Regional Vice President jobs at Centene - 36 jobs

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. This is a unique executive leadership opportunity for a hands-on operator with enterprise vision. This role serves as the Chief Executive Officer of the Illinois Health Practice Alliance (IHPA) - a Behavioral Health Independent Practice Association and joint venture between Centene Corporation and Provider Co, and is responsible for day-to-day and long-term strategic leadership related to the performance of IHPA's statewide clinically integrated network. While titled at the VP level, this role carries full CEO accountability for a focused, high-impact organization.The role provides strategic, operational, and financial leadership to ensure IHPA's objectives align with broader business priorities while advancing value-based care, provider performance, and improved health outcomes for a diverse member population.Position Purpose: Plan and direct all aspects of the company's operational policies, objectives, and initiatives. Oversee the development of policies and procedures for operational processes to ensure optimization and compliance with established standards and regulations. Oversee the negotiation and administration of value based contracts to ensure a strong provider network. Influence and drive network provider performance. Ensure IHPA clients access to quality of care and adherence to regulatory requirements. Represent the organization in its relationships with all stakeholders, including health care providers, government agencies, trade associations, health plans, and similar groups. Deliver leadership and oversight to IHPA staff and contracted vendors. Develop a sound short-and long-range plan for the organization. Ensure the adequacy and soundness of the organization's financial structure and review projections of working capital requirements. Promote enrollment growth by supporting marketing event planning and execution. Develop and manage network provider relationships. Education/Experience: Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required. Master's Degree preferred. 9+ years of operations, management, or administration in the healthcare or insurance industry required. Extensive experience in contracting, contract acquisition, operations management, and strategic planning and development. IPA experience preferred. Experience in an integrated delivery system and value-based contracting preferred. Understands the healthcare field from the provider and health plan perspectives, preferably in multiple states and knowledge of the Illinois market. Pay Range: $168,500.00 - $320,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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 other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Become a part of our caring community and help us put health first As the Regional VP of Health Services, you will serve as the senior clinical executive responsible for shaping and executing the region's clinical engagement strategy. This role drives quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP acts as a key advisor, innovator, and relationship builder, ensuring alignment with Humana's mission and Medicare Advantage goals. Primary Responsibilities: Clinical Engagement & Provider Strategy: Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this is a role focused on building relationships with providers, and then leveraging those relationships to collaborate on how to positively drive provider performance, overcome operational barriers and reduce administrative burden. Serve as lead clinical executive for provider groups, translating clinical and quality priorities into actionable strategies. This includes promoting growth strategies and innovation with all provider groups, particularly our CenterWell partners. Enhance innovation with hospital systems while fostering collaboration and reducing operational barriers. Drive population health initiatives to improve the health and well-being of our members including: A strong understanding of clinical metrics and data (e.g. Quality measures, Risk Adjustment ratings, chronic condition management, PCP visit rates and effectiveness, and member engagement strategies). Identifying and implementing initiatives to address total cost of care drivers. Championing condition-based interventions. Leading clinical strategies to manage unique populations, such as unattributed membership, low income, disabled, or special needs members. Clinical Strategy & Market Performance: Serve as the clinical steward for regional medical expense trends, leveraging data to guide interventions, and ensure fiscal accountability. Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans. Customize strategies to align clinical programs with payer-specific needs (MA, D-SNP). Provide clinical input into network development, contract negotiations, and delegation oversight. Serve as clinical subject matter for potential plan design and clinical programs to support continued health plan growth. Represent the organization in regional health coalitions and community health initiatives. Collaborate with various operational functions in the centralized utilization management team and other shared services. Participate in quality governance, peer review, and grievance resolution processes. Innovation & Transformation: Partner with national innovation teams to pilot and scale emerging technologies and care models (e.g., remote monitoring, clinical pathways, tech-enabled care). Lead regional implementation of clinical focused strategic programs. Collaborate with vendor partnerships and evaluate performance against clinical and financial KPIs. May also be involved in governance committees and delegation oversight. Use your skills to make an impact Qualifications: Active MD or DO licensure with appropriate training and certification 5+ years clinical practice 5 + years in managed care industry, either provider or payer. Thorough knowledge of health care utilization and quality metrics and the impact value-based contracting has on provider behavior and performance. The ability to quickly monitor clinical metrics and convey the impact verbally and in writing. Proficient communication skills, including interpersonal, written and presentation, and the ability to promote complex material in a way that can be understood and acted upon by others. Strategic thinker with the ability to balance long-term vision and short-term execution. Established track record of building successful teams and cross departmental relationships Travel required 30-35% Reside within the region's geographic boundaries Preferred: Experience in both provider and payer roles Prior executive level role with successful track record of building external relationships and driving quality and financial results in a collaborative team/matrixed environment Advanced degree in business, management and/or population health. #PhysicianCareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $327,700 - $450,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

**Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

As a key leader driving growth in our specialty pharmacy and home infusion business, you will cultivate high-impact partnerships, expand our presence in hospital and health system markets, and accelerate meaningful outcomes for patients and providers. Your work will shape strategic market expansion while strengthening trusted relationships with complex healthcare organizations. Responsibilities + Drive strategic sales growth by expanding market presence within hospitals and health systems and deepening relationships to maximize long-term value. + Identify, qualify, and pursue high-potential opportunities, optimizing referral pathways and payor mix across assigned territories. + Achieve quarterly and annual growth goals through focused sales planning, effective pipeline management, and disciplined execution. + Maintain strong account management practices, including consistent follow-ups, documented call cycles, and detailed CRM updates. + Collaborate closely with Operations, Customer Success, and cross-functional teams to ensure aligned communication and exceptional client experience. + Provide insights on market developments, competitor activity, and customer needs, shaping strategic initiatives and continuous improvement. + Represent the organization at conferences, trainings, and industry events, serving as a knowledgeable advocate for our specialty pharmacy solutions. + Plan and manage territory budgets responsibly while completing timely reporting. Required Qualifications + Minimum 4+ years of experience in specialty pharmacy, healthcare sales, pharmaceutical sales, or related field. + Demonstrated success in building and managing complex healthcare accounts. + Strong knowledge of specialty pharmacy operations and health system dynamics. + Excellent communication, problem-solving, and strategic relationship-building skills. + Proficiency using CRM tools (e.g., Salesforce) and Microsoft Office Suite. + Ability to travel 50% or more nationally. Preferred Qualifications + Bachelor's degree. + Experience in business development within hospital or health system specialty pharmacy programs. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES * Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. * Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. * Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Leads cross market and cross functional initiatives as needed. * Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. * Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Identify and manages initiatives that improve total medical cost and quality. * Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. * Manages key provider relationships and is accountable for interface with providers and business staff. * Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS * Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. * 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. * Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. * Experience in developing and managing key provider relationships including senior executives. * Knowledge of complex reimbursement methodologies, including incentive models. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. * Demonstrates managerial courage and change leadership in a dynamic environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. * Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

**Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office. Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets) This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES * Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. * Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. * Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). * Leads cross market and cross functional initiatives as needed. * Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. * Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. * Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. * Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. * Identify and manages initiatives that improve total medical cost and quality. * Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. * Manages key provider relationships and is accountable for interface with providers and business staff. * Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. * Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. POSITION REQUIREMENTS * Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. * 5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. * Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required. * Experience in developing and managing key provider relationships including senior executives. * Knowledge of complex reimbursement methodologies, including incentive models. * Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. * Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. * Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. * The ability to influence both sales and provider audiences through strong written and verbal communication skills. * Demonstrates managerial courage and change leadership in a dynamic environment. * Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. * Knowledge and use of Microsoft Office tools. * Able to travel as required If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

**Hybrid position responsible for the Cleveland and Northern OH market. Will be needed to work 3 days per week in the office.** **Assistant Vice President, Provider Network Management, Cleveland and Northern OH (inclusive of Toledo, Akron, Canton, and Youngstown markets)** This position serves as an integral member of the Provider Contracting Team and reports to the Vice President, Network Management, Liberty Valley. This role is a member of the Liberty Valley Network Management leadership team and is accountable for contracting and network management activities for multiple local geographies. **DUTIES AND RESPONSIBILITIES** + Directly manages a contracting team and geography, providing leadership, mentoring, and development opportunities to their direct reports. + Accountability for managing contracting and network management activity supporting Commercial contracting and other products/initiatives as applicable to market. + Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). + Leads cross market and cross functional initiatives as needed. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. + Initiates, nurtures, and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. + Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. + Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. + Identify and manages initiatives that improve total medical cost and quality. + Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. + Manages key provider relationships and is accountable for interface with providers and business staff. + Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. + Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. **POSITION REQUIREMENTS** + **Bachelor's degree strongly preferred; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred.** + **5+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required.** + **Prior experience managing or mentoring direct reports, developing talent, and leading project teams in a non-centralized work environment required.** + Experience in developing and managing key provider relationships including senior executives. + Knowledge of complex reimbursement methodologies, including incentive models. + Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. + Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models. + Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. + The ability to influence both sales and provider audiences through strong written and verbal communication skills. + Demonstrates managerial courage and change leadership in a dynamic environment. + Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. + Knowledge and use of Microsoft Office tools. + **Able to travel as required** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 127,900 - 213,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

As a strategic leader in Specialty Pharmacy, you will shape high-performing Specialty Pharmacy Management Services programs by driving operational excellence, strengthening financial outcomes, and elevating clinical quality for partners nationwide. This role blends deep specialty pharmacy expertise, collaborative leadership, and a passion for transforming patient access and experience in a rapidly evolving healthcare environment. Responsibilities Serve as the organization's expert on specialty pharmacy, accreditation standards, and compliance best practices. Strengthen internal and client-facing teams through education on workflows including benefits verification, prior authorization, patient counseling, and clinical support. Drive financial performance by optimizing revenue cycle processes, reducing leakage, and improving reimbursement outcomes. Provide strategic guidance on 340B capture models, payer engagement, and manufacturer collaboration. Support development of innovative service offerings and go-to-market strategies in partnership with product and commercial teams. Participate in client presentations and solution design efforts, ensuring offerings align with clinical, operational, and financial goals. Required Qualifications Minimum 8+ years of progressive leadership experience in infusion operations. Expertise in accreditation standards, patient access workflows, and revenue cycle management. Strong understanding of 340B program requirements and optimization strategies. Exceptional communication skills with proven ability to influence leaders and clients. Preferred Qualifications Bachelor's degree. Advanced degree (MBA, MHA, PharmD) preferred. Experience supporting payer or provider-based specialty pharmacy programs and scaling operational models. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 117,800 - 196,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

As a key leader driving growth in our specialty pharmacy and home infusion business, you will cultivate high-impact partnerships, expand our presence in hospital and health system markets, and accelerate meaningful outcomes for patients and providers. Your work will shape strategic market expansion while strengthening trusted relationships with complex healthcare organizations. Responsibilities Drive strategic sales growth by expanding market presence within hospitals and health systems and deepening relationships to maximize long-term value. Identify, qualify, and pursue high-potential opportunities, optimizing referral pathways and payor mix across assigned territories. Achieve quarterly and annual growth goals through focused sales planning, effective pipeline management, and disciplined execution. Maintain strong account management practices, including consistent follow-ups, documented call cycles, and detailed CRM updates. Collaborate closely with Operations, Customer Success, and cross-functional teams to ensure aligned communication and exceptional client experience. Provide insights on market developments, competitor activity, and customer needs, shaping strategic initiatives and continuous improvement. Represent the organization at conferences, trainings, and industry events, serving as a knowledgeable advocate for our specialty pharmacy solutions. Plan and manage territory budgets responsibly while completing timely reporting. Required Qualifications Minimum 4+ years of experience in specialty pharmacy, healthcare sales, pharmaceutical sales, or related field. Demonstrated success in building and managing complex healthcare accounts. Strong knowledge of specialty pharmacy operations and health system dynamics. Excellent communication, problem-solving, and strategic relationship-building skills. Proficiency using CRM tools (e.g., Salesforce) and Microsoft Office Suite. Ability to travel 50% or more nationally. Preferred Qualifications Bachelor's degree. Experience in business development within hospital or health system specialty pharmacy programs. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. This role is also anticipated to be eligible to participate in an incentive compensation plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** This position has overall accountability for the National Accounts Collaborative Ventures Group which is part of the National Accounts segment. This organization establishes and manages relationship with business partners that offer alternative forms of distribution reach for UnitedHealthcare by aggregating employer purchasing. The primary responsibilities for this position are the development and execution of sales and retention strategies that will drive revenue expansion. This position is responsible for establishing new alternative distribution partner relationships, as well as retaining and growing our existing partner relationships. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Position Responsibilities:** + Retaining and growing our existing distribution partner relationships + Establish new distribution partner relationships that will drive future growth; this includes identifying and evaluating new opportunities and bringing these to market + Develop retention and growth strategies for adding new employer groups within each of the established relationships working with our sales and client management teams + Ability to anticipate industry trends, competitor positioning, macro environmental changes and proactively position national accounts for success + Consistently meet or exceed revenue growth goals, IOI and membership targets by product line for assigned distribution partners + Demonstrate solid leadership qualities and organizational skills to maximize sales force effectiveness and client management retention + Represent UHC E&I externally with CVG partners as an industry expert and thought leader + Achieve high NPS results with supporting existing distribution partners + Collaborate with National Account and Local Market leadership to monitor client financial performance including renewal planning, negotiation and profitability levels + Maintain an expert level of healthcare industry knowledge as well as customer's industry You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 8+ years of experience in a large, complex and successful medical/insurance organization with responsibilities for sales, distribution and client management of complex products and services + Advanced consultative selling experience as well as successfully constructing solutions for complex organizations + Experience leading a team or mentoring others + Strong strategic focus, analytical, internal control and project management skills + Familiarity with aspects of healthcare sales and marketing along with a solid understanding of the impact of sales activities on operational functions and profitability + Proven experience managing and influencing effectively in a large, matrixed environment + The ability to analyze complex sales programs and develop creative solutions to a wide variety of unique market problems across UHC E&I + Driver's License and access to a reliable transportation + Willing and able to travel 25% +/- depending on business need **Required Qualifications:** + Consulting experience *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $130,000 to $240,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. **Application Deadline** : This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position has overall accountability for the National Accounts Collaborative Ventures Group which is part of the National Accounts segment. This organization establishes and manages relationship with business partners that offer alternative forms of distribution reach for UnitedHealthcare by aggregating employer purchasing. The primary responsibilities for this position are the development and execution of sales and retention strategies that will drive revenue expansion. This position is responsible for establishing new alternative distribution partner relationships, as well as retaining and growing our existing partner relationships. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Position Responsibilities: * Retaining and growing our existing distribution partner relationships * Establish new distribution partner relationships that will drive future growth; this includes identifying and evaluating new opportunities and bringing these to market * Develop retention and growth strategies for adding new employer groups within each of the established relationships working with our sales and client management teams * Ability to anticipate industry trends, competitor positioning, macro environmental changes and proactively position national accounts for success * Consistently meet or exceed revenue growth goals, IOI and membership targets by product line for assigned distribution partners * Demonstrate solid leadership qualities and organizational skills to maximize sales force effectiveness and client management retention * Represent UHC E&I externally with CVG partners as an industry expert and thought leader * Achieve high NPS results with supporting existing distribution partners * Collaborate with National Account and Local Market leadership to monitor client financial performance including renewal planning, negotiation and profitability levels * Maintain an expert level of healthcare industry knowledge as well as customer's industry You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 8+ years of experience in a large, complex and successful medical/insurance organization with responsibilities for sales, distribution and client management of complex products and services * Advanced consultative selling experience as well as successfully constructing solutions for complex organizations * Experience leading a team or mentoring others * Strong strategic focus, analytical, internal control and project management skills * Familiarity with aspects of healthcare sales and marketing along with a solid understanding of the impact of sales activities on operational functions and profitability * Proven experience managing and influencing effectively in a large, matrixed environment * The ability to analyze complex sales programs and develop creative solutions to a wide variety of unique market problems across UHC E&I * Driver's License and access to a reliable transportation * Willing and able to travel 25% +/- depending on business need Required Qualifications: * Consulting experience * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $130,000 to $240,000 annually based on full-time employment. This role is also eligible to receive bonuses based on sales performance. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

The Chief Operating Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives. As the Chief Operating Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options Essential Functions * Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit. * Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow. * Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards. * Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance. * Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC. * Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness. * Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning. * Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. * This is a fully remote opportunity. Some travel will be required. Qualifications * Bachelor's Degree in Health Administration, Business Administration, or a related field required * Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred * More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required * 8-10 years Prior experience in a shared services environment preferred * Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred Knowledge, Skills and Abilities * Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies. * Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview. * Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth. * Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders. * Proficiency in operational management software, data analysis tools, and Google Suite. * Strong financial acumen, with experience managing budgets and optimizing resource utilization. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

The Chief Operations Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives. As the Chief Operations Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options Essential Functions Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit. Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow. Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards. Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance. Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC. Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness. Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning. Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. This is a fully remote opportunity. Some travel will be required. Qualifications Bachelor's Degree in Health Administration, Business Administration, or a related field required Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required 8-10 years Prior experience in a shared services environment preferred Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred Knowledge, Skills and Abilities Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies. Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview. Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth. Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders. Proficiency in operational management software, data analysis tools, and Google Suite. Strong financial acumen, with experience managing budgets and optimizing resource utilization. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Become a part of our caring community and help us put health first The VP, Foundational Capabilities will lead strategic initiatives to transform and advance Stars back to industry leading. This role is responsible for leveraging emerging technologies, innovative provider and member engagement strategies, and effective external partner collaboration to drive exceptional performance across all current and future proposed Stars measures. This high visibility role will work to ensure the organization remains agile, forward-thinking, and aligned with industry best practices and regulatory requirements. Competitive Intelligence Continuously monitor and analyze industry trends, CMS updates, competitor activity, and market dynamics that impact the Medicare Stars landscape. Develop and communicate insights to inform organizational strategy and ensure proactive responses to changes in the regulatory and competitive environment. Accountable for ensuring top executives are well informed and have the right information on competitive intelligence to make decisions, highlighting risks, opportunities, and recommended actions. Stars Technology Advancement Oversee strategy and integration of digital tools, automation, and artificial intelligence to enhance operational efficiency and support data-driven decision making. Evaluate, select, and implement innovative technology solutions that streamline Stars data capture, analytics and operational impact. Partner with IT, Digital and Experience teams to ensure emerging opportunities are integrated and feedback loop complete. Provider and Member Engagement Develop engagement models to enhance provider connectivity working closely with Interoperability and Provider Connection teams. Design emerging educational programs and resources that equip providers and members with actionable data, best practices, and compliance guidance. Establish feedback mechanisms to gather input and continuously improve partnership effectiveness. Partner Coordination Serve as the primary liaison between internal teams, external partners, vendors, and regulatory agencies for Stars initiatives. Lead cross-functional workgroups to align priorities, share knowledge, and ensure accountability in delivering on Stars objectives. Manage long term strategic planning with strategic partners to ensure value realization and support long-term program success. Scale 4 directors Use your skills to make an impact Required Qualifications Bachelor's Degree in Business Administration, Health Administration or a related field Progressive experience in the health solutions industry, with emphasis on leading and managing teams Prior Medicare/Medicaid experience Knowledge of HEDIS/Stars and CMS quality measures Prior managed care experience Proficiency in analyzing and interpreting healthcare data and trends Strong attention to detail and focus on process and quality Excellent communication skills Ability to operate under tight deadlines Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's degree in business administration, Health Administration or a related field 5 or more years of Stars experience Proven organizational and prioritization skills and ability to collaborate with multiple departments PMP certification a plus Six Sigma Certification also a plus Experience with AI and emerging Digital/Technology solutions Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

The Chief Operating Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives. As the Chief Operating Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options **Essential Functions** + Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit. + Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow. + Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards. + Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance. + Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC. + Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness. + Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning. + Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. + **This is a fully remote opportunity. Some travel will be required.** **Qualifications** + Bachelor's Degree in Health Administration, Business Administration, or a related field required + Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred + More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required + 8-10 years Prior experience in a shared services environment preferred + Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred **Knowledge, Skills and Abilities** + Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies. + Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview. + Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth. + Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders. + Proficiency in operational management software, data analysis tools, and Google Suite. + Strong financial acumen, with experience managing budgets and optimizing resource utilization. We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.

The Regional Director of Women and Children Services shall act as the expert resource, educator, advisor, consultant/mentor, and operations leader to enhance operational excellence and best practice within CHS region(s) assigned. This person will provide consultant/mentorship support to perinatal leadership for assigned regional hospitals in order to support and promote the development of perinatal and neonatal performance and the delivery of a high quality of clinical care consistent with the mission of CHSPSC, LLC. This leader will provide consult services to other entities regarding program development, departmental operations, quality patient care and patient safety. This person may also be asked to provide mentoring to individuals or groups of hospital-based Women and Neonatal Directors/Managers. Essential Duties and Responsibilities include the following, but are not limited to: Evaluating and supporting Women and Children operations in assigned CHS regional hospitals. Assuming responsibility for the consultative development and implementation of policies, procedures, programs and clinical initiatives, while assisting in evaluation of perinatal processes. Serving as mentor and resource person for Women's Health management. Assisting with development of educational material and disseminating to facilities clinical and non-clinical staff, as needed. Working collaboratively with others at Corporate to facilitate and improve Women and Children Services operations, such as working with ED and Surgical Services Regional Directors, Operations Support, Risk Management, and Patient Safety. Developing collaborative relationships with Corporate and hospital personnel, staff and physicians, to ensure a continued focus and improve operations. Researching and developing evidence-based practice standards, best practice criteria and outcomes metrics for CHS hospitals. This role will require travel for various periods of time. This role may require a person to be located in a hospital market for a long period of time and travel to and from the site, as is necessary, to effectively provide guidance on operational improvements. Assist senior leaders at the hospital to improve the leadership capabilities of existing Women's Health Leadership in assigned hospitals using evidence based approaches to leadership development or to assist with selection and on-boarding of new Directors, as needed. Develops effective, data driven action plans that improve departmental operations and metrics while instituting best practice guidelines. ***25%-50% travel*** Qualifications: Excellent technical, management, operational and clinical knowledge of Women and Children's services at all levels of care within an acute healthcare setting. Excellent written and oral communication skills, organizational skills, presentation and computer skills. ∙ Demonstrate experience and the ability to manage multiple groups, interact productively with varying levels of personnel and staff, and provision of program direction and development. Ability to produce and utilize data for project tracking and outcomes achievement. Ability to prioritize projects and resolve conflicting priorities. Ability to develop policies and procedures, performance dashboards and scorecards, assessment forms and other tools related to performance and quality metrics. Demonstrate leadership abilities; flexibility to accept and manage change. Proven ability to interact with all levels of staff and management at hospital, division and corporate level. Identify educational needs and provide educational support, as appropriate for each facility. Reasoning Ability: Ability to define problems, collects data, establish facts, and draw valid conclusions. ∙ Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Computer Skills: To perform this job successfully, an individual should have knowledge of Microsoft Word, Excel, PowerPoint, and Google Suite Certificates and Licenses: Current nursing license required. BLS and NRP upon hire. NCC Certification in Obstetric or Neonatal Nursing preferred Education/Experience: Master's Degree in Nursing, Business, Health Care Administration, or other health/business field, or BSN currently actively enrolled in Master's Degree program in Nursing, Business, Health Care Administration or other health/business related field is preferred. Technical knowledge of perinatal and neonatal nursing, evidence based practice, and the continuum or care. ∙ Training and experience with process improvement, department performance management and optimization, and associated data analytics expertise is required. Knowledge of computer systems, information systems, information management, and data analysis. ∙ Minimum of five years' experience in Women's Health nursing. Minimum of five years experience in management and administration. Experience in leading Perinatal Process Improvement. Preferred experience in multiple healthcare settings or healthcare system with multiple sites of operation. Experience in both community and tertiary care facilities are preferred.

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. And even better? Join us to start Caring. Connecting. Growing together. You'll be at the core of Sales Enablement, helping to ensure that solutions for customers with insurance needs come to fruition. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. During this 6-month Co-op Early Careers internship opportunity, you'll gain insight to call center operations, insurance sales, and more. You'll be trained on the specifics of your sales enablement track, with the opportunity to gain exposure to the broader operations. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility. Key Information Regarding the Co-op Program: This full-time Co-op position will be available for the Summer/Fall semester, starting mid-Summer 2026 through December 2026. While the majority of work will occur during core business hours (8:00 AM - 5:45 PM ET), candidates must be available to work any shift within our full Hours of Operation: Monday-Friday: 8:00 AM - 10:00 PM ET Saturday: 9:00 AM - 5:30 PM ET The following are examples of tracks where candidates may be placed. Please note that track placement is dependent on business need and availability, and there may be opportunity to gain exposure to multiple tracks during your Co-op experience: * Onboarding, Licensing, and Appointments * Responsible for agent onboarding and ready-to-sell activities * Training * Responsible for design & delivery of agent training and assessment of knowledge, along with classroom chat facilitation and tracking responsibilities * Workforce Management * Responsible for utilizing software tools and call volume history to help manage daily staffing levels and determine effective methods for making staffing adjustments for our dynamic call center * Product Activation * Responsible for conducting user testing across multiple platforms, including executing test scenarios, documenting results, capturing screenshots, and logging defects, following provided guidelines * Quality Audit * Responsible for auditing sales agent calls to ensure compliance with regulatory requirements and adherence to internal scripting guidelines, providing feedback to maintain quality and consistency Sponsorship is not available for this position. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Commitment Expectations: * Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op * This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used) Primary Responsibilities: * Identify, track, report and resolve critical dependency issues * Keep records and provide reports to management team on a regular & timely basis * Maintain and develop business relationships with internal and external partners * Utilize internal learning platforms and training resources to support use of software and technology * Generate weekly schedules * Schedule non-phone activities * Monitor attendance/schedule adherence and take appropriate action as needed * Proof-read and make recommendations for e-mails, reports and collateral materials * Special projects & ad hoc reporting as required * Active participation in team meetings and Co-op programming, including a culminating executive presentation You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Currently pursuing a Bachelor's degree from an accredited college/university * Actively enrolled in an accredited college/university during the duration of the Co-op and seeking academic credit for the experience. Co-ops are not intended for graduating seniors * Basic Microsoft Office skills (Outlook, Word, Excel, PowerPoint) * Ability to work 40 hours per week during full hours of operation, 8am - 10pm ET, based upon business need (core business is typically conducted 8am - 5:45pm ET; evening & weekends may be required for the Workforce Management track which include Saturdays, 9am - 5:30pm, and Sundays, 12pm - 4pm ET) * Eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered Preferred Qualifications: * Pursuing a degree in Business, Communication, Mathematics, Healthcare or Insurance * Eagerness to learn about the healthcare system, insurance, and business operations * Solid communication skills (both written and verbal) * Good problem-solving skills with attention to detail * Ability to work independently with minimal supervision in a fast-paced team environment * Demonstrated ability to learn new technology quickly * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.