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Director Of Case Management remote jobs - 119 jobs

  • Telephonic Case Manager RN Medical Oncology

    Unitedhealth Group 4.6company rating

    Remote job

    The Telephonic Case Manager RN in Medical Oncology provides remote nursing support by coordinating patient care, educating members, and ensuring adherence to treatment plans. This role involves assessing patient health, identifying barriers, and connecting patients with necessary resources to improve health outcomes. Working primarily via telephone, the position requires strong clinical expertise, communication skills, and proficiency in healthcare technology systems. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're making a solid connection between exceptional patient care and outstanding career opportunities. The result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population with education, advocacy and connections to the resources they need to feel better and get well. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Apply today! The Telephonic Case Manager RN Medical/Oncology will identify, coordinate, and provide appropriate levels of care. The Telephonic Case Manager RN Medical/Oncology is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. This is a full-time, Monday - Friday, 8am-5pm position in your time zone. You'll enjoy the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Make outbound calls and receive inbound calls to assess members current health status Identify gaps or barriers in treatment plans Provide patient education to assist with self-management Make referrals to outside sources Provide a complete continuum of quality care through close communication with members via in-person or on-phone interaction Support members with condition education, medication reviews and connections to resources such as Home Health Aides or Meals on Wheels This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. Solid computer and software navigation skills are critical. You should also be solidly patient-focused and adaptable to changes. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in state of residence Active Compact RN License or ability to obtain upon hire 3+ years of experience in a hospital, acute care or direct care setting Proven ability to type and have the ability to navigate a Windows based environment Have access to high-speed internet (DSL or Cable) Dedicated work area established that is separated from other living areas and provides information privacy Preferred Qualifications BSN Certified Case Manager (CCM) 1+ years of experience within Medical/Oncology Case management experience Experience or exposure to discharge planning Experience in a telephonic role Background in managed care *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Keywords: telephonic case management, oncology nurse, patient education, care coordination, medical management, healthcare advocacy, remote nursing, chronic disease management, UnitedHealth Group, RN license
    $45k-52k yearly est. 2d ago
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  • Patient Care Manager, Hybrid RN

    Optum 4.4company rating

    Remote job

    Explore opportunities with Apex Home Healthcare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. In the Patient Care Manager RN Hybrid role, you are responsible for the supervision and coordination of clinical services and provide and direct provisions of nursing care to patients in their homes as prescribed by the physician. You will coordinate and supervise an interdisciplinary team of staff to assure the continuity of high-quality care to home health patients assigned to your team's area in accordance with the physician-prescribed plan of care, and all applicable state and federal laws and regulations. Hybrid in MN/DC. (Recruiter to confirm 4 day a week schedule): This position follows a hybrid schedule with four in-office days per week. Hybrid anywhere else (details provided by recruiter): This position follows a hybrid schedule with three in-office days per week. Primary Responsibilities: Directly/indirectly supervises home health aides and LPNs, provides instruction, and assigns tasks Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team Completes comprehensive assessments (OASIS), medication reconciliation, and initial/comprehensive nursing evaluation visits. Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted RN licensure in state of practice Current CPR certification requirements Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client Preferred Qualifications: Home care experience Able to work independently Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annual ly based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $58.8k-105k yearly 2d ago
  • Director Case Management - Aetna Better Health of Oklahoma - RN

    CVS Health 4.6company rating

    Remote job

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The Director of Care Management is a key member of the Aetna Better Health of Oklahoma leadership team. This role oversees the implementation and execution of the strategic and operational business plan for clinical operations. The Director ensures compliance with Oklahoma regulatory requirements while delivering holistic, cost-effective, bio-psychosocial care to members through care management and coordination services. The Director Case Management reports to the Senior Principal Clinical Leader. This is a fully remote role but may require onsite meetings. Eligible candidates must live within a one-hour commute to Oklahoma City. Position Responsibilities Lead the clinical team to ensure timely health risk screenings, comprehensive assessments, care plan development, and member interventions in alignment with Aetna Better Health Risk Stratification Framework and Oklahoma contractual requirements. Develop and manage clinical operations to improve clinical and financial outcomes, member engagement, satisfaction, and adherence to best practices and standards. Serve as liaison with regulatory and accrediting agencies and other health business units. Formulate and implement strategies to achieve departmental metrics and provide operational direction. Integrate care coordination and case management with core business functions, including claims, member services, compliance, quality, utilization management, and provider services. Support quality improvement initiatives and oversee successful implementation. Direct enhancements to business processes, policies, and infrastructure to improve clinical operational efficiency. Develop and evaluate policies and procedures to meet business needs. Implement and monitor business plans and oversee transitions impacting clinical operations. Collaborate with internal teams and corporate areas to ensure workflow processes and interdependencies are addressed. Analyze program performance and clinical outcomes to inform decision-making. Promote a clear vision aligned with company values; set challenging objectives and motivate teams to achieve results. Communicate effectively with internal and external stakeholders in both written and oral formats. Evaluate and interpret data to monitor staff performance, ensure regulatory compliance, and develop new programs and processes. Assess team development needs and implement action plans to build high-performing teams. Conduct administrative duties in accordance with established standards for team management. Required Qualifications Active and unrestricted Oklahoma Registered Nurse (RN) license Minimum 10 years of clinical practice experience At least 5 years of management or clinical leadership, including oversight of case management leaders 5 years of case management experience Managed care experience (Medicaid strongly preferred; commercial or Medicare experience acceptable) 3+ years of proficiency with personal computer use, keyboard navigation, and MS Office Suite Nationally recognized case management certification (required or must be obtained within 90 days of employment) Education Master's degree or equivalent experience (BSN preferred) Pay Range The typical pay range for this role is: $99,420.00 - $214,137.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/07/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $99.4k-214.1k yearly Auto-Apply 17d ago
  • Director - Utilization Management & Case Management (remote) RN

    Healthcare Strategies, Inc. 4.5company rating

    Remote job

    We are a nationally recognized healthcare management organization with over 40 years of experience delivering innovative, high-quality clinical solutions. Our mission is to improve member health outcomes by identifying risk, promoting treatment compliance, and delivering personalized care. Position Summary The Director of Utilization Management & Case Management provides strategic and operational leadership for UM and LCM programs. This role is responsible for driving clinical excellence, regulatory compliance, process improvement, and team performance while partnering with senior leadership, clients, and sales to support continued growth. Key Responsibilities Lead and manage UM and LCM teams, fostering high performance and professional development Ensure compliance with URAC standards and applicable state regulations Drive process improvement, efficiency, and automation initiatives Serve as clinical and operational SME for business development and new product launches Collaborate cross-functionally with Sales, Client Services, Clinical, and IT teams Support client relationships, reporting reviews, and strategic planning Participate in sales presentations and client meetings as needed Qualifications Bachelor's degree in healthcare, business, or related field Clinical background with healthcare leadership experience Progressive management experience in healthcare operations Experience working with senior leadership and external clients Experience in utilization management and case management Experience with self-funded groups and InterQual criteria preferred Strong communication, analytical, and leadership skills Ability to travel as needed (approximately 10%) Compensation & Benefits Competitive salary based on experience Comprehensive benefits package including medical, dental, vision, 401(k), PTO, and more Join Our Team If you are a strategic, results-driven healthcare leader ready to make an impact, we invite you to apply.
    $58k-83k yearly est. Auto-Apply 6d ago
  • Medical Field Case Manager

    Enlyte

    Remote job

    At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Enjoy the perfect balance of remote work and meaningful field visits in this flexible role. Central Illinois area residency required as you'll travel throughout the region (up to 200 miles/4 hours round trip) to provide personalized care for clients. This position offers professional autonomy while building valuable connections with patients across diverse healthcare settings throughout Central Illinois. Join our compassionate team and help make a positive difference in an injured person's life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will: * Demonstrate knowledge, skills, and competency in the application of case management standards of practice. * Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan. * Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational. * Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient. * Work with employers and physicians to modify job duties where practical to facilitate early return to work. * Evaluate and modify case goals based on injured/disabled person's improvement and treatment effectiveness. * Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively. * Complete other duties, such as attend injured worker's appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned. Qualifications * Education: Associates Degree or Bachelor's Degree in Nursing or related field. * Experience: 2+ years clinical practice preferred. Workers' compensation-related experience preferred. * Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills. * Certifications, Licenses, Registrations: * Active Registered Nurse (RN) license required. Must be in good standing. * URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC). * Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography. * Internet: Must have reliable internet. Benefits We're committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,000 - $83,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don't meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles. #LI-MC1 Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers' Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager
    $70k-83k yearly 9d ago
  • Medical Case Management Manager

    Allied Benefit Systems 4.2company rating

    Remote job

    The Medical Case Management Manager (Manager, Enhanced Case Management (ECM)) leads the development, delivery, and continuous improvement of the ECM program, ensuring high quality care coordination and advocacy for member with complex health needs. This role provides direct leadership and mentorship to the ECM team, evaluates and enhances departmental workflows, and fosters strong internal and external partnerships through exceptional communication and relationship building skills. The Manager maintains expertise in self funded benefits administration and government programs such as Medicare and Medicaid to guide members in understanding and optimizing their available coverage options. In addition to managing a limited caseload, the position addresses client inquiries, resolves member escalations, and collaborates with organizational leadership to strengthen program strategy, performance, and impact. ESSENTIAL FUNCTIONS Develops and directly manages Enhanced Case Management Advocates and Supervisors, while providing indirect oversight to the Case Managers through supervisory staff. Monitors department dashboards and conducts case audits to ensure teams consistently meet or exceed quality standards and KPIs. Fosters a collaborative, continuous improvement environment and supports staff in resolving challenges and enhancing performance through constructive, supportive feedback. Engage with the Client Management and Value Team to offer insight related to high-dollar claimants and provide a clear explanation of ECM strategies, efforts, and impact. Identify members from our ASO Self-Funded and Co-Sourcing Partially Self-Funded Clients based on current medical condition(s), future claim costs, and current financial assessment for Enhanced Case Management evaluation and identify strategic solutions. Maintain continuous knowledge of Medicare, Medicaid, and other government programs, including application processes, eligibility criteria, dual eligibility, and coordination of benefits (COB). Identify trends and opportunities to collaborate with Medical Management leadership to enhance processes and strategies to improve quality, efficiency, and outcomes. Manage a case load of high-complexity members to support their needs, evaluate coverages and offer resources. Promotes an environment of continuous improvement and collaboration and assists in troubleshooting and resolving escalated challenges quickly by utilizing an empathetic approach. Coordinate with Client Management and other internal departments to answer questions and resolve client challenges. Assist in selecting and building the right teams to meet long-term talent planning needs and achieve business goals. Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent. Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed. Actively engage, coach, counsel and provide timely, and constructive performance feedback. Performs other related duties as assigned. EDUCATION Bachelor's degree or equivalent work experience required. EXPERIENCE AND SKILLS At least 5 years of Case Management experience, preferably from a third-party administrator, carrier, or within the healthcare industry required. At least 3 years at a supervisor level and successfully demonstrated leadership competencies required. Demonstrated expertise in Medicaid, Medicare, eligibility processes, and coordination of benefits. Experience managing teams of employees with a variety of backgrounds and tenure. Ability to monitor and prioritize multiple deadlines and projects simultaneously. Experience reading, analyzing, and reviewing organizational metrics and data, preferred. Comfortable managing competing priorities and guiding others in a fast-paced environment. Excellent written and verbal communication skills with the ability to influence cross-functionally and present to clients/leadership Proven experience building training programs, conducting audits, and providing structured feedback. POSITION COMPETENCIES Accountability Communication Action Oriented Timely Decision Making Building Relationships/Shaping Culture Customer Focus PHYSICAL DEMAND This is a standard desk role long periods of sitting and working on a computer are required. WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!
    $42k-61k yearly est. 11d ago
  • Case Management Supervisor RN

    Corvel Healthcare Corporation

    Remote job

    Job Description The Case Management Supervisor is responsible for directing the operations of their designated department, which may include one or more of the following functions: human resources, customer service, and limited sales management. This is a remote position. ESSENTIAL FUNCTIONS &RESPONSIBILITIES: Responsible for directing a designated group of employees in their day-to-day operations Responsible for quality of service provided Responsible for human resources matters directly related to department supervised Requires regular and consistent attendance Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) May be required to travel overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be responsible for limited marketing and sales activities May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN) For Supervisors who are not RN's, the clinical oversight and direction will be performed by a designated RN with a nationally recognized certification. This could be a case management supervisor, another manager or local executive May perform case management responsibilities (dependent on whether or not unit manager is an RN for medical case management activities or qualified for vocational case management) Additional duties as required KNOWLEDGE & SKILLS: Ability to write and speak clearly, easily communicating complex ideas across multiple platforms Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc. Ability to skillfully manage multiple, complex projects and competing priorities concurrently while working under pressure to meet deadlines and maintaining strong customer service orientation Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Must have technical knowledge of the laws, policies, and procedures in defined territory Strong interpersonal, time management and written communication skills Great attention to detail, and results focused EDUCATION/EXPERIENCE: Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor of Science degree or Bachelor of Science in Nursing preferred) Current RN licensure in state of operation 3 or more years of recent clinical experience, preferably in rehabilitation National certification (CRC, CIRS, CCRN, CVE, CCM, etc.), CCM preferred Demonstrated experience in management or supervision PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $76,207 - $117,662 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote
    $29k-55k yearly est. 28d ago
  • Principal Manager, Generation Asset Management

    Southern California Edison 4.2company rating

    Remote job

    Join the Clean Energy Revolution Become a Principal Manager, Generation Asset Management at Southern California Edison (SCE) and build a better tomorrow. In this role, you'll lead a team that is responsible for all non-nuclear assets in the Southern California Edison (SCE) portfolio. The asset management team provides plant engineering, asset optimization, work management, and asset management functions for over 1300 MW of thermal, 1000+ MW of hydro, and 500+ MW of battery storage facilities. This team ensures maximum value from the Generation portfolio by optimizing maintenance, upgrades, and operation across all Generation assets. Your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future? **Responsibilities** + Leads efforts to drive innovative grid policy, architecture and technology roadmap development and implementation under aggressive deadlines to transform how the grid is planned, designed, operated and maintained to operationalize company's strategy. Responsible for annual strategies for ~$1 billion annually + Reviews and approves large impactful engineering processes and standards to ensure efficiency and quality, utilizing a variety of strategies and ensures appropriate resources are dedicated to the successful implementation of cutting-edge technologies + Documents goals, communicates direction, and delegates initiatives that design, development, and implementation of engineering projects in alignment with organizational goals and industry standards + Prepares testimony and may be a witness in GRC proceedings on behalf of SCE + Leads the development and execution of long-term strategic plans for the engineering department, aligning with the overall business strategy and objectives and key maintenance and engineering objectives + Develops and maintains KPIs to measure and track engineering department performance and project success + Ensures appropriate support is provided to the implementation of engineering standards, procedures, and best practices to optimize project outcomes + Develops and manages the engineering department budget, ensuring resources are allocated effectively to meet project needs and financial targets + A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity. **Minimum Qualifications** + Seven or more years of experience supervising a team of direct reports and/or project management. + Experience performing engineering work in operations, production, construction or maintenance environments. Preferred Qualifications + Bachelor's degree in Mechanical Engineering + Master's degree in Business Administration + California P.E License + Experience managing a portfolio of capital projects including risk ranking and project governance + Experience leading asset engineers to evaluate and optimize asset value + Experience leading and developing multi-year strategy at an OU level to improve performance and/or reduce costs + Experience with market operation and dynamics for energy and capacity + Experience with function and operation of thermal, hydro, and battery storage facilities Additional Information + This position's work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days. Unless otherwise noted, employees are required to work and reside in the state of California. Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs. + Visit our Candidate Resource (************************************************************ page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more! + Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. + The primary work location for this position is Rosemead, CA. + Position will require up to 20% traveling and being out in the field throughout the SCE service territory. + Relocation does not apply to this position. About Southern California Edison The people at SCE don't just keep the lights on. Our mission is so much bigger. We're fueling the kind of innovation that's changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you'll have a chance to grow personally and professionally, making a real impact in Southern California and around the world. Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran status. We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at **************.
    $113k-143k yearly est. 9d ago
  • Manager, Asset Management

    Silicon Ranch Corporation 4.2company rating

    Remote job

    Silicon Ranch is a fully integrated provider of customized renewable energy, carbon, and battery storage solutions for a diverse set of partners across North America. We are known for putting community partnerships first, and are the only renewable energy company in the U.S. that owns and operates all of its solar ranches and has a 100% track record for successful delivery. We have the largest utility scale agrivoltaics portfolio in the country under Regenerative Energy , our nationally recognized holistic approach to project design, construction, and land management. Our model incorporates regenerative ranching and other regenerative land management practices to restore livelihoods and soil health, biodiversity, and water quality. Through our subsidiary, Clearloop, we are able to help businesses of all sizes reclaim their carbon footprint with a direct investment in building new solar projects while also helping bring renewable energy and economic development to distressed communities. By joining Silicon Ranch, you will be joining a team of experienced and dedicated individuals who have proven time and again that it is indeed possible to not only “make solar do more”, but to make the promise of carbon-free, renewable energy that benefits people right where it comes from a tangible, measurable, and replicable reality. Silicon Ranch is committed to creating a diverse and inclusive workplace that is reflective of the communities in which we work and serve. We are an equal opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. Job Description Position: Manager, Asset Management Location: Remote Overview: This role is responsible for ensuring the safe, compliant, and optimized operation of the company's utility-scale renewable energy portfolio. This role's top priority is to oversee Health, Safety, Security, and Environmental (HSSE) performance, maintain regulatory and contractual compliance, and drive performance to meet or exceed production and financial targets of their assigned assets. The manager also ensures all contractual obligations with counterparties, service providers, and stakeholders are met in a timely and accurate manner. In addition, this position plays a key role in managing internal reporting, budgeting, and administrative processes to support strategic decision-making. The role requires close coordination with Operations & Maintenance (O&M) teams, Engineering, and other internal departments or external vendors to resolve challenges and implement performance improvement initiatives. Strong organizational skills and the ability to balance urgent operational needs with long-term planning are essential for success in this position. Main Responsibilities: Act as the single point of accountability for the commercial operation and performance of assigned assets. Prioritize daily activities to maximize revenue generation and financial performance of assigned solar and/or BESS assets. Monitor day-to-day operations of assigned assets across multiple locations and ensure projects are operating at or above expected levels. Lead resolution of asset-related outages utilizing internal and external resources effectively to minimize safety and financial impacts. Serve as the primary point of contact for O&M providers, landowners, and local utilities. Oversee maintenance schedules, issue resolution, and warranty claims. Track and assist with development of project budgets, operating expenses, and all existing project revenue streams. Ensure compliance with PPAs, land leases, interconnection agreements, and other key contracts, as required. Develop and deliver monthly and quarterly performance reports for stakeholders and investors, providing independent analysis and presenting actionable insights. Ensure all projects meet local, state, and federal regulatory requirements. Lead the onboarding process and maintain revenue maximization efforts for new projects transitioning from project delivery to asset management at the achievement of commercial operation. Coordinate with development, construction, legal, and finance teams to ensure all project documentation, contracts, and data are transferred accurately at designated Stage/Gate milestones. Ensure accurate setup of asset data in asset management platforms. Collaborate with development, engineering, and operations teams to plan and execute the integration of BESS into existing solar or hybrid assets. Collaborate with various teams to identify opportunities for asset optimization and risk mitigation. Support senior management in development and implementation of strategic asset management plans to improve asset performance. Qualifications: 5-7 years of professional experience, with strong preference for background in Solar/BESS, financial analysis, project management, or related fields. Bachelor's Degree in Engineering, Science, Mathematics, or Finance preferred, but not required. Excellent verbal and written communication skills, with a proven ability to convey complex information clearly. Results-driven professional with strong problem-solving skills, integrity, and a solid work ethic. Proactive and adaptable, excelling in fast-paced, dynamic environments. Agile in navigating organizational change while maintaining focus on priorities. Proven collaborator, fostering effective partnerships with peers, leadership, and vendors. Resourceful and persistent, consistently achieving objectives with professionalism. Advanced skills in Microsoft Suite, proficiency in PowerPoint & Excel, MS Power Platform (Apps, Automation, and BI). Preferred, prior working experience with GreenPowerMonitor, QuickBase, Softwrench/Maximo, or similar project management software. Ability to travel up to 15% Our interview process: A typical interview process at Silicon Ranch might include the below stages. Please note that we may make changes to these steps as needed, and details will be provided to you early on in the process. Introductory Interview with our recruiter Hiring Manager Interview to dive into technical skills and behavioral questions Panel Interview to assess cross-functional skills and dive deeper into technical skills Executive Interview to answer high-level questions about SRC and the team
    $52k-101k yearly est. Auto-Apply 10d ago
  • Manager Transaction Management (On-site)

    Newrez

    Remote job

    Exceed the expectations of our residential mortgage borrowers & business partners through superior service, simple processes, and effective communications. We deliver on this mission by empowering our employees by encouraging and recognizing superior performance and innovative solutions, by promoting teamwork and divisional cooperation. Primary Function Manager Transaction Management position is responsible for management and support of Newrez/Shellpoint's mortgage purchase, whole loan sale and/or securitization transactions. This position manages and coordinates multiple complex processes to maximize the success of each loan acquisition or sale transaction and to ensure they are able to close on time. The ability to successfully manage internal and external relationships is a vital skill for this role. The position requires experience with residential mortgage bulk and flow whole loan transactions and public / private securitization transactions. This position has a high level of interaction with internal parties (secondary, sales, warehouse lending, servicing) as well as external parties including loan sellers/lenders, loan investors, broker dealers, and warehouse providers. The Manager Transaction Management will support credit and compliance loan reviews against Investor and Company requirements and provide recommendation for loan disposition decisions. Direct Reports: ☒ Yes ☐ No If yes, list what positions report into the role. * Transaction Coordinator Principal Duties: * Coordinate transaction related functions and requirements with internal and external stakeholders (Sellers/Lenders, Investors, Broker Dealers, Vendors, and internal departments). * Coordinate and support loan deliveries to whole loan investors and GSEs including data, loan files, and collateral. * Manage loan review transaction timelines with internal and external parties to ensure timely settlements and review of loan diligence and custodial review within service level expectations. * Evaluate loan due diligence results, assess validity of stipulations, make loan disposition decisions, escalate as appropriate with internal stakeholders, resolve stipulations with sellers/investors/internal stakeholders, and prepare diligence status summaries. * Support and review various investor guidelines for competitive analysis and salability. * Complete validation and quality checks of required data reports, validation of data provided by third party reviewers, vendors, and sellers. * Track and resolve collateral exceptions and certifications with third party custodians. * Build and maintain relationships with sellers, investors, and vendors. * Provide reporting and analytics on trades, due diligence, and counterparties. * Perform personnel managerial duties such as goal setting and tracking, performance monitoring and coaching, ensuring associate engagement, and other typical managerial duties. * Performs related duties as assigned by management. * These essential functions are fundamental to the role, and must be performed on-site, as they cannot physically be performed remotely. In addition, the Company has determined that an in-person presence is important to critical components of our work, including oversight, training, collaboration, and productivity. Items not marked (*) as essential on-site may still require partial on-site work to perform the role satisfactorily. Education and Experience * Bachelor's degree, in business, marketing, communications or other relevant field. * 6-8 years of mortgage industry experience. Knowledge, Skills, and Abilities * Ability to handle a large degree of internal and external diplomacy as well as understanding of perspective from various stakeholders. * Ability to listen effectively and communicate ideas concisely. * Knowledge of mortgage banking, secondary markets, whole loan transactions and securitizations, GSE and private investor guidelines. * Ability to engage individuals and groups to surface essential requirements information. * Interpersonal skills, to help negotiate priorities and to resolve conflicts among appropriate stakeholders. * Ability to critically evaluate the information gathered from multiple sources, reconcile differing views, decompose high-level information into details, and abstract up from low-level information to a more general understanding, and distinguish user requests from the underlying true needs. While this description is intended to be an accurate reflection of the position's requirements, it in no way implies/states that these are the only job responsibilities. Management reserves the right to modify, add or remove duties and request other duties, as necessary. By applying to this position candidate acknowledges that this is not a remote role and is required to be on-site. Additional Information: While this description is intended to be an accurate reflection of the position's requirements, it in no way implies/states that these are the only job responsibilities. Management reserves the right to modify, add or remove duties and request other duties, as necessary. All employees are required to have smart phones that meet Company security standards with the ability to install apps such as Okta Verify and Microsoft Authenticator. Employment will be contingent on this requirement. Company Benefits: Newrez is a great place to work but we are only as strong as our greatest asset, our employees, so we believe in rewarding them! * Medical, dental, and vision insurance * Health Savings Account with employer contribution * 401(k) Retirement plan with employer match * Paid Maternity Leave/Parental Bonding Leave * Pet insurance * Adoption Assistance * Tuition reimbursement * Employee Loan Program * The Newrez Employee Emergency and Disaster Fund is a new program to support our team members Newrez NOW: * Our Corporate Social Responsibility program, Newrez NOW, empowers employees to become leaders in their communities through a robust program that includes volunteering, philanthropy, nonprofit grants, and more * 1 Volunteer Time Off (VTO) day, company-paid volunteer day where all eligible employees may participate in a volunteer event with a nonprofit of their choice * Employee Matching Gifts Program: We will match monetary employee donations to eligible non-profit organizations, dollar-for-dollar, up to $1,000 per employee * Newrez Grants Program: Newrez hosts a giving portal where we provide employees an abundance of resources to search for an opportunity to donate their time or monetary contributions Equal Employment Opportunity We're proud to be an equal opportunity employer- and celebrate our employees' differences, including race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, and Veteran status. Different makes us better. CA Privacy Policy CA Notice at Collection
    $56k-112k yearly est. Auto-Apply 13d ago
  • Geriatric Care Manager

    Metrowest Eldercare Management

    Remote job

    Benefits: Job you will love Fulfilling work Rewarding Career Supportive Environment Make a difference for your clients In Demand The Care Manager is responsible for providing quality professional care management services to all clients and their responsible parties. Our objective is to assist our clients in managing and navigating challenges in aging as well as Adults with physical and mental disabilities and providing the highest quality of life. This includes: Care Coordination Managing home health aides Medical oversight Interfacing with medical personnel Advocacy, information and referrals Qualifications: Professional and positive approach, commitment to customer service Self-motivated and work with own initiative Strong in building relationships, team player and able to communicate at all levels Recognizes industry trends and problem solves Respectful of company and client confidentiality; any violation of company or client confidence is immediate grounds for dismissal. Personalized and compassionate service - focusing on the individual client's wants and needs. Ability to provide non-directive guidance and facilitate constructive relationships. Ability to ensure inappropriate placements, duplication of services, and unnecessary hospitalizations are avoided. Manage time efficiently. Ability to provide coordinated communication between family members, doctors and other professionals, and service providers. This is a remote position. Aging Life Care Professionals offer a holistic, client-centered approach to caring for older adults or others facing ongoing health challenges. Working with families, the expertise of Aging Life Care Professionals provides the answers at a time of uncertainty. Their guidance leads families to the actions and decisions that ensure quality care and an optimal life for those they love, thus reducing worry, stress and time off of work for family caregivers through: Assessment and monitoring Planning and problem-solving Education and advocacy Family caregiver coaching This business is independently owned and operated. Your application will go directly to the business, and all hiring decisions will be made by the management. All inquiries about employment at this business should be made directly and not to Aging Life Care Association.
    $69k-124k yearly est. Auto-Apply 60d+ ago
  • Director, Cyber and Information Security - Operational Resiliency & Crisis Management

    Point32Health

    Remote job

    Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health. Job Summary The focus area for this Director will be leading the organization's ability to effectively respond to and recover from events that result in interruption of Point32Health's business operations. In this role, the Director Cyber & Information Security will be focused on leading a team responsible for: • Developing and implementing a strategy and practices that will ensure that the organization is prepared for events that may result in extended interruption of technology systems, applications, or business operations. • Setting requirements and providing education to business and technology stakeholders about their roles in supporting the organization's business continuity, disaster recovery, and incident/crisis management disciplines. • Development, maintenance, and adoption of a single incident/crisis management framework across the organization - all hazard/threat types. • Ensuring that the organization's business continuity and disaster recover procedures/playbooks remain up-to-date • Leading tabletop and simulation exercises to help ensure preparedness and to proactively identify and address opportunities for improvement. • Anticipate the impact of core systems, applications, facilities, and vendor relationships being unavailable and implement plans that will reduce the impact of those events. The Director, Cyber & Information Security, will report into the Chief Information Security Officer (CISO) for Point32Health. The Director leads Cyber & Information Security managers and/or security leaders to oversee and help to ensure that core programs are effectively implemented. This role is integral in driving the organization's Cyber & Information Security strategy and objectives. The Director, Cyber & Information Security is considered a leader within the IT Department and is expected to work collaboratively to identify, influence, and enhance areas of improvement across the organization. Job Description Manage a team of managers/senior leaders responsible for overseeing the core pillars of Cyber & Information Security Develop and implement policies, standards, and guidelines that continuously increase the organization's Cyber & Information Security program maturity Communicate potential security concerns/exposures with recommended improvements Lead communication and collaboration efforts with the business and IT to ensure quality solutions are delivered Evangelize the objective to embed security behaviors and principles into the Point32Health culture through active engagement, education, awareness, and partnership Develop operational excellence in anticipation and response to evolving threats and opportunities to improve cyber and information security Identify business risk and communicate risk to appropriate leadership Collaborate with stakeholders to define and implement technical and non-technical controls designed to cyber risk objectives and legal / regulatory obligations. Maintain the risk repository to continually identity, prioritize, and mitigate cyber and information security related risk issues Participate in various forums and groups across Point32Health to understand the risk environment and to provide recommends that effectively incorporate security objectives while balancing the business impact of recommendations provided Facilitate adoption of leading security practices to remain in compliance with regulations and to support our continuous monitoring and improvement goals Maintain up-to-date knowledge of the cyber and information security industry, including awareness of new or revised security capabilities, improved security processes, threat scenarios, trends, etc. Identify/recommend tools, processes, software, and protocols to advance or replace current security practices, services, or technologies to meet strategic objectives. Other duties and projects as assigned. Salary Range $188,000.00 -$282,000.00 Compensation & Total Rewards Overview The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company's sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: Medical, dental and vision coverage Retirement plans Paid time off Employer-paid life and disability insurance with additional buy-up coverage options Tuition program Well-being benefits Full suite of benefits to support career development, individual & family health, and financial health For more details on our total rewards programs, visit *********************************************** We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact TA_****************************
    $188k-282k yearly Auto-Apply 60d+ ago
  • Manager of IT Asset Management (Remote)

    Jobgether

    Remote job

    This position is posted by Jobgether on behalf of a partner company. We are currently looking for a IT Asset Management Manager - REMOTE. In this role, you'll play a pivotal role in shaping and executing strategies that optimize the lifecycle management of IT assets. You will be defining the business vision for IT Asset Management, driving alignment across global teams, and collaborating with technology leaders to develop world-class solutions. As the head of the ITAM function, your leadership will inspire a high-performing team and ensure that all IT assets are managed effectively and responsibly throughout their lifecycle.Accountabilities Own the ITAM Product: Take end-to-end ownership of the IT Asset Management product, shaping its vision, strategy, and execution. Collaborate on the ITAM Roadmap: Partner with Engineering, Product, and cross-functional teams to define, prioritize, and deliver on the ITAM product roadmap. Design & Implement ITAM Strategy: Execute a comprehensive IT asset management program, including policies and processes. Lead & Develop a Team: Mentor and grow a team of IT Asset Management professionals. Maintain Asset Inventory: Ensure accurate tracking of all IT assets and implement monitoring processes. Drive Compliance: Set and enforce standards for proper licensing and configuration of assets. Leverage Technology & Analytics: Optimize tools for asset tracking and use analytics to identify cost-saving opportunities. Promote Best Practices: Develop training materials on ITAM policies. Continuous Improvement: Conduct audits to identify gaps and drive ongoing improvements. Be a Key Partner: Serve as the primary contact for stakeholders on IT asset matters. Stay Ahead: Follow industry trends and best practices to innovate within the ITAM program. Requirements Bachelor's degree in IT, Business Administration, or a related field (or equivalent experience). 7+ years of IT asset management experience, including at least 4 years in a leadership role. Deep expertise in ITAM principles: asset lifecycle management, inventory control, and compliance. Proven ability to implement ITAM policies across diverse teams. Proficiency with IT asset management tools and systems. Excellent communication and leadership skills; able to influence stakeholders. Relevant certifications (e.g., CITAM, CSAM, CISA) are a plus. Benefits Competitive salary range of $150K - $300K based on experience and market indicators. Flexible compensation structure with options for salary versus stock. Opportunities for professional growth and development. Remote work flexibility. Inclusive company culture valuing diversity and collaboration. Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.#LI-CL1We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
    $66k-130k yearly est. Auto-Apply 3d ago
  • QAPI Clinical Service Ln Mgr (RN) Partial Remote (Sealy Heart & Vasc. Inst. - Galveston)

    UTMB Health 4.4company rating

    Remote job

    **Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2505590 **Minimum Qualifications:** Bachelor degree in Nursing, Healthcare Administration or related clinical program field Eight (8) years of experience directly related to quality/performance improvement functions within a healthcare setting: **LICENSES, REGISTRATIONS OR CERTIFICATIONS** Required: Valid state of Texas Professional Nursing (RN) license or clinical program professional registration Preferred: Six Sigma Green Belt or Certified Professional in Healthcare Quality (CPHQ) certification **JOB DESCRIPTION** Scope: The QAPI Manager, Clinical Services is a designated member of the clinical team and is responsible, under the guidance of the Department Administrator, for overseeing and continually evaluating the effectiveness of the operational components of the QAPI plan including metric development and selection, data capture, data analysis, opportunity identification, and ongoing operational survey readiness for all regulatory bodies. They are responsible for independently implementing initiatives aimed at improving quality outcomes. Function: This individual is tasked with developing and maintaining the QAPI program and an educational framework that ensures all clinical programs and other hospital department staff have knowledge of new and existing regulatory requirements related to quality and patient safety. They will serve as the key liaison during survey activities. They will also serves as advisor and subject matter expert in Joint Commission, CMS, Texas Department of Health and Services and other regulatory agency standards and policies. The manager oversees staff that aid in developing and implementing new programs aimed at improving or maintaining departmental effectiveness and efficiency, and reviews identified opportunities for improvement. This individual supervises designated support staff. **ESSENTIAL JOB FUNCTIONS** **Quality:** + Oversees all collaboration with medical staff and operational leadership to facilitate evidence-based quality and patient safety initiatives; engages associates at all levels in continuous pursuit of improvement opportunities. + Provides project management and facilitation, as well as, oversight and support for key functions and processes for the systematic, coordinated, and continuous improvement of patient care delivery. + Ensures quality and performance improvement initiatives are aligned with regulatory standards and healthcare best practices and reporting of quality outcomes and performance improvement initiatives. + Ensures the integration of aggregate data into performance improvement planning and problem resolution. + Monitors the use of statistical process tools and process improvement methodologies used to ensure continuous improvement in patient care and outcomes. + Evaluates the relationship of quality and performance improvement initiatives with patient outcomes to determine if desired results have been achieved or sustained. + Compares performance data and outcomes with authoritative external sources and benchmarks. + Organizes and leads relevant task forces or work groups, for reviewing evidenced based literature/benchmarks, and suggesting revisions/additions to the indicators for monitoring and evaluation of quality, regulatory and accreditation goals and objectives + Prioritizes and sets strategic direction for improvement efforts based on alignment with health system and transplant program goals, as well as, clinical performance with regard to patient safety and pro-active reduction of risk. + Directs communication with hospital clinical risk management to identify adverse events, communication of the events to the transplant program leadership and staff, and provide oversight during the root cause analysis and improvement remediation processes related to these events. **Regulatory Readiness:** + Responsible for independently developing and implementing initiatives supporting compliance with accreditation, licensure and regulatory standards for the service line program. Establishes and implements programs to assess state of readiness for surveys, focusing upon continual preparation. + Monitors internal compliance with survey readiness program and presents findings and recommendations for improvement. + Key liaison during survey visits/activities and post-survey follow-up activities. Prepares and coordinates responses to regulatory agencies on corrective action plans, inquiries, and other requested information. + Guides and coordinates policy/practice review to ensure alignment with regulatory and accrediting standards, best practices, and evidence-based practice. + Continually reviews and monitors Joint Commission data and changes in interpretations; communicates new or modified regulatory standards as appropriate; makes recommendations to ensure compliance. + Serves as the subject matter expert and resource for Joint Commission accreditation standards and accreditation requirements specific to transplant programs. **Management and Consultative:** + Serves as program management representative in system or facility performance improvement, regulatory readiness and/or quality teams. Builds mutual trust and encourages respect and cooperation among team members to support movement from current state of practice to desired state of practice, address and mutually resolve issues. + Supervises support staff performance and clarifies work expectations, and defines goalsetting; promotes and mentors cooperation among individuals and groups. + Develops and implements processes through orientation, training and education to ensure that the competence of staff members is assessed, maintained, improved and demonstrated throughout their employment. **Marginal or Periodic Functions:** -Performs related duties as assigned in alignment with business needs **KNOWLEDGE/SKILLS/ABILITIES** + Sound working knowledge of concepts, practices, and procedures related to quality improvement functions specific to clinical program supporting. + Demonstrated knowledge and expertise in the application of advanced quality tools and methodologies. + Strong facilitation skills with proven ability to plan, implement, coach and assist others in performance improvement measures. + Strong technical ability in basic business software and power automation such as PowerBI, PowerApps, Excel, PowerPoint, Word. Technical skill in database software such as Access and statistical analysis software such as Minitab, STATA and SPSS. + Experience with Joint Commission, state licensure and CMS Conditions of Participation survey process and regulatory compliance. + Demonstrated capability in facilitating a collaborative approach to compliance with regulatory standards. + Ability to consult and negotiate in situations that are controversial and/or sensitive that result in mutual decisions. Ability to exercise discretion in what and how to communicate. + Ability to read and interpret complex statutes and regulations and apply knowledge to manage compliance risk exposure. + Demonstrated ability to manage by influence in a consultative role that does not have direct authority. + Strong professional, organizational, and interpersonal skills required for effective and creative leadership in working with all levels of the organization. + Ability to lead and motivate individuals and groups toward the accomplishment of organizational goals. + Possesses good analytical and problem solving skills. Demonstrates a high level of organizational skills to establish and manage priorities and maintain follow-up. **Salary** Commensuratewith experience $92,080 - 119,700. **Equal Employment Opportunity** UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation
    $92.1k-119.7k yearly 60d+ ago
  • Clinical Manager, Navigation Service Delivery

    Rightway 4.6company rating

    Remote job

    ROLE We're looking for a Clinical Manager, Navigation Service Delivery & Innovation. This individual will lead our team of Clinical Health Guides (registered nurses) who help our members navigate their healthcare needs, e.g., clinical triage, education, clinical guidance, treatment decision support, condition support, and overall well-being, in driving more informed healthcare consumers, improving clinical outcomes, and reducing overall healthcare costs. This manager is accountable for the day-to-day management of the clinical navigation business group, leading and motivating a team of Clinical Health Guides to deliver impactful, timely, accurate, and high-touch concierge-level clinical guidance to our members. The Manager is responsible for delivering against operational KPIs, driving quality, handling resolution of member/client escalations, and overall support of their team operating in our Rightway omnichannel contact center environment. This manager, in collaboration with delivery leadership, will work cross-functionally, collaborating across the organization to drive clinical operational innovation, clinical outcome impact, and product efficiency. This includes supporting our customer success team with client-facing reporting of clinical insights and impact, as well as clinical/point solution vendor assessment and partnership oversight. RESPONSIBILITIES Lead, motivate, coach, and mentor your team of Clinical Health Guides to deliver world-class concierge-level clinical guidance in a care navigation contact center environment. Support team with complex clinical navigations (member encounters) and offer clinical insight, guidance, and support. Leaning in to support with medical navigations and other workflows as needed during peak season or as needed based on volume and staffing. Escalation management, including resolving member issues, root cause analysis, developing solutions, and communicating resolution plans to key stakeholders and clients as needed. Interview, hire, onboard, train, audit, and ensure team member adherence to Rightway care navigation model, triage and clinical protocols, and use of clinical tools, e.g., 5-Minute Consult, ClearTriage, compliance with policies, procedures, and regulations (HIPAA, etc.). Assign, review, and monitor employee workload to ensure the timely and accurate completion of member interactions. Conduct weekly coaching sessions, quality reviews, and performance evaluations. Perform daily, weekly, and monthly reviews of performance analytics to drive member experience, identify process improvements, and otherwise manage the business. Develop, update, and maintain Standard Operating Procedures. Develop evidence-based clinical protocols and workflows. Serve as the internal primary clinical point of contact and subject matter expert for the organization (Account Mgmt., Product, Data & Analytics, Sales, etc.) Support new/renewing client launches. Work collaboratively in cross-functional teams to drive operational and product improvements, growth, and efficiency through partnerships with the navigation leadership, PBM delivery team, CMO, product, and data/analytic teams. Supports the client success team with client requests and needs requiring clinical expertise. Supports the client success team, as needed, with client quarterly business reviews in providing clinical insights and impact for their population. Responsible for evaluating strategic clinical partner vendors as well as oversight and management of our clinical vendor partners, e.g., after-hours nurse line, telemedicine, etc. REQUIREMENTS Must have a Registered Nurse or Advanced Practice Registered Nurse active, valid license, and must have a multi-state/compact license. This candidate should have experience as a nurse manager, program administrator, and in running clinical programs. Experience developing and executing on public health and/or population health strategies and programs. Demonstrated and direct nurse management experience or equivalent experience required. Disease Mgmt and/or Case Mgmt program experience is highly desirable. Candidates must have at least 5 years of experience with direct patient care. Strong and demonstrated coaching and mentoring skills with a passion for developing and growing team members. High level of Emotional Intelligence (EQ). Growth-oriented, coachable with a focus on continued professional growth and development. Requires a flexible work schedule, including evenings and weekends as needed Strong team-building, collaboration, and motivational skills. Ability to effectively influence and communicate with all levels of the organization, with excellent written and verbal communication skills. Builder and self-starter who is willing to develop SOPs, drive innovation, product recommendations, address operational gaps, and continuously look for ways to improve the business and member experience. Highly organized, with experience in project management, creating roadmaps, and executing with accountability. Ability to multitask in a fast-paced environment. Requires experience managing data and deriving insights. SALARY: $100,000 - $125,000 Offer amounts for both remote and in office roles are influenced by geographic location. CYBERSECURITY AWARENESS NOTICE In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from *************************** email domain. We will never ask for bank details or deposits of any kind as a condition of employment. ABOUT RIGHTWAY: Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them. Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We're headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We're seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values: 1) We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to-and hear-each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding. 2) We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems. 3) We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team. 4) We cultivate grit Changing healthcare doesn't happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity. 5) We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members' care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members' success. Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.
    $100k-125k yearly Auto-Apply 16d ago
  • Manager, Clinical Operations - Full Service CRA Line Manager (Home-Based in Western US )

    Syneos Health, Inc.

    Remote job

    Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives. Discover what our 29,000 employees, across 110 countries already know: WORK HERE MATTERS EVERYWHERE Why Syneos Health * We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program. * We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people. * We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong. Job Responsibilities Core Responsibilities * Line management of Clinical Operations staff, responsibilities including interviewing and selection, termination, professional development, performance appraisals, and employee counselling May be involved in assignment of project work and will review workloads for all direct reports. Manages staff by establishing goals that will increase knowledge and skill levels, and by delegating tasks commensurate with skill level. * Review workload for all staff in reporting chain, participate in managing the resource availability for the assigned staff, providing support that projects are suitably resourced and staffing needs are identified in a timely fashion. * Provide expert operational oversight and guidance to support prioritization of activities, review and monitor the work performed, metric compliance, and development of contingency plans, among others. * Assist in recruiting new staff, including participation in interview process and new hire on boarding. Proactively work to ensure staff retention and turnover rates remain within expected levels. * Ensure quality and adherence to Standard Operating Procedures/Work Instructions (SOP/WIs) and compliance with federal and local guidelines and ICH GCP. Ensure all staff follow required training and complete required documentation. Provide regular updates to management accordingly. * Work closely within appropriate business unit/region to ensure staff performance on studies and correct deficiencies as identified by staff, customers, and auditors. Able to contribute to BU level process improvements. May provide business development support. * May conduct several types of sign off and assessment visits to ensure Clinical Operations on-site performance. Develop and oversee training plans to address performance deficiencies. Ensure staff adhere to training guidelines, training records maintenance, and individual and corporate training needs are identified and addressed. * Organize and chair clinical staff meetings at regular intervals. Manage issues and provide follow up for action items requiring resolution. * Facilitate and support project and team/country reviews with Clinical Operations staff, focusing on budget, schedule, and risk analysis. Use department systems, reports, and dashboards to identify performance issues, process gaps and monitor overall performance progress in line with departmental goals and metric targets. Oversee all quality control efforts of assigned teams. Qualifications * Bachelor's degree in life sciences, nursing degree, or equivalent related experience, plus extensive clinical research experience in a contract research organization, pharmaceutical or Biotechnology Company, including some time in a leadership capacity or equivalent combination of education, training and experience is required. * Extensive knowledge of GCP/ICH guidelines and other applicable regulatory requirements * Excellent communication, presentation, interpersonal, and change management skills, both written and spoken, with an ability to inform, influence, convince, and persuade. * Strong time management, technical and organizational skills. Ability to work independently and within a team environment. * Knowledge of basic financial concepts as related to forecasting and budgeting. Understands project budgets. * Must demonstrate good computer skills and be able to embrace modern technologies. * Ability to travel as necessary (up to 25%) At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements. Salary Range: The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. *************************** Additional Information Tasks, duties, and responsibilities as listed in this are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job. Summary Accountable for and provides management support and direct supervision to Clinical Operations staff in the assigned areas including Site Selection support, site contracts support, regulatory/ethics submissions, site activities including site activation as well as On-Site Monitoring and/or Central Monitoring through Study Close Out. Provides training, consultation and oversees metric compliance and quality related to operating activities of assigned staff to ensure project deliverables are met. Collaborates and oversees Clinical Operations Team to ensure fulfillment of customer requirements and compliance with related regulations. Supports senior management in operational level planning. May participate in business development presentations as a subject matter expert in Clinical Operations functions within the Company.
    $60k-97k yearly est. 15d ago
  • Head of Enterprise Architecture (Managing Director), Evernorth Health Services (Hybrid)

    Cigna Group 4.6company rating

    Remote job

    We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a “keep-the-lights-on” role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. Key Outcomes (first 12-18 months) North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams. Key Responsibilities Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale. Qualifications 10+ years in enterprise architecture/technology strategy experience. Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale. Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP). Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). Systems thinker who balances ideal-state architecture with real-world execution. Nice to Have Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership. Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns. Leadership Competencies Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $81k-98k yearly est. Auto-Apply 60d+ ago
  • Head of Enterprise Architecture (Managing Director), Evernorth Health Services (Hybrid)

    Carepathrx

    Remote job

    We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a "keep-the-lights-on" role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. Key Outcomes (first 12-18 months) * North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. * Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. * AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. * Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. * Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. * Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams. Key Responsibilities * Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. * Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. * AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. * Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. * Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. * Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale. Qualifications * 10+ years in enterprise architecture/technology strategy experience. * Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) * Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale. * Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). * Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP). * Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. * Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). * Systems thinker who balances ideal-state architecture with real-world execution. Nice to Have * Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). * Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership. * Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns. Leadership Competencies * Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $56k-89k yearly est. Auto-Apply 37d ago
  • Manager Clinical Service, Regulatory Division

    Q-Centrix 3.6company rating

    Remote job

    We're super into the work we do and the community we've built and think you might be, too. Q-Centrix is the largest exclusive provider of clinical data management solutions to acute care hospitals. A market disruptor and innovator, Q-Centrix believes that there is nothing more valuable than clinical data as it is critical in delivering safe, consistent, quality healthcare for all. Bringing together deep expertise across providers, clinical knowledge, data and software, Q-Centrix provides an integrated approach that can redefine and streamline the data management and real-world application process for the healthcare industry, thereby enabling increased efficiency and exciting new solution opportunities. Providing the industry's first Enterprise Clinical Data Management (eCDM™) platform, Q-Centrix utilizes its market-leading software, the largest and broadest team of clinical data experts, a modern-stack software and reporting data structure, and best practices from its 1,200+ hospital partners to securely extract, curate, structure, and enhance clinical data at the highest quality level. The resulting high quality structured clinical data is then utilized to support reporting demands, drive improved care delivery, meet financial and operational needs, enable population health workflows and power broad research use cases. Its solutions cover a breadth of clinical segments, including cardiovascular, oncology, infection prevention, trauma and real-world data applications. Q-Centrix's platform enables its partners to access valuable clinical information that may otherwise be trapped across multiple workflow systems and clinical information platforms. Q-Centrix is positioned for continued growth as they integrate new capabilities and business lines. Job Summary: Under the direction of a Senior Manager, the Manager of Clinical Services, Regulatory manages and directs the day-to-day activities of a Clinical Services Operations team, ensuring we meet the statement of work requirements outlined for each assigned facility. Essential Functions: Leadership and People Management of abstractors, including onboarding, coaching and performance management Actively assist or coordinate initiatives to obtain maximum abstractor efficiency Provide operational analysis of teams, including report generation on overall client deliverables Partner with Senior Manager to proactively manage revenue and margin for your portfolio of projects, and pursue improvement efforts as needed Collaborate with Project Management team on new project implementations. Ensure CSL & CDL have a clear understanding of the scope of work and support resolving barriers Support consistency of products and services delivered to clients across all projects Required Abilities, Education, and Skills: Bachelor's degree in operations management, business, or a healthcare field 2-3 years of experience managing projects, leading team operations Proven leadership experience that has made an impact on people management and operational process Excellent communication skills; written and verbal Excellent ability to delegate responsibilities while maintaining organizational control of team operations and client services Eagerness to maintain high levels of client satisfaction through management of staffing, workflow process and quality Maintains a high degree of responsibility in keeping PHI secure and confidential per corporate compliance policies Proficiency with MS Office (Microsoft Excel) Preferred Abilities, Education and Skills: 1+ years of experience managing staff Clinical abstraction experience Supervisory Responsibilities: Directly supervise and coach team members In partnership with the CSL, ensure workloads are balanced across each team member Manage all administrative functions related to people management including review of Q-Apps worklogs, timecard approval, time off request approval, etc. Supervise team members' performance utilizing productivity and quality assessments and monitoring adherence to organizational and client policies/ procedures to ensure compliance Support and mentor CSL & CDL Complete performance enablement processes, including goal setting and performance appraisals for team members working on assigned facilities in collaboration with Leadership Increase team member engagement and retention through on-going coaching and feedback, ensuring each team member has professional development opportunities and is recognized for their accomplishments Foster an inclusive work environment, ensuring team members are valued for diversity of thought/bringing new ideas and encouraging collaboration In partnership with People Team, identify and manage performance concerns In partnership with Talent Acquisition, interview candidates and finalize hiring recommendations Other duties as needed Work environment/Physical Demands: Continuous sitting and fine manipulation. Travel Requirements: Travel to Corporate meeting optional and highly encouraged Work Authorization: Legally able to work in the United States without sponsorship Total Rewards: At Q-Centrix, our purpose-safer, consistent, quality healthcare for all-drives everything we do. To accomplish this important work, we aim to attract, engage, and retain a talented team by offering a compelling, equitable rewards package. This includes an inclusive culture, a flexible work environment, learning and development opportunities, and robust benefits that support both health and financial wellness. In addition, our supportive community fosters collaboration, learning, growth, and enjoyment, making Q-Centrix a place where meaningful work and a positive work experience go hand in hand. It's no wonder we've earned the Great Place to Work distinction multiple years in a row! The target salary range for this role is $78,000 - $85,000 plus an annual bonus targeted at 10% of the individual's annual salary. An individual's salary within this range is based on multiple factors including but not limited to skills, experiences, licensure, certifications, and other business and organizational considerations. The annual bonus payout may be higher or lower than target, dependent on individual and company performance and is considered variable pay. In addition to our inclusive and innovative working environment and comprehensive compensation package, team members enjoy: Robust benefits package including medical, vision, dental, health savings accounts, company paid short- and long-term disability, employee assistance program, paid parental leave, life insurance, accident insurance, and other voluntary benefit programs for employees and their eligible dependents. 401(k) retirement plan with a company match. Opportunities for professional development. Commitment to Diversity, Equity, Inclusion and Belonging: At Q-Centrix, we hire people who love learning, value innovation, and believe in our purpose of safer, consistent, quality health care for all. We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive. We employ people based on the needs of the business and the job, and their individual professional qualifications. Here's what does not impact our employment decisions: race, religious creed, religion, color, sex, sexual orientation, pregnancy, parental status, genetic information, gender, gender identity, gender expression, age, national origin, ancestry, citizenship, protected veteran or disability status, health, marital, civil union or domestic partnership status, or any status or characteristic protected by the laws or regulations in locations where we operate. If you are an individual with a qualified disability and you need an accommodation during the interview process, please reach out to your recruiter. Candidate Privacy Statements
    $78k-85k yearly Auto-Apply 6d ago
  • Manager, Clinical Operations - Full Service CRA Line Manager (Home-Based in Western US )

    Syneos Health Clinical Lab

    Remote job

    Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for. Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives. Discover what our 29,000 employees, across 110 countries already know: WORK HERE MATTERS EVERYWHERE Why Syneos Health We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program. We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people. We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong. Job Responsibilities Core Responsibilities Line management of Clinical Operations staff, responsibilities including interviewing and selection, termination, professional development, performance appraisals, and employee counselling May be involved in assignment of project work and will review workloads for all direct reports. Manages staff by establishing goals that will increase knowledge and skill levels, and by delegating tasks commensurate with skill level. Review workload for all staff in reporting chain, participate in managing the resource availability for the assigned staff, providing support that projects are suitably resourced and staffing needs are identified in a timely fashion. Provide expert operational oversight and guidance to support prioritization of activities, review and monitor the work performed, metric compliance, and development of contingency plans, among others. Assist in recruiting new staff, including participation in interview process and new hire on boarding. Proactively work to ensure staff retention and turnover rates remain within expected levels. Ensure quality and adherence to Standard Operating Procedures/Work Instructions (SOP/WIs) and compliance with federal and local guidelines and ICH GCP. Ensure all staff follow required training and complete required documentation. Provide regular updates to management accordingly. Work closely within appropriate business unit/region to ensure staff performance on studies and correct deficiencies as identified by staff, customers, and auditors. Able to contribute to BU level process improvements. May provide business development support. May conduct several types of sign off and assessment visits to ensure Clinical Operations on-site performance. Develop and oversee training plans to address performance deficiencies. Ensure staff adhere to training guidelines, training records maintenance, and individual and corporate training needs are identified and addressed. Organize and chair clinical staff meetings at regular intervals. Manage issues and provide follow up for action items requiring resolution. Facilitate and support project and team/country reviews with Clinical Operations staff, focusing on budget, schedule, and risk analysis. Use department systems, reports, and dashboards to identify performance issues, process gaps and monitor overall performance progress in line with departmental goals and metric targets. Oversee all quality control efforts of assigned teams. Qualifications Bachelor's degree in life sciences, nursing degree, or equivalent related experience, plus extensive clinical research experience in a contract research organization, pharmaceutical or Biotechnology Company, including some time in a leadership capacity or equivalent combination of education, training and experience is required. Extensive knowledge of GCP/ICH guidelines and other applicable regulatory requirements Excellent communication, presentation, interpersonal, and change management skills, both written and spoken, with an ability to inform, influence, convince, and persuade. Strong time management, technical and organizational skills. Ability to work independently and within a team environment. Knowledge of basic financial concepts as related to forecasting and budgeting. Understands project budgets. Must demonstrate good computer skills and be able to embrace modern technologies. Ability to travel as necessary (up to 25%) At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements. Salary Range: The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. Get to know Syneos Health Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients. No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health. *************************** Additional Information Tasks, duties, and responsibilities as listed in this are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.
    $60k-90k yearly est. Auto-Apply 16d ago

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