Hospital director full time jobs - 38 jobs

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered. The National Accounts Medical Director is responsible for serving as the Operational Medical Director for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact health care quality, cost, and outcomes, and improving access to the health improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members. Responsible for proactively identifying and solutioning with account management, Sales RVP Medical Directors. How you will make an impact: * Day to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management. * Daily case reviews for both utilization and case management issues. (80/20 split) * Consistent adoption and implementation of all medical policies used for operational reviews. * Leading multidisciplinary rounds for case management /complex clinical management. * Peer-to-peer outreach for both utilization reviews and also for case management consultation with treating providers. * Clinical report reviews, trend management, benefit design consultation, and supporting overall clinical performance guarantee success. * The medical director will be responsible for supporting all state specific requirements that apply for each state where there is our business. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. * Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: * Indiana MD license or compact state multi-licensure is preferred but not exclusive. * Board certification preferably in a Primary Health Specialty, Family or Internal medicine or Surgery (surgical specialty). * Knowledge and experience with population or segment health management is a plus. * Knowledge of the health insurance industry and the National Accounts segment is preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 250,236 to $411,102 Locations: Illinois, DC, Nevada. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Medical Director- Commercial Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Candidates must reside near a location in the following states: CO, OH, IN, KY, MO, and WI. Schedule: Monday through Friday 8am-5pm CST or EST (If candidate is living in Colorado MST is fine). Weekend rotation coverage 5-6 weekends a year. The Medical Director- Commercial will be part of the Central Region team responsible for utilization review case management for local Commercial business in the CO, OH, IN, KY, MO, and WI markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. How you will make an impact: * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. * Serves as a resource and consultant to other areas of the company. * May be required to represent the company to external entities and/or serve on internal and/or external committees. * May chair company committees. * Interprets medical policies and clinical guidelines. * May develop and propose new medical policies based on changes in healthcare. * Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. * Identifies and develops opportunities for innovation to increase effectiveness and quality. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. * Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. Preferred Qualifications: * General Surgeon or Primary Care specialties preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $238,320 to $393,228 Locations: Colorado, and Columbus, OH In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Director Equivalent Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Explore opportunities with Caretenders, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Clinical Director, you will oversee and direct the patient care operations of the home care facility. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care; implementing and maintaining administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations; enhancing the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered. This position also acts as a liaison with management staff and other departments throughout the company. Primary Responsibilities: Coordinates and completes assigned projects to effectively support the immediate and long-range objectives of the company Oversees the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care Implements and maintains administrative practices, agency philosophy, goals, and policies which assure compliance with applicable state and federal regulations. Enhances the profitability of the agency; and providing motivation and retention of a qualified staff and assure the quality of services delivered All CMS and state regulations must be followed regarding supervision of nursing services If Clinical Director is not an RN, Executive Director/Administrator or Patient Care Manager must be designated as supervising RN for nursing services unless state regulations dictate otherwise You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current and unrestricted RN licensure in the state of practice or PT/OT/SLP, must have current applicable license in the state Current CPR certification Current Driver's License and vehicle insurance, and access to a dependable vehicle, or public transportation #LHCjobs Preferred Qualifications: 1+ years of supervisory and/or management experience in home health setting or related healthcare setting Ability to manage multiple tasks simultaneously Able to work independently Good communication, writing, and organizational skills Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually 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.

Medical Director [Physician Administrator 3] (2600003J) Organization: Youth Services - Central OfficeAgency Contact Name and Information: *********************** Unposting Date: Jan 19, 2026, 4:59:00 AMWork Location: DYS William Green Building 30 West Spring Street 5th Floor Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: NegotiableSchedule: Full-time Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: MedicalTechnical Skills: Juvenile CorrectionsProfessional Skills: Attention to Detail, Collaboration, Teamwork Agency OverviewJOIN OUR TEAM!About Us…Our mission at the Ohio Department of Youth Services (DYS) is to improve Ohio's future by habilitating youth and empowering families and communities. We believe that all youth will be given an opportunity to live up to their greatest potential and staff are our greatest resource.DYS is the juvenile corrections system for the state of Ohio. DYS is statutorily mandated to confine felony offenders, ages 10-21, who have been adjudicated and committed by one of Ohio's 88 county juvenile courts. During their stay with DYS, youth are engaged in programming that is designed to address their criminological and behavioral needs. DYS reaches thousands of youth in facilities and those on parole.Our Guiding Principles…Demonstrate staff are our greatest resource Treat everyone with respect Cultivate a trauma responsive environment for staff and youth to thrive Provide the best support and services for youth and families Advance our culture of inclusion through understanding and appreciating staff and youth differences Commit to and encourage collaboration and continuous improvement to produce better outcomes for those we serve Celebrate collective successes and support one another through opportunities to improve To learn more about DYS, please visit our website by clicking here Job DescriptionDYS is seeking an enthusiastic Administrator to serve as the Medical Director (Physician Administrator 3) for the agency to include three juvenile correctional facilities. The position will be based in our downtown Columbus office but may require travel to our facilities and regional locations, as needed. Duties include, but are not limited to:Development of policy and procedure for all medical services.Formulates recommendations and plans to improve delivery and quality of integrated medical services.Advises DYS Superintendents and other officials on relevant medical services for the youth.On call 24/7 for medical advice/crisis. Assists with development and assures implementation of health care programs for DYS youth.Evaluates medical care being delivered to youth through the quality assurance program to identify opportunities for improvement.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsLicense to practice medicine as issued by State Medical Board pursuant to Sections 4731.14 & 4731.281 of Revised Code.Must have valid Driver's License Job Skills: Medical, Juvenile Corrections, Collaboration, Teamwork, Attention to DetailSupplemental InformationBACKGROUND CHECK NOTICE:The final candidate selected for this position will be required to undergo a pre-employment drug screening and criminal background check that includes results from BCI and FBI, Ohio Department of Public Safety and Ohio Department of Taxation. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.PRE-SERVICE TRAINING:The final candidate selected will be required to attend 3 weeks of mandatory, paid Pre-Service Training at the DYS Training Academy in Orient, Ohio. Pre-Service Training is Monday - Thursday, 7:00 am - 5:00 pm.DYS is a “qualifying employer” for purposes of the federal Public Service Loan Forgiveness [PSLF] program.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

**Become a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. **Responsibilities:** + Oversee the process for direction and support to clinical and operational leadership regarding Medicare and governmental audit trends, denials, and any CMS initiative and/or demonstration projects. + Collaborates with leadership team in the development of an education plan to improve processes to preserve and recover revenue. + Analyzes region-wide outcome indicators to measure achievement of quantitative and qualitative standards. Assists in the development, implementation and analysis of internal and external benchmarking programs to measure the region's effectiveness in improving performance + Maintains region-wide Performance Improvement program which includes Customer Satisfaction, complaints, infection monitoring, Incident Reporting, and quarterly branch PI activity + Provides feedback and recommendations for changes to policies and processes, procedures and systems to enhance measures taken to improve performance + Communicate with Corporate leadership, Regional and Divisional leaders as appropriate to resolve issues that may place patients or the company at risk + Oversee educational in-services based on analysis of PI data and activities Acts as a resource for the Operations Support team and communicates Performance Improvement results + Participate in special projects and performs other duties as assigned. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Nursing or related field + 10-15 years progressively responsible experience in home health or hospice industry that includes performance improvement and outcomes measurement + 5 years' experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and application of regulations and performance improvement standards + Strong Project management principles and clinical policy development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to interpret and apply regulatory requirements + Excellent verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses + Must be able to work well independently and in a team environment + Excellent communication and organization skills + Strong attention to detail + Healthcare industry experience preferred + Must read, write and speak fluent English + Must have good and regular attendance + Approximate percent of time required to travel: 30% + Performs other related duties as assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN, PT or OT preferred + More than 3 years of grievance and appeals experience + Strong knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish **Additional Information** **SSN Alert Statement** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Job DescriptionJob Type: Full-time / Part -time We are seeking an experienced and skilled Director of Nursing to lead our home health care team. The successful candidate will be responsible for overseeing the nursing department, ensuring high-quality patient care, and driving clinical excellence. This leadership role requires a strong clinical background, excellent communication skills, and the ability to manage and develop staff. Key Responsibilities: 1. Leadership and Management: - Provide leadership and direction to the nursing staff, including recruitment, training, and development. - Foster a culture of excellence, compassion, and safety. - Manage staffing, scheduling, and budgeting for the nursing department. 2. Clinical Oversight: - Ensure high-quality patient care and outcomes through regular visits, audits, and feedback. - Develop and implement clinical policies, procedures, and guidelines. - Collaborate with physicians, therapists, and other healthcare professionals to ensure comprehensive care. 3. Quality Improvement: - Develop and implement quality improvement initiatives to enhance patient outcomes and satisfaction. - Analyze data and metrics to identify areas for improvement. - Implement evidence-based practices to drive clinical excellence. 4. Regulatory Compliance: - Ensure compliance with regulatory requirements, including OASIS, Medicare, and Medicaid. - Maintain accreditation standards and survey readiness. 5. Staff Development: - Develop and implement staff education and training programs. - Mentor and coach nursing staff to enhance their skills and knowledge. 6. Communication and Collaboration: - Communicate effectively with patients, families, staff, and other stakeholders. - Collaborate with interdisciplinary teams to ensure seamless care transitions. Requirements: - Education: Bachelor's degree in Nursing required; Master's degree preferred. - Licensure: Current RN licensure in the state of practice. - Experience: Minimum 5 years of experience in home health care, with at least 2 years in a leadership role. - Certifications: CPHQ, QIAL, or other relevant certifications preferred. - Skills: - Strong leadership, management, and communication skills. - Ability to analyze data and drive quality improvement initiatives. - Excellent problem-solving and critical thinking skills. What We Offer: - Competitive salary and benefits package. - Opportunity to lead a dynamic team. - Professional development and growth opportunities. If you're a motivated and experienced nursing leader looking for a new challenge, we'd love to hear from you!

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryAetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a remote based (work at home) based anywhere in the US. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities. Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise, using multiple computer based applications. Required Qualifications* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically. Preferred Qualifications* Previous healthcare insurance experience. Education* 2 or more years of experience in Health Care Delivery System e. g. , Clinical Practice and Health Care Industry. * Active and current state medical license without encumbrances. * M. D. or D. O. , Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience. Pay RangeThe typical pay range for this role is:$174,070. 00 - $374,920. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Full Time Days working 8am-5pm Lutheran Social Services of Central Ohio is currently seeking a Director of Clinical and Supportive Services for the Health Center at Faith Mission in Columbus, Ohio. The ideal candidate will share Our Mission: Creating a better world by serving people in need. What will I do as the Director of Clinical and Supportive Services with Lutheran Social Services? * Plan, develop, and implement comprehensive supportive services to benefit clients of the Health Center. * Work closely with the Health Center leadership team to oversee the delivery of individualized "wrap around" integrated services that address the holistic needs of clients including healthcare, mental health, substance abuse treatment, as well as supportive services including employment, housing, transportation, etc. * Ensure prompt and accurate completion of required documentation within the electronic health record. * Provide professional leadership and direction to clinical/supportive services staff. * Perform as an invested member of the health center leadership team. * Provide direct services to a caseload of clients, including clients with co-occurring mental health and substance use disorders, unhoused clients, and clients living with HIV/AIDS and other health comorbidities, as necessary. Requirements for the Director of Clinical and Supportive Services with Lutheran Social Services: * Master's degree in Social Work, related field or equivalent experience required. * Preferred licensure includes: LISW-S, LICDC, LPCC or licensure in related field * Minimum four years working in a social service setting required. * Experience working with the following or related populations: unstable housing, mental health disorders, substance use disorder, and other health comorbidities * Experience with MOUD treatment program * Proficient use of computers, smart phones and tablets, printers, fax machines, as well as software including word processing, spreadsheet, and database programs. * Excellent oral, written, and interpersonal communication skills, including group facilitation skills required. As one of the largest non-for-profits in Central Ohio, we value our employees. Our excellence is based upon team members dedicated to a fulfilling career and committed to the service of others. Benefits for Full-time positions* with Lutheran Social Services include: * Health insurance with 4-plan options! * Tuition Reimbursement Program * 403(b) retirement plan with employer matched savings * Dental and Vision insurance * Medical and Childcare Flexible Spending (FSA) * Health Savings Account * PTO and 12 Paid Holidays * Discount Marketplace * Opportunity to make a positive impact on individuals & the community * some part-time positions may be eligible for some benefits as well ABOUT Lutheran Social Services: We put our Mission of Service into action. Every day LSS serves thousands of people in 27 Ohio counties by addressing the four core societal issues of food, shelter, safety, and healing. LSS offers Food Pantries, housing and supportive services through homeless shelters, domestic violence services, senior living and health care, affordable housing communities, and other services that uplift families and strengthen communities. Lutheran Social Services of Central Ohio is committed to being an equal opportunity employer.

Onsite | Full Time | Sign-On Bonus Our client is expanding their clinical leadership team in Columbus! We are looking for a mission-driven Associate Medical Director who is passionate about delivering high-quality, value-based care to medically complex and socially vulnerable populations. Our client provides a comprehensive, team-based model that integrates primary care, behavioral health, pharmacy, nutrition, imaging, community outreach, and more under one roof. What You'll Do Clinical Leadership & Care Delivery Provide exceptional primary care to a panel of members (70-80% clinical time). Lead and mentor physicians and APPs in delivering coordinated, high-touch care. Guide interdisciplinary teams (nursing, BH, care management, pharmacy, social work). Support daily population health huddles to drive quality and utilization outcomes. Operational & Strategic Impact Serve as a key clinical leader alongside the Medical Director. Represent the client with community partners, hospital systems, and payer organizations. Shape clinical protocols, care pathways, and support staff development. Collaborate across teams to meet engagement, quality, and cost-of-care goals. Member Care & Population Health Manage chronic and acute conditions, including urgent/same-day visits. Coordinate transitions of care across ER, hospital, SNF, and home settings. Utilize evidence-based practices and PCMH principles. Leverage EHR tools to track and achieve quality metrics. What You Bring Active, unrestricted medical or nursing license in Ohio. 5+ years of clinical experience with leadership of interdisciplinary teams. Background in outpatient clinics, community-based care, or inpatient settings. Experience mentoring clinicians and supporting clinical development. Strong communication, critical thinking, and organizational skills. Passion for population health, care transformation, and serving vulnerable communities. Ready to Make an Impact? Apply now to join a mission-driven team delivering transformative care. #HC123

Veterinary Practice Manager at Banfield Pet Hospital Practice Managers play a pivotal role in our hospitals. Your medical practice management skills will be put to use to drive business results, and your people leadership skills will come into play as you develop associates and foster an engaging team environment. Along with a team of knowledgeable pet health care experts, you'll ensure that clients and patients have a positive experience when they visit the hospital. Through a professional relationship with other stakeholders, including the veterinary medical team, field leadership, our corporate headquarters and PetSmart associates (if applicable), you'll be helping optimize the growth of both businesses. And since we are committed to your growth, you'll be able to take advantage of a variety of educational opportunities and resources that support your career path. Job Description Summary: In partnership with the chief of staff, the Practice Manager plays a vital role in the hospital, managing day-to-day operations so the medical team can devote their time to delivering the highest quality veterinary care. Employment Type: Full-Time Required Education/Licenses: Bachelor's degree in business or related discipline preferred, or the equivalent combination of education, training and experience that provides the required knowledge, skills and abilities. Required Experience: Three years related experience required (health care, veterinary profession, service industry, etc.), including direct supervisory experience (includes hiring, associate development, etc.). A Day in the Life of a Banfield Practice Manager The position of Practice Manager requires a fair amount of versatility. Duties involve everything from interviewing, hiring and developing associates, to evaluating the hospital's processes, progress and productivity. Our Practice Managers also train associates on how to educate clients about our Optimum Wellness Plans , preventive care, pet health needs and hospital services. You will also be responsible for: + Educating associates on Banfield guidelines/practices + Budgeting and planning for the hospital + Dealing with daily operations + Scheduling associates, coordinating time off and managing continuing education needs Commitment Beyond Qualifications The foundation of our culture and approach to business is known as The Five Principles. They include Quality, Responsibility, Mutuality, Efficiency and Freedom. These are special values we all share at Banfield and hope to integrate into our daily decisions and processes at work. Additionally, our Practice Managers have: + Strong organizational, communication and interpersonal skills + A knack for problem solving + Conflict management experience + Leadership and analytical know-how Caring for Those Who Care: Benefits for a Banfield Practice Manager We have the resources and programs to help you stay fit, ensure the wellness of your family and pets, and offer a workplace where your professional development is important too. Personal Health, Savings, and Wellness Benefits We offer a competitive benefits package with components such as 401(k) participation, paid time off and Optimum Wellness Plans for your pets. In addition, medical, vision, dental, life and disability insurance is offered to associates (based on eligibility). Potential as Big as Your Passion We help our Practice Managers take charge of their professional development with the continuing education you'll want to excel in your career. We also offer a collection of programs geared toward improving competencies by providing: + Connections to learning experiences + Networking opportunities + Ways to give back to your community through volunteerism A Support Structure That Helps You Thrive As a practice manager you, along with the Chief of Staff, will serve as the leaders within the hospital, but you'll have the support of field leaders, medical leaders and our corporate headquarters behind you to help you excel. Our collaborative team environment helps us inspire the delivery of pet health care in hospitals, communities and the veterinary medicine field in general. Start your Banfield Career as a Practice Manager Learn more about the impact you can make as part of a Banfield hospital team and see how we support the wellness of our people and profession. BENEFITS & COMPENSATION + Salary range for this role is $63,822.10 - $85,187.47. Specific pay rates are dependent on experience, skill level, and education of the candidate, as well as geographic location. Pay rates for salaried positions may differ based on schedule worked. + Banfield offers an industry competitive benefits package and continues to invest in and evolve benefits programs that meet the health, wellness, and financial needs of our associates. Our benefits package includes: + Medical, Dental, Vision + Basic Life (company paid) & Supplemental Life + Short- and Long-Term Disability (company paid) + Flexible Spending Accounts + Commuter Benefits* + Legal Plan* + Health Savings Account with company funding + 401(k) with generous company match* + Paid Time Off & Holidays* + Paid Parental Leave + Student Debt Program (for FT DVMs) + Continuing Education allowance for eligible positions* + Free Optimum Wellness Plans for your pets' preventive and general care* *Benefits eligibility is based on employment status. FT associates are eligible for all benefits programs (Student Debt Program available for FT DVMs only); PT associates are eligible for those benefits highlighted with an asterisk*. WE ARE A DRUG-FREE, SMOKE-FREE, EQUAL OPPORTUNITY EMPLOYER.Banfield Pet Hospital strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Banfield Pet Hospital is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, status as a protected veteran, or status as a qualified individual with disability. Banfield Pet Hospital complies with all applicable federal, state and local laws governing nondiscrimination in employment in every Banfield location. #FT

Are you outgoing and looking to be involved in the community?Are you dedicated, timely and focused on the success of others? At Ability Matters, we do more than provide services. We build inclusive communities where individuals with autism and other neurological disabilities can thrive. As a Day Service Professional, you will play a hands-on role in helping people gain confidence, independence, and connection. This is more than a job. It is a chance to make a real difference every single day. Why Ability Matters is Different Ability Matters is a mission driven, high-end agency dedicated to supporting people with autism and other neurological disabilities through education, housing, intervention and day services support. Our impact speaks for itself: Supporting over 160 families A team of 330+ professionals 191% growth over the last 5 years Twice recognized by the Better Business Bureau for Ethics Awarded the Diversity in Business Award Awarded the SMART 50 for Innovation Why You'll Love Working Here Best-in-Class Pay & Benefits: We lead the field with strong compensation and benefits because we value your impact. Work-Life Balance: Choose from flexible full-time or part-time hours to fit your life. Career Growth & Training: Learn, grow, and advance with ongoing training and clear pathways. Supportive & Inclusive Culture: Join a team that celebrates diversity, collaboration, and personal strengths. Purpose-Driven Work: Our work is our mission. What You'll Do Impact Over Duties: Having a positive impact on the client, family, and community. Community Representation: Serve as an ambassador for Ability Matters, raising awareness, understanding, and inclusivity. Community Connection: Support individuals as they get involved in local activities, events, and opportunities across Columbus and beyond. Personalized Care & Support: Provide person-centered assistance tailored to each individual's needs. Encourage independence, self-advocacy, and belonging. Empowerment Through Skill-Building: Support developing life skills, communication abilities, confidence, and personal goals. Behavioral Support with Dignity: Use positive, respectful strategies to guide behavior and respond to challenges with empathy and understanding. Advocacy: Promote the rights, choices, and voices of individuals with disabilities. Encourage decision-making and independence. Your role centers on relationships, dignity, and meaningful outcomes. No two days look the same, every day offers the opportunity to make a meaningful impact. What We're Looking For: Education: 2-year degree preferred, but not required. Passion for Inclusion: A desire to support and empower individuals with disabilities is required. Skills: Strong communication, problem-solving abilities, and flexibility to support diverse needs. Other Requirements: Valid driver's license and reliable transportation. Experience is helpful. Heart, attitude, and willingness to learn matter most.See Our Mission in Action: Watch here Ready to Make a Difference? If you are ready to support inclusion, build meaningful relationships, and be part of something bigger, we would love to meet you. Apply today to become a Day Service Professional at Ability Matters.Click here for more details and to apply: *************************************** Ability Matters is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

**Specialty/Competency:** Oracle **Industry/Sector:** FS X-Sector **Time Type:** Full time **Travel Requirements:** Up to 60% At PwC, our people in business application consulting specialise in consulting services for a variety of business applications, helping clients optimise operational efficiency. These individuals analyse client needs, implement software solutions, and provide training and support for seamless integration and utilisation of business applications, enabling clients to achieve their strategic objectives. As an Oracle lead to revenue at PwC, you will focus on working with Oracle's suite of applications and tools designed to manage the entire customer journey, from lead generation to revenue realisation and customer satisfaction. You will be responsible for implementing and configuring Oracle lead management, sales automation, marketing automation, and customer experience solutions to meet the specific needs of an organisation. Translating the vision, you set the tone, and inspire others to follow. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of PwC's reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: + Lead in line with our values and brand. + Develop new ideas, solutions, and structures; drive thought leadership. + Solve problems by exploring multiple angles and using creativity, encouraging others to do the same. + Balance long-term, short-term, detail-oriented, and big picture thinking. + Make strategic choices and drive change by addressing system-level enablers. + Promote technological advances, creating an environment where people and technology thrive together. + Identify gaps in the market and convert opportunities to success for the Firm. + Adhere to and enforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance) the Firm's code of conduct, and independence requirements. The Opportunity As part of the Financial Services team, you will lead transformative Oracle initiatives that drive business success. As a Director, you will set the strategic direction, inspire impactful teams, and cultivate client relationships that enhance PwC's reputation for quality and integrity. This role offers the chance to shape the future of financial services through innovative solutions and collaborative leadership. Responsibilities - Drive the strategic vision for Oracle initiatives within Financial Services - Inspire and lead exceptional teams to achieve business objectives - Build and maintain substantial client relationships to enhance firm reputation - Develop innovative solutions that address client needs and market trends - Collaborate across teams to foster a culture of teamwork and excellence - Mentor and guide team members to cultivate their professional growth - Maintain adherence to professional standards and ethical practices - Identify market opportunities to drive business success and growth What You Must Have - Bachelor's Degree - At least 10 years of experience What Sets You Apart - Proven track record in Oracle transformation programs - Leading multi-disciplinary teams to drive innovation - Selling and executing complex Oracle engagements - Delivering Oracle Financial Services solutions - Developing market-differentiated Oracle solutions - Understanding challenges in Financial Services organizations - Leading offshore delivery teams for Oracle Cloud - Designing and implementing complex business processes - Preparing and delivering executive presentations Learn more about how we work: ************************** PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: *********************************** As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: *************************************** The salary range for this position is: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: *********************************** \#LI-Hybrid

About the Company ESI currently serves over 350 health care operations that employ over 48,000 employees across 14 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center” - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center human resources employees are dedicated subject matter consultants who guide and advise field personnel. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals. Essential Functions and Responsibilities Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census. Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers. Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies. Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas. Assist in analysis and coordination of amendments, reimbursement, and language changes. Assess resource utilization, cost management and negotiate effectively. Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement. Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies. Strategizes for facility census growth and retention. Teach, Train and Instruct facility level personnel on how to operationalize the contract. Interact with facility personnel on utilization, clinical results and managed care census. Qualifications: Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis. Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS. Knowledge of CPT-4, HCPCS, Revenue and ICD coding. Expert in Skilled Nursing Managed care plans. Experience in successful operationalizing managed care contracts in the skilled nursing environment. Knowledge of contracts and contractual interpretations for payment and benefit issues. Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting. Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising. Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail. Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously. Excellent verbal and written communication skills, as well as excellent critical thinking skills. Computer savvy (Contract Logix, MS Word, MS Outlook & Excel). Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment. Present in facilities on a weekly basis, (currently as deemed appropriate). Desired Qualifications Must live in Ohio, preferably in the Columbus area. Preference for bachelor's degree in business administration, management or health care administration. Willing to travel up to 80% of the time (as deemed appropriate) Highly desire at least 2 years' experience with Managed Care contracting. Additional Information Wage Rate: Depending on Experience Position Type: Full-time, exempt employee Benefits: Medical, dental, vision, life & AD&D insurance plans, 401(k) with matching contribution, vacation, sick and holiday pay Location: Candidate must reside in the Columbus, Ohio area. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required.

Medical Director [Physician Administrator 3] (2600003J) Organization: Youth Services - Central OfficeAgency Contact Name and Information: *********************** Unposting Date: Jan 19, 2026, 4:59:00 AMWork Location: DYS William Green Building 30 West Spring Street 5th Floor Columbus 43215Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: NegotiableSchedule: Full-time Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: MedicalTechnical Skills: Juvenile CorrectionsProfessional Skills: Attention to Detail, Collaboration, Teamwork Agency OverviewJOIN OUR TEAM!About Us…Our mission at the Ohio Department of Youth Services (DYS) is to improve Ohio's future by habilitating youth and empowering families and communities. We believe that all youth will be given an opportunity to live up to their greatest potential and staff are our greatest resource.DYS is the juvenile corrections system for the state of Ohio. DYS is statutorily mandated to confine felony offenders, ages 10-21, who have been adjudicated and committed by one of Ohio's 88 county juvenile courts. During their stay with DYS, youth are engaged in programming that is designed to address their criminological and behavioral needs. DYS reaches thousands of youth in facilities and those on parole.Our Guiding Principles…Demonstrate staff are our greatest resource Treat everyone with respect Cultivate a trauma responsive environment for staff and youth to thrive Provide the best support and services for youth and families Advance our culture of inclusion through understanding and appreciating staff and youth differences Commit to and encourage collaboration and continuous improvement to produce better outcomes for those we serve Celebrate collective successes and support one another through opportunities to improve To learn more about DYS, please visit our website by clicking here Job DescriptionDYS is seeking an enthusiastic Administrator to serve as the Medical Director (Physician Administrator 3) for the agency to include three juvenile correctional facilities. The position will be based in our downtown Columbus office but may require travel to our facilities and regional locations, as needed. Duties include, but are not limited to:Development of policy and procedure for all medical services.Formulates recommendations and plans to improve delivery and quality of integrated medical services.Advises DYS Superintendents and other officials on relevant medical services for the youth.On call 24/7 for medical advice/crisis. Assists with development and assures implementation of health care programs for DYS youth.Evaluates medical care being delivered to youth through the quality assurance program to identify opportunities for improvement.Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsLicense to practice medicine as issued by State Medical Board pursuant to Sections 4731.14 & 4731.281 of Revised Code.Must have valid Driver's License Job Skills: Medical, Juvenile Corrections, Collaboration, Teamwork, Attention to DetailSupplemental InformationBACKGROUND CHECK NOTICE:The final candidate selected for this position will be required to undergo a pre-employment drug screening and criminal background check that includes results from BCI and FBI, Ohio Department of Public Safety and Ohio Department of Taxation. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.PRE-SERVICE TRAINING:The final candidate selected will be required to attend 3 weeks of mandatory, paid Pre-Service Training at the DYS Training Academy in Orient, Ohio. Pre-Service Training is Monday - Thursday, 7:00 am - 5:00 pm.DYS is a “qualifying employer” for purposes of the federal Public Service Loan Forgiveness [PSLF] program.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

State Clinical Director (AOD) A Great Opportunity At ViaQuest Psychiatric & Behavioral Solutions we offer unique and individualized care to adults who reside in long term care facilities. Our clients are supported by a team of Certified Nurse Practitioners, Mental Health Nurse, Mental Health Counselors and Social Workers and Therapeutic Behavioral Specialist to ensure the best outcomes for those we serve. Apply today and make a difference in the lives of the clients we serve! Responsibilities may include: Leading the planning, training, supervision, and delivery of comprehensive, integrated behavioral health services encompassing both mental health and alcohol and other drug (AOD) treatment. Managing and supporting a team of mental health clinicians, providing clinical guidance, supervision, and oversight of all client care activities. Conducting comprehensive assessments and providing direct clinical services or client visits as assigned. Ensuring all treatment plans are current, individualized, and aligned with clinical best practices and regulatory standards. Overseeing coordination of care and collaboration with psychiatric providers, internal interdisciplinary teams, and external contracted partners to ensure continuity and quality of behavioral health services. Requirements for this position include: Master's degree in behavioral science or a related field. All licenses must be active and in good standing with the appropriate Ohio licensing board. Ohio LICDC-CS (Licensed Independent Chemical Dependency Counselor - Clinical Supervisor) required. Preferred: Candidates who also hold an LPCC-S, LISW-S or LMFT- S credential Managerial or supervisory experience preferred. Valid driver's license, automobile insurance, and reliable transportation required. Willingness to travel throughout the assigned service area. What ViaQuest can offer you: Comprehensive training. Monthly productivity incentive bonus. Benefit package for full-time employees (including medical, vision, dental, disability and life insurance and 401k). Paid time off. Premium holiday pay. Mileage reimbursement. Flexible scheduling. Employee referral bonus program. About ViaQuest Psychiatric & Behavioral Solutions To learn more about ViaQuest Psychiatric & Behavioral Solutions please visit ****************************************************************** From Our Employees To You ********************************************************** Would you like to refer someone else to this job and earn a bonus? Participate in our referral program! ************************************************************** Do you have questions? Email us at ***********************

The Clinical Director (CD) provides clinical oversight to ABA services within a center, supports a small caseload and provides ongoing structured mentorship to BCBAs in the center. The CD is integral to the Center Leadership Team, delivering effective, and supportive clinical mentorship and training of BCBAs. The CD has exemplary clinical, leadership, interpersonal and mentorship skills.ResponsibilitiesEssential Functions Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions and other duties. Provides program oversight for a small, patient caseload Conducts behavioral and skills assessments, as required by funding sources, and as needed based on data/clinical judgment Develops compassionate and function-based behavior intervention plans and individualized, developmentally-sensitive treatment plans Completes initial evaluations for potential patients Provides training and supervision to Registered Behavior Technicians (RBTs) and Fieldwork students Completes RBT competency assessments and re-assessments Responsible for continued competence and professional growth for RBTs, Fieldwork Students, and Trainers during weekly consultation (protocol modification) overlaps, by using Behavioral Skills Training Holds regular RBT POD meetings Ensures supervision hours of RBTs meet the requirements of the BACB Builds and maintains positive family/caregiver relationships throughout the lifecycle/course of treatment of the patient Completes regularly scheduled family guidance sessions Identified touchpoints throughout the patient's experience at Hopebridge to meet with the parent/caregiver to review progress and collaborate on individualized treatment plans and behavior plans. Provides regular structured BCBA mentorship sessions and supportive performance guidance Provides clinical oversight, consistent with Hopebridge quality standards and evidence-based practices to BCBAs within center by monitoring clinical program progress through defined quality audit processes Supports clinical performance of BCBAs within center via procedural integrity documentation, provide feedback and necessary training, and communicate concerns to Regional BCBA, Center Manager, and Regional Center Manager as appropriate Implements the Hopebridge BCBA Mentorship and Training curriculum with integrity Act as a liaison to the Regional BCBA for higher level clinical review (i.e., Grand Rounds) and authorization/modifications Supervise and ensure completion of effective, evidence-based individualized treatment plans, behavior support plans and assessments for patients Evaluate clinical performance of BCBAs within center via procedural integrity documentation, provide feedback and necessary training, and communicate concerns to Regional BCBA, Center Manager, and Regional Center Manager as appropriate Provides effective and compassionate center leadership skills Communicates with the Center Manager and acts as a liaison with the center leadership team regarding patient onboarding, clinical structure within the center (i.e., group schedules) Assist the Center Manager with interviewing and onboarding of new BCBAs Ensures that session notes and billing documentation has been submitted through the appropriate systems by specified deadlines In collaboration with the Center Manager, assist in the coordination of daily staffing schedule to ensure patient staffing appropriateness Responsible for tracking and reporting on clinical Key Performance Indicators (KPIs) Consults with Regional team on performance, delivers feedback and seeks guidance on next steps (as appropriate) Uses reports to glean trends in the data and providing action-oriented steps to improve or maintain clinical performance Competencies Attention to Detail - the ability to see and pay attention to details; the ability to recognize the component parts of a procedure or object, and to verify the correctness or error in an individual part or procedure Attitude Toward Others - maintaining a positive, open, and objective attitude toward others Emotional Control - the ability to maintain a rational and objective demeanor when faced with stressful or emotional situations; a measure of self-composure in a difficult situation and the ability to act objectively, rather than impulsively or emotionally Enjoyment of the Job - the feeling that one's job is both fulfilling and rewarding and that it has a positive and useful benefit. Flexibility - the ability to readily modify, respond to, and integrate change with minimal personal resistance Handling Stress - the ability to balance and defuse inner tensions and stresses; the ability to appropriately separate yourself from stressful situations and maintain your own sense of inner peace. Developing Others - develops the ability of others to perform and contribute to the organization by providing ongoing feedback and by providing opportunities to learn through formal and informal methods Communication - excellent written and oral communication skills Self-Awareness and Leadership - demonstrated awareness of personal leadership skills and relationship management Supervisory Responsibility Provides supervision, guidance, and mentorship to BCBAs and BCaBAs within assigned center in accordance with the organization's policies and applicable laws. Provide feedback and supervision to RBTs and Fieldwork students, ensuring clinical competence and demonstrated performance of employees. Position Type/Expected Hours of Work This is a full-time position, Monday through Friday. Occasional evening and weekend work may be required as job duties demand.Required SkillsRequired Education and Experience Master's Degree in Applied Behavior Analysis, Special Education, Psychology or closely related field. Board Certified Behavior Analyst (BCBA) in good standing with the BACB At least three years certification with the BACB as a Board-Certified Behavior Analyst Experience with skills assessments and curricula (e.g., VB-MAPP, ABLLS-R, EFL, AFLS, PEAK), required Substantial experience with behavioral assessments (e.g., Practical Functional Assessments) Strong background in behavior reduction program development and oversight Meets the BACB qualifications to supervise BCaBAs, those pursuing certification, and RBTs Demonstrates ability to supervise as well as transition seamlessly between strategic and hands-on leadership as all as being sought out for superior training techniques Ability to engage and motivate a team toward a common goal Ability to communicate knowledge in the principles of Applied Behavior Analysis (ABA) to professionals and non-professionals Preferred Education and Experience Experience providing supervision to BCBAs Experience with both Medicaid and private-insurance patients preferred Experience with Practical Functional Assessment and Skill-based treatment Experience with Organizational Behavior Management (OBM) Other Duties and Job Requirements Maintain a negative Tuberculosis screening according to the CDC Obtain and possess and maintain current CPR/First Aid certification and re-certification every 2 years Remains current regarding new research, current trends and developments related to autism, special education, and related fields. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Physical Demands: This is a stationary position that requires frequent sitting or standing, repetitive wrist motions, grasping, speaking, listening, close vision, color vision, and the ability to adjust focus. It also may require occasional lifting, carrying, walking, climbing, kneeling, bending/stooping, twisting, pulling/pushing, walking, bending, stooping, and reaching above the shoulder. Employees in this position must be physically able to efficiently perform the essential functions of the position. May need to lift pediatric population at times (up to 50 lbs). Work Environment: Work is performed in an office and clinical environment. Work may be stressful at times due to a busy office or center environment with patients. Interaction with others is constant and interrupting. Disclaimer The above statements reflect general functions of this job and shall not be construed as a detailed description of all work requirements inherent in this job. The immediate supervisor may elaborate on or add to the above list if the duties come within the employee's realm of responsibility. Hopebridge is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, arrest record or any other characteristic protected by applicable federal, state or local laws.

Job ID 242804 Posted 22-Oct-2025 Service line GWS Segment Role type Full-time Areas of Interest Laboratory Services Full Spectrum Lab Services from CBRE offers a professional suite of services to a variety of clients in the life sciences industry, including those in pharmaceuticals, biotech, medical devices, and genomics, as well as contract research organizations (CROs) and contract manufacturing organizations (CMOs). Our comprehensive range of services includes laboratory consulting, real estate services, instrumentation repair and maintenance, full asset management, and more-covering the entire spectrum of life sciences facilities. With expertise across various life sciences categories, CBRE is a leader in managing highly-regulated spaces within the industry. About the Role: Under general direction, this role is responsible for developing people, processes, and solutions delivered to life sciences customers within laboratory operations. The position serves as an account-level representative, managing key performance indicators (KPIs), vendor relationships, and compliance requirements. It also oversees account-specific matters including management strategy, client relations, team development, and other key contractual initiatives. This role leads teams across 6+ locations in the U.S., with direct responsibility for up to 5 direct reports and more than 80 indirect reports. Strong leadership in a regulated environment is required, and experience in the life sciences industry is preferred. Travel to client sites is expected, up to 25% of the time. What You'll Do: + Develop CBRE Laboratory Solutions offerings, including service level agreements, KPIs, guidance documents/SOPs, training and qualification programs, quality and certification standards, and technology infrastructure to support delivery and supply chain strategy. + Participate in the ideation process to design and test future Integrated Lab Services (ILS) solutions, collaborating with Marketing, Systems Products, Services, Global Workplace Solutions, and customers. + Provide laboratory solutions consulting to customers, corporate clients, internal personnel, and branch offices. Define solution scope and innovation for high-level Life Sciences opportunities, and develop site teams to deliver these capabilities. + Lead, track, and report on solution effectiveness across markets, clients, and geographies. + Research and develop differentiated laboratory solutions offerings. Benchmark against industry standards to enhance market value through packaging and geographic reach. + Apply government regulatory codes to facility environments to deliver best-in-class solutions, including contributing papers and presentations to industry professional organizations. + Follow the S&RS quality plan and lead the integration of solution development into the quality manual. + Support the Training department in developing courses for MU, sales, and operations teams. + Assist in delivering training on Integrated Lab Services (ILS), regulatory interpretations, and solutions to customers and GWS personnel. + Lead performance management, hiring, and development of individuals and teams across multiple sites. + Perform other duties as assigned. **What You'll Need:** + Bachelor's Degree preferred with 8-12 years of relevant experience. In lieu of a degree, a combination of experience and education will be considered. + Experience in the areas of staffing, selection, training, development, coaching, mentoring, measuring, appraising, and rewarding performance and retention is preferred. + Ability to lead the exchange of sensitive, complicated, and difficult information, convey performance expectations, and handle problems. + Leadership skills to set, lead and achieve targets with a direct impact on multiple departments results within a function. + In-depth knowledge of Microsoft Office products. Examples include Word, Excel, Outlook, etc. + Expert organizational skills and an advanced inquisitive mindset. + Sophisticated math skills. Ability to calculate mildly complex figures such as percentages, fractions, and other financial-related calculations. **Why CBRE?** When you join CBRE, you become part of the global leader in commercial real estate services and investment that helps businesses and people thrive. We are dynamic problem solvers and forward-thinking professionals who create significant impact. Our collaborative culture is built on our shared values - respect, integrity, service and excellence - and we value the diverse perspectives, backgrounds and skillsets of our people. At CBRE, you have the opportunity to chart your own course and realize your potential. We welcome all applicants. Applicant AI Use Disclosure We value human interaction to understand each candidate's unique experience, skills, and aspirations. We do not use artificial intelligence (AI) tools to make hiring decisions, and we ask that candidates disclose any use of AI in the application and interview process. Disclaimers: Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future. CBRE carefully considers multiple factors to determine compensation, including a candidate's education, training, and experience. The minimum salary for the Laboratory Service Alliance Director position is $175,000 annually and the maximum salary for the Laboratory Service Alliance Director is $240,000 position is annually. The compensation that is offered to a successful candidate will depend on the candidate's skills, qualifications, and experience. **Equal Employment Opportunity:** CBRE has a long-standing commitment to providing equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, pregnancy, age, citizenship, marital status, disability, veteran status, political belief, or any other basis protected by applicable law. **Candidate Accommodations:** CBRE values the differences of all current and prospective employees and recognizes how every employee contributes to our company's success. CBRE provides reasonable accommodations in job application procedures for individuals with disabilities. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruitingaccommodations@cbre.com or via telephone at *************** (U.S.) and *************** (Canada). CBRE, Inc. is an Equal Opportunity and Affirmative Action Employer (Women/Minorities/Persons with Disabilities/US Veterans)

Company: OhioHealth at Home At OhioHealth Hospice together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits. Your position perks as a Hospice Director Clinical Services (Registered Nurse/RN) * Supportive and welcoming team * Competitive pay and bonus structure * Health, dental, vision for part & full-time positions * Generous Paid Time Off plan that increases with tenure * Wellness reimbursements for physicals and gym memberships * Pre-tax FSA and HSA plans (HSA w/company contributions) * 401(k) with company matching contributions * Free Continuing Education Units * Tuition reimbursement * Company paid life and long-term disability insurance * Company paid parental leave with tenure for birth, adoption, and foster parents * Voluntary long-term care, critical illness, and accident insurance * Local and national award programs * Referral bonus program * Mileage reimbursement * Corporate discount program w/access to >300,000 businesses * Company assistance program supporting teammates in times of need How you'll make an impact as a Hospice Director Clinical Services (Registered Nurse/RN) * Supervise patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care * Support and manage Interdisciplinary Team (IDT) including scheduling, productivity, mentoring and monitoring, 1x1's, pay practices and timekeeping * Oversee the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT) * Ensure adherence to the rules and regulations of state and federal regulatory agencies * Attend/Lead Interdisciplinary Team (IDT) meetings * Process EMR documentation workflow as needed Hospice Director Clinical Services (Registered Nurse/RN) Requirements * Registered Nurse with minimum of three years in healthcare required, preferably in Nursing Facility, Home Health or Hospice setting. Bachelor's degree strongly preferred. BSN a plus. * Experience in leadership or management strongly preferred. * Experience with Electronic Medical Record systems a strong plus. * Strong leadership, organizational and interpersonal skills. Hospice Director Clinical Services (Registered Nurse/RN) Certifications, Licenses and Registrations * Must be a Registered Nurse licensed in the state of employment. * Certification in Hospice and Palliative Nursing a plus but not required. * Must have a valid driver's license and auto liability insurance. Care for Who I Am is Caring for Who We Are. Together We Are: Welcoming everyone. Empowering belonging. Allying for inclusivity. Removing barriers. Engaging community. WE ARE fostering an inclusive environment where every teammate matters and can be their best selves. WE ARE becoming a reflection of our patients, families, and partners. WE ARE transforming care at home for every community serve. State Specific Requirements Estimated salary range $53315 - $108487 / year. Actual salary will vary by geographic location and experience. #LI-TC1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage * Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. * Career Development: Access leadership pathways, mentorship, and personalized professional development. * Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. * Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. * Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Job Description The Director, Specialty Networks Product is a strategic leadership role within CorVel's Network Services division. This position is responsible for overseeing the full product life cycle of the Pharmacy Benefit Management (PBM) and Ancillary Benefit Management (ABM) offerings, as well as future specialty network services products. The Director will drive the development, execution, and growth of these products, ensuring alignment with CorVel's business objectives and delivering exceptional value to clients. This is a remote role. Candidate residing in Eastern or Central time zones is preferred. Key Responsibilities: Lead and manage PBM and ABM products, with full ownership of end-to-end product life cycle, including strategy, development, launch, and ongoing optimization Develop and maintain a comprehensive product roadmap for PBM, ABM, and emerging specialty network offerings Serve as the strategic connection point across internal and external stakeholders to ensure product alignment and effective communication Ensure regulatory and contractual compliance for all specialty network services products Monitor financial performance, including margins and customer metrics, and drive initiatives to improve profitability and client satisfaction Support and streamline RFP responses and promote common guidelines for product pricing and margins Minimize product silos and foster cross-product alignment within the specialty networks portfolio Promote operational efficiency by reducing duplicative efforts and establishing standardized processes Drive coordinated specialty networks strategy and enhance cross-product alignment Knowledge, Skills & Abilities: Strong knowledge of workers' compensation ancillary services, PBM operations, medical cost containment, and regulatory frameworks Deep familiarity with workflows such as diagnostics scheduling, DME fulfillment, home health coordination, and transportation/translation management Understanding of retail, mail-order, and clinical pharmacy solutions including DUR, formulary management, opioid risk mitigation, and pharmacy network contracting Strong analytical acumen, with the ability to translate complex data into actionable insights and product decisions Exceptional communication, collaboration, and stakeholder-management skills Education & Experience Bachelor's degree required; advanced clinical or business degree preferred 7+ years of experience in workers' compensation, ancillary services, PBM management, or healthcare product strategy Experience within a TPA, managed care company, PBM, or network management environment strongly preferred Proven track record leading cross-functional teams in a technology-enabled healthcare organization PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $95,950 - $149,130 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote