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Senior Data & AI Solutions Architect - Remote
Databricks Inc. 3.8
Remote configuration management lead job
A leading data and AI company is seeking a pre-sales professional to help enterprises adopt data-driven strategies. You will be the technical voice for Databricks, guiding clients on their transformational journey while leveraging your strong background in big data and data science. This role requires production programming experience and offers a competitive salary range of $161,300 - $225,800 USD.
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$161.3k-225.8k yearly 1d ago
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Management Liability Lead
Counterpart International 4.3
Remote configuration management lead job
Counterpart is an insurtech platform reimagining management and professional liability for the modern workplace. We believe that when businesses lead with clarity and confidence, they become more resilient, more innovative, and better prepared for what's ahead. That's why we built the first Agentic Insurance™ system - where advanced AI and deep insurance expertise come together to proactively assess, mitigate, and manage risk. Backed by A rated carriers and trusted by brokers nationwide, our platform helps small businesses grow with confidence. Join us in shaping a smarter future, helping businesses Do More With Less Risk .
You will lead a variety of strategic, analytical, and operational projects to enhance carrier and broker relationships, build underwriting workflows, underwrite a profitable book, and launch new insurance products. You will partner with senior leaders, external carrier partners, and cross-functional teams to drive and support our management liability growth efforts while managing and strengthening our most important relationships. You will own the success of our management liability product line.
We are seeking a strategic, execution-oriented leader to own and scale our admitted & surplus Management Liability product portfolio, including Directors & Officers (D&O), Employment Practices Liability (EPLI), Fiduciary, and Crime insurance on a primary and excess basis. You will be accountable for the P&L of our Management Liability portfolio, guiding growth strategy, underwriting structure, and go-to-market execution in partnership with our insurance, data, and engineering teams.
This role requires someone who can design structured, scalable underwriting systems, while also bringing underwriting gravitas to the field - supporting senior territory leads, brokers, and carrier partners with clarity, expertise, and decisiveness. We are looking for a proactive individual who takes ownership over initiatives and drives execution with limited oversight.
YOU WILL
Own and Optimize the Management Liability Portfolio
Be directly accountable for the P&L of our Management Liability products - balancing growth, compliance, and profitability.
Drive national and regional growth targets in partnership with senior territory leads and broker partners.
Underwrite or support the most complex submissions, especially those escalated through authority guidelines or strategic priorities.
Act as the escalation point for underwriting guideline referrals, and be seen by the field as a trusted expert.
Set and Execute Product Strategy
Lead go-to-market (GTM) strategy for Management Liability: messaging, broker training, coordination with the rest of the underwriting team, enablement materials, and external positioning.
Develop and iterate target market initiatives, identifying classes, geographies, or niches where our value proposition gives us a strategic edge.
Shape and oversee product audits, ensuring underwriting consistency, guideline adherence, and feedback loop closure.
Build Scalable, Systematic Infrastructure
Own or coordinate the creation of underwriting guidelines, decision trees, and rating logic, ensuring alignment across manual, automated, and hybrid workflows and overall company goals.
Work with data and engineering teams to codify underwriting logic, enabling automation, default recommendations, and triage logic.
Develop structured processes to capture and act on market trends, adjusting rate strategy, appetite, and workflow defaults to maintain competitiveness and profit.
Partner with Carriers and Brokers
Lead carrier relationships for Management Liability, including new filings, audits, product approvals, and ad hoc initiatives.
Serve as the face of product leadership to strategic brokers - building trust through responsiveness, underwriting depth, and insight.
Deliver training and support to distribution teams to maximize broker engagement and quote-to-bind efficiency.
Optimize with Data
Collaborate with data science to run scenario models, pricing experiments, and profit optimization analyses across products and segments.
Use performance data to recommend updates to appetite, coverage terms, pricing, and underwriting strategy.
Track and synthesize portfolio KPIs - translating into product strategy and operational changes.
YOU HAVE
10+ years of experience in management liability insurance, including extensive experience developing and managing rating manuals, underwriting guidelines, and policy forms.
Expertise in pricing, portfolio management, and risk modeling across management liability lines, with a deep understanding of emerging and complex industries.
Proven experience in drafting and optimizing insurance forms: Demonstrated ability to design declarations, GTCs, and endorsements that align with both carrier risk tolerances and market demands.
Strong organizational and analytical skills: Ability to conduct sophisticated data analysis, distill insights, and present actionable recommendations to internal and external stakeholders.
Experience developing and executing strategies to scale: Proven track record of launching new products, optimizing product-market-fit, and driving profitable growth in a dynamic, fast-paced environment.
Exceptional leadership and collaboration skills: Ability to lead cross-functional teams and drive change across underwriting, product, engineering, and data functions.
A self-starter mindset: Comfortable with rolling up your sleeves to meet aggressive growth goals and continuously iterate on product offerings.
WHO YOU WILL WORK WITH:
Tanner Hackett, CEO & Founder: Having founded two other major startups, including Button and Lazada, Tanner now spends his time focused on mental health through his philanthropy, Openminded.org, in addition to reading, surfing, yoga, and enjoying the outdoors.
Tobias Schuler, Head of Data Analytics: After becoming a Fellow of the Casualty Actuarial Society & working as a consultant actuary at EY for several years, Tobias went on to drive the actuarial data & systems teams at QBE. He further leveraged his deep insurance & technical expertise at Munich Re Digital Partners in North America, where he headed data & analytics & oversaw the data infrastructure behind some of their largest programs.
Brad Bahler, Territory Lead: Brad has over a decade of experience in management liability underwriting. He managed one of the largest books of small business management liability risks at Travelers, where he was known for his deep understanding of coverage, outstanding submission response times, and boundless enthusiasm for the space.
Stanley Wang, Director, Pricing Analytics: Before joining Counterpart, Stanley worked as an actuary within the pricing solutions and methods team at USAA to combine actuarial pricing with data science models. Before that, he was a leading data scientist for Digital Partners, a Munich Re Company where he specialized in building data science models and insights for leading insurtech companies. He has had many other relevant roles such as capital modeling, risk management etc. He lives in New York with his growing family.
Mike Foster, Insurance Operations Lead: MIke has over two decades of experience in insurance operations, strategy, transformation, and customer experience. Before joining Counterpart, Mike led a 120+ person team at Lincoln Financial, overseeing strategy, analytics, and service operations for group benefits. Earlier in his career, he spearheaded digital transformation efforts and managed large-scale operations teams at both Lincoln and Liberty Mutual, where he launched new service models and built cloud-native platforms from scratch. Mike is known for their thoughtful leadership, data-driven decision-making, and ability to scale operational excellence in complex environments.
WHAT WE OFFER
Unlimited Vacation: We offer flexible time off, allowing you to take time when you need it.
Work from Anywhere: Counterpart is a fully distributed company, meaning there is no office. We allow employees to work from wherever they do their best work, and invite the team to meet in person a couple times per year.
Stock Options
Health, Dental, and Vision Coverage
401(k) Retirement Plan
Parental Leave
Home Office Allowance: to set up your home office with the necessary equipment and accessories.
Book stipend
Professional Development Reimbursement
No working birthdays: Take your birthday off, giving you the opportunity to relax, enjoy your special day, and spend time with loved ones.
Charitable Contribution Matching
COUNTERPART'S VALUES
Conjoin Expectations - it is the cornerstone of autonomy. Ensure you are aware of what is expected of you and clearly articulate what you expect of others.
Speak Boldly & Honestly - the only failure is not learning from mistakes. Don't cheat yourself and your colleagues of the feedback needed when expectations aren't being met.
Be Entrepreneurial - control your own destiny. Embrace action over perfection while navigating any obstacles that stand in the way of your ultimate goal.
Practice Omotenashi (“selfless hospitality”) - trust will follow. Consider every interaction with internal and external partners an opportunity to develop trust by going above and beyond what is expected.
Hold Nothing As Sacred - create routines but modify them routinely. Take the time to reflect on where the business is today, where it needs to go, and what you have to change in order to get there.
Prioritize Wellness - some things should never be sacrificed. We create an environment that stretches everyone to grow and improve, which is fulfilling, but is only one part of a meaningful life.
We are committed to being a welcoming and inclusive workplace for everyone, and we are intentional about making sure people feel respected, supported and connected at work-regardless of who you are or where you come from. We value and celebrate our differences and we believe being open about who we are allows us to do the best work of our lives.
We are an Equal Opportunity Employer. We do not discriminate against qualified applicants or employees on the basis of race, color, religion, gender identity, sex, sexual preference, sexual identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, mental disability, medical condition, military status, or any other characteristic protected by federal, state, or local law, rule, or regulation.
$80k-111k yearly est. Auto-Apply 60d+ ago
Lead, Benefits Configuration
Smithrx
Remote configuration management lead job
Who We Are:
SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.
We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:
Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward-always.
Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.
Job Summary:
As a Lead, Benefits Configuration,you will be responsible for managing, coaching and developing a team of benefit configuration analysts that support cross-functional teams during client implementations. You will ensure delivery of a high quality SmithRx product by building and managing pharmacy benefit plans on various platforms. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions and best practices in benefit configuration.
What you will do:
Manage team members in the delivery of benefit configuration and documentation aspects of the plan build and maintenance responsibilities to drive the highest level of performance and meet or exceed service level agreements.
Manage employee performance through defined employee scorecards and performance metrics.
Provide ongoing feedback and coaching to ensure performance targets are met, provide appropriate levels of direction and support to your team members as needed.
Schedule employees, track productivity, maintain work schedules, coordinate different activities, and approve time off and overtime.
Participate in initiatives to support process/workflow improvements, leverage new system capabilities within work processes, and consistently institute best practices within the function.
Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups.
Own all aspects of benefit configuration organization and structure for accounts by monitoring plan data integrity.
Provide leadership support to team members for escalations and complex configuration requests.
Communicate to leadership on project status, escalating issues when appropriate, and drive changes to improve workflow efficiency.
Be accountable for ensuring review and resolution of inquiries from internal teams such as member support and customer success are completed timely to improve member experience.
What you will bring to SmithRx:
Bachelor's degree or equivalent work experience required.
5+ years of experience in benefits configuration with a healthcare or health insurance organization.
2+ years' supervisory experience in appropriate PBM or Medical Insurance environment preferred.
Ability to analyze benefit plan design and configuration rules within an automated claims processing system.
Ability to maintain production levels and quality goals.
Robust analytical skills; advanced skills in Microsoft Excel.
Excellent organizational, interpersonal and communication skills (via face-to-face meetings, conference calls and written correspondence).
Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
Communicate project status and escalate issues for improved workflow efficiency
Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments.
Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven.
Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company.
Must be willing to travel up to 10% of the time.
What SmithRx Offers You:
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-term and long-term disability
Discretionary Paid Time Off
Paid Company Holidays
Wellness Benefits
Commuter Benefits
Paid Parental Leave benefits
Employee Assistance Program (EAP)
Well-stocked kitchen in office locations
Professional development and training opportunities
$76k-115k yearly est. Auto-Apply 18h ago
Lead, Change Management
Navitus 4.7
Remote configuration management lead job
Company Lumicera About Us Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the "new norm" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. .______________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities.
Pay Range
USD $82,586.00 - USD $101,333.00 /Yr.
STAR Bonus % (At Risk Maximum)
5.00 - Salaried Non-Management except pharmacists
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pm
Remote Work Notification
ATTENTION: Lumicera is unable to offer remote work to residents of Alaska, Connecticut, Delaware, Hawaii, Kansas, Kentucky, Maine, Massachusetts, Mississippi, Montana, Nebraska, New Hampshire, New Mexico, North Dakota,Rhode Island, South Carolina, South Dakota, Vermont, West Virginia, and Wyoming.
Overview
Due to growth, we are adding a Lead, Change Management to our team!
The Change ManagementLead is responsible for driving the successful adoption and implementation of high-impact initiatives and changes related by applying structured change management methodologies to organizational PMO projects. This role partners with project teams, business leaders, and stakeholders to ensure readiness, minimize resistance, and enable smooth transitions for impacted associates. The Lead will collaborate closely with cross-functional project teams to ensure stakeholders are aligned, risks are mitigated, and targeted outcomes are achieved and sustained.
In addition to leading change management efforts, the Lead will advance project and portfolio governance within the corporate PMO standards and protocols within the scope of change management. The Lead will enhance governance frameworks, processes, and tools to promote consistency, transparency, and accountability across the project portfolios. This position plays a critical role in enabling successful adoption of project specific change initiatives by developing and executing change strategies that align with the project goals. The Lead will ensure that change efforts follow corporate standards and are effectively communicated, supported and sustained.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
* Leads, develops and implements change management strategies and plans for assigned projects including the design of processes, standards, template, and best practices.
* Conducts change impact assessments and readiness evaluations for assigned projects.
* Identifies key stakeholders and creates engagement strategies to build buy in to ensure success of assigned projects.
* Facilitates feedback loops and address concerns proactively and engages project subject matter experts and leadership as needed.
* Designs and delivers targeted communication plans in accordance with corporate communications, leadership and project team leads to support change initiatives.
* Leads the execution of change management activities in partnership with project teams, ensuring plans are implemented effectively and consistently across initiatives.
* Partners with project teams to actively drive change management deliverables within project plan scope, including communications, training, stakeholder engagement, and sustainment strategies.
* Collaborates with Learning & Development to create training materials and session needs to bridge knowledge and skill gaps to increase the success of changing requirements.
* Identify potential change resistance and develop mitigation tactics and coordinate with leadership to deploy.
* Builds and maintains relationships with key project stakeholders to ensure alignment, ownership, and engagement throughout the change lifecycle of each assigned project.
* Supports alignment and adoption of governance standards within the scope of change management across strategic project initiatives, in partnership with PMO leadership and cross-functional teams.
* Support managers and supervisors in coaching associates through change.
* Tracks adoption metrics and provides regular status updates for project leadership.
* Utilizes data and feedback to make recommendations and adjustments in the execution of the projects.
* Other duties as assigned
Qualifications
What our team expects from you?
* Bachelor's degree in Business, Communication, Organizational Development, or related field of study or equivalent work experience required.
* Certification in Change Management (AIM, Prosci, ACMP) preferred.
* 5+ years' experience in change management, organizational development, or project management required.
* Demonstrated experience leading successful change management efforts of high-impact initiatives and projects required.
* Experience building change management capabilities from the ground up highly preferred.
* Proficiency with change toolsets (stakeholder mapping, impact/readiness assessment, learning design) and productivity/analytics tools.
* Experience in large-scale technology or process implementations preferred.
* Experience in Healthcare or specialty pharmacy operations preferred.
* Participate in, adhere to, and support compliance program objectives
* The ability to consistently interact cooperatively and respectfully with other employees
What can you expect from Lumicera?
* Top of the industry benefits for Health, Dental, and Vision insurance
* 20 days paid time off
* 4 weeks paid parental leave
* 9 paid holidays
* 401K company match of up to 5% - No vesting requirement
* Adoption Assistance Program
* Flexible Spending Account
* Educational Assistance Plan and Professional Membership assistance
* Referral Bonus Program - up to $750!
#LI-Remote
Location : Address
Remote
Location : Country
US
$82.6k-101.3k yearly Auto-Apply 53d ago
POC Portfolio Management & Innovation Lead, Critical Care (Remote)
Siemens Healthineers 4.7
Remote configuration management lead job
Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions.
Siemens Healthineers is a global leader in the field of point of care, blood analysis testing solutions. Our critical care blood analysis solutions provide a wealth of indispensable and actionable clinical information to care providers to help them diagnose, treat and monitor multiple acute and chronic diseases across the patient care continuum.
As a key member of the POC Global Strategy, Portfolio Management and Innovation team, you will develop and execute strategic marketing and product management initiatives that enhance and shape our critical care and benchtop blood gas portfolio strategy driving growth and profitability for our POC business.
Job Responsibilities:
Define, drive, and deliver strategic roadmap for the POC critical care business segment and its adjacencies throughout the care continuum through organic and inorganic means, including but not limited to the benchtop blood analysis portfolio.
Serve as the primary business owner leading the new product development core team as the business lead and customer advocate working closely with functional teams representing R&D, Manufacturing, Quality, Clinical, Regulatory, Sales, Service and Finance.
Work closely with POC Strategy organization and serve as the disease state and critical care segment expert to analyze and determine strategic M&A and/or partnership opportunities within the critical care continuum.
Define, create and expand the long-term product strategy and roadmap from ideation though end of life via the development of robust Target Product Profiles and business case(s) to quantify financial investment and ROI, including pricing strategies, cost targets, and defined, prioritized customer needs and solution requirements.
Develop and maintain sales forecast unit/revenue projections and associated marketing expenses as key inputs into the financial product plan.
Develop insights and generate evidence roadmap in support of the product lifecycle to demonstrate clinical, operational, and financial benefits of the product/solution.
Support IUO customer evaluations for products in development and continuously assess and communicate feedback to assure the product or solution is meeting customer needs and user requirements.
Leverage voice of customer to define strategies and customer needs using a variety of channels including qualitative or quantitative market research, KOL interviews, literature search, customer interactions, and gathering input from field representatives.
Perform comprehensive business analysis to establish the roadmap defining end of manufacturing / end of support for products within your portfolio in conjunction with downstream marketing.
Be a vocal ambassador for point of care customers worldwide, prioritizing intimate knowledge and understanding of real-world customer clinical, operational, and financial needs and challenges.
Collaborate with downstream marketing to launch new portfolio solutions, transitioning from initial development to refinement throughout the product lifecycle.
Lead, develop and execute the controlled release plan for new product introductions defining cross functional KPI's with the core team and country leadership in preparation for full product launch.
Collaborate with regional, country leadership and product marketing teams regarding portfolio refinement and additions, including claims expansion, evolving market trends and future product development requirements to help shape portfolio roadmap.
Support and equip downstream and clinical marketing to develop product launch materials, product literature compendiums, and any other collaterals needed for sales execution.
Partner with field marketing and sales management teams to develop and execute product launch plans and marketing/sales training in key global markets.
Identify, analyze, and report on competitive threats and pricing, customer concerns, and market dynamics and trends for the product portfolio to develop appropriate and timely responses for internal and external audiences.
Participate in new product demonstrations at major tradeshows and events as needed, previewing new technologies or coaching commercial teams on new portfolio attributes.
Minimum qualifications
Bachelor's Degree in Business, Engineering, Health Sciences, or related discipline is .
MBA preferred or demonstrated equivalent leadership experience in industry.
10+ years of experience with at least 5 years of demonstrated experience in upstream marketing, new product development and strategic marketing in the healthcare or life sciences industry.
Proven understanding and expertise in disease state management and IVD testing supporting patients and solutions across critical care settings including but not limited to ICU, NICU, CV/OR, Emergency Care.
Demonstrated experience in working with various forms of IVD POC technology including proven expertise in multiple forms of testing platforms (e.g. ISE, clinical chemistry, hemostasis, hematology and immunoassay) in addition to pre-analytical device solutions
Proven strength and competency in finance, business case development.
Strategy, product lifecycle management, marketing and new product launch experience
Demonstrated in-depth knowledge of the point of care competitive landscape
An extensive knowledge of working with US & international healthcare systems, with deep expertise in at least one major market.
Demonstrated ability to work under pressure in a fast-paced environment.
Self-motivated, highly organized, and able to prioritize and manage multiple projects simultaneously.
Strong problem solving and analytical skills; experience working with data to facilitate product decisions along with working knowledge of Microsoft Excel.
Exceptional presentation and communication skills; proficient in making compelling presentations on Microsoft PowerPoint
Willing to travel in the US and/or internationally up to 25%.
Who we are: We are a team of more than 72,000 highly dedicated Healthineers in more than 70 countries. As a leader in medical technology, we constantly push the boundaries to create better outcomes and experiences for patients, no matter where they live or what health issues they are facing. Our portfolio is crucial for clinical decision-making and treatment pathways.
How we work: When you join Siemens Healthineers, you become one in a global team of scientists, clinicians, developers, researchers, professionals, and skilled specialists, who believe in each individual's potential to contribute with diverse ideas. We are from different backgrounds, cultures, religions, political and/or sexual orientations, and work together, to fight the world's most threatening diseases and enable access to care, united by one purpose: to pioneer breakthroughs in healthcare. For everyone. Everywhere. Sustainably.
To find out more about Siemens Healthineers businesses, please visit our company page here.
The base pay range for this position is:
$165,490 - $227,546
Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
If this is a commission eligible position the commission eligibility will be in accordance with the terms of the Company's plan. Commissions are based on individual performance and/or company performance.
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan. life insurance, long-term and short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time.
Equal Employment Opportunity Statement: Siemens Healthineers is an Equal Opportunity and Affirmative Action Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to their race, color, creed, religion, national origin, citizenship status, ancestry, sex, age, physical or mental disability unrelated to ability, marital status, family responsibilities, pregnancy, genetic information, sexual orientation, gender expression, gender identity, transgender, sex stereotyping, order of protection status, protected veteran or military status, or an unfavorable discharge from military service, and other categories protected by federal, state or local law.
EEO is the Law: Applicants and employees are protected under Federal law from discrimination. To learn more, click here.
Reasonable Accommodations: Siemens Healthineers is committed to equal employment opportunity. As part of this commitment, we will ensure that persons with disabilities are provided reasonable accommodations.
If you require a reasonable accommodation in completing a job application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please fill out the accommodations form here. If you're unable to complete the form, you can reach out to our HR People Connect People Contact Center for support at *****************************************************. Please note HR People Connect People Contact Center will not have visibility of your application or interview status.
California Privacy Notice: California residents have the right to receive additional notices about their personal information. To learn more, click here.
Export Control: “A successful candidate must be able to work with controlled technology in accordance with US export control law.” “It is Siemens Healthineers' policy to comply fully and completely with all United States export control laws and regulations, including those implemented by the Department of Commerce through the Export Administration Regulations (EAR), by the Department of State through the International Traffic in Arms Regulations (ITAR), and by the Treasury Department through the Office of Foreign Assets Control (OFAC) sanctions regulations.”
Data Privacy: We care about your data privacy and take compliance with GDPR as well as other data protection legislation seriously. For this reason, we ask you not to send us your CV or resume by email. We ask instead that you create a profile in our talent community where you can upload your CV. Setting up a profile lets us know you are interested in career opportunities with us and makes it easy for us to send you an alert when relevant positions become open. Register here to get started.
Beware of Job Scams: Please beware of potentially fraudulent job postings or suspicious recruiting activity by persons that are currently posing as Siemens Healthineers recruiters/employees. These scammers may attempt to collect your confidential personal or financial information. If you are concerned that an offer of employment with Siemens Healthineers might be a scam or that the recruiter is not legitimate, please verify by searching for the posting on the Siemens Healthineers career site.
To all recruitment agencies: Siemens Healthineers does not accept agency resumes. Please do not forward resumes to our jobs alias, employees, or any other company location. Siemens Healthineers is not responsible for any fees related to unsolicited resumes.
$75k-107k yearly est. Auto-Apply 59d ago
Delivery Management Capability Leader
Rsm 4.4
Remote configuration management lead job
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You'll find an environment that inspires and empowers you to thrive both personally and professionally. There's no one like you and that's why there's nowhere like RSM.
Delivery Management Capability Leader
The Delivery Management Capability Leader is a strategic and operational leader responsible for architecting and driving the Scrum Master, Program, and project management capability within the Digital Solutions group. The Capability Leader will lead and evolve the Program, Project and Scrum Master discipline within the firm's Digital Solutions organization, ensuring a team strategy that proactively aligns with business objectives and 18-month rolling roadmaps. This leader will ensure that each discipline delivers high-quality, innovative, and standards-driven solutions that support business objectives in an Agile SAFe environment. This leader will create an environment where team members thrive - combining technical excellence with a culture of continuous learning, collaboration, and innovation. The ideal candidate will have deep experience building high-performing Scrum Master, Program and Project management teams, capable of managing both complex enterprise engineering and low-code/no-code solutions, and fostering a culture of technical excellence, agility and innovation. The role requires balancing hands-on technical credibility with strong leadership and people's development skills. The role demands visionary leadership, fostering a culture of collaboration, innovation, and continuous improvement, while building robust processes and accountability mechanisms that enable predictable, efficient, and high-quality delivery across all digital initiatives. The Capability Leader is accountable for achieving success metrics, setting discipline expectations, and holding the team to the highest standards of quality and delivery.
ESSENTIAL DUTIES:
Organizational and People Leadership
Create and execute a comprehensive talent strategy for each discipline, ensuring optimal skill mix, clear roles, and progressive career paths to support enterprise delivery needs and proactively align with 18-month rolling roadmaps.
Support planning processes to understand business goals and align future development goals and strategies
Recruit, build, and inspire a diverse and high-performing team of Scrum Masters, Program and Project managers with the right capability mix for the firm's evolving portfolio. This includes fostering career growth through mentoring and continuous learning
Build and maintain competency frameworks and targeted training programs that drive excellence in Agile delivery and provide accelerated growth for early-career and mid-level developers
Cultivate a collaborative, learning-oriented culture that values efficiency, innovation, and quality.
Mentor and empower high-performing teams
Process and Standards Management
Define and execute the Scrum Master, Program and Project management strategy aligned with the firm's Digital Solutions vision and SAFe framework
Document and continuous improvement of delivery processes, templates, and best practices across the development discipline
Ensure standardized Agile and SAFe practices across all development, ensuring consistency in ceremonies, tools and performance measures
Implement governance and quality control mechanisms to uphold high delivery standards across products, projects, and programs.
Lead process audits and champion compliance with regulatory and security requirements.
Partner with Solution Architecture, Development, QA, Data, and Operations capability leaders to ensure end-to-end delivery efficiency and consistency.
Operational Efficiency and Tooling
Lead and hold the team accountable for identifying and implementing opportunities to streamline delivery workflows through AI, automation, and modern delivery tools.
Oversee Scrum Master, Program and Project management activities across multiple Agile teams, ensuring predictable delivery and adherence to SAFe principles
Champion modern delivery management practices including DevSecOps, CI/CD, automated testing, and reusable architecture patterns
Evaluate and deploy emerging technologies that enhance productivity, accuracy, and cross-disciplinary collaboration.
Implement metrics and maturity models to assess and continually improve the capabilities' effectiveness
Agile Delivery Enablement
Partner with Scrum Masters, Release Train Engineers, and Agile Coaches to ensure teams adhere to SAFe principles and maximize velocity
Champion continuous improvement across Agile ceremonies, backlog refinement, and quality gates
Proactively remove systemic impediments that hinder efficiency or slow delivery cycles
Quality and Continuous Improvement
Establish and track KPIs and metrics to measure discipline performance, including throughput, quality, and automation adoption
Lead process audits to identify and implement improvement opportunities
Foster a culture of built-in quality and delivery excellence, ensuring solutions meet current and future business needs.
Stakeholder Engagement and Communication
Serve as a key liaison between capability leaders and portfolio teams to ensure alignment of delivery objectives with organizational strategy
Communicate progress, risks, and opportunities with clarity and transparency, enabling informed decision-making at all levels
Other duties as assigned
QUALIFICATIONS:
EDUCATION
Bachelor's degree in information technology, Computer Science, or related field
TECHNICAL SKILLS
Deep expertise in cloud platforms such as Azure, API management frameworks and data architecture.
Understanding of Agile and SAFe concepts, including solution intent, enablers, system architect roles and architectural runway
Strong technical foundation in enterprise architecture, integration, and modern development stacks
Strong experience with enterprise platforms, integrations, data, complex custom build and buy and extend solutions
Experience with low-code platforms
Strong grasp of cybersecurity, compliance, and governance requirements for enterprise systems
SPECIAL REQUIREMENTS SPECIFIC TO JOB
Strategic thinker able to align delivery capability with measurable business outcomes
Collaborative mindset with a commitment to continuous learning, lean thinking and incremental improvement
Proven success in reducing bottlenecks
Demonstrated maturity of an organization's development capabilities through measurable SAFe adoption metrics, governance, and outcomes
EXPERIENCE
Minimum of 10 years of software development experience
Minimum of 5 years of leading multi-level, cross-functional development teams.
Proven success implementing or operating within a Scaled Agile or lean portfolio management environment
Expert at stakeholder managementMANAGEMENT
Strong people leader with a track record of energizing and developing talent and creating scalable, high-performing teams
Excellent communication, coaching, and change-management skills
PREFERRED REQUIREMENTS
Master's degree preferred
At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life's demands, while also maintaining your ability to serve clients. Learn more about our total rewards at **************************************************
All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law.
Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at ************ or send us an email at *****************.
RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate.
RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information.
At RSM, an employee's pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range.
Compensation Range: $171,200 - $303,600
Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.
$91k-135k yearly est. Auto-Apply 31d ago
Third Party Risk Management Lead
City National Bank 4.9
Remote configuration management lead job
THIRD PARTY RISK MANAGEMENTLEADWHAT IS THE OPPORTUNITY?Third Party Risk Management (TPRM) Lead is responsible for providing Enterprise wide third party risk management services, including taking a lead role to define, implement, and maintain a risk framework, operating model, policies, procedures, governance and oversight programs for all lines of business and subsidiaries. CNB established the TPRM program as a second line function, enabling CNB to manage third party risk effectively and efficiently, relative to its size and complexity. The lead is responsible for ensuring the program meets regulatory guidance, aligns with CNB's parent company, and incorporate changes as necessary.WHAT WILL YOU DO?
In partnership with the TPRM Program Manager, develop a successful implementation plan consisting of:
Assist with the development and execution of an TPRM risk framework, policies and procedures
Direct assessments on key controls and overall compliance with the TPRM program, including the timeliness, completeness, and accuracy of risk assessments.
Provide risk-consulting serves to first line third party risk managers for complex arrangements.
Develop risk analysis and reporting, including risk metrics, for dissemination to both first line of defense (technology) leadership, risk management committees, CNB's parent holding company, and CNB's regulators.
Streamline processes for risk identification and assessment, control assessment, testing and issue management.
Lead continuous improvement activities and initiatives for TPRM, working with stakeholders, subject matter experts, and analysis of exception reports to define issues, determine root cause, and determine appropriate changes.
Identify and assess requirements for CNB's GRC system to increase automation, and process effectiveness and efficiency.
Responsible for reviewing SSAE 18 reports for CNB's third parties and evaluate for completeness, appropriateness, and assess impact to CNB on findings and exceptions to support CNB's Sarbanes Oxley, FDICA, and SOC programs.
Manage coordination of assignment of resources based on demand and capacity, and required subject matter expertise, including augmenting internal staff with external resources as necessary.
Ensure appropriate escalate of issues to first line and senior management as required.
WHAT DO YOU NEED TO SUCCEED?Required Qualifications*
Minimum of 7 years of third party risk management, assurance and / or oversight or relevant supplier or third party audit or compliance experience
Minimum of 4 years of experience in risk and controls for information technology and cybersecurity, appropriately scoping assessments, providing credible challenges, and performing assurance testing.
Minimum of 4 years working with a GRC system, incorporating continuous improvement for the system and process.
Additional Qualifications
Comprehensive knowledge of third party and information technology risk management processes and methodologies
Experience using third party risk management /Governance, Risk and Compliance (GRC) systems
Experience assessing contracts, including master service agreements, statements of work, and license agreements.
Experience assessing cloud servicing arrangements
Knowledge of and experience in designing and operating governance, frameworks and processes to comply with vendor management / third party risk management related regulatory requirements, guidance and oversight (OCC 2013-29, Fed SR 13-19 or other relevant third party risk management / vendor management regulation applicable to the financial services industry)
Currently hold or quickly obtain industry recognized third party risk management or vendor management certification
Excellent oral and written communication skills; experience performing both detailed and executive-level documentation
Advanced knowledge of Microsoft Office tools; specifically, Excel, PowerPoint and SharePoint
Experience with reporting platforms such as Tableau, SQL scripts, and Microsoft SSRS desirable
WHAT'S IN IT FOR YOU?CompensationStarting base salary: $99,000 - $176,000 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions.
Benefits and PerksAt City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including:
Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date
Generous 401(k) company matching contribution
Career Development through Tuition Reimbursement and other internal upskilling and training resources
Valued Time Away benefits including vacation, sick and volunteer time
Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs
Career Mobility support from a dedicated recruitment team
Colleague Resource Groups to support networking and community engagement
Get a more detailed look at our Benefits and Perks.
ABOUT USSince day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at About Us.
INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENTCity National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
*Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled.
Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.
$99k-176k yearly 2d ago
Asset Management - Technical Comercial Lead
Intersect 4.2
Remote configuration management lead job
Location & Team GatheringsIntersect has been a fully flexible workplace since its founding in 2016. We've been very intentional about the way we do things. We are not work-from-home, hybrid, or in-office - we are any and all of those options! Deepening social connections and offering shared experiences is a cornerstone of the way we work. We connect as a team at our Team Week experiences four times a year and at our recently established Hub locations - SF Bay Area, NYC Metro Area, NY; Denver, CO; Houston, TX; Calgary, AB; and Toronto, ON.
We are currently looking for candidates located within 60 miles of any of the listed hubs to foster more in-person connections while maintaining our flexible remote culture.
About This RoleIntersect is hiring a Technical Commercial Lead within Asset Management to ensure the commercial integrity and continuity of datacenter infrastructure projects across their lifecycle. This role focuses on the commercial implications of equipment, EPC, O&M service, and interconnection decisions, working in close partnership across the organization and with third-party stakeholders to ensure technical commitments remain aligned and executable in operations. As an early Asset Management hire supporting this asset class, the role is actively engaged from development through operations, with a visible integration role beginning at NTP and extending through COD and steady-state operations. Positioned within Asset Management, the Technical Commercial Lead serves as the commercial through-line for technical scope, partnering closely with Operations so technical teams can focus on performance and strategy while Asset Management owns the commercial continuity and escalation of technical commitments.
Team OverviewAsset Management is responsible for ensuring that Intersect's datacenter infrastructure projects are commercially coherent, operationally ready, and governed in a way that supports long-term reliability and partnership trust. Within Intersect, Asset Management acts as the owner-side integrator, translating commercial requirements into an executable operating model that supports reliable delivery and long-term value. Unlike traditional asset management models, Intersect Asset Management operates in a single-counterparty environment, where value is created through disciplined execution, operational reliability, and durable commercial relationships rather than lender-driven compliance.
What You'll Do
Commercial Strategy & Risk Management• Serve as the technical commercial lead for assigned projects, applying an execution and reliability and lens to all technical commercial commitments. • Develop and maintain clear visibility into commercial commitments, performance obligations, and remedies embedded in technical agreements.• Identify, assess, and manage commercial risks associated with technical scope, delivery models, performance guarantees, and lifecycle service structures
Project Development & Integration • Partner with Operations to provide input into development-stage commercial structures and modeling assumptions related to technical scope.• Ensure that commercial assumptions tied to technical agreements remain visible, intentional, and executable through construction and COD.• Lead commercial integration of technical agreements from NTP through COD, coordinating handoffs and resolving misalignment across teams and third-party providers.
Operational Commercial Management• Own the post-COD commercial relationships with OEMs, O&M providers, transmission providers, and other technically linked counterparties.• Partner with Operations to manage commercial implications of performance issues, enforcement of remedies, and change management related to technical service agreements.• Serve as the primary escalation point for technically driven commercial disputes or deviations that impact operational reliability or long-term value.
Compliance & Administration• Ensure technical commercial agreements are administered consistently with internal governance, including tracking of obligations, performance metrics, and change control.• Establish and maintain processes that support clear documentation, decision traceability, and lifecycle management of technical commercial commitments.• Coordinate resolution of technical commercial issues with internal teams and third-party stakeholders while preserving long-term partnership integrity.
What You'll Bring• 10-15+ years of experience in commercial, asset management, energy markets, or infrastructure roles• Strong commercial judgment with the ability to own and drive economic outcomes• Fluency in financial models, valuation drivers, and risk sensitivities• Experience managing or influencing complex commercial contracts and structures• Ability to work across functions and influence without direct authority• Comfort operating in ambiguity and making tradeoff decisions• Experience in renewable energy, infrastructure, or power markets strongly preferred Total RewardsAt Intersect, we care about your well-being, growth, and balance. Here's how we support you:
Compensation: $220,000 to $260,000 (total compensation includes base salary + bonus in USD) Health & Wellness: 100% premium coverage for you and your dependents on medical, dental, and vision Time to Recharge: Unlimited PTO, plus two company-wide breaks (Fourth of July & end of year) Family Support: Up to 12 weeks of fully paid parental leave, plus 6 additional weeks for birth parents; access to family planning support via Carrot and MavenMental Health: Free access to Spring Health which includes 5 free Therapy & psychiatry sessions, plus a Headspace account for mindfulness and meditation through our physical health vendor, Wellhub+Retirement: 3% non-elective employer contribution to your 401k or RRSP, ensuring your financial future is on the right track Perks & Extras: $150 monthly food stipend, $150 monthly reimbursement for cell phone/ internet, pet insurance allowance, full home office setup and free access to UrbanSitter with $625 in quarterly paid company credits, ActiveHero, and One Medical
$76k-112k yearly est. Auto-Apply 2d ago
Senior Configuration Management Specialist
AVUM Inc.
Remote configuration management lead job
Job DescriptionDescription:
Avum is seeking a highly skilled Senior ConfigurationManagement (CM) Lead to serve as the authoritative technical leader for configurationmanagement operations, providing comprehensive baseline control for complex information systems. This role facilitates Configuration Control groups, orchestrates change management processes, and establishes robust CM frameworks for enterprise systems.
The position ensures all system modifications are meticulously documented, tested, and approved through proper Government channels, applying deep expertise in DoD standards, regulatory compliance, and complex system integration. The CM Lead provides guidance, oversight, and leadership to configurationmanagement teams while promoting best practices and maintaining rigorous quality control across the system lifecycle.
Key Responsibilities:
Lead and manageconfigurationmanagement operations, ensuring integrity and control of system baselines for complex information systems.
Establish, implement, and maintain CM frameworks tailored to DoD contracting systems.
Facilitate configuration control groups and oversee change management processes, ensuring all modifications are reviewed, approved, and properly documented.
Develop and enforce CM policies, procedures, and standards aligned with DoD requirements and best practices.
Provide leadership, mentorship, and technical guidance to a team of configurationmanagement specialists.
Conduct configuration audits, impact analyses, and compliance assessments to ensure system modifications meet operational and regulatory requirements.
Coordinate with development, testing, and operations teams to ensure seamless system integration and baseline control.
Maintain comprehensive documentation and reporting to support governance, compliance, and decision-making.
What You Will Need:
U.S. Citizenship is required.
An active Top Secret security clearance is required.
Minimum of ten (10) years of relevant experience in configurationmanagement, including baseline control, change management, and system integration.
Deep knowledge of configurationmanagement standards (e.g., DoD 5015.2, MIL-STD-973) and lifecycle practices across hardware, software, and systems domains.
Proven experience leading or supervising a team of configurationmanagement specialists.
Relevant certification from a nationally recognized technical authority (e.g., CMII, ITIL, PMI, or equivalent).
A Bachelor's Degree in a technical or business discipline from an accredited college or university.
Extensive experience supporting DoD or Federal contracting systems.
Strong analytical, problem-solving, and documentation skills.
Excellent communication skills to liaise with technical teams, management, and Government stakeholders.
What's In It For You:
Receiving a competitive compensation and benefits package that includes bonuses and 401K with 6% matching that vests immediately.
Joining a mission-driven, technically forward team.
Location:
This role is fully remote. The candidate must be available during core Eastern Standard Time (EST) hours, Monday through Friday, and may need to travel for occasional in-person meetings.
About Avum:
Avum, Inc. is a certified Small Disadvantaged Business who provides advanced software, database, and business intelligence systems to the DoD/Military, Intelligence Community, and Federal, State, Local, and Commercial clients since 1991. We manage technical programs and projects and provide strategic guidance to support our customers' system engineering efforts. We provide sustainment in mission-critical and secure environments. We support information assurance activities and accreditation for the systems we deploy. Our engineers conduct rapid prototyping and Agile customer-focused iterations to produce complex applications, predictive analytic data environments, and NIST SP 800-53 compliant system architecture deployed within Navy and DoD networks. We have subject matter experts in multiple domains and technical expertise across all core technology stacks. We specialize in application development, large-scale database design, data engineering, and data visualization. Through results-driven, agile collaboration, the company continually researches and deploys secure solutions that exceed customer expectations in meeting or beating customer-allocated budgets and schedules. We aspire to the highest standards of ethical behavior and professional integrity in providing our customers with service that consistently earns us the highest possible performance ratings.
Avum, Inc. does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity, or any other reason prohibited by law in providing employment opportunities and benefits.
Requirements:
$89k-142k yearly est. 10d ago
Configuration Manager- Plexis
HN1
Remote configuration management lead job
Company Overview: Health Network One (HN1) partners with health plans and providers to modernize how specialty care is delivered and managed, reducing complexity, driving better performance, and improving lives.
With over 30 years of experience, Health Network One advances care in several unique specialties: Total Eye, Sleep Well, Pure Derm and Thrive Therapy. By curating specialty networks and credentialing providers who meet rigorous access and quality standards, we bring together value-based models and clinical expertise to ensure providers thrive, payers succeed, and members receive the high-quality care they deserve.
Position Summary: We are seeking a highly skilled ConfigurationManager with deep expertise in the Plexis system and a strong background in specialty managed care. This role is essential to ensuring accurate and efficient configuration of benefits within our systems, supporting operational excellence.
Key Responsibilities
Lead the configuration and ongoing maintenance of benefit plans within the Plexis platform, ensuring accuracy, compliance, and alignment with plan designs.
Collaborate cross-functionally with Claims, Provider Administration, IT, and Clinical Operations to support benefit implementation, updates, and issue resolution.
Serve as the subject matter expert on Plexis configuration capabilities, limitations, and optimization opportunities.
Translate complex benefit documentation into system configuration requirements.
Manageconfiguration projects related to new product launches, expansions, and regulatory changes.
Conduct audits and quality checks to ensure benefit setups are functioning as intended.
Oversee the maintenance and regular updates of key reference tables (including RBRVS, NCCI, Optum, Interest, and other regulatory or industry-standard tables) within the Plexis platform to ensure accurate claims adjudication and compliance.
Manage the configuration, implementation, and ongoing updates of fee schedules, ensuring alignment with contractual, regulatory, and operational requirements.
Monitor industry changes and regulatory updates impacting table structures and fee schedules, coordinating timely system updates and stakeholder communication.
Collaborate with Claims, Provider Relations, and IT teams to resolve table-related issues and optimize table configuration for operational efficiency.
Provide training and support to internal teams on Plexis functionality and configuration processes.
Identify and implement process improvements to enhance efficiency and reduce errors.
Qualifications:
Bachelor's degree in healthcare administration, business, or related field (or equivalent experience).
Minimum of 5 years of experience in benefit configuration within a managed care organization.
Extensive hands-on experience with the Plexis system is required.
Background in specialty benefit administration strongly preferred.
Strong analytical and problem-solving skills with high attention to detail.
Excellent communication, collaboration, and project management skills.
Ability to work independently and manage multiple priorities in a dynamic environment.
Preferred Skills:
Familiarity with Medicaid and Medicare managed care regulations.
Experience with system implementations or migrations involving Plexis.
Process improvement certifications (e.g., Lean, Six Sigma) are a plus.
Location:
Remote Position.
$74k-113k yearly est. 59d ago
Health Plan Configuration Analyst II
Healthcare Management Administrators 4.0
Remote configuration management lead job
HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.
We are proud to say that for four years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.
What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.
What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: **************************
How YOU will make a Difference:
This role is responsible for the successful implementation and programming clients benefit plans, as setting up buy up products for our clients as well as managing third party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members.
What YOU will do:
Review prior SPD's and make recommendations for new group implementations, such as system capabilities and regulatory requirements, and present to new clients as needed. Ask clarifying questions about plan details that could be missing.
Create and update plan summaries and program the claims system for simple and medium complexity client renewals and implementation of off-cycle benefit changes.
With the assistance of the Plan Building Specialist II or III, assist with programming updates for clients with complex renewals.
Assist with complex and escalated customer service issues to ensure resolution.
maintaining the vendor file maintenance for buy-up products. This includes incoming/outgoing files, setting up SFRP and retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups.
Work with vendor to ensure accurate EOB design and setup as needed.
Review and respond to applicable TechOps Support tickets and MDI claims queries as needed.
Assist Plan Building Specialist III with programming new group implementations as needed.
Assist with complex and escalated customer service issues to ensure resolution.
Retroactive programming of the balance of our Book of Business, to facilitate non-standard benefits for select groups.
Assist in training of Plan Building Specialist I team members.
Review and respond to applicable TechOps Support tickets and MDI claims queries as needed.
Conduct peer-to-peer audit for Plan Building team programming.
Requirements
Knowledge, Experience, and Key Attributes needed for Success:
High school diploma or equivalent experience required
3-5 years of recent relevant experience
Strong QicLink knowledge is beneficial for the programming of benefits in QicLink.
Strong analytical skills are crucial for translating client intent into programming of their benefits in QicLink.
Comprehensive understanding of benefits that we administer and different plan types.
Solid understanding of regulations that impact benefit design, including but not limited to, the Affordable Care Act, Mental Health Parity and IRS rules related to administration of high deductible health plans.
Clear and effective verbal and written communication skills.
Strong interpersonal skills and ability to work with team members at all levels.
Benefits
The base salary for this position in the greater Seattle area is $108,000-$120,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available.
Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law.
In addition, HMA provides a generous total rewards package for full-time employees that includes:
Seventeen (IC) days paid time off (individual contributors)
Eleven paid holidays
Two paid personal and one paid volunteer day
Company-subsidized medical, dental, vision, and prescription insurance
Company-paid disability, life, and AD&D insurances
Voluntary insurances
HSA and FSA pre-tax programs
401(k)-retirement plan with company match
Annual $500 wellness incentive and a $600 wellness reimbursement
Remote work and continuing education reimbursements
Discount program
Parental leave
Up to $1,000 annual charitable giving match
How we Support your Work, Life, and Wellness Goals
At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party.
We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.)
HMA requires a background screen prior to employment.
Protected Health Information (PHI) Access
Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures.
HMA is an Equal Opportunity Employer.
For more information about HMA, visit ******************
$108k-120k yearly Auto-Apply 60d+ ago
Configuration Manager
Govcio
Remote configuration management lead job
GovCIO is currently hiring a ConfigurationManager to support our client's contract needs. This position is fully remote and located within the Washington, DC area.
Responsibilities
The configurationmanager is responsible for managing and maintaining software systems, ensuring the integrity and consistency of software products throughout the project lifecycle. Their duties include:
Overseeing and ensuring the integrity of software products
Administering internal websites, editing scripts, and preparing documentation for software releases
Designing and executing configuration plans
Coordinating with supervisors and analysts
Preparing complete configuration documentation and overseeing the management of configuration items
Implementing and managing ServiceNow Discovery to automate the identification and tracking of IT assets
Overseeing data governance and defining Configuration Items (CIs) while managing relationships
Leading the tracking and managing of update sets to ensure controlled and efficient deployment of system changes across environments
Maintaining data integrity and supporting IT operations to align with business goals
Qualifications
Bachelors Degree with 8+ years of configurationmanagement experience or (commensurate experience)
Minimum of 8 years of experience in configurationmanagement or a related field
Experience in managing complex IT projects, using ServiceNow CMDB configurationmanagement tools, and familiarity with relevant standards and regulations are also important
Required experience with ServiceNow (SNow) and SNow Discovery skills
Good communication skills to manage stakeholders
Expertise in MS Office products
Good writing skills to document process and procedures
Clearance Required: Ability to maintain a HUD public trust clearance
Company Overview
GovCIO is a team of transformers--people who are passionate about transforming government IT. Every day, we make a positive impact by delivering innovative IT services and solutions that improve how government agencies operate and serve our citizens.
But we can't do it alone. We need great people to help us do great things - for our customers, our culture, and our ability to attract other great people. We are changing the face of government IT and building a workforce that fuels this mission. Are you ready to be a transformer?
What You Can Expect
Interview & Hiring Process
If you are selected to move forward through the process, here's what you can expect:
During the Interview Process
Virtual video interview conducted via video with the hiring manager and/or team
Camera must be on
A valid photo ID must be presented during each interview
During the Hiring Process
Enhanced Biometrics ID verification screening
Background check, to include:
Criminal history (past 7 years)
Verification of your highest level of education
Verification of your employment history (past 7 years), based on information provided in your application
Employee Perks
At GovCIO, we consistently hear that meaningful work and a collaborative team environment are two of the top reasons our employees enjoy working here. In addition, our employees have access to a range of perks and benefits to support their personal and professional well-being, beyond the standard company offered health benefits, including:
Employee Assistance Program (EAP)
Corporate Discounts
Learning & Development platform, to include certification preparation content
Training, Education and Certification Assistance*
Referral Bonus Program
Internal Mobility Program
Pet Insurance
Flexible Work Environment
*Available to full-time employees
Our employees' unique talents and contributions are the driving force behind our success in supporting our customers, which ultimately fuels the success of our company. Join us and be a part of a culture that invests in its people and prioritizes continuous enhancement of the employee experience.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity or expression, sexual orientation, national origin, disability, or status as a protected veteran. EOE, including disability/vets.
Posted Pay Range
The posted pay range, if referenced, reflects the range expected for this position at the commencement of employment, however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, education, experience, and internal equity. The total compensation package for this position may also include other compensation elements, to be discussed during the hiring process. If hired, employee will be in an “at-will position” and the GovCIO reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, GovCIO or individual department/team performance, and market factors.
Posted Salary Range USD $81,850.00 - USD $110,000.00 /Yr.
$81.9k-110k yearly Auto-Apply 60d+ ago
Configuration Analyst
Curative HR
Remote configuration management lead job
Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We believe in a clear, simple health plan that allows our members to get zero-cost in-network care anytime they need it. We want to put healthcare back in the hands of the patient and clinicians, with a focus on preventative care.
SUMMARY
Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around a whole person's affordable preventive care featuring more benefits. Curative is looking for a HealthRules Payer Configuration Analyst who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in the medical field by increasing satisfaction and retention by providing Curative health plan members, patients, and providers with accurate, consistent, timely information. They will provide support while building rapport and collaborative relationships with current and prospective members in accordance with compliance guidelines. This is a remote position.
ESSENTIAL DUTIES AND RESPONSIBILITIES
● Configure complex professional and facility contracts within the HealthRules Payer system ● Configure and maintain HRP configuration for claims, pricing, and benefits
● Investigate and resolve configuration issues on the HealthRules Payer system to ensure timely and accurate claims payment and account implementation
● Maintain clear and accurate documentation of all configuration activities and decisions ● Prepare and execute test cases to validate that configuration changes function as expected ● Review and resolve claim pends on a daily basis to ensure claims are processed timely ● A team player; perform tasks in a very fast paced environment.
● Work on claims team projects and reporting, as assigned.
● Attend departmental training when required or requested.
● Adhere to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:
● 3+ years of health plan configuration experience within the HealthRules Payer platform; experience with provider contract configuration using HRL (Health Rules Language).
● 5+ years of experience in claims processing of all claim types, including hospital/facility, behavioral health, dental, vision, and professional medical claims.
● Operational experience in a health plan environment in or more of the following domains: enrollment/eligibility, provider data management, or account installation.
● Knowledge of medical terminology, ICD-10, CPT, HCPCS, and revenue codes.
● Preferred qualification: Familiarity with claim coding and editing rules.
● Preferred qualification: experience with SQL, including understanding and creating queries ● Proficient computer skills to include Microsoft Office applications and Google Suite ● Excellent verbal and written communication skills
● Ability to sit for extended periods of time at a computer workstation.
● Ability to Multitask and think creatively.
● Performs other duties and projects assigned.
EDUCATION and/or EXPERIENCE
❑ Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
$66k-96k yearly est. 44d ago
Remote SAP Variant Configurator Analyst
Global Channel Management
Remote configuration management lead job
Remote SAP Variant Configurator Analyst needs 3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems.
Remote SAP Variant Configurator Analyst requires:
3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems. Experience in SAP SD or PP with discrete manufacturing is preferable SQL and VBA programming is preferable.
EDI/ALE integration experience or knowledge is preferable.
Strong programming
CST 8A-5P
Bachelor Degree or higher in Engineering, Computer Science, or related field of study
3-5 years of experience in SAP VC or AVC modeling with complex products and/or systems.
Electronic Data Exchange (EDI) / Application Link Enabling (ALE) integration experience or knowledge
Expert SAP experience, preferably in Variant Configurator modeling, bills of material maintenance, engineering changes, or super-user capabilities in unrelated module(s)
Experience using SQL and VBA to mine data from relational databases
Able to work some weekends or evenings
Able to speak to technical and non-technical audiences, as well as absorb and use technical documentation
Keen eye towards processes, and how to improve them
Technical Writing ability to document work procedures to be shared across the organization
Ability to multi-task and work under pressure to hit tight deadlines
Product Lifecycle Management / Windchill experience
Implementation in the discrete manufacturing industry
Remote SAP Variant Configurator Analyst duties:
Design and implement variant configuration models with the SAP VC module for New Products and maintain existing products lines
Design and implement models using characteristics, classes, configurable materials, configuration profiles, procedures, selection conditions, variant pricing, super routing, Super Bom, user interface, variant tables, Material variants and sales order costing etc.
Variant configuration in Sales and Distribution (SD) and Production Planning (PP) modules
Gather, aggregate and store information from a variety of sources for a variety of purposes. Systems include, but are not limited to, SQL Server databases, SAP variant configuration and engineering change modules
SQL data maintenance and VBA code modification
Electronic Data Exchange (EDI) / Application Link Enabling (ALE) with SAP and non-SAP systems
Manage all bills of materials, both variable and static, for commercial and residential HVAC with SAP LO-VC
$68k-101k yearly est. 60d+ ago
Logistician/Configuration Manager III with Secret Clearance
Watershed Security
Remote configuration management lead job
JOB DESCRIPTION Watershed Security, is a Veteran Owned Small Business with over 20 years' Cybersecurity and Government Contracting experiencing. Watershed is looking for a Senior Logistician ConfigurationManagement Specialist. to support the Naval Surface Warfare Center (NSWC) Dahlgren Division Dam Neck Anex (NSWCDD-DNA) in Dam Neck, VA. The successful candidates will have experience establishing and maintaining configurationmanagement of engineering and cybersecurity solutions and system configurations, specifications, and procedures.
REQUIRED QUALIFICATIONS
Highschool Diploma or GED required.
Years of Experience: Five (5) years of full-time professional experience in configurationmanagement to include the implementation of configurationmanagement processes with demonstrated experience in all of the following areas:
Chairing a Configuration Control Board or similar functional body,
Configurationmanagement of computer-based systems, network devices, software applications, security control baselines, system documentation, and software security patching; and
o Providing change management and product configurationmanagement guidance
Clearance Level: SECRET; US Citizen.
Ability to possibly provide onsite support in Dam Neck VA. Some/all remote work may be an option, however the norm will be onsite support. This will be dependent upon customer needs and classification level of work being performed.
Some travel may be required.
Proficient with Microsoft Office Suite (Word, Excel, Teams, Project). Self-Starter; detail oriented; able to brief senior level staff.
DESIRED QUALIFICATIONS
Experience with Navy Cybersecurity requirements
Experience with NAVSEA
Contingent upon award
PAY RANGE
Final salary is influenced by factors such as location, contract labor categories, experience, skills, education, and certifications. Watershed offers competitive compensation, medical and dental benefits, educational reimbursement, 401K plans with matching, 15 days of PTO to start and 11 paid holidays per year. The proposed salary range for this position is: $70,000.00 - $90,000.00USD.
Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
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$70k-90k yearly 23d ago
Senior Configuration Manager
9Th Way Insignia
Remote configuration management lead job
9th Way Insignia is a service-disabled, veteran-owned small business bringing transformative technology to our government customers so they can achieve their missions. Our specialties include cybersecurity, cloud modernization, software development, data analytics, enterprise architecture, enterprise IT, analytics, process automation, and artificial intelligence. Learn more about 9th Way Insignia at ****************************
Application password: Niner
This position is contingent upon contract award.
Professional Level
Senior Consultant
Responsibilities
Provides Expert/Senior Executive level consulting support for specialized business and operations focusing on, but not limited to, the analyses, evaluation, audit, assessment, implementation or support of the specific subject matter area related to the specific customer objectives and supporting functions.
Provides planning and consultation including program/project guidance, oversight and management.
Requires highly specialized expertise and possess unique experience in a functional area related to the task.
Directly engages with customers to assess, understand and resolve problems.
Responsible for establishing and maintaining the integrity of work products such as source code, infrastructure as code, technical documentation, and environment configurations throughout the system development lifecycle (SDLC).
Ensures that all changes are evaluated, approved, tracked, and implemented in a controlled manner.
Collaborates with cross-functional teams to implement best practices in version control, release management, and continuous integration/continuous delivery (CI/CD) processes.
Plays a key role in ensuring compliance with applicable frameworks, policies, and regulations (e.g., NIST, FISMA, FedRAMP, VA Directives), and contributes to the achievement of a stable, secure, and fully auditable product line environment.
Requirements
Bachelor's Degree in technical discipline; Associate degree and 4 years of experience; 8 years of experience in lieu of degree to meet education requirement
7+ years of proven experience as a Project Manager in software development, with a strong track record of delivering projects on time.
Experience with Scaled Agile Framework (SAFe), DevSecOps methodologies, and implementing configurationmanagement in an Agile environment.
Experience working in federal or Department of Veterans Affairs (VA) projects and familiarity with relevant VA policies and directives.
Preferred/Desired:
One or more of the following:
Certified ConfigurationManagement Professional (CCMP)
ITIL Foundation Certification
Certified ScrumMaster (CSM)
Project Management Professional (PMP)
Certified Information Systems Auditor (CISA)
Salary Range$61,180-$80,000 USD
9th Way Insignia's range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
Clearance/Background Investigation
Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information.
Benefits
Eligible employees will have access to our comprehensive benefits package which includes Medical, Dental, Vision, Voluntary Life Insurance, 401(k), Basic Life A&D, STD, LTD, PTO, Telehealth, paid holidays, FSA, HSA. Additional resources include our Employee Assistance Program (EAP) and Traveling Assistance.
Legal
We're an equal employment opportunity employer that empowers our people to fearlessly drive change - no matter their race, color, religion, sex (including pregnancy, childbirth, lactation, or related medical conditions), national origin, age, marital status, sexual orientation, gender identity, disability, veteran status, military or uniformed service member status, genetic information, or any other status protected by applicable federal, state, or local law.
$61.2k-80k yearly Auto-Apply 22d ago
Trizetto Facets Configuration Analyst Remote
Theemesoft.Inc.
Remote configuration management lead job
Themesoft IT Consulting team is unparalleled in experience. We have developed and maintained an extensive network of international search partners to source the best talent locally and globally.
We are constantly evaluating performance on every project to ensure we're providing the highest-level of quality to match our standards in all of our fields.
Job Description
Benefits configuration - To configure products, benefits and plans
Healthcare, Facets, SQL, NetworX Benefit Configuration, Good Communication skills
Qualifications
Trizetto Facets, Configuration experience is MUST
Additional Information
All your information will be kept confidential according to EEO guidelines.
$73k-108k yearly est. 60d+ ago
Configuration Analyst III (Must have Facets and Automation experience)
Caresource 4.9
Remote configuration management lead job
The Configuration Systems Analyst III is responsible for managing and defining system configuration requirements.
Essential Functions:
Manage and define system configuration requirements. Responsibility for requirements, definition, document, design, testing, training and implementation support using appropriate templates or analysis tool
Develop and utilize reports to analyze and stratify data in order to address gaps and provide answers to issues identified within the department or by other departments
Identify, manage and document the status of open issues, configuration design, and final resolution within change management system
Review and interpret regulatory items, timely delivery of required updates
Development of standard code set and reimbursement design templates
Plan and implement new software releases including testing and training
Participate in meetings with business owners, users and IT to achieve solutions that meet the requirements and expectation of CareSource Leadconfiguration initiatives in payment policy meetings and present to committees
Coordinate annual benefit changes with internal resources
Provide analysis of efficiencies related to system enhancement and automation. Review, analyze, and document effectiveness and efficiency of existing systems and develop strategies for improving or further leveraging systems
Manage the reimbursement review. Identify and design appropriate changes. Lead the development and execution of test plans and scenarios for all reimbursement designs for core business system and related processes
Audit configuration to ensure accuracy and internal controls to minimize fraud and abuse and overpayment related issues
Anticipate and identify customer needs and match products and services to facilitate the fulfillment of those needs
Ensure system processes and documents exist as basis for system logic
Manage resources and communications to facilitate work completion
Mentor the use of tools to define requirements
Perform any other job duties as requested
Education and Experience:
High School Diploma or GED is required
Bachelor's degree or equivalent years of relevant work experience is preferred
A minimum of five (5) years of health plan experience, to include three (3) years of configuration or clinical editing software experience is required
Exposure to Facets or equivalent system is preferred
Competencies, Knowledge and Skills:
Exceptional computer skills and abilities in Facets
Knowledge of coding languages (e.g. VBA, SQL, Python, C++, etc.)
Advanced proficiency Microsoft Suite to include Word, Excel, Access and Visio
Proven understanding of database relationships required
Understanding of DRG and APC reimbursement methods
Understanding of CPT, HCPCs and ICD-CM Codes
Knowledge of HIPAA Transaction Codes
Effective listening and critical thinking skills
Effective problem solving skills with attention to detail Excellent written and verbal communication skills Ability to work independently and within a team environment
Strong interpersonal skills and high level of professionalism
Ability to develop, prioritize and accomplish goals
Understanding of the healthcare field and knowledge of Medicaid and Medicare
Proper medical coding knowledge and claims processing skills
Customer service oriented
Facets knowledge/training
Ability to manage vendor relationships
Licensure and Certification:
Certified Medical Coder (CPC) is preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation Range:
$81,400.00 - $130,200.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1
$81.4k-130.2k yearly Auto-Apply 29d ago
Benefit Configuration Analyst
Wvumedicine
Remote configuration management lead job
Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Come join our Peak Health team at WVU Medicine as a Benefit Configuration Analyst contributing to the foundation for an innovative, new health plan. This position will report to the Benefits ConfigurationLeadership, playing a unique and important role in our mission to change healthcare for the better.
This role will review, implement and test new plan designs as well as update existing benefit plans via business requirements while working with IT for technical solutions. The Benefits Team will analyze and update CPT, HCPC and ICD-10 coding along with ensuring compliance with CMS and other insurance governance agencies using expert data analysis.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Associate degree in health information, healthcare, or related field AND One (1) year of experience in health insurance, medical coding, claims processing or related field.
OR
2. High School Diploma or equivalent AND Three (3) years of experience in health insurance, medical coding, claims processing or related field.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor's degree in health information, healthcare, or related field.
EXPERIENCE:
1. 6 years' experience in health insurance and benefit design.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
1. Test and maintain health insurance benefit plans in the company's systems, ensuring accuracy and compliance with regulatory requirements.
2. Conduct regular audits and reviews of benefit configurations to identify discrepancies, inconsistencies, or errors.
3. Resolve configuration errors in a timely manner and document changes.
4. Work closely with IT teams to ensure seamless integration of benefit configurations into the company's technology platforms.
5. Maintain comprehensive documentation for benefit configuration, ensuring that processes and procedures are well-documented.
6. Evaluate and validate all medical billing codes, various coding services and align to accurate benefit coding.
7. Perform audits on all clinical documents and prepare coding to provide support to all services.
8. Perform research on various coding methods and facilitate all plans to resolve all discrepancies and coordinate with all clinical and non-clinical groups to manage documents according to required guidelines.
9. Administer review of professional billing systems and perform research to resolve all coding errors and evaluate all claims work queues.
10. Review procedure code master file and evaluate authenticity of all entries and evaluate all through efficient usage of codes.
11. Analyze and maintain all code master files for all inappropriate codes and inform staff for same and collaborate with staff to resolve all coding issues and ensure accuracy of same.
12. Perform testing of coding and policy changes via reports, claim adjudication and other testing software.
13. Manage and resolve all discrepancies in entry of codes and maintain knowledge on all procedural codes and reimbursement plans and prepare reports for all coding guidelines.
14. Maintain knowledge and compliance of CMS (Center for Medicare Services) guidelines and coding/billing processes. Ensure compliance with other insurance governance agencies.
15. Participate in and support all training in regard to new benefit designs or benefit changes as the result of CMS or other insurance regulations.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Prolonged periods of sitting and standing.
2. Visual strain may be encountered in viewing computer screens and written material.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Standard office environment.
2. Some travel may be required to offsite meetings.
SKILLS AND ABILITIES:
1. Strategic and Independent thinking.
2. Demonstrated knowledge of federal and state insurance guidelines with CMS and others.
3. Excellent written and oral communication.
4. Demonstrated ability to build and retain relationships.
5. Proficiency with Microsoft Office.
6. Attention to detail, the ability to be organized and to be able to perform multiple tasks simultaneously.
Additional Job Description:
Scheduled Weekly Hours:
40
Shift:
Exempt/Non-Exempt:
United States of America (Exempt)
Company:
PHH Peak Health Holdings
Cost Center:
500 PHH Administration
$67k-96k yearly est. Auto-Apply 9d ago
Manager, Embedded Software V&V
Ford Motor Company 4.7
Configuration management lead job in Columbus, OH
We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- together. At Ford, we're all a part of something bigger than ourselves. Are you ready to change the way the world moves?
Ford's Electric Vehicles, Digital and Design (EVDD) team is charged with delivering the company's vision of a fully electric transportation future. EVDD is customer-obsessed, entrepreneurial, and data-driven and is dedicated to delivering industry-leading customer experience for electric vehicle buyers and owners. You'll join an agile team of doers pioneering our EV future by working collaboratively, staying focused on only what matters, and delivering excellence day in and day out. Join us to make positive change by helping build a better world where every person is free to move and pursue their dreams.
In this position...
We are seeking an experienced and dynamic Embedded Software V&V Manager to lead our ECU Verification and Validation (V&V) team focused on test automation. The ideal candidate will have a strong background in automotive software testing and a proven track record of managing complex testing projects. This role involves overseeing the planning, execution, and reporting of embedded software tests to ensure our products meet the highest quality and safety standards.
What you'll do...
+ Lead, mentor, and manage a team of Component V&V Engineers focused on automated testing of embedded software.
+ Define, develop, and oversee the execution of comprehensive V&V strategies, test plans, test cases, and test scripts for embedded software components across various domains (e.g., control systems, communication modules, sensor interfaces).
+ Provide feedback on the design, development, and maintenance of robust automated test frameworks, tools, and infrastructure for embedded software V&V
+ Ensure thorough validation of functional, non-functional, performance, and regression requirements at the component level, striving for maximum test coverage and efficiency.
+ Collaborate closely with embedded software development teams, systems engineering, and system V&V teams to ensure seamless integration, traceability of requirements from system to component level, and alignment on V&V goals.
+ Oversee the analysis of test results, lead root cause identification for reported issues, and track resolutions to ensure the delivery of high-quality, robust software components.
+ Establish and maintain Component V&V processes, methodologies, and best practices, driving continuous improvement in test efficiency, automation, and overall quality.
+ Manage project timelines, resources, and budgets for component V&V activities, ensuring timely and effective delivery.
+ Provide technical guidance and mentorship to the V&V team, fostering a culture of technical excellence, innovation, and continuous learning.
+ Ensure all V&V activities comply with relevant industry standards, regulatory requirements, and internal quality processes (e.g., functional safety standards, software development lifecycle models).
You'll have...
+ Bachelor's degree in Electrical Engineering, Computer Engineering, Computer Science, or a related technical field.
+ 8+ years of experience in embedded software Verification & Validation or Software Quality Assurance, with at least 3 years in a leadership or managerial role.
+ Proven experience leading and managing technical teams, with a strong ability to motivate, develop, and guide engineers.
+ Deep understanding of the embedded software development lifecycle and various V&V methodologies (e.g., V-model, Agile).
+ Proficiency in programming languages commonly used in embedded software V&V (e.g., Python, C/C++).
+ Familiarity with various communication protocols (e.g., CAN, LIN, Ethernet, SPI, I2C) and diagnostic tools.
+ Excellent problem-solving, debugging, and analytical skills, with a keen eye for detail.
+ Strong communication, collaboration, and interpersonal skills, capable of effectively interacting with cross-functional teams and stakeholders.
Even better, you may have...
+ Master's or PhD degree in a relevant engineering field.
+ Experience with safety-critical embedded systems and relevant industry standards (e.g., ISO 26262 for automotive, IEC 61508 for industrial automation, DO-178C for aerospace).
+ Experience with continuous integration/continuous delivery (CI/CD) pipelines and DevOps practices for embedded software.
+ Knowledge of various embedded processor architectures and real-time operating systems (RTOS).
+ Experience with requirements management, configurationmanagement, and defect tracking tools (e.g., Jira, Azure DevOps, DOORS).
You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can bring value to Ford Motor Company, we encourage you to apply!
As an established global company, we offer the benefit of choice. You can choose what your Ford future will look like: will your story span the globe, or keep you close to home? Will your career be a deep dive into what you love, or a series of new teams and new skills? Will you be a leader, a changemaker, a technical expert, a culture builder...or all of the above? No matter what you choose, we offer a work life that works for you, including:
- Immediate medical, dental, vision and prescription drug coverage
- Flexible family care days, paid parental leave, new parent ramp-up programs, subsidized back-up child care and more
- Family building benefits including adoption and surrogacy expense reimbursement, fertility treatments, and more
- Vehicle discount program for employees and family members and management leases
- Tuition assistance
- Established and active employee resource groups
- Paid time off for individual and team community service
- A generous schedule of paid holidays, including the week between Christmas and New Year's Day
- Paid time off and the option to purchase additional vacation time.
This position is a leadership level 6.
For more information on salary and benefits, click here: *****************************
Visa sponsorship is available for this position.
Candidates for positions with Ford Motor Company must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. In the United States, if you need a reasonable accommodation for the online application process due to a disability, please call **************.
Onsite work of up to three days per week may be required for candidates within commuting distance of a Ford hub location. #LI-Hybrid #LI-HA1
**Requisition ID** : 48170
$80k-138k yearly est. 60d+ ago
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