Title: VP Information SecurityLocation: Eagle, ID
You've probably enjoyed our fries without even knowing it! As a leading manufacturer in our industry, and public Fortune 500 company, we inspire and bring people together with foods they love and trust. Our customer base includes international food service providers, restaurants, and households in over 100 countries around the world.
A highly innovative global corporation with a start-up mindset, we empower every individual to make a genuine difference. You'll gain access to hands-on training to fuel your growth and success, explore opportunities for new solutions, and you'll join a winning team of 10,000+ people all dedicated to raising the bar - together.
If you have a strong drive for results, a desire to help us bring the world together through our fries, and are ready for a fresh challenge, we want to hear from you.
Summary
The VP Information Security at Lamb Weston serves as the primary point of contact for information security and is responsible for oversight of enterprise-wide IT Information Security vision, strategy, policy, operations, risk management, and business continuity. We are seeking individuals who have demonstrated success transforming, growing, and continuously improving the cyber security function within a diverse, decentralized model through expertise and influence. The candidate should have experience working with and managing key vendor partners as part of an extended team. The ideal candidate should possess deep technical expertise with specific experience working with cybersecurity best practices and frameworks (ISO/IEC, 27001, NIST 800-53, SOX 404, COBIT) across multiple platforms. Experience working in a senior leadership security role for a publicly held company, creating and evolving an Information Security organization, and experience working for a global organization are required. Breadth of experience in these areas, as well as strong leadership and influencing capabilities are required. Demonstrated experience leading teams in a dynamic environment while meeting customer requirements is necessary.
This role will provide vision and leadership necessary to manage information security risk to the organization to ensure business alignment, effective governance, operational efficiency, performance monitoring and measurement, and business continuity. Provide executive level decision support through both informal and formal means, including but not limited to executive level metrics, dashboards, risk analysis and mitigation, risk acceptance, and risk reporting.
This role will also report, escalate, and remediate IT risk and compliance related issues, working in collaboration with corporate compliance, internal audit, and various technical teams in the design, maturity, and implementation of audit, risk assessment, and regulatory compliance practices and documentation for IT.
This position will advise and lead a matrixed direct and in-direct team of IT professionals and analysts knowledgeable in business activities to meet user information needs and the strategic goals of the organization
Job Description
Develop, implement, and maintain a comprehensive enterprise security strategy roadmap.
Develop and mature the company's information security program, ensuring compliance with relevant regulations and standard methodologies.
Proactively monitor, evaluate, and implement standard methodologies related to enterprise information security practices. Provide internal guidance with respect to company response to emerging information security threats both internally and externally.
Monitor the external threat environment for emerging threats and advise relevant business partners on the appropriate course of action that attains our goal of zero breaches.
Collaborate with senior leaders and departments to assess risks, coordinate mitigation efforts, establish internal controls, respond to incidents, and manage shared concerns. Investigate security breaches, communicate to key business partners and executive leadership, and provide remediation and resolution.
Serve as an expert advisor to executive leadership in the development, implementation, and maintenance of a strong information privacy and security program and infrastructure including network access and monitoring policies.
Evaluate effectiveness of information security, privacy, and business continuity planning programs and procedures of third parties with whom the company engages as software, hardware, and/or service providers.
Develop, maintain, and routinely exercise breach and ransomware approaches and processes
Identify and mitigate security events and incidents, compliance issues, operational inefficiencies, application vulnerabilities, network/infrastructure, and other vulnerabilities.
Review and evaluate technology and incoming new vendors for future risks and opportunities to improve IT security.
Establishes Information Security guidance for the Enterprise Architecture team and approves designs and strategies.
Provide strategic risk guidance for the company's IT projects, including the evaluation and recommendation of technical controls. Oversee the security requirements in system development life cycle, business continuity planning, and disaster recovery.
Continuously improve a vulnerability management program which includes automated vulnerability scanning, customized vulnerability assessment, and penetration testing.
Create and communicate a risk-based process for vendor risk management, including assessment and treatment for risks that may result from partners, consultants, and other service providers.
Perform risk assessments and maintain the risk register.
Oversee user access/provisioning for various systems used by the company.
Basic & Preferred Qualifications
Demonstrated experience with various information security controls, including secure network architecture, access paths, ERP and mainframe security, global security & cybersecurity laws, systems security, encryption systems, and database security.
Experience designing and maintaining information security policies and procedures, that are informed by the needs of the business.
Develop and implement a multi-year information security roadmap and plan, which includes metrics to measure performance and can be understood by a variety of audiences.
Deep knowledge and experience with security and regulatory compliance as well as external audits
Proven track record and experience in developing information security policies and procedures as well as successfully implementing programs that meet the objectives of excellence in a dynamic environment.
Abreast of new tools and technologies related to OT & IT security.
Experience working in a senior leadership security role for a publicly held company, creating and evolving an Information Security organization, and experience working for a global organization are required.
Able to interpret technical security details and properly translate those into business terms for Executive leadership
Proven analytical ability to solve complex business and technical problems, critical thinker.
Strong interpersonal skills to effectively collaborate with internal/external customers, senior management, and the Board of Directors.
Ability to cultivate networks with people from across a variety of business units, technology disciplines, operational functions, and locations.
Transparent leader with the ability to work in ambiguous situations and report a positive and clear 5-year cost effective roadmap to success.
Strong people leader and developer of talent. Strong management, relationship building, and communication skills.
Poise and the ability to act calmly and competently in high-pressure, high-stress situations where ownership, accountability, and responsibility for assets and information are not precisely understood.
10+ years of experience in a senior level information security and risk management role required, including global information security management, planning, and policy development in a diverse information systems environment to include management experience.
Bachelor's degree or equivalent in Information Security, Computer Science, or related fields. Masters preferred
CISSP, CISM, CRISC or other security certifications preferred
Strong understanding of regulatory requirements and industry standards (e.g., ISO 27001, NIST, GDPR)
Thrive in a diverse, fast paced, autonomous and decentralized environment
Ability to travel independently, both domestically and internationally, up to 25% of the time may be required
Industry-Competitive Benefits
Coupled with our compensation and bonus incentive programs, our benefits deliver rewards that are market competitive. Some of the most attractive elements of our benefit programs include:
Health Insurance Benefits - Medical, Dental, Vision
Flexible Spending Accounts for Health and Dependent Care, and Health Reimbursement Accounts
Well-being programs including companywide events and a wellness incentive program
Paid Time Off
Financial Wellness - Industry leading 401(k) plan with generous company contributions, Financial Planning Services, Employee Stock purchase program, and Health Savings Accounts, Life and Accident insurance
Family-Friendly Employee events
Employee Assistance Program services - mental health and other concierge type services
Benefits may vary based on location, job role/level, job status, and/or the terms of any applicable collective bargaining agreements.
Job Requisition ID: Req-257953Time Type: Full time The anticipated close date is a good faith estimate for when this job will be closed. Some jobs may be unposted or filled earlier or later than the Anticipated Close Date depending on interview processes and business needs. Anticipated Close Date: 08/18/2025In compliance with applicable state and local laws, Lamb Weston has opted to include a reasonable estimate of the compensation for this role. This compensation is specific to this position and takes into account a number of variables. Actual compensation may be higher or lower in the range posted based on various factors, including, but not limited to, job duties, experience and expertise. A candidate's work location could also impact the actual compensation being outside of the range to reflect local cost of labor. A reasonable annual estimate of the range for this role based on the variables previously mentioned is: $258,620.00 - $387,940.00
Lamb Weston is an Equal Opportunity Employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status or any other protected factor under federal, state or local law
$125k-177k yearly est. Auto-Apply 60d+ ago
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Vice President of Service Operations
Healthcare Support Staffing
President job in Meridian, ID
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Shift: Monday - Friday 8:00am - 5:00pm
Company Job Description/Day to Day Duties:
You, as the Vice President of Service Operations will be held responsible to direct the provider operations, government program operations, business process management, claims, customer service call center, and enrollment and billing functions of the company.
Essential Duties:
• Direct the daily operations of Provider Operations, Government Program Operations, Business Process Management, Claims, Enrollment & Billing, and Member Service functions to ensure cost effective, efficient, and member centric service.
• Ensure the fair, accurate, consistent and timely processing of claims in compliance with member policies, provider contracts, and government regulations.
• Ensure BCI maintains current and accurate Provider File information.
• Ensure accurate enrollment of members and timely distribution of membership cards. Ensure premiums are billed and membership is reconciled and premium payments received before releasing claims for payment. Ensure Group Administrators and/or Individuals are contacted in order to collect past due premiums. Ensure that questions regarding membership status and billings are answered accurately and in a timely manner.
• Ensure Provider and Customer inquiries regarding claims status, benefits, and eligibility are answered accurately, timely, and in a manner that reflect excellent customer service. Ensure Provider inquiries for Medicare Advantage Providers are answered accurately, timely, and in a manner that reflects excellent customer service and consistent with Medicare regulations.
• Responsible for the maintenance of system of clinical rules and edits necessary to protect policy holders against improper billing practices.
• Provide oversight for provider network management activities related to provider information management, credentialing, risk score optimization, and provider appeals.
• Develop and implement business plans assuring the delivery of cost-effective high quality medical and administrative services for Medicare and Medicaid members. Ensure revenue management and reconciliation systems that contribute to profitability and ensure compliance with governmental regulations.
• Provide support for effective corporate-wide operations by participating as a member of the Executive Staff.
• Ensure the highest quality of service is provided in an efficient manner by conforming to and complying with the goals and objectives of the company.
• Perform other duties as requested by the Executive Vice President Healthcare Operations & IT.
Management Accountabilities:
• Establish division objectives that support corporate goals and produce regular status reports.
• Prepare an operating budget that reflects the forecasted needs of the department and control expenditures to assure adherence to approved budgets. Manage expenses not to exceed the budget
• Ensure effective workflows, maximize system efficiencies, monitor quality performance measures and confirm appropriate completion of work assignments. Make recommendations for change as appropriate.
• Approve personnel actions such as hiring, disciplinary, termination and/or salary recommendations.
• Participate in training, coaching and motivation of employees including career path development. Assess individual employee performance and conduct timely performance appraisals.
• Promote teamwork, discussion, and cooperation among staff and other departments. Ensure timely communication and sharing of information with team members.
• Work with staff to resolve work-related issues and concerns. Promote a respectful and diverse workplace.
• Develop and maintain departmental policies and procedures.
Qualifications
Minimum Education/Licensures/Qualifications:
• 10+ years in health insurance industry
• 5+ years management experience
• Bachelor's Degree in Business or Health Insurance Related Field
Preferred Qualifications:
• Master's in Business Administration or Health Insurance related field
VP of Service Operations/Provider Operations/Government Program Operations/Business Process/Revenue Management for a Healthplan/Managed Care Organization/Medical Group
Additional Information
Interested in hearing more about this great opportunity? Please click Apply or call Gemma Halton at (407) 478-0332 ext. 153
$111k-186k yearly est. 1d ago
Chief Actuary Officer
W.R. Berkley Corporation 4.2
President job in Meridian, ID
Company Details Berkley North Pacific is rooted in the Pacific Northwest offering personalized commercial insurance solutions through collaborative efforts for ultimate customer experience. We do this by empowering our people and being 100% customer obsessed. Additionally, we offer the reassurance to our customers that their insurance investment is sound, as we are backed by the resources of a Fortune 500 company, W. R. Berkley Corporation.
At BNP we believe in our core values of Integrity, Ownership, Collaboration, and Innovation. We recognize our employees for their outstanding performance in establishing a workplace where employees can thrive, enjoy their work, and help our company grow.
This role will be based in our Meridian, ID office. We offer a hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.
The Company is an equal employment opportunity employer.
#LI-AV1 #LI-HYBRID
Responsibilities
Become a key player in our dynamic team as the VP, Chief Actuary Officer. In this role, you'll report to the BNP President, provide strategic direction and leadership to the Actuarial Function while partnering with the BNP's Senior Leadership team. You'll benefit from sharing best practices with your fellow Actuarial Officers from the other 65 Berkley operating units and home office. We'll trust you to develop and execute strategic plans that drive our business objectives. Your business acumen coupled with your ability to pivot from the tactical to strategic delivery of Pricing, Reserving, and Analytics will be crucial to our success.
What You Can Expect as a C-Suite Leader:
* Innovative Culture: Thrive in a nimble, flat organization where innovation and teamwork are at the core.
* Growth Mindset: Opportunities to tackle challenging and meaningful projects for continuous learning and development. You'll work with supportive colleagues and leaders who are committed to investing in talent.
* Successful history: Strong industry reputation, market presence, financial stability anchored in ethical standards, integrity and professionalism.
* Impactful Change: Leverage your expertise to drive meaningful change and make a significant impact on the company's success.
* Technological Innovation: Access to evolving advanced tools and technologies, such as AI, machine learning, and data analytics.
* Comprehensive Benefits: Benefit from competitive compensation, paid time off, healthy work-life balance and comprehensive wellness programs. Enjoy an employer-funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance, and professional continuing education.
We'll count on you for:
Entrepreneurial Leadership:
* Lead the actuarial component of the company's planning processes.
* Provide insights into company, economic, and marketplace trends.
* Lead the vision, growth, and implementation of advanced analytics.
* Innovate and improve actuarial and analytics capabilities; adapt and develop rating methodologies for competitive advantage.
Strategic Mindset:
* Develop and offer strategic direction for the company.
* Lead the actuarial component of the company's planning processes.
* Identify growth segments and propose corrective actions for underperforming segments.
Collaboration and Partnership:
* Partner closely with BNP's Underwriting, Claims and Finance teams.
* Collaborate across the enterprise with W.R. Berkley Actuaries and
* Analytics teams to advance company capabilities.
* Proactively seek out competitive market analytics and position reviews to inform business decisions.
* Participate in enterprise risk management initiatives.
Talent Development:
* Lead a small high-performing Actuarial Team, providing direction, mentorship, and evaluation.
* Develop talent, motivate, and inspire through frequent and specific feedback.
* Measure results and reward achievement.
* Maintain compliance with actuarial policies and standards.
Lead Through Change:
* Perform advanced analytics and modeling techniques using tools like SAS, R, Pretium, Emblem, and stochastic simulation techniques.
* Identify, retrieve, and prepare data for actuarial analysis using SQL, Essbase, and other data sources.
* Prepare loss and expense reserves estimates.
* Lead rate reviews, ratemaking, and actuarial indications.
* Implement advanced analytics for improved accuracy and efficiency; support the development of Tableau reporting and analytical tools/models.
Qualifications
What you need to have:
* Bachelor's degree; or 15 years related experience or training; or equivalent combination of education and experience.
* Fellow of the Casualty Actuarial Society (FCAS) with a commitment to continuing education.
* Success managing teams and implementing strategic vision.
* Strong problem analysis and resolution skills.
* Excellent interpersonal and communication skills.
* Proficiency in Microsoft Office, Excel, and basic SQL.
* Knowledge of actuarial or analytics software such as Arius, R, Python, and Tableau.
What Makes You Stand Out:
* Ability to attract, coach, and develop talent.
* Effective leadership and project management skills.
* Strong customer orientation.
Additional Company Details
We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment
Sponsorship Details
Sponsorship not Offered for this Role Responsibilities Become a key player in our dynamic team as the VP, Chief Actuary Officer. In this role, you'll report to the BNP President, provide strategic direction and leadership to the Actuarial Function while partnering with the BNP's Senior Leadership team. You'll benefit from sharing best practices with your fellow Actuarial Officers from the other 65 Berkley operating units and home office. We'll trust you to develop and execute strategic plans that drive our business objectives. Your business acumen coupled with your ability to pivot from the tactical to strategic delivery of Pricing, Reserving, and Analytics will be crucial to our success. What You Can Expect as a C-Suite Leader: - Innovative Culture: Thrive in a nimble, flat organization where innovation and teamwork are at the core. - Growth Mindset: Opportunities to tackle challenging and meaningful projects for continuous learning and development. You'll work with supportive colleagues and leaders who are committed to investing in talent. - Successful history: Strong industry reputation, market presence, financial stability anchored in ethical standards, integrity and professionalism. - Impactful Change: Leverage your expertise to drive meaningful change and make a significant impact on the company's success. - Technological Innovation: Access to evolving advanced tools and technologies, such as AI, machine learning, and data analytics. - Comprehensive Benefits: Benefit from competitive compensation, paid time off, healthy work-life balance and comprehensive wellness programs. Enjoy an employer-funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance, and professional continuing education. We'll count on you for: Entrepreneurial Leadership: - Lead the actuarial component of the company's planning processes. - Provide insights into company, economic, and marketplace trends. - Lead the vision, growth, and implementation of advanced analytics. - Innovate and improve actuarial and analytics capabilities; adapt and develop rating methodologies for competitive advantage. Strategic Mindset: - Develop and offer strategic direction for the company. - Lead the actuarial component of the company's planning processes. - Identify growth segments and propose corrective actions for underperforming segments. Collaboration and Partnership: - Partner closely with BNP's Underwriting, Claims and Finance teams. - Collaborate across the enterprise with W.R. Berkley Actuaries and - Analytics teams to advance company capabilities. - Proactively seek out competitive market analytics and position reviews to inform business decisions. - Participate in enterprise risk management initiatives. Talent Development: - Lead a small high-performing Actuarial Team, providing direction, mentorship, and evaluation. - Develop talent, motivate, and inspire through frequent and specific feedback. - Measure results and reward achievement. - Maintain compliance with actuarial policies and standards. Lead Through Change: - Perform advanced analytics and modeling techniques using tools like SAS, R, Pretium, Emblem, and stochastic simulation techniques. - Identify, retrieve, and prepare data for actuarial analysis using SQL, Essbase, and other data sources. - Prepare loss and expense reserves estimates. - Lead rate reviews, ratemaking, and actuarial indications. - Implement advanced analytics for improved accuracy and efficiency; support the development of Tableau reporting and analytical tools/models.
$98k-123k yearly est. Auto-Apply 60d+ ago
VP of Strategic Sourcing
Thomas Management LLC 4.4
President job in Meridian, ID
Job Description
VP of Strategic Sourcing
About the company
Founded in 1986, Thomas Cuisine is an award-winning, privately held contract food service company. We advocate for the healing power of whole foods and believe in preparing scratch-made cuisine fresh each day. Every Thomas Cuisine team member is an ambassador, carrying out our mission, reflecting our values, and building relationships while "doing the right thing".
At Thomas Cuisine, we know our success begins and ends with our people. It's the reason we work hard to attract and retain the best and brightest talent. From day one, you will be an integral member of our high-caliber, collaborative team. When you join Thomas Cuisine, you won't simply start a new job-you will build a meaningful and impactful career.
This role will be located in Meridian, Idaho.
Salary range: $150,000+ depending on experience and qualifications.
Position Summary
The Vice President of Strategic Sourcing will lead the design and execution of a forward-thinking sourcing strategy that drives operational excellence and brings Thomas Cuisine's REAL Food mission to life. This individual will oversee all aspects of sourcing, purchasing, and distribution while forging deep partnerships with suppliers, distributors, and culinary leaders to ensure that every ingredient reflects our commitment to health, integrity, and stewardship.
This is not a traditional procurement role. The right leader will view sourcing as a differentiator - a way to shape food systems, influence supplier behavior, and strengthen our value to clients through transparency, sustainability, and innovation. Our ideal candidate is driven by results, but inspired by purpose, and sees sourcing as a lever for positive change.
Key Responsibilities
Strategic Leadership
Develop and execute a company-wide sourcing strategy that ensures availability, quality, and value across all food and non-food categories.
Build and lead a high-performing procurement team that supports operations with excellence, responsiveness, and service.
Create a balanced sourcing model that integrates national partnerships with regional and local suppliers to strengthen our REAL Food story.
Drive alignment between sourcing, culinary, and operational teams to ensure that procurement strategies directly support client experience and financial goals.
REAL Food Integration
Partner closely with culinary and marketing leadership to champion Thomas Cuisine's REAL Food standards across the supply chain.
Work with suppliers and distributors to remove “Scrapped List” items and identify cleaner ingredient alternatives.
Advance regional and local sourcing initiatives that highlight food origin, seasonality, and sustainability while maintaining cost stewardship.
Contribute to the development of tools such as the REAL Food Index to measure and track ingredient integrity and sourcing progress.
Operational & Financial Stewardship
Oversee relationships with broadline distributors and manufacturers, ensuring consistent service, competitive pricing, and aligned objectives.
Negotiate and manage supplier contracts in collaboration with finance and operations teams.
Utilize data analytics to enhance visibility, forecast demand, and identify opportunities for savings and innovation.
Develop and deliver the annual rebate and cost savings budgets.
Provide monthly variance analysis insights and forecast updates for rebates and cost savings.
Lead the Central Montana Beef program from end to end, ensuring proper costing and supply management.
Innovation & Influence
Cultivate partnerships that amplify Thomas Cuisine's thought leadership around REAL Food and responsible sourcing.
Collaborate with cross-functional leaders to tell the story of our sourcing impact.
Partner with Accounting to ensure rebate accruals are accurate.
Represent Thomas Cuisine in external industry and supplier forums to expand influence and advance positive change in the food system.
Qualifications
10+ years of progressive leadership experience in supply chain, procurement, or strategic sourcing (multi-unit foodservice, hospitality, or food manufacturing preferred).
Bachelor's degree in business or supply chain management, MBA preferred.
Passion for improving the food supply chain - from ingredient sourcing to distribution - with a commitment to advancing the REAL Food mission.
Proven success in developing and executing sourcing strategies that balance cost, quality, and mission.
Strong understanding of food and beverage categories, supply chain economics, and ingredient standards.
Experience leading teams and driving organizational change in a values-based, growth-oriented company.
Excellent negotiation, relationship management, and analytical capabilities.
Ability to travel up to 20% or less.
Success Profile
REAL Food is embedded throughout the supply chain.
Product specifications, sourcing decisions, and distributor relationships consistently reflect Thomas Cuisine's REAL Food standards.
Regional and local sourcing strategies are operationalized.
Local and regional partnerships are established and scaled, bringing freshness, community connection, and differentiation to client accounts across key geographies.
Broadline distributors and manufacturers are active partners in change.
Our suppliers are aligned with our mission, collaborating to eliminate “Scrapped List” ingredients and innovate cleaner, more transparent product offerings.
The sourcing function is seen as a business accelerator.
Strategic sourcing is viewed across the organization as a driver of growth, margin improvement, and brand distinction.
Field teams feel supported and empowered.
Operators and chefs experience a streamlined, responsive system that gives them what they need to deliver great food while maintaining financial and operational discipline.
Financial stewardship and innovation coexist.
The sourcing team consistently delivers measurable savings and cost predictability while advancing initiatives that enhance food quality and sustainability.
Data and insights drive smarter decisions.
Spend analytics, forecasting, and supplier performance metrics are used to proactively identify opportunities and manage risk.
Thomas Cuisine becomes a recognized leader in ethical sourcing.
Industry peers and partners look to us as a model for how a foodservice company can align business performance with food integrity and impact.
Our commitment to you
At Thomas Cuisine, we are dedicated to fostering a workplace that is diverse, equitable, inclusive, and where every individual feels a sense of belonging. We know that this commitment is an ongoing journey, and we will strive to improve and adapt as we grow. Our DEIB commitment is not just a statement but a living part of our company culture.
REAL Food | Genuine Service | Enduring Relationships
$150k yearly 18d ago
VP, Medical Economics
Molina Healthcare 4.4
President job in Meridian, ID
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$113k-168k yearly est. 60d+ ago
VP of Sales
Gymreapers
President job in Nampa, ID
Employment Status: Full-Time, Benefits Eligible
Schedule: Monday - Friday, 8AM - 5PM (flex according to business needs)
Reports To: Chief Executive Officer
Position Overview:
Gymreapers is seeking an accomplished Vice President of Sales to lead our growing sales team. This position will have responsibility for all wholesale accounts, overall sales strategy, and revenue.
As part of the senior leadership team, this position will drive all efforts to grow, manage, and oversee company-wide sales strategy while ensuring alignment with revenue goals and operations.
The VP of Sales will work closely with a broad range of cross functional partners including: Brand, Marketing, Finance, and Operations. The ideal candidate will have 10-15 years of wholesale experience within the supplement, accessories, athletic apparel, or fitness equipment industries.
About Gymreapers:
At Gymreapers, we make gear with a purpose and focus on material integrity. You get high-quality lifting gear that's made to outlast cheap look-a-likes.
We're reengineering people's workouts and improving the support needed to lift better, longer, and stronger. Improve performance, relieve pain, and add stability to your workout program with premium lifting belts, knee sleeves, wrist wraps, and more.
With our mantra, "NOTHING IS GIVEN," we embody a relentless pursuit of excellence, innovation, and community-building.
Our Core Values:
Grow or Die
Customer Obsession
Extreme Ownership
Nothing is Given // Everything is Earned
Be Humble
1% Better Everyday
Live with Integrity
Sacrifice
Key ResponsibilitiesSales Strategy & Growth Leadership
Develop and execute a comprehensive omni-channel sales strategy aligned with Gymreapers' revenue, margin, and brand objectives.
Drive sustainable growth through strategic retail partnerships, new account acquisition, category expansion, and international opportunities.
Own channel strategy across wholesale, specialty retail, and key strategic partners.
Partner with marketing and brand teams to maximize sell-through, promotional effectiveness, and retail storytelling.
Sales Organization Build & Scale
Design, build, and lead a high-performance sales organization, including account management, field sales, and strategic partnerships.
Define org structure, roles, compensation plans, and incentives to support scalable domestic and international growth.
Establish clear KPIs, forecasting discipline, and accountability frameworks across the sales team.
Recruit, develop, and retain top sales talent aligned with Gymreapers' culture and performance standards.
Key Account Management & Expansion
Own executive-level relationships with Gymreapers' largest retail and strategic accounts.
Lead joint business planning, retail resets, line reviews, and long-range growth initiatives with key partners.
Conduct regular business reviews to identify expansion opportunities, improve productivity, and strengthen account loyalty.
Use customer and account insights to inform product development, inventory strategy, and go-to-market execution.
Product, Calendar & Go-To-Market Alignment
Partner closely with product development and merchandising teams to align sales strategy with product roadmaps and retail timelines.
Build and manage an integrated sales and product calendar covering launches, resets, promotions, and expansions.
Ensure sales readiness across all channels for new product introductions and seasonal transitions.
Adapt strategy dynamically based on market trends, competitive landscape, and retail performance data.
Financial Leadership & P&L Ownership
Own the wholesale and retail sales P&L, with full responsibility for revenue, margins, forecasting, and expense management.
Develop accurate sales forecasts and long-range plans to support inventory, cash flow, and operational planning.
Identify opportunities to improve profitability through pricing strategy, assortment optimization, and operational efficiency.
Deliver clear, data-driven reporting and insights to executive leadership.
Leadership, Culture & Cross-Functional Collaboration
Lead with high standards, accountability, and a performance-driven mindset consistent with Gymreapers' ethos.
Coach and mentor leaders within the sales organization, building a strong leadership bench.
Foster tight cross-functional alignment with marketing, operations, supply chain, and customer experience teams.
Champion a culture of ownership, continuous improvement, and execution excellence.
Qualifications
8-12+ years of progressive experience in sales leadership, with deep expertise in wholesale, retail, and omni-channel growth.
5-8+ years in senior sales leadership roles, including experience building and scaling sales organizations.
Proven success managing and growing major national and international retail accounts.
Strong experience partnering with product teams to align assortments, launches, and retail calendars.
Demonstrated P&L ownership, forecasting accuracy, and financial discipline.
Exceptional negotiation, relationship-building, and executive communication skills.
Experience in apparel, fitness, footwear, or consumer goods strongly preferred.
Passion for fitness, performance culture, and alignment with Gymreapers' values.
Benefits/Perks:
Competitive Pay
Company paid holidays
Paid Time Off (PTO)
Gymreapers on-site gym!
Newly renovated HQ!
401(k) with up to a 4% employer match
Life Flight Program, Voluntary
Employee Assistance Program
50% Employee Discount
100% Employer Paid: Medical, Dental and Vision - short-term and long-term disability - life insurance for both employee and spouse/dependents
Health Savings Account (HSA) employee option
Gymreapers LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national or ethnic origin, disability, as well as any other characteristic protected by federal, provincial, or local law.
$99k-160k yearly est. Auto-Apply 5d ago
Executive Director of Development
Cole Valley Christian Schools 3.4
President job in Meridian, ID
Our Mission: Partnering with Christian families to shepherd and challenge students toward their individual potential to impact the world for Christ.
Cole Valley Christian Schools (CVCS) is seeking to mature and expand its Office of Development with a dynamic and experienced Executive Director of Development to lead our school into the next chapter of growth and impact. This is a senior leadership position reporting to the Superintendent, who is responsible for leading the development team in all fundraising, donor relations, and strategic advancement initiatives to support our mission and sustainability.
Cole Valley Christian Schools, established in 1972, is the largest Christian school in Idaho, serving approximately 1,400 students from early childhood through 12th grade with a culture of grace, truth and love. We desire to strive for the excellence that God calls us to in preparing our students to impact the world for Christ. Therefore, we are seeking someone who first and foremost has a strong relationship with Christ that is evidenced in all aspects of their life.
Job Responsibilities:
Build a full-service Office of Development with capacity for capital campaigns, sustained giving, planned giving, foundation and corporate relationships, alumni giving, special events and advancement services.
Administer the completion of a major multi-phased capital campaign to fund the construction of a new campus, including donor identification, cultivation, solicitation and stewardship.
Develop and implement an ongoing strategic fundraising plan aligned with the CVCS mission and vision.
Identify, solicit and cultivate relationships with major donors, foundations, and corporate partners to procure significant gifts and grants.
Lead donor stewardship programs, ensuring meaningful engagement and recognition of contributors.
Identify and pursue new funding opportunities, including untapped corporate and private sources.
Oversee and monitor the execution of fundraising events, including donor outreach, event logistics, and post-event follow-up.
Collaborate with the marketing team to create compelling campaigns and materials that highlight the impact of donor support.
Manage and evaluate the performance of the development team staff and volunteers, providing training, vision and leadership.
Develop and provide comprehensive tracking of fundraising activities, preparing detailed progress reports for the Superintendent and School Board.
Oversee donor database, reporting, and fundraising communications.
Initiate and oversee the Cole Valley Christian Schools Foundation.
Provide strategic oversight to the Director of Development across all fundraising, donor engagement, campaign initiatives, relationship-building efforts, and development events.
Provide strategic leadership to the Director of Advancement to drive community programs with alumni and parents in meaningful ways to build community and philanthropic support.
Ensure adherence to ethical fundraising practices and compliance with relevant policies and regulations.
Perform other duties assigned by the Superintendent.
Requirements
A testimony of faith in Jesus Christ.
Desire to invest in and disciple students in their relationship with the Lord.
A heart to serve our families, staff and students.
Demonstrated ability to work in unity as part of a team, serving others.
A passion for the CVCS mission and Christian education.
Significant and successful experience in nonprofit fundraising with demonstrated success in major gifts and capital campaigns.
Proven success in fundraising, donor relations, and business development, with a proven track record of meeting or exceeding fundraising goals.
Exceptional communication and relationship-building skills, with the ability to engage donors and inspire support.
Proficiency in donor database systems and fundraising software.
Excellent leadership and supervisory skills, fostering collaboration and accountability within a team.
Experience working in Christian education a plus.
Education and/or Certification Requirements:
Bachelor's degree in related field from an accredited college or university required.
Master's degree or CFRE certification preferred.
Job Data:
Salary: Regionally competitive based upon experience.
Contract: Year-round position.
Benefits: Medical, dental, vision, life, disability, and retirement benefits.
Tuition Discount: 50% tuition discount. Does not include fees.
Time Off: 5 personal days, 9 sick days and 3 days bereavement leave per fiscal year.
$91k-122k yearly est. 60d ago
VP of Strategic Sourcing
Thomas Cuisine 4.4
President job in Meridian, ID
About the company
Founded in 1986, Thomas Cuisine is an award-winning, privately held contract food service company. We advocate for the healing power of whole foods and believe in preparing scratch-made cuisine fresh each day. Every Thomas Cuisine team member is an ambassador, carrying out our mission, reflecting our values, and building relationships while "doing the right thing".
At Thomas Cuisine, we know our success begins and ends with our people. It's the reason we work hard to attract and retain the best and brightest talent. From day one, you will be an integral member of our high-caliber, collaborative team. When you join Thomas Cuisine, you won't simply start a new job-you will build a meaningful and impactful career.
This role will be located in Meridian, Idaho.
Salary range: $150,000+ depending on experience and qualifications.
Position Summary
The Vice President of Strategic Sourcing will lead the design and execution of a forward-thinking sourcing strategy that drives operational excellence and brings Thomas Cuisine's REAL Food mission to life. This individual will oversee all aspects of sourcing, purchasing, and distribution while forging deep partnerships with suppliers, distributors, and culinary leaders to ensure that every ingredient reflects our commitment to health, integrity, and stewardship.
This is not a traditional procurement role. The right leader will view sourcing as a differentiator - a way to shape food systems, influence supplier behavior, and strengthen our value to clients through transparency, sustainability, and innovation. Our ideal candidate is driven by results, but inspired by purpose, and sees sourcing as a lever for positive change.
Key Responsibilities
Strategic Leadership
Develop and execute a company-wide sourcing strategy that ensures availability, quality, and value across all food and non-food categories.
Build and lead a high-performing procurement team that supports operations with excellence, responsiveness, and service.
Create a balanced sourcing model that integrates national partnerships with regional and local suppliers to strengthen our REAL Food story.
Drive alignment between sourcing, culinary, and operational teams to ensure that procurement strategies directly support client experience and financial goals.
REAL Food Integration
Partner closely with culinary and marketing leadership to champion Thomas Cuisine's REAL Food standards across the supply chain.
Work with suppliers and distributors to remove “Scrapped List” items and identify cleaner ingredient alternatives.
Advance regional and local sourcing initiatives that highlight food origin, seasonality, and sustainability while maintaining cost stewardship.
Contribute to the development of tools such as the REAL Food Index to measure and track ingredient integrity and sourcing progress.
Operational & Financial Stewardship
Oversee relationships with broadline distributors and manufacturers, ensuring consistent service, competitive pricing, and aligned objectives.
Negotiate and manage supplier contracts in collaboration with finance and operations teams.
Utilize data analytics to enhance visibility, forecast demand, and identify opportunities for savings and innovation.
Develop and deliver the annual rebate and cost savings budgets.
Provide monthly variance analysis insights and forecast updates for rebates and cost savings.
Lead the Central Montana Beef program from end to end, ensuring proper costing and supply management.
Innovation & Influence
Cultivate partnerships that amplify Thomas Cuisine's thought leadership around REAL Food and responsible sourcing.
Collaborate with cross-functional leaders to tell the story of our sourcing impact.
Partner with Accounting to ensure rebate accruals are accurate.
Represent Thomas Cuisine in external industry and supplier forums to expand influence and advance positive change in the food system.
Qualifications
10+ years of progressive leadership experience in supply chain, procurement, or strategic sourcing (multi-unit foodservice, hospitality, or food manufacturing preferred).
Bachelor's degree in business or supply chain management, MBA preferred.
Passion for improving the food supply chain - from ingredient sourcing to distribution - with a commitment to advancing the REAL Food mission.
Proven success in developing and executing sourcing strategies that balance cost, quality, and mission.
Strong understanding of food and beverage categories, supply chain economics, and ingredient standards.
Experience leading teams and driving organizational change in a values-based, growth-oriented company.
Excellent negotiation, relationship management, and analytical capabilities.
Ability to travel up to 20% or less.
Success Profile
REAL Food is embedded throughout the supply chain.
Product specifications, sourcing decisions, and distributor relationships consistently reflect Thomas Cuisine's REAL Food standards.
Regional and local sourcing strategies are operationalized.
Local and regional partnerships are established and scaled, bringing freshness, community connection, and differentiation to client accounts across key geographies.
Broadline distributors and manufacturers are active partners in change.
Our suppliers are aligned with our mission, collaborating to eliminate “Scrapped List” ingredients and innovate cleaner, more transparent product offerings.
The sourcing function is seen as a business accelerator.
Strategic sourcing is viewed across the organization as a driver of growth, margin improvement, and brand distinction.
Field teams feel supported and empowered.
Operators and chefs experience a streamlined, responsive system that gives them what they need to deliver great food while maintaining financial and operational discipline.
Financial stewardship and innovation coexist.
The sourcing team consistently delivers measurable savings and cost predictability while advancing initiatives that enhance food quality and sustainability.
Data and insights drive smarter decisions.
Spend analytics, forecasting, and supplier performance metrics are used to proactively identify opportunities and manage risk.
Thomas Cuisine becomes a recognized leader in ethical sourcing.
Industry peers and partners look to us as a model for how a foodservice company can align business performance with food integrity and impact.
Our commitment to you
At Thomas Cuisine, we are dedicated to fostering a workplace that is diverse, equitable, inclusive, and where every individual feels a sense of belonging. We know that this commitment is an ongoing journey, and we will strive to improve and adapt as we grow. Our DEIB commitment is not just a statement but a living part of our company culture.
REAL Food | Genuine Service | Enduring Relationships
$150k yearly 16d ago
VP, AI Enablement
Molina Healthcare 4.4
President job in Meridian, ID
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$113k-168k yearly est. 60d+ ago
VP of Sales
Gymreapers
President job in Nampa, ID
Job Description
Employment Status: Full-Time, Benefits Eligible
Schedule: Monday - Friday, 8AM - 5PM (flex according to business needs)
Reports To: Chief Executive Officer
Position Overview:
Gymreapers is seeking an accomplished Vice President of Sales to lead our growing sales team. This position will have responsibility for all wholesale accounts, overall sales strategy, and revenue.
As part of the senior leadership team, this position will drive all efforts to grow, manage, and oversee company-wide sales strategy while ensuring alignment with revenue goals and operations.
The VP of Sales will work closely with a broad range of cross functional partners including: Brand, Marketing, Finance, and Operations. The ideal candidate will have 10-15 years of wholesale experience within the supplement, accessories, athletic apparel, or fitness equipment industries.
About Gymreapers:
At Gymreapers, we make gear with a purpose and focus on material integrity. You get high-quality lifting gear that's made to outlast cheap look-a-likes.
We're reengineering people's workouts and improving the support needed to lift better, longer, and stronger. Improve performance, relieve pain, and add stability to your workout program with premium lifting belts, knee sleeves, wrist wraps, and more.
With our mantra, "NOTHING IS GIVEN," we embody a relentless pursuit of excellence, innovation, and community-building.
Our Core Values:
Grow or Die
Customer Obsession
Extreme Ownership
Nothing is Given // Everything is Earned
Be Humble
1% Better Everyday
Live with Integrity
Sacrifice
Key ResponsibilitiesSales Strategy & Growth Leadership
Develop and execute a comprehensive omni-channel sales strategy aligned with Gymreapers' revenue, margin, and brand objectives.
Drive sustainable growth through strategic retail partnerships, new account acquisition, category expansion, and international opportunities.
Own channel strategy across wholesale, specialty retail, and key strategic partners.
Partner with marketing and brand teams to maximize sell-through, promotional effectiveness, and retail storytelling.
Sales Organization Build & Scale
Design, build, and lead a high-performance sales organization, including account management, field sales, and strategic partnerships.
Define org structure, roles, compensation plans, and incentives to support scalable domestic and international growth.
Establish clear KPIs, forecasting discipline, and accountability frameworks across the sales team.
Recruit, develop, and retain top sales talent aligned with Gymreapers' culture and performance standards.
Key Account Management & Expansion
Own executive-level relationships with Gymreapers' largest retail and strategic accounts.
Lead joint business planning, retail resets, line reviews, and long-range growth initiatives with key partners.
Conduct regular business reviews to identify expansion opportunities, improve productivity, and strengthen account loyalty.
Use customer and account insights to inform product development, inventory strategy, and go-to-market execution.
Product, Calendar & Go-To-Market Alignment
Partner closely with product development and merchandising teams to align sales strategy with product roadmaps and retail timelines.
Build and manage an integrated sales and product calendar covering launches, resets, promotions, and expansions.
Ensure sales readiness across all channels for new product introductions and seasonal transitions.
Adapt strategy dynamically based on market trends, competitive landscape, and retail performance data.
Financial Leadership & P&L Ownership
Own the wholesale and retail sales P&L, with full responsibility for revenue, margins, forecasting, and expense management.
Develop accurate sales forecasts and long-range plans to support inventory, cash flow, and operational planning.
Identify opportunities to improve profitability through pricing strategy, assortment optimization, and operational efficiency.
Deliver clear, data-driven reporting and insights to executive leadership.
Leadership, Culture & Cross-Functional Collaboration
Lead with high standards, accountability, and a performance-driven mindset consistent with Gymreapers' ethos.
Coach and mentor leaders within the sales organization, building a strong leadership bench.
Foster tight cross-functional alignment with marketing, operations, supply chain, and customer experience teams.
Champion a culture of ownership, continuous improvement, and execution excellence.
Qualifications
8-12+ years of progressive experience in sales leadership, with deep expertise in wholesale, retail, and omni-channel growth.
5-8+ years in senior sales leadership roles, including experience building and scaling sales organizations.
Proven success managing and growing major national and international retail accounts.
Strong experience partnering with product teams to align assortments, launches, and retail calendars.
Demonstrated P&L ownership, forecasting accuracy, and financial discipline.
Exceptional negotiation, relationship-building, and executive communication skills.
Experience in apparel, fitness, footwear, or consumer goods strongly preferred.
Passion for fitness, performance culture, and alignment with Gymreapers' values.
Benefits/Perks:
Competitive Pay
Company paid holidays
Paid Time Off (PTO)
Gymreapers on-site gym!
Newly renovated HQ!
401(k) with up to a 4% employer match
Life Flight Program, Voluntary
Employee Assistance Program
50% Employee Discount
100% Employer Paid: Medical, Dental and Vision - short-term and long-term disability - life insurance for both employee and spouse/dependents
Health Savings Account (HSA) employee option
Gymreapers LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national or ethnic origin, disability, as well as any other characteristic protected by federal, provincial, or local law.
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$99k-160k yearly est. 7d ago
VP, AI Enablement
Molina Healthcare Inc. 4.4
President job in Meridian, ID
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
Job Duties
* Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
* Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
* Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
* Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
* Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
* Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
* Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
* Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
* Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
Job Qualifications
REQUIRED QUALIFICATIONS:
* At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
* 7 years management/leadership experience.
* Proven history of implementing enterprise AI solutions in regulated environments.
* Strong cross-functional collaboration and stakeholder management skills.
* Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
* Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
* Familiarity with ethical AI principles and risk management
* Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
* Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
#PJCorp
#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$113k-168k yearly est. 60d ago
VP, Medical Economics
Molina Healthcare Inc. 4.4
President job in Meridian, ID
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
Essential Job Duties
* Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
* Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
* Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
* Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
* Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
* Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
* Informs and supports regular forecasting activities of the enterprise.
* Propagates best medical economics/analysis/SAI development practices across the enterprise.
* Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
* Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
Required Qualifications
* At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
* At least 7 years management/leadership experience.
* Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
* Extensive experience in a leadership position in health care economics, preferably with complex organizations.
* Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
* Demonstrated ability to work with sophisticated analytic tools and datasets.
* Demonstrated ability to convert observations into actions/interventions to improve financial performance.
* Advanced understanding of Medicaid and Medicare programs or other health care plans.
* Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
* Advanced proficiency with retrieving specified information from data sources.
* Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
* Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
* Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
* Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
* Advanced understanding of value-based risk arrangements
* Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
* Advanced problem-solving skills.
* Strong critical-thinking and attention to detail.
* Excellent verbal and written communication skills.
* Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
Preferred Qualifications
* Experience in complex managed care.
* Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$113k-168k yearly est. 60d ago
VP, Medical Economics
Molina Healthcare 4.4
President job in Nampa, ID
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$114k-168k yearly est. 60d+ ago
VP, AI Enablement
Molina Healthcare 4.4
President job in Nampa, ID
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$114k-168k yearly est. 60d+ ago
VP, Medical Economics
Molina Healthcare 4.4
President job in Caldwell, ID
Provides executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data from various sources to identify risks and opportunities, and improve financial performance and outcomes. Collaborates with health plans to develop scoreable action item (SAI) tracking tools and identify opportunities to improve performance and data management, and support, guide and influence decision-making related to clinical programs, initiatives and strategy.
**Essential Job Duties**
- Regularly unpacks detailed medical cost information to identify significant trends development and underlying causes of those trends.
- Supports executive strategy development, vision and direction for the enterprise medical economics function including SAI analytics, governance and trend mitigation. Demonstrates accountability for performance and financial results, and keeps executive leadership apprised.
- Recruits, hires, onboards, mentors, develops, and manages a team of medical economics team of professionals.
- Collaborates with senior level clinicians and leaders from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions and management of clinical services to support, guide and influence decision making related to clinical programs, initiatives and strategy.
- Leveraging targeted analytics, works with business leaders to develop programs to support affordable, high quality health care delivery.
- Identifies gaps in critical information and works with business leaders to develop solutions to capture or supplement information required.
- Informs and supports regular forecasting activities of the enterprise.
- Propagates best medical economics/analysis/SAI development practices across the enterprise.
- Leads enterprise information management (EIM) team to build out data analytic tools and capabilities.
- Develops standards with regard to routine health care economics analyses, including types of analyses performed, frequency by health plan or line of business, etc.
**Required Qualifications**
- At least 12 years of health care analytics and/or medical economics experience, including 3 years of experience at an executive level, or equivalent combination of relevant education and experience.
- At least 7 years management/leadership experience.
- Bachelor's degree in statistics, mathematics, economics, computer science, health care management or related field.
- Extensive experience in a leadership position in health care economics, preferably with complex organizations.
- Ability to effectively communicate and persuade technical and non-technical stakeholders, and engage with various levels within the organization
- Demonstrated ability to work with sophisticated analytic tools and datasets.
- Demonstrated ability to convert observations into actions/interventions to improve financial performance.
- Advanced understanding of Medicaid and Medicare programs or other health care plans.
- Advanced analytical work experience within the health care industry (i.e., hospital, network, ancillary, medical facility, health care vendor, commercial health insurance, large physician practice, managed care organization, etc.)
- Advanced proficiency with retrieving specified information from data sources.
- Advanced experience with building dashboards in Excel, Power BI, and/or Tableau and data management.
- Advanced understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.)
- Advanced understanding on health care financial terms (e.g., PMPM, revenue) and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/billing (UB04/1500 form).
- Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms.
- Advanced understanding of value-based risk arrangements
- Advanced experience in quantifying, measuring, and analyzing financial, operational, and/or utilization metrics in health care.
- Advanced problem-solving skills.
- Strong critical-thinking and attention to detail.
- Excellent verbal and written communication skills.
- Proficient in Microsoft Office suite products, advanced skills in Excel (VLOOKUPs and pivot tables)/applicable software program(s) proficiency.
**Preferred Qualifications**
-Experience in complex managed care.
- Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA).
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $186,201.39 - $363,093 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$114k-168k yearly est. 60d+ ago
VP, AI Enablement
Molina Healthcare 4.4
President job in Caldwell, ID
Leads the development and activation of Molina's Artificial Intelligence (AI) Center of Excellence (CoE), responsible for enterprise-wide AI strategy, including identification, evaluation, deployment and value realization of AI solutions. In partnership with technology and business leaders, define what can be achieved through AI and scale high-performing solutions across the organization.
**Job Duties**
+ Leads Molina's AI Center of Excellence, including developing and driving Molina's AI strategy and roadmap, including establishing a governance framework, guardrails for compliance, policies, processes, and best practices for responsible use and adoption of AI tools, processes and/or technological enhancements across the enterprise.
+ Develops robust pipeline of AI solutions through intake and evaluation of use cases for deployment.
+ Responsible for the ideation, solution evaluation, recommendations and portfolio rationalization/prioritization of GenAI, AgenticAI and Artificial General Intelligence (AGI) solutions.
+ Leads implementation planning and change management for AI solutions, including establishing mechanisms and tools to track portfolio performance.
+ Responsible for value realization post-AI solution deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences.
+ Collaborates with IT and business leaders to support internal solution development and vendor partnerships.
+ Partners with Legal, Compliance, and Information Security to manage risk and data privacy.
+ Manages AI COE team, supporting portfolio pipelining, development and implementation of AI solutions.
+ Oversight of AI champion network, supporting adoption and sustainability of AI solutions enterprise-wide.
**Job Qualifications**
**REQUIRED QUALIFICATIONS:**
+ At least 12 years of experience in managed care, including strategy, enterprise transformation, digital innovation, technology solutions, or equivalent combination of relevant education and experience.
+ 7 years management/leadership experience.
+ Proven history of implementing enterprise AI solutions in regulated environments.
+ Strong cross-functional collaboration and stakeholder management skills.
+ Experience with budget planning, compliance frameworks, and performance metrics. Record of leading business transformations, from strategy through execution.
+ Conceptual understanding of the AI/ML technologies and solution development lifecycle, from ideation through deployment and monitoring
+ Familiarity with ethical AI principles and risk management
+ Demonstrated ability to lead, mentor, and develop high-performing teams in a matrixed business environment.
+ Experience with ambiguity and the ability to drive initiatives from concepts to value realization.
\#PJCorp
\#LI-AC1
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $214,132 - $417,557 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$114k-168k yearly est. 60d+ ago
Regional Director, Risk & Quality Solutions
Molina Healthcare 4.4
President job in Meridian, ID
Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of
RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements.
+ Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements.
+ Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership.
+ Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals.
+ Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina.
+ Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance.
+ Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions.
+ Coordinate reporting and packaging needs for critical leadership meetings.
+ Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines.
+ Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention.
+ Communicates a clear strategy with key performance indicators and updates in assigned areas.
+ Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings.
+ Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience.
**Required Experience**
At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions.
**Preferred Education**
Master's Degree in a related field
**Preferred License, Certification, Association**
RN with Quality Background is preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $107,028 - $227,679 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$54k-98k yearly est. 21d ago
Regional Director, Risk & Quality Solutions
Molina Healthcare Inc. 4.4
President job in Meridian, ID
Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of
RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues.
KNOWLEDGE/SKILLS/ABILITIES
* Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements.
* Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements.
* Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership.
* Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals.
* Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina.
* Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance.
* Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions.
* Coordinate reporting and packaging needs for critical leadership meetings.
* Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines.
* Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention.
* Communicates a clear strategy with key performance indicators and updates in assigned areas.
* Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings.
* Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience.
Required Experience
At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions.
Preferred Education
Master's Degree in a related field
Preferred License, Certification, Association
RN with Quality Background is preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $107,028 - $227,679 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$54k-98k yearly est. 22d ago
Regional Director, Risk & Quality Solutions
Molina Healthcare 4.4
President job in Nampa, ID
Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of
RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements.
+ Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements.
+ Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership.
+ Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals.
+ Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina.
+ Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance.
+ Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions.
+ Coordinate reporting and packaging needs for critical leadership meetings.
+ Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines.
+ Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention.
+ Communicates a clear strategy with key performance indicators and updates in assigned areas.
+ Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings.
+ Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience.
**Required Experience**
At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions.
**Preferred Education**
Master's Degree in a related field
**Preferred License, Certification, Association**
RN with Quality Background is preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $107,028 - $227,679 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$54k-98k yearly est. 21d ago
Regional Director, Risk & Quality Solutions
Molina Healthcare Inc. 4.4
President job in Nampa, ID
Regional Director Risk & Quality Solutions is responsible for contributing to the strategic performance improvement direction and overseeing performance and execution for assigned regional states. Key activities include serving as the subject matter expert in all functional areas in risk, data capture and quality improvement, coordinating national and local operations and management of
RQES provider engagement staff. This person will be the liaison between the national RQES organization (MHI) and health plan leadership to ensure that the team meets defined key performance indicators and timelines and serving as the primary contact and escalation point for cross-functional teams and senior leadership within Molina to address critical issues.
KNOWLEDGE/SKILLS/ABILITIES
* Serves as the subject matter expert for all risk, quality, and data acquisition functions to ensure participants understands and meets compliance requirements.
* Consults with MHI RQES leaders, national and health plan leadership to facilitate understanding of requirements and staff training to ensure ongoing activities meet compliance requirements.
* Supports development of a strategic roadmap and related tools with the assigned plans and MHI RQES that enables staff and communicates the strategy and roadmap ongoing to health plan leadership.
* Liaison between MHI RQES leaders, Centers of Excellence and Health Plan leadership including sharing of performance status, risks, needs and suggested modifications to current plan to achieve performance goals.
* Direct management of RQES provider engagement staff with coordination of health plan provider engagement staff. Ensure organization with other provider engagement teams within Molina.
* Possesses a strong knowledge in risk adjustment programs and processes, data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding of accreditation and compliance.
* Participate in Molina national and health plan meetings, including comprehensive preparation beforehand (e.g., communication and briefing with national and regional senior leadership teams) and documentation of assigned follow-up actions.
* Coordinate reporting and packaging needs for critical leadership meetings.
* Responsible for management and development of materials, analysis supporting ongoing communications with the health plan. Initiates team meetings to promote close collaboration and meet defined key performance indicators and timelines.
* Communicates with national and health plan Senior Leadership Teams, including national and health plan quality leadership and other team members about key deliverables, timelines, barriers, and escalation that need immediate attention.
* Communicates a clear strategy with key performance indicators and updates in assigned areas.
* Presents concise summaries, key takeaways, and action steps about functional area to national and health plan meetings.
* Demonstrates ability to lead or influence a cross-functional team with staff in remote or in-office locations throughout the country.
JOB QUALIFICATIONS
Required Education
Bachelor's Degree in a related field (Healthcare Administration, Public Health or equivalent experience.
Required Experience
At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions.
Preferred Education
Master's Degree in a related field
Preferred License, Certification, Association
RN with Quality Background is preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $107,028 - $227,679 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
The average president in Meridian, ID earns between $70,000 and $224,000 annually. This compares to the national average president range of $114,000 to $323,000.