Collaborate with Sales Managers to deliver data-driven insights that demonstrate the value of Progyny's benefit offerings. Support measurement of new service launches and assess changes in benefit usage patterns. Build tools and models that enhance our ability to prove the value of Progyny's core benefit and expanded offerings for new sales and upsells. Ensure accuracy and consistency in reporting deliverables and contribute to continuous improvement of analytics processes. Stay current on industry trends and emerging technologies in healthcare analytics. About you... 4-6 years of experience in analytics, preferably in healthcare, benefits, or client-facing environments. 2+ years of managing a team of analysts in a healthcare or benefits organization Proficiency in SQL and experience with data visualization tools (PowerBI, Tableau, etc.). Familiarity with Python and standard analytics libraries (e.g., Pandas) is a plus. Strong understanding of statistical concepts and data storytelling. Excellent communication skills with the ability to present findings to both technical and non-technical audiences. Detail-oriented with strong organizational and problem-solving skills. Experience working cross-functionally and managing multiple priorities in a fast-paced environment. Please note: Progyny is unable to provide visa sponsorship for this position. Candidates must be authorized to work in United States without the need for sponsorship, now or in the future. About Progyny: Progyny (Nasdaq: PGNY) is a global leader in women's health and family building solutions, trusted by the nation's leading employers, health plans and benefit purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs. Our mission is to empower healthier, supported journeys through transformative fertility, family building and women's health benefits. Headquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Power Partners, and Crain's Fast 50 for NYC. For more information, visit www.progyny.com. Our perks: Family friendly benefits: Paid family and parental leave, preconception, fertility and family building benefits (including egg freezing, IVF, and adoption support), family and pet care fund, and Parents' Employee Affiliation Group Menopause and midlife care Health, dental, vision and life insurance options for employees and family Free in-person, virtual and text-based mental health and wellness support Paid time off, including vacation, sick leave, personal days and summer flex time Company equity Bonus program 401(k) plan with company match Access to on-demand legal and financial advice Learning and development programs to help you grow professionally and a mentorship program Company social events to include annual volunteer day and donation matching Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office In compliance with New York City's Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is: $101,500- $121,500. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity. Progyny is proud to be an Equal Opportunity and Affirmative Action employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills and experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law. If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to apply@progyny.com. #LI-EH1

Posted 30+ days ago

EisnerAmper logo
EisnerAmperIselin, NJ

$80,000 - $115,000 / year

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. The Transaction Advisory Services practice is seeking Senior Associates to join a collaborative, growing Healthcare TAS team that specializes in providing fully integrated transaction services. You will work as an individual contributor as well as part of a team to facilitate and lead client buy-side and sell-side Financial Due Diligence engagements. 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 Key Responsibilities: Compile, analyze and prepare financial models and DataBooks with financial and operational information sourced from multiple comprehensive and complex data sources Perform financial analysis and data analytics on comprehensive financial and accounting data sets that serve as the foundation for transaction deliverables to clients Assist with healthcare buy-side and sell-side financial due diligence and financial analysis helping to identify key risks and potential deal breakers, assess the strengths and weaknesses of the target /client against industry benchmarks, and aid in the evaluation of the potential transaction in the context of their clients' investment / divestiture strategy. Work in collaboration with other EisnerAmper Health Care Industry service teams that provide outsourced finance, strategic advisory, audit, tax, and other advisory services to health care payors and providers Analyze detailed financial, business and operational information including income statement, balance sheet, cash flow and key operational and performance metrics and data. Convert the data into meaningful information that is used to drive discussions and analysis with target /client management and drive observations and conclusions. Assess the quality of the target's / client's reported revenues, margins, earnings, net assets, net working capital and cash flows. Assist in the preparation of deal-oriented financial models, databooks, and key findings reports and presentations for clients that highlight the key financial, commercial and business findings. Assist the team in further articulating how such findings should be incorporated into the client's valuation and sale, purchase agreement and provide other negotiating points Participate in and lead certain meetings and conference calls with client and target company management and serve as a secondary point of contact for client personnel with respect to day-to-day execution matters. Work closely with clients, investment banks, PE investors, attorneys and other key stakeholders. Participate in client meetings to gather data and valuable information to perform financial analysis work Participate in building and maintaining client relationships and other business development opportunities. May be required to occasionally work extended hours or travel/to work from different firm offices and/or client locations Basic Qualifications: Bachelor's or Masters degree in Accounting and/or Business CPA is preferred or CPA eligible 3+ years of experience in audit and/or financial due diligence at a major accounting firm Experience providing audit or consulting services to healthcare investors, providers and/or payors Preferred/Desired Qualifications: 1+ years of experience of financial due diligence Strong technical knowledge of US GAAP (revenue recognition, inventory, accrual-based accounting) High proficiency in Excel and PowerPoint Knowledge in Power BI and/or similar financial modeling analytical tools Excellent interpersonal and team building skills Proficient written and oral communication skills Strong project management skills and ability to multi-task on several simultaneous transactions Strong organizational skills Flexibility to work as both a team member and as an individual contributor Ability to thrive and be effective in fast-paced settings About our Transaction Advisory Services Team: The TAS Practice assists financial and strategic investors and lenders in connection with evaluating complex acquisition and divestiture transactions. Our professionals have decades of experience advising clients in every aspect of the transaction, from pre-LOI stage through closing. We are looking for professionals in selected geographic and functional markets to add to the continued growth and expansion of our TAS practice. Our "startup mentality," backed by the institutional knowledge and established reputation of the firm, enables us to be flexible and always evaluate what can take our team and clients to the next level. Whether it's a new internal process, digital platform, or service offering, we believe that innovative ideas come from all levels and every employee should have the opportunity to make an impact on the business, our clients, and their careers. 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, PE firms, 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. 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. Should you need any accommodations to complete this application please email: talentacquisition@eisneramper.com #LI-LH1 #LI-Hybrid #LI-Remote Preferred Location: Dallas For NYC and California, the expected salary range for this position is between 80000 and 115000 The range for the position in other geographies may vary based on market differences. The actual compensation will be determined based on experience and other factors permitted by law.

Posted 30+ days ago

C logo
CNA Financial Corp.Glastonbury, CT

$97,000 - $189,000 / year

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. CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities. This individual contributor role will work on the largest exposure claims across all Healthcare segments. This individual must have the ability to step into a claim at various points, evaluate next steps and proactively move the claim toward resolution. The claim professional will handle approximately 65 high exposure claims. 25% travel. 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: Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Counsels management on legal risks, claim and litigation strategy and obligations in complex matters. Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes. Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements. Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues. May participate with senior management in the development and implementation of claims policy and business strategy. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director or above Skills, Knowledge & Abilities Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices. Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment. Ability to drive results by taking a proactive long-term view of business goals and objectives. Extensive experience interpreting commercial insurance policies and coverage. Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's degree with JD preferred in a related discipline or equivalent. Typically a minimum ten years of relevant experience. Medical malpractice experience preferred. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Advanced negotiation experience Professional designations are highly encouraged (e.g. CPCU) #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consulting Director role is $144,500 to $205,000. 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 $97,000 to $189,000 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 3 weeks ago

JLL logo
JLLWashington, DC

$140,000 - $155,000 / year

JLL empowers you to shape a brighter way. Our people at JLL and JLL Technologies are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them to thrive, grow meaningful careers and to find a place where they belong. Whether you've got deep experience in commercial real estate, skilled trades or technology, or you're looking to apply your relevant experience to a new industry, join our team as we help shape a brighter way forward. Job Summary The Director, Healthcare Facility Compliance will serve as a JLL Healthcare consulting expert, delivering specialized compliance and accreditation support services to hospital and healthcare clients nationwide. This high-travel role focuses on providing remote and on-site consulting expertise to support healthcare organizations through their accreditation processes in the areas of life safety and physical environment compliance. The position encompasses comprehensive knowledge of CMS, Joint Commission, DNV, ACHC / HFAP NFPA, etc… standards and codes. State Department of Health regulations, and other regulatory authorities to ensure clients maintain optimal compliance readiness and operational excellence. Essential Duties/Functions Healthcare Compliance Consulting (Primary Focus) Lead comprehensive compliance consulting engagements for hospital clients, conducting on-site assessments of physical environments, life safety systems, and regulatory readiness in preparation for accreditation surveys. Provide expert consulting services to healthcare organizations navigating Joint Commission, CMS, DNV, HFAP, and state regulatory requirements, delivering customized solutions and remediation strategies. Execute detailed facility assessments focusing on Environment of Care standards, Life Safety Code compliance, and physical plant readiness to support successful accreditation outcomes (Physical Environment Standards eff Jan 1, 2026). Develop and present comprehensive compliance reports and improvement recommendations to hospital leadership teams and boards, positioning JLL Healthcare as the trusted advisor for regulatory matters. Serve as primary consultant interface with client quality, risk management, and facility leadership teams during accreditation preparation and survey periods. Client Relationship Management & Business Development Build and maintain strategic relationships with hospital executives, facility directors, and quality leadership to expand JLL Healthcare's consulting portfolio and identify new business opportunities. Collaborate with JLL's ATG team to deliver integrated consulting solutions that combine compliance expertise with broader strategic technical & advisory services. Support business development activities by participating in client presentations, proposal development, and demonstrating subject matter expertise to prospective healthcare clients. Responsibilities Subject Matter Expert (SME) with comprehensive understanding of CMS Conditions of Participation, The Joint Commission Environment of Care Standards and Life Safety Chapter, DNV, HFAP, and other accrediting agencies, serving as primary consultant resource for healthcare clients. Subject Matter Expert (SME) in NFPA codes, FGI Guidelines for Design and Construction, ASHRAE standards, and all related regulatory requirements, providing authoritative guidance to hospital clients during consulting engagements. Develops and delivers customized compliance assessment protocols and methodologies for healthcare client consulting projects, ensuring consistent service delivery across all engagements. Conducts comprehensive on-site compliance audits and assessments for hospital clients, identifying gaps and developing prioritized remediation plans to achieve regulatory readiness. Utilizes consulting engagement data to provide clients with ongoing readiness perspectives and performance benchmarking, delivering measurable value through continuous improvement recommendations. Serves as primary liaison between JLL Healthcare consulting services and client regulatory, quality, and risk management teams throughout engagement lifecycle. Provides specialized training and education services to hospital staff on regulatory requirements, compliance best practices, and preparedness strategies as part of consulting deliverables. Maintains current expertise in applicable healthcare standards and emerging regulatory trends to ensure consulting services reflect industry best practices and latest requirements. Develops and maintains consulting tools, templates, and methodologies to support efficient and effective service delivery across healthcare client portfolio. Collaborates with JLL platform leadership to leverage consulting insights for broader account management and service enhancement opportunities. Qualifications BS degree preferred in an Engineering Discipline. Five years of healthcare experience in Plant Operations and/or Facilities Management. Five years of experience in personnel and team management. Experience in Healthcare systems with multiple healthcare locations in several states (Preferred) Working Knowledge of CMS and accrediting organizations such as the Joint Commission and the NFPA body of codes (i.e. NFPA 101, 99, 90A, 72, and 25). Proficient in Microsoft Office Suite of products, strong writing skills. Strong analytical, organizational, and coordination skills required. Demonstrated communication skills (oral and written) required. Customer service orientation and strong presentation skills to internal and external parties required. Quality Management Training/Certification (i.e. Six Sigma Green Belt/Black Belt). CHFM and/or CHSP preferred. Estimated compensation for this position: 140,000.00 - 155,000.00 USD per year This range is an estimate and actual compensation may differ. Final compensation packages are determined by various considerations including but not limited to candidate qualifications, location, market conditions, and internal considerations. Location: Remote -Atlanta, GA, Baltimore, MD, Boston, MA, Chicago, IL, Dallas, TX, Kansas City, KS, Washington, DC If this job description resonates with you, we encourage you to apply, even if you don't meet all the requirements. We're interested in getting to know you and what you bring to the table! Personalized benefits that support personal well-being and growth: JLL recognizes the impact that the workplace can have on your wellness, so we offer a supportive culture and comprehensive benefits package that prioritizes mental, physical and emotional health. Some of these benefits may include: 401(k) plan with matching company contributions Comprehensive Medical, Dental & Vision Care Paid parental leave at 100% of salary Paid Time Off and Company Holidays Early access to earned wages through Daily Pay JLL Privacy Notice Jones Lang LaSalle (JLL), together with its subsidiaries and affiliates, is a leading global provider of real estate and investment management services. We take our responsibility to protect the personal information provided to us seriously. Generally the personal information we collect from you are for the purposes of processing in connection with JLL's recruitment process. We endeavour to keep your personal information secure with appropriate level of security and keep for as long as we need it for legitimate business or legal reasons. We will then delete it safely and securely. For more information about how JLL processes your personal data, please view our Candidate Privacy Statement. For additional details please see our career site pages for each country. For candidates in the United States, please see a full copy of our Equal Employment Opportunity policy here. Jones Lang LaSalle ("JLL") is an Equal Opportunity Employer and is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process - including the online application and/or overall selection process - you may email us at HRSCLeaves@jll.com. This email is only to request an accommodation. Please direct any other general recruiting inquiries to our Contact Us page > I want to work for JLL. Pursuant to the Arizona Civil Rights Act, criminal convictions are not an absolute bar to employment. Pursuant to Illinois Law, applicants are not obligated to disclose sealed or expunged records of conviction or arrest. Pursuant to Columbia, SC ordinance, this position is subject to a background check for any convictions directly related to its duties and responsibilities. Only job-related convictions will be considered and will not automatically disqualify the candidate. California Residents only If you are a California resident as defined in the California Consumer Privacy Act (CCPA) please view our Supplemental Privacy Statement which describes your rights and disclosures about your personal information. If you are viewing this on a mobile device you may want to view the CCPA version on a larger device. Pursuant to the Los Angeles Fair Chance Initiative for Hiring Ordinance, JLL 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 the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Accepting applications on an ongoing basis until candidate identified.

Posted 2 weeks ago

Cigna logo
CignaLake Mary, FL
The Provider Contract Negotiator supports the North Florida market and serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day-to-day contracting and network activities. Duties and Responsibilities Manages submission process of contracting and negotiations for fee for service with physicians and ancillaries Supports the development and management of value-based relationships. Builds and maintains relationships that nurture provider partnerships to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including, but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Supports strategic positioning for provider contracting, assists in the development of networks and helps identify opportunities for greater value-orientation. Contributes to the development of alternative network initiatives. Supports analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Supports initiatives that improve total medical cost and quality. Drives change with external provider partners by offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures accurate implementation, and administration through matrix partners. Assists in resolving provider service complaints. Research problems and negotiates with internal/external partners/customers to resolve escalated issues. Manages provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. Other duties, as assigned. Qualifications Ideal candidate will currently reside in either Lake Mary, Tampa or Orlando areas. Bachelor's degree strongly preferred in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. 1+ years of Provider Contracting and Negotiating for Healthcare Provider/Ancillary group experience strongly preferred. 1+ years prior Provider Servicing/Provider Relations experience strongly preferred. Experience in developing and managing relationships. Understanding and experience with managed care and provider business models a plus. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates an ability to maneuver effectively in a changing environment. Demonstrates problem solving, decision-making, negotiating skills, contract language and financial acumen. Proficient with Microsoft Office tools required. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Posted 6 days ago

CareBridge logo
CareBridgeMason, OH
Predictive Healthcare Economics Analyst Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Predictive Healthcare Economics Analyst (Advanced Analytics Analyst) employs advanced analytics to gain critical insights into member behavior drivers and preferences, product/program concepts and value propositions, operational effectiveness and efficiencies, client specific health gaps and needs. How you will make an impact: Performs established analysis for routine diagnoses of quality, use, cost and other variables for opportunity assessments. Executes identification and stratification algorithm to select the right members for the targeted solution. Develops the technical definition of outcome metrics to assess outcomes. Performs defined analyses to assess proper outcome metrics for various programs/initiative. Builds, tests, and validates statistical models under supervision. Contributes to research and publications by performing basic analyses, preparing data and documenting results. Understands the pitfalls and limitations with analyzing practical data and the ability to ensure data and analysis quality. Basic knowledge of common analytical methods such as profiling a customer segment, experimental design and regression analysis. Solves well defined analytical problems independently. Delivers assignment/projects timely and accurately. Collaborates with other analytical team members effectively. Presents analyses effectively to analytical audience. Possess strong intellectual curiosity and motivated to master analytical skills. Minimum requirements: Requires MS, MA, or PhD with concentration in a quantitative discipline such as Mathematics, Statistics, Economics, Epidemiology, Engineering, Computer Science or Operations Research; or any combination of education and experience which would provide an equivalent background. Requires working experience with SAS or equivalents analytical tools, Teradata, SQL, or equivalent database tools, and direct experience applying statistical/analytical tools to solve research/practical problems. Preferred Skills, Capabilities and Experiences: Substantial analytical experience in the healthcare industry is preferred. Actuarial experience within a healthcare and/or managed care organization preferred Familiarity with medical management or population health programs preferred. Possess working knowledge of healthcare data and measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM, and utilization per 1,000, preferred. Advanced SQL and Excel skills preferred. Base statistical skills to analyze, display, describe and summarize data into actionable insights, preferred. Data visualization experience in QlikSense, Business Objects, Tableau, or other BI tools, preferred. Excellent organizational, analysis, planning, and communication skills are preferred. Ability to participate collaboratively on teams producing complex analyses, preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Posted 30+ days ago

C logo
CNA Financial Corp.Littleton, CO

$72,000 - $141,000 / year

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. Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers. In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad 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, to share claim insights that aid in good underwriting decisions. This role collaborates 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. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will 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 commercial 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 and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following 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, injured workers, 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, 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 senior 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 commercial 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 commercial 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. Demonstrated ability to value diverse opinions and ideas. Education & Experience Bachelor's Degree or equivalent experience. JD a plus. Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Prior negotiation experience. Professional designations preferred (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

Guidehouse logo
GuidehouseNew York, NY

$179,000 - $298,000 / year

Job Family: Operational Effectiveness Consulting Travel Required: Up to 75%+ Clearance Required: None As a director, you are a leader and strategic driver within our Healthcare Strategy practice. You are a high-impact, collaborative changemaker with a proven track record in healthcare payer/provider consulting. You bring advanced expertise in strategy, project leadership, and people development, and are adept at managing multiple complex projects simultaneously. Your role is pivotal in shaping client outcomes, developing future leaders, and advancing our firm's strategic vision. A core expectation of this role is to serve as a master practitioner and teacher, using an apprenticeship model to develop the next generation of consulting leaders. You will actively coach Managers and junior consultants in the foundational and advanced skills of strategy consulting, ensuring they learn not just by observation, but through deliberate practice, feedback, and structured skill-building. What You Will Do: Strategic Leadership and Project Oversight Lead multiple, concurrent client engagements, ensuring delivery of high-quality, innovative solutions that align with client and organizational goals. Develop and implement comprehensive strategies for healthcare payer/provider clients, including business model transformation, operating model design, enterprise transformation, M&A, and service line innovation. Oversee project teams, set clear objectives, and ensure projects are delivered on time, within scope, and on budget. Apply and teach advanced strategic frameworks (e.g., wind tunneling, SWOT, Porter's Five Forces, PEST, 3Cs) and data-driven methodologies to solve complex business challenges and drive measurable value. Client Relationship Management Serve as an advisor to senior client stakeholders, building and maintaining long-term relationships. Anticipate client needs, proactively identify opportunities, and deliver actionable recommendations that support client objectives. Represent the firm at industry events, conferences, and client meetings to enhance brand visibility and thought leadership. Team Leadership, Apprenticeship, and Talent Development Lead, mentor, and develop Managers and junior consultants, fostering a culture of collaboration, innovation, and continuous learning. Use an apprenticeship model to teach and model classic strategy consulting skills, including: Issue-based problem solving and hypothesis-driven analysis Choice structuring and decision-tree logic Structured communication (e.g., pyramid principle, storylining, executive summaries) Analytical and quantitative modeling Strategic thinking and business acumen Framework application and synthesis of insights Stakeholder management and influencing skills Project management and prioritization Provide regular feedback, conduct performance evaluations, and support career development for team members Business and Practice Development Drive business development initiatives, including proposal development, client presentations, and identification of new business opportunities Contribute to the growth of the healthcare strategy practice through thought leadership, offering development, and internal process improvement Collaborate with other leaders to shape the strategic direction of the practice and ensure alignment with organizational goals Financial and Operational Management Oversee project budgets, resource allocation, and financial performance, ensuring efficient use of resources and achievement of profitability targets Monitor and report on project progress, risks, and outcomes to senior leadership and clients What You Will Need: Bachelor's degree 10+ years of strategy consulting experience in top-tier or boutique consulting, with a focus on healthcare payer/provider industry. Demonstrated success managing multiple, complex projects and leading cross-functional teams. Advanced strategic thinking, analytical, and problem-solving skills. Exceptional communication, presentation, and relationship-building abilities. Proficiency in data analytics tools (e.g., PowerBI, Tableau, Alteryx) and financial modeling. Willingness to travel as required. What Would Be Nice to Have: Masters in healthcare administration (MHA) or related advanced degree. Experience with AI, cloud, or machine learning in healthcare. Active participation in healthcare industry associations. The annual salary range for this position is $179,000.00-$298,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave and Adoption Assistance 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Student Loan PayDown Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program Mobility Stipend About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Posted 30+ days ago

Baker Tilly Virchow Krause, LLP logo
Baker Tilly Virchow Krause, LLPPhiladelphia, PA
Overview Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visit bakertilly.com or join the conversation on LinkedIn, Facebook and Instagram. Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring. Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law. Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system. Job Description: Are you interested in joining one of the fastest growing public accounting firms? Would you like the ability to focus on one industry sector and further become an expert for your clients? If yes, consider joining Baker Tilly (BT) as an Audit Manager! This is a great opportunity to be a valued business advisor delivering industry-focused audit and other assurance services to middle market clients. You will work side-by-side with firm leadership to serve clients and build the business, having a direct impact on the firm's success. Additionally, you will be a mentor and coach to a group of talented staff, utilizing your expertise to help develop their technical and professional skills. If you are invigorated by these exciting challenges, then this could be the right opportunity for you! As one of the fastest growing firms in the nation, BT has the ability to offer you upward career trajectory, flexibility in how and where you get your work done and meaningful relationships with clients, teammates and leadership who truly care about you and your development. You will enjoy this role if: You are looking for an opportunity to build your career in a specific industry, becoming an industry expert to the clients you serve You can see yourself as a trusted business advisor, working face-to-face with clients to find creative solutions to complex accounting and business challenges You want to work for a leading CPA advisory firm that serves middle market clients and whose owners have both their clients' and employees' best interests in mind and are transparent in their decisions You value your development and want to work for a firm that provides you the autonomy to own your schedule and career through structured programs (ask us about My Time Off, My Development and Dress for Your Day!) You want to contribute to your engagement team's professional growth and develop your own leadership skills to build a career with endless opportunities now, for tomorrow What you will do: Be a trusted member of the engagement team providing various assurance and consulting services to industry specific clients, positively impacting their financial statements, profitability, and business operations through: Proactively engaging with your clients throughout the year to understand business goals and challenges Implementing appropriate testing to assess deficiencies of internal controls and make recommendations for improvement Managing all fieldwork to ensure quality service and timely delivery of results Playing an active role in providing valuable financial statement guidance and business recommendations based upon various testing performed and information gathered Delivering business insight through thoughtful review, analysis, and discussion Assist with managing client engagement staffing, billings/collections, and ensure client profitability targets are met Utilize your entrepreneurial skills to network and build strong relationships internally and externally with clients and the community Invest in your professional development individually and through participation in firm wide learning and development programs Support the growth and development of team members through the Baker Tilly Care and Teach philosophy, helping associates meet their professional goals Qualifications Bachelor's degree in accounting required, master's or advanced degree desired CPA required Four (4) + years' experience providing financial statement auditing services in a professional services firm desired Two (2) + years of supervisory experience, mentoring and counseling associates desired Healthcare industry experience preferred Demonstrated management, analytical, organization, interpersonal, project management, communication skills Ability to lead and supervise others, provide exceptional client service, demonstrate commitment to continuous learning in order to stay current regarding applicable strategies, see the "big picture" as well as the details, display appropriate ethical knowledge and commitment, and exhibit a sense of urgency and commitment to quality and the timely completion of projects. Highly developed software and Microsoft Suite skills Eligibility to work in the U.S. without sponsorship preferred #LI-NH1

Posted 30+ days ago

C logo
CNA Financial Corp.Irvine, CA

$97,000 - $205,000 / year

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. CNA is one of the premier providers of professional liability insurance. We currently have an opening for a Complex Claims Consulting Director focused on Healthcare Professional Liability for CNA Insurance. CNA is a market leader in insuring healthcare providers and facilities. This individual contributor role will work on the largest exposure claims across all Healthcare segments. This individual must have the ability to step into a claim at various points, evaluate next steps and proactively move the claim toward resolution. The claim professional will handle approximately 65 high exposure claims. 25% travel. 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: Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if a claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. Counsels management on legal risks, claim and litigation strategy and obligations in complex matters. Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes. Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements. Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues. May participate with senior management in the development and implementation of claims policy and business strategy. Mentors, guides, develops and delivers training to less experienced Claim Professionals. May perform additional duties as assigned. Reporting Relationship Director or above Skills, Knowledge & Abilities Expert knowledge of commercial insurance industry, products, policy language, coverage, and claim practices. Excellent verbal and written communication skills with the ability to develop collaborative working relationships, articulate very complex claim facts, analysis and recommendations in a concise manner to senior management, as well as with external business partners and customers. Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems. Extensive experience in leading complex negotiations, as well as developing and implementing resolution strategies. Strong work ethic, with demonstrated time management, organizational skills, and an ability to work independently in a fast-paced environment. Ability to drive results by taking a proactive long-term view of business goals and objectives. Extensive experience interpreting commercial insurance policies and coverage. Ability to partner with internal resources, oversee/manage outside counsel, and collaborate with other carriers. Ability to lead multiple and shifting priorities in a fast-paced and challenging environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas. Education & Experience: Bachelor's degree with JD preferred in a related discipline or equivalent. Typically a minimum ten years of relevant experience. Medical malpractice experience preferred. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Advanced negotiation experience Professional designations are highly encouraged (e.g. CPCU) #LI-KP1 #LI-Hybrid In Chicago/New York/California, the average base pay range for the Complex Claims Consulting Director role is $144,500 to $205,000. 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 $97,000 to $189,000 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 3 weeks ago

DLR Group logo
DLR GroupColumbus, OH
DLR Group is an integrated design firm with a promise to elevate the human experience through design. This fuels the work we do around the world and inspires our mission to improve the lives of our clients, our communities, and our planet. If this sparks your interest, you're in the right place. We have an opening for a Marketing Leader, Higher Education and Healthcare. This role could be based in the following cities: Columbus Denver Minneapolis Nashville Phoenix Other locations may be considered About Marketing Sector at DLR Group At DLR Group, the Marketing team provides strategic support in pursuit of new opportunities and the development of marketing materials. By leveraging a deep understanding of market trends and client needs, the team highlights the firm's expertise and resonate with prospective clients. Position Summary The Marketing Leader guides strategic marketing activity for our Higher Education sector. The Marketing Leader supports growth and awareness of their sector(s) by promoting its design acumen and value proposition to attract engage convert and retain prospects clients and talent. The Marketing Leader develops calendars and executes the sector's external marketing communications outreach and content strategy across all channels. They also lead and manage other communications professionals. What you will do: Monitor trends and have an innate understanding of a sector(s) 12-24-36 month performance and growth outlook in order to identify and validate new breakthrough positioning and differentiation strategies with sector leadership. Manage and mentor a cross-functional marketing media and creative team to achieve brand awareness and maximize market impact driving growth in alignment with sector business plan initiatives. Develop annual sector(s) marketing communications plan content strategy and calendar including multi-channel integrated marketing campaigns client-facing award programs project storytelling and marketing asset management. Master a creative vision for sector-based content marketing across the firm's digital and print channels elevating storytelling through compelling forms of media. Lead development of storytelling and manage sector page/content at dlrgroup.com. Establish and measure KPIs to track the impact of sector-based marketing campaigns and components therein. Analyze review and report on the effectiveness of these efforts to maximize results. Identify systemic red flags and / or improvements to overall marketing metrics and deliverables in designated sectors. Required Qualifications Degree in Marketing Communications English or similar 10+ years of experience with progressive responsibilities in a Marketing Brand or Communications department preferably in the AEC or design industry Experience effectively communicating with public sector audiences including government institutions. Track record of tying marketing activity and measurable outcomes to established business objectives. Deep understanding of content marketing strategy and best practices for its effective execution. Action-oriented with a knack for managing multiple tasks for multiple interests; strong project and people management skills. Master of prioritization to maintain focus on established strategic direction. Growth mindset: the desire to continually improve processes and outcomes. Proficiency in Microsoft Suite including PowerPoint and Teams; familiarity with information gathering from a database Deltek Vision preferred. Preferred Qualifications Experience and passion for hiring managing and mentoring a high-performing team. Strategic thinking ability to break down complex issues into sizeable actionable pieces. Proficiency in Adobe Creative Suite especially InDesign. DLR Group is an integrated design firm delivering architecture, engineering, interiors, planning, and building optimization for new builds, renovations, and adaptive reuse projects. We are 100% employee-owned: every employee is literally invested in our clients' success. At the core of our firm are interdisciplinary teams engaged in every step of project lifecycles. Our teams champion true collaboration, open information sharing, shared risk and reward, value-based decision making, and proficient use of technology to deliver exceptional design. We are pursuing the goals of the 2030 Challenge, the ME2040, and the SE2050, and are an initial signatory of the China Accord and the AIA 2030 Commitment. Through our values - commitment, creativity, environmental stewardship, fun, integrity, ownership, sharing, teamwork - we elevate the human experience through design, together. DLR Group follows a four-day in-office work model, with employees having the flexibility to work somewhere other than the office on Fridays. We are proud to be an Equal Opportunity/Affirmative Action/M/F/Veteran/Disabled employer.

Posted 1 week ago

Gensler logo
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 At Gensler Healthcare, we design for people. We leverage our global perspective and local presence to innovate at every scale. We're not just designers. We're tinkerers, craftspeople, visionaries, innovators and thought leaders focused on wellness. Fueled by passion and entrepreneurial spirit, our people bring new ideas to solve challenging problems in our healthcare ecosystem. Whether you're into sketching new ideas, hacking a building or growing client relationships in global markets, there's something here for everyone. As a Gensler Architect with our Healthcare team in Houston, your job is to combine creativity and technical knowledge with business skills and understanding to produce functionally beautiful spaces for clients. We are collaborative and client focused, with a commitment to design experience, sustainability, and social purpose. Join our incredible team and leverage the power of informed and purposeful user-centered design to unlock design solutions and strategies that are defining the next chapter in the healthcare industry. What You Will Do Documentation coordination with consultants (structural, MEP, lighting, AV, acoustical, accessibility, building envelope, life safety, etc.) Coordinate with the project team, client, vendors, contractors, and consultants for a variety of healthcare projects (medical office buildings, hospitals, outpatient clinics, surgery centers, community health centers, etc.) Experience delivering healthcare buildings and base buildings is preferred Resolve complex technical and design issues with team to produce innovative, technical, constructible solutions Direct production of drawings, specifications and construction administration tasks Responsible for delivery of documents with design intent and top-notch technical quality Contribute to the maintenance and oversight of the project manual and specifications Conduct on-site observations and document site reviews Process submittals/substitution requests during construction and address RFIs Interface with building and permitting officials during the permitting and construction phases of the project Actively participate and contribute to the financial performance of a project Review and contribute to proposals and contracts Contribute to office activities, initiatives and learning programs Establish and maintain ongoing, productive client relationships Your Qualifications Bachelor's degree in Architecture from an accredited school Registered / Licensed Architect 5+ years (preferred) of related experience on healthcare projects, from feasibility studies, pre-design, space programming, and master planning Understanding of healthcare regulations and codes Highly proficient with Revit LEED AP (or in process) preferred Expertise with building codes, standards and building structures - able to lead and guide our teams and clients with confidence 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 TO BE CONSIDERED, YOU MUST SUBMIT A RESUME AND CURRENT PORTFOLIO/WORK SAMPLES IN PDF FORMAT* This position is in-person and requires regular out-of-state travel for an internationally recognized healthcare institution. Life at Gensler At Gensler, 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

Quest Analytics logo
Quest AnalyticsOverland Park, KS
Your Quest: Help make a big difference in healthcare access At Quest Analytics our team members can fulfill their quest to work in an innovative, collaborative, challenging and flexible environment supportive of personal growth every day. The team is driven to make healthcare more accessible for all Americans. We're looking for a dedicated full-time Data Analyst to join our team. You will dig deep into complex, interworking systems and apply thoughtful data analysis strategies to uncover root causes, identify trends and develop solutions that support business decisioning. Additionally, you will support ad hoc data analysis request and ongoing metrics reporting to enhance operational efficiency and business intelligence. What you'll do: Independently research and analyze healthcare provider and outreach data discrepancies or issues as reported by internal teams, leveraging SQL queries, excel based comparisons and other various analysis tools. Operationally respond to urgent and/or exploratory data requests (represented by Azure DevOps work items) from stakeholders and internal partners, providing timely and insightful analysis results within defined turnaround times and due dates. Independently navigate internal database structures with little to no direction Develop, maintain and enhance recurring reports to track requested data performance points and trends. Apply critical thinking and structured analytical approaches to complex data challenges within multiple interdependent systems. Translate intricate technical data findings into business friendly insights, ensuring clarity for non-technical audiences. Write and optimize complex SQL queries to extract, validate and analyze data from multiple sources. Build and maintain Excel based reports. Including pivot tables, charts and formulas to support business operations. Work closely with internal teams, including various engineering scrum teams, stakeholders, and various internal partners to provide timely and accurate data insights. Identify trends and patterns that indicate data integrity issues and proactively work to support improvements. Utilizing internal tools, maintain clear documentation of investigations, queries and resolutions to support knowledge sharing and process optimization. Be a creative thinker with a focus on continuous improvement What it requires: Degree in Data Analytics, Information Systems, Business, related degree, or equivalent experience. 3+ years of experience defining, implementing, and evaluating process strategies and improvements. 3+ years of experience working with healthcare data. Advanced proficiency in SQL is required(writing complex queries joins and aggregations, etc..) required Expertise in Excel including advanced formulas, pivot tables, and data visualization techniques or similar comparison tools. Experience with data validation and ETL processes Microsoft Azure experience / knowledge is a preferred Strong ability to independently investigate, analyze and solve complex data problems. Experience working with stakeholders to proactively extract needed parameters to develop meaningful data analysis. Experience with business rule data validation and transformation Experience with ad hoc data analysis and supporting ongoing metrics reporting. Ability to translate complex data analysis findings into actionable business insights. Proven successful experience collaborating and interacting with professional engineering team(s), in an analyst role, to achieve objectives & results Able to create clear, concise, detail-oriented data analysis designs from specifications or verbal communications. High attention to detail including effective client communications and proven ability to manage multiple, competing priorities simultaneously. Ability to multitask and prioritize in a fast-paced, fluidic environment Excellent interpersonal skills, ability to collaborate and work successfully with teams across the organization. We are not currently engaging with outside agencies on this role. What you'll appreciate: Workplace flexibility - you choose between remote, hybrid or in-office Company paid employee medical, dental and vision Competitive salary and success sharing bonus Flexible vacation with no cap, plus sick time and holidays An entrepreneurial culture that won't limit you to a job description Being listened to, valued, appreciated -- and having your contributions rewarded Enjoying your work each day with a great group of people Apply TODAY! careers.questanalytics.com About Quest Analytics For more than 20 years, we've been improving provider network management one groundbreaking innovation at a time. 90% of America's health plans use our tools, including the eight largest in the nation. Achieve your personal quest to build a great career here. Visa sponsorship is not available at this time. Preferred work locations are within one of the following states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois (outside of Chicago proper), Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, West Virginia, Wisconsin, or Wyoming. Quest Analytics provides equal employment opportunities to all people without regard to race, color, religion, sex, national origin, ancestry, marital status, veteran status, age, disability, sexual orientation or gender identity or expression or any other legally protected category. We are committed to creating and maintaining a workforce environment that is free from any form of discriminations or harassment. Applicants must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Persons with disabilities who anticipate needing accommodations for any part of the application process may contact, in confidence [email protected] NOTE: Staffing agencies, headhunters, recruiters, and/or placement agencies, please do not contact our hiring managers directly. We are not currently working with additional outside agencies at this time. Any job posting displayed on websites other than questanalytics.com or jobs.lever.co/questanalytics/ may be out of date, inaccurate and unavailable We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 30+ days ago

DPR Construction logo
DPR ConstructionTampa, FL
Job Description Superintendent DPR Construction is seeking superintendent with at least 5 years of commercial construction experience. Previous experience is required within DPR's core market projects - life sciences; healthcare; higher education; corporate office and advanced technology. Superintendents work closely with all members of the project team and supervise all craft employees. They will be responsible for the following: Oversee, manage, and mentor assistant superintendents. Create construction schedules, perform regular updates, monitor logic relationships, and insert new activities and impacts. Coordinate jobsite logistics and maintain relationships with neighboring occupants. Negotiate with authorities having jurisdiction to achieve project occupancy milestones. Lead DPR's injury-free environment safety program. Coordinate subcontractor work scopes, scheduling, and resource-loading in conjunction with DPR's self-perform work crews. Foster the development of foreman to grow into future superintendents. Professionally represent DPR field operations as primary interface with owner and design team. Qualifications We are looking for a flexible, detail-oriented team player with the ability to manage multiple tasks, produce quality work, and consistently meet deadlines. The successful candidate will possess: Excellent listening skills and strong communication skills. Ability to identify and resolve complex issues. Effective participation in a team environment. Proficient computer skills in Microsoft Office Suite, project management software (Prolog or similar), and scheduling software (Primavera or similar). 5+ years of experience as a commercial construction superintendent, preferably within DPR's core market projects. Bachelor's degree a plus but not required. A strong work ethic and a "can-do" attitude. This position is salaried. DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at www.dpr.com/careers.

Posted 1 week ago

CONTACT GOVERNMENT SERVICES logo
CONTACT GOVERNMENT SERVICESChicago, IL

$85,000 - $105,000 / year

Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include: Review, sort, and analyze data using computer software programs such as Microsoft Excel. Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.). Develop HCF case referrals including, but not limited to: Ensure that HCF referrals meet agency and USAO standards for litigation. Analyze data for evidence of fraud, waste and abuse. Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence. Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings. Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. Assist conducting witness interviews and preparing written summaries. Qualifications: Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field. Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work. Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc. Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data). Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy. U.S. Citizenship and ability to obtain adjudication for the requisite background investigation. Experience and expertise in performing the requisite services in Section 3. Must be a US Citizen. Must be able to obtain a favorably adjudicated Public Trust Clearance. Preferred qualifications: Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3. Relevant experience working with a federal or state legal or law enforcement entity. #CJ $85,000 - $105,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Posted 30+ days ago

C logo

Systems Analyst III (Healthcare)

Cambia HealthSalt Lake City, UT

$92,000 - $124,000 / year

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Job Description

SYSTEMS ANALYST III (HEALTHCARE)

Hybrid (In office 3 days/week) within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Who We Are Looking For:

Every day, Cambia's Software Engineering Team is living our mission to make health care easier and lives better. The Systems Analyst participates in a team environment for the development, maintenance, and delivery of product/application (s) and data integrations as an integral part of a multi-functional team. This position is generally responsible for business, data and product/application analysis. This position requires business, analytical, design, interpersonal, technical and administrative skills in performing day to day work. - all in service of making our members' health journeys easier.

If you're a motivated and experienced Systems Analyst looking to make a difference in the healthcare industry, apply for this exciting opportunity today!

What You Bring to Cambia:

Preferred Key Experience (MUST HAVE):

  • Healthcare Experience

  • Facets Experience

  • API - Not development

Qualifications and Certifications:

  • Bachelor's degree in Computer Science, Mathematics, Business Administration, or a related field and minimum

  • 5 years business or system experience developing requirements for projects where computer software is created

  • The equivalent combination of education and/or experience including experience with methodologies and structured analytical approach

Skills and Attributes (Not limited to):

  • Ability to work with teammates and with business partners to participate in sessions to gather, translate and document and system requirements to support transforming requirements into effective technology solutions.

  • Ability to create simple story cards and understand simple acceptance criteria enough to verify results; develop simple technical documentation and understand technical documentation and concepts.

  • Ability to coordinate and facilitate one to one and small groups (3-5) of customers or other analysts for small work efforts.

  • Ability to develop positive relationships among business partners, teammates and management.

  • Ability to follow direction, collaborate effectively with peers to provide results, and relay status to management and peers in a timely manner.

Additional Minimum Requirements for level II

  • Understands moderately complex acceptance criteria enough to verify results; develops technical documentation and can understand moderately complex technical documentation.

  • Ability to facilitate and lead small teams (1-3) for moderate work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues.

  • Able to participate in requirements sessions/interviews and document clear requirements for moderate work efforts.

  • Mastering knowledge and skills of common software development methodologies.

Additional Minimum Requirements for level III

  • Ability to lead small teams (3-5) for complex work efforts which includes estimating, coordinating, tracking progress, inspiring others to complete tasks on time, assisting with resolving issues and creating status reports. Ability to present and effectively communicate with leadership.

  • Ability to participate in the definition of a QA plan.

  • Ability to use and coach more junior team members and business partners on development methodologies.

What You Will Do at Cambia (Not limited to):

  • Read and create simple structured specifications such as use cases, story cards.

  • Read and understand design and business models including basic technical understanding.

  • Writes SQL queries, reads simple data models.

  • Understands and participates in the creation of deliverables by acting as a liaison between the development team and the end users.

  • Contributes to deliverables including analysis, development that may include writing SQL/scripting, quality and validation.

Additional General Functions and Outcomes for level II

  • Reads and creates moderately complex and structured specifications such as use cases, story cards and requirements.

  • Provides support for applications and products during releases and warranty which may include quality and validation.

  • Actively acquires basic understanding of API concepts as applicable to the products and teams.

  • Reads most data models and has the ability to participate in logical data model creation.

  • Writes moderately complex SQL queries.

Additional General Functions and Outcomes for level III

  • Applies in depth knowledge on health insurance terminology and concepts as needed by the product/application (s) the teams support.

  • Reads and creates complex structured specifications such as use cases, story cards.

  • Reads complex and creates moderately complex business models.

  • Writes well designed complex SQL queries and trains the more junior analysts.

  • Participate/ Actively develop automated validation techniques (QA automation) as applicable to the product and team.

  • Understands basic API concepts, such as API structures, JSON, collections and how to document in a technical design as applicable to the product and team.

  • Reads complex data models and creates basic logical data models.

  • Provide estimates for complex size work efforts increasing accuracy of the estimate as work effort progresses.

  • Trains and coaches less experienced and peer analysts.

  • May participate in the research, evaluation and selection of vendor products, methodologies and processes.

  • Lead medium size groups including multiple departments with a structured approach (i.e. JRP or grooming sessions).

  • Manages own tasks on moderate size enterprise-wide work efforts.

The expected target hiring range for the Systems Analyst III is $92k - $124k is depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% .  The current full salary range for the Product Manager is $86k / $141k.

About Cambia

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

Why Join the Cambia Team?

At Cambia, you can:

  • Work alongside diverse teams building cutting-edge solutions to transform health care.
  • Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
  • Grow your career with a company committed to helping you succeed.
  • Give back to your community by participating in Cambia-supported outreach programs.
  • Connect with colleagues who share similar interests and backgrounds through our employee resource groups.

We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:

  • Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
  • Annual employer contribution to a health savings account.
  • Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
  • Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
  • Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
  • Award-winning wellness programs that reward you for participation.
  • Employee Assistance Fund for those in need.
  • Commute and parking benefits.

Learn more about our benefits.

We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.

We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.

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