Mary's Center Remote jobs - 1,049 jobs

Full-time (Washington DC Metro Area) The Cancer Support Community (CSC), an international nonprofit organization headquartered in Washington, D.C., isseekingan ambitious and detail-oriented individual who is passionate about making a difference in the lives of peopleimpactedby cancer for our Director, Policy and Advocacy position. JOB SUMMARY The Director, Policy and Advocacy will serve in a leadership position of the Cancer Policy Institute to develop and implement CSC's overall strategy related to regulatory and legislative priorities. The individual selected for this role will be a self-starter, experienced in public policy, and committed to fulfilling the mission of CSC. This role is based in Washington, DC, and the individual will report to the Vice President, Policy and Advocacy of the Cancer Policy Institute. ESSENTIAL FUNCTIONSProgram Management Work to develop and implement the policy and advocacy agenda of the Cancer Policy Institute Serve as a public face of CSC and Cancer Policy Institute at coalition meetings, with policymakers and funders, and at other external convenings with national partners Lead coordination and development of activities around CPI meetings and convenings (e.g. Network Partner quarterly meetings, Utilization Management roundtables) Lead activities around Hill Days, meetings with Congressional staff, and other offerings Lead and manage activities around grassroots communication and advocacy toolkits with Network Partners, patients, and caregivers (e.g. 340B, utilization management, patient engagement, CAR‑T cell therapy) Manage and oversee specific state-based strategies, as assigned (e.g. 340B, CAR‑T cell therapy, Medicaid, telehealth, utilization management) Effectively disseminate methodology and results of CSC projects and services with the goal of influencing state and national policy and practices Steward and develop relationships with funders Advocacy Expert Identify, track, and monitor emerging public policy issues in line with CSC's strategic plan Conduct strategic policy analysis, research issues and draft reports (both informational and instructional) for internal and external distribution Secure and grow relationships with funders, policymakers across multiple sectors, fellow advocates, and other stakeholders Engage and coordinate with CSC's national partners to identify areas of common work and consensus, and to advocate collectively for positive change for people affected by cancer People Leader Coach and mentor staff in the development of capabilities within the department, within CSC and within the support community. Performs other duties as requested by management SKILLS AND ABILITIES Ability to analyze policy, develop recommendations and create position statements Ability to write clearly, persuasively and briefly according to intended audiences Strong project management skills Demonstrated knowledge of the policy and programmatic issues related to cancer and health policy Demonstrated leadership, acute analytical skills, strong public speaking, confidence in communicating with a variety of public figures and partners, including strategic partnerships Highly self-motivated and directed, with attention to detail Support and identify opportunities for innovative partnerships with the public and private sectors, academia and government agencies to advance CSC projects and services Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects Demonstrated experience organizing and coordinating Hill Days and state-based advocacy efforts Experience working with grassroots advocacy software Proven experience working diplomatically and with discretion with diverse policy allies and coalitions Ability to travel up to 25 percent of the time TECHNICAL SKILLS Technical proficiency with Microsoft Office, Teams, and Zoom, and experience with any specific software or technology needed for the job EDUCATION Advanced degree preferred (MPH, MHA, MPP, JD) EXPERIENCE A minimum of 5 years of experience in public policy, public interest law or related field; 3-5 years of experience leading people; oncology experience preferred; experience representing patients, caregivers, and/or healthcare consumers preferred. SALARY AND BENEFITS Dependent on experience. In addition to a competitive base salary, we offer statutory benefits required by law. WORK LOCATION This position is located in Washington, D.C. You may work at CSC's office in Washington, DC on a full-time basis or on a hybrid (in-office/work-from-home) schedule in the Washington, DC area. HOW TO APPLY Please submit an original cover letter and resume to **********************************. In your cover letter, please tell us why you are interested in this opportunity and include your qualifications and potential start date. Applications are accepted and considered on a rolling basis. Applications without a cover letter will not be considered. ABOUT CANCER SUPPORT COMMUNITY The Cancer Support Community is a global nonprofit that uplifts and strengthens people impacted by cancer. We are dedicated to fostering a community where people find connection, compassion, and knowledge. We provide professionally led support and navigation services, along with social connections and award-winning education - when, where and how impacted individuals prefer throughout their cancer experience. These resources are available at over 200 Cancer Support Community, Gilda's Club, and healthcare partner locations as well as online and over the phone - all at no cost. We amplify the voices of those impacted by cancer through research and advocacy and create solutions that break down barriers to care and close the healthcare gap for communities whose members are disproportionately affected by cancer. Cancer Support Community is an Equal Opportunity Employer #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify and analyze potential risks and sources of loss to evaluate business processes and drive improvements aimed at minimizing risk. The Lead will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Risk Management Lead estimates the potential financial consequences of an occurring loss. Develops and implements controls and cost‑effective approaches to minimize the organization's risks. Assesses and communicates information regarding business risks with functions across the organization. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. In addition, this role provides consultative services to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible for providing risk management and compliance oversight of Risk Adjustment Operations, including the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit, and risk adjustment operations related to Provider Reconciliation and alternative encounter submission methods. Responsibilities of the role will include the following: Evaluating processes and procedures to ensure adequate controls are included Monitor compliance requirements specific to risk adjustment operations Conduct audits to ensure controls and processes are being executed with minimal risk Conduct risk assessments, as necessary, to identify current gaps in processes Collaborate with business area associates to develop remediation plans to close gaps Collaborate with business area teams and compliance partners to consult on initiatives and drive process excellence Develop annual work plan for responsible areas Understand and assist in financial control assessment and work collaboratively with internal and external auditors Evaluate Provider Data Validation, Provider Reporting, Quality Audit, and core risk adjustment operational business areas monthly progress against goals Track and report on project status Use your skills to make an impact Required Qualifications 3 or more years of project leadership experience 2+ year of audit, compliance, and/or risk experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Strong relationship building skills Ability to take the initiative Ability to manage multiple initiatives at a time and ensure progress is moving forward Preferred Qualifications Applicable Bachelor's degree - Accounting, Finance, Business, Auditing, Actuarial Certified Internal Auditor, CPA or CPC strongly preferred Risk Adjustment knowledge Experience with risk adjustment provider data and reporting Auditing experience Familiarity with CMS Reimbursement models and claims/encounter submission processes Data analysis and dashboarding experience People leadership experience Additional Information Location: Nationwide (U.S.); however, candidates located in the Eastern Standard Time (EST) Zone are strongly preferred to support alignment with team schedules and collaboration. Work-At-Home Requirements: WAH requirements: Must have the ability to provide a high‑speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format: As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called HireVue to enhance our hiring and decision‑making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment. You will have a set of questions and you will provide responses to each question. You should anticipate this to take about 15 - 20 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round. 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. $104,000 - $143,000 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: 01-23-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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. 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 *************************************************************************** #J-18808-Ljbffr

A national healthcare organization is seeking a Risk Management Lead to oversee risk adjustment operations and compliance. This role requires a minimum of three years of project leadership experience and expertise in audit and compliance. The ideal candidate will have strong relationship-building skills and the ability to manage multiple projects effectively. This remote position offers a salary range of $104,000 to $143,000 annually, along with competitive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr

A leading health insurance provider is looking for a Lead Experience Researcher to shape customer experiences that improve health outcomes. This role combines qualitative and quantitative research to provide actionable insights that drive health care efficiency. The ideal candidate will have at least five years of relevant experience, innovative problem-solving skills, and a Bachelor's degree. The role is remote, offers competitive compensation, and includes access to comprehensive benefits. #J-18808-Ljbffr

A leading technology solutions provider is seeking a Senior Substation Physical Engineer in Maryland. In this role, you will design electrical projects for electric utilities and maintain compliance with project scopes. Successful candidates will enjoy opportunities for career growth, flexible work arrangements, and a supportive work environment. Key skills include experience with AC/DC circuits and communication skills. Join us to make an impact on the energy sector while working in a diverse and innovative team. #J-18808-Ljbffr

A nonprofit fundraising firm is seeking a Lead Consultant and Director of Development. This role demands a senior fundraising strategist to manage individual giving and annual fund campaigns while ensuring client engagement through effective communication. Applicants should possess extensive nonprofit experience. The position allows for remote work but requires occasional in-person meetings in Chicago. Successful candidates will demonstrate strong leadership and organizational skills. #J-18808-Ljbffr

A leading healthcare services company in Washington seeks a Workforce Management Professional 2 to analyze workforce needs and develop operational insights. The role requires 2+ years of scheduling experience, and proficiency in Microsoft Office. This remote position entails occasional travel for training. Competitive salary ranging from $59,300 to $80,900 per year, plus benefits focused on whole-person well-being. #J-18808-Ljbffr

A leading technology solutions company is seeking a Systems Engineering Lead to manage the product lifecycle for an agile development program. The role requires a minimum of Top Secret clearance and extensive relevant experience (BS: 12-15 years; MS: 10-13 years). Key responsibilities include work with the Systems Engineering Lifecycle and documentation of requirements. Strong communication skills and the ability to collaborate across various disciplines are essential. This position offers a competitive salary range between $131,300 and $237,350. #J-18808-Ljbffr

Dynavax is a commercial-stage biopharmaceutical company developing and commercializing novel vaccines to help protect the world against infectious diseases. We operate with the highest level of quality, integrity and safety for the betterment of public health. Our proprietary CpG 1018 adjuvant powers our diversified infectious vaccine portfolio, which includes HEPLISAV-B, our commercial product approved in the U.S. and the European Union, for prevention of hepatitis B virus in adults. We also supply CpG 1018 to research collaborations and partnerships globally. Currently, CpG 1018 is being used in development of COVID-19, plague, shingles, and Tdap vaccines. At Dynavax, our vision and work ethic are guided by the collective ideals underpinning our core values, and these form the basis of our dynamic company culture. We strive to maintain a culture where each employee is valued by the organization and where our organization is valued by each employee. We offer a highly flexible work environment for our headquarter employees where individuals work remotely and gather for in-person meetings when necessary. Dynavax is headquartered in the San Francisco Bay area, and our manufacturing facility is in Düsseldorf, Germany. The IDN Key Account Executive II will have full account responsibility and business ownership for assigned Accounts to establish and grow HEPLISAV-B sales. Working with the Director, Vaccine Sales this position will serve as the primary account owner with assigned IDN, Independent and Group Practice accounts. The IDN Key Account Executive II will be responsible for full top down and bottom up ownership and execution in assigned accounts with a primary objective of expanding Adult Hepatitis B Vaccination and greater adoption of HEPLISAV-B. This role will be responsible for understanding sales strategies and execution plans that enable HEPLISAV-B to meet its full revenue potential in assigned accounts. The IDN Key Account Executive II position will be expected to execute all functions of the role independently with minimal supervision from the Director, Vaccine Sales and/or assigned mentor for executive level customer engagements. This position is field based and will require daily travel. The ideal candidate should reside in or near Chicago, but other locations in major metropolitan areas within the assigned territory will be considered. Responsibilities * Responsible for achieving sales targets and owning/managing customer relationships for assigned Accounts. Assigned accounts will include large IDNs, independent customers and group practices. * Serves as sole owner for assigned accounts - responsible for successful execution at all levels of the customer organization to achieve declared goals/objectives. * Demonstrates a deep understanding of vaccine decision making, vaccine adoption and implementation process and key decision makers across all levels of assigned accounts. * Responsible for developing, communicating, and monitoring an account strategy for each assigned account. Conducts quarterly business reviews with Director, Vaccine Sales. * Execute all functions of the role independently with minimal supervision from the Director, Vaccine Sales and/or assigned mentor for executive level customer engagements. * Develop relationships with key stakeholders at each level of organization who are responsible for implementation of vaccines. * Partner with Director, Vaccine Sales to execute sales & marketing strategies to support HEPLISAV-B expansion within assigned accounts. * Responsible for understanding competitive positioning, market dynamics and customer business models to identify opportunities across assigned accounts. * Maintain accurate up-to-date customer records in the Account Management system. * Exercise sound judgement and oversight to ensure integrity and compliance with company policies in all activities and communications. * Foster Dynavax core values and leadership behaviors. * Other duties as assigned. Qualifications * Bachelor's Degree required from an accredited institution; MBA preferred. * 3+ years of life sciences sales experience required; IDN/Hospital experience preferred. * 2 years of vaccine or buy & bill experience required. * 2+ years of strategic account management experience preferred. * Knowledge of the IDN/Hospital landscape within assigned territory required. * Previous health system account management experience is highly preferred. * Strong proven strategic vision, business acumen and influencing skills to drive strategic and operational initiatives across the organization. * Documented track record of consistent sales and growth success along with superb account management skills. * Proven track record of financial/budget management experience. * Knowledge of large health systems, including immunization related quality initiatives. * Excellent oral and written communication skills, presentation and influencing skills. * Ability to drive business results and identify new opportunities and strategies through strategic thinking and business planning. * Experience in matrix management, change advocate. * Heavy travel required. * Key Competencies: Accountability, Customer Engagement, Customer Discovery, Business Acumen, Executional Effectiveness * Ability to operate a motor vehicle. * Ability to sit for prolonged periods; reach with arms and hands; lift and move small objects; and use hands to keyboard and perform other office related tasks including repetitive movement of the wrists, hands and/or fingers. * Must be able to obtain all industry credentials and certifications. Additional Knowledge and Skills desired, but not required: C-suite leadership and account management experience within IDNs and Hospitals is highly preferred. $119,000 - $155,000 a year The estimated salary range for this position is $119,000 to $155,000. Final pay determinations may depend on various factors, including, but not limited to experience level, education, geographical location, knowledge, skills, and abilities. The total compensation package for this position also includes other compensation elements such as stock equity awards and participation in our Company's sales incentive compensation program. Field sales employees receive a company car as well. Dynavax also offers a full range of health and welfare insurance benefits, 401(k) company match, and paid time off benefits, including 17 paid holidays in 2025. California residents: for information on how we handle your personal information and your privacy rights as a job candidate, please see our Candidate Privacy Notice: ********************************************************************************************* Dynavax is an equal opportunity employer & prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital & veteran status. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

A leading healthcare organization is seeking a Market Vice President of Pharmacy Professional Practice to oversee pharmacy compliance across various settings. This role requires a Bachelor's degree in Pharmacy and at least 5 years of relevant experience. The candidate will ensure regulatory compliance and lead a high-performing team. Candidates should possess extensive pharmacy knowledge and significant management experience. This position offers competitive compensation and requires occasional travel for meetings and training. #J-18808-Ljbffr

La Clínica del Pueblo STAFF PSYCHIATRIST - PART TIME POSITION Job Title: Staff Psychiatrist - Part Time Department: Patient Services Supervisor: Amina Chaudhry Classification: Exempt/ Salaried - Part Time Synopsis: Under the direction of the Chief Health Officer (CHO) or their designee, the Staff Psychiatrist will be responsible for providing a full range of psychiatric services to a diverse patient population served by La Clínica Del Pueblo (LCDP). They will collaborate with an interdisciplinary team including primary care and behavioral health clinicians, nurses, care coordinators, and health educators. They will also participate in organization-wide quality improvement initiatives. This position is a part time, hybrid in person/remote opportunity, with expected hours up to 24 hours weekly. Qualifications: Required Education and Experience: * MD or DO from an accredited medical school with completion of an accredited psychiatry residency. * Board certification or board eligibility (BC/BE) in Psychiatry. * Current license (or eligibility to obtain a license) to practice in the District of Columbia and Maryland. * Current DEA/CDS (or eligibility to obtain DEA/CDS) in the District of Columbia and Maryland. * Proficiency in telehealth platforms and electronic health records. * Bilingual Spanish and English. Preferred Education and Experience: * MD or DO from an accredited medical school with completion of an accredited psychiatry residency. * Board certification or board eligibility (BC/BE) in Psychiatry. * Current license (or eligibility to obtain a license) to practice in the District of Columbia and Maryland. * Current DEA/CDS (or eligibility to obtain DEA/CDS) in the District of Columbia and Maryland. * Proficiency in telehealth platforms and electronic health records. * Bilingual Spanish and English. Duties and Responsibilities: Direct Patient Care: * Provide a full range of psychiatric services to assigned patients, including: * Assessment, screening, diagnosis, and treatment of patients with mental health conditions and substance use disorders. * Prescription, direction, and administration of psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders. * Collaboration with physicians, psychologists, social workers, nurses, or other professionals to discuss treatment plans and progress. * Participation in treatment team activities to include the development and periodic review of patient treatment plans. * Provide consultative support and in-service education for primary care clinicians and other clinical staff. * Assist with psychiatric emergencies and crisis interventions at La Clinica Del Pueblo, providing assistance to behavioral health and primary care clinicians as needed. * Be available for back up consultation to on-call providers for psychiatric emergency calls after hours and on weekends for patients under their care. * Demonstrate professionalism and integrity in all aspects of patient care and administrative work. * Effectively engage patients in their care. * Use diagnostic testing appropriately yet cost-effectively. * Maintain accurate, timely documentation in the electronic health record, ensuring HIPAA compliance and adherence to FQHC, state, and federal regulations. * Participate in peer-review and other quality-improvement initiatives. * Deliver care in-person and via telehealth, adapting modality to patient needs and clinical appropriateness. * Collaborate with primary care and behavioral health teams to provide integrated care. * Perform other related duties as assigned. Program Management: * Participate in multidisciplinary team meetings and case conferences. * Provide consultation, education, and support to primary care and behavioral health staff. * Contribute to program development, quality improvement, and workforce training initiatives. Compliance: * Support compliance with telehealth policies, licensure, and credentialing requirements. Policy and Procedures: * Assist the CHO and Director of Behavioral Health in developing and updating clinical protocols for care delivery, emergency management, and transitions of care. Communication: * Communicate effectively with patients, families, and staff, using appropriate technology platforms and maintaining professional boundaries. * Ensure timely response to patient and team communications.

Become a part of our caring community and help us put health first The ideal candidate brings a passion for emerging technologies, a strong foundation in Infrastructure Operations and the curiosity and rigor to build next‑generation capabilities that improve healthcare delivery, reduce risk and optimize operational performance. If you're passionate about innovation and love working in an environment where you can constantly improve and adopt new technologies to drive business results, then Humana's Infrastructure Operations team could be the place for you! Use your skills to make an impact Key Responsibilities Lead and provide direction for our Managed Service Provider (MSP) Lead Managed Service Provider in Operations for Azure, GCP and AWS Cloud environment Drives moderate to complex processing improvements through optimization, enhancements and implementation of new operational features and functions around Cloud compliance, metrics/reporting and cost optimization Provide senior level expertise on decisions and priorities regarding the enterprise's overall Cloud Operations strategy, consumption, and optimization opportunities - understand Cost controls and the various cost optimization techniques Identifies, drives and assists in the implementation of opportunities to standardize Cloud environments Provides Cloud governance, processes and technical advisory support to business units and projects by working cross‑functionally and provides recommendations that support the business needs Participant as required (Level 2/3 escalation point) for Incident Management Participate and develop client relationships within Operations, Business partners, Managed Service Providers and Cloud Providers Work with cross-functional teams to support the engineering and implementation of new Cloud applications or solutions and define the related risks and onboard new capabilities Ability to communicate at all levels within an organization and influence strategic direction Ability to work with minimal supervision, making decisions based upon priorities, schedules and understanding business initiatives This leader will explore and prototype AI‑driven solutions to automate incident response, predict system failures, summarize complex telemetry data, and develop intelligent copilots to support Operations teams Lead research and evaluation of cutting‑edge AI and GenAI tools applicable to Infrastructure Operations (e.g., LLMs, vector databases, predictive analytics) Design and prototype AI‑driven systems for automated incident detection, anomaly classification, infrastructure forecasting/resiliency - leading to lower MttR and manual overhead in mission‑critical environments Develop and lead the strategic roadmap for AI adoption in Infrastructure Operations Collaborate with Infrastructure and Cloud Operations teams to pilot and integrate AI/GenAI features into critical workflows Modernize observability and alerting using AI/ML models for proactive monitoring and self‑healing actions Lead R&D of GenAI solutions for predictive alerting, incident triage and infrastructure automation Build AI copilots and natural language tools for infrastructure operations teams Integrate LLMs into observability platforms for real‑time RCA and log summarization Pilot and productionize GenAI‑based assistants, bots, and copilots to support ticket triage, knowledge management and resolution workflows Identify automation opportunities and implement AI‑enhanced runbooks, workflows and self‑healing mechanisms Contribute to a strategic roadmap for GenAI maturity within Infrastructure & Operations, including tools, governance and organizational readiness Partner with internal data science and clinical innovation teams to create proofs of concept, build ML/GenAI pipelines, and integrate with existing toolchains (e.g., ServiceNow, Splunk, Terraform) Autonomous log summarization, RCA generation and playbook suggestions Natural language interfaces for querying system health or telemetry Act as a GenAI ambassador, helping Infrastructure Operations teams upskill in AI‑augmented technologies and use cases Qualifications Bachelor's in Computer Science, Artificial Intelligence, Healthcare Informatics, or a related field 10+ years in infrastructure operations or engineering, with at least 3+ years of hands‑on involvement in AI/ML or GenAI R&D Deep understanding of large language models (LLMs), vector databases, retrieval‑augmented generation (RAG), and model orchestration (e.g., LangChain, Haystack). Experience integrating AI/GenAI capabilities with infrastructure automation tools (Terraform, Ansible, Python, Bash) Familiarity with healthcare systems and compliance frameworks (HIPAA, HITRUST) Proficiency with observability and telemetry platforms (e.g., Splunk, DynaTrace, SolarWinds) and AI‑driven monitoring Strong problem‑solving and experimentation mindset, with the ability to move from concept to pilot rapidly Experience with Continuous Integration and Deployment Pipelines, i.e. Azure DevOps, Jenkins, Git, Git Hub Has hands‑on scripting experience using one of the following: Terraform, Cloud Formation, PowerShell, Azure CLI, Python, JSON, Perl or Bash Preferred Master's degree Azure, AWS, GCP, ITIL and/or SRE certifications Experience with GenAI platforms (e.g., Azure OpenAI, Google Vertex AI) Experience deploying or evaluating open‑source LLMs or fine‑tuning models for infrastructure use cases Additional Information Work‑At‑Home Requirements WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information#LI-Remote 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. $142,300 - $195,700 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: 01-14-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. 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. 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 *************************************************************************** #J-18808-Ljbffr

Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.

A leading healthcare company seeks an Actuarial Analytics/Forecasting Principal in Annapolis, Maryland. This role involves analyzing financial data and collaborating with senior leadership to support business decisions. The ideal candidate has over a decade of technical experience, strong leadership abilities, and ideally, expertise in Medicare Advantage pricing. Humana offers competitive compensation, including a salary range of $156,600 to $215,400 per year along with comprehensive benefits. #J-18808-Ljbffr

Job DescriptionINTRODUCTION Under the supervision of the Medical Billing Coding Manager, the coding specialist is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding specialist also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. DUTIES AND RESPONSIBILITIES Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Supports the Senior Medical Billing and Coding Specialist to respond to audit findings and make applicable coding additions or corrections. Registers and analyzes claims in the EMR system, including insurance verification and charge entry. Tracks and requests outstanding claims for assigned departments/facilities. Reviews Medicare Local Coverage Determination (LCDs) and Medicare bulletin updates. Utilizes the EMR system to run required daily/monthly/quarterly reports on claims entered. Accepts assignments from management and maintain open communication with their manager to resolve quality and production issues. Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established third-party reimbursement agencies and special screening criteria. Complies with the rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations, and global surgery. Efficiently and accurately processes all types of claims utilizing broad based product or system knowledge to ensure timely payments are generated. Maintains strict confidentiality regarding confidential conversations, documents, and files. Supports the Senior Medical Billing and Coding Specialist to facilitates coding orientation for new providers. Ability to read and abstract physician office notes and procedure notes to apply correct ICD-10-CM, CPT, HCPCS Level II and modifier coding assignments. Perform audits when necessary. Performs other duties as assigned. QUALIFICATIONS High School diploma or GED required/associate's degree preferred. Minimum of 5 years' coding experience using ICD-10-CM, Volumes 1- 3, CPT, HCPCS, and IHS coding conventions. Coding certification is required through AAPC or AHIMA KNOWLEDGE & EXPERIENCE REQUIRED BY THE POSITION Complete knowledge and understanding of PM and EMR workflows. Must demonstrate ability to work independently with minimum supervision in a team-oriented environment and interrelate well with individuals with diverse ethnic and cultural backgrounds and needs. Advanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Excellent oral, written, and telephone communication. Working familiarity with the rules and regulation pertaining to the government/private/FQHC guidelines. Ability to prioritize and manage multiple task with efficiency in dealing with multiple facilities. Ability to handle a large volume of project receiving and researching claims. Excellent computer skills, including Excel, Microsoft Word, etc. SUPERVISORY CONTROLS This position reports directly to the Coding Manager. GUIDELINES This position abides by all rules and regulations set forth by applicable licensing and regulatory bodies, as well as UHC policies and procedures. PERSONAL CONTACTS This position has primary contact with the clients and employees of Unity Health Care. PHYSICAL DEMANDS Refer to attached ADA requirements for the position. WORK ENVIRONMENT Refer to attached ADA requirements for the position. OTHER SIGNIFICANT FACTS Hours may include some evenings and/or Saturday work. While every effort is made to assign staff to one clinic site regularly, Unity may change the assigned clinic and/or site temporarily or permanently, depending upon the need. RISKS The position works involves everyday risk and discomforts, which require normal safety pre-caution typical of such places as offices, meetings, training room and other UHC health Care Sites. The work area is adequately lit, heated and ventilated. The position requires contact with staff at all levels throughout the organization. There are also external organization relationships that may be a part of the work of this individual. All medical services shall be provided according to medical accepted community standards of care. Shall provide evidence of recent (within the past twelve (12) months) health assessment that includes a PPD and/or chest x-ray results. Shall provide evidence of vaccination for Hepatitis A & B. The statements contained herein describe the scope of the responsibility and essential functions of this position, but should not be considered to be an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other areas to cover absences or relief to equalize peak work periods or otherwise balance the workload.

Company DescriptionAt Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Performs charge capture for all procedures completed in the Bronchoscopy suite. This includes: Audit of CPT codes associated with each procedure Confirmation of supplies used and verification of alignment with operative notes Assists patients with billing and insurance related matters including communicating with patients regarding balances owed and other financial issues and facilitating collection of balances owed. Educates patients about financial assistance opportunities, insurance coverage, treatment costs, and clinic billing policies and procedures. Collaborates closely with physicians and technicians to understand treatment plans and determine costs associated with these plans; Works closely with the staff on managed care and referral related issues; communicates findings to patients. Coordinates the pre-certification process with the clinical staff as it relates to procedures in the Bronchoscopy Suite and Operating Rooms Handles billing inquiries received via telephone or via written correspondence. Responsible for thoroughly investigating and understanding financial resources or programs that may be available to patients and educating staff and patients about these programs. Conducts precertification for appropriate tests or procedures and facilitates the process with managed care and the clinical team. Documents all information and authorization numbers in Epic and acts as a liaison for follow-up related to precertification. Performs activities and responds to patient inquiries related to billing follow-up. Requests necessary charge corrections. Identifies patterns of billing errors and works collaboratively with department manager and outside entity to improve processes as needed. Provides guidance regarding clinical documentation to optimize charges and RVUs Confirms coding accuracy based on clinical documentation and reviews common errors or misses with physicians and leadership. The Billing Coordinator reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Billing Coordinator is responsible for processing charges, payments and/or adjustments for all services rendered at all NM Corporate Health Clinics. Researches and follows- up on all outstanding accounts. Answers all calls regarding charges and claims, providing exceptional customer service to all callers. Possesses extensive knowledge of coding, billing, insurance and collections procedures and coordinates the accounts receivable functions. Performs weekly claims, monthly late bills and patient statement runs and reviews accounts to be placed with an outside collection agency. RESPONSIBILITIES: Department Operations Ensures patient demographic and billing/insurance information is kept current in the computer application. Documents all patient and company contacts. Reviews daily clinic schedules and tracks receipt of documentation to assure completeness of charge capture. Ensures notes are is placed in systems, clearly identifying steps taken, according to established procedures. Works with patients/clients to establish payment plans according to predetermined procedures. Handles all incoming customer service calls in a professional and efficient manner. Provides exceptional service to all customers, guarantors, patients, internal and external contacts. Prepares itemized bill upon request; explains charges, payments and adjustments. Produces a clear and understandable statement to individuals on any outstanding account balance. Responsible for timely submission of accurate bills and invoices to clients, patients and insurance companies. Ensures timely posting of all charges, payments, denials and write-offs to the appropriate account, maintaining the highest level of quality for each transaction processed within 48 hours of receipt. Responsible for balancing each payment and adjustment batch with reconciliation report and bank account deposits after completion. Ensures compliant follow up procedures are followed, to third party payers regarding outstanding accounts receivables. Run outstanding A/R reports, follow-up on unpaid claims or balances with insurance companies, patients, and collection agency, as defined by department. Perform daily systematic review of accounts receivable to ensure all accounts ready to be worked are completed. Recommend accounts for contractual or administrative write-off and provide appropriate justification and documentation. Denials and appeals follow-up including root cause analysis to reduce/prevent future denials. Reviews, prepares and sends pre-collection letters as defined by department procedures. Identifies and sends accounts to outside collection agency. Prepares and distributes reports that are required by finance, accounting, and operations. Handles all work in an accurate and timely manner, consistently meets or exceeds productivity standards, quality standards, department goals and deadlines established by the team. Practice HIPAA privacy standards and ensure compliance with patient health information privacy practices. Identify opportunities for process improvement and submit to management. Demonstrate proficient use of systems and execution of processes in all areas of responsibilities. Communication and Teamwork Fosters and maintains positive relationships with the Corporate Health team, Human Resources, NM employees and physicians. Provides courteous and prompt customer service. Answers the telephone in a courteous professional manner, directs calls and takes messages as appropriate. Checks for messages and returns calls. Demonstrates teamwork by helping co-workers within and across departments. Communicates effectively with others, respects diverse opinions and styles, and acknowledges the assistance and contributions of others. Communicates appropriately and clearly to physicians, manager, nursing staff, front office staff, and employees. Maintains a good working relationship within the department. Organizes time and department schedule well. Demonstrates a positive attitude. Service Excellence Displays a friendly, approachable, professional demeanor and appearance. Partners collaboratively with the functional areas across Northwestern Medicine in support of organizational and team objectives. Fosters the development and maintenance of a cohesive, high-energy, collaborative, and quality-focused team. Supports a “Safety Always” culture. Maintaining confidentiality of employee and/or patient information. Sensitive to time and budget constraints. Other duties as assigned. Qualifications Required: High school graduate or equivalent. Strong Computer knowledge, data entry skills in Microsoft Excel and Word. Thorough understanding of insurance billing procedures, ICD-10, and CPT coding. 3 years of physician office/medical billing experience. Ability to communicate clearly and effectively, both orally and in writing, at all levels within and outside the organization. Ability to work independently. Preferred: 3 years of physician office/medical billing experience in Corporate Health/Occupational Health a plus. CPC (Certified Professional Coder) or R (Registered Medical Coder) Certificate a plus. Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.

What you'll do: The Ohio Attorney General's Office is currently seeking a public minded individual for Crime Scene Technician vacancy in the Bureau of Criminal Investigation (BCI) Section within the Crime Scene Unit. This position will primarily be designated for remote working. There may be in person requirements for training and operational needs. The headquarter location is London, OH. The Bureau of Criminal Investigation, known as BCI, houses the state's official crime lab and identification services serving all of Ohio, as well as the criminal justice community. BCI also provides expert criminal investigative services to local, state, and federal law enforcement agencies upon request. With offices throughout the state, BCI stands ready to respond 24/7 to law enforcement agencies' needs. Staff at BCI work every day to provide the highest level of service. This includes special agents who are on call 24/7 to offer investigative assistance to law enforcement, knowledgeable scientists and forensic specialists using cutting-edge technology to process evidence to bring criminals to justice, and criminal intelligence analysts and identification specialists who help local law enforcement solve cases. Experienced special agents, forensic scientists, and other law enforcement experts' staff BCI's three main divisions: 1) Identifications 2) Investigations and 3) Laboratory. The successful candidate must reside in or be willing to relocate within 90 days to one of the following counties: Ashland, Delaware, Fairfield, Franklin, Hocking, Knox, Licking, Marion, Morrow, Pickaway, Richland, Ross, and Union counties only. The duties for this position include, but are not limited to, the following: * Distinguishes the full range of the color spectrum in order to visually and physically examine and investigate all types of crime scenes including, but not limited to: burglaries, vehicle crimes, thefts, assaults, abuse, thefts, criminal damage, officer involved critical incidents and death investigations, for the recognition, collection and preservation of physical evidence such as latent fingerprints, shoe prints and tire tracks, body fluids (such as blood), hair and fibers, weapons and other materials in sometimes stressful and unpleasant environments. * Utilizes a two-way radio, MDC, and phone in order to communicate with diverse groups of people, both verbally and in writing, often under stressful circumstances. * Handles situations tactfully with co-workers and citizens while demonstrating mutual respect for people of all levels. * Answers questions to a variety of inquiries over the phone and in person, to provide information on policies, procedures, and resolve questions or problems related to area of assignment. * Conducts area searches on foot or in a vehicle. * Recovers, unloads and impounds firearms and other weapons using sound safety precautions. * Recovers, transports, and impounds various types of evidence, including, but not limited to human remains. * Measures and makes advanced mathematical calculations and diagrams complex crime scenes. * Prepares and utilizes presumptive tests, various chemicals, powders, compounds and casting materials used in a forensic laboratory, preserving techniques as required. * Photographs various types of crime scenes and evidence, as well as postmortem examinations. * Utilizes specialized equipment and procedures to determine the presence of body fluids and to collect body fluids, hair, fibers, gunshot residue and other trace evidence and materials. * Dusts for and completes lifts for fingerprints. * Casts shoe impressions and other evidence preserving techniques as required. * Conducts interviews to gain relevant information for crime scene investigations or other investigations as necessary. * After compiling all the necessary information for the assigned crime scene investigation, enters the detailed information into a computerized report writing program using appropriate grammar, punctuation, and report writing styles. * Drives to crime scenes to conduct investigations using a state issued vehicle from residential office or other agreed upon location. * May be required to testify in court in connection to scenes processed and evidence collected and preserved. * May provide specialized field training and/or training in crime scene preservation to Police Officers, Police Aides and citizens. * May render an opinion and draw conclusions utilizing skills in a respective subdiscipline such as footwear comparisons, bloodstain pattern interpretation and bullet trajectory paths. * Completes and passes annual proficiency testing in various aspects of crime scene processing. * Completes and passes competency testing as required. * Required to carry a firearm. * Performs other duties as assigned. Completion of bachelor's degree in forensic science or in a field related to crime scene investigation; 2 years of experience in crime scene investigation; valid driver's license. * Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Investigation, Critical Thinking, Collaboration, Decision Making, Attention to Detail, Confidentiality

INTRODUCTION Unity Health Care has launched a Food Pharmacy Program, a collaborative effort with Capitol Area Food Bank, to combat food insecurity for senior patients aged 65 years of age and older. The Food Pharmacy will target seniors who have hypertension, diabetes and/or obesity at Unity's East of the River health center site. Under the supervision of the Medical Director, the Nutritionist will provide patient nutrition education and consultation. Also, the nutritionist will determine and prioritize the nutritional risks of clients based on established priority factors. MAJOR DUTIES * Provides nutritional instructions to patients 65+ living with hypertension, diabetes and/or obesity. * Disseminates Unity-CAFB designed toolkit that promotes health education around healthy foods etc., * Provides nutrition-based patient health education on tailored food prescription to address the patient's medical and nutritional needs, taking into consideration food preferences and cultural background. * Develops nutritional care plans for designated high-risk individuals and provides follow-up instructions, as required, to assure that the health and nutritional needs of the clients are adequately addressed. * Coordinates nutritional care with other health care members in order to ensure comprehensive medical and social services for clients, including referrals for related services, such as Food Stamps, Medicaid benefits, as required. * Keeps abreast of current research findings in nutrition health education and related nutritional needs to assure that appropriate and up to date intervention strategies are provided to participants. * Reviews patient's medical records for medical history, laboratory results in order to provide nutritional instructions and develop an appropriate and feasible meal plan. * Participates in Food Pharmacy related meetings to provide ongoing patient progress/overall updates. * Assures that nutrition education, patient engagement and counseling services are documented, as appropriate in the medical record. * Performs other duties as assigned. QUALIFICATIONS * Bachelor's of Science degree in Food and Nutrition required. * Master's of Science in Food and Nutrition or related area preferred. * Current Registered Dietitian DC License. * Current Registered Dietician License preferred. * Registered Dietitian with the American Dietetic Association. KNOWLEDGE & EXPERIENCE REQUIRED BY THE POSITION * Bachelor's-level candidate must have minimum of two years of clinical experience. * Master's candidate must have a minimum of one year of clinical experience, preferably in the area of infectious diseases. SUPERVISORY CONTROLS This position reports directly to the Medical Director, East of the River GUIDELINES This position abides by all rules and regulations set forth by applicable licensing and regulatory bodies, as well as UHC policies and Procedures. PERSONAL CONTACTS: This position has primary contact with the clients and employees of Unity Health Care. PHYSICAL DEMANDS Refer to attached ADA requirements. WORK ENVIRONMENT Refer to attached ADA requirements. OTHER SIGNIFICANT FACTS The incumbent must be able to balance the needs of diverse constituencies on a daily basis. RISKS The position involves everyday risk and discomfort, which require normal safety precautions typical of such places as offices, meetings, training rooms, and other UHC health Care Sites. The work area is adequately lit, heated, and ventilated. The position requires contact with staff at all levels throughout the organization. There are also external organizational relationships that may be a part of the work of this individual. All medical services shall be provided according to medically accepted community standards of care. The employee shall provide evidence of a recent (within the past twelve (12) months) health assessment that includes a PPD and/or chest x-ray results. The statements contained herein describe the scope of the responsibility and essential functions of this position but should not be considered to be an all-inclusive listing of work requirements. Individuals may perform other duties as assigned including work in other areas to cover absences or relief to equalize peak work periods or otherwise balance the workload.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. 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