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Associate Medical Director For Adolescent Services remote jobs

- 193 jobs
  • Morning Remote Emergency Radiologist - Renaissance Imaging Medical Associates

    Radiology Partners 4.3company rating

    Remote job

    RIMA, a Radiology Partners practice, is looking for a high quality radiologist to fill a full-time Remote Reader position in our practice. This position will interpret primarily emergency imaging. Candidates must be residency-trained in Diagnostic Radiology and share a vision for an integrative and collaborative care model with a multi-disciplinary team. We have a commitment to quality and ardently promote and invest in the professional development of our radiologists through quality and leadership programs. Candidates must be residency-trained in Diagnostic Radiology and Board-Certified or Board-Eligible in Diagnostic Radiology. Ability to interpret general and advanced emergency radiology studies is required. We offer highly competitive compensation with an opportunity for partnership, as well as competitive salary and benefits including malpractice insurance coverage, 401K, CME discounts, disability coverage and healthcare reimbursement. POSITION DUTIES AND RESPONSIBILITIES * 7 days on and 7 days off (5am EST-2pm EST) "END Time is Negotiable" * Remote reading from home * Interpret emergency (STAT ER, urgent care and inpatient) imaging for several facilities in our practice * Work 26 weeks and enjoy 26 weeks off * Partnership track position DESIRED PROFESSIONAL SKILLS AND EXPERIENCE * Candidates must be a Doctor of Medicine or Osteopathy, Board-certified/Eligible in the practice of Diagnostic Radiology * Current California licensure is preferred, ultimately required for the position * Neuroradiology fellowship preferred * Fellowship trained in Neuro, Emergency Radiology, body, MSK, or Pediatrics is preferred COMPENSATION: The salary for this position is $600,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements). FOR MORE INFORMATION OR TO APPLY For inquiries about this position, please contact Misha Hepner at ************************** or ************. PRACTICE OVERVIEW Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system over all. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences. CCPA Notice: When you submit a job application or resume, you are providing the Practice with the following categories of personal information that the Practice will use for the purpose of evaluating your candidacy for employment: (1) Personal Identifiers; and (2) Education and Employment History. Radiology Partners participates in E-verify. Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
    $173k-316k yearly est. 43d ago
  • Associate Medical Director

    Pacific Life 4.5company rating

    Remote job

    Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it's the right thing to do. Pacific Life is more than a job, it's a career with purpose. It's a career where you have the support, balance, and resources to make a positive impact on the future - including your own. We're actively seeking a talented Associate Medical Director to join our Life Insurance Division. This role can be hybrid or 100% remote. As an Associate Medical Director, you'll play a key role in Pacific Life's growth and long-term success by providing consultative services to staff underwriters and providing critical input to risk selection and risk assessment for life insurance products. You will help shape strategy and educate all Life Insurance Division Underwriters on best practices from a medical perspective and also support the Underwriting team in organizational objectives for customer retention and satisfaction. Your colleagues are other Doctors and Nurses that support the Mission and Vision of the Life Insurance Division, under the Leadership of the Chief Underwriter. How you will make an impact: * Consult and provide input on risk selection and risk assessment for life insurance products by: * Review cases providing a medical appraisal of mortality and morbidity risk. * Interprets medical information including, but not limited to EKG, X-ray and other diagnostic tests to evaluate and make Underwriting decisions. * Ensures compliance with government regulations applicable to risk selection. * Help support strategy and Transformation of the Underwriting discipline. Promote thought leadership and collaboration among the Medical Staff. * Continuously review and seek out new industry information that directly or indirectly impacts Life Underwriting. * Represent Pacific Life in industry committees. * Informs and provides educational support to underwriting staff in individual and department communications. * Consults and advises the Underwriting Leadership on business strategies and best practices. * Collaborate on the development of future policies and practices. * Evaluate and identify trends and training gaps. * Identify areas of improvement underwriting guidelines and processes The experience you will bring: * M.D., D.O., PhD, or RN * 5+ years clinical experience in medical practice * 1-3 years in Insurance Medicine or similar Insurance work and consultative risk selection experience including case review and EKG interpretation * Understanding of actuarial process and company product development and product performance * Ability to make decisions independently with limited information * Excellent verbal and written communication skills * Ability to explain medical concepts to individuals with varying backgrounds What will make you stand out: * Board certification in a Medical discipline * Seeing ahead to future possibilities and translating them into breakthrough strategies * Creates new and better ways for the organization to be successful * Building strong-identity teams that apply their diverse skills and perspectives to achieve common goals You can be who you are. We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential. What's life like at Pacific Life? Visit Instagram.com/lifeatpacificlife #LI-EH2 Base Pay Range: The base pay range noted represents the company's good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay. $198,810.00 - $242,990.00 Your Benefits Start Day 1 Your wellbeing is important to Pacific Life, and we're committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we've got you covered. * Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents * Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off * Paid Parental Leave as well as an Adoption Assistance Program * Competitive 401k savings plan with company match and an additional contribution regardless of participation EEO Statement: Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.
    $198.8k-243k yearly Auto-Apply 22d ago
  • Director of Medical Staff Services (West Region)

    Orlando Health 4.8company rating

    Remote job

    Director of Medical Staff Services Location: Remote (Florida-based) with regular onsite travel Our West Region: Orlando Health Wiregrass Ranch Hospital - 3000 Wiregrass Ranch Blvd, Wesley Chapel, FL 33543 (Opening Summer of 2026) Orlando Health Watson Clinic Lakeland Highlands Hospital - 4000 Lakeland Highlands Road, Lakeland, FL 33812 Bayfront Health St. Petersburg - 701 6th St S, St. Petersburg, FL 33701 Position Summary Orlando Health is seeking a dynamic and experienced Director of Medical Staff Services to lead and oversee medical staff operations across three hospitals on Florida's west coast. This remote-based role requires frequent onsite travel to the facilities and monthly meetings in downtown Orlando. The Director will manage a team of 10 Medical Staff Services professionals across these sites, ensuring alignment across all regions, regulatory compliance, and excellence in credentialing, privileging, and physician relationship management. Key Responsibilities Lead administrative and operational activities of Medical Staff Services across assigned hospitals. Ensure regional alignment of medical staff processes and standards. Own and lead the Credentialing Committee and related education initiatives. Play a key role in Joint Commission surveys and regulatory readiness. Foster strong relationships with physicians and medical staff leadership. Collaborate with legal counsel and medical affairs to maintain governance documents. Oversee investigations, fair hearing processes, and adverse action notifications. Ensure data integrity and reporting from credentialing systems. Manage departmental staffing, training, performance, and budgeting. Qualifications Bachelor's degree required; Master's degree preferred. CPMSM and/or CPCS certification preferred. 8-10 years of director level experience is highly preferred. Minimum 5 years of experience in hospital administration, credentialing, or medical staff support. Proven leadership in workflow systems, reporting, and change management. Strong interpersonal and organizational skills with attention to detail. Work Environment Remote with multiple weekly onsite visits to assigned hospitals. Monthly in-person meetings in Downtown Orlando. Must be able to travel regularly and work flexible hours as needed. Why Orlando Health? Orlando Health is consistently recognized as one of the Best Places to Work, including winning the Glassdoor Employees' Choice Award for 2025-an honor based entirely on team member feedback. Our culture is built on mutual respect, teamwork, and authenticity, where every team member is empowered to bring their whole self to work. We offer innovative benefits like free education programs, respite rooms, pet therapy, and even discounted meals and food pantries to support our team's well-being. At Orlando Health, we don't just talk about excellence-we live it. Our commitment to career development, diversity and inclusion, and work-life balance makes us a destination employer for healthcare professionals across Florida and beyond.
    $118k-198k yearly est. Auto-Apply 60d+ ago
  • Medical Chart Reviewer/Donor Eligibility Associate

    Dci Donor Services 3.6company rating

    Remote job

    DCI Donor Services, Inc. (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! DCI Donor Services is seeking a Donor Eligibility Associate / Medical Record Reviewer to join our team! This position will perform a medical record review and ensure quality assurance for potential tissue donors The Donor Eligibility Associate will work closely with Medical Directors and hospital personnel to receive, compile and prepare written summaries for tissue release. This is a perfect opportunity for someone who has previous experience with medical terminology! COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. This is a remote position Key responsibilities this position will perform include: Receives, compiles, and prepares the donor record for eligibility review and Medical Director signoff of donor records. Meets with the Medical Director(s) to review and answer questions pertaining to the information and documentation within the donor record. Participates in required quality training and educational growth to ensure staff is competent, compliant, and trained in quality related tasks with all regulatory and accreditation entities and internal DCIDS standards. Enters donor information (e.g. serology results) in computerized record systems. Answers donor recovery screening questions, on an on-call basis, as needed. Enters donor information (i.e. serology results) and utilizes quality management system in electronic system including, but not limited to, Q-Pulse, and PolicyTech. Acts as a role model for DCIDS and the DCIDS Quality Departments by supporting, reinforcing, and exhibiting behaviors consistent with the DCIDS core values; selfless, hardworking, passionate, and dependable. Performs final archive for all donor records. Performs other related duties as assigned. The ideal candidate will have the following attributes: Ability to communicate internally and externally to diverse audiences, with knowledge, tact, courtesy, and superior attention to detail. High School Diploma or Equivalent - Bachelor's Degree preferred. Two (2) years of healthcare experience. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability.
    $226k-393k yearly est. Auto-Apply 27d ago
  • Associate Director, Medical Writing

    Argenx

    Remote job

    Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. argenx is a clinical-stage biopharmaceutical company creating and developing a pipeline of differentiated antibody therapeutics. Our unique antibody engineering technologies combined with the complementary expertise of our people enabled us to build a clinical-stage portfolio of novel product candidates - tailored from discovery through development to address patient needs. For the expansion of our team, argenx is looking for an Associate Director of Medical Writing to contribute to the development of complex clinical, nonclinical, and safety documents for regulatory submissions. This individual will also develop critical infrastructure for the maturation of the department. This individual will contribute to and execute the overall strategy for all medical writing processes to according argenx medical writing standards standards and corporate objectives. Roles and Responsibilities: Primary author of phase 1-4 protocols, IBs, CSRs, master ICFs, eCTD modules for INDs and BLAs, briefing documents for scientific advice, specialty regulatory documents like PIPs, ODDs, aggregate reports, RFIs, and other documents required for drug development Engages relevant SMEs and document owners to develop content that is well-organized, consistent, accurate, and appropriate for a regulatory audience Responsible for inspection-readiness of medical writing activities Facilitates standardization of documents using document templates, lexicons, and argenx style guide to ensure the quality and consistency of documents across programs Manage medical writers (in-house FTEs, contractors, and external vendors) who are individually contributing to the MW activities for a variety of regulatory documents Collaborates with project teams, including program leader, clinical study managers, biostatisticians, and medical directors, to ensure project deadlines are met Responsible for inspection-readiness of medical writing activities Responsible for medical writers assigned to support the medical writing activities for a particular project Executes corporate objectives, goals, measures, and strategies and begins to inform the development of them Capable of working on multiple deliverables simultaneously Desired Skills and Experience: Bachelor's degree in a scientific or clinical discipline or related field required; PhD preferred Minimum of 5 years of related, sponsor-level pharma or biotech clinical/regulatory medical writing experience required; CRO experience considered Native/bilingual or fluent American English proficiency Solution-focused eCTD Module 5 and Module 2 writing experience for global MAAs Basic understanding of scientific methodology as applied to drug development, including the phases, processes, and techniques used within a clinical development environment from protocol design through regulatory submission Knowledgeable in the regulatory guidances developed for documents authored by medical writing Ability to proofread documents for compliance with internal and external guidance documents Ability to approach issues from various perspectives and accurately summarize data to provide conclusions Ability to work precisely according to procedures and regulations Excellent written and verbal communication skills Ability to prioritize and multi-task successfully in a fast-paced environment Ability to work autonomously, as well as collaboratively in a team Excellent time management skills and a proven ability to work on multiple projects at any given time Must be proficient in MS Office Familiarity with Veeva Vault and Please Review preferred Familiarity with pharmacovigilance documents preferred ** Strong preference for individuals located on the East Coast** #LI-Remote For applicants in the United States: The annual base salary hiring range for this position is $164,000.00 - $246,000.00 USD. This range reflects our good faith estimate at the time of posting. Individual compensation is determined using objective, inclusive, and job-related criteria such as relevant experience, skills, demonstrated competencies and internal equity. This means actual pay may differ from the posted range when justified by these factors. Because market conditions evolve, pay ranges are reviewed regularly and may be adjusted to remain aligned with external benchmarks. This job is eligible to participate in our short-term and long-term incentive programs, subject to the terms and conditions of those plans and applicable policies. It also includes a comprehensive benefits package, including but not limited to retirement savings plans, health benefits and other benefits subject to the terms of the applicable plans and program guidelines. At argenx, all applicants are welcomed in an inclusive environment. They will receive equal consideration for employment without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other applicable legally protected characteristics. argenx is proud to be an equal opportunity employer. Before you submit your application, CV or any other personal details to us, please review our argenx Privacy Notice for Job Applicants to learn more about how argenx B.V. and its affiliates (“argenx”) will handle and protect your personal data. If you have any questions or you wish to exercise your privacy rights, please contact our Global Privacy Office by email at privacy@argenx.com . If you require reasonable accommodation in completing your application, interviewing, or otherwise participating in the candidate selection process please contact us at **************** . Only inquiries related to an accommodation request will receive a response.
    $164k-246k yearly Auto-Apply 50d ago
  • Associate Director, Medical Writing

    Immunitybio

    Remote job

    ImmunityBio, Inc. (NASDAQ: IBRX) is a commercial-stage biotechnology company developing cell and immunotherapy products that are designed to help strengthen each patient's natural immune system, potentially enabling it to outsmart the disease and eliminate cancerous or infected cells. We envision a day when we no longer fear cancer, but can conquer it, thanks to the biological wonder that is the human immune system. Our scientists are working to develop novel therapies that harness that inherent power by amplifying both branches of the immune system, attacking cancerous or infected cells today while building immunological memory for tomorrow. The goal: to reprogram the patient's immune system and treat the host rather than just the disease. Why ImmunityBio? • ImmunityBio is developing cutting-edge technology with the goal to transform the lives of patients with cancer and develop next-generation therapies and vaccines that complement, harness and amplify the immune system to defeat cancers and infectious diseases. • Opportunity to join a publicly traded biopharmaceutical company with headquarters in Southern California. • Work with a collaborative team with the ability to work across different areas of the company. • Ability to join a growing company with professional development opportunities. Essential Functions Serve as medical writing lead and subject matter expert on multiple concurrent complex writing assignments. Work closely with in-function and cross-functional team(s) on document strategies. Lead the day-to-day activities of the medical writers to include training new team members, coaching employees and monitoring performance. Participate in hiring new team members as needed. Contribute to the development of medical writing strategies and provide input on regulatory submission strategies. Draft, edit, and finalize development of regulatory documents (protocols, IBs, CSRs) for FDA submission. Write, edit, and finalize clinical and non-clinical publications, congress materials, educational/training materials, and other external-facing documents. Develop, implement and adhere to the Scientific Communications Standard Operating Procedures (SOPs) to ensure that publication activities are aligned with strategic initiatives and industry best practices. Partner cross-functionally on teams to develop and implement regulatory documents and strategic publication plans for regulatory submissions and scientific manuscripts. Identify, propose and implement solutions to resolve issues and questions arising during the writing process, including resolution or escalation as needed. Guide scientific content development for regulatory documents and scientific publications. Assist with the development and implementation of strategic publication plans for creating, coordinating, and tracking scientific publication materials (manuscripts, abstracts, posters, and slide presentations) as needed. Lead project team meetings and document review meetings. Provide direction and solutions to cross-functional teams on expectations for document content. Ensure quality, consistency, alignment, and compliance of regulatory documents and publications inclusive of performing quality checks of clinical and nonclinical documents. Ensure documents are suitable for eCTD regulatory submissions by conducting appropriate formatting and hyperlinking per writing guidelines. Perform ad-hoc and cross-functional projects as assigned to support business needs and provide developmental opportunities. Education & Experience Bachelor's Degree in a science-related field with 10+ years of relevant industry experience in medical writing in the healthcare industry or academia required; or Masters' Degree in a science-related field with 8+ years of relevant industry experience in medical writing in the healthcare industry or academia required; or PhD in a science-related field with 6+ years of relevant industry experience in medical writing in the healthcare industry or academia required Demonstrated experience in guiding medical writing efforts for clinical development of one or more investigational products required. Demonstrated expertise in writing and editing regulatory documents (clinical study protocols, IBs, CSRs) is required Experience in NDA/BLA submissions and writing CSRs, IBs, clinical study protocols and other documents for global regulatory submissions is required. Experience and strong scientific background in oncology, immunotherapy, or related field is required Prior experience in the biopharmaceutical industry preferred Knowledge, Skills, & Abilities Understanding good publication practices and guidelines, ie, ICMJE, GPP3, etc. Proficient knowledge of AMA style guidelines. Extensive knowledge of FDA, EMA, and ICH guidelines. Deep understanding and knowledge of the drug development process Ability to manage multiple projects and priorities simultaneously, meet deadlines, and adjust to shifting priorities in a fast-paced environment. Established proficiency with principles of clinical research and expertise in the interpretation and presentation of clinical data and other complex information. Ability to work cross-functionally and lead teams. Excellent written and verbal communication skills, with the ability to articulate complex technical information clearly and compellingly. Disciplinary expertise in oncology, immunology, and/or infectious disease. Strong critical and logical thinking skills with the ability to analyze problems, identify alternative solutions, and implement recommendations for resolution. Ability to work independently and collaboratively: prioritize tasks, problem solve, and complete high-quality documents under aggressive timelines Highly proficient in MS Project, MS Office (Word, Excel, PowerPoint, Outlook), Adobe Acrobat, EndNote, and eCTD authoring templates. Working Environment / Physical Environment This position works onsite or remote based on the employee's geographic location. Regular work schedule is Monday - Friday, within standard business hours. Flexibility is available with manager approval. Must possess mobility to work in a standard office setting and to use standard office equipment, including a computer. Lift and carry materials weighing up to 20 pounds. This position is eligible for a discretionary bonus and equity award. The annual base pay range for this position is below. The specific rate will depend on the successful candidate's qualifications, prior experience as well as geographic location. National Market (all markets unless identified as Premium) $138,000 (entry-level qualifications) to $152,000 (highly experienced) annually Premium Market (Premium markets include Los Angeles, San Diego, San Francisco, New York City, Chicago, & Boston) $145,500 (entry-level qualifications) to $160,000 (highly experienced) annually The application window is anticipated to close on 60 days from when it is posted or sooner if the position is filled or closed. ImmunityBio employees are as valuable as the people we serve. We have built a resource of robust benefit offerings to best support the total wellbeing of our team members and their families. Our competitive total rewards benefits package, for eligible employees, include: Medical, Dental and Vision Plan Options • Health and Financial Wellness Programs • Employer Assistance Program (EAP) • Company Paid and Voluntary Life/AD&D, Short-Term and Long-Term Disability • Healthcare and Dependent Care Flexible Spending Accounts • 401(k) Retirement Plan with Company Match • 529 Education Savings Program • Voluntary Legal Services, Identity Theft Protection, Pet Insurance and Employee Discounts, Rewards and Perks • Paid Time Off (PTO) includes: 11 Holidays • Exempt Employees are eligible for Unlimited PTO • Non-Exempt Employees are eligible for 10 Vacation Days, 56 Hours of Health Pay, 2 Personal Days and 1 Cultural Day • We are committed to providing you with the tools and resources you need to optimize your Health and Wellness. At ImmunityBio, we are an equal opportunity employer dedicated to diversity in the workplace. Our policy is to provide equal employment opportunities to all qualified persons without regard to race, gender, color, disability, national origin, age, religion, union affiliation, sexual orientation, veteran status, citizenship, gender identity and/or expression, or other status protected by law.
    $138k-160k yearly Auto-Apply 33d ago
  • Manager, Medical Coding Quality

    Wellsky

    Remote job

    The Manager, Coding Quality is responsible for providing oversight of teammates and vendor teams to ensure medical coding practices are compliant with regulatory standards. The scope of this job includes evaluating the department coding audit program and collaborating with operations and education teams to ensure quality, education, and productivity are achieved. We invite you to apply today and join us in shaping the future of healthcare! Key Responsibilities: Manage the quality program by understanding and applying COPs, coding guidelines, and all other appropriate CMS program guidelines as it relates to home health care and hospice into day-to-day activities and ensure these standards are followed by the team. Manage stateside workforce and workforce planning by monitoring daily production queue metrics to anticipate and address staffing challenges in real time. Evaluate identified education enhancement opportunities for medical coding professionals, review changes in the quality metrics, and assist in education development and execution as needed. In partnership with the coding operations team, plan and prioritize maintaining an adequate threshold of highly trained medical coders that ensure client satisfaction. Analyze and report key performance indicators data to relevant teammates on a regular basis, assess trends as needs to anticipate issues, and ideate solutions as data indicates. Perform other job duties as assigned. Required Qualifications: Bachelor's Degree or equivalent work experience At least 4-6 years of relevant work experience At least 0-1 years of relevant management work experience Coding Certified (HCS-D or BCHH-C) OASIS certification and/or experience in OASIS review Job Expectations: Willing to work additional or irregular hours as needed Must work in accordance with applicable security policies and procedures to safeguard company and client information Must be able to sit and view a computer screen for extended periods of time #LI-KL2 #LI-Remote WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference. WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace. Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates. Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: Excellent medical, dental, and vision benefits Mental health benefits through TelaDoc Prescription drug coverage Generous paid time off, plus 13 paid holidays Paid parental leave 100% vested 401(K) retirement plans Educational assistance up to $2500 per year
    $79k-211k yearly est. Auto-Apply 23d ago
  • Associate Director Medical Affairs - Neurology

    Lundbeck LLC 4.9company rating

    Remote job

    Do you want to join a team where the mission is meaningful, the challenges are complex, and you can directly see the results of your hard work? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. Join us on our journey of growth! Remote Opportunity - open to candidates anywhere in the greater United States SUMMARY: The Associate Director, Medical Affairs, Neurology serves as the internal scientific expert for assigned product(s), executing medical strategies and activities which align with cross-functional brand objectives, building and growing strong advocacy and KOL relationships and collaborating with other functions (e.g., Value Evidence, Regulatory, Clinical Development, Brand Teams, Global Medical Affairs etc.) in order to reach shared objectives and goals. This role emphasizes evidence generation and pipeline support in collaboration with our global organization, including Global Medical Affairs, Clinical Development, and Value Evidence teams. The position builds and grows strong advocacy and KOL relationships and contributes to strategic initiatives. ESSENTIAL FUNCTIONS: * Drives medical strategy in collaboration with Medical Director(s) and leads development, implementation and execution of key medical initiatives that align with the tactics of the Brand Team(s). * Develops and maintains expertise in designated therapeutic area(s). * Crafts and executes publication strategy and planning, including development and review of abstracts, posters, manuscripts for publication and scientific symposia presentations. * Provides therapeutic area expertise, review and evaluation of proposals for external clinical research. * Provides scientific training and/or support to other staff internally across functions as needed. * Develops, coaches and mentors' others within R&D, as requested. * Drives insight generation and distillation via 1:1 KOL engagements as well as formalized advisory board planning and execution * Lead US medical input into globally driven evidence generation initiatives including late stage and pipeline products * Collaborate with global Medical Affairs and cross-functional teams (Regulatory, Clinical Development, Commercial) to ensure strategic alignment and execution. * Liaises and manages relationships with Key Opinion Leaders (KOLs) in conjunction with the Medical Director(s), Medical Science Liaisons and other internal staff (e.g., Commercial, Clinical Development, Regulatory, etc.); and performs outreach activities in the field by working with other investigators, practicing physicians, patient organizations, and other health care providers. * Provides scientific input into Promotional Advertising Review Committee (and other review committees) for all promotional and external materials, participates in labeling meetings, where appropriate, and facilitates Sr. Medical Directors sign-off authorization. * Ensures all activities are following ICH, and other international regulatory guidelines and relevant GCPs and SOPs. * Participates in budgetary processes as part of annual business planning and review of expenses within Medical Affairs. REQUIRED EDUCATION, EXPERIENCE and SKILLS: * Accredited advanced clinical or scientific degree (i.e MD, PharmD, PhD, PA/NP or equivalent) * 3+ years of relevant medical/scientific affairs experience within the pharmaceutical or biotech industry. * Strong experience of collaborating with cross-functional teams, global medical affairs, medical information, value evidence and commercial teams. * Analytical skills - ability to combine practical, clinical knowledge with analytics/statistics to provide guidance on the design and execution of clinical studies. * Strong communication skills - ability to educate and train clinicians and other stakeholders. * Strong influence management skills - able to present compelling messages to influence key stakeholders. * Strong interpersonal skills - credible professional who can effectively communicate with a wide array of individuals, including stakeholders from other regions and cultures. * Experience with medical affairs content development. Familiarity with OPDP, PhRMA code, and key regulations in the pharmaceutical industry. PREFERRED EDUCATION, EXPERIENCE AND SKILLS: * Strong preference to be based in Deerfield, IL office. * 3+ years of relevant medical/scientific affairs experience within the pharmaceutical or biotech industry inclusive of setting and/or implementing medical strategy. * Thorough knowledge of migraine/headache therapeutic area strongly preferred including current scientific basics, treatments, and thought leaders. * Professional society membership(s) relevant to migraine/headache. * Regulatory knowledge and exposure, including experience with international regulations relating to GCP, conduct of clinical trials overseas. TRAVEL * Willingness/Ability to travel up to 10-20% domestically. International travel may be required. * If based remotely, additional travel will be required to Deerfield, IL, to meet the needs of the role and the business The range displayed is a national range, and if selected for this role, may vary based on various factors such as the candidate's geographical location, qualifications, skills, competencies, and proficiency for the role. Salary Pay Range: $190,000 - $220,000 and eligibility for a 20% bonus target based on company and individual performance, and eligibility to participate in the company's long-term incentive plan. Benefits for this position include flexible paid time off (PTO), health benefits to include Medical, Dental and Vision, and company match 401k. Additional benefits information can be found on our career site. Applications accepted on an ongoing basis. #LI-LM1, #LI-Remote Why Lundbeck Lundbeck offers a robust and comprehensive benefits package to help employees live well and protect their health, family, and everyday life. Information regarding our benefit offering can be found on the U.S. career site. Lundbeck is committed to working with and providing reasonable accommodations to disabled veterans and other individuals with disabilities during our employment application process. If, because of a disability, you need a reasonable accommodation for any part of the application process, please visit the U.S. career site. Lundbeck is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, and any other characteristic protected by law, rule, or regulation. Lundbeck participates in E-Verify. About Lundbeck At Lundbeck, our most important contribution is easing the burden of the millions of people living with brain disorders. Whether it is migraine, depression, or other brain disorders, patients, their carers, and society as a whole depend on us. Through cutting edge science and strong partnerships, we develop and market some of the world's leading treatments, expanding into neuro-specialty and neuro-rare from our strong legacy within psychiatry and neurology. The brain health challenge is real. Our commitment is real. Our impact is real. About Lundbeck At Lundbeck, our most important contribution is easing the burden of the millions of people living with brain disorders. Whether it is migraine, depression, or other brain disorders, patients, their carers, and society as a whole depend on us. Through cutting edge science and strong partnerships, we develop and market some of the world's leading treatments, expanding into neuro-specialty and neuro-rare from our strong legacy within psychiatry and neurology. The brain health challenge is real. Our commitment is real. Our impact is real.
    $190k-220k yearly 55d ago
  • Medical Chart Reviewer/Donor Eligibility Associate

    Sierradonor

    Remote job

    DCI Donor Services, Inc. (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ and tissue donation, and we want professionals on our team that will embrace this important work!! DCI Donor Services is seeking a Donor Eligibility Associate / Medical Record Reviewer to join our team! This position will perform a medical record review and ensure quality assurance for potential tissue donors The Donor Eligibility Associate will work closely with Medical Directors and hospital personnel to receive, compile and prepare written summaries for tissue release. This is a perfect opportunity for someone who has previous experience with medical terminology! COMPANY OVERVIEW AND MISSION For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities. DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank. Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobilizing the power of people and the potential of technology, we are honored to extend the reach of each donor's gift and share the importance of the gift of life. With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking. This is a remote position Key responsibilities this position will perform include: Receives, compiles, and prepares the donor record for eligibility review and Medical Director signoff of donor records. Meets with the Medical Director(s) to review and answer questions pertaining to the information and documentation within the donor record. Participates in required quality training and educational growth to ensure staff is competent, compliant, and trained in quality related tasks with all regulatory and accreditation entities and internal DCIDS standards. Enters donor information (e.g. serology results) in computerized record systems. Answers donor recovery screening questions, on an on-call basis, as needed. Enters donor information (i.e. serology results) and utilizes quality management system in electronic system including, but not limited to, Q-Pulse, and PolicyTech. Acts as a role model for DCIDS and the DCIDS Quality Departments by supporting, reinforcing, and exhibiting behaviors consistent with the DCIDS core values; selfless, hardworking, passionate, and dependable. Performs final archive for all donor records. Performs other related duties as assigned. The ideal candidate will have the following attributes: Ability to communicate internally and externally to diverse audiences, with knowledge, tact, courtesy, and superior attention to detail. High School Diploma or Equivalent - Bachelor's Degree preferred. Two (2) years of healthcare experience. We offer a competitive compensation package including: Up to 184 hours of PTO your first year Up to 72 hours of Sick Time your first year Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage 403(b) plan with matching contribution Company provided term life, AD&D, and long-term disability insurance Wellness Program Supplemental insurance benefits such as accident coverage and short-term disability Discounts on home/auto/renter/pet insurance Cell phone discounts through Verizon **New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.** You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position. DCIDS is an EOE/AA employer - M/F/Vet/Disability.
    $183k-322k yearly est. Auto-Apply 27d ago
  • Medical Review Manager - CMS Medicare (RVC)

    Broadway Ventures 4.2company rating

    Remote job

    At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation. Position Overview The Medical Review (MR) Manager is responsible for overseeing all medical review activities and quality assurance functions for the CMS Review and Validation Contractor (RVC) program. This role ensures accurate application of Medicare policy, directs daily workflow for medical review staff, and supports the validation of Recovery Audit Contractor (RAC) determinations. The MR Manager must be available Monday-Friday, 8:00 AM to 4:30 PM ET. Key Responsibilities Manage and oversee medical review operations, including accuracy reviews, disputes, RAC topic evaluations, and special studies. Lead and supervise medical review staff to ensure proper application of Medicare policies and procedures. Provide clinical expertise and guidance for complex or questionable claim review situations. Conduct quality assurance (QA) audits to verify compliance with contract and regulatory requirements. Brief, train, and educate review personnel on policy interpretation and validation processes. Stay current on medical practice, technology changes, billing trends, and potential areas of improper payments. Ensure medical review activities align with CMS FFS Recovery Audit Program requirements. Serve as the clinical resource for Medicare coverage, documentation, coding, and regulatory requirements. Maintain timely communication with CMS and internal leadership as required. Ensure that all duties requiring clinical expertise are performed directly by the MR Manager; non-medical staff may not substitute. Required Qualifications Minimum of 5 years of medical review experience. Minimum of 3 years of experience as a Medical Review Manager, including QA oversight. Extensive knowledge of the Medicare program, including coverage, payment, billing, and policy requirements. Working knowledge of the CMS Fee-for-Service (FFS) Recovery Audit Program. Strong analytical and decision-making skills with demonstrated clinical judgment. Education and Licensure Registered Nurse (RN), currently licensed in the United States or U.S. Territory (license verified annually). Bachelor's degree in Nursing (BSN) required. Core Competencies Medical review expertise Clinical judgment and decision-making Medicare coverage and policy knowledge Quality assurance and audit experience Leadership and staff management Policy interpretation and training Strong written and verbal communication Attention to detail and accuracy Work Schedule Monday through Friday 8:00 AM to 4:30 PM ET Availability required during these hours for CMS and operational needs What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting. Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
    $52k-153k yearly est. Auto-Apply 20d ago
  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Talent Acquisition

    Remote job

    The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives improvement change by recommending actionable initiatives to C-level Suite executives to mitigate these trends. Responsible for conducting complex analyses of insured medical populations with the goal of identifying opportunities to improve financial performance. Extracts, analyzes, and synthesizes data from various sources to identify risks and opportunities. KNOWLEDGE/SKILLS/ABILITIES Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships with operational leaders and staff. Directs staff assigned to their projects, supports health plan market(s) with trend analyses, finding scoreable action items (SAIs) and ad hoc analyses as requested. Responsible for staff time keeping, performance coaching, development, and career paths. Extract and compile information from various systems to support executive decision-making Mine and manage information from large data sources. Analyze claims and other data sources to identify early signs of trends or other issues related to medical care costs. Work with clinical, provider network and other personnel to bring supplemental context/insight to data analyses, and design and perform studies related to the quantification of medical interventions. Work with business owners to track key performance indicators of medical interventions Perform pro forma sensitivity analyses in order to estimate the expected financial value of proposed medical cost improvement initiatives Proactively identify and investigate complex suspect areas regarding medical cost issues, initiate in-depth analysis of the suspect/problem areas, and suggest a corrective action plan Draw actionable conclusions based on analyses performed, make recommendations through use of healthcare analytics, predictive modeling, and communicate those conclusions effectively to audiences at various levels of the enterprise Analyze the financial performance of all Molina Healthcare products, identify favorable and unfavorable trends, develop recommendations to improve trends, communicate recommendations to management Lead projects to completion by contributing to ad-hoc data analyses, development, and presentation of financial reports Serve as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes Provide data driven analytics to Finance, Claims, Medical Management, Network, and other departments to enable critical decision making Support Financial Analysis projects related to medical cost reduction initiatives and budgeting same Support Medical Management by assisting with Return on Investment (ROI) analyses for vendors to determine if their financial and clinical performance is achieving desired results Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare JOB QUALIFICATIONS Required Education Bachelor's Degree in Finance, Economics, Math, Healthcare Management, Computer Science, Information Systems, or related field Required Experience 3 years management or team leadership experience 10 years analytical work experience within the healthcare industry (i.e., hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) Strong Knowledge of SQL and PowerBI report development Familiar with relational database concepts, and SDLC concepts Preferred Education Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. Preferred Experience 3 - 5 years supervisory experience Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans Experience with Databricks Proficiency with Microsoft Excel (formulas, PIVOT tables, PowerQuery, etc.) Proficiency with Excel and SQL for retrieving specified information from data sources. Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) Knowledge of healthcare financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form) Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. • Understanding of value-based risk arrangements Experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in healthcare To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #LI-AC1
    $108k-235k yearly est. Auto-Apply 41d ago
  • Manager, Medical Affairs Operations

    Axsome Therapeutics, Inc. 3.6company rating

    Remote job

    Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at ************** and follow us on LinkedIn and X. About This Role: Axsome Therapeutics is seeking a Manager, Medical Affairs Operations. The Manager of Medical Affairs Operations will serve as a key partner to the Medical Affairs leadership team, driving operational excellence across systems, logistics, contracts and cross-functional initiatives. This role is responsible for ensuring smooth day-to-day operations, inclusive of managing document workflows, and supporting strategic Medical Affairs priorities through effective collaboration, organization, and process improvement. This role is based at Axsome's HQ in New York City with an on-site requirement of at least three days per week. We are unable to consider candidates who are looking for fully remote roles. Job Responsibilities and Duties include, but are not limited to, the following: * Provide operational and administrative support for senior leadership, including calendar management, reporting, and preparation of materials for strategic discussion * Plan and manage logistics for internal and external meetings, conferences, and advisory boards, including scheduling, agendas, and follow-up actions * Oversee the Medical Affairs SharePoint site to ensure efficient document management, version control, and organization of internal resources * Coordinate and support Medical Affairs initiatives, ensuring deliverables, deadlines, and compliance requirements are met * Manage departmental contracts, including routing, review, and coordination with Legal, Compliance, and Procurement * Identify and implement process improvements to enhance team efficiency, communication, and operational excellence * Support budget and tracking in partnership with finance and operations leadership Requirements / Qualifications * Bachelor's degree required * 5 years of experience in Medical Affairs operations, project management, or a similar role in the pharmaceutical or biotech industry * Ability to work on site Monday, Tuesday & Thursday. We are unable to consider candidates who are looking for fully remote roles Experience, Knowledge and Skills * Strong organizational, communication, and project management skills with attention to detail and the ability to manage multiple priorities * Proficiency with SharePoint, Microsoft Office Suite, and project management tools * Proven ability to collaborate effectively across departments and drive process efficiency * Ability to work collaboratively in a fast-paced environment and handle confidential information responsibly Salary & Benefits The anticipated salary range for this role is $120,000 - $135,000. We encourage candidates of all levels to apply as there may be flexibility on final job title and responsibilities. The salary offer will be based on a variety of factors, including experience, qualifications, internal equity and location. Axsome offers a competitive employment package that includes an annual bonus, significant equity and a generous benefits package. Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law. Axsome Therapeutics does not accept unsolicited resumes from recruiters or third-party recruitment agencies and will not pay placement fees for unsolicited candidates that are sent to hiring managers, the HR team or other Axsome team members. Only approved vendors who have been explicitly asked to support a specific search will receive access to our Applicant Tracking System to submit candidates for consideration.
    $120k-135k yearly 31d ago
  • Manager, Behavioral Health Apprenticeship

    Foundation for California Community Colleges 4.4company rating

    Remote job

    Manager, Behavioral Health Apprenticeships Hybrid within San Diego County, Must reside in California We are seeking a Manager, Behavioral Health Apprenticeship to join FoundationCCC in its mission of benefiting, supporting, and enhancing the California Community Colleges-the largest and most diverse system of higher education in the nation. Together, we are building stronger communities by getting students and colleges the resources they need to succeed and expanding pathways to economic and social mobility across California. Join us as we continue this important work to uphold the value of community colleges in building a brighter future. What You'll Do The LAUNCH Apprenticeship Network is a member of the Collaborative Impact team of the Foundation for California Community Colleges and supports meaningful connections between students and employers in California through work-based learning and support services. The Foundation's Collaborative Impact Department, through the LAUNCH Apprenticeship Network, seeks a Manager, Behavioral Health Apprenticeship to play a critical role in the department's success by applying deep project management skills and facilitation experience to ensure high-quality design and delivery of specific registered apprenticeship and work-based learning programs. This position will serve as the central liaison between employers, community partners, and state agencies, ensuring apprenticeship pathways are aligned with workforce needs and regulatory requirements. The Manager will oversee multi-million dollar projects, build sustainable networks of partners, and scale LAUNCH's proven blueprint for apprenticeship success. Program Development & Expansion: Work collaboratively with LAUNCH staff to lead behavioral health apprenticeship growth efforts across California, with priority focus on San Diego and regional expansion Register and manage apprenticeship programs with the U.S. Department of Labor and California Division of Apprenticeship Standards, aiming to scale 700 apprentices in behavioral health over four years Resource Development & Technical Assistance: Provide subject matter expertise and marketing collateral, toolkits, and resources that support education providers in engaging employers about registered apprenticeship in behavioral health. Funding & Program Management: Provide subject matter expertise and marketing collateral, toolkits, and resources that support education providers in engaging employers about registered apprenticeship in behavioral health. Apprenticeship Ambassadorship and Relationship Cultivation Serve as an ambassador for the Foundation in high-level meetings and official events/conferences, advocating for policies and programs that support equitable access to apprenticeship opportunities, showcasing milestones, impact metrics, and success stories. Employer & Stakeholder Engagement: Work with LAUNCH staff and partner organizations to recruit, convene and facilitate employer committees that foster statewide and regional collaborations, ensuring industry demand is met Establish and lead the San Diego Behavioral Health Apprenticeship Network Attributes for Success Experience in state and/or federal grant management to included budget management, allocation, and success workplan deliverables completion. Minimum of four (4) years of related work experience in workforce development, behavioral health, apprenticeship, and/or higher education Minimum of four (4) years of progressive experience in managing program/system implementation or project management. We're recruiting for mission-driven, passionate, equity-minded individuals with a strong desire to impact and change people's lives for the better Our work holds great weight and responsibility, and the opportunity to impact the lives of millions of individuals in California FoundationCCC blends the impact of a non-profit, the culture of an entrepreneurial start-up, and the scale of a state agency Team members are hired for their expertise in niche areas across our areas of impact and higher education overall, and for their knowledge of business, philanthropy, technology, communications, and more We are committed to professional development with an emphasis on shared leadership, to ensure growth for employees and the organization overall What we Offer FoundationCCC is fully committed to a “remote-first” philosophy, and recruits and hires talent across the state in fully remote positions, where virtual work is possible. Our headquarters are located in Downtown Sacramento, just blocks from California's State Capitol. Benefits Competitive compensation, generous PTO, and paid holidays Medical, dental, and vision plans, Flexible Spending Accounts, Health Savings Accounts (HSA), Employee Assistance Program (EAP), and Wellness offerings CalPERS retirement program and optional 403(b) and 457 Retirement plans Carrot reproductive health and fertility support Tuition reimbursement Public Service Loan Forgiveness certified employer To see the full job description and to apply, please go to our Careers page at ************************************************************** Budgeted Annual Salary Pay Range: $100,000.00 - $110,000.00 Final salary and rates are based on education, experience, skills relevant to the role, and internal equity.
    $100k-110k yearly Auto-Apply 60d+ ago
  • Medical Coding Manager

    Actalent

    Remote job

    An Inpatient Coding Manager is responsible for overseeing the coding operations for hospital inpatient services, ensuring accuracy, compliance, and efficiency throughout the revenue cycle. Key Responsibilities Team Leadership: Supervise and support inpatient coding staff, providing training, guidance, and performance evaluations. Coding Accuracy & Compliance: Ensure all coding follows official guidelines, payer requirements, and regulatory standards. Conduct audits and implement corrective measures when needed. Revenue Optimization: Collaborate with billing and clinical documentation teams to minimize claim denials and maximize reimbursement. Monitor DRG assignments and case mix index for financial accuracy. Policy & Education: Develop coding policies and procedures, and keep the team updated on changes in ICD-10, DRG systems, and compliance regulations. Data & Reporting: Track productivity, accuracy rates, and financial impact. Prepare reports and recommend process improvements. Technology Oversight: Manage coding software and EHR systems, streamline workflows, and explore automation opportunities. Essential Skills: Expertise in ICD-10-CM/PCS and DRG methodologies Strong leadership and communication skills Knowledge of compliance regulations and auditing practice MAIN FUNCTION: Oversees all Coding of hospital discharge records for correct assignment of diagnosis and procedure codes for hospital outpatient and inpatient records for the purpose of research and reimbursement in compliance with local, state and federal regulations using ICD-10-CM, ICD-10-PCS, CPT-4 and HCPCS Abstracts pertinent data for hospital operations and research. EDUCATION: High School Diploma EXPERIENCE: RHIT, B.S. preferred Additional Skills & Qualifications MAIN FUNCTION: Oversees all Coding of hospital discharge records for correct assignment of diagnosis and procedure codes for hospital outpatient and inpatient records for the purpose of research and reimbursement in compliance with local, state and federal regulations using ICD-10-CM, ICD-10-PCS, CPT-4 and HCPCS Abstracts pertinent data for hospital operations and research. EDUCATION: High School Diploma EXPERIENCE: RHIT, B.S. preferred Job Type & Location This is a Permanent position based out of Derby, CT. Pay and Benefits The pay range for this position is $62400.00 - $90000.00/yr. Employee Benefits As an employee of Griffin Hospital, you will have access to comprehensive benefits that are both competitive and affordable. Benefits are offered to regular full time and part time employees. Griffin Hospital offers a variety of health benefits, including medical, prescriptions, vision, dental, flex spending, life insurance, long term disability, health & wellness, financial well-being, employee recognition, and other great benefits. Explore our benefits below and you'll understand why Griffin Hospital is a great place to work. Health Benefits Medical Insurance Medical insurance and prescription drug coverage with discounted rates contingent on participating in our Wellness Program. A cash-back option is offered for opting out of medical insurance. Vision Insurance Coverage for eye exams, eyeglasses, and contact lenses. Vision insurance is included at no-cost when Medical Insurance is elected. Dental Insurance Two dental plans; one of which has orthodontia coverage with no age limit and TMJ appliance coverage. Flexible Spending Accounts Pre-tax Flexible Spending Accounts for both healthcare and dependent care expenses. Term Life Insurance and AD&D Coverage Term Life Insurance & AD&D Coverage offered at no cost. The benefit is equal to one & one-half annual pay up to a maximum of $350,000. Supplemental Life Insurance Coverage Supplemental Life Insurance coverage available to purchase at group rates up to a maximum of $650,000. Long-Term Disability Insurance Income Protection (60% of base pay) with a 6-month elimination period Wellness Benefits Fitness Center Full service fitness center located on-site, at no charge for employees. Group Exercise Programs Free on-site group exercise programs including Piloxing, Yogalates, Circuit Training, and Personal Training. Massage Free chair massages & discounted full-body massages Employee Wellness Program Griffin Hospital is committed to helping employees and their family live a healthier lifestyle and achieve improved well-being. Our state of the art Wellness Program helps you get healthy and stay healthy. Employee discounted medical insurance rates are contingent upon participation in the Wellness Program. Healthy Food Options Healthy food options in the onsite cafeteria, healthy options in the vending machine and at employee meetings. Seasonal on-site Farmer's Market with fresh produce available to purchase. Discounted Gym Membership Full gym membership at The Edge Fitness Clubs at discounted group rates for employees and their family members Employee Assistance Program Griffin Hospital offers an Employee Assistance Program (EAP) to help employees better cope with issues that impact quality of life and work performance. Health resource Center Free lending library that provides an array of medical and health information open to employees and the community. Community Health and Wellness Resources Wellness programs and classes, community outreach programs, support groups and programs, and health screenings Financial Well-being Pre-tax Retirement Savings Plan Griffin Hospital offers employees a Pre-tax Retirement Savings Plan to help you save for retirement. On-site Banking For your convenience, Griffin Hospital offers an on-site banking to help you with your banking needs. Recognition Employee and Department Recognition Monthly I.T.I.P. (I Take It Personally) celebrations where employees of the month and departments of the quarter are recognized. Service Awards Dinner Annual service awards dinner recognizing employees with 5 or more years of service as well as employees of the month and departments of the quarter. The employee and department of the year are both recognized. Other Great Benefits Paid Vacation, Holiday, & Sick Time On-site cafeteria with employee discount Free Parking Tuition Assistance Retail Pharmacy & Gift Shop On-site gift vendors Discounts on Verizon cell phone service and local businesses Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 23, 2025. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
    $62.4k-90k yearly 8d ago
  • Medical Affairs Manager I (Remote)

    Dawar Consulting

    Remote job

    Our client, a world leader in diagnostics and life sciences, is looking for a "Medical Affairs Manager I (Remote)”. Job Duration: Long term Contract (Possibility Of Further Extension) Pay Rate: $63/hr on W2 Company Benefits: Medical, Dental, Vision, Paid Sick leave, 401K Supports global launch preparation and clinical adoption of Companion Diagnostics (primarily in Oncology and Pathology) through cross-functional collaboration and both traditional and agile project management. Oversees project timelines, resources, budgets, and deliverables, ensuring efficient execution of Medical Affairs strategies, education programs, clinical readiness initiatives, scientific events, and KOL engagement. Manages medical content dissemination, communication channels, contracts, HCP interactions, KPIs, and vendor relationships, while promoting best practices and continuous improvement. Qualifications: Bachelor's or Master's degree 2-3 years in diagnostics, pharma, or biotech, with project management expertise (PMP preferred) Strong communication and collaboration skills Preferred: experience in Medical Affairs, clinical development, Oncology/Pathology, and agile methodologies If interested, please send us your updated resume at hr@dawarconsulting.com/***************************
    $63 hourly Easy Apply 60d+ ago
  • Behavioral Health Services Manager

    Hope Family Health 3.8company rating

    Remote job

    Description - Behavioral Health Services Manager Original Board Approval Date 08/26/2020 Reports to Director of Behavioral Health Division Behavioral Health/Administrative Exempt/Non-Exempt Status Exempt Security Roles Clinical Administration; Clinical Care Specialist JOB SUMMARY: The Behavioral Health Services Manager plays a key role in supporting HOPE's integrated care model by helping oversee the day-to-day operations of the Behavioral Health (BH) department. This position provides direct supervision to BH nurses, medical assistants, and other support roles within the department, ensuring high-quality, patient-centered care. The Manager also serves as a vital administrative partner to the Director of Behavioral Health, offering clerical, programmatic, and operational support to help drive departmental goals, improve workflows, and maintain compliance with FQHC standards. Primary Duties & Responsibilities: Clinical Support: Demonstrates proficiency in all aspects of patient triage within the Behavioral Health department and completes competency assessments for both new and existing employees. Serves as a backup for the Behavioral Health medical assistant or nurse during periods of absence to ensure continuity of patient care and clinic operations. Human Resources & Staffing Support: Assists with the orientation and onboarding of new Behavioral Health staff, including interview coordination and preparation of new hire materials. Manages the department's weekly staffing schedule, including time-off approvals, timesheet submissions, missed punch corrections, and payroll approvals using ADP. Organizes and facilitates regular departmental meetings, including preparing agendas and documenting meeting minutes. Quality Improvement & Data Management: Supports departmental quality improvement efforts through data collection, analysis, and reporting. Tracks and reports on key indicators such as patient satisfaction, departmental expenses, and service utilization. Provides feedback and suggestions for process improvement based on insights from staff, patients, and community partners. Collaborates with the Director of Behavioral Health to develop and maintain spreadsheets and databases (e.g., Excel) to support budgeting and quality initiatives. Assists with the maintenance and updates of departmental forms and documentation. Community & Program Development: Educates patients, families, and community partners on available behavioral health services. Assists the Director of Behavioral Health in community outreach efforts to increase awareness and utilization of services. Represents the Behavioral Health department on internal committees, such as the Compliance/Risk Committee, Safety Committee, and Quality Assurance/Quality Improvement (QA/QI) Committee. Administrative & Operational Support: Provides general administrative support to the Director of Behavioral Health, including assistance with travel arrangements, training logistics, and expense reimbursements. Demonstrates adaptability and serves as a change agent to support ongoing departmental and organizational improvements. Supports teamwork and proactive communication among the Behavioral Health team and across departments. Intermittent Duties: Performs other duties as assigned by the Director of Behavioral Health to support departmental operations and organizational needs. Off-Site Work: Occasional off-site work is required for this position. With prior Team Leader approval, various job tasks may be completed remotely. These may include, but are not limited to: program development, policy and procedure updates, conference calls, grant writing, and similar administrative tasks. Employees approved for off-site work must have a confidential, designated workspace to ensure privacy and productivity. Off-site work classification and arrangements will be reviewed by the Team Leader at hire, during annual performance evaluations, and as needed throughout the year. Skills/Qualifications: Education & Experience: Some college coursework with 2-4 years of experience in a social or human services-related field, preferably with direct behavioral health experience. Bachelor's degree in a related field preferred. Specialized training or certifications (e.g., Non-Violent Crisis Intervention, Suicide Prevention/Intervention) are preferred. Technical & Professional Skills: Proficient in Microsoft Office Suite (Word, Excel, PowerPoint); ability to learn additional software and systems as needed. Strong organizational and time management skills, with the ability to prioritize tasks, meet deadlines, and manage multiple responsibilities. High-level problem-solving skills and sound judgment, with the ability to make independent decisions and consult with leadership when appropriate. Communication & Interpersonal Skills: Excellent verbal and written communication skills. Demonstrated cultural competency and the ability to engage effectively with individuals from diverse backgrounds. Strong interpersonal skills and a professional, customer-service-oriented demeanor. Other Key Competencies: Ability to take initiative and follow through on assignments with minimal supervision. Flexible, adaptable, and able to function effectively in a fast-paced, team-oriented environment. Personal Attributes: The Behavioral Health Services Manager must maintain strict confidentiality and consistently uphold HOPE's core values while performing all duties. The ideal candidate will demonstrate the following personal qualities: Trustworthiness and integrity Respectfulness toward patients, colleagues, and the community Cultural awareness and sensitivity to diverse backgrounds Flexibility and adaptability in a dynamic work environment Strong work ethic and commitment to excellence Working Conditions & Physical Demands: This position primarily functions in a professional office environment with periodic travel between HOPE sites. Occasional extended hours may be required based on organizational priorities. As a healthcare setting, employees may be exposed to body fluids and other potential health hazards. Requires sufficient visual acuity to read, write, and operate equipment commonly used in this role. Must be able to communicate effectively in English, both verbally and in writing; proficiency in a second language is helpful but not required. Requires adequate hearing ability to communicate effectively in person and by telephone. Occasionally required to lift items weighing up to 25 pounds. Note: This is intended to convey information essential to understanding the scope of the Behavioral Health Services Manager. It is not intended to be an exhaustive list of qualifications, duties, or responsibilities, as other duties may be assigned as needed. This job description follows the Americans with Disabilities Act (ADA) and the Fair Labor Standards Act (FLSA) (May 1995) HOPE Family Health Services is an equal opportunity employer who complies with applicable State and Federal civil rights laws and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran or disability status. Many positions at HOPE Family Health Services are funded in-part or in-whole by State or Federal Department of Health and Human Services funding and as such, our organization cannot employ individuals with certain criminal backgrounds or who are on State or Federal exclusion or debarment lists.
    $60k-91k yearly est. Auto-Apply 60d+ ago
  • Manager Medical Affairs (Remote)

    Dexcom 4.7company rating

    Remote job

    The Company Dexcom Corporation (NASDAQ DXCM) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And we're just getting started. We are broadening our vision beyond diabetes to empower people to take control of health. That means personalized, actionable insights aimed at solving important health challenges. To continue what we've started: Improving human health. We are driven by thousands of ambitious, passionate people worldwide who are willing to fight like warriors to earn the trust of our customers by listening, serving with integrity, thinking big, and being dependable. We've already changed millions of lives and we're ready to change millions more. Our future ambition is to become a leading consumer health technology company while continuing to develop solutions for serious health conditions. We'll get there by constantly reinventing unique biosensing-technology experiences. Though we've come a long way from our small company days, our dreams are bigger than ever. The opportunity to improve health on a global scale stands before us. Meet the team: At Dexcom, Medical Affairs is the heartbeat of innovation, leveraging medical expertise to develop life-changing technology. As a Medical Affairs Manager in Product Development, you're shaping the future of diabetes care. You'll bridge science and strategy, ensuring every product meets real-world needs and global standards. This role gives you a seat at the table from concept ideation to post-market surveillance, and your insights will influence design, safety, and patient outcomes worldwide. Where you come in: You execute medical affairs pre- and post-market strategies globally, ensuring alignment with business objectives. You represent Medical Affairs across diverse development projects with minimal direction and lead risk analyses to ensure safe, effective product design. You partner closely with R&D, regulatory, compliance, quality assurance, marketing, and other teams to integrate medical perspectives into product development, early clinical claims, and lifecycle decisions, always keeping patients, caregivers, healthcare professionals, payors, and regulators in focus. You collaborate with Clinical Affairs on trial protocols, study design, data interpretation, and safety monitoring boards to support robust clinical claims. You manage scientific literature searches throughout the product development lifecycle. You ensure compliance with regulatory guidance, quality management system documentation requirements, and ethical and scientific standards. You build and maintain relationships with thought leaders, healthcare professionals, and academic institutions, engaging in meaningful scientific dialogue. You plan and execute consulting engagements and advisory boards, incorporating insights into product development activities. You maintain strong internal cross-functional relationships, clearly and candidly representing the medical perspective in all product design initiatives. You represent Dexcom at medical conferences, showcasing our commitment to innovation and clinical excellence. What makes you successful: You hold an active license as a Registered Nurse, Nurse Practitioner, Physician Assistant, Pharmacist, or equivalent credential. You bring Medical Affairs experience in product development and risk analysis within the biotechnology, pharmaceutical, or medical device industry. You have deep knowledge of type 1, type 2, and gestational diabetes, backed by clinical experience caring for people with diabetes. You demonstrate strategic thinking, exceptional communication skills, and meticulous attention to detail. You excel at independently driving projects from concept through execution. You build strong relationships and collaborate effectively with internal and external stakeholders. What you'll get: (this section should not be modified) A front row seat to life changing CGM technology. Learn about our brave #dexcomwarriors community. A full and comprehensive benefits program. Growth opportunities on a global scale. Access to career development through in-house learning programs and/or qualified tuition reimbursement. An exciting and innovative, industry-leading organization committed to our employees, customers, and the communities we serve. Travel Required: 5-15% Experience and Education Requirements: Typically requires a Bachelor's degree and a minimum of 8-12 years of related experience. At this level a graduate degree may be desirable with 4 years of related experience Please note: The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time. The duties and responsibilities in this job description may be subject to change at any time due to reasonable accommodation or other reasons. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Dexcom's AAP may be viewed upon request by contacting Talent Acquisition at ****************************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Dexcom Talent Acquisition at ****************************. Meritain, an Aetna Company, creates and publishes the Machine-Readable Files on behalf of Dexcom. To link to the Machine-Readable Files, please click on the URL provided: ***************************************************** Code=MERITAIN_I&brand Code=MERITAINOVER/machine-readable-transparency-in-coverage?reporting EntityType=TPA_19874&lock=true To all Staffing and Recruiting Agencies: Our Careers Site is only for individuals seeking a job at Dexcom. Only authorized staffing and recruiting agencies may use this site or to submit profiles, applications or resumes on specific requisitions. Dexcom does not accept unsolicited resumes or applications from agencies. Please do not forward resumes to the Talent Acquisition team, Dexcom employees or any other company location. Dexcom is not responsible for any fees related to unsolicited resumes/applications. Salary: $128,600.00 - $214,400.00
    $128.6k-214.4k yearly Auto-Apply 3d ago
  • Head of Enterprise Architecture (Managing Director), Evernorth Health Services (Hybrid)

    Carepathrx

    Remote job

    We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a "keep-the-lights-on" role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. Key Outcomes (first 12-18 months) * North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. * Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. * AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. * Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. * Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. * Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams. Key Responsibilities * Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. * Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. * AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. * Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. * Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. * Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale. Qualifications * 10+ years in enterprise architecture/technology strategy experience. * Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) * Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale. * Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). * Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP). * Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. * Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). * Systems thinker who balances ideal-state architecture with real-world execution. Nice to Have * Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). * Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership. * Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns. Leadership Competencies * Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* 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.
    $56k-89k yearly est. Auto-Apply 1d ago
  • Head of Enterprise Architecture (Managing Director), Evernorth Health Services (Hybrid)

    Cigna 4.6company rating

    Remote job

    We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a "keep-the-lights-on" role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. Key Outcomes (first 12-18 months) * North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. * Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. * AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. * Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. * Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. * Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams. Key Responsibilities * Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. * Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. * AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. * Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. * Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. * Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale. Qualifications * 10+ years in enterprise architecture/technology strategy experience. * Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) * Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale. * Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). * Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP). * Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. * Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). * Systems thinker who balances ideal-state architecture with real-world execution. Nice to Have * Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). * Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership. * Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns. Leadership Competencies * Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* 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.
    $81k-98k yearly est. Auto-Apply 9d ago
  • Clinician I, II - Intensive Home Based Treatment - Child and Family Outpatient Services

    SCF 4.2company rating

    Remote job

    Clinician I Hiring Range: $70,387.20 to $93,828.80 Pay Range: $70,387.20 to $105,560.00 Clinician II Hiring Range $75,296.00 to $100,401.60 Pay Range $75,296.00 to $112,964.80 Hiring Incentives Sign-on bonus Relocation Package Retention Bonus Referral Bonus Job Summary: The Southcentral Foundation (SCF) Clinician is responsible for providing clinical interventions tailored to the customer-owner needs and prepare them for participation in learning circles. This position has two (2) levels designed to provide progressively more responsible and independent work experiences. Progression between job levels is based on the demonstrated ability to successfully handle more progressively responsible assignments. Southcentral Foundation is seeking exceptional Clinicians to join our Intensive Home Based Treatment program at Child and Family Outpatient Services in Anchorage. Do you enjoy working with children, teens and their caregivers? CFOS Intensive Home Based Treatment offers opportunities for Clinicians to provide therapy in the community and in customer-owner residences. IHBT Clinician's will work alongside Community Case Managers to collaborate and provide services to youth at risk of out-of-home placement. IHBT works to build stronger relationships and bonding between youth and their families. We believe that youth heal best with their families, in their homes. This position will require a flexible schedule that will include one weekend day and night availability. SCF programs are established to serve a primary population comprised of Alaska Native people who are affiliated with Cook Inlet Region, Inc. (CIRI) and Alaska Native and American Indian people within SCF's geographical service area. Employees should have a thorough understanding of the cultures and the needs of this population. Such knowledge is critical to ensure the achievement of SCF's vision of a Native Community that enjoys physical, mental, emotional, and spiritual wellness, and mission of working together with the Native Community to achieve wellness through health and related services: Qualifications: 1. Master's degree in behavioral health field including Counseling, Psychology or Social Work; OR PhD/PsyD in Clinical or Counseling Psychology. 2. Obtain Alaska Clinical Licensure in designated field within four (4) years of hire. Additional Qualifications for Clinician II: Meets all requirements of Clinician I in addition to the following: 1. Two (2) years of supervised clinical work experience for Master's level Behavioral Health; OR two (2) years of post-graduate clinical experience for PhD or PsyD level; OR demonstrated proficiency as a Clinician I at SCF. 2. Current Alaska Clinical Licensure in designated field. · Valid Alaska driver's license that meets State of Alaska Division of Motor Vehicles (DMV) license requirements to include: May drive in Alaska for up to 90 days with a valid out-of-State license, then must obtain an Alaska driver's license. · No more than three (3) moving traffic violations (as defined by Alaska Statutes Title 28); OR two (2) at-fault traffic accidents in the previous three (3) years. · The driver must not have had ‘Driving Under the Influence' (DUI); OR ‘Driving While Intoxicated' (DWI); OR ‘Operating Under the Influence' (OUI) violations as follows: Zero (0) violations in the past five (5) years. No more than two (2) violations in the past ten (10) years. · Drivers must be at least 18 years of age. Drivers 18 through 20 years of age may only transport equipment, materials, and employees. Drivers who transport customers must be 21 years of age or older and must have completed the probationary period of license requirements for Alaska. · Prior to hire date, must provide current copy no more than 60 days old of driving record from issuing State. Native Preference: Under P.L. 93-638, as amended, the company pursues a policy of Native preference in hiring, contracting and training. SCF Human Resources must receive certification before applicants receive preference. Employee Health Requirements: Compliance with our Employee Health Procedure is a condition of SCF employment. You are required to agree that you will comply with all job-related employee health screening and immunizations prior to your first day of employment. Jobs designated as a Health Care Personnel (HCP) position, requires that you have documentation that you have completed the following immunizations prior to your first day of employment: MMR (Measles, Mumps and Rubella, Varicella (Chicken Pox), Hepatitis B, Influenza, T-dap (Tetanus - Diphtheria - Pertussis), and COVID-19 vaccination is required. #INDBSD
    $75.3k-100.4k yearly 60d+ ago

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