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Brighton Health Plan Solutions jobs - 31,003 jobs

  • Quality Analyst

    Brighton Health Plan Solutions 3.9company rating

    Brighton Health Plan Solutions job in Westbury, NY

    About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core portfolios-Claims, Provider, and Enrollment. In this role, you will contribute to both functional testing and automation activities, helping strengthen QA processes. You will play a key part in ensuring high-quality software delivery by validating business requirements, improving test practices, supporting limited automation initiatives, and collaborating closely with technical and business teams.Primary Responsibilities QA Strategy & Leadership Contribute to building a consistent QA approach across multiple portfolios (Claims, Provider, Enrollment), to improve test efficiency, traceability, and quality metrics. Assist in establishing reusable processes, documentation standards, and quality checkpoints. Promote early testing practices and support shift-left collaboration within Agile/Scrum teams. Support leadership in maturing QA workflows and cross-team coordination Functional QA & Validation Develop comprehensive test cases, acceptance criteria, and test data based on business and technical requirements. Perform hands-on functional, integration, and regression testing across applications and data workflows. Validate end-to-end business processes such as claims adjudication, provider data updates, enrollment transactions, pricing, and benefits logic. Participate in defect triage, root-cause discussions, and timely defect escalation. Test Automation Support Support existing automation efforts by maintaining or executing automated tests for data loads, data validations, volume testing etc. Contribute to creating or enhancing small-scale scripts for repetitive regression or smoke testing where automation adds value. Leverage tools such as Selenium, Unix Shell Scripting or similar to supplement manual test coverage. Participate in agile test execution where applicable, in collaboration with developers. Cross-Functional Collaboration Work closely with business analysts, developers, product owners, and external vendors to ensure quality is embedded in the development lifecycle. Participate in team collaboration meetings, including planning, reviews, and retrospectives, as a QA voice and quality advocate. Lead or participate in defect triage and resolution discussions, ensuring timely identification and escalation of issues. Coordinate with external vendors or partners when validating integrated workflows or data exchanges. Documentation & Reporting Maintain detailed QA documentation, including test plans, automation reports, traceability matrices, and defect logs. Provide QA KPIs and automation metrics to leadership to demonstrate test coverage, execution success, and release readiness. Ensure consistent reporting to support release planning and stakeholder communication. Essential Qualifications Bachelor's degree in Computer Science, Information Systems, Healthcare IT, or a related field. 5+ years of experience in QA, with 1+ years in test automation in a healthcare payer environment. Hands-on experience with automation tools such as Selenium, Postman, or similar. Experience building test automation for Unix applications and backend databases (SQL Server). Proficient in one or more scripting or programming languages (e.g., Java, Python, JavaScript). Strong understanding of QA practices in fast-paced delivery environments. Solid knowledge of EDI X12 transactions (834, 837, 835, 270/271), Claims, Enrollment, and Provider data workflows. Proficient with SQL for backend testing and data validation. Familiarity with test management tools such as JIRA or equivalent. Excellent analytical, problem-solving, and communication skills. Preferred Qualifications Knowledge of version control systems like Git and test result reporting using BI Reporting, or similar. Exposure to performance testing tools (e.g., JMeter) is a plus. * General Knowledge of HIPAA Confidentiality Laws About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $ The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]
    $68k-91k yearly est. Auto-Apply 41d ago
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  • Director of Communications

    Brighton Health Plan Solutions 3.9company rating

    Brighton Health Plan Solutions job in New York, NY

    About The Role The Director of Communications will report to the Senior Vice President Marketing and Business Development but will work closely with the executive leadership team of Brighton Health Plan Solutions. This role will be a strategic partner and operational leader responsible for driving alignment, prioritization, and execution of key initiatives for the executive team and across the Sales and Marketing team. This role will ensure efficient and often confidential communication, project management, and cross-functional coordination to optimize performance. This position will handle external and internal communications, including writing presentations, email correspondence, member communications, as well as communications associated with new client implementations, open enrollment and client retention. The ideal candidate is a strategic thinker, a skilled storyteller, a dynamic writer, highly organized, analytical, and a proactive leader with experience supporting senior executives in fast-paced environments. This candidate will excel at gathering and synthesizing information in a multi-brand, multi-product environment, distributing information or deliverables when necessary to stakeholders both internally and externally, and project managing key initiatives for the department from start to finish. Primarily Responsibilities Stakeholder and Internal Engagement Communication Management Executive Meeting Support & Action Tracking Executive Presentation & Conference Support Project Management Essential Qualifications Bachelor's degree in Communications, Public Relations, Journalism, Marketing, or related field (Master's Degree preferred). Must have proven management experience, with a track record of leading teams and ensuring operational excellence 5-8+ years of experience in a communications role with an understanding of the complex healthcare landscape, including knowledge of TPA/health plan services, network products, and employee benefits, preferred. Deep understanding of sales and marketing functions, workflows, and performance metrics. Exceptional organizational, communication, and problem-solving skills. Ability to operate with discretion, integrity, and sound judgment in high-stakes environments. Exceptional written, verbal, and presentation skills. Proven ability to manage communications for a high-profile, growth-oriented and matrixed organization. Experience with crisis communication, executive visibility, and brand positioning. Ability to lead cross-functional teams and manage multiple projects. Strong executive presence and emotional intelligence. A proactive, self-starter mindset with a bias for action. Capable of managing tight deadlines, accepting constructive feedback and prioritizing tasks in a fast-paced and sometimes ambiguous environment. Adept at learning and adapting to the tone, writing style, and preferences of executive leaders. Ability of gaining a deep understanding of the multiple brands and business sectors our business supports, with the skills to transform complex information into clear, persuasive, and brand-aligned content. Writing samples will be requested as part of the interview process. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $100,000-$130,000 The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]
    $100k-130k yearly Auto-Apply 49d ago
  • RN Residency Program

    Wayne UNC Health Care 4.2company rating

    Goldsboro, NC job

    Participate in the RN Residency Program at UNC Health Wayne to bridge the gap between your nursing education and your professional career. You'll receive help from our experienced team to reach your potential as a nurse. Shift to a Professional Nursing Career Make the transition to the hospital work environment through our innovative RN Residency Program. You'll receive guidance and practical knowledge that helps you: Develop your nursing skills and strengths Adjust to a fast-paced acute care hospital setting Gain confidence in your nursing abilities Learn how to handle everyday situations nurses face Train for the new nursing position you'll move into at UNC Health Wayne What to Expect Whether you're a new graduate or a nurse returning to the acute care setting, you'll begin your nursing position in our RN Residency Program. After your UNC Health Wayne orientation, you'll start your residency journey. During your first 12-weeks, you'll: Learn service protocols, problem-solving skills and build self-confidence as you apply your skills to patient care Explore the collaborative relationships between RNs in an interdisciplinary, patient-centered care team with direction from our coordinator and special preceptors Join group learning sessions lead by clinical educators at Wayne UNC. You'll have time to debrief, get your questions answered and receive support Transferring to Your Nursing Unit After the first few weeks in the program, you'll transfer to your chosen nursing unit. Partnering with your appointed preceptors, you'll evaluate and set your clinical orientation goals. Throughout your residency, you'll receive regular support from your assigned peer mentor.
    $50k-67k yearly est. 5d ago
  • Clinical Risk Management Analyst (RN) - Day Shift, Mon - Fri

    St. Joseph's Health 4.8company rating

    Syracuse, NY job

    *Employment Type:* Full time *Shift:* Day Shift *Description:* ***This is not a remote work from home position*** ***Monday - Friday, Day Shift Schedule*** Clinical Risk Management Analyst* *Mission Statement:* We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. *POSITION SUMMARY* The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have patient safety and risk management implications and assists staff with problem solving. *EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:* * Experience in health care setting. * Bachelor's degree required (nursing, healthcare related degree is strongly preferred). * Master's degree preferred. * Certification (CPHRM) is preferred. * Registered Nurse preferred. * Ideally, the candidate will have 3-5 years in risk management / patient safety experience. *SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:* * Strong written and oral communication skills, strong interpersonal, motivational and conflict resolution skills. * Strong management and administrative skills. * Broad-based knowledge of hospital related regulatory compliance requirements. * Presentation skills, team player, ability to influence change without direct authority, and negotiation skills. *WORK ENVIRONMENT AND HAZARDS:* Office and/or Clinical Setting. Exposure Class I or II - dependent on service. *PHYSICAL DEMANDS:* Sedentary work: requires sitting, standing and walking. *WORK CONTACT GROUP:* All services, employees, medical staff, patients, visitors, vendors, various regulatory and professional agencies. *SUPERVISED BY: * Manager of Risk Management *SUPERVISES:* None *CAREER PATH: * Management *OPERATIONS/COMPLIANCE: * Is responsible for data management, investigation & reporting. Supports the education components of the facility's risk management program. Promotes the organizational patient safety initiatives. *LOSS PREVENTION/PATIENT SAFETY: * Navigates facility-wide systems for risk identification, investigation, and reduction. Organizes and manages facility-wide educational programs on health care risk management and related subjects for health care practitioners. Presents such programs in conjunction with the facility's education department or other organizations. Maintains a network of informational sources and experts; performs risk surveys and inspects patient care areas; reviews facility to assess loss potential. Works with leadership to develop risk mitigation plans associated with litigated claims. Ensures that patient care-related incidents are reported to Trinity System Office, CMS, and/or the Department of Health as required by law. *Specific Activities* * Conducts case finding by daily review of reported events and other information retrieved from other sources (i.e., verbal report, phone report, electronic submissions from MIDAS, and other referrals) and initiates appropriate follow-up. * Communicates with regulatory agencies, as needed, including, but not limited to: the NYS Department of Health (DOH), FDA, and others. * Coordinates overall functions including but not limited to: NYPORTS, NIMRS, Justice Center, STARS/ClearSight, Centers for Medicare and Medicaid Services (CMS) death reporting in restraints; ensuring that reporting criteria are met. * Demonstrates a strong ability to identify, analyze and solve problems. * Uses appropriate tools when conducting root cause analysis, failure mode and effect analysis, gap analysis, other risk assessments. * Promotes an environment of learning and safety. * Is readily available to all staff as a resource. * Competent with data display and analysis * Additional duties as assigned. Other duties as assigned- including but not limited to supporting clinical risk management (such as event review, event reporting, oversee/facilitate causal analysis (root causes analysis, apparent cause analysis, common cause analysis), event management, other loss control/loss prevent activities. Pay Range: $31.50 - $44.35 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
    $31.5-44.4 hourly 14d ago
  • PHYSICAL THERAPY ASSISTANT (PTA) - PINEHURST HEALTHCARE & REHABILITATION CENTER

    Liberty Health 4.4company rating

    Pinehurst, NC job

    Liberty Cares With Compassion At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding opportunity in a caring environment. We are currently seeking an experienced: PHYSICAL THERAPY ASSISTANT (PTA) Work with a multidisciplinary team to insure a wonderful rehab experience for patients and their families by being responsive and individualizing treatment plans. Be able to work in a supportive rehab environment with progressive treatment modalities to address a variety of diseases and impairments. In-house therapy with local management support. Job Requirements: EDUCATION: Must be a graduate of an accredited Therapy program. CERTIFICATE / LICENSE: Must be licensed in the state of the SNF you will be working. EXPERIENCE: Previous rehab SNF experience is preferred. Visit ********************************* for more information. Background checks/drug-free workplace. EOE. PI9fefec5f6d0c-37***********7
    $20k-33k yearly est. 6d ago
  • Medical Equipment Sales Representative - Unlimited Earning Potential

    CME Corp 3.4company rating

    Buffalo, NY job

    No recruiters or unsolicited agency referrals please. *Candidate must reside in the greater Buffalo, NY region* Are you are looking for a dynamic medical equipment sales position where every day is different? Where you can hit the ground running and make an immediate impact with the largest healthcare providers in your region? Then look no further, you'll be a great fit for CME Corp. CME Corp. is looking to add talented and highly motivated sales professionals to join our growing organization. As a Medical Equipment Sales Representative, you will play a key role in our sales team managing your book of business, developing new business opportunities, and meeting or exceeding sales profitability objectives. The territory is greater Buffalo area, and the focus is on the largest and most prestigious healthcare systems within your territory. This role will report to the Regional Sales Director. Responsibilities: Manage and grow opportunities within existing customers while prospecting and developing new business relationships Meet monthly and annual sales/revenue targets Bidding/quoting projects and creating proposals Maintain current and develop new relationships with manufacturer sales representatives Identify and qualify all the key “Decision Makers” (buying influencers) in all key and target accounts Create value beyond our products and services in a way that differentiates us from the competition Maintain good working knowledge of products - be a resource for your customer Stay current with industry trends Requirements: Bachelor's degree or high school diploma with 5 years of relevant work experience Minimum of 2 years of progressive experience in account management or similar role Prior acute care sales experience a plus Excellent communication and interpersonal skills Experienced in Microsoft office products and Salesforce CRM Must live in the geographical location of the position Regular daily travel within the geographic territory as business needs require Who you are: Self-motivated and goal oriented Highly organized and strong attention to detail Effective communication and presentation skills Strong, consistent and competitive work ethic Strong problem-solving skills with solution-oriented focus Customer Centric approach Adaptable to change and ability to work in a face paced work environment Compensation and Benefits: Commission based with a weekly draw. The weekly draw amount is dependent upon experience level of applicant This position has unlimited earning potential Company laptop and cell phone Monthly expense allowance Medical, Dental and Vision Vacation and Paid Holidays 401k Retirement Plan Employee Stock Ownership Plan Employer-Paid Life Insurance Voluntary Benefits - Critical Illness, Short & Long Term Disability, Accident, Life, Whole Life, and Pet insurance Tuition Reimbursement Referral Bonus Program Employee Assistance Program About CME: Dedicated to providing quality equipment, logistics, and services to healthcare. CME is the premier source for equipment and turnkey logistics, delivery, and support for the healthcare community. The company helps healthcare facilities nationwide to seamlessly launch, renovate and expand. CME is headquartered in Warwick, RI with branches in Anaheim, CA, and Long Island, NY and over 35+ service centers spanning the nation and offers an expanded product line of more than 2 million+ medical products from more than 2,000 manufacturers. We support our military community, veterans encouraged to apply! CME Corp. is an equal opportunity employer. We welcome applications from all backgrounds regardless of race, color, religion, sex, national origin, ancestry, age, marital status, sexual orientation, gender identity, veteran status, disability, or any other classification protected by law.
    $52k-83k yearly est. 4d ago
  • Senior Corporate Counsel: M&A, Compliance & Tech

    Brasseler USA Inc. 4.5company rating

    Melville, NY job

    A leading healthcare company is seeking a Sr Associate Counsel to provide legal advice across various business units. Responsibilities include drafting and negotiating commercial agreements and assisting in M&A transactions. The ideal candidate will have a Juris Doctor degree and a minimum of 2 years of legal experience. This full-time position is remote, offering flexibility to balance work and personal commitments while engaging in meaningful projects that contribute to company success. #J-18808-Ljbffr
    $127k-184k yearly est. 2d ago
  • Research and Development Engineer I/II

    Cresilon, Inc. 4.1company rating

    New York, NY job

    Cresilon is a Brooklyn-based biotechnology company that develops, manufactures, and markets hemostatic medical devices utilizing the company's proprietary hydrogel technology. The company's plant‑based technology has revolutionized the current standard by stopping traumatic and surgical bleeds in seconds without the need for extended manual pressure. The company's current and future product lines target veterinary, human trauma, and human surgical applications. Cresilon's mission is to save lives. Learn more about the company at ***************** Job Summary The R&D Engineer I/II is responsible for supporting product design and process development activities while ensuring compliance with all quality and regulatory requirements. The position has a scientific focus that includes implementation of formulation development through process development, prototype fabrication, and characterization, along with additional process evaluation and data generation through designed experiments. Process development in an R&D environment will be followed by qualification and technology transfer into manufacturing. Collaboration is a key aspect of this role, as the engineer will work within a multidisciplinary team of researchers and engineers. The position offers diverse opportunities in a collaborative cross‑functional environment, requiring adaptability, flexibility, and a willingness to learn and innovate in the exploration of new technologies, new approaches, and techniques in pursuit of product/process robustness and innovation. The R&D Engineer I/II is expected to possess expertise in areas including, but not restricted to, polymer, chemical, material science, and process development and engineering. Additionally, they will assist in generating documentation essential for regulatory submissions, ongoing publication initiatives, and direct communication with the Head of Research regarding various tasks. This is a full‑time, on‑site position, located in Brooklyn, New York. This role is an independent contributor role (i.e. no direct reports). Level is dependent on experience. Responsibilities Oversee the planning, implementation, and analysis of experiments relevant to project objectives. Ensure the application of established scientific and engineering principles to solve complex problems and challenges innovatively and efficiently, adhering to rigorous scientific methodologies and protocols. Create and execute product/process enhancement, and new product/process development plans. Lead material/design/process changes and their implementation with well‑documented research/analyses. Process and analyze results, Author protocols and reports including engineering studies and design verification/validation activities. Aid in the development and execution of testing methods to aid in exploratory research, product/process development, and quality control; conduct chemical and mechanical property evaluation tests to assess the desirability of process or formulation changes. Prepare samples as required for manufacturing, testing, or other evaluations and data analysis. Participate in voice‑of‑customer (VOC) labs and other user needs assessments. Interface with external vendors, customers, and suppliers. Specify equipment and process requirements for developing and implementing new products, product improvement and new equipment/processes. Support process and product transfers to manufacturing or CDMOs. Maintain a laboratory notebook and other technical documentation according to required GLP/GMP guidelines. Understand and prioritize process improvements, design experiments to make those improvements, and execute these plans in the laboratory. Maintain active dialogue with Regulatory Affairs as subject matter expert on all product design elements/documentation about research towards FDA/regulated authority submissions. Provide support to the marketing and sales team, with the development of presentations, sales tools, and application data. Work with company leadership to evaluate existing research practices and contribute to a culture of ethical, high‑quality research operations within the organization. Provide other project or product support as needed to support Cresilon's business objectives. Required Qualifications Education: BS in Chemical Engineering, Polymer Engineering, Material Science & Engineering, or related engineering discipline. Minimum 4+ years previous experience in an industrial environment with a BS degree. (2 years minimum experience if advanced degrees). Proficiency as an adept experimentalist with hands‑on experience in the product and process development of polymeric materials and their characterization in an R&D or manufacturing environment. Mathematically inclined with strong analytical and problem‑solving skills with the ability to be observant and to think creatively. Demonstrated ability to design experiments and analyze data with the use of appropriate quality and statistical methodologies. Demonstrated ability to work independently as well as be a strong team contributor. Ability to effectively work within a team and cross‑functionally to expedite the completion of critical project tasks. Requires understanding of product/process design and engineering. Experience should include process development/validation and/or transfer/verification, protocols, and troubleshooting skills. Ability to handle multiple project assignments of medium scope and complexity and able to prioritize and complete work with a sense of urgency on time. Ability to lead directly and by influence, including strong problem‑solving, conflict resolution, and analytical skills. Working knowledge of Good Documentation Practices (GDP) and Good Manufacturing Practices (cGMP) requirements. Proficiency in the use of Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft PowerPoint is required. Require excellent written and verbal communication and presentation skills. Legal authorization to work in the United States is required. Physical Requirements include: Aseptic Gowning Qualification: Able to be successfully qualified for aseptic gowning, including successful respirator training. Wear Appropriate Personal Protective Equipment (PPE). Be able to stand and walk for prolonged periods, with the ability to climb, balance, stoop, bend, reach, and handle equipment. Ability to speak, listen, and understand verbal and written communication. Possesses hand‑eye coordination and manual dexterity for delicate manipulations. Ability to lift up to 50 pounds occasionally and to carry, push, pull, or otherwise move objects. Visual acuity is required for performing close and distant activities. Preferred Qualifications An advanced technical degree (MS or PhD). Lab experience in an industry setting within cGMP-regulated environments. Prior experience developing processes and scaling these up into manufacturing or CDMO. Mechanical/electrical knowledge with the ability to troubleshoot processing equipment. Six Sigma green belt or black belt certification preferred. Experience implementing process and quality improvements in a manufacturing environment. Work experience with the medical device or pharmaceutical industries. Working knowledge of ISO 9001, ISO 13485:2003 and ISO 14971:200. Working knowledge of FDA requirements as per 21 CFR 820. Equal Opportunity Employment Cresilon is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Cresilon makes hiring decisions based solely on qualifications, merit, and business needs at the time. Benefits Competitive annual base salary range of $70,000 - $120,000, depending upon job level and qualifications Paid Vacation, Sick, & Holidays Monthly MetroCard Reimbursement 401(k) & Roth Retirement Savings Plan with company match up to 5% Work/Life Employee Assistance Program Company Paid Life and Short-Term Disability Coverage Medical, Dental, and Vision Insurance, FSA: Dependent & Healthcare, Commuter & Parking Benefits, Long Term Disability Coverage #J-18808-Ljbffr
    $70k-120k yearly 5d ago
  • Chief Financial Officer - Wake Area Financial Operations

    Atrium Health 4.7company rating

    North Carolina job

    Department: 10024 Enterprise Corporate - Executive Management Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: 1st shift, Monday to Friday Pay Range: $170.90 - $273.45 The Chief Financial Officer (CFO), Wake Area Financial Operations is a key member of the executive leadership teams for Atrium Health Wake Forest Baptist (AHWFB), Wake Forest School of Medicine (WFSOM), Enterprise Academics, and the Advocate Health Finance Leadership Team. This role reports to the CFO North Carolina - Georgia Division of Advocate Health, with matrix reporting to both the Chief Executive Officer (CEO) of AHWFB and the Advocate Health (AH) Chief Academic Officer (CAO) & Dean of WFUSOM. The CFO serves as the principal financial liaison to AHWFB's governing bodies and Wake Forest University, as well as to Advocate Health senior management, ensuring alignment of financial strategy with organizational goals. Responsibilities This executive is responsible for financial operations across AHWFB, WFUSOM and National Academic Model in collaboration with the Advocate Health enterprise and division finance teams, including the following highlights: Financial reporting (internal and external) Budgeting and forecasting Capital and business planning Strategic financial analysis Position Accountabilities • Serves as the accountable finance leader for financial operations, including managing performance of the clinical assets and supporting performance of academic and corporate assets and departments. • Serves as a strategic advisor to the CEO of AHWFB and the AH CAO & Dean of WFUSOM; builds strong relationships with administrative and clinical leaders, Wake Forest University, the faculty practice, boards, and external constituents. • Financial Operations Management: plans, analyzes, reports, budgets, and manages capital; seeks opportunities to maximize revenue and control expenses; aligns financial operations with service delivery. • Leads collaboration with AHWFB, WFSOM, Enterprise Academics, and Advocate Health Finance Leadership Team; maintains Long Range Financial Plan and budget processes; analyzes variances and partners with operations to meet targets. • Advises Wake Area leadership on financial performance and serves as liaison to enterprise departments and functions (accounting, revenue cycle, IT, HR, etc.) to align priorities and drive performance. • Works with operations and revenue cycle teams to optimize revenue and understand payer trends; standardizes processes and delivers integrated financial information across sites; presents to governance boards and executive teams. • Enterprise Finance: represents divisions in advising Enterprise leadership on revenue growth, expense management, and strategic planning for clinical/service lines and corporate operations. Leadership Imperatives Thinks Critically and Strategically Applies rigorous problem definition, data collection, and analysis to make sound decisions amid uncertainty. Identifies patterns, distills insights, and communicates clearly. Maintains long-term perspective while balancing short-term realities. Envisions and Enacts the Future Articulates compelling visions and mobilizes teams to achieve them. Champions innovation and builds capabilities to support it. Acts as a steward of the organization's culture. Connects and Collaborates Across the Enterprise Promotes integration and cross-functional collaboration. Leads inclusively across diverse cultures and perspectives. Builds and Leads Inclusive, High-Performing Teams Values diversity and fosters trust and psychological safety. Empowers and develops others to achieve results. Understands and Shapes the External Environment Knows the business model and external landscape; builds strategic relationships and leverages public affairs as needed. Builds Talent for and Across the System Develops future leaders and mentors high-potential staff. QualificationsEducation/Experience Bachelor's degree required. Master's degree in business, finance, accounting, healthcare administration, or related field required. Minimum of 10 years of progressive leadership experience in health system finance and operations required. Prior experience as a CFO within an academic health system with annual revenues exceeding $2 billion preferred. Licensure, Certification, and/or Registration Professional certification such as CPA, HFMA, and ACHE designations preferred. Skills/Qualifications Extensive experience in senior financial management, including P&L management, financial reporting, policy development, internal controls, systems implementation, and audits. Experience as CFO or Senior Finance in a multi-site hospital/health system with academic and research components preferred. Understanding of research, teaching, and clinical care intersections in an academic health center. Strong revenue cycle and reimbursement knowledge; cost management track record. Knowledge of financial management in integrated health systems; commitment to transparency; ability to adapt to change. Strong communication, relationship-building, and leadership in a matrix environment. The Atrium Health Wake Forest Baptist (AHWFB), Chief Financial Officer, Wake Area Financial Operations role is based in Winston-Salem, NC, and serves as the senior financial executive for the integrated academic health system with substantial scale and revenue. AHWFB is part of Advocate Health, a large nonprofit health system. Our Commitment to You Advocate Health offers Total Rewards including benefits, compensation, and career development opportunities. Compensation is base-based on qualifications and experience, with potential incentive pay and opportunities for annual increases based on performance. Benefits and more PTO; medical, dental, vision, life, and disability coverage Flexible Spending Accounts for eligible health care and dependent care Family benefits, including adoption assistance and parental leave Defined contribution retirement plans with employer match Educational Assistance Program About Advocate Health Advocate Health is a large nonprofit, integrated health system formed from the combination of Advocate Aurora Health and Atrium Health. It operates under multiple brand names and serves nearly 6 million patients with a broad footprint and extensive research and education activities. It is headquartered in Charlotte, NC. #J-18808-Ljbffr
    $145k-220k yearly est. 4d ago
  • Physician Specialist

    NYC Health + Hospitals/Correctional Health Services 4.7company rating

    New York, NY job

    New York City Health and Hospitals Corporation Outposted Therapeutic Housing Units Program (OTxHU) Since 2016, Correctional Health Services (CHS) has been the direct provider of health care in the New York City jails. Deeply committed to human dignity and patient rights, CHS is part of the NYC Health + Hospitals system and is a key partner in the City's efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support. Given the high visibility of this initiative, we are seeking the highest caliber health care professionals in key clinical services to staff our Outposted Therapeutic Housing Units (OTxHU). To be located in three NYC Health + Hospital acute care facilities, the OTxHU is a pioneering approach to safely increasing access to high quality clinical care for patients in custody who have complicated health conditions. OTxHUs will bridge the gap in the continuum between care provided in the jails and inpatient hospitalization, with admission to and discharge from the OTxHU in accordance with a patient's clinical needs. CHS will be the primary health care providers on these units and the NYC Department of Correction will provide security and custody management. The OTxHU at NYC Health + Hospitals/Bellevue in Manhattan will be the first of this unique, groundbreaking project to open with a planned completion date as early as the end of 2024. This is an incredible opportunity to be part of a passionate and motivated team providing care to some of the City's most marginalized, vulnerable people. *To help support continuity of operations and care, staff selected to work in the OTxHU may also be required to work in CHS locations within the jails. Additionally, while CHS seeks the most qualified individuals for these positions, preference will be given to equally qualified, internal candidates. Time: 08:00 AM - 05:00 PM Days: Mon,Tue,Wed,Thu,Fri Location: OTxHU- Bellevue/Rikers Island Under supervision of the Site Medical Director, the Physician will provide comprehensive, compassionate, and thoughtful care to patients with complex chronic disease in the New York City jail system. The Physician will be part of a core interdisciplinary team working in a unique environment delivering the care to patients with significant chronic illnesses. The Physician will provide general primary care including conducting histories and physicals, diagnosing and treating acute and chronic illnesses, and evaluating the need for consult services. The interdisciplinary team will work under supervision of a Site Medical Director. Responsibilities include: Diagnose and treat acute and chronic illnesses. Evaluate the need for consult services and submit the prioritized consult when indicated. Complete comprehensive histories and physicals on all new admissions including documentation of problem list, diagnosis, orders (e.g. labs, imaging and referrals) and ordering appropriate medications where applicable. Evaluate patients requesting sick call, schedule follow-ups and update medication orders. Update problem lists and reconcile patient orders at all visits. Implement plans for patient care utilizing protocols approved by the medical leadership and/or treatment plans reflecting the current standard of care. Request radiology exams, lab tests, EKGs when clinically indicated and interpret these results based on clinical findings and in consultation with supervisors where appropriate. Collaborate closely with CHS Physician Assistants, including providing clinical guidance, cosigning notes, and providing other supervision based on clinical circumstance and PA requirements. Review all specialty consults and hospital returns to ensure that the standard of care is met and recommendations of the consultant are implemented. Perform chart reviews and summaries for patients transferring facilities including updating problem lists, rewriting medication orders, and reconciling orders and consults as needed. Generate special needs referrals and documentation as needed (for patients with (disabilities, dietary restrictions, heat sensitivity, or other relevant flags). Teach patients about their medical conditions and treatments; counsel on risks and benefits of different treatment decisions; witness, sign, and document patient refusals of care. Ensure that all progress notes and orders are signed before the end of the shift. Respond to emergencies in a timely and professional manner. Notify the appropriate parties, including Urgicare, about 3-hour runs and EMS activation. Complete special housing rounds when assigned. Be familiar with quality of care and population health indicators. Take appropriate action to meet or exceed standards. Maintain clinical competency by participating in all CME and CHS training and in-service requirements. Maintain your schedule as directed with particular attention to punctuality and timely notification of absences. Adhere to policies and procedures of CHS and be familiar with them by reviewing them as needed. Complete tasks as delegated by a Site Medical Director or other supervising clinical team member. Maintain all required credentials. Maintain current licensure and CME requirements (Appropriate documentation must be on our files). Maintain professional attitude and appearance. Adhere to Occupational Health Services requirements. Minimum Qualifications 1. Graduation from an approved medical school. 2. Completion of approved residency or fellowship in the specialty or sub-specialty and Board eligible or certified or Subboard eligible or certified. 3. Five years experience in field of specialty or subspecialty acceptable to the Medical Board of the Hospital. 4. Licensed to practice medicine in the State of New York. Department Preferences Three to five years' work experience, which may include residency in a directly related medical specialty Experience working with patients in a skilled nursing facility or other residential setting Experience working with patients who have serious mental illness Experience working with patients who carry substance use diagnoses; knowledge of harm reduction approaches to care; and familiarity with medications to treat opioid use disorder Experience leading quality improvement initiatives Understanding of trauma-informed care Skilled in patient-centered shared decision making Skilled in communicating risks and benefits of clinical interventions and assessing capacity to make informed decisions. Completion of residency in internal medicine, family medicine or other primary care-oriented specialty. Compliance with appropriate Maintenance of Certification requirements or other Board Certification requirements. Excellent interpersonal communication skills and ability to work collaboratively within a multidisciplinary team, as well as with NYC DOC staff NYC Health and Hospitals offers a competitive benefits package that includes: Comprehensive Health Benefits for employees hired to work 20+ hrs. per week Retirement Savings and Pension Plans Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts Loan Forgiveness Programs for eligible employees College tuition discounts and professional development opportunities College Savings Program Union Benefits for eligible titles Multiple employee discounts programs Commuter Benefits Programs
    $120k-240k yearly est. 2d ago
  • LIBERTY CARE COORDINATOR

    Liberty Health 4.4company rating

    Winston-Salem, NC job

    Liberty Cares With Compassion Come explore careers opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us! We are currently seeking an experienced: LIBERTY CARE COORDINATOR Job Description: Performs routine networking visits to physicians, hospital discharge planners, case managers and other healthcare referral sources to present center information, gather resident referrals, and evaluate potential resident admissions that contribute to the center's overall revenue growth. Spends 80% of time in the referral settings outside of a facility providing marketing and sales in addition to conducting evaluations and assessments. Obtains accurate information from referral sources, patient/caregiver, physicians, discharge planning staff, hospital staff nurse and/or other hospital staff to complete the referral assessment and prepare the patient for admission. Coordinates with other facility staff the subsequent authorization of managed care reimbursed patients as required. Communicate with insurance personnel in a timely manner to ensure that adequate reimbursement can be obtained prior to initiation of services. Communicates authorization information to clinical staff to ensure that correct utilization of SNF services is maintained. Communicates with the Director of Nursing regarding admissions preparations and any concerns or special circumstances, orders, skilled needs, and/or caregiver needs. Screens prospective admissions to determine that the delivery of appropriate care will be provided. Assesses cost-of-care of prospective admissions appropriate to the level of care as determined by the admitting physician. Provides appropriate forms necessary to request adequate medical information to make decisions regarding admissions. Receives and processes prospective patient inquiries and maintains inquiry records. Maintains a customer information management (CRM) database using the chosen Liberty software system. Interviews patients and/or patient family members during the pre-admission assessment process, obtains information from the patient/caregiver on expectations for discharge plans and communicates the anticipated discharge plan to the facility clinical team. Provides required information to the SNF Admissions Office to process referrals and communicates to appropriate facility staff. Explains cost of care involved in appropriate levels-of-care as determined or required by the admitting physician. Responsible for the planning, coordination, and implementation of a quarterly facility marketing plan. Participates in census development and marketing meetings, conference calls, and planning meetings as scheduled. Conducts a monthly review of competitor census, occupancy, private rate, and service offerings, along with a SWOT analysis. Understands and effectively utilizes the RUGs methodology and appropriately categorizes Medicare residents in RUGs system while maximizing level of placement. Assists the facility Admission Office with notifications to all appropriate Facility departments of pending admission. Job Requirements: Demonstrated success in external marketing to physicians, discharge planners and other healthcare referral sources. BS or BA degree in Healthcare Administration, Social Work or Business Administration, Registered Nurse or Licensed Practical Nurse with a valid NC license. Willing to work and cooperate with other employees. Ability to problem-solve. Ability to work under pressure. Demonstrates neat appearance and good personal hygiene. Read, know and follow personnel, department and facility policies. Knowledgeable of local, state and federal regulations related to admissions, prospective payment and patient care. Visit ********************** for more information. Background checks/drug-free workplace. EOE. PI5c2309ff0d69-37***********0
    $29k-40k yearly est. 4d ago
  • Advanced Clinical Provider Educator - Neurosurgery

    Northwell Health 4.5company rating

    Bay Shore, NY job

    Serves as lead representative of the clinical education program. Coordinates and develops communication, relationships, and contracts with clinical sites and site administrative staff. Advises team members about standards and documentation requirements. Ensures appropriate data management processes, in accordance with accreditation standards. Job Responsibility Manages all administrative functions related to the clinical education program; serves as lead representative of the clinical education program. Collaborates with the leadership to manage clinical assignments and all aspects of the clinical rotation cycle. Coordinates and develops communication, relationships, and contracts with clinical sites and site administrative staff. Organizes and leads clinical meetings with students to communicate information, conduct standards, and documentation requirements related to each rotation, while helping to identify potential issues and proactively exploring probable solutions. Advises team members on appropriate data management processes, in accordance with accreditation standards; communicates standards for creating and maintaining organized clinical files, and continuously ensures the effectiveness of such standards. Maintains a number of evaluations for each student's clinical rotations throughout the year. Analyzes and compares rotation schedules in relation to submitted evaluations. Manages course schedules and improvises solutions. Communicates effectively with all stakeholders related to the course scheduling process, to ensure changes are enacted seamlessly and without disturbing the clinical rotation process. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Master's Degree in a Nurse Practitioner Program and National Board Certification in specialty area required, or equivalent combination of education and related experience. Current License to practice as a Nurse Practitioner in New York State, and Current License to practice as a Registered Professional Nurse in New York State required. OR Bachelor's Degree, required. Graduate of an accredited (Accreditation Review Committee for Physician Assistant Programs ARC-PA) program, required, or equivalent combination of education and related experience. Current license to practice as a Physician Assistant (PA) by the New York State Department of Education, required. Current NCCPA Certification from the National Commission on the Certification of Physician Assistants (NCCPA), required. OR Master's Degree in clinical nursing practice, or equivalent combination of education and related experience. Current license to practice as a Registered Professional Nurse in New York State. CNS certification in applicable specialty practice areas: Adult Health, Oncology, Pediatrics and Psychiatry/Mental Health by a national certification organization (ANCC, AACN or ONCC), required. Current BLS certification, required. 3+ years of technical experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). #J-18808-Ljbffr
    $85k-110k yearly est. 1d ago
  • Eligibility Service Representative - Russian Speaking

    Brighton Health Plan Solutions 3.9company rating

    Brighton Health Plan Solutions job in New York, NY or remote

    About the Role Brighton Health Plan Solutions (BHPS) is seeking an Eligibility Service Representative (ESR) who are experienced in understanding eligibility, communicating through various multi-channel features such as phone, chat and email, and following workflows to assist in issue resolution. BHPS shall serve as the client's eligibility vendor and forward eligibility files to health plans, dental vendors and any other vendor the client utilizes. The ESR will confirm, identify and research matters as they relate to eligibility, changes to coverage and participation as well as support the Eligibility & Benefits team. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Primary Responsibilities The ESR will be responsible for receiving and resolving caregiver inquiries. Works with the Benefits Enrollment team to review and resolve any eligibility, hours or co-premium issues including follow-up outreach to caregivers Listen attentively to customer needs and concerns; demonstrate empathy and offer solutions. Demonstrate strong customer service skills, attention to detail, research & analyzation and issue resolution. Clarify customer requirements; probe for and confirm understanding of requirements or problem. Agent will be responsible for managing caregiver requests within required turnaround time including conducting outreach to internal partners, engaging the support of the Team Leader and Supervisor as necessary. Communicate effectively with individuals/teams to ensure high quality and timely expedition of customer requests. Participate in activities designed to improve customer satisfaction and business performance. Use decision-support tools to answer questions, where needed. Ability to use critical thinking to solve complex problems and identify when to escalate to the appropriate department. Performs call center functions including handling inbound calls and support projects as directed by the management. Maintain broad knowledge of client requirements, procedures and key contacts. Support projects and other departments in completing tasks when directed by management. Essential Qualifications Bilingual in Russian/English or Korean/English. Flexible availability for alternate schedules/hours, including shifts between 11AM and 9PM EST, Monday through Friday, with training from 9AM to 6PM. Experience in high-volume enrollment and eligibility transactions, premium billing, and collections. Knowledge of labor and commercial carrier enrollment procedures. Prior high-volume call center experience. General knowledge of HIPAA Confidentiality. High School diploma or GED. Remote work capability with internet access. Basic computer skills, including Microsoft Office (Word, Excel, Access, PowerPoint, Outlook). Strong investigative and time management skills. Courteous and customer-service oriented. Detail-oriented and dependable. Effective communication through multiple channels (email, chat, voice). Preferred experience in enrollment/eligibility roles, especially in commercial and labor plans. Previous multi-channel experience (voice, email, chat) is a plus. Some college or business school education is advantageous. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all of your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all of your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $43,000 - $50,000 The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.
    $43k-50k yearly Auto-Apply 4d ago
  • Assistant General Counsel - FDA Regulatory & Commercial

    Regeneron Pharmaceuticals, Inc. 4.9company rating

    Sleepy Hollow, NY job

    This position with the Regeneron Regulatory and Commercial Law team will provide proactive and collaborative legal advice and counsel in connection with the commercialization of one or more of Regeneron's products, and be part of a legal team supporting cardiovascular, hematology, rare disease, oncology, obesity, and new products. Counsel will be embedded as a core team member, serving as a strategic legal advisor to multiple internal stakeholders, including the commercial, medical affairs, regulatory, HEOR, corporate affairs, and compliance teams. Counsel will advise our internal partners through a deep understanding of (i) the complex laws and regulations and (ii) business and strategic objectives related to the discovery, development, and commercialization of biotechnology products. The ideal candidate will have relevant in-house experience counseling on an approved product and providing practical and strategic legal advice on a broad range of issues. This role is based at Regeneron\'s offices in Sleepy Hollow, NY (4 days a week onsite) - it is not open to hybrid or fully remote assignments Responsibilities Providing day-to-day strategic and business-focused legal and risk counseling for one or more of Regeneron's products/product candidates, from development through commercialization, including advising on a broad range of healthcare regulatory matters, including regulatory labeling discussions, advertising and promotion, drug safety, market research, scientific exchange, and interactions with healthcare professionals and patients. Demonstrating a solid understanding of the strategic and tactical objectives of the client teams supported, and advising on strategic brand and medical planning, developing creative and innovative solutions to key initiatives, considering the business objectives and priorities, as well as the US and/or international legal and regulatory landscape. Counseling on all aspects of product commercialization, including launch preparation, launch execution, market development, disease awareness, product communication, advertising and promotion, and strategic brand planning. Ensuring compliance with all relevant laws, regulations, policies, procedure and controls within relevant business areas supported Advising on data disclosures following clinical development milestones via press releases and US or international medical congresses and scientific exchange compliant with applicable laws and regulations. Liaising with other Law Department functions both in the US and globally, including litigation, IP, Compliance, and Transactions, to ensure integrated legal support and timely updates and information sharing. Reviewing relevant draft scientific publications and providing guidance as appropriate. Providing additional legal support on various matters for the Regulatory and Commercialization Law Team. Qualifications Previous experience as a product attorney at a pharmaceutical or biotechnology company preferred Ability to handle multiple priorities in a dynamic and evolving environment Excellent oral and written communication skills with a shown ability to present complex information accurately and concisely to influence others at all levels of management Proven capacity to cultivate strong client relationships and influence leadership, including ability to assess and help business colleagues handle risks in a highly regulated environment Strong analytical skills and demonstrated learning agility and a deep aptitude for science and data analysis Committed to teamwork and collaboration across multiple functional areas Requirements To be considered for this role you must possess a JD with excellent law school credentials. Be licensed to practice law in New York or be eligible for licensure as a registered in-house counsel. Have 10+ years of legal experience, including positions as an in-house attorney at a biotech/pharmaceutical company, and at a nationally recognized law practice in the area of pharmaceutical and healthcare law. Possess a solid understanding of the biotech/pharmaceutical industry, including product development, commercialization, and the legal and regulatory environment (including healthcare fraud and abuse, anti-kickback, and competition law) as practiced by a multinational pharmaceutical manufacturer. Deep knowledge of applicable statutory and regulatory frameworks governing the sale and marketing of biopharmaceuticals Benefits & Equal Opportunity Does this sound like you? Apply now to take your first step towards living the Regeneron Way! We have an inclusive culture that provides comprehensive benefits, which vary by location. In the U.S., benefits may include health and wellness programs (including medical, dental, vision, life, and disability insurance), fitness centers, 401(k) company match, family support benefits, equity awards, annual bonuses, paid time off, and paid leaves (e.g., military and parental leave) for eligible employees at all levels. For additional information about Regeneron benefits in the US, please visit ********************************************************************* For other countries' specific benefits, please speak to your recruiter. Regeneron is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion or belief (or lack thereof), sex, nationality, national or ethnic origin, civil status, age, citizenship status, membership of the Traveler community, sexual orientation, disability, genetic information, familial status, marital or registered civil partnership status, pregnancy or parental status, gender identity, gender reassignment, military or veteran status, or any other protected characteristic in accordance with applicable laws and regulations. The Company will also provide reasonable accommodation to the known disabilities or chronic illnesses of an otherwise qualified applicant for employment, unless the accommodation would impose undue hardship on the operation of the Company\'s business. Please note that certain background checks will form part of the recruitment process. Background checks will be conducted in accordance with the law of the country where the position is based, including the type of background checks conducted. The purpose of carrying out such checks is for Regeneron to verify certain information regarding a candidate prior to the commencement of employment such as identity, right to work, educational qualifications etc. Salary Range (annually) $238,400.00 - $397,300.00 #J-18808-Ljbffr
    $238.4k-397.3k yearly 1d ago
  • Accounting Clerk

    Brighton Health Plan Solutions 3.9company rating

    Brighton Health Plan Solutions job in Westbury, NY

    About The Role BHPS has a great opportunity for an accounting clerk to join the Finance Team. They will be responsible for day-to-day claims payments and refunds processes. This role is on site, at the Westbury, NY location. Job Responsibilities Record deposits daily and create cash accounts receivable records in claims billing software, ensuring that transactions are processed with 100% accuracy. Process client refund checks using claims billing software. Send clients fund requests daily. Collaborate with the Posting Department in correcting/resolving any cash accounts receivable record discrepancies and/or issues. Send tax & surcharge funding request to the clients and report to the state. Load bank CDs into claims billing software, monthly. Process and reconcile 100% of bank check printing files. Assist in the recompiling of back up/records for audit purposes. Serve as back up for other accounting personnel as needed. Essential Qualifications High School diploma or GED mandatory; Accounting degree preferred. Strong knowledge in Microsoft applications including Excel, Outlook and Word. Strong organizational, verbal, and written communication skills. Attention to detail and ability to multi-task. * General Knowledge of HIPAA Confidentiality Laws About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $50,000 - $55,000 The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]
    $50k-55k yearly Auto-Apply 56d ago
  • REGISTERED NURSE SUPERVISOR (RN) - ROYAL PARK REHABILITATION AND HEALTH CENTER

    Liberty Health 4.4company rating

    Matthews, NC job

    Liberty Cares With Compassion At Liberty Healthcare and Rehabilitation Services, we promote a challenging but rewarding opportunity in a caring environment. We are currently seeking an experienced: REGISTERED NURSE SUPERVISOR (RN) Job Description: Assures the best patient care possible by supervising the Facility and by directing the nursing staff during the shift. Assists Director of Nursing in directing, coordinating and supervising the Nursing Services Department. Supervises Nursing services for Facility during shift in accordance with the Nursing Practice Act, Facility policies and procedures, and the local, state, and federal regulations. Supervises and assists Nurses with patients during acute episodes. Deals with employee problems on a timely basis and documents actions. Assumes on-call responsibilities. Performs other duties as assigned. Job Requirements: High school graduate. Registered Nurse, graduated from an accredited School of Nursing. Current, valid license from North Carolina Board of Nursing and submit proof of license renewal every other year. Provide quality-nursing care to patients, follow doctor orders, and have a genuine interest in geriatric nursing. CPR certified yearly. Attend in-service training and other staff meetings as required. Ability to supervise nursing staff assuring that work assignments are completed appropriately and timely. Read, know, and follow personnel, department and Facility policies and procedures and adhere to local, state, and federal requirements. Long Term Care experience preferred. Visit ********************************* for more information. Background checks/Drug free workplace. EOE. PIf30311ef8666-37***********1
    $56k-70k yearly est. 6d ago
  • Manager of Communications

    Brighton Health Plan Solutions 3.9company rating

    Brighton Health Plan Solutions job in New York, NY

    About The Role This role will play a critical role in strengthening brand visibility, enhancing client engagement, and supporting organizational growth through strategic, high-impact communications. This role will be responsible for developing and distributing client communications, overseeing social media strategy and content creation, supporting public relations initiatives, and ensuring all materials meet rigorous brand and regulatory standards. This individual will collaborate cross-functionally with Marketing, Client Services, Compliance, Sales, and external partners to deliver clear, compelling, and compliant messaging across all channels. The ideal candidate is a strong communicator, proactive project manager, and detail-oriented storyteller with experience in regulated healthcare environments. Key Responsibilities Client & Regulatory Communications Marketing Collateral & Prospecting Support Email Marketing Public Relations & Brand Visibility Awards, Thought Leadership & External Recognition Social Media Strategy & Management Essential Qualifications Bachelor's degree in Marketing, Communications, Public Relations, Journalism, or related field. 3-6 years of experience in marketing communications, corporate communications, PR, or related roles. Experience managing communications in regulated industries or for large carriers (Blue Cross Blue Shield experience strongly preferred). Strong writing, editing, and storytelling skills with the ability to translate complex topics into clear, persuasive messaging. Experience developing marketing collateral and managing email platforms (HubSpot, Mailchimp, or similar preferred). Familiarity with compliance-driven communication requirements, especially for BCBS companies. Ability to collaborate with cross-functional teams and manage multiple projects simultaneously in a fast-paced environment. Proficiency with design and content tools (e.g., Canva, PowerPoint, Adobe Suite, HubSpot) preferred. Strong organizational skills, attention to detail, and ability to meet tight deadlines. Comfortable collaborating with senior leaders and adept at learning and adapting to their tone, writing style, and preferences. Writing samples will be requested as part of the interview process. About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $70,000-$90,000 The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: [email protected]
    $70k-90k yearly Auto-Apply 50d ago
  • R&D Engineer I/II: Polymer & Process Development

    Cresilon, Inc. 4.1company rating

    New York, NY job

    A biotechnology company in Brooklyn, New York, is seeking an R&D Engineer I/II to support product design and process development. The ideal candidate will have a BS in Chemical Engineering and 4+ years of experience in polymer product/process development. Responsibilities include overseeing experiments, creating development plans, and collaborating across teams. The position offers diverse opportunities in ensuring compliance with quality and regulatory standards. Benefits include a competitive salary, paid vacation, and comprehensive health insurance. #J-18808-Ljbffr
    $81k-113k yearly est. 5d ago
  • Quality Analyst

    Brighton Health Plan Solutions, LLC 3.9company rating

    Brighton Health Plan Solutions, LLC job in Westbury, NY

    Job DescriptionAbout The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core portfolios-Claims, Provider, and Enrollment. In this role, you will contribute to both functional testing and automation activities, helping strengthen QA processes. You will play a key part in ensuring high-quality software delivery by validating business requirements, improving test practices, supporting limited automation initiatives, and collaborating closely with technical and business teams.Primary Responsibilities QA Strategy & Leadership Contribute to building a consistent QA approach across multiple portfolios (Claims, Provider, Enrollment), to improve test efficiency, traceability, and quality metrics. Assist in establishing reusable processes, documentation standards, and quality checkpoints. Promote early testing practices and support shift-left collaboration within Agile/Scrum teams. Support leadership in maturing QA workflows and cross-team coordination Functional QA & Validation Develop comprehensive test cases, acceptance criteria, and test data based on business and technical requirements. Perform hands-on functional, integration, and regression testing across applications and data workflows. Validate end-to-end business processes such as claims adjudication, provider data updates, enrollment transactions, pricing, and benefits logic. Participate in defect triage, root-cause discussions, and timely defect escalation. Test Automation Support Support existing automation efforts by maintaining or executing automated tests for data loads, data validations, volume testing etc. Contribute to creating or enhancing small-scale scripts for repetitive regression or smoke testing where automation adds value. Leverage tools such as Selenium, Unix Shell Scripting or similar to supplement manual test coverage. Participate in agile test execution where applicable, in collaboration with developers. Cross-Functional Collaboration Work closely with business analysts, developers, product owners, and external vendors to ensure quality is embedded in the development lifecycle. Participate in team collaboration meetings, including planning, reviews, and retrospectives, as a QA voice and quality advocate. Lead or participate in defect triage and resolution discussions, ensuring timely identification and escalation of issues. Coordinate with external vendors or partners when validating integrated workflows or data exchanges. Documentation & Reporting Maintain detailed QA documentation, including test plans, automation reports, traceability matrices, and defect logs. Provide QA KPIs and automation metrics to leadership to demonstrate test coverage, execution success, and release readiness. Ensure consistent reporting to support release planning and stakeholder communication. Essential Qualifications Bachelor's degree in Computer Science, Information Systems, Healthcare IT, or a related field. 5+ years of experience in QA, with 1+ years in test automation in a healthcare payer environment. Hands-on experience with automation tools such as Selenium, Postman, or similar. Experience building test automation for Unix applications and backend databases (SQL Server). Proficient in one or more scripting or programming languages (e.g., Java, Python, JavaScript). Strong understanding of QA practices in fast-paced delivery environments. Solid knowledge of EDI X12 transactions (834, 837, 835, 270/271), Claims, Enrollment, and Provider data workflows. Proficient with SQL for backend testing and data validation. Familiarity with test management tools such as JIRA or equivalent. Excellent analytical, problem-solving, and communication skills. Preferred Qualifications Knowledge of version control systems like Git and test result reporting using BI Reporting, or similar. Exposure to performance testing tools (e.g., JMeter) is a plus. * General Knowledge of HIPAA Confidentiality Laws About At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you'll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you'll be encouraged to bring your authentic self to work with all your unique abilities. Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today's healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today's challenges into tomorrow's solutions. Come be a part of the Brightest Ideas in Healthcare™. Company Mission Transform the health plan experience - how health care is accessed and delivered - by bringing outstanding products and services to our partners. Company Vision Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways. DEI Purpose Statement At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities. We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace. We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level. *We are an Equal Opportunity Employer Annual Salary Range: $ The salary range and/or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity. JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section. If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to: ************************** Powered by JazzHR ad2GI9UnkD
    $68k-91k yearly est. 13d ago
  • Midwife - NewYork-Presbyterian-Hudson Valley Medical Group- Full Time

    Newyork-Presbyterian 4.5company rating

    Cortlandt, NY job

    Stay Amazing Midwife - NewYork-Presbyterian/Hudson Valley Medical Group- Full Time At NewYork-Presbyterian Hospital, Women's Health midwives have created a supportive, compassionate environment for all phases of ante- through postpartum care. We're the experienced and caring team families count on for successful outcomes. Mothers and babies start their journey here with expert nurses at their side and the finest resources at their command. Midwives at our NewYork-Presbyterian Hudson Valley Medical Group are a cornerstone for women through all phases of their lives. Our midwives provide prenatal, intrapartum, postpartum, and gynecologic care for women, including underserved populations, acting as a vital resource for women and families throughout their entire life span. Our Midwives practice full scope care for our patients as independent providers while also participating in consultation and collaboration with our physicians to meet the needs of our more high-risk patients. Whether it be seeing patients in the office or taking call on Labor and Delivery, they provide a culture of empathy, collaborative decision making, and empowerment to women. Work in a newly built L&D unit designed with modern technology, patient-centered workflows, and enhanced safety features created to support both exceptional outcomes and provider experience. This is a full time (40 hour/week) Midwife position. Hours include one 24 hour shift with two eight hour office days. Includes weekend & holiday coverage. Preferred Criteria: · 2+ years' midwifery experience · Bilingual- English/Spanish · NRP certification · Required Criteria: · Master's degree in clinical specialty and certification in that specialty required. · NYS Midwifery License · BLS through the AHA Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses. __________________ 2024 "Great Place To Work Certified" 2024 "America's Best Large Employers" - Forbes 2024 "Best Places to Work in IT" - Computerworld 2023 "Best Employers for Women" - Forbes 2023 "Workplace Well-being Platinum Winner" - Aetna 2023 "America's Best-In-State Employers" - Forbes "Silver HCM Excellence Award for Learning & Development" - Brandon Hall Group NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $160,000-$180,000/Annual It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.
    $62k-82k yearly est. 2d ago

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