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Benefytt Technologies jobs - 26 jobs

  • Customer Issue Resolution Analyst

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Customer Issue Resolution Analyst (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. The plays a critical role in managing and optimizing the financial health of customers within Solventum's USAC Commercial Operations. This high-impact role focuses on resolving complex payment issues, identifying systemic challenges, and leading initiatives to improve Accounts Receivable (AR) performance through strategic, customer-centric solutions. Serving as both a super user and a trusted liaison across functions, the CIR Analyst leads efforts in root cause analysis, cross-functional problem-solving, and process optimization. This individual also acts as a mentor and escalation point within the team, bringing expertise and leadership to complex reconciling items, systemic issues, and high-touch customer engagements. As a CIR Analyst Handles multiple inquiries and develops solutions for moderately complex issues within customer service areas, such as Account Management, Upselling, Customer Issue Resolution, Customer Inquiry Support, Customer Service Analytics. Independently handles accounts with broader complexity and internal breadth. Demonstrates greater knowledge of systems/processes. Participates in and may lead project teams. Works under limited supervision. Key Responsibilities: Lead end-to-end CIR management for a portfolio of accounts with complex billing, reconciliation, or systemic issues. Optimize AR performance through focused, data-driven initiatives that meet or exceed operational and financial targets. Own the resolution of escalated, high-complexity cases, partnering with customers and internal teams to deliver timely solutions. Drive proactive root cause analysis and implement sustainable improvements to prevent recurring issues. Act as a super user within CIR and mentor team members. Serve as an escalation point for peers in managing particularly complex cases or customer interactions. Deliver first-class customer service through professional, empathetic communication across phone, email, and virtual meetings. Build strong relationships with customer contacts, understanding unique account needs and customizing approaches accordingly. Partner with cross-functional teams-including Sales, Customer Service, and Credit Risk-to resolve root causes and drive continuous improvement. Lead or contribute to cross-departmental projects aimed at reducing AR aging, resolving systemic pain points, and improving customer satisfaction. Collaborate with internal stakeholders to design and implement scalable solutions for ongoing account challenges. Utilize advanced reporting tools (SAP, Salesforce, Excel, Power BI) to analyze customer payment trends and identify risks and opportunities. Document all case activity, resolution steps, and learnings with precision and clarity. Monitor performance against KPIs and recommend strategies for ongoing performance improvement. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher AND minimum three (2) two years of combined experience in Finance, Accounting, customer service, accounts receivable, accounts payable, or direct experience in a customer service role in a private, public, government or military environment OR High School Diploma/GED AND minimum Seven (7+) years of combined experience in Finance, Account, customer service, accounts receivable, accounts payable, or a direct experience in a customer service role in a private, public, government or military environment To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher AND minimum three (2) two years of combined experience in Finance, Accounting, customer service, accounts receivable, accounts payable, or direct experience in a customer service role in a private, public, government or military environment OR High School Diploma/GED AND minimum Seven (7+) years of combined experience in Finance, Account, customer service, accounts receivable, accounts payable, or a direct experience in a customer service role in a private, public, government or military environment AND Additional qualifications that could help you succeed even further in this role include: Direct experience in managing key accounts Direct experience in B2B Collections Dispute Management within the Accounts Receivable field Demonstrated skills and knowledge in financial statements analysis, negotiation, and credit and financial counsel principles Advanced skills in Microsoft Office Suite, specifically Word, Excel, PowerPoint, and Power BI Reporting Demonstrate organizational and soft skills Demonstrate initiative with process improvement activities and ability to influence change management activities Experience leading/participating in Lean Sigma projects, cross-functional teams, or equivalent. Work location: Remote-United States Travel: May include up to 10% [domestic/international] Relocation Assistance: NA Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $78,200 - $101,200, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $78.2k-101.2k yearly Auto-Apply 9d ago
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  • Service Delivery Lead, Security Operations

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Service Delivery Lead, Security Operations (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role Lead the delivery of Security Operations services, ensuring alignment with business and service level objectives, and regulatory requirements. Drive operational excellence through process optimization, automation, and continuous improvement initiatives. Collaborate with internal teams (e.g., IT, Risk, Compliance) and external partners to ensure seamless integration and delivery of security services. Serve as the primary point of contact for service performance, issue resolution, and stakeholder engagement. Develop, maintain, and enforce operational runbooks, incident response playbooks, and service documentation. Lead the tracking and remediation of findings from incidents, tabletop exercises, threat hunts, and red team engagements. Manage the Security Operations project portfolio, including delivery timelines, resource planning, and reporting. Support audit, compliance, and regulatory reporting activities related to Security Operations. Report key metrics and program performance to senior leadership. To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's Degree or higher AND 8+ years of experience in cybersecurity or IT operations, Proven experience managing or partnering with security operations and engineering teams, MSSPs, or hybrid security operations models. Strong understanding of security engineering and operations, threat detection, and incident response. Demonstrated ability to manage service delivery and drive change in a complex, global enterprise environment. Experience with ITIL, service management frameworks, and operational governance. Additional qualifications that could help you succeed even further in this role include: Professional certifications such as CISSP, CISM, ITIL, or PMP. Experience working in healthcare or other highly regulated industries. Familiarity with operational technology (OT) and manufacturing environments. Proficiency with Atlassian (e.g., Jira, Confluence) and Microsoft collaboration tools (e.g., Teams, SharePoint). Understanding of compliance and security frameworks including NIST CSF, FedRAMP, StateRAMP, HIPAA, and PCI DSS. Excellent communication, stakeholder management, and vendor relationship skills. Work location: Remote - United States Travel: May include up to 10% domestic/international Relocation Assistance: Not authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $207,348 - $253,425, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $39k-77k yearly est. Auto-Apply 59d ago
  • Senior Executive Sales Account

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Senior Executive Sales Account - Specialty Provider Markets EHR Vendor Partnership Executive At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a Specialty Provider Markets EHR Vendor Partnership Executive, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Managing and expanding current EHR vendor business partnerships. Driving bookings and revenue targets for each respective EHR vendor partnership segment and analyzing/reporting market performance metrics. Identifying and establishing new EHR vendor business partnerships. Leading business partner contract negotiations with support from Solventum legal, product, client services, and leadership. Working cross-functionally with internal Solventum resources and EHR vendor partners to facilitate strategic initiatives and achieve predictable growth. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree and 5 years of work experience in channel partnership development or strategic account management. Demonstrated ability to drive business growth through strategic business partnerships. Ability to build meaningful relationships across the business partnership ecosystem. Outstanding problem-solving, analytical, negotiation, and project management skills. Willingness to travel (20-25%). Additional qualifications that could help you succeed even further in this role include: Proven ability to influence across a matrix organization. Background in healthcare technology, preferably in independent physician practice and/or critical access hospital markets. High energy, self-starter who thrives working on a team. Work Location -Remote Travel: May include up to 25% -domestic travel. Relocation Assistance: No Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.Applicable to US Applicants Only:The expected compensation range for this position is $168,092 - $205,445, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $168.1k-205.4k yearly Auto-Apply 29d ago
  • Solution Advisor (Solventum)

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Solution Advisor (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you The Impact You'll Make in this Role As a Solution Advisor, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Execution- Partner effectively with clients to perform workflow discovery, ensure adoption, and deliver advanced optimization for assigned Solventum product lines. Serve as a subject matter expert (SME) for respective teams and solutions as assigned. Strategy and Planning - Understanding the client's short- and long-term strategy goals. Conduct current-state workflow and configuration review with a client implementing Solventum's best practice workflows. Partner effectively with clients on suggested workflow optimization changes leveraging Solventum best practices. Advocate for the customer, log issues, and escalate as needed following standard procedures promptly. Client Care and Advocacy - Advocate for the customer, log issues, and escalate as needed following standard procedures promptly. Leadership and Coordination - Own the client. Relationship coordination and client-focus coordination interactions for the client throughout the organization Accountable and Measured by the overall annual client satisfaction survey results for the assigned client base. Define and track key performance indicators (KPIs) Actively Stay up to date with knowledge of industry changes and product changes. Participates in relevant corporate programs/initiatives, complies with professional and quality standards, complies with corporate policies and procedures, and acts in a manner consistent with 3M's values and ethical standards. Your Skills and Expertise To set you up for success in this role from day one, Solventum is looking for candidates who must have the following qualifications: Bachelor's Degree or higher AND seven (7) years of experience as a CDI specialist, or inpatient coder in a private, public, government, or military environment. OR High School Diploma/GED AND eleven (11) years of experience as a CDI specialist, or inpatient coder in a private, public, government, or military environment. AND Possess one of the following current and valid certifications; RHIA, RHIT, CCS, Auditing: Inpatient Coding Micro-credential, CIC, CDIS, or CCDS or RN. Additional qualifications that could help you succeed even further in this role include: Strong understanding of Clinical Documentation Integrity and the workflow associated with an organization's Revenue Cycle Strong understanding of clinical documentation integrity Knowledgeable in Electronic Medical Record (EMR) workflows, systems, implementation, and medical professional training Demonstrated capability to manage multiple project streams and teams Experience consulting with clients in health information systems Demonstrated knowledge of assigned solutions, services, and products Demonstrated industry knowledge Ability to find creative solutions and manage difficult situations with diplomacy Must have strong business acumen, strategic thinking, presentation skills, training skills, and be creative and innovative Work location: Remote -United States Travel: May include up to 10% [domestic/international] Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.Applicable to US Applicants Only:The expected compensation range for this position is $114,325 - $147,950, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $114.3k-148k yearly Auto-Apply 9d ago
  • Sr. Analytics Consultant - Medical Drug Business

    Health Care Service Corporation 4.1company rating

    Remote or Chicago, IL job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Senior Consultant's primary responsibility is to leverage strong technical skills and healthcare industry knowledge to support medical drug business and clinical and stakeholders. This role will be accountable for the analytical support and consultancy of internal customers and advisory service for internal senior leaders. **Requir** **ed Job Qualifications:** + Bachelor's degreeand 6 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR Master's degree with 4 years of experience in health care services, statistical analysis, or insurance industry economics or related field OR PhDwith 2 years of experiencein health care services, statistical analysis, or insurance industry economics or related field OR 10 years of experience in health care services, statistical analysis, or insurance industry economics or related field + Understanding, and being highly proficient at querying a wide variety of internal and external data sources to get meaningful insights. + Strong analytical skills and proficiency in computer languages, such as SQL, Python, R, etc. + Performance excellence in championing initiatives and collaborating with multiple stakeholders to bring the initiative to life and, ability to work under pressure and delivery high quality output to senior leadership to decision making within short timeline. + Ability to create a dynamic and visually engaging dashboard leveragingdata visualization tools such as Tableau or Power BI + High degree of business intelligence and understanding how to take a business case from inception to customer or partner execution. + Experience leading an analytic initiative to success. + Excellent communication and presentation skills. + Ability to work independently and as part of a team. **Preferred Job Qualifications:** + Experience with project management methodologies. + Experience of Healthcare industry - payor, provider, pharmacy + Experience with version control/collaborative tools, such as GitHub + Experience with automation tools, such as Alteryx. **This is a Flex role (3 days in office; 2 days work from home).** **Sponsorship is not available.** \#LI-PD1 \#LI-HYBRID INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $84,400.00 - $152,300.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $84.4k-152.3k yearly 60d+ ago
  • Dental Practice Sales Specialist- CA- Solventum

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Dental Practice Specialist (Solventum) - Greater San Francisco area 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a Dental Practice Specialist, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Negotiating and closing large sales opportunities by presenting to individuals or to groups through use of persuasive verbal and written communication skills. • Consistently meeting and exceeding sales target while managing administrative and CRM responsibilities. • Solving complex problems with a positive attitude in a highly competitive environment. • Analyzing point of sale and market share data to understand where to spend time and resources. • Collaborating and sharing knowledge with numerous people within different segments of the organization. Driving Requirements: · This position requires the use of a personal vehicle for company business and participation in Solventum's Fixed and Variable Reimbursement (FAVR) program. As a condition of employment, candidates must successfully complete a pre-hire motor vehicle record (MVR) review and maintain ongoing eligibility, including compliance with Solventum's driver policy, insurance requirements, and annual policy sign-off. Ongoing monitoring of motor vehicle history will be conducted. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: • Bachelor's Degree or higher from an accredited university and a minimum of 3 years of sales experience in a private, public, government or military environment. OR • High School Diploma/GED from an accredited institution and a minimum of 7 years of experience in the dental industry. AND • Current, valid Driver's License. Additional qualifications that could help you succeed even further in this role include: • Five (5) years of sales in the oral care business segment/industry in a private, public, government or military environment. • Experience with Data Analytics is preferred. • Knowledge/experience with CRM platforms such as Salesforce. • Bi-Lingual • Excellent business acumen (strength in math, pricing, margins and gross profit analysis). • Proven successful sales experience and performance in the dental arena. • The ability to multi-task and process technical information. • Strong presentation skills in front of large groups, doctors, staff, and peers. • Ability to decipher and apply data and sales analytics. • Working knowledge of Excel, Powerpoint, and Office format software. Additional Requirements In this role, you may be required to enter healthcare or other third-party facilities. Those facilities may, in turn, require you to possess certain licenses, vaccinations, and/or other credentials or qualifications (collectively “prerequisites to entry”) for regulatory, safety, or other business reasons. All information will be kept in accordance with applicable law and Solventum policies. In order to respond to the prerequisites to entry, Solventum may share your information with the providers of medical screens, vaccinations, or verifications as well as the healthcare or other third-party facilities requiring the prerequisites to entry. Work location: Must reside within the greater San Francisco, CA sales territory (with the ability to travel a minimum of 35% to outlying parts of the assigned territory). Travel: May include up to 35% (domestic) Relocation Assistance: May be authorized. Applicable to US Applicants Only:The expected compensation range for this position is $112,200 - $145,200, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $39k-65k yearly est. Auto-Apply 3d ago
  • Staff Software Quality Assurance Engineer

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Staff Software Quality Assurance Engineer 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a Staff Software Quality Assurance Engineer, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Leading software assurance activities throughout medical device software life cycle, including creating software quality assurance plan, determining software safety classification, software test readiness, software release readiness. Responsible for ensuring traceability upwards to system level requirements and safety/security risk controls as well as downwards to software design, implementation and testing. Being an active member of the software team during the whole software life cycle, with responsibility for physical and functional configuration audits, reviewing and approving software requirements, software architectural and detailed design, test procedures, test logs, test results, and providing insight to management regarding software project status and software quality metrics. Ensuring compliance with applicable regulatory requirements and industry standards; performing gap assessments; immediately elevating to management any major problem with device software that could affect patient safety, cyber security, customer usability or system adherence to process requirements Acting as a quality champion in software product development and testing teams Supporting other software related processes such as CAPA process, and other quality related processes regarding cybersecurity risk management and software quality assurance. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Master's degree or higher in Computer Science, Software Engineering, Computer Engineering, Electrical Engineering, Cyber Security, or Information Science (completed and verified prior to start) and five (5) years of experience in software quality assurance in medical device, aerospace, or automotive industry OR Bachelor's degree in Computer Science, Software Engineering, Computer Engineering, Electrical Engineering, Cyber Security or Information Science (completed and verified prior to start) and seven (7) years of experience in software quality assurance in medical device, aerospace, or automotive industry Additional qualifications that could help you succeed even further in this role include: Working knowledge of premarket and postmarket medical device regulations (FDA, EU and other agencies), as well as medical device related standards, such as ISO 13485, ISO 14971, IEC 62304, IEC 81001-5 series amongst others. Experience developing and testing software systems, SaMD, SiMD, and/or embedded software and creating appropriate documentation Knowledge of Software Engineering best practices and working knowledge of C language preferred Experience with embedded systems, IoT, Bluetooth, wi-fi and cellular technologies Excellent verbal and written communication skills, strong problem-solving ability, and attention to detail Ability to effectively manage multiple simultaneous tasks and priorities and perform under a dynamic environment with parallel product releases and multiple project teams Ability to deal effectively with other employees and external business contacts while conveying a positive, service-oriented attitude. Work location: Remote in United States (preferred in the San Antonio, TX area) Travel: May include up to 5% domestic/international Relocation Assistance: May be authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $112,625 - $145,750, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $112.6k-145.8k yearly Auto-Apply 9d ago
  • Clinical Compliance Manager

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Clinical Compliance Manager(Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a Clinical Compliance Manager you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Providing leadership and oversight for the team responsible for authoring and maintaining clinical evaluation documentation, including Clinical Evaluation Plans (CEPs), Clinical Evaluation Reports (CERs), and associated processes. Allocating resources and monitoring timelines to ensure deliverables meet regulatory and business needs, and managing this process across the entire Dental Solutions product portfolio. Authoring and coordinating clinical evaluations for new products and legacy devices. Collaborating with cross-functional teams to generate a clinical evaluation that collects, analyses and assesses the clinical data pertaining to a medical device to verify the safety and performance in compliance with applicable regulations. Owning and continuously improving the clinical evaluation process, including developing SOPs, templates, and best practices for clinical evaluation documentation. Acting as the primary point of contact for audits and regulatory inspections related to clinical evaluation. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher from an accredited institution, preferably in a scientific or technical discipline (Biology, Chemistry, Biomedical Eng, etc.) AND seven (7) years of experience in the medical device industry Strong knowledge of EU MDR, MEDDEV 2.7/1 and clinical evaluations, including 5 years of experience medical writing according to EU MDR or comparable experience. 2+ years of experience managing teams and complex documentation processes. Additional qualifications that could help you succeed even further in this role include: Dental experience in a private, public, government or military environment. Ability to work effectively in cross-functional and cross-cultural teams. Strong understanding of global regulatory requirements for medical devices. Excellent organizational, leadership, and communication skills. Proven strength in clinical and medical writing. Ability to manage multiple complex projects simultaneously. Strategic thinking, critical thinking, reasoning, and interpretive skills Proficiency in Microsoft Office applications (Excel, Teams, Word, PowerPoint) with strong analytical skills. Ability to leverage AI technologies to strategically optimize team workflows, drive automation of key processes, and elevate operational efficiency across the team. Work location: Remote - United States Travel: May include up to 10% domestic Relocation Assistance: Not authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $160,284 - $195,903, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $160.3k-195.9k yearly Auto-Apply 32d ago
  • Client Coordinator (Overland Park, KS/ Lancaster, PA/ Remote)

    Health Care Service Corporation 4.1company rating

    Remote or Overland Park, KS job

    At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** Serve as a point of contact for clients in conjunction with Client Managers and provide any necessary administrative assistance required by the Client Managers to successfully retain business. Work with various departments within Luminare Health to promptly respond to client questions, facilitate resolutions to concerns, run client specific reports and provide support to Client Managers. May also involve client facing responsibilities such as employee meeting presentations, benefit fairs and attending quarterly and renewal meetings with client managers. ****This role will be based in Overland Park, KS, Lancaster, PA or Telecommute/Remote. Candidates must live within the following states: IL, IN, IA, KS, MO, MT, NM, NC, OK, PA, TN, TX or WI **** **Required Job Qualifications:** + High school diploma or GED equivalent required + Minimum 3 years previous experience in a similar TPA or insurance environment + Knowledge and understanding of benefit-related federal laws (i.e., ERISA, COBRA, HIPAA, PPACA, etc.) + Excellent written and verbal communication skills are required, as are exceptional organizational skills. + Thorough understanding of self-funding and employee benefit plans. + Analytical skills, problem solving skills, reading ability, creative decision-making skills, the ability to comprehend and follow instructions, mathematical ability and time management skills are required. + Proficiency with Word, Excel, PowerPoint, Access, and Outlook. + Ability to travel as required for this position. **Preferred Job Qualifications:** + State insurance license + College degree **\#LI-NR1** **\#LI-Remote** **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **EEO Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Pay Transparency Statement:** At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **Min to Max Range:** $48,500.00 - $91,000.00 Exact compensation may vary based on skills, experience, and location.
    $29k-38k yearly est. 60d+ ago
  • Delegation Oversight Coordinator Credentialing

    Health Care Service Corporation 4.1company rating

    Remote or Albuquerque, NM job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for leading, coordinating and participating in Credentialing delegation oversight audits of HCSC's vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools based on Credentialing/Re-credentialing operations, state and federal regulations, conducts the reviews in accordance with accreditation standards and Credentialing guidelines. Creates reports regarding audits, and analyzes tracks and trends audit findings. Develops and monitors corrective actions and provides feedback to practitioners on performance. **Required Job Qualifications:** + Associate Degree in Business or Medical OR 3 or more years' experience in a managed care environment. + 2 years in a leadership role that includes direct accountability and responsibility and direction of staff. + 4 years' experience in directly involved in Credentialing operations performing delegated oversight activities. + 4 years auditing Credentialing file or Credentialing operational experience + Project Management skills and experience. + Knowledge of regulatory/accreditation requirements and standards (Department of Insurance, NCQA, URAC). + Verbal and written communication skills. + Organizational skills and the ability to handle multiple priorities. + PC proficiency to include Word, Excel, PowerPoint, Adobe Acrobat, and Outlook. + Ability to travel (up to 30-40%) Including overnight stays **Preferred Job Qualifications:** + Bachelor Degree in Business or Medical. + Knowledge of Power Point, Visio and Access. + College level courses or certification in project management. Sponsorship will not be provided for this role. Hybrid: Work in office 3 days a week; work from home 2 days a week. **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $49,800.00 - $110,000.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $35k-46k yearly est. 60d+ ago
  • Integrated Business Planning Global Portfolio Lead

    Healthcare Services 4.1company rating

    Remote or Maplewood, MN job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Job Title: Title: Integrated Business Planning Global Portfolio Lead 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role The person hired for the position of Integrated Business Planning Global Portfolio Lead will be responsible for developing capabilities (People, Process, Data, and Technology), leading change, and ensuring effective & accelerated implementation of the Global IBP Portfolio Management Review for their respective business. This role will be managing the deployment, and capability and maturity improvement which will require an experienced professional who is able to facilitate and drive results in a fast paced and demanding growth environment, leveraging his/her strong interpersonal and leadership skills. This role will be challenged to build and implement a world class Global Integrated Business Planning Portfolio Management Review process to drive value realization by improving growth and margin in support of their respective business. As a(n) Integrated Business Planning Global Portfolio Lead, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Liaises with Marketing, Sales, and Operations teams to lead and facilitate the Portfolio Management Review sessions, ensuring alignment between portfolio, manufacturing, and supply chain teams. Align portfolio strategy with business goals by partnering cross functionally to ensure portfolio decisions support revenue growth, profitability, and customer expectations. Drive rigorous execution of the product life cycle plans ensuring projects are delivered on-time, on-budget, with adequate resourcing. Monitor and track portfolio performance via KPIs and provide insights to leadership Gather, quantify, & manage portfolio plans and assumptions, risks, and opportunities. Supports the continuous improvement of the Portfolio processes by leading governance, owning continuous improvement plans, and prioritizing and driving enhancements to data and tools. Ensure scenarios are developed and presented to highlight gap closing actions and the process is centered around decision making. Support Integrated Consensus reviews for their respective business, representing Portfolio plans and impacts of risks, issues and opportunities. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher from an accredited university Minimum seven (7) combined years of Business, Finance, Marketing and/or Supply Chain experience Additional qualifications that could help you succeed even further in this role include: Previous experience leading Sales & Operations Planning and/or Integrated Business Planning processes Master's degree in Business, Finance, or Supply Chain Experience leading projects to improve business processes and their integration with strategic or operational business planning Working in international, cross-cultural working environments Demonstrated knowledge of developing and executing Portfolio strategy Influence others and overcome barriers to change (including behavioral/cultural and organizational issues) Self-motivated and a good communicator at all levels of the organization Experience with analytical tools for data discovery & modeling, visualization and analysis Experience utilizing continuous improvement methodologies (Lean, Six Sigma, Kaizen, etc.) Work location: Hybrid Eligible (Job Duties allow for some remote work but requires travel to St. Paul, MN location at least 2 days per week Travel: May include up to 20% domestic/international Relocation Assistance: Is not authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $173,400 - $224,400, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $72k-104k yearly est. Auto-Apply 12d ago
  • Surgical Healing Specialist (North Boston, MA)

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role You will be responsible for driving sales growth, product adoption, and market share of Solventum's incision management and wound healing solutions within a defined territory by supporting surgical teams in the operating room. This role requires a high level of technical expertise, clinical credibility, and consultative selling to deliver solutions that improve patient outcomes and operational efficiency. As a Surgical Healing Specialist, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Building and managing relationships with surgeons and key stakeholders to integrate Solventum solutions into surgical practice. Consulting on the safe and effective use of Solventum products by attending OR cases and providing procedural support. Increasing advanced therapy utilization of incision management and wound healing solutions, including NPWT Building relationships with economic decision makers (e.g., supply chain) and addressing their financial and clinical priorities, leveraging published data. Achieving sustainable growth through strategic account planning, territory management, and data-driven targeting. Leveraging networks to identify expansion opportunities and strengthen market presence. Providing comprehensive customer support through proactive and ongoing education (e.g., inservicing) Using software platforms for planning, pipeline, and utilization tracking Supporting industry conferences & trade shows Willingness to be on-call Driving Requirements: This position requires the use of a personal vehicle for company business and participation in Solventum's Fixed and Variable Reimbursement (FAVR) program. As a condition of employment, candidates must successfully complete a pre-hire motor vehicle record (MVR) review and maintain ongoing eligibility, including compliance with Solventum's driver policy, insurance requirements, and annual policy sign-off. Ongoing monitoring of motor vehicle history will be conducted. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's Degree or higher AND 4 years of medical sales or clinical experience High School Diploma/GED from AND 8 years of medical sales or clinical experience AND In addition to the above requirements, the following are also required: Experience with Microsoft Office applications (i.e. Excel, Power Point, Outlook) Current, valid Driver's License. Additional qualifications that could help you succeed even further in this role include: Experience selling and consulting in an operating room environment Proven track record of sales quota & target attainment Proven experience in territory management & business planning Demonstrated expertise in establishing strong customer relationships with key influencers (i.e. surgeons) Strong understanding of clinical and economic value drivers across care areas Customer focused selling and closing Experience navigating complex selling cycles Completion of a formal sales training program Experience using a CRM (i.e. Salesforce) Experience navigating new product introductions and the value analysis process Outstanding data and analytical skills Additional Requirements In this role, you may be required to enter healthcare or other third-party facilities. Those facilities may, in turn, require you to possess certain licenses, vaccinations, and/or other credentials or qualifications (collectively “prerequisites to entry”) for regulatory, safety, or other business reasons. All information will be kept in accordance with applicable law and Solventum policies. In order to respond to the prerequisites to entry, Solventum may share your information with the providers of medical screens, vaccinations, or verifications as well as the healthcare or other third-party facilities requiring the prerequisites to entry. Work location: Remote (North Boston, MA) Travel: Field-based role with up to 20% overnight travel anticipated (may vary based on territory) Relocation Assistance: May be authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $167,875 - $217,250, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $35k-67k yearly est. Auto-Apply 4d ago
  • Associate Upstream Product Manager

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. Position Summary The Associate Upstream Product Manager plays a central role in the execution of new product initiatives that advance the Advanced Wound Care franchise' Build strategy and long-term innovation priorities. This role is accountable for the marketing strategy and deliverables in a new product initiative from concept to commercialization. This role will require strong financial and business acumen, deep understanding of clinical value propositions, and the ability to integrate cross-functional inputs to shape product concepts that are commercially and clinically compelling. Responsibilities will include the following: Portfolio & Project Ownership Own marketing strategy and deliverables across multiple high-complexity projects Lead development of target product profiles (TPPs), value propositions, positioning, and business cases that are financially rigorous and evidence-based Integrate clinical insights into marketing strategy, ensuring product concepts reflect patient outcomes, medical need, and clinical evidence Lead market opportunity analyses, including competitive assessment, market potential, and unmet need identification Prioritize geographic launch markets based on commercial potential, regulatory pathway, and operational readiness Financial & Strategic Accountability Build out robust business cases, including revenue projections, NPV analyses, cost of goods considerations, and pricing strategies Partner with Finance to model project scenarios and assess financial impact of strategic choices Identify risks and opportunities that may impact financial, clinical, or operational outcomes Cross-Functional Leadership & Influence Serve as the primary marketing liaison on the new product core team Align marketing inputs with cross-functional plans, timelines, and operational constraints Collaborate with PMO to ensure stage-gate readiness Partner with Global Downstream and Regional Marketing to provide launch readiness input, market prioritization guidance, and go-to-market strategy alignment Work with R&D, regulatory, and Medical Affairs to ensure clinical feasibility, safety, and evidence integration Coordinate with Supply Chain and R&D to assess cost of goods assumptions, product availability, scale up needs, and global launch readiness Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher 5+ years of experience in upstream or downstream product marketing Experience with stage-gate processes and tools Experience in healthcare, medical device or similar regulated industry Additional qualifications that could help you succeed even further in this role include: Advanced degree (e.g., MBA, Economics, or related field) Knowledge of the advanced wound care market, including negative pressure wound therapies Ability to thrive in an action-oriented and high accountability environment Track record of collaborating cross-functionally to deliver actionable recommendations Excellent strategic thinking, problem-solving, analytical, and communication skills Strong financial and business case acumen, including revenue modeling, NPV analyses, and pricing strategies Work location: Remote Travel: 10-15% domestic and international Relocation Assistance: Not authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $152,150 - $196,900, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $63k-96k yearly est. Auto-Apply 5d ago
  • Enterprise Architect (Remote - United States)

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Enterprise Architect (Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role The Enterprise Architect is a key leadership role in the Global IT organization and a visible change agent that drives business and technology innovation and alignment. This role helps build and facilitate the federated Enterprise Architecture team to deliver a unified 3‑year enterprise technology roadmap that reduces duplication, increases organizational agility, and accelerates business growth and transformation. This role facilitates EA team activities including designing, documenting, and governing the enterprise IT architecture. The Enterprise Architect leads architecture consulting efforts to investigate and align technology solutions with business strategies, evaluating new and emerging technologies, creating architectural blueprints, and assuring technology solutions are scalable and supportable for the long term. The Architect also leads Architecture Reviews Board activities that shape technology innovation and govern technology adoption globally. You will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Architecture Practice Management: Develop and facilitate Solventum's enterprise architecture practice by maturing EA methods, aligning IT and business strategy, managing architect team delivery, and promoting EA services across the organization. Architecture Governance: Coordinate, create, publish, and measure adoption of architectural artifacts (standards, policies, principles) across technology domains and technology asset classes. Architecture Reviews: Facilitate Architecture Review Board activities ensuring responsive processes, rightsizing architecture reviews, and strengthening engagement of technical teams, business leaders, and program/project managers. Solution Architecture: Collaborate with business stakeholders to define and guide the architecture design of enterprise technology assets including applications (SAP, CRM, MES, PLM, QMS, etc.), data and integrations, infrastructure, and security systems to align with strategic goals of the enterprise and to establish an integrated technology landscape. Technology Lifecycle Management: Conduct research and assess and evangelize new technologies where appropriate. Drive technology asset lifecycle and change management for implemented technologies. Delivery Management: Manage individual architects and architecture teams in the creation and publication of detailed architectural artifacts and technical solutions, assuring on time and on budget delivery. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's degree or higher AND ten (10) years of Enterprise Architect and/or Technical Architect experience in a private, public, government or military environment OR High School Diploma/GED AND fourteen (14) years of Enterprise Architect and/or Technical Architect experience in a private, public, government or military environment AND In addition to the above requirements, the following skills and experiences are also required: Enterprise Architecture experience, which includes business, application, data, technology, and security architecture domains. Architecture experience in one or more of the following technology domains: ERP, business applications, cybersecurity, data & analytics, integration services, automation, AI, cloud-infrastructure, and/or end user technologies. Agile and/or waterfall project management experience Experience with one or more of the following technologies: ServiceNow, SAP S4/Hana, Microsoft Dynamics, SalesForce.com, SAP BTP/Datasphere, Mulesoft, Snowflake, AWS & Azure Cloud, Z-Scaler, and Microsoft 365, Power Platform, & CoPilot Additional qualifications that could help you succeed even further in this role include: Technology Governance Expertise: Proven ability to design and govern end-to-end target states, roadmaps, and capability models that align strategy to execution. Technology Architecture Expertise: Deep experience with EA frameworks (e.g., TOGAF, Zachman), standards (e.g. ArchiMate, UML, BPMN), modern architecture practices (cloud-native, event-driven, microservices, APIs), and technology asset lifecycle management (e.g. ServiceNow CMDB). Written and verbal communication skills and ability to evangelize and translate complex technical concepts to diverse audiences. Problem solving and analytical abilities to assess current IT landscape, identify gaps, and develop optimal solutions. Leadership skills to influence decision-making and manage team delivery. Ability to work collaboratively with cross-functional teams. Relevant certifications (e.g. TOGAF, AWS/Azure Architect, CISSP/CCSP, ITIL). Work location: Remote - United States Travel: May include up to 15% Relocation Assistance: May be authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $199,325 - $257,950, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $199.3k-258k yearly Auto-Apply 2d ago
  • Medicare Senior Business Consultant - Hybrid

    Health Care Service Corporation 4.1company rating

    Remote or Richardson, TX job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $61.5k-136.1k yearly 60d+ ago
  • Sr. Manager, Global Downstream Marketing

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. Position Summary The Senior Manager, Global Downstream Marketing is responsible for leading the downstream marketing strategy for the $1.1B Restorative and Prevention business within the dental market. This role will lead a high-performing team to define revenue/margin targets, portfolio budget, go to market strategies, area-centric messaging (product, clinical, and economic), supported by data/analytics to drive the development of focused downstream marketing and targeted execution to expand segment share. This role is accountable for achieving annual financial (revenue and margin) targets for the R&P business. The Impact You'll Make in this Role Define and evolve the long-term global portfolio strategy Lead annual portfolio planning process including opportunity assessment, prioritization, and investment allocation Oversee lifecycle management to optimize in-market performance, extensions, and rationalizations Drive alignment with R&D, Clinical Affairs, Regulatory, and Strategy on unmet needs and innovation and business development roadmaps Partner with global upstream marketing to define product and technology roadmaps Lead global downstream marketing to ensure launch excellence, sales enablement, go-to-market execution and demand generation Serve as a strategic partner to Strategy and Corporate Development, providing marketing and portfolio input for M&A and partnership opportunities Collaborate with cross-functional leadership to deliver on portfolio growth expectations Serve as a senior leader on the R&P leadership team, playing a key role in the long-term success and health of the business Build, inspire, and lead a high-performing team and future leaders Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's Degree or higher from (completed and verified prior to start) an accredited institution and ten (10) years of progressive career growth in downstream marketing and sales roles Additional qualifications that could help you succeed even further in this role include: Strong financial acumen in business case development Strong problem-solving orientation with ability to leverage both quantitative and qualitative analysis to drive decision-making Excellent communication and executive presentation skills, including experience presenting to senior leadership through to field level representatives Deep understanding of the relevant served markets, clinical trends, and healthcare economics Demonstrated strategic thinking and vision capabilities Ability to thrive in an action-oriented and high accountability environment Marketing and/or sales leadership experience in a large med tech/med device company Work location: Remote Travel: 30% domestic and international travel required Relocation Assistance: Not authorized Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $103k-134k yearly est. Auto-Apply 44d ago
  • Delegation Oversight Coordinator Credentialing

    Health Care Service Corporation 4.1company rating

    Remote or Chicago, IL job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for leading, coordinating and participating in Credentialing delegation oversight audits of HCSC's vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools based on Credentialing/Re-credentialing operations, state and federal regulations, conducts the reviews in accordance with accreditation standards and Credentialing guidelines. Creates reports regarding audits, and analyzes tracks and trends audit findings. Develops and monitors corrective actions and provides feedback to practitioners on performance. **Required Job Qualifications:** + Associate Degree in Business or Medical OR 3 or more years' experience in a managed care environment. + 2 years in a leadership role that includes direct accountability and responsibility and direction of staff. + 4 years' experience in directly involved in Credentialing operations performing delegated oversight activities. + 4 years auditing Credentialing file or Credentialing operational experience + Project Management skills and experience. + Knowledge of regulatory/accreditation requirements and standards (Department of Insurance, NCQA, URAC). + Verbal and written communication skills. + Organizational skills and the ability to handle multiple priorities. + PC proficiency to include Word, Excel, PowerPoint, Adobe Acrobat, and Outlook. + Ability to travel (up to 30-40%) Including overnight stays **Preferred Job Qualifications:** + Bachelor Degree in Business or Medical. + Knowledge of Power Point, Visio and Access. + College level courses or certification in project management. Sponsorship will not be provided for this role. Hybrid: Work in office 3 days a week; work from home 2 days a week. **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $49,800.00 - $110,000.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $35k-48k yearly est. 60d+ ago
  • Homecare Specialist II

    Healthcare Services 4.1company rating

    Remote job

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Homecare Specialist II(Solventum) 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role As a Homecare Specialist II, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: · Managing order release, billing setup and document follow up · Reviews orders sitting in ship pending for missing elements and follows up with internal/external customers for missing information. · Contacts Sales Team for assistance with obtaining approval for order release · Prioritizes work list based on departmental inflows to minimize billing revenue loss. · Obtains re-certifications/re-authorizations for subsequent rental cycles. · Maintains courteous and timely communication with all customers at all times. · Work closely with all levels of management to identify and resolve process improvements. · Provides back up coverage for peers when out of the office. · Participates in all reasonable work activities as deemed suitable and assigned by management. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Possess a High School Diploma/GED or higher (completed and verified prior to start) from an accredited institution AND Minimum of (5) five years of experience in customer service, call center, and healthcare collections in a private, public, government or military environment Additional qualifications that could help you succeed even further in this role include: Experience with Microsoft Office applications. Strong customer service skills and demonstrated ability to professionally interact with all employees and external business contacts while conveying a positive, service-oriented attitude. Experience working with ERPs such as Hero, Oracle, Delair, FileNet, Genesis Solid critical thinking skills. Demonstrated ability to work in a team environment, as well as independently. Ability to multi-task and adapt in a fast-paced and changing environment. Demonstrated ability to maintain confidentiality and discretion in business relationships and exercise sound business judgment. Work location: Remote-United States Travel: N/A Relocation Assistance: N/A Must be legally authorized to work in the country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $48,195 - $62,370, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $48.2k-62.4k yearly Auto-Apply 4d ago
  • Medicare Senior Business Consultant - Hybrid

    Health Care Service Corporation 4.1company rating

    Remote or Chicago, IL job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $61.5k-136.1k yearly 60d+ ago
  • Delegation Oversight Coordinator Credentialing

    Health Care Service Corporation 4.1company rating

    Remote or Helena, MT job

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for leading, coordinating and participating in Credentialing delegation oversight audits of HCSC's vendors, service providers, medical groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual requirements. The position also develops audit tools based on Credentialing/Re-credentialing operations, state and federal regulations, conducts the reviews in accordance with accreditation standards and Credentialing guidelines. Creates reports regarding audits, and analyzes tracks and trends audit findings. Develops and monitors corrective actions and provides feedback to practitioners on performance. **Required Job Qualifications:** + Associate Degree in Business or Medical OR 3 or more years' experience in a managed care environment. + 2 years in a leadership role that includes direct accountability and responsibility and direction of staff. + 4 years' experience in directly involved in Credentialing operations performing delegated oversight activities. + 4 years auditing Credentialing file or Credentialing operational experience + Project Management skills and experience. + Knowledge of regulatory/accreditation requirements and standards (Department of Insurance, NCQA, URAC). + Verbal and written communication skills. + Organizational skills and the ability to handle multiple priorities. + PC proficiency to include Word, Excel, PowerPoint, Adobe Acrobat, and Outlook. + Ability to travel (up to 30-40%) Including overnight stays **Preferred Job Qualifications:** + Bachelor Degree in Business or Medical. + Knowledge of Power Point, Visio and Access. + College level courses or certification in project management. Sponsorship will not be provided for this role. Hybrid: Work in office 3 days a week; work from home 2 days a week. **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $49,800.00 - $110,000.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $30k-40k yearly est. 60d+ ago

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Benefytt Technologies may also be known as or be related to BENEFYTT TECHNOLOGIES, INC., Benefytt Technologies and Benefytt Technologies, Inc.