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Risk Manager jobs at Denver Health - 82 jobs

  • Manager, Risk Adjustment Coding

    Boston Medical Center 4.5company rating

    Remote

    The Manager of Risk Adjustment Coding manages the day-to-day operations of the Risk Adjustment Coding Team. This position is responsible for the development, implementation and performance of workflows for auditing electronic medical records aimed at improving the health and well-being of patients and proper identification of Chronic Disease Conditions as well as working to create a unique data and reporting model to capture and optimize ICD-10 reporting to Payers to improve quality for our patients and reduce healthcare costs. The incumbent is a working Manager and determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients. Position: Manager, Risk Adjustment Coding Department: Clinical Documentation Schedule: Full Time ESSENTIAL RESPONSIBILITIES / DUTIES: In partnership with key stakeholders, supports management of oversight of Coders and continuously works to improve people, process, and technology across the function Works in partnership with Value Based Care Team to manage accurate and compliant coding practices, find opportunities for documentation improvement, optimize risk adjustment processes, and support revenue cycle management Applies knowledge of key business drivers and the factors that improve the Risk Score Management departmental performance and anticipates business and regulatory issues and trends to identify improvements Actively contributes to the strategic direction for Risk Coding and collaborates with internal and external partners to lead volume and ensure adherence to agree upon SLAs Communicates relevant changes in performance, market trends, health care delivery systems, and legislative initiatives impacting execution of team goals to team(s) Establishes KPIs for Risk Coding functions; ensures the implementation of action plans where performance is not meeting expectations Maintains current knowledge of regulatory and compliance changes impacting Risk Coding operations, and ensures all employees are appropriately educated Provides guidance and oversight for Risk Coding methodology, performance, and workflows Identifies and solves complex, operational, or cross-functional problems using the appropriate resources within or outside the department Facilitates projects and conversations within BMCHS to share and develop standard processes Develop and implement quality improvement initiatives, examples include; conducting regular audits, educating coders/clinicians, and monitoring KPIs for improvements Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment. Conduct reviews for clinical indicators and query providers to capture the severity of illness of the patient. Measure Providers' performance on important aspects of care and service. Facilitates and coordinates reporting to leadership within the organization as requested Provides clear, concise and professional communication to varying audiences depending on the project and its goals. Supports the RA Team in a positive manner with emphasis on providing excellent service to all patients, providers, internal and external customers. Communicates to Manager and IT Department regarding defects identified in the reporting systems or data base, suggests performance improvement opportunities and tracks through completion to insure revenue capture. Demonstrates excellent time management, attends and contributes to required meetings. Demonstrates the ability to train new staff or provide ongoing education and training to existing staff along with regularly performing quality reviews and including feedback on opportunities for improvement to the Risk Coding team. Additional duties as required. Must adhere to all of BMC's RESPECT behavioral standards (The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required). JOB REQUIREMENTS EDUCATION: Associates degree required, Bachelor's degree preferred CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Coding Certification from American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) is required. Certification may include Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) and/or Certified Clinical Documentation Specialist- Outpatient or Certified Documentation Expert Outpatient (CDEO) Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA), or Risk Adjustment Coder (RAC), or Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) required EXPERIENCE: Minimum of four (4) years progressive coding and/or coding leadership experience in Risk Adjustment Coding KNOWLEDGE AND SKILLS: Willing to work as a team - innovation and collaboration is a priority Experience with an Electronic Medical Record (EMR), EPIC preferred Knowledge of AHA coding guidelines and methodologies: HCC's and other RA methodologies, ICD-10-CM coding guidelines, Office of Inspector General (OIG) and Federal and State regulations Extensive knowledge of medical terminology, anatomy, and pathophysiology, pharmacology, and ancillary test results Strong organization and analytical thinking skills - detail oriented Proficient with Microsoft Office applications (Outlook, Word, Excel) Demonstrates critical thinking skills, able to assess, evaluate, and teach Self-motivated and able to work independently without close supervision Strong communication skills (interpersonal, verbal and written) Medical Record audits and review Familiarity with the external reporting aspects of healthcare Familiarity with the business aspects of healthcare, including prospective payment systems Proficient with computer applications (MS Office etc.), Excellent data entry skills Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required. Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines. Ability to work with accuracy and attention to detail Ability to solve problems appropriately using job knowledge and current policies/procedures. Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests. Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations. Compensation Range: $72,500.00- $105,000.00 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being. NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location. Equal Opportunity Employer/Disabled/Veterans According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
    $72.5k-105k yearly Auto-Apply 35d ago
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  • Risk Adjustment Encounter Submissions Manager

    Devoted Health 4.1company rating

    Remote

    A bit about the Risk Adjustment Encounter Submissions team: The Risk Adjustment Encounter Submissions team is one of the 5 functional areas in Devoted's Risk Adjustment Department and is responsible for ensuring the timely and accurate submission of risk adjustment encounter data to CMS. Risk Adjustment Encounter Submissions work collaboratively with the other functional areas of the Risk Adjustment department, other departments across the organization, and external provider partners to continuously improve the accuracy of the data we submit to CMS. The Risk Adjustment Encounter Submissions team includes: Director of Encounter Submissions Encounter Submissions Manager Close partnership with Risk Adjustment focused data scientists and software engineers A bit about this role: The Risk Adjustment Encounter Submissions Manager supports the department by reviewing internally and externally sourced encounter data, identifying opportunities for improving day-to-day submissions operations and creating recommendations for implementation. This role also supports ongoing successful submissions of all ADDs and DELETEs to the Encounter Data Processing System (EDPS). Your Responsibilities and Impact will include: Review and monitor encounter data submissions for accuracy and completeness, identifying discrepancies and potential areas for improvement. Collaborate with cross-functional teams to implement and monitor corrective actions Develop and maintain documentation of submission processes, including troubleshooting and resolution strategies for data submission errors. Educate and train stakeholders on policies, procedures, and best practices related to encounter data submissions. Stay up-to-date on regulatory changes and industry best practices affecting risk adjustment and encounter data submissions. Required skills and experience: Bachelor's degree in healthcare, data analytics, or a related field; advanced degree preferred. Excellent communication and interpersonal skills, with a collaborative approach to problem-solving. Strong attention to detail and organizational skills to manage multiple priorities effectively. Ability to take initiative and drive projects forward in a fast-paced environment. Strong analytical skills with a proven ability to interpret complex data sets and identify key insights. Ability to establish and improve operational processes Desired skills and experience: Strong command of SQL; experience with Snowflake database Minimum of five years of substantive health care experience, operational experience or other consulting experience. #LI-Remote #LI-DS1 Salary Range: $76,000 - $126,000 per year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
    $76k-126k yearly Auto-Apply 53d ago
  • Director of Risk Adjustment

    Village Care 4.2company rating

    New York, NY jobs

    Job Description Join VillageCare in New York City as a Full-Time Director of Risk Adjustment and take your career to the next level while making a meaningful impact in the health care industry. This role offers the flexibility to work from home, allowing you to balance personal and professional commitments seamlessly. You will lead innovative strategies aimed at enhancing patient care while significantly influencing risk management practices. With a competitive salary range of $153,978.55 - $173,225.87, this position not only rewards your expertise but also aligns with your drive for excellence and customer-centricity. Our high-performance culture encourages problem-solving and forward-thinking, ensuring you thrive in a supportive environment. You will be provided great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. If you are ready to contribute to an organization committed to integrity and excellence, apply today and be part of a dynamic team shaping the future of health care. VillageCare: Our Mission VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Your day as a Director of Risk Adjustment The Director of Risk Adjustment at VillageCare plays a pivotal role in enhancing the quality of care delivered to our members in New York City. This position focuses on developing and executing a comprehensive annual Risk Adjustment strategy that ensures reimbursements accurately reflect our members' clinical diagnoses. As the leader of the risk adjustment team, you will coordinate internal and external resources to drive initiatives forward while serving as the subject matter expert for business processes and systems. A key responsibility involves creating an annual Provider Risk Adjustment strategy aimed at improving diagnosis coding accuracy through education and engagement with incentive models. This role also includes assessing strategic performance metrics to support business initiatives and overseeing vendor operations related to risk adjustments. Additionally, you will manage a team of risk adjustment coders, ensuring strict compliance with RADV and other regulatory protocols, ensuring the highest standards of care and accuracy. What matters most To excel as the Director of Risk Adjustment at VillageCare, candidates must possess a robust blend of skills and experience. A minimum of 8 years in relevant professional roles is essential, with a strong preference for candidates with Medicare Advantage experience and expertise in risk adjustment specific to these products. Leadership capabilities are critical, including staff and process management experience, to effectively guide the team and drive strategic initiatives. The ability to multi-task while maintaining a high level of attention to detail is necessary for managing complex projects and meeting regulatory requirements. Strong communication skills-both verbal and written-are vital for effective presentations and interpersonal interactions. Additionally, analytical and logical skills are required for assessing performance metrics and developing actionable strategies. A Bachelor's degree in Healthcare, Finance, or a related field, or equivalent years of experience, is required to ensure a solid foundation for the responsibilities of this role. Knowledge and skills required for the position are: Experience: Minimum 8 years of relevant professional work experience · Experience in healthcare plan - Medicare Advantage experience preferred · Risk adjustment knowledge and expertise in Medicare Advantage products · Leadership experience including staff and process management experience · Capacity to multi-task at high detail-oriented level · Strong communication skills (verbal, written presentation interpersonal) · Strong analytical and logical skills paired with strong attention to detail Education and certification: · Bachelor's degree in Healthcare, Finance or relevant field or equivalent years of experience required Are you ready for an exciting opportunity? If you have these qualities and meet the basic job requirements, we'd love to have you on our team. Apply now using our online application! Job Posted by ApplicantPro
    $154k-173.2k yearly 16d ago
  • Director of Risk Adjustment

    Village Care 4.2company rating

    New York, NY jobs

    Join VillageCare in New York City as a Full-Time Director of Risk Adjustment and take your career to the next level while making a meaningful impact in the health care industry. This role offers the flexibility to work from home, allowing you to balance personal and professional commitments seamlessly. You will lead innovative strategies aimed at enhancing patient care while significantly influencing risk management practices. With a competitive salary range of $153,978.55 - $173,225.87, this position not only rewards your expertise but also aligns with your drive for excellence and customer-centricity. Our high-performance culture encourages problem-solving and forward-thinking, ensuring you thrive in a supportive environment. You will be provided great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. If you are ready to contribute to an organization committed to integrity and excellence, apply today and be part of a dynamic team shaping the future of health care. VillageCare: Our Mission VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Your day as a Director of Risk Adjustment The Director of Risk Adjustment at VillageCare plays a pivotal role in enhancing the quality of care delivered to our members in New York City. This position focuses on developing and executing a comprehensive annual Risk Adjustment strategy that ensures reimbursements accurately reflect our members' clinical diagnoses. As the leader of the risk adjustment team, you will coordinate internal and external resources to drive initiatives forward while serving as the subject matter expert for business processes and systems. A key responsibility involves creating an annual Provider Risk Adjustment strategy aimed at improving diagnosis coding accuracy through education and engagement with incentive models. This role also includes assessing strategic performance metrics to support business initiatives and overseeing vendor operations related to risk adjustments. Additionally, you will manage a team of risk adjustment coders, ensuring strict compliance with RADV and other regulatory protocols, ensuring the highest standards of care and accuracy. What matters most To excel as the Director of Risk Adjustment at VillageCare, candidates must possess a robust blend of skills and experience. A minimum of 8 years in relevant professional roles is essential, with a strong preference for candidates with Medicare Advantage experience and expertise in risk adjustment specific to these products. Leadership capabilities are critical, including staff and process management experience, to effectively guide the team and drive strategic initiatives. The ability to multi-task while maintaining a high level of attention to detail is necessary for managing complex projects and meeting regulatory requirements. Strong communication skills-both verbal and written-are vital for effective presentations and interpersonal interactions. Additionally, analytical and logical skills are required for assessing performance metrics and developing actionable strategies. A Bachelor's degree in Healthcare, Finance, or a related field, or equivalent years of experience, is required to ensure a solid foundation for the responsibilities of this role. Knowledge and skills required for the position are: Experience: Minimum 8 years of relevant professional work experience · Experience in healthcare plan - Medicare Advantage experience preferred · Risk adjustment knowledge and expertise in Medicare Advantage products · Leadership experience including staff and process management experience · Capacity to multi-task at high detail-oriented level · Strong communication skills (verbal, written presentation interpersonal) · Strong analytical and logical skills paired with strong attention to detail Education and certification: · Bachelor's degree in Healthcare, Finance or relevant field or equivalent years of experience required Are you ready for an exciting opportunity? If you have these qualities and meet the basic job requirements, we'd love to have you on our team. Apply now using our online application!
    $154k-173.2k yearly 17d ago
  • Director of Risk Adjustment

    Villagecare 4.2company rating

    New York, NY jobs

    Join VillageCare in New York City as a Full-Time Director of Risk Adjustment and take your career to the next level while making a meaningful impact in the health care industry. This role offers the flexibility to work from home, allowing you to balance personal and professional commitments seamlessly. You will lead innovative strategies aimed at enhancing patient care while significantly influencing risk management practices. With a competitive salary range of $153,978.55 - $173,225.87, this position not only rewards your expertise but also aligns with your drive for excellence and customer-centricity. Our high-performance culture encourages problem-solving and forward-thinking, ensuring you thrive in a supportive environment. You will be provided great benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. If you are ready to contribute to an organization committed to integrity and excellence, apply today and be part of a dynamic team shaping the future of health care. VillageCare: Our Mission VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Your day as a Director of Risk Adjustment The Director of Risk Adjustment at VillageCare plays a pivotal role in enhancing the quality of care delivered to our members in New York City. This position focuses on developing and executing a comprehensive annual Risk Adjustment strategy that ensures reimbursements accurately reflect our members' clinical diagnoses. As the leader of the risk adjustment team, you will coordinate internal and external resources to drive initiatives forward while serving as the subject matter expert for business processes and systems. A key responsibility involves creating an annual Provider Risk Adjustment strategy aimed at improving diagnosis coding accuracy through education and engagement with incentive models. This role also includes assessing strategic performance metrics to support business initiatives and overseeing vendor operations related to risk adjustments. Additionally, you will manage a team of risk adjustment coders, ensuring strict compliance with RADV and other regulatory protocols, ensuring the highest standards of care and accuracy. What matters most To excel as the Director of Risk Adjustment at VillageCare, candidates must possess a robust blend of skills and experience. A minimum of 8 years in relevant professional roles is essential, with a strong preference for candidates with Medicare Advantage experience and expertise in risk adjustment specific to these products. Leadership capabilities are critical, including staff and process management experience, to effectively guide the team and drive strategic initiatives. The ability to multi-task while maintaining a high level of attention to detail is necessary for managing complex projects and meeting regulatory requirements. Strong communication skills-both verbal and written-are vital for effective presentations and interpersonal interactions. Additionally, analytical and logical skills are required for assessing performance metrics and developing actionable strategies. A Bachelor's degree in Healthcare, Finance, or a related field, or equivalent years of experience, is required to ensure a solid foundation for the responsibilities of this role. Knowledge and skills required for the position are: * Experience: Minimum 8 years of relevant professional work experience · Experience in healthcare plan - Medicare Advantage experience preferred · Risk adjustment knowledge and expertise in Medicare Advantage products · Leadership experience including staff and process management experience · Capacity to multi-task at high detail-oriented level · Strong communication skills (verbal, written presentation interpersonal) · Strong analytical and logical skills paired with strong attention to detail Education and certification: · Bachelor's degree in Healthcare, Finance or relevant field or equivalent years of experience required Are you ready for an exciting opportunity? If you have these qualities and meet the basic job requirements, we'd love to have you on our team. Apply now using our online application!
    $154k-173.2k yearly 17d ago
  • Clinical Risk Manager

    Sinceri Senior Living 4.0company rating

    Charlotte, NC jobs

    Why You Should Work With Us: At Sinceri Senior Living, we are a fun loving, employee-centric company like no other! Maybe that's why we have been certified by our employees as a Great Place to Work for our 6th Year in a row. Create your career with us and learn about all the career growth opportunities we offer. Have we sparked your interest yet? Apply online and join our wonderful team. Questions about the application process? Come visit us and our staff will be happy to assist you! Sinceri Senior living is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law. Minors must be at least 16 years of age to be employed by Sinceri Senior Living. Candidates submitted by unsolicited 3 rd party recruiters will not be considered. Purpose: This critical role combines clinical nursing expertise with risk management responsibilities to protect our organization and residents through proactive risk assessment, claims management, and quality improvement initiatives. The position requires a Registered Nurse or Licensed Practical Nurse with strong analytical skills and the ability to work collaboratively with legal teams, insurance carriers, and community staff. Essential Job Functions: Claims Management & Insurance Coordination Submit and manage claims to insurance carriers, ensuring accurate and timely processing Coordinate with insurance adjusters and carriers throughout the claims process Prepare comprehensive claim documentation and supporting materials Assist in annual insurance renewals by providing claims data and risk assessments Maintain detailed records of all claims activities and outcomes Analyze claims patterns to identify trends and prevention opportunities Litigation Support & Legal Coordination Work closely with attorneys on legal cases involving the organization Prepare clinical documentation and evidence for legal proceedings Attend trials and depositions as required to provide clinical expertise Monitor ongoing litigation and provide regular updates to management Assist in case strategy development from a clinical perspective Coordinate with expert witnesses and medical consultants Risk Assessment & Loss Prevention Monitor litigation trends and loss runs to identify potential risk areas Conduct comprehensive risk assessments of communities and operations Analyze incident reports and claims data to identify patterns and root causes Develop and implement risk mitigation strategies and prevention programs Perform community risk assessments and safety inspections Quality Improvement & Community Support Work with communities on quality improvement processes and initiatives Provide clinical expertise to support quality assurance programs Investigate incidents and adverse events to determine contributing factors Collaborate with community teams to implement corrective action plans Monitor compliance with risk management policies and procedures Provide training and education to community staff on risk prevention Documentation & Reporting Maintain accurate and detailed documentation of all risk management activities Prepare regular reports on claims status, litigation updates, and risk metrics Generate loss run reports and analysis for management review Document lessons learned and best practices from claims and litigation Ensure compliance with regulatory reporting requirements Maintain confidential and secure risk management records Additional Responsibilities Participate in risk management committees and meetings Maintain relationships with insurance brokers and carriers Provide risk management consultation to executive leadership Participate in industry risk management organizations and training Perform other duties as assigned Minimum Eligibility Requirements Bachelor's degree preferred in Nursing, Healthcare Administration, Risk Management, or related field preferred Current and unrestricted Registered Nurse (RN) of Licensed Practical Nurse (LPN) Minimum 5 years of clinical nursing experience, preferably in long-term care or assisted living 2+ years of experience in risk management, claims management, or healthcare administration Experience working with insurance carriers and claims processes Previous experience with legal proceedings or litigation support preferred Knowledge of healthcare regulations and compliance requirements Strong computer proficiency including Microsoft Office Suite Experience with claims management software and databases Ability to analyze data and generate comprehensive reports Knowledge of healthcare documentation standards Excellent clinical assessment and critical thinking skills Strong written and verbal communication abilities Ability to work effectively with attorneys and legal teams Professional demeanor for courtroom proceedings and depositions Detail-oriented with strong organizational skills Ability to handle sensitive and confidential information Problem-solving and analytical thinking capabilities Understanding of insurance processes and requirements Preferred Qualifications Professional certification in risk management (ARM, CPHRM, or similar) preferred Experience with assisted living or senior care regulations Previous litigation support or expert witness experience Knowledge of state insurance regulations and requirements Experience with root cause analysis and quality improvement methodologies
    $94k-133k yearly est. 60d+ ago
  • Risk Manager - Charlotte FT

    Atrium Health 4.7company rating

    Charlotte, NC jobs

    Back to Search Results Risk Manager - Charlotte FT Charlotte, NC, United States Shift: Various Job Type: Regular Share: mail
    $96k-139k yearly est. Auto-Apply 47d ago
  • Clinical Risk Manager - DUH

    Duke University 4.6company rating

    Durham, NC jobs

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. General Description of the Job Class Occupational Summary: Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files. Negotiate resolution with the authority from the Director. Provide basic and complex preventive risk management assessment of processes, procedures, and programs, including inservice education, consultation, liaison activities, and on-call emergency assistance to providers. Duties and Responsibilities of this Level * Investigate and analyze potential and actual professional liability and general liability exposures in the Health System; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation. * Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and complete negotiation of resolution within authority granted by Director. Complete notifications and financial recommendations needed for compliance with tracking and insurer requirements, including insurance carrier notifications, reserve recommendations, and any federal, state, or entity reporting requirements (including SMDA, DataBank, etc.) as necessary. * Review, code and investigate occurrence reports; recommend corrective actions based on individual reports or trends. Provide quality assurance and peer review referrals as appropriate. * Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested. * Provide on-call assistance for emergent/urgent risk management issues to all DUHS staff as needed. On-call duties are assigned on a rotation basis when possible. * Prepare reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. * Represent the Department of Clinical Risk Management on various DUHS and entity committees as required. Perform other related duties incidental to the work described herein. * Required Qualifications at this Level Education Work requires a Bachelor's degree in business administration, public policy, hospital administration or a related field to acquire appropriate analytical, communicative and organizational skills. A Bachelor's degree in a clinical field (e.g. nursing, physician's associate) may be substituted if supplemented by additional courses or training in business or a related field (at least one year). Experience Work requires a minimum of four years experience in one or more of the following fields: patient care, public policy, health care administration, business administration, legal support or insurance/claims investigation and settlement. Graduate education beyond the bachelor's degree in hospital administration, business administration, public policy or a related field may be substituted for the required experience on a 1:1 basis. Degrees, Licensure, and/or Certification An Associate in Risk Management or Certified Professional in Healthcare Risk Management is desirable. Knowledge, Skills, and Abilities Customer Service Risk Evaluation Interviewing Skills Investigation Skills Medical Terminology Analyze Data Analyze Trends Risk Analysis Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Nearest Major Market: Durham Nearest Secondary Market: Raleigh
    $93k-133k yearly est. 16d ago
  • Clinical Risk Manager - Duke Regional Hospital

    Duke University 4.6company rating

    Durham, NC jobs

    At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. General Description of the Job Class Occupational Summary: Initiate, coordinate, and manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files. Negotiate resolution with the authority from the Director. Provide basic and complex preventive risk management assessment of processes, procedures, and programs, including inservice education, consultation, liaison activities, and on-call emergency assistance to providers. Duties and Responsibilities of this Level * Investigate and analyze potential and actual professional liability and general liability exposures in the Health System; evaluate the extent and elements of exposure and recommend appropriate actions for risk mitigation. * Investigate, evaluate and document pre-litigation occurrences and claims. Recommend resolution, and complete negotiation of resolution within authority granted by Director. Complete notifications and financial recommendations needed for compliance with tracking and insurer requirements, including insurance carrier notifications, reserve recommendations, and any federal, state, or entity reporting requirements (including SMDA, DataBank, etc.) as necessary. * Review, code and investigate occurrence reports; recommend corrective actions based on individual reports or trends. Provide quality assurance and peer review referrals as appropriate. * Provide in-service education on risk management topics, both standard basic education and complex focused topics as needed and/or requested. * Provide on-call assistance for emergent/urgent risk management issues to all DUHS staff as needed. On-call duties are assigned on a rotation basis when possible. * Prepare reports and analyses setting forth progress, adverse trends and appropriate recommendations or conclusions. * Represent the Department of Clinical Risk Management on various DUHS and entity committees as required. Perform other related duties incidental to the work described herein. * Required Qualifications at this Level Education Work requires a Bachelor's degree in business administration, public policy, hospital administration or a related field to acquire appropriate analytical, communicative and organizational skills. A Bachelor's degree in a clinical field (e.g. nursing, physician's associate) may be substituted if supplemented by additional courses or training in business or a related field (at least one year). Experience Work requires a minimum of four years experience in one or more of the following fields: patient care, public policy, health care administration, business administration, legal support or insurance/claims investigation and settlement. Graduate education beyond the bachelor's degree in hospital administration, business administration, public policy or a related field may be substituted for the required experience on a 1:1 basis. Degrees, Licensure, and/or Certification An Associate in Risk Management or Certified Professional in Healthcare Risk Management is desirable. Knowledge, Skills, and Abilities Customer Service Risk Evaluation Interviewing Skills Investigation Skills Medical Terminology Analyze Data Analyze Trends Risk Analysis Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Nearest Major Market: Durham Nearest Secondary Market: Raleigh
    $93k-133k yearly est. 38d ago
  • Clinical Risk Manager - Risk Management

    UNC Health Care Systems 4.1company rating

    Chapel Hill, NC jobs

    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. The Clinical Risk Manager is responsible for administering the risk management program and ensuring effective loss prevention/control and compliance with state, federal guidelines and UNC Health standards. The primary responsibility of this position is to administer UNC Health's risk management program on a day-to-day basis, documenting, managing and analyzing risk management data, conducting proactive risk assessments, conducting targeted risk management education, and providing risk management consultation with the objective of promoting patient safety and loss prevention activity in protection of organizational assets. Responsibilities: 1. Initiates, coordinates and manages all investigational and evaluation activities associated with professional liability occurrences, including conducting interviews, researching and reviewing policies and procedures, reviewing of electronic medical record documentation and other information sources; analyzes potential and actual professional liability and general liability exposures and evaluates the extent and elements of exposure and recommends appropriate actions for risk mitigation. 2. Follows an enterprise risk management framework (ISO 31000) in risk identification, analysis, evaluation, mitigation and monitoring. Routinely identifies risk through risk assessments, observation, trended data, inspections, committee minutes, third party reports, attorney requests for medical records and administrative or associate referrals. Develops innovative approaches intended to reduce the frequency and severity of medical malpractice and patient injury claims. 3. Manages incident reporting database documentation of reported events; monitors incident reporting system for patient harm events and unanticipated outcomes and investigates accordingly. 4. Manages and implements the organization's risk management program in a manner that fulfills the mission and strategic goals of the organization while complying with state and federal laws and related accreditation standards. Reviews and/or drafts administrative policy and procedures that fall within the risk management domain. Submits reports to appropriate regulatory authorities as required. 5. Provides clinical risk management consultation to all physician and employees insured by UNC Health's self-insurance programs. Prepares and presents reports to management regarding trends, patterns and findings. Advises on the risk of current or future activities or programs conducted at the hospital. Establishes and coordinates committees and councils where indicated to manage high risk events. 6. Facilitates legal consultation from the UNC Health Care System Office of General Counsel to staff and physicians as indicated. Creates and provides education for employees and physicians in relevant risk management topics. 7. Collaborates with assigned departments, Quality/Performance Improvement and Medication Safety Officer to establish quality and safety goals; participates on hospital quality and patient safety committees. 8. Performs special projects that involve data gathering, preparation of reports, development of recommendations and presentations. Participates in professional organization programs throughout the risk management industry by presentation submissions, committee work, or other roles. Other Information Other information: Education Requirements: ● Bachelor's degree in a related degree Licensure/Certification Requirements: ● No licensure or certification required. Professional Experience Requirements: ● Five (5) years of combined experience that may include risk management, clinical, quality or legal work experience. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Risk Management Work Type: Full Time Standard Hours Per Week: 40.00 Pay offers are determined by experience and internal equity Work Assignment Type: Hybrid Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: Yes This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
    $87k-125k yearly est. 60d+ ago
  • Risk Manager - Charlotte FT

    Advocate Health and Hospitals Corporation 4.6company rating

    Charlotte, NC jobs

    Department: 11204 Enterprise Corporate - Risk Management Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Varies The ideal candidate will have prior risk management liability claims experience. Pay Range $35.50 - $53.25 Job Summary The Risk Manager will manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files. Provides direction and leadership on complex preventive risk management assessment of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers. Corporate Risk Management serves all age populations of patients, visitors, staff and others. Essential Functions Provides direction to organizational/clinical team members and leadership on issues related to professional liability and other risks. Fosters collaborative relationships with key departments, such as Quality Management, Nursing Administration, Medical Team, Infection Prevention, Office of General Counsel and Patient Safety in order to enhance overall program effectiveness. Creating educational programs for all levels of teammates on a variety of risk management and legal topics. Interprets statistical and qualitative reports on risk management trends and patterns, and communicates this information effectively to appropriate department leaders with recommendations for action. Manages formal and informal mechanisms for risk identification, such as incident reporting, staff referrals, medical record reviews, review of patient complaints, audits and review of pertinent quality-improvement information. Develops and conducts various orientations to provide information on Risk Management. Provides leadership and direction to assigned committees as it relates to the overall risk management function, the evaluation of incidents and serious patient safety events and potentially compensable events. and claims and the enhancement of patient safety. Manages the investigation of all potentially compensable events and pre-litigation occurrences to evaluate and determine potential liability. Negotiates settlements with patients and families with applicable and in cooperation with Leadership. Completes notifications and financial recommendations needed for compliance with tracking and insurer requirements. Evaluates the need for additional notification to external organization and agencies in compliance with state and federal reporting requirements. Physical Requirements The Risk Manager generally works in an office environment approximately one-half to three-quarters of their time, sitting at a desk, working with a computer, talking on the telephone, and preparing reports and other statistical data. Remainder of the time is spent in a variety of CMHA facilities, investigating claims and documenting conditions associated with the loss. Requires standing, walking throughout large medical facilities, outside and between buildings, and traveling in personal car to other facilities. Must be able to carry up to 20 pounds of materials. Position requires the ability to work rapidly and accurately under pressure, to work in a safe and effective manner, and to handle different issues and priorities simultaneously. Education, Experience and Certifications Bachelor's degree in business administration, nursing, hospital administration or a related field required. A Bachelor's degree in a clinical field (e.g. nursing, physician's assistant) must be supplemented by a clinical license (e.g. RN or PA license). May accept additional direct risk management experience or directly related certifications in lieu of college degree on a 1:1 basis. (e.g. a 2 year college degree and 2 years of risk manager experience are equivalent to a four year college degree.) Minimum 3 years of experience in a healthcare setting and/or handling large malpractice and general liability claims. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $35.5-53.3 hourly Auto-Apply 46d ago
  • Director of Cyber Risk Defense - TDO

    Kaiser Permanente 4.7company rating

    Greenwood Village, CO jobs

    This managing level position is primarily accountable for proactively monitoring and responding to emerging threats to the KP network. This includes overall direction for the incident handling process (containment, protection, and remediation) and strategic oversight of the development and deployment of response plans. This position will direct the resolution for high impact, critical cyber security incidents, information fusion procedures, Use Case planning and development, quality assurance validation, and investigations. This position will also effectively communicate investigative findings to non-technical audiences and be responsible for partnerships with key stakeholders (CRDC Policy Engineers, Remediation teams, management stakeholders). Essential Responsibilities: * Directs the operation of multiple units and/or departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; gaining cross-functional support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; and ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies. * Demonstrates continuous learning and maintains a highly skilled and engaged workforce by aligning resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating teams; preparing individuals for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business objectives and results. * Takes accountability for the proactive monitoring and/or response to known or emerging threats against the KP network. * Effectively communicates investigative findings to non-technical audiences. * Ensures closed loop processes on security efforts by providing feedback to the Cyber Risk Defense Center (CRDC) leads and/or leadership. * Directs information fusion procedures across operations and engineering, including activities such as Use Case planning/development, Use Case quality assurance validation, and response procedure documentation. * Overseeing and ensuring partnerships between stage teams and upper management to drive the identification and resolution of issues, improvement areas, or security/architectural gaps. * Establishes a network of partnerships with the CRDC Policy Engineers and Remediation teams to ensure identified issues are contained and to set the direction for improving security posture. * Oversees follow-up remediation design and review efforts. * Ensures security events across cyber security domains are investigated and triaged as appropriate. * Directs the response and resolution of high impact or critical cyber security incidents. * Sets the strategic direction for the development and deployment of incident response plans. * Provides overall direction for incident handling processes, including containment, protection, and remediation activities.
    $120k-163k yearly est. 13d ago
  • Risk Manager - Charlotte FT

    Advocate Aurora Health 3.7company rating

    Charlotte, NC jobs

    Department: 11204 Enterprise Corporate - Risk Management Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Varies The ideal candidate will have prior risk management liability claims experience. Pay Range $34.90 - $52.35 Job Summary The Risk Manager will manage all investigational and evaluation activities associated with professional and general liability occurrences and claim pre-litigation files. Provides direction and leadership on complex preventive risk management assessment of processes, procedures, and programs, including in-service education, consultation, liaison activities, and on-call emergency assistance to providers. Corporate Risk Management serves all age populations of patients, visitors, staff and others. Essential Functions * Provides direction to organizational/clinical team members and leadership on issues related to professional liability and other risks. * Fosters collaborative relationships with key departments, such as Quality Management, Nursing Administration, Medical Team, Infection Prevention, Office of General Counsel and Patient Safety in order to enhance overall program effectiveness. * Creating educational programs for all levels of teammates on a variety of risk management and legal topics. * Interprets statistical and qualitative reports on risk management trends and patterns, and communicates this information effectively to appropriate department leaders with recommendations for action. * Manages formal and informal mechanisms for risk identification, such as incident reporting, staff referrals, medical record reviews, review of patient complaints, audits and review of pertinent quality-improvement information. * Develops and conducts various orientations to provide information on Risk Management. * Provides leadership and direction to assigned committees as it relates to the overall risk management function, the evaluation of incidents and serious patient safety events and potentially compensable events. and claims and the enhancement of patient safety. * Manages the investigation of all potentially compensable events and pre-litigation occurrences to evaluate and determine potential liability. * Negotiates settlements with patients and families with applicable and in cooperation with Leadership. * Completes notifications and financial recommendations needed for compliance with tracking and insurer requirements. * Evaluates the need for additional notification to external organization and agencies in compliance with state and federal reporting requirements. Physical Requirements The Risk Manager generally works in an office environment approximately one-half to three-quarters of their time, sitting at a desk, working with a computer, talking on the telephone, and preparing reports and other statistical data. Remainder of the time is spent in a variety of CMHA facilities, investigating claims and documenting conditions associated with the loss. Requires standing, walking throughout large medical facilities, outside and between buildings, and traveling in personal car to other facilities. Must be able to carry up to 20 pounds of materials. Position requires the ability to work rapidly and accurately under pressure, to work in a safe and effective manner, and to handle different issues and priorities simultaneously. Education, Experience and Certifications Bachelor's degree in business administration, nursing, hospital administration or a related field required. A Bachelor's degree in a clinical field (e.g. nursing, physician's assistant) must be supplemented by a clinical license (e.g. RN or PA license). May accept additional direct risk management experience or directly related certifications in lieu of college degree on a 1:1 basis. (e.g. a 2 year college degree and 2 years of risk manager experience are equivalent to a four year college degree.) Minimum 3 years of experience in a healthcare setting and/or handling large malpractice and general liability claims. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation * Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training * Premium pay such as shift, on call, and more based on a teammate's job * Incentive pay for select positions * Opportunity for annual increases based on performance Benefits and more * Paid Time Off programs * Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability * Flexible Spending Accounts for eligible health care and dependent care expenses * Family benefits such as adoption assistance and paid parental leave * Defined contribution retirement plans with employer match and other financial wellness programs * Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $34.9-52.4 hourly 48d ago
  • Senior Risk Management Director

    United Therapeutics Corporation 4.8company rating

    Raleigh, NC jobs

    California, US residents click here. The job details are as follows: Who we are We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs. United Therapeutics (Nasdaq: UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter's pulmonary arterial hypertension( PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF). The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create bio-artificial organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option. Who you are Are you a self starter with a kind heart who likes to lead with their sleeves up? This role is an incredible opportunity to come into an established team with a clear and defined career trajectory - the future head of risk management. We are looking for someone who wants to never be bored ever again and have their risk management lens in across all of UTs endeavors from tissue engineering and organ manufacturing to aviation and organ transportation. The Senior Risk Management Director leads the vision and strategic direction for the company's risk management function, ensuring it supports and advances organizational objectives. The role drives execution across enterprise risk management, corporate insurance, and organizational resiliency to reduce exposure, strengthen preparedness, and enables proactive risk-informed planning and decision-making. Sound like you? Apply here: * ENTERPRISE RISK MANAGEMENT: Responsible to ensure successful execution of the Department's strategic goals and objectives Administer all ERM Program activities Assist corporate and business unit leaders in identifying exposures to loss and implementing appropriate risk management strategies to eliminate or reduce the impact of such loss Oversee the development and maintenance of a Risk Management Program Manual * CORPORATE INSURANCE: Lead and oversee the Property, Casualty and Management liability insurance programs Participate in negotiating insurance coverage and pricing, structure and limits for all property, casualty, management liability and other insurance policies and service agreements Conduct cost/benefit analysis of program alternatives as appropriate Evaluate adequacy of limits and appropriateness of retentions/deductibles Participate in managing broker and insurer relationships Responsible for risk management compliance with Clinical Trial Insurance SOP * CONTRACT REVIEW: Review leases, business development opportunities, clinical trial agreements, contracts and other legal documents to evaluate appropriateness of wording and assure compliance with insurance and risk management policies * ORGANIZATIONAL RESILIENCY: Oversee the business continuity management/planning across all business segments of the organization Lead the Corporate Resiliency Program to ensure it addresses all critical business functions and provides assurance that they can resume normal business operations to within planned disruption specifications Ensure that the management of the Organizational Resiliency Program includes regular testing of plans in accordance with the Organizational Resiliency Program Policy and framework Assist business units with review and inspection of facilities with a focus on loss reduction Review and provide recommendations on insurer issued loss prevention reports * Provide ongoing risk management and insurance subject matter expertise, resources, guidance and collaboration to all Unitherians * Other duties as may be assigned For this role you will need Minimum Requirements * 15+ years of risk management and/or commercial insurance experience with a Bachelor's Degree in business, finance, or risk management OR 13+ years of risk management and/or commercial insurance experience with a Master's Degree in business, finance, or risk management * 10+ years of experience in biotech or pharmaceutical industry, including global clinical trial risk strategy * 5+ years of experience as a functional leader and/or people manager * Ability to read, understand, explain, and negotiate insurance policy contract language * Subject Matter Expert in commercial insurance coverages, enterprise risk management, and organizational resilience * Excellent oral and written communication skills * Strong interpersonal skills * Demonstrates strong leadership skills with team, peers and business stakeholders * Excellent administrative and organizational skills * Proficient with Microsoft Office Suite * Ability to engage confidently across all levels of the organization, including executive leadership and that Board delivering risk insights with clarity, credibility and impact * Strategic mindset with the ability to execute effectively at both strategic and operational levels * Deep understanding of contractual risk, and indemnification provisions within the life sciences space * Proven ability to lead enterprise risk processes, manage complex insurance portfolios, and oversee cross-functional risk initiatives * Skilled in managing a team; including developing others, giving feedback, managing conflict, and fostering collaboration across disciplines Preferred Qualifications * Master's Degree MBA, JD, or equivalent * Certified Risk Manager (CRM) * Chartered Property Casualty Underwriter (CPCU) * Certified Insurance Counselor (CIC) * Associate in Risk Management (ARM) * Safety, loss prevention, and claims experience Job Location: United Therapeutics requires this candidate to be on-site at either our Durham, North Carolina location or our Silver Spring, MD position a minimum of 3 days a week. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. The salary for this position ranges from $215K to 260K per year. In addition, this role is eligible for the Company's short-term and long-term incentive programs. The salary range is the range United Therapeutics Corporation in good faith believes is the range of possible compensation for this role at the time of this posting depending on the candidate's experience, qualifications, geographic location, and other factors permitted by law. The Company may ultimately pay more or less than the posted range. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit ****************************************************** United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit ****************************************************** United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities.
    $215k-260k yearly Auto-Apply 31d ago
  • Senior Risk Management Director

    United Therapeutics 4.8company rating

    Parkton, NC jobs

    California, US residents click here (******************************************************************************************************************************************* . **The job details are as follows:** **Who we are** We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs. United Therapeutics (Nasdaq: **UTHR** ) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter's pulmonary arterial hypertension( **PAH)** . Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease ( **PH-ILD** ) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis ( **PF** ). The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create bio-artificial organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option. **Who you are** Are you a self starter with a kind heart who likes to lead with their sleeves up? This role is an incredible opportunity to come into an established team with a clear and defined career trajectory - the future head of risk management. We are looking for someone who wants to never be bored ever again and have their risk management lens in across all of UTs endeavors from tissue engineering and organ manufacturing to aviation and organ transportation. The Senior Risk Management Director leads the vision and strategic direction for the company's risk management function, ensuring it supports and advances organizational objectives. The role drives execution across enterprise risk management, corporate insurance, and organizational resiliency to reduce exposure, strengthen preparedness, and enables proactive risk-informed planning and decision-making. Sound like you? Apply here: + ENTERPRISE RISK MANAGEMENT: Responsible to ensure successful execution of the Department's strategic goals and objectives Administer all ERM Program activities Assist corporate and business unit leaders in identifying exposures to loss and implementing appropriate risk management strategies to eliminate or reduce the impact of such loss Oversee the development and maintenance of a Risk Management Program Manual + CORPORATE INSURANCE: Lead and oversee the Property, Casualty and Management liability insurance programs Participate in negotiating insurance coverage and pricing, structure and limits for all property, casualty, management liability and other insurance policies and service agreements Conduct cost/benefit analysis of program alternatives as appropriate Evaluate adequacy of limits and appropriateness of retentions/deductibles Participate in managing broker and insurer relationships Responsible for risk management compliance with Clinical Trial Insurance SOP + CONTRACT REVIEW: Review leases, business development opportunities, clinical trial agreements, contracts and other legal documents to evaluate appropriateness of wording and assure compliance with insurance and risk management policies + ORGANIZATIONAL RESILIENCY: Oversee the business continuity management/planning across all business segments of the organization Lead the Corporate Resiliency Program to ensure it addresses all critical business functions and provides assurance that they can resume normal business operations to within planned disruption specifications Ensure that the management of the Organizational Resiliency Program includes regular testing of plans in accordance with the Organizational Resiliency Program Policy and framework Assist business units with review and inspection of facilities with a focus on loss reduction Review and provide recommendations on insurer issued loss prevention reports + Provide ongoing risk management and insurance subject matter expertise, resources, guidance and collaboration to all Unitherians + Other duties as may be assigned **For this role you will need** Minimum Requirements + 15+ years of risk management and/or commercial insurance experience with a Bachelor's Degree in business, finance, or risk management OR 13+ years of risk management and/or commercial insurance experience with a Master's Degree in business, finance, or risk management + 10+ years of experience in biotech or pharmaceutical industry, including global clinical trial risk strategy + 5+ years of experience as a functional leader and/or people manager + Ability to read, understand, explain, and negotiate insurance policy contract language + Subject Matter Expert in commercial insurance coverages, enterprise risk management, and organizational resilience + Excellent oral and written communication skills + Strong interpersonal skills + Demonstrates strong leadership skills with team, peers and business stakeholders + Excellent administrative and organizational skills + Proficient with Microsoft Office Suite + Ability to engage confidently across all levels of the organization, including executive leadership and that Board delivering risk insights with clarity, credibility and impact + Strategic mindset with the ability to execute effectively at both strategic and operational levels + Deep understanding of contractual risk, and indemnification provisions within the life sciences space + Proven ability to lead enterprise risk processes, manage complex insurance portfolios, and oversee cross-functional risk initiatives + Skilled in managing a team; including developing others, giving feedback, managing conflict, and fostering collaboration across disciplines **Preferred Qualifications** + Master's Degree MBA, JD, or equivalent + Certified Risk Manager (CRM) + Chartered Property Casualty Underwriter (CPCU) + Certified Insurance Counselor (CIC) + Associate in Risk Management (ARM) + Safety, loss prevention, and claims experience **Job Location:** United Therapeutics requires this candidate to be on-site at either our Durham, North Carolina location or our Silver Spring, MD position a minimum of 3 days a week. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. The salary for this position ranges from $215K to 260K per year. In addition, this role is eligible for the Company's short-term and long-term incentive programs. The salary range is the range United Therapeutics Corporation in good faith believes is the range of possible compensation for this role at the time of this posting depending on the candidate's experience, qualifications, geographic location, and other factors permitted by law. The Company may ultimately pay more or less than the posted range. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit ****************************************************** United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit ****************************************************** United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. _We strive to be an organization that engages the minds, hearts, and most spirited efforts of each of our employees. Our sense of purpose transforms what we do from work into mission, occupation into vocation and achievement into success._ _We challenge our employees with innovative and revolutionary projects, offer an environment which fosters high-level job performance and provide a highly competitive total rewards package. This is what makes United Therapeutics a stimulating place to work._
    $215k-260k yearly 35d ago
  • RISK & CONTROLS SENIOR ANALYST (CHARLOTTE, NC)

    Compass Corporate 4.6company rating

    Charlotte, NC jobs

    Job Description A family of companies and experiences As the leading foodservice and support services company, Compass Group USA is known for our great people, great service and our great results. If you've been hungry and away from home, chances are you've tasted Compass Group's delicious food and experienced our outstanding service. We have over 284,000 US associates who work in award-winning restaurants, corporate cafes, hospitals, schools, arenas, museums, and more in all 50 states. Our reach is constantly expanding to shape the industry and create new opportunities for innovation. Join the Compass family today! great people. great services. great results. Each and every individual plays a key role in the growth and legacy of our company. We know the next big idea can come from anyone. We encourage developing and attracting expertise that differentiates us as a company as we continue to raise the bar. Job Summary: Reporting to the Manager, Risk & Controls, the Risk & Controls Senior Analyst is an exciting opportunity for a candidate with a strong financial/internal controls background to join the North America Risk & Controls team, based in our Charlotte Corporate Office. As part of the Second Line of Defense, the team owns the Internal Controls frameworks and ensuring this continues to meet leading practices and UK Corporate Governance Code requirements as these evolve. This includes working with colleagues across the organization to support a robust risk and control environment by providing a 2nd line opinion, sharing best practice and guidance to ensuring that risk and control issues are documented, challenged, monitored, tested, reported and escalated, according to the organization's governance structure and control frameworks. This role has the opportunity to work with multiple functions in the organization including accounting and finance, digital and technology, HR, compliance, sustainability, and safety. This role is part of a new team, where the candidate will have a hands-on opportunity to help augment the organization's control environment as it progresses on a control enhancement journey. Responsibilities: Support the ongoing design and implementation of the Internal Controls framework. Perform day-day execution and first level review of 2LOD activities such as controls testing, monitoring, tracking action items, etc. Ensure business processes have appropriate controls to optimally manage risks, assisting with the execution of risk assessments where necessary. Provide ongoing support and review to control owners as they document and operate Risk and Control Matrices (RACMs). Collaborate with process and controls owners to obtain process understanding, documenting the process flows and/or procedure documents. Evaluate control deficiencies and oversee remediation of those deficiencies. Identify and document leading practice controls which can be published across the organization. Develop guidance to support the organization with control compliance, such as evidence maintenance, job aids, etc. Partner with business teams on cross-departmental projects to improve the overall control environment. Stay up to date on internal and external changes that may impact the design or operation of controls and partner with the appropriate stakeholders to make changes accordingly. Support training initiatives across the organization to improve awareness and understanding of internal control requirements. Partner with both internal and external audit teams to facilitate streamlined and effective audit processes, as necessary. Knowledge, Skills, and Abilities: Technically competent and confident in reviewing and identifying improvements in the design and operation of internal controls. Strong analytical skills, with strong risk awareness and understanding of processes and controls. Confident stakeholder management, communication, and able to build relationships. Excellent planning, coordination and organization skills and managing multiple priorities and stakeholders. Previous experience working in Finance Control, Internal Audit, External Audit, Risk Assurance, and/or Controls Assurance. Self-starter with the ability to lead and to work independently and engage with teams at all levels in the organization. Ability to translate and communicate technical or complex ideas in a simple, engaging, and concise manner. Excellent verbal and written communication skills are essential, with the ability to influence at all levels, as is the ability to function effectively in teams. Qualifications: Four-year bachelor's degree in accounting, or finance. Professional qualification such as CPA or CIA. 4-5 years of experience in financial controls, internal audits, SOX audits, risk and controls assessment, risk assurance, preferably in a Big-4 consulting firm or Fortune 500 organization. Strong knowledge of Internal Auditing Standards, PCAOB Standards, and COSO, etc. Recent (past 5 years) US SOX experience strongly preferred. Excellent PC Skills (Word, Excel, Access, PowerPoint, Visio, Electronic audit work papers, etc.) Experience with SAP S/4 and HFM preferred. Familiarity with the UK Corporate Governance Code preferred. Apply to Compass Group today! Click here to Learn More about the Compass Story Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply. Compass Corporate maintains a drug-free workplace. Applications are accepted on an ongoing basis. Associates at Corporate are offered many fantastic benefits. Medical Dental Vision Life Insurance/ AD Disability Insurance Retirement Plan Paid Time Off Paid Parental Leave Holiday Time Off (varies by site/state) Personal Leave Associate Shopping Program Health and Wellness Programs Discount Marketplace Identity Theft Protection Pet Insurance Commuter Benefits Employee Assistance Program Flexible Spending Accounts (FSAs) Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information. Req ID: 1475799 Compass Corporate Julia Vogel [[req_classification]]
    $83k-114k yearly est. 13d ago
  • Senior Risk Management Director

    United Therapeutics Corporation 4.8company rating

    Rex, NC jobs

    California, US residents click here. The job details are as follows: Who we are We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs. United Therapeutics (Nasdaq: UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter's pulmonary arterial hypertension( PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF). The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create bio-artificial organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option. Who you are Are you a self starter with a kind heart who likes to lead with their sleeves up? This role is an incredible opportunity to come into an established team with a clear and defined career trajectory - the future head of risk management. We are looking for someone who wants to never be bored ever again and have their risk management lens in across all of UTs endeavors from tissue engineering and organ manufacturing to aviation and organ transportation. The Senior Risk Management Director leads the vision and strategic direction for the company's risk management function, ensuring it supports and advances organizational objectives. The role drives execution across enterprise risk management, corporate insurance, and organizational resiliency to reduce exposure, strengthen preparedness, and enables proactive risk-informed planning and decision-making. Sound like you? Apply here: ENTERPRISE RISK MANAGEMENT: Responsible to ensure successful execution of the Department's strategic goals and objectives Administer all ERM Program activities Assist corporate and business unit leaders in identifying exposures to loss and implementing appropriate risk management strategies to eliminate or reduce the impact of such loss Oversee the development and maintenance of a Risk Management Program Manual CORPORATE INSURANCE: Lead and oversee the Property, Casualty and Management liability insurance programs Participate in negotiating insurance coverage and pricing, structure and limits for all property, casualty, management liability and other insurance policies and service agreements Conduct cost/benefit analysis of program alternatives as appropriate Evaluate adequacy of limits and appropriateness of retentions/deductibles Participate in managing broker and insurer relationships Responsible for risk management compliance with Clinical Trial Insurance SOP CONTRACT REVIEW: Review leases, business development opportunities, clinical trial agreements, contracts and other legal documents to evaluate appropriateness of wording and assure compliance with insurance and risk management policies ORGANIZATIONAL RESILIENCY: Oversee the business continuity management/planning across all business segments of the organization Lead the Corporate Resiliency Program to ensure it addresses all critical business functions and provides assurance that they can resume normal business operations to within planned disruption specifications Ensure that the management of the Organizational Resiliency Program includes regular testing of plans in accordance with the Organizational Resiliency Program Policy and framework Assist business units with review and inspection of facilities with a focus on loss reduction Review and provide recommendations on insurer issued loss prevention reports Provide ongoing risk management and insurance subject matter expertise, resources, guidance and collaboration to all Unitherians Other duties as may be assigned For this role you will need Minimum Requirements 15+ years of risk management and/or commercial insurance experience with a Bachelor's Degree in business, finance, or risk management OR 13+ years of risk management and/or commercial insurance experience with a Master's Degree in business, finance, or risk management 10+ years of experience in biotech or pharmaceutical industry, including global clinical trial risk strategy 5+ years of experience as a functional leader and/or people manager Ability to read, understand, explain, and negotiate insurance policy contract language Subject Matter Expert in commercial insurance coverages, enterprise risk management, and organizational resilience Excellent oral and written communication skills Strong interpersonal skills Demonstrates strong leadership skills with team, peers and business stakeholders Excellent administrative and organizational skills Proficient with Microsoft Office Suite Ability to engage confidently across all levels of the organization, including executive leadership and that Board delivering risk insights with clarity, credibility and impact Strategic mindset with the ability to execute effectively at both strategic and operational levels Deep understanding of contractual risk, and indemnification provisions within the life sciences space Proven ability to lead enterprise risk processes, manage complex insurance portfolios, and oversee cross-functional risk initiatives Skilled in managing a team; including developing others, giving feedback, managing conflict, and fostering collaboration across disciplines Preferred Qualifications Master's Degree MBA, JD, or equivalent Certified Risk Manager (CRM) Chartered Property Casualty Underwriter (CPCU) Certified Insurance Counselor (CIC) Associate in Risk Management (ARM) Safety, loss prevention, and claims experience Job Location: United Therapeutics requires this candidate to be on-site at either our Durham, North Carolina location or our Silver Spring, MD position a minimum of 3 days a week. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good. The salary for this position ranges from $215K to 260K per year. In addition, this role is eligible for the Company's short-term and long-term incentive programs. The salary range is the range United Therapeutics Corporation in good faith believes is the range of possible compensation for this role at the time of this posting depending on the candidate's experience, qualifications, geographic location, and other factors permitted by law. The Company may ultimately pay more or less than the posted range. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit ****************************************************** United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities. Eligible employees may participate in the Company's comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more. For additional information on Company benefits, please visit ****************************************************** United Therapeutics Corporation is an Equal Opportunity Employer, including veterans and individuals with disabilities.
    $215k-260k yearly Auto-Apply 10d ago
  • Chief Systems Officer

    Pueblo Community Health Center 3.5company rating

    Pueblo, CO jobs

    Starting Pay Range: $145,404.00 - $171,064.00, annually Welcome to Pueblo, CO, a community where there is something for everyone! Located two hours south of Denver, Pueblo Community Health Center (PCHC) is in the family-oriented, multicultural town of Pueblo, CO (pop. 150,000). Whether proximity to the great outdoors is a priority or big city shopping, entertainment and professional sports are more your thing, our location is ideal. Pueblo Community Health Center offers a flexible benefits program to full-time and part-time employees working 20 hours or more per week. Benefit opportunities presently available to employees are listed below: Medical Insurance Dental Insurance Vision Insurance Long-Term Disability Insurance Short-Term Disability Insurance Life Insurance 403(b) Tax-Sheltered Annuity Plan Cafeteria 125 Flexible Spending Account In addition to the benefits available for purchase through the Cafeteria 125 plan, Pueblo Community Health Center offers supplemental insurance and generous paid time off benefits including holidays and personal time off (PTO). The organization also contributes to the employee's tax-sheltered annuity plan after one year of service. Job Summary: The Chief Systems Officer (CSO) is a strategic and operational leader responsible for overseeing and integrating critical support functions across the health center. The CSO leads Human Resources (HR), Compliance, Information Technology (IT), Health Information Management, Facilities, Provider Services, and organization-wide coordination for School-Based Wellness Centers. The CSO ensures systems and processes are efficient, compliant, sustainable, and aligned with the organization's mission, goals, and regulatory requirements. The CSO contributes to developing and implementing the strategic direction of the organization to achieve the Board of Directors' goals. The CSO exemplifies the organization's Core Values and has shared responsibility for a positive, service-oriented workplace culture. Education/Experience/License/Certification: Master's degree in Healthcare Administration, Business Administration, Public Health, or related field preferred. Human Resources leadership experience required. Significant senior leadership experience (e.g., 10+ years), preferably in a healthcare or community health center setting. Clinical degree (i.e., RN, LCSW, RPh) desired. Demonstrated experience managing multiple departments (HR, IT, Compliance, Facilities). Experience in Federally Qualified Health Centers (FQHCs) or understanding of HRSA, CMS, and other FQHC regulatory frameworks is highly desirable. Required Travel: Frequent travel is required, including day-to-day local travel for business meetings, community events, etc., of which some may occur during evenings and weekends. Knowledge/Skills/Abilities: 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. Strong strategic thinking and systems-minded leadership. Excellent knowledge of regulatory compliance in healthcare (e.g., HIPAA, FTCA, HRSA, CMS). Proven experience with health IT systems, EHR implementation, cybersecurity, and data governance. Sound facilities management and capital planning knowledge. Exceptional communication, organizational, and interpersonal skills. Financial acumen - ability to manage departmental budgets, capital projects, and ROI analysis. Change management experience, with ability to lead cross-functional transformation. Strong risk management and quality improvement orientation. Pueblo Community Health Center is a tobacco and drug-free workplace. EOE For more information or to apply for this position, please see our website, Pueblo Community Health Center
    $145.4k-171.1k yearly 11d ago
  • Tailored Care Management Care Manager

    Blue Ridge Health 4.1company rating

    Sylva, NC jobs

    Blue Ridge Health is currently seeking a Care Manager to be part of our Tailored Care Management Team in Western North Carolina. A newly hired Care Manager may be eligible for a sign-on bonus of up to $3,000. What We Offer You: A competitive benefits plan, including Medical, Dental and Vision Company sponsored life insurance and short and long-term disability coverage 403(b) retirement account with company matching Supplemental accident insurance available 9 paid holidays per year PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!) What You'll Do: Care Managers enhance the quality of member health management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the medical, dental and behavioral health care management of the member. Responsibilities include: Evaluate existing, new and prospective members based on their needs & desires Maintain constant communication with members while addressing their concerns and goals Responsible for the four key components that make up successful case management: Intake, Assessment, Service Planning, Monitoring and Evaluation. Compliance with regulatory bodies and in-house clinical guidelines Build rapport with members, their families and support systems while collaborating with the health care team Develop care plans for members and provide support as needed May be responsible for supervisory tasks for Care Management Extenders in concert with Care Management Supervisor What We're Looking For: A Qualified Professional with Mental Health experience is required that may include either a license, provisional license, certificate (such as a CADC), bachelor's degree (with Two - four years of experience meeting required definitions) or a Registered Nurse. Experience in care management Knowledge of care management principles and reimbursement Effective listening and communication skills Experience with psychological aspects of care Excellent organizational and time management skills Bilingual preferred Experience with Electronic Medical Records and Case Management Platforms About Blue Ridge Health: At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
    $109k-129k yearly est. Auto-Apply 7d ago
  • Tailored Care Management Care Manager

    Blue Ridge Health 4.1company rating

    Hendersonville, NC jobs

    Blue Ridge Health is currently seeking a Care Manager to be part of our Tailored Care Management Team in Western North Carolina. A newly hired Care Manager may be eligible for a sign-on bonus of up to $3,000. What We Offer You: A competitive benefits plan, including Medical, Dental and Vision Company sponsored life insurance and short and long-term disability coverage 403(b) retirement account with company matching Supplemental accident insurance available 9 paid holidays per year PTO and Personal Day accrual, starting day 1 - (We value a work-life balance!) What You'll Do: Care Managers enhance the quality of member health management, maximize satisfaction and promote cost effectiveness. The successful candidate will be accountable for the medical, dental and behavioral health care management of the member. Responsibilities include: Evaluate existing, new and prospective members based on their needs & desires Maintain constant communication with members while addressing their concerns and goals Responsible for the four key components that make up successful case management: Intake, Assessment, Service Planning, Monitoring and Evaluation. Compliance with regulatory bodies and in-house clinical guidelines Build rapport with members, their families and support systems while collaborating with the health care team Develop care plans for members and provide support as needed May be responsible for supervisory tasks for Care Management Extenders in concert with Care Management Supervisor What We're Looking For: A Qualified Professional with Mental Health experience is required that may include either a license, provisional license, certificate (such as a CADC), bachelor's degree (with Two - four years of experience meeting required definitions) or a Registered Nurse. Experience in care management Knowledge of care management principles and reimbursement Effective listening and communication skills Experience with psychological aspects of care Excellent organizational and time management skills Bilingual preferred Experience with Electronic Medical Records and Case Management Platforms About Blue Ridge Health: At Blue Ridge Health our mission is to improve Health, inspire Hope, and advance Healing through access to Compassionate, Affordable, and Quality Care. We are seeking individuals with a passion for creating an exceptional patient and client care experience to join our team! We are a nonprofit system of Federally Qualified Health Centers (FQHCs) that works closely with communities to meet the ever-changing medical and behavioral healthcare needs of individuals throughout WNC. We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
    $103k-121k yearly est. Auto-Apply 60d+ ago

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