Accountant American Group
Senior director job at HCA Healthcare
Introduction Do you have the career opportunities as a(an) Accountant American Group you want with your current employer? We have an exciting opportunity for you to join Work from Home which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Benefits
Work from Home offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
* Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
* Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
* Free counseling services and resources for emotional, physical and financial wellbeing
* 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
* Employee Stock Purchase Plan with 10% off HCA Healthcare stock
* Family support through fertility and family building benefits with Progyny and adoption assistance.
* Referral services for child, elder and pet care, home and auto repair, event planning and more
* Consumer discounts through Abenity and Consumer Discounts
* Retirement readiness, rollover assistance services and preferred banking partnerships
* Education assistance (tuition, student loan, certification support, dependent scholarships)
* Colleague recognition program
* Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
* Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Accountant American Group where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!
Job Summary
This position is responsible for the American Group Center of Excellence accurate and timely completion of hospital financial operations tasks pertaining to A/R, capital & leases, period end, internal and external reporting, budgeting, etc. under the direction of the ACE Manager. Tasks are to be completed in compliance with SOX, Internal Controls, APG and other HCA Accounting guidelines. The Accountant is required to understand their role in ensuring quality/performance improvement, productivity, and service delivery to meet stakeholder needs. This position must maintain strong and effective working relationships with all department, field and other Corporate personnel. The Accountant will need to demonstrate strong analytical skills, attention to detail, and skilled written and oral communications.
Major Responsibilities
* Prepare assigned monthly account reconciliations for all Balance Sheet accounts, with documentation to support balances. •Conduct variance analysis including explanations on financial reports, monthly actual to budget variance reports.
* Timely and accurate completion of monthly accounting close under strict deadlines including preparation and processing of assigned journal entries, statistics, allocations, and reconciliations.
* Tasks performed in compliance with established processes, key performance indicators (KPIs) and service level agreements (SLAs).
* Provide field support for tasks pertaining to overall function and respond to all requests for information for Divisions and internal Corporate departments, including Division-based operations and analysis.
* Participates in the preparation for and the coordination of internal and external audits, operating budgets, tax, applicable state reporting and Medicare work papers.
* Responds to enterprise-wide requests, researching unusual and/or significant activity, performing system queries, and producing standard and custom reports.
* Serve as a liaison between GCN and field teams for inquiries related to overall function.
* Identify and escalate process improvement or automation opportunities.
* Performs tasks in compliance with SOX, ICC and APG and other HCA Accounting guidelines.
* Maintains confidentiality, security and integrity of financial data.
* Ability to organize work independently and consistently achieve reporting deadlines.
* Ability to manage multiple tasks and projects in a fast-paced environment.
Education & Experience:
* Bachelor's degree in Accounting / Finance Required
* 2+ years of experience in Accounting / Finance Preferred
* Proficiency in Microsoft Excel Required
* Hospital, Division or Internal Audit Experience
Additional Information
* The American Group oversees several specific divisions within HCA including the Goal Coast, San Antonino, North Texas, Central West Texas and Continental divisions.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Accountant American Group opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
VP, Medical Economics
Columbus, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, AI Enablement
Columbus, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Chief Operating Officer (COO) - SSC Sarasota
Sarasota, FL jobs
The Chief Operating Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives.
As the Chief Operating Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options
**Essential Functions**
+ Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit.
+ Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow.
+ Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards.
+ Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance.
+ Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC.
+ Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness.
+ Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning.
+ Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ **This is a fully remote opportunity. Some travel will be required.**
**Qualifications**
+ Bachelor's Degree in Health Administration, Business Administration, or a related field required
+ Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred
+ More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required
+ 8-10 years Prior experience in a shared services environment preferred
+ Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred
**Knowledge, Skills and Abilities**
+ Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies.
+ Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview.
+ Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth.
+ Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders.
+ Proficiency in operational management software, data analysis tools, and Google Suite.
+ Strong financial acumen, with experience managing budgets and optimizing resource utilization.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
VP, Medical Economics
Cleveland, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Medical Economics
Akron, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Medical Economics
Cincinnati, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, Medical Economics
Dayton, OH jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Chief Operating Officer (COO) - SSC Sarasota
Remote
The Chief Operations Officer (COO), Shared Service Center (SSC) Sarasota, FL provides executive leadership to ensure operational efficiency, financial performance, and growth. This role is focused on the newly centralized Pre-Arrival Unit. The COO drives strategic initiatives, manages operational departments, and implements processes to achieve the mission and core values of the SSC. This role is responsible for establishing operational controls, reporting procedures, and people systems that align with the organization's objectives.
As the Chief Operations Officer (COO) at Community Health Systems (CHS) - Shared Service Center (SSC) Sarasota, FL, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision insurances, 401k, and a variety of other elective options
Essential Functions
Provides day-to-day leadership and management of operational departments, ensuring alignment with the SSC's mission, values, and strategic goals. This includes direct leadership over the Centralized Pre-Arrival Unit.
Drives the SSC to meet and exceed key performance indicators (KPIs), such as operational metrics, Net Revenue, Denials Rate, EBITDA, and Positive Cash Flow.
Develops, implements, and monitors operational infrastructure, including systems, processes, and personnel, to accommodate growth objectives and maintain high service standards.
Ensures the measurement and effectiveness of internal and external processes, providing timely, accurate, and comprehensive reports on the SSC's operational performance.
Leads the development, communication, and execution of growth strategies, fostering a results-oriented and accountable environment within the SSC.
Collaborates with the management team to establish plans for operational infrastructure, ensuring continuous improvement in efficiency and effectiveness.
Motivates, mentors, and leads a high-performing management team, focusing on attracting, recruiting, and retaining talent to support career development and succession planning.
Acts as a key liaison between the SSC, other corporate functions, and external partners to enhance collaboration, service delivery, and operational outcomes. Requires ability to engage in high-level, fast-paced dialogue with hospital C-suite members.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
This is a fully remote opportunity. Some travel will be required.
Qualifications
Bachelor's Degree in Health Administration, Business Administration, or a related field required
Master's Degree in Health Administration (MHA), Business Administration (MBA), or a related field preferred
More than 10 years of experience in operations management, with at least five (5) years in a senior leadership role required
8-10 years Prior experience in a shared services environment preferred
Patient Access / Pre-Arrival Unit (PAU) experience, including oversight of scheduling and insurance verification for at least 2 years strongly preferred
Knowledge, Skills and Abilities
Strong understanding of shared services operations, healthcare regulations, and performance improvement methodologies.
Ideal candidate has COO experience from a 150+ bed hospital with a PAU under their purview.
Proven strategic planning, project management, and analytical skills, with a focus on operational efficiency and growth.
Excellent communication, leadership, and interpersonal skills, with the ability to engage and influence internal teams and external stakeholders.
Proficiency in operational management software, data analysis tools, and Google Suite.
Strong financial acumen, with experience managing budgets and optimizing resource utilization.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Auto-ApplyVP, Medical Economics
Ohio jobs
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr Director of Ambulatory Service Operations
Remote
The Senior Director of Ambulatory Surgery Center (ASC) Operations is a visionary leader responsible for a portfolio of centers across a geographic region. Under the direction of the Chief Operating Officer of ASC Operations, the Senior Director of ASC Operations works collaboratively with the CHS ASC Division, CHS Corporate, Center leadership teams, CHS hospital partners, Boards, and Physicians to ensure the strategic vision and goals for each ASC are established and operationalized, resulting in exceptional financial, clinical, and quality outcomes for all stakeholders.
Essential Functions
Strategic Planning and Growth: Collaborates with each ASC in the portfolio of centers ensuring growth strategies are established and operationalized. Develops and executes innovative initiatives to enhance market share, profitability and operational excellence, resulting in centers meeting and exceeding performance targets. In partnership with CHS, works to grow ASC footprint in designated markets including performing due diligence for potential acquisitions and leading de novo and expansion projects. Coordinates onboarding of new centers.
Leadership Selection and Development: Recruits, selects, orients, mentors, coaches, and performance manages ASC Administrators for centers in the assigned region. Engages ASC leadership teams in the efficient management and continuous improvement of centers ensuring excellence in clinical, quality, and financial outcomes. Maintains an onsite presence as indicated. Functions as Interim Administrator if needed.
Governance: Actively participates in the governance structure of each ASC in the portfolio of centers including Governing Body and Partnership meetings. Develops and maintains strong, collaborative relationships with Board members and physician partners. Instills trust by consistently demonstrating professionalism and integrity. Communicates effectively and articulates complex concepts concisely. Makes sound recommendations in compliance with legal, regulatory, and accreditation requirements.
Physician Relationship Development and Marketing: Proactively develops and sustains positive relationships with physicians, physician partners, and potential new utilizers and/or investors. Works with physicians/partners to pursue new business opportunities and service lines. Addresses any concerns professionally, timely and effectively. Creates strategies to enhance physician engagement.
Financial Optimization: Has overall P&L accountability for all assigned centers. Responsible for growing the revenue and EBITDA in the portfolio of centers to meet and exceed budgeted goals. Employes financial benchmarks for evaluation of performance and development of improvement plans. Assists with creation of the annual operational budget and evaluating capital needs and potential expenditures. Utilizes tools to assess productivity, initiating improvement plans as needed to ensure appropriate levels of staffing. Provides oversight of the revenue cycle process ensuring goals are met. Leads the Monthly Operating Review (MOR) for assigned centers.
Quality and Process Improvement: Ensures the delivery of high quality, cost efficient care in assigned centers utilizing clinical benchmarking to evaluate results. Reviews clinical outcomes, collaborates with corporate and local resources as needed, assists with root cause analysis as appropriate. Supports peer review process and corrective action. Ensures CHS ASC policies and procedures are developed, reviewed, approved, and implemented. Validates federal, state and accreditation regulations, requirements, and standards are consistently met. Fully supports the Quality, Risk, Compliance, Privacy, Infection Control, Credentialing and Peer Review processes and programs.
Contractual Management: Assists Administrators with contract evaluation and execution utilizing CHS Corporate resources as appropriate including Legal, Finance, and Materials Management. Participates in RFP processes as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Nursing, Business or Healthcare Administration required
Master's Degree in job related field preferred
4-6 years experience as a ASC Administrator with 2+ years of responsibility over multiple centers required
Less than 2 years experience as a Regional Director of ASC Operations or Senior Director of ASC Operations preferred
Knowledge, Skills and Abilities
Proficiency in Microsoft Office (Excel, Word, Power point)
Licenses and Certifications
CASC - Certified Administrator Surgery Center preferred
RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred
Auto-ApplyVP, AI Enablement
Cleveland, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, AI Enablement
Akron, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, AI Enablement
Cincinnati, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, AI Enablement
Dayton, OH jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
VP, AI Enablement
Ohio jobs
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Integrations Director- Remote
Frisco, TX jobs
Responsible for working with key stake holders, operational and client leadership across the organizations to provide recommended solution proposal(s), implementation strategy/timeline, define scope, milestones and outcomes for all project types (client onboarding, acquisitions/divestitures, system implementations, optimization/stabilization and other key internal project initiatives). Will also provide direction and oversight to ensure the solution design is strategically aligned with the current and long-term goals of the key stakeholders.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* For a defined subset of strategic and complex project initiatives (e.g., new client onboarding, acquisitions, divestitures, system implementation, optimization, and stabilization) leads specific project initiatives and team members supporting project initiatives by defining, directing, and executing multiple project initiatives which are critical to the success of the company's business. Defines project team members objectives, sets priorities, and provides ongoing expertise throughout each project initiative.
* For a defined subset of strategic and complex project initiatives, defines approach and leads the implementation of continuous improvement of communication and support provided to internal and external clients during project initiatives to ensure client satisfaction and achievement of financial objectives.
* Identifies, defines, and directs the implementation of continuous improvements for increased efficiency and effectiveness of project procedures, processes, and templates to align with Conifer's "best practices".
* Develops skill sets of team members to support succession planning.
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense):
* For a defined subset of complex project initiatives capital and expense costs are equal to or below those included in the approved financial model.
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
* No. Direct Reports (incl. titles) Manager: 1-2
* No. Indirect Reports (incl. titles) Analyst: 1-2
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
* Substantial experience in defining strategies, defining approach and resource requirements, as well as leading strategic initiatives in support of the company's strategies and goals
* Substantial experience in leading teams both as direct reports and in a matrix environment with minimal direction and authority to support achievement of the company's strategies and goals
* Substantial project management experience including directing programs and directing and leading multiple projects concurrently in a matrixed environment
* Substantial experience in advanced understanding of business process outsourcing
* Substantial experience interacting with senior leadership
* Substantial experience in advanced skills in influencing, negotiation, and communication
* Substantial organizational, customer service, interpersonal, facilitation, and time management skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Bachelor's degree required (Preference for Business, Healthcare Administration) or equivalent work experience
* Master's degree preferred but not required
* PMP (PMI certified project manager) preferred but not required
* Minimum of 10 years of experience in leading complex strategic project initiatives.
* Minimum of 8 years of project management experience in a matrixed environment.
* Minimum of 8 years' experience in revenue cycle operations.
* Minimum of 5 years leading/managing project management and revenue cycle professionals
* Proficient in Microsoft excel, word, PowerPoint, Visio, SharePoint and Project
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to travel at least 50%
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* The work environment is a standard office environment.
OTHER
* No additional information needed other than what has been provided above.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $104,624.00 - $156,957.00 annually. Compensation depends on location, qualifications, and experience.
* Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Associate Director, GME Accreditation & Operations
Remote
The Associate Director, GME Accreditation & Operations supports the oversight, development, and continuous improvement of Graduate Medical Education (GME) programs. This role collaborates with corporate and facility GME leadership to ensure program compliance, quality, and operational excellence in alignment with Accreditation Council for Graduate Medical Education (ACGME) standards. The Manager may provide guidance for new and existing program accreditations, assists in implementing quality improvement initiatives, and offers training and support to GME staff.
Essential Functions
Collaborates with GME leadership to develop, implement, and refine processes and procedures across clinical and educational GME settings.
Provides guidance to facility GME leadership and program staff to ensure excellence in GME program operations and adherence to ACGME standards.
Assists in the development and accreditation of new GME programs, providing expertise and support in accreditation processes.
Leads or participates in quality improvement initiatives to enhance onboarding, training, and administrative skills for GME program staff.
Acts as a resource for GME program leadership, supporting a consistent and compliant approach across all programs.
Communicates effectively with corporate and facility GME teams, promoting collaboration and alignment on program goals and standards.
Monitors program compliance, assesses areas for improvement, and implements strategies to enhance operational efficiency and program quality.
Provides training and resources to program leaders and staff, as needed.
Performs other duties as assigned.
Complies with all policies and standards.
Qualifications
Bachelor's Degree in Healthcare Administration, Education, or a related field required
Master's Degree in Education, Healthcare Administration, Organizational Leadership, or Behavioral Science/Social Work preferred
4-6 years of experience in GME administration or healthcare program management required and
3-5 years of experience as a Program/Fellowship Coordinator at an ACGME-accredited program preferred
Knowledge, Skills and Abilities
Strong knowledge of GME accreditation standards, including ACGME requirements.
Excellent leadership and mentoring skills to guide GME administrative staff and program leadership.
Effective communication and interpersonal skills to foster collaboration and alignment across GME programs.
Analytical skills for program assessment, quality improvement, and compliance monitoring.
Ability to manage multiple priorities and adapt to changing regulatory and operational requirements.
Experience with GMETrack, ACGME ADS, Thalamus, New Innovations, and ERAS required.
Licenses and Certifications
Certification in GME administration or related area preferred
Auto-ApplyRevenue Integrity Manager- Remote
Frisco, TX jobs
Oversees professional staff responsible for managing, coordinating, and implementing Charge Description Master ("CDM") and charge capture initiatives and processes to ensure revenue management and revenue protection. Serving in a senior leadership capacity, has direct interaction and interface with internal and external executive level staff. Facilitates CDM and charge capture education; ensures adherence to government/non-government regulatory directives; ensures appropriate levels of control are established to satisfy audit/review requirements; and facilitates revenue management communications and information flow. Oversees maintenance of accurate and timely patient accounting system(s) changes/updates to sustain data integrity and to facilitate claims processing; ensures quality reviews occur to identify and minimize system errors. Plans revenue management strategies as identified in data/report analyses to ensure consistency/standardization, to identify improvement opportunities, and to facilitate appropriate knowledge transfer. Plans, prepares, and administers annual budget; develops and maintains budgetary controls; balances department needs with Conifer annual budget goals.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Serves as a resource and in a consultative role to various levels of customers; works closely and collaboratively with other internal departments.
* Manages a professional team to evaluate, review, plan, implement, and report various revenue management strategies to ensure CDM integrity; to identify charge capture improvement opportunities; resolve billing edits and to facilitate appropriate education.
* Evaluates and maintains workflow processes to ensure efficiencies; works with all personnel involved in the revenue cycle to optimize CDM interfaces, billing edit resolution and charge capture processes.
* Researches, evaluates, and interprets guidance from a variety of sources to determine department and/or facility impact and to ensure optimal revenue management; continually reviews and monitors billing and coding changes affecting CDM and charge capture processes to ensure accurate claims production, appropriate distribution of information, and to identify target areas for education.
* Provides incident management and problem resolution; views incidents and problems from a systemic perspective to determine enterprise-wide solutions; oversees implementation of recommendations and monitors results to prevent recurrence; investigates complex issues as required.
* Manages/oversees special projects and special studies as required for new clients, system conversions, new facilities/acquisitions, new departments, new service lines, changes in regulations, legal reviews, or other projects including, but not limited to:
* Oversees pricing initiatives such as strategic pricing, across-the-board increases, tiered pricing, pricing transparency; conducts interim pricing reviews and performs financial analyses for strategic initiatives.
* Manages implementation of CDM and/or charge capture corrective measures and monitoring tools to ensure sustainability of changes; reviews and monitors statistics and key performance indicators to identify improvement opportunities and ensure compliance with regulatory/non-regulatory directives.
FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense):
* This position may be required to monitor and explain expense variances to budget on a regular basis
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
* No. Direct Reports (incl. titles) Charge Review Specialist I-II, Revenue Integrity Analyst I-III, Charge Audit Specialist
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Strong interpersonal communication and presentation skills, effectively presenting information to executives, management, facility groups, and/or individuals
* Ability to present ideas effectively in formal and informal situations; conveys thoughts clearly and concisely
* Ability to respond in a professional manner to complex inquiries from various levels of personnel
* Accepts personal responsibility for the quality and timeliness of his/her work; establishes due dates for projects and assignments and meets those dates; efficiently organizes activities
* Ability to define problems, collect data, establish facts, draw valid conclusions, and make recommendations for improvement
* Adapts easily to changing conditions and work responsibilities; works well with people of vastly differing levels, styles, and preferences
* Understands external and internal drivers affecting revenue management
* Ability to read, review, analyze, and interpret a variety of state/federal regulatory information and managed care contracts and the affect on appropriate claims production including multiple patient accounting systems, clinical/order entry systems, ancillary systems, and CDM
* Ability to utilize and research various published resources, appropriate reference materials, Internet resources, seminars, and other associated information sources to continually stay abreast of changes in regulatory information
* Working knowledge in MS Office Applications (Excel, Word, Access, Power Point)
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Bachelor's degree or higher; related experience may be considered in lieu of degree
* Prior supervisory experience required
* Minimum of five years healthcare-related experience required
* Working knowledge of laws and regulations pertaining to healthcare industry required
* Prior healthcare financial experience or related field experience in a hospital/integrated healthcare delivery system required
* Prior CDM or charge capture experience required
* Consulting experience a plus
CERTIFICATES, LICENSES, REGISTRATIONS
* Applicable clinical or professional certifications and licenses such as LVN, RN, RT, MT, RPH, CPC-H, CCS highly desirable
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* While performing the duties of this job, the employee is regularly required to sit for long periods of time; use hands and fingers; reaching with hands and arms; talk and hear.
* Must frequently lift and/or move up to 25 pounds
* Specific vision abilities required by this job include close vision
* Some travel required
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Normal corporate office environment
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
* Pay: $81,952.00 - $122,907.00 annually. Compensation depends on location, qualifications, and experience.
* Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Management time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Integrations Manager- Remote
Frisco, TX jobs
Responsible for the management of several small to medium concurrent initiatives. Will work with key stakeholders, clients, and operation to ensure all key project milestones and timelines are achieved. ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
* Manages multiple concurrent small to medium size project initiatives (e.g., new client onboarding, acquisitions, divestitures, system implementation, optimization/stabilization and internal initiatives) which support the company's strategic goals
* Implements continuous process improvements for project initiatives policies, procedures, and processes to align with Conifer's "best practices"
* Implements continuous improvement of communication and support provided to internal and external clients during project initiatives to ensure client satisfaction and achievement of financial objectives
* Develops skill sets of team members to support succession planning
INANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense)
* For project initiatives, capital and expense costs are equal to or below those included in the approved financial model.
SUPERVISORY RESPONSIBILITIES
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
No. Direct Reports (incl. titles) 1 - 3 Analysts
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Knowledgeable in defining approach and resource requirements for projects,
* Knowledgeable in leading teams both as direct reports and in a matrix environment with minimal direction
* Project management experience including directing and leading multiple projects concurrently
* Knowledgeable in understanding of business process outsourcing
* Knowledgeable in and has developed influencing, negotiation, and communication skills
* Knowledgeable and experienced in organizational, customer service, interpersonal, facilitation, and time management skills
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
* Bachelor Degree required (Preference for Business or Healthcare Administration) or equivalent work experience
* PMP (PMI certified project manager) preferred but not required
* Minimum of 5 years of project management experience in a matrixed environment
* Minimum of 5 years experience in revenue cycle operations
* Minimum of 2 years supervisory experience or 2 years managing resources in a matrixed environment
* Proficient in Microsoft Excel, Word, PowerPoint, Visio, SharePoint and Project
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Ability to travel at least 20-50%
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* The work environment is a standard office environment.
OTHER
* No additional information needed other than what has been provided above.
Compensation and Benefit Information
Compensation
* Pay: $72,509 $108,763 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, life, and business travel insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
* 401k with up to 6% employer match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: *****************************
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
**********