Senior Director jobs at HCSC - 64 jobs

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryInterpret and describe BCBS products and financial arrangements as well as those provided by competitors. Interact with BCBSA and member plans. Required Job Qualifications: * Bachelor Degree and 5 years' experience underwriting small and/or large accounts and dealing directly with key customers, consultants and/or brokers OR 6 years of experience underwriting small and/or large accounts and dealing directly with key customers, consultants and brokers. * 3 years of underwriting of higher complexity cases (if responsibility includes one or more of the following segments: large/major/national/and or special accounts (Labor Union, Student Health, IL Hospital, Co-operatives, Private Exchange, etc.) or OR Demonstrated capability to meet required job responsibility. * Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions. * Operational knowledge of renewal and prospective group health underwriting processes and procedures. * Knowledge of underwriting methodologies including mathematical and financial group health underwriting funding. * Extensive experience applying consortium procedure and pricing (if applicable). * Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions. * Work management skills in prioritizing and assigning work and project assignments. * Demonstrated highly effective Presentation skills for addressing customers and senior management. * Demonstrate skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff. * Project management skills and experience, including designing and leading projects. * Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience. * Interact with BCBSA and member plans. * Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. * Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships. * Independent judgment and problem resolution skills. * Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines. * PC proficiency to include Word and Excel. * Successfully demonstrated skills and experience in presenting to external clients. * Process management and process improvement experience and skills to identify and implement process changes. Preferred Job Qualifications: * Pharmacy Underwriting experience * Experience leading pharmacy underwriters Please note that this role is HYBRID with an in-office requirement of 3 days a week #LI-LK1 #LI-Hybrid #INJLF Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$100,000.00 - $180,700.00 Exact compensation may vary based on skills, experience, and location.

A leading healthcare organization seeks an Executive Director for their Medicare Part D Actuarial function, based in Chicago, IL. In this role, you will lead the actuarial strategy, oversee bid development, and provide financial management for Medicare products. The ideal candidate will possess a strong background in actuarial science, extensive leadership experience, and exceptional communication skills. This position offers a comprehensive benefits package and professional development opportunities. #J-18808-Ljbffr

A leading health service provider in Washington is seeking an experienced Associate Director of Finance Data Management to support configuration control, data management, and deficiency reporting. This role requires strong collaboration across teams to establish data architecture and adherence to compliance standards. The ideal candidate should have a Bachelor's degree and extensive operational experience within Finance, coupled with a solid understanding of data manipulation and ERP systems. This position also includes a competitive salary and bonus incentives. #J-18808-Ljbffr

A leading healthcare company is seeking a Director - Automations & Efficiencies to lead innovative projects aimed at enhancing operational effectiveness. This role involves overseeing automation initiatives in a healthcare environment, managing strategic partnerships, and improving processes through advanced technologies. The ideal candidate has significant experience in healthcare payer operations, RPA technologies, and cross-functional leadership. This position offers flexibility to work remotely from anywhere within the U.S. #J-18808-Ljbffr

Provide care management, as part of a multi-disciplinary care team, that includes care coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care and needed support, administering/coordinating implementation of interventions. Support and enable members to manage their physical, environmental and psycho-social concerns, understand and appropriately utilize their health plan benefits and remain safe and independent in their home or current living environment in collaboration with health care providers. Provide Care Management services to identified high risk members within the community, including but not limited to Physician Practices, Retail Centers/Neighborhood Care Centers, and members' homes. Coordinate and provide care that is safe, timely, effective, efficient and member-centered to support population health, transitions of care, and complex care management initiatives. Engage with the most complex members of the health plan with the goal of improving health care outcomes and appropriate and timely utilization of services across the continuum of care. Assist the entire Care Management interdisciplinary team in managing members with Care Management needs. Principal Accountabilities * Assess and evaluate the needs of our most complex members, acting as the clinical coordinator collaborating with members, caregivers, providers, multi-disciplinary team, and health care and community resources through a variety of assessments to identify areas of (medical, financial, environmental, health insurance benefit, psycho-social, caregiving) concerns and potential gaps in care utilizing the most appropriate resources to support members' needs. * Identify appropriate goals, strategies and interventions that may include referrals, health education, activation of community-based resources, life planning, or program/agency referrals based on areas of concern. * Develop, communicate and evaluate medical management strategies and interventions including potential for alternative solutions to ensure high-quality, cost-effective continuum of care with the member, caregiver, provider(s) and multidisciplinary team. * Include member and family as appropriate. * Engage actively with the member PCP / designee. * Engage with the member in support of their treatment team to identify and establish attainable goals that positively impact clinical, financial, and quality of life outcomes for member. * Work collaboratively with all stake holders to ensure knowledge of the action plan, including participation in telephonic and face-to-face case conferences when appropriate. * Assess the needs of members and align them with the appropriate member of the care team (wellness team, registered dietitian, social worker, community health workers). * Act as the member's advocate and liaison by completing or facilitating interventions with providers and/or private, non-profit, and governmental agencies. * Ensure that all Care Management processes and reporting are compliant with all applicable federal and state regulations, and NCQA and company standards. * Participate in delegation collaboration activities, as required. * Research evidence-based guidelines, medical protocols, provider networks, and on-line resources in making care management recommendations. * Enter and maintain documentation in the Electronic Medical Records System (EMR), meeting defined timeframes and performance standards. * Maintain an understanding of Care Management principles, program objectives and design, implementation, management, monitoring, and reporting. * Actively participate on assigned committees. * Attend and complete all department-mandated training as well as satisfy educational in-service requirements. * Perform other related projects and duties as assigned. * Provide ongoing monitoring, evaluation, support and guidance to the coordination of the member's health care. * Develop, implement and coordinate plan of care and facilitate members' goals. * Coordinate interdisciplinary team tasks and activities, with the goal of maintaining team performance and high morale. Qualifications * Bachelor's degree * RN required, with current active RN license * CCM certification preferred * Certification in utilization or care management preferred * 4 - 6 years of clinical experience * Organization/prioritization ability; and the ability to effectively manage a caseload of highly complex members * Support an integrated care model tapping into appropriate resources both internally and external to the organization * Experience in case management/care coordination, managed care, and/or utilization management * Strong communication skills (verbal, written, presentation, interpersonal) * Trained in the use of Motivational Interviewing techniques * Experience working in medical facility or practice and/or with electronic medical records * Computer proficiency: MS Office (Word, Excel, Powerpoint, Outlook); mobile technology (wireless phone/laptop, etc.) * System user experience in a highly automated environment * Bilingual ability (verbal, written) * Strong cross-group collaboration, teamwork, problem solving, and decision-making skills * Ability to work a flexible schedule (evenings, weekends and holidays) to meet member and/or caregiver and departmental scheduling needs Additional Information * Requisition ID: 1000002876 * Hiring Range: $68,040-$118,800

Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: Director of Business Process Transformation 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role The Director of Business Process Transformation is accountable for driving the transformation of key Finance business processes to achieve the Finance Modernization Strategic Plan targets. Key processes include FP&A, Finance Data Office, Controllership, Record to Report, Operations Finance, Tax, Treasury, and other financial functions, with a focus on achieving measurable quality, cost, delivery, and scalability improvements. This role requires a dynamic and strategic thinker with deep experience leveraging Lean, Six Sigma, and business transformation best practices to drive top quartile performance in finance. The ideal candidate will possess a high degree of business acumen in interacting with cross-functional teams and executive leaders, excellent communication skills, and a proven track record of finance business transformation leadership. As Director of Business Process Transformation, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Drive Process Optimization: Work cross-functionally to define and document existing current state end-to-end finance process maps for identified key finance processes across the organization (many of which start outside of finance). Critically assess current processes and business challenges, needs, and gaps, and identify opportunities for efficiencies and improvements through root cause analysis. Lead process mapping workshops, kaizen events, and value stream mapping to support team alignment and problem solving and drive improvements. Develop end-to-end solutions to optimize processes, reduce costs, and strengthen controls, based on Lean Six Sigma methodology and industry best practices for financial processes including outsourcing, shared services, automation, and other efficiency improvements. Document future state process maps and maintain and update process documentation. Drive transformation, as needed, in people, process, data, and technology with cross-functional teams. Approach all aspects of the role with a continuous improvement framework, identifying and mapping key business processes and taking a holistic view. Executive Collaboration & Stakeholder Engagement: Build strong relationships with senior leaders and stakeholders across functions to ensure alignment, buy-in, and support throughout the process changes. Change Agent: Act as a key voice for change, helping to engage and align teams around achieving the Finance Modernization transformation goals and performance metrics. Risk & Readiness Assessment: Conduct impact analyses and readiness evaluations to identify potential risks and develop mitigation strategies. Coaching & Strategic Advisory: Keep abreast of industry best practices and emerging technologies in business process improvement and transformation. Serve as a thought leader to executive and senior leaders on best practices to optimize financial processes. Project Management: Drive overall cross-functional project management of the process transformation initiatives, including managing project plan, deliverables, owners and due dates, RAIDE Register (Risks, Assumptions, Issues, Dependencies, and Escalations), etc Your Skills and Expertise To set you up for success in this role from day one, Solventum requires the following qualifications: Bachelor's degree or higher in Business Administration, Finance, Accounting or related discipline 12 or more years of experience in management of financial processes and/or business process transformation of financial processes Certified Lean Six Sigma Master Black Belt with demonstrated experience driving global finance business process transformations leveraging tools and techniques for mapping and analyzing processes such as value stream mapping and Kaizen Proven track record of driving successful business process transformation initiatives with high impact results and working collaboratively in cross-functional teams, with preference on global organizations and enterprise-wide transformations Additional qualifications that could help you succeed even further in this role include: Strong analytical skills with demonstrated ability to analyze complex processes, identify root causes of problems, and develop data-driven solutions Strong and effective strategic and problem solver with the ability to both recognize and anticipate problems and interpret and summarize data to aid management in achieving strategic and operational goals Excellent leadership, communication, presentation, and interpersonal skills, with ability to work collaboratively with executive and senior leadership and effectively build business relationships and influence without authority as part of a matrix organization Demonstrated ability to translate solutions into viable action plans at a global level Experience working cross-functionally and cross-culturally in support of business processes and/or systems Results oriented, hands-on, and able to roll-up their sleeves to drive completion of necessary tasks Self-motivated, high energy, respectful, honest, hard-working and loyal team member Work location: Remote - United States Travel: May include up to [25%][domestic/international] Relocation Assistance: No Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Applicable to US Applicants Only:The expected compensation range for this position is $211,600 - $290,950, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate's relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: *************************************************************************************** of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the terms.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This highly visible position is responsible for directing AI business strategy, products planning and execution, governance, and learnings, with a significant impact on setting and advancing AI goals within the organization. **Job Responsibilities:** + **AI Opportunity Identification and Prioritization** : Collaborate with Strategy and business leadership to identify and prioritize AI opportunities that align with organizational goals; lead team to support AI business case development + **AI Product Management** : Oversee the AI product management function to ensure the successful delivery of qualified AI opportunities, driving innovation and value creation. + **Value Metrics and Capture** : Support the quantification and capture of value for AI initiatives, ensuring alignment with business objectives and demonstrating ROI. + **AI Governance** : Manage the AI governance function to ensure responsible and compliant delivery of AI solutions, adhering to ethical standards and regulatory requirements while streamlining the processes. + **AI Learning and Development** : Define and execute an AI learning and development strategy for the enterprise in coordination with HR, preparing the workforce for AI-enabled future state of operations. + **Executive Leadership Discussions** : Lead the creation of content for executive leadership discussions to support decision-making and progress against AI strategy. + **Cross-Divisional Representation** : Represent the VP on cross-divisional and corporate committees related to AI initiatives. + **Team Leadership** : Build, lead, and develop the relevant AI teams, ensuring alignment with corporate values and fostering a high-performance culture. + **Relationship Management** : Maintain and grow a set of cross-functional relationships, particularly at the senior and executive leadership levels, to achieve AI goals and outcomes. **Required Job Qualifications:** + Bachelor degree / Master's Degree / MBA and 12 years of healthcare industry experience or 5 years consulting experience at a top tier consulting firm, preferably in AI or technology sectors. + 5 years of people management experience. + **Strategic Skills** : Strong skills in strategy development, planning, and implementation, particularly in AI or technology-driven environments. + **Business Case Development** : Ability to translate AI opportunities into compelling business cases and conduct cost-benefit analyses. + **Analytical Skills** : Ability to lead quantitative and qualitative analysis, generate insights, and make strategic recommendations. + **Problem Solving** : Strong critical thinking and problem-solving abilities, particularly in complex and rapidly evolving AI contexts. + **Project Management** : Experience managing complex projects, particularly those involving AI technologies. + **Interpersonal Skills** : Ability to build strong relationships and work effectively across a matrixed environment. + **Communication** : Advanced communication skills, including verbal, written, and visual, with the ability to engage with senior executives. + **Team Development** : Experience in leading and developing team members, fostering a culture of innovation and continuous improvement. + **Budget Management** : Overseeing budgets and resource allocation for AI initiatives. **Preferred Job Qualifications:** + Advanced degree such as MBA, MHA, MD, JD, or PhD. + Experience in the healthcare industry, especially the health insurance sector. **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $161,500.00 - $299,700.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

The Senior Director, Affordability Strategy will serve as a leader responsible for shaping the affordability roadmap across the national ancillary and payment integrity teams at Cigna Healthcare. This role seeks an experienced strategist with deep healthcare expertise, capable of influencing executive decision-making and driving the ideation, design, and oversight of new affordability initiatives and solutions that align with enterprise and Cigna Healthcare organizational goals. The ideal candidate will bring a consulting-grade toolkit, strong analytical and financial acumen, and a proven ability to operate at the intersection of innovation, business strategy, financial and operational execution. The role will also be responsible for comprehensively looking at the provider and payer landscape to identify and drive innovative approaches to address medical and admin cost trends, provider behavior, billing behavior, and improve health plan operations. Responsibilities Strategic Leadership & Execution * Drive annual strategic refresh cycles, including 3-year outlook planning and initiative prioritization * Defines reimbursement policies and tactical goals and objectives; directs strategy execution * Assists affordability leadership in defining short and long-term strategic needs, and work through multi management levels to track plan progress and execution * Identify emerging trends impacting medical costs to inform new program and product development * Serve as a strategic advisor to Cigna Healthcare senior affordability, clinical and operational leadership, translating enterprise and organizational priorities into actionable initiatives * Act as a catalyst for change, positioning the Cigna Healthcare affordability and payment integrity team as a leading program help with value creation within the organization Affordability programs * Support the design and refinement of affordability programs tailored to address specific trends and populations * Partner with analytics, operations, product, and clinical teams to validate business cases and define success metrics * Identify new and scalability of affordability programs and initiatives * Support go-to-market strategies, communication and enablement efforts for new solutions * Accountable for enabling the strategy set by leadership Cross-Functional Collaboration & Communication * Collaborate with matrix partners across contracting, operations, clinical, finance, product, sales, transformation and innovation teams within Cigna Healthcare and across the enterprise to ensure alignment and execution. * Develop executive-level communications, including strategy memos, presentations, reports, stakeholder updates and create comprehensive narratives Market & Competitive Intelligence * Conduct external scans of the healthcare landscape to identify innovation and affordability opportunities and competitive threats, using data and qualitative performance to advise management relative to the national network and payment integrity strategy * Analyze internal capabilities and gaps to inform strategic priorities and decisions * Synthesize internal and external insights into actionable recommendations that shape enterprise and organizational growth initiatives Execution & Performance Management * Track and report on initiative performance, ensuring alignment with financial, operational clinical impact and experience goals * Synthesize annual and multi-year plans to demonstrate tie back to affordability and enterprise strategies and goals Qualifications * Bachelor's degree required; MBA, MPH, MHA or relevant advanced degree preferred. * 8+ years with progressive experience in healthcare strategy or finance, ideally with exposure to top-tier consulting or payer/provider/integrated delivery system strategy roles * Demonstrated expertise in innovation, product development, and emerging technologies in healthcare * Exceptional strategic thinking, problem-solving, and executive communication skills. * Proven ability to deliver creative solutions to complex challenges * Skilled in managing action items, tracking progress, and ensuring timely follow-ups is preferred * Financial acumen and experience with business case development * Experience working in a matrixed organization with strong internal relationship-building skills * Excellent communication skills with the ability to translate complex topics into clear, actionable insights Preferred Qualifications * Experience in a top-tier strategy consulting firm or in a corporate strategy function within a leading healthcare organization * Experience in payer or integrated delivery system environments * Familiarity with emerging technologies and AI/ML applications in claims settings If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 193,300 - 322,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. This position requires the individual to live in the state of FL. Position Purpose: Oversee and manage the community relations and marketing functions of the health plan in accordance with government and contractual guidelines and the mission, philosophy and objectives of Centene and the health plan. Manage the development and execution of local strategies to enhance the Health Plan's visibility in the community by developing high profile outreach activities and events, with a focus on grass-roots efforts for Medicaid consumers Ensure effective integration of major, service area-wide community relations programs and strategies with local programs, initiatives and partnerships, responsible for maximizing the local impact of the health plan Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities, such as new projects, status of work in progress, and problems encountered Actively solicit across the health plan from all inside disciplines ideas to improve growth and member retention and branding of all product lines Oversee and coordinate the marketing and community relations staff's work flow and communicate established performance standards Develop and ensure compliance with departmental objectives that are consistent with the health plan and corporate objectives Education/Experience: Requires a Bachelor's Degree or equivalent in public relations, marketing, health administration, social services or related field. 9+ years of public affairs, community relations, or public policy experience. Experience working with ad agencies, community based organizations, public relations firms or member advocacy. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Licenses/Certifications: Current state driver's license.Pay Range: $148,000.00 - $274,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Creates and implements Network Transformation initiatives across a market. Develops Provider Relations Management team to effectively achieve market targets while collaborating with internal departments to drive improvement of provider performance. Candidate Education: Required A Bachelor's Degree in a related field. Leads and develops team of Provider Relations Managers and/or Network Performance advisors to meet/exceed provider performance and provider satisfaction key metrics. Conducts field rides with Provider Relations Representatives to gauge their performance and provide coaching and development in order to improve the business results. Identifies team skill set deficiencies and implements proper professional development plans. Monitors Provider Performance action plans and tracks provider performance improvement. Ensures compliance with enterprise provider performance and relationship model and team engagement of provider performance reporting. Drives improvement of provider performance by analyzing, interpreting and communicating financial, utilization and quality metrics. Establishes and leads collaborative effort with internal cross-functional market and shared services departments to support provider performance and resolve network and operational barriers/challenges. Responsible for understanding HEDIS and STARS measures and partners with Quality Team to drive improvement of quality provider performance. Responsible for understanding the differences between Risk and Value-Based contractual arrangements. Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes. Plans, conducts and directs provider contractual terms and provider account management. Assists in monitoring and developing High Performing Practices and drives Network Transformation Strategies to optimize member outcomes. Strategizes membership growth and retention for High Performing Practices, sophisticated and/or complex Provider Partnerships. Maintains compliance for State and CMS audits. Resolves high level, complex provider issues. Member of state senior leadership team. Special project as assigned or directed. Candidate Experience: Required 8+ years of experience in provider relations experience Required 5+ years of management experience Pay Range: $148,000.00 - $274,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. Interact with BCBSA and member plans. **Required Job Qualifications:** * Bachelor Degree and 5 years' experience underwriting small and/or large accounts and dealing directly with key customers, consultants and/or brokers **OR** 6 years of experience underwriting small and/or large accounts and dealing directly with key customers, consultants and brokers. * 3 years of underwriting of higher complexity cases (if responsibility includes one or more of the following segments: large/major/national/and or special accounts (Labor Union, Student Health, IL Hospital, Co-operatives, Private Exchange, etc.) or OR Demonstrated capability to meet required job responsibility. * Successfully demonstrated skills and experience in underwriting and pricing of various funding options and products and making sound decisions. * Operational knowledge of renewal and prospective group health underwriting processes and procedures. * Knowledge of underwriting methodologies including mathematical and financial group health underwriting funding. * Extensive experience applying consortium procedure and pricing (if applicable). * Extensive experience and knowledge of managed care/health care, group insurance products and group health underwriting financial arrangements and knowledge of state and federal legislation to underwriting practices and making sound decisions. * Work management skills in prioritizing and assigning work and project assignments. * Demonstrated highly effective Presentation skills for addressing customers and senior management. * Demonstrate skills for developing presentations, building and maintaining positive relationships internally and externally, interacting with representatives of large and strategic accounts, coordinating initiatives across departments, interacting with senior management, lead staff. * Project management skills and experience, including designing and leading projects. * Verbal and written communication skills, including correct grammar, appropriate word choice, precisions, structure, and appropriate tone and level of detail for audience. * Interact with BCBSA and member plans. * Interpret and describe BCBS products and financial arrangements as well as those provided by competitors. * Successfully demonstrated interpersonal skills in establishing and maintaining positive business relationships. * Independent judgment and problem resolution skills. * Work and project management skills including the ability to multi-task, prioritize, and manage time and workload to meet deadlines. * PC proficiency to include Word and Excel. * Successfully demonstrated skills and experience in presenting to external clients. * Process management and process improvement experience and skills to identify and implement process changes. **Preferred Job Qualifications:** * Pharmacy Underwriting experience * Experience leading pharmacy underwriters Please note that this role is **HYBRID** with an in-office requirement of 3 days a week \#LI-LK1 \#LI-Hybrid \#INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $100,000.00 - $180,700.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

**Explore opportunities at Proceed Finance, part of the Optum family of businesses.** We're a Nebraska-based financial technology company that is an established leader in the markets we serve. As patient financing experts, we create affordability for life-changing treatment so patients can restore their health and happiness. Come be a part of our innovative culture and make an impact with our rewarding career opportunities. Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Vice President of Risk Management will be a pivotal member of the leadership team, responsible for overseeing the company's risk management strategies and processes. The Vice President of Risk Management is responsible for risk, underwriting, credit, collections, and loss mitigation. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Defines and implements key performance indicators and strategic objectives for the division and, as appropriate, the entire organization; facilitates measurement of those objectives, reporting results to the executive team + Develop and implement comprehensive risk management strategies to mitigate financial, operational, and compliance risks + Drafts and implements policies and best practices to support achievement of objectives and required standards + Streamline and optimize operational processes to enhance productivity and reduce costs + Collaborate with other leaders to identify and pursue strategic business opportunities + Lead and mentor the risk management and operations teams, fostering a culture of continuous improvement + Ensures availability of adequate and appropriate equipment, staffing, and systems; recommends additional staffing and services + Utilize data analytics to identify trends, assess risks, and make informed decisions + Communicates department, program, and project performance and process to senior leadership through periodic status reports and presentations + Develop and oversee crisis management plans to ensure business continuity + Ensures compliance with industry and legal regulations and best practices, and adherence to company processes and procedures + Maintains knowledge in developing trends and technologies in the industry + Work closely with other senior executives to align risk management and operational initiatives with overall company strategy + Facilitates implementation of new systems and major modifications of existing systems to reduce downtime + Performs other duties as required You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree in Business Administration, Finance, Data Analytics, or a related field; master's degree preferred and/or Project Management Professional (PMP) certification + 15+years in risk management with at least 7 years in senior leadership capacity. + 5+ years of experience constructing and making presentations to C-level executives + Solid understanding of regulatory requirements and compliance + Proficient with the financial tools required to make estimates, business forecasts, and strategic + Proficiency using Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) + Proficiency with data analytics tools and methodologies + Proven track record of developing and implementing successful risk management strategies + Proven excellent verbal and written communication skills + Proven solid analytical and problem-solving skills with a proven ability to improve business processes and practices to reduce costs and increase efficiency + Proven interpersonal and negotiation skills + Proven exceptional leadership and team management abilities decisions + Proven solid organizational skills and attention to detail + Proven excellent time management skills with a proven ability to meet deadlines + Proven ability to work in a fast-paced environment + Proven entrepreneurial mindset **Preferred Qualifications:** + Experience with CRM, Zoho/Salesforce + Experience in the healthcare or patient financing industry + Experience with financial technology and digital payment solutions + Knowledge of elective procedures in dentistry and generative medicine **Work Environment:** + Work is performed in a standard office setting + The noise level in the work environment is usually quiet + Ability to travel approximately 15% of the time **Physical Demands:** + Sedentary work that primarily involves sitting/standing + Light work that includes moving objects up to 20 pounds occasionally + Prolonged periods of sitting at a desk and working on a computer *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a per diem Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be responsible for all aspects of operations, including assisting in recruitment and hiring of personnel; evaluating that all legal, accreditation, and certification requirements are being met; ensuring provision of optimal services; and working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy. In addition, you will be expected to work independently and handle challenges appropriately, work cooperatively with other members of Comprehensive Pharmacy Services, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Ability to pass company Motor Vehicle (MVR) background check * Ability to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel on a 24 hour notice Hospital Requirements: (may be required): * (PPD) TB Skin Test - Proof of negative TB skin test within the last 12 months * (MMR) Measles, Mumps and Rubella or A Blood Titer proving immunity * Varicella - (2) documented doses or A Blood Titer proving * Hep B3 Series (or declination) * (Flu) Influenza-required for hire between Oct 1st-April 30th * COVID Vaccine-Full (required) * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

We are seeking a visionary and experienced leader to serve as Managing Director, Enterprise Organizational Enablement. This role will lead the enterprise organizational development (OD) and change function, an internal consulting group positioned to drive organizational effectiveness, high performance, and change adoption across The Cigna Group. The successful candidate will partner with senior leaders to address complex organizational challenges, build internal capability in organizational design, systems thinking, team effectiveness, and change management, and foster a culture of agility, resilience, and innovation. Key Responsibilities Enterprise Enablement Strategic Leadership * Serve as a strategic advisor on organizational effectiveness, organizational design, culture, change readiness, and stakeholder engagement to senior HR Business Partners and executive leaders. * Develop and execute integrated organizational development and change management strategies aligned with enterprise goals to drive business outcomes. * Lead the design and implementation of complex OD interventions (e.g., organizational design, culture transformation, team effectiveness). * Develop and execute comprehensive change strategies aligned with enterprise talent strategy priorities and critical business initiatives, working with key partners to manage decision-making, risk mitigation, and project delivery accordingly. * Assess and manage change saturation and readiness across the enterprise portfolio, elevating critical risks and mitigation strategies to senior leadership. Team Leadership & Development * Bolster and lead a high-performing internal consulting practice that partners with business and HR leaders to diagnose organizational needs, design tailored OD and change interventions and deliver measurable business outcomes. * Coach and mentor team members to build expertise in needs assessment, systems thinking, consulting, and strategic thinking while supporting career growth and development. * Define clear goals and performance metrics for the team, ensuring alignment with enterprise priorities and client needs. * Establish a consulting center of excellence, promoting best practices, knowledge sharing, and continuous improvement across the team and with key matrix partners. Capability Building & Methodology Development * Continue to refine existing OD methodologies and resources, aligning to current best practices and business needs. * Establish and scale enterprise-wide change management methodologies and resources, in partnership with Leadership Development and Learning teams. * Build internal OD and change capability across HR and business units through training, coaching, and knowledge-sharing. Stakeholder Engagement & Communication * Facilitate executive team interventions and design sessions to address organizational health, engagement, and performance. * Partner with executive sponsors, business leaders, and project teams to assess change impacts, drive alignment and readiness, and develop tailored change plans. * Design and execute communication strategies that foster transparency, engagement, and alignment across all levels of the organization. * Facilitate leadership alignment sessions, employee forums, and feedback loops to ensure inclusive and responsive change efforts. Measurement & Continuous Improvement * Partner with talent analytics to define KPIs and leverage advanced analytics, dashboards, and digital tools to monitor organizational health and change adoption. * Use data-driven insights to refine OD and change strategies and ensure sustained outcomes. * Conduct post-implementation reviews and lessons-learned sessions to inform future initiatives. Qualifications * Advanced degree in Organizational Development, Industrial/Organizational Psychology, or related field strongly preferred. * 10+ years of progressive Human Resources leadership experience, including significant experience in OD, change management and transformation. * Demonstrated ability to build and lead high-performing consulting teams. * Experience in both change management and OD within large, complex, matrixed organizations. * Deep expertise in OD theory and practice (e.g., systems thinking, group dynamics, culture transformation, leadership assessment) and leading OD interventions at-scale. * Proven success in leading enterprise-wide, large-scale, complex change initiatives in a global, matrixed organization is required. * Certification in OD (e.g., organizational design, team effectiveness tools), change management methodologies (e.g., PROSCI, ADKAR, Kotter) highly desirable. * Strong business acumen, strategic thinking, and stakeholder management skills. * Exceptional communication, facilitation, and relationship-building abilities. * Experience with HR technology such as ServiceNow, Workday, or SAP SuccessFactors preferred. * Demonstrated ability to manage multiple projects and priorities in a fast-paced, dynamic environment. * Strong analytical and problem-solving skills, with a data-driven approach to decision-making. * Ability to work collaboratively and build strong relationships across diverse functions and geographies in a highly matrixed organization. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

We are seeking a visionary and experienced leader to serve as Managing Director, Enterprise Organizational Enablement. This role will lead the enterprise organizational development (OD) and change function, an internal consulting group positioned to drive organizational effectiveness, high performance, and change adoption across The Cigna Group. The successful candidate will partner with senior leaders to address complex organizational challenges, build internal capability in organizational design, systems thinking, team effectiveness, and change management, and foster a culture of agility, resilience, and innovation. Key Responsibilities Enterprise Enablement Strategic Leadership Serve as a strategic advisor on organizational effectiveness, organizational design, culture, change readiness, and stakeholder engagement to senior HR Business Partners and executive leaders. Develop and execute integrated organizational development and change management strategies aligned with enterprise goals to drive business outcomes. Lead the design and implementation of complex OD interventions (e.g., organizational design, culture transformation, team effectiveness). Develop and execute comprehensive change strategies aligned with enterprise talent strategy priorities and critical business initiatives, working with key partners to manage decision-making, risk mitigation, and project delivery accordingly. Assess and manage change saturation and readiness across the enterprise portfolio, elevating critical risks and mitigation strategies to senior leadership. Team Leadership & Development Bolster and lead a high-performing internal consulting practice that partners with business and HR leaders to diagnose organizational needs, design tailored OD and change interventions and deliver measurable business outcomes. Coach and mentor team members to build expertise in needs assessment, systems thinking, consulting, and strategic thinking while supporting career growth and development. Define clear goals and performance metrics for the team, ensuring alignment with enterprise priorities and client needs. Establish a consulting center of excellence, promoting best practices, knowledge sharing, and continuous improvement across the team and with key matrix partners. Capability Building & Methodology Development Continue to refine existing OD methodologies and resources, aligning to current best practices and business needs. Establish and scale enterprise-wide change management methodologies and resources, in partnership with Leadership Development and Learning teams. Build internal OD and change capability across HR and business units through training, coaching, and knowledge-sharing. Stakeholder Engagement & Communication Facilitate executive team interventions and design sessions to address organizational health, engagement, and performance. Partner with executive sponsors, business leaders, and project teams to assess change impacts, drive alignment and readiness, and develop tailored change plans. Design and execute communication strategies that foster transparency, engagement, and alignment across all levels of the organization. Facilitate leadership alignment sessions, employee forums, and feedback loops to ensure inclusive and responsive change efforts. Measurement & Continuous Improvement Partner with talent analytics to define KPIs and leverage advanced analytics, dashboards, and digital tools to monitor organizational health and change adoption. Use data-driven insights to refine OD and change strategies and ensure sustained outcomes. Conduct post-implementation reviews and lessons-learned sessions to inform future initiatives. Qualifications Advanced degree in Organizational Development, Industrial/Organizational Psychology, or related field strongly preferred. 10+ years of progressive Human Resources leadership experience, including significant experience in OD, change management and transformation. Demonstrated ability to build and lead high-performing consulting teams. Experience in both change management and OD within large, complex, matrixed organizations. Deep expertise in OD theory and practice (e.g., systems thinking, group dynamics, culture transformation, leadership assessment) and leading OD interventions at-scale. Proven success in leading enterprise-wide, large-scale, complex change initiatives in a global, matrixed organization is required. Certification in OD (e.g., organizational design, team effectiveness tools), change management methodologies (e.g., PROSCI, ADKAR, Kotter) highly desirable. Strong business acumen, strategic thinking, and stakeholder management skills. Exceptional communication, facilitation, and relationship-building abilities. Experience with HR technology such as ServiceNow, Workday, or SAP SuccessFactors preferred. Demonstrated ability to manage multiple projects and priorities in a fast-paced, dynamic environment. Strong analytical and problem-solving skills, with a data-driven approach to decision-making. Ability to work collaboratively and build strong relationships across diverse functions and geographies in a highly matrixed organization. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **_***Highly preferred that candidate resides in the Chicago, IL market.***_** **Position Purpose:** Creates and implements Network Transformation initiatives across a market. Develops Provider Relations Management team to effectively achieve market targets while collaborating with internal departments to drive improvement of provider performance. Candidate Education: Required A Bachelor's Degree in a related field. + Leads and develops team of Provider Relations Managers and/or Network Performance advisors to meet/exceed provider performance and provider satisfaction key metrics. + Conducts field rides with Provider Relations Representatives to gauge their performance and provide coaching and development in order to improve the business results. + Identifies team skill set deficiencies and implements proper professional development plans. + Monitors Provider Performance action plans and tracks provider performance improvement. + Ensures compliance with enterprise provider performance and relationship model and team engagement of provider performance reporting. + Drives improvement of provider performance by analyzing, interpreting and communicating financial, utilization and quality metrics. + Establishes and leads collaborative effort with internal cross-functional market and shared services departments to support provider performance and resolve network and operational barriers/challenges. + Responsible for understanding HEDIS and STARS measures and partners with Quality Team to drive improvement of quality provider performance. + Responsible for understanding the differences between Risk and Value-Based contractual arrangements. + Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes. + Plans, conducts and directs provider contractual terms and provider account management. + Assists in monitoring and developing High Performing Practices and drives Network Transformation Strategies to optimize member outcomes. + Strategizes membership growth and retention for High Performing Practices, sophisticated and/or complex Provider Partnerships. + Maintains compliance for State and CMS audits. + Resolves high level, complex provider issues. + Member of state senior leadership team. + Special project as assigned or directed. Candidate Experience: Required 8+ years of experience in provider relations experience Required 5+ years of management experience Pay Range: $148,000.00 - $274,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** Optum AI is UnitedHealth Group's enterprise AI team. We are AI/ML scientists and engineers with deep expertise in AI/ML engineering for health care. We develop AI/ML solutions for the highest impact opportunities across UnitedHealth Group businesses including UnitedHealthcare, Optum Financial, Optum Health, Optum Insight, and Optum Rx. In addition to transforming the health care journey through responsible AI/ML innovation, our charter also includes developing and supporting an enterprise AI/ML development platform. Optum AI team members: + Have impact at scale: We have the data and resources to make an impact at scale. When our solutions are deployed, they have the potential to make health care system work better for everyone + Do ground-breaking work: Many of our current projects involve cutting edge ML, NLP and LLM techniques. Generative AI methods for working with structured and unstructured health care data are continuously being developed and improved. We are working in one of the most important frontiers of AI/ML research and development + Partner with world-class experts on innovative solutions: Our team members are developing novel AI/ML solutions to business challenges. In some cases, this includes the opportunity to file patents and publish papers about the methods we develop. We also collaborate with AI/ML researchers at some of the world's top universities. The Optum AI Sr Director, Client Scientific Solutions provides leadership for the development and deployment of applied AI/ML research and production initiatives at healthcare clients. This role leads applied research teams in developing and operationalizing advanced AI models, ensuring scalability and reliability. The Sr Director drives innovation, sets technical standards, and fosters collaboration across product and engineering teams to deliver measurable business impact. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Applied Research to Production: Lead applied research teams in transitioning AI models from concept to production, ensuring scalability, reliability, and cost-effectiveness. Oversee integration of research outputs into client production environments with solid governance and performance standards + Collaboration: Partner with product and engineering leaders to translate business needs into technical solutions and foster cross-functional alignment + Innovation Leadership: Drive adoption of advanced AI technologies and methodologies at clients deliver innovative solutions aligned with organizational priorities + Responsible AI: Implement governance and standards for ethical AI practices, ensuring compliance and transparency in model development and deployment + Ecosystem Development: Establish frameworks and best practices for model lifecycle management, monitoring, and continuous improvement + Talent Strategy: Mentor, develop and train senior technical leaders and build a solid pipeline of AI talent through coaching and development initiatives You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Advanced degree (PhD or Master's) in Machine Learning, Artificial Intelligence, Computer Science, or related field + 10+ years of experience in AI/ML with proven success in leading large-scale projects + Experience managing senior technical teams with solid leadership and communication skills + Hands-on experience with cloud platforms and scalable infrastructure + Expertise in modern AI frameworks, machine learning algorithms, and model deployment + Demonstrated ability to drive measurable business impact through AI solutions + Proven commitment to Responsible AI principles *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Optum AI is UnitedHealth Group's enterprise AI team. We are AI/ML scientists and engineers with deep expertise in AI/ML engineering for health care. We develop AI/ML solutions for the highest impact opportunities across UnitedHealth Group businesses including UnitedHealthcare, Optum Financial, Optum Health, Optum Insight, and Optum Rx. In addition to transforming the health care journey through responsible AI/ML innovation, our charter also includes developing and supporting an enterprise AI/ML development platform. Optum AI team members: * Have impact at scale: We have the data and resources to make an impact at scale. When our solutions are deployed, they have the potential to make health care system work better for everyone * Do ground-breaking work: Many of our current projects involve cutting edge ML, NLP and LLM techniques. Generative AI methods for working with structured and unstructured health care data are continuously being developed and improved. We are working in one of the most important frontiers of AI/ML research and development * Partner with world-class experts on innovative solutions: Our team members are developing novel AI/ML solutions to business challenges. In some cases, this includes the opportunity to file patents and publish papers about the methods we develop. We also collaborate with AI/ML researchers at some of the world's top universities. The Optum AI Sr Director, Client Scientific Solutions provides leadership for the development and deployment of applied AI/ML research and production initiatives at healthcare clients. This role leads applied research teams in developing and operationalizing advanced AI models, ensuring scalability and reliability. The Sr Director drives innovation, sets technical standards, and fosters collaboration across product and engineering teams to deliver measurable business impact. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Applied Research to Production: Lead applied research teams in transitioning AI models from concept to production, ensuring scalability, reliability, and cost-effectiveness. Oversee integration of research outputs into client production environments with solid governance and performance standards * Collaboration: Partner with product and engineering leaders to translate business needs into technical solutions and foster cross-functional alignment * Innovation Leadership: Drive adoption of advanced AI technologies and methodologies at clients deliver innovative solutions aligned with organizational priorities * Responsible AI: Implement governance and standards for ethical AI practices, ensuring compliance and transparency in model development and deployment * Ecosystem Development: Establish frameworks and best practices for model lifecycle management, monitoring, and continuous improvement * Talent Strategy: Mentor, develop and train senior technical leaders and build a solid pipeline of AI talent through coaching and development initiatives You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Advanced degree (PhD or Master's) in Machine Learning, Artificial Intelligence, Computer Science, or related field * 10+ years of experience in AI/ML with proven success in leading large-scale projects * Experience managing senior technical teams with solid leadership and communication skills * Hands-on experience with cloud platforms and scalable infrastructure * Expertise in modern AI frameworks, machine learning algorithms, and model deployment * Demonstrated ability to drive measurable business impact through AI solutions * Proven commitment to Responsible AI principles * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Explore opportunities with CPS, part of the Optum family of businesses. We're dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you'll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. As a per diem, nonexempt Corporate Director of Pharmacy with CPS Solutions, LLC Advance Team, you will be deployed as needed to client sites located across the U.S., traveling 100% of the time to work. At the client site you act as a temporary Director of Pharmacy or Consultant in new and existing accounts and are primarily responsible to plan, organize, control and supervise operation activities in a pharmacy practice setting according to facility policies, standards of practice of the profession, and state and federal laws in hospitals with 250-500 licensed beds. Additionally, but not limited to, you will have the opportunity to be an integral team member with implementation of new contracts; performing Pre-Joint Commission and Joint Commission visits on current accounts; helping staff current accounts; putting into practice operational pharmacy improvements and working on special projects. You will be expected to work independently and handle challenges appropriately, work cooperatively with other members of CPS Solutions/Optum, hospital and pharmacy staff, handle multiple tasks and adapt to changes in workload and work schedule, set priorities, make critical decisions, and respond to client concerns, foster a team environment by providing orientation and training to Directors of Pharmacy and pharmacy staff, communicate effectively (verbal and written) and demonstrate excellent customer service skills. In this role, you will have a full support team available to you-from a Regional VP, Regional Clinical Director, and 340B Specialist to a Regulatory Specialist, Drug Information Specialist, and more. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * All aspects of operations, including assisting in recruitment and hiring of personnel * Evaluating that all legal, accreditation, and certification requirements are being met * Ensuring provision of optimal services * Working with Regional Directors, Directors of Pharmacy, and other hospital personnel to enhance performance of the pharmacy You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * B.S. or PharmD from an ACPE-accredited School of Pharmacy * Active Pharmacist license in good standing * 5+ years of recent hospital pharmacy management experience plus 3+ years hospital Pharmacist experience * Experience working at a Pharmacy Director level at hospitals with 250-500 beds in size * Proficiency with using computer applications including word processing, spreadsheets and pharmacy information systems * Proven to obtain/maintain 12+ different state Pharmacy licenses in CPS recommended states * Proven ability to pass company Motor Vehicle (MVR) background check * Must be able to travel 100% of working hours, typically 5 days on 2 off with flexibility for a 10 days on 4 off schedule when needed * Ability to travel on a 24 hour notice * Residence in Western U.S. near an international airport * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $52.98 to $90.77 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.