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Senior Manager jobs at Providence Health & Services - 4329 jobs

  • Senior Manager Claims *Remote*

    Providence Health & Services 4.2company rating

    Senior manager job at Providence Health & Services

    Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or New Mexico are encouraged to apply. The Senior Manager, Claims role is responsible for management and supervision of a team handling multi-line health provider and institutional claims. This position is responsible for file management, stewardship and file outcomes of the team in collaboration with key system leadership throughout Providence St. Joseph's Health. Also, the role is responsible for ensuring accurate regulatory compliance, adherence to department policy and procedures, stakeholder presentations, and team development. This role utilizes expertise to coach to best outcomes for high exposure, complex matters including medical negligence, organizational negligence, directors and officers, fiduciary, general liability and similar matter types. The role participates in procuring and sharing conclusions to provide actionable insights to key stakeholders across the organization. There is collaboration with various teams to provide consultation, oversight, risk avoidance and mitigation recommendations, data analytics, and efficiency execution. The role also coordinates with operational staff as needed to ensure efficient outcomes. Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required qualifications: + Bachelor's Degree or an equivalent combination of education and experience. + Coursework/Training: Formal education or training in supervision, management, or leadership. + 7 years of documented direct management or supervisory experience in a in a medical negligence and multi-line setting. + 7 years of Claims experience. + 2 years of experience in an insurance or managed care setting. + Demonstrated experience in program planning, development and evaluation. Preferred qualifications: + Master's Degree + Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience. + Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation. Salary Range by Location: AK: Anchorage: Min: $56.40, Max: $89.04 AK: Kodiak, Seward, Valdez: Min: $58.79, Max: $92.82 California: Humboldt: Min:$57.64, Max: $92.79 California: All Northern California - Except Humboldt: Min: $65.96, Max: $104.13 California: All Southern California - Except Bakersfield: Min: $58.79, Max: $92.82 California: Bakersfield: Min: $56.40, Max: $89.04 Idaho: Min: $50.19, Max: $79.23 Montana: Except Great Falls: Min: $45.41, Max: $71.69 Montana: Great Falls: Min: $43.02, Max: $67.91 New Mexico: Min: $45.41, Max: $71.69 Oregon: Non-Portland Service Area: Min: $52.58, Max: $83.01 Oregon: Portland Service Area: Min: $56.40, Max: $89.04 Texas: Min: $43.02, Max: $67.91 Washington: Western - Except Tukwila: Min: $58.79, Max: $92.82 Washington: Southwest - Olympia, Centralia & Below: Min: $56.40, Max: $89.04 Washington: Min: $58.79, Max: $92.82 Washington: Eastern: Min: $50.19, Max: $79.23 Washington: South Eastern: Min: $52.58, Max: $83.01 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 408221 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4008 SS RIS Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
    $56.4 hourly Auto-Apply 16d ago
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  • Program Manager Magnet

    Akron Children's Hospital 4.8company rating

    Akron, OH jobs

    The Magnet Program Manager leads the organization's journey toward ANCC Magnet designation, advancing nursing excellence and professional practice. This role provides strategic guidance, coordination, and oversight of all activities related to achieving and sustaining Magnet designation, ensuring compliance with ANCC Magnet standards and fostering a culture of evidence-based practice, quality outcomes, and shared decision-making. Responsibilities: 1. Lead the organization's Magnet gap analysis and readiness planning to achieve and sustain ANCC Magnet designation. 2. Manage the Magnet application, documentation, and site visit processes, ensuring compliance with all program requirements. 3. Coordinate the Magnet Steering Committee, Magnet Champion Committee, Professional Governance Councils, and interdisciplinary work teams to advance nursing excellence. 4. Serve as the primary liaison to the ANCC Magnet Program Office and facilitate communication between nursing leadership and external stakeholders. 5. Collect, analyze, and report nursing excellence outcomes, including nurse-sensitive indicators, patient experience, and nursing satisfaction. 6. Maintain a repository of professional practice projects and empirical outcomes, preparing reports and presentations for nursing leadership. 7. Provide education and consultation on Magnet standards, promoting staff engagement in professional governance and development activities. 8. Collaborate with nursing directors, managers, and interdisciplinary teams to meet Magnet criteria and foster a culture of nursing excellence and evidence-based practice. 9. Coach and support departments in identifying and implementing quality improvement strategies that enhance nursing excellence and organizational outcomes. 10. Other duties as assigned. Other information: Technical Expertise 1. Experience in quality improvement methodology is required. 2. Experience in data analysis and presentations is required. 3. Experience in project management with interdisciplinary teams is required.  Excellent coordination and multi-tasking skills are required. 4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. 5. Experience in database creation and management is preferred. Education and Experience 1. Education: Master's degree in nursing from a nationally accredited nursing program is required. Doctorate preferred. 2. Licensed to practice nursing in the State of Ohio is required. 3. Certification: Specialty certification in professional development or leadership preferred. 4. Years of relevant experience: Minimum 5 years of experience in nursing leadership and/or nursing professional development required. 5. Years of supervisory experience: none. 6. Experience in healthcare is required. Experience is pediatric healthcare is preferred. Experience working at all levels within an organization is required. Experience in regulatory and accrediting bodies including Centers for Medicare & Medicaid (CMS), The Joint Commission, and ANCC Magnet Recognition are required. Full Time FTE: 1.000000 Status: Onsite
    $52k-67k yearly est. 20d ago
  • Business Operations & Strategy Manager

    Hinge-Health 4.4company rating

    San Francisco, CA jobs

    About the Role The Business Operations and Strategy team's mission is to drive key strategic initiatives with the focus on developing company strategy, operations transformation, and program management of key cross‑functional strategic initiatives. As part of this team, we're looking for an individual who can drive both strategic initiatives and operational excellence on key projects. The ideal person is highly analytical with the ability to build robust models and frameworks aimed at problem solving and improvement. This person should also have a proven track record of managing multiple projects at once from discovery phase to execution within prescribed timelines, ensuring all success criteria are met. We're looking for someone who can lead Change Management effectively and influence stakeholders through strategic planning and execution. Example project areas include: New revenue / product strategies (e.g., business case modeling, market / competitor landscaping) Piloting and taking new products to market (e.g., 0 to 1 product developing, scaling new product to full roll‑out) Business outcome management Scaling and transforming operations What You'll Accomplish Strategy: Provide strategic insights to leadership in order to inform the strategic direction of the company: conduct market research (including interviews), drive competitive analyses, and pre‑digest information prior to sharing with executives Operations / Execution: Drives execution of projects, including program management and change management Business Performance Management: Manage the business performance (metrics) / KPIs / SLAs of the business (as applicable to project(s) or role) Hinge Health Hybrid Model We believe that remote work and in‑person work have their own advantages and disadvantages, and we want to be able to leverage the best of both worlds. Employees in hybrid roles are required to be in the office 3 days per week, for the full 8 hours of a typical business day. The San Francisco office has a dog‑friendly workplace program. Basic Qualifications Strong analytical skills / mindset (e.g., excel, SQL) and written communication 4+ years of business strategy and modeling experience 4+ years of managing time‑sensitive projects 4+ years of experience in at least one of the following: Consulting / Chief of Staff / Investment Banking / BizOps Preferred Qualifications Experience working in a fast paced environment 5-7+ years of Consulting / Chief of Staff / Investment Banking / prior BizOps experience MBA or MPH Healthcare experience Compensation This position will have an annual salary, plus equity and benefits. Please note the annual salary range is a guideline, and individual total compensation will vary based on factors such as qualifications, skill level, competencies, and work location. The annual salary range for this position is $129,600 - $194,400. About Hinge Health Hinge Health leverages software, including AI, to largely automate care for joint and muscle health, delivering an outstanding member experience, improved member outcomes, and cost reductions for its clients. The company has designed its platform to address a broad spectrum of MSK care-from acute injury, to chronic pain, to post‑surgical rehabilitation-and the platform can help to ease members' pain, improve their function, and reduce their need for surgeries, all while driving health equity by allowing members to engage in their exercise therapy sessions from anywhere. The company is headquartered in San Francisco, California. Learn more at ************************** What You'll Love About Us Inclusive healthcare and benefits: On top of comprehensive medical, dental, and vision coverage, we offer employees and their family members help with gender‑affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn't available where you live. Planning for the future: Start saving for the future with our traditional or Roth 401k retirement plan options which include a 2% company match. Modern life stipends: Manage your own learning and development Culture & Engagement Hinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability status, pregnancy, or any other basis protected by federal, state or local law. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability, let us know by reaching out to your recruiter. By submitting your application you are acknowledging we are using your personal data as outlined in the personnel and candidate privacy policy. #J-18808-Ljbffr
    $129.6k-194.4k yearly 1d ago
  • Senior Manager Coding Audits & Education

    Children's National Medical Center 4.6company rating

    Silver Spring, MD jobs

    Senior Manager Coding Audits & Education - 250003C0 - will work under the direction of the Director of Health Information Management, Coding and Audit to provide strategic and operational leadership for all organizational coding functions, including hospital technical coding (inpatient and outpatient), professional coding, coding quality audits, coding education, and coding denial management. This role ensures accurate, compliant, and timely coding to support optimal revenue cycle performance and high‑quality data reporting. The Senior Manager oversees a multidisciplinary coding team, drives performance improvement initiatives, and partners closely with clinical, revenue cycle, compliance, and financial leadership. The Senior Manager will be responsible for operational success and will assist the Director to define strategy and direction in accordance with national standards and CNH policies and procedures. Qualifications Minimum Education Bachelor's Degree in Business Administration, Health Administration, Health Information Management, Finance, or related field (Required) Master's Degree in Business Administration, Health Administration, Health Information Management, Finance, or related field (Preferred) Minimum Work Experience 7+ years of progressive coding experience, with at least 3 years in a supervisory or management role. Demonstrated expertise in hospital inpatient, outpatient, and professional coding. Experience managing coding QA programs, education functions, and denial reduction initiatives. Strong understanding of federal and payer regulations, documentation requirements, and revenue cycle workflows. Required Skills/Knowledge Strong understanding of coding processes, coding guidelines and their relation to the overall Revenue Cycle data flow/third party reimbursement. Ability to communicate professionally with physicians, third‑party payers and other organization members about coding principles and processes. Experience with 3M, Epic and/or Cerner Millennium. Excellent written and verbal communication skills. Demonstrated leadership and personnel management skills. Demonstrated change management skills. Maintains relationships with internal and external stakeholders. Commitment to compliance, accuracy, and high‑quality data reporting. Familiar with department budget and financial management, and personnel management. Familiarity with population health strategies, alternative payment models, and care coordination strategies (preferred). Required Licenses and Certifications Certified Coding Specialist (CCS) upon hire (Required) or Similar Medical Coding Certification(s) - CIC and/or CPC. Functional Accountabilities Strategic and Financial Planning - Contribute to the strategic plan for department services, including short‑term and long‑term objectives. Collect and analyze customer and stakeholder feedback, evaluate department effectiveness, and incorporate findings into plans. Work with Director, Vice President and other staff to develop ways to capture and report financial performance of the Department. Participate in financial planning and budget preparation. Work with Director to manage department budget to ensure financial stability of the department and develop recommendations to meet budget requirements. Work with financial personnel to monitor the financial performance of teams within the department to ensure compliance with budget; track, monitor, and evaluate budget for all line items. Leadership & Department Management - Provide operational oversight and day‑to‑day leadership of the entire department including technical coding (inpatient & outpatient), professional coding, coding edits, coding auditing, coding education, and coding denial management functions. Establish team structure, role definitions, and workload allocation to support high‑volume, high‑complexity services. Develop and implement department policies, workflows, and operational standards aligned with federal and state regulations, payer requirements, and organizational objectives. Oversee recruitment, onboarding, and performance management for coding analysts, coding auditors, coding educators, denial coding analysts. Coding Operations - Direct and maintain daily operations for inpatient, outpatient, surgical, and professional coding ensuring accuracy, timeliness, and compliance. Oversee accurate coding of unique and complex pediatric conditions, congenital anomalies, developmental diagnoses, and high‑acuity procedures. Ensure coding methodologies adhere to coding guidelines (including pediatric‑specific), payer rules, and Children's Hospital Association (CHA) best practices. Explore new methods to improve coding operations and work with various constituencies to gain acceptance and support implementation efforts. Communicate operational issues and progress toward goals to Director and others as appropriate. Audits and Coding - Develop and direct the organizational annual coding audit program, including internal audits, external audit response, and corrective action plans. Oversee routine retrospective and prospective professional and technical billing audits, specialized and focused audits, and other audits as directed by the Director. Oversee preparation of written reports of audit findings and recommendations to hospital leadership and staff as appropriate. Conduct risk assessments to define audit priorities by evaluating previous audit findings, management priorities, ICD and CPT code utilization patterns, national normative data, CMS and Medicaid initiatives, and healthcare industry best practices. Maintain knowledge of current government and third‑party payor coding and documentation requirements. Collaborate with Compliance and Internal Audit teams to address identified risks and support regulatory readiness. Analyze process improvement opportunities for auditing and coding teams to identify denial risks mid‑cycle. Triage and assist in management of requests that come from Revenue Cycle teams related to coding questions on coding guidelines and denials, escalating as needed, and conducting appropriate research. Coding Education and Staff Development - Provide direction related to all activities related to the training programs, including curriculum development, job aids, testing methodology, software and delivery, exam development/delivery, employee competency metrics, certifications and development needs. Research coding guidelines when conflicts arise within current policies and procedures. Research updated coding information as it becomes available annually and mid‑year; summarize and share changes impacting Revenue Integrity staff members. Develop and implement systems to monitor performance and quality of audits and educational materials. Develop and provide educational programs and coaching for auditors, denials analysts, and educators. Ensure staff maintain required certifications and stay current with industry changes. Coding Denial Management - Lead the coding denials management strategy, working closely with denials, CDI, and revenue integrity teams to reduce preventable coding‑related denials. Oversee analysis of denial trends, identify root causes, and implement corrective measures to protect revenue. Support accurate charge capture and documentation integrity initiatives. Cross‑Functional Collaboration - Partner with clinical documentation improvement (CDI), billing, compliance, finance, and IT to optimize workflows, documentation quality, and system functionality. Participate in system upgrades, EMR enhancements, and coding‑related software implementations. Serve as a subject‑matter expert to internal stakeholders on coding regulations, best practices, and emerging trends. Reporting and Performance Monitoring - Develop and maintain dashboards and KPIs related to coding productivity, accuracy, audit results, turnaround time, and denial performance. Provide executive‑level reporting incorporating case mix, acuity, and subspecialty complexities of a children's hospital. Monitor financial and operational impacts of coding initiatives and ensure alignment with organizational goals. Organizational Accountabilities Teamwork/Communication Performance Improvement/Problem‑solving Cost Management/Financial Responsibility Safety Primary Location Maryland - Silver Spring Work Locations Dorchester 12200 Plum Orchard Dr Silver Spring 20904 Job Details Position Status: R (Regular) - FT - Full‑Time Shift: Day Work Schedule: M‑F Full‑Time Salary Range 103,355.20 - 172,244.80 Children's National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster. Please note that it is the policy of Children's National Hospital to ensure a “drug‑free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana. #J-18808-Ljbffr
    $103k-136k yearly est. 2d ago
  • Manager/Senior Manager, Compliance (Southwest Region)

    Axsome Therapeutics, Inc. 3.6company rating

    Dallas, TX jobs

    Axsome Therapeutics is a biopharmaceutical company leading a new era in the treatment of central nervous system (CNS) conditions. We deliver scientific breakthroughs by identifying critical gaps in care and develop differentiated products with a focus on novel mechanisms of action that enable meaningful advancements in patient outcomes. Our industry-leading neuroscience portfolio includes FDA-approved treatments for major depressive disorder, excessive daytime sleepiness associated with narcolepsy and obstructive sleep apnea, and migraine, and multiple late-stage development programs addressing a broad range of serious neurological and psychiatric conditions that impact over 150 million people in the United States. Together, we are on a mission to solve some of the brain's biggest problems so patients and their loved ones can flourish. For more information, please visit us at ************** and follow us on LinkedIn and X. About This Role: Axsome Therapeutics is seeking a Manager/Senior Manager, Compliance. Reporting to the Director, Monitoring and Investigations, this role will help execute elements of the Company's healthcare compliance program, with an emphasis on policy management, auditing and monitoring of business activities and HCP payment transparency reporting. In addition, the candidate for this position will work closely with the Chief Compliance Officer, the Director, Compliance, and other business colleagues and shall assist with managing Axsome's compliance operations in accordance with company policies, applicable state and federal regulations, and industry standards including those of the FDA, OIG, and CMS. This is a field-based position that covers the Southwest Region, requiring extensive travel to support a robust compliance monitoring program. Candidates must reside within the Southwest Region. Job Responsibilities and Duties include, but are not limited to, the following: General Compliance Program Support Support the development, implementation, and maintenance of the compliance program, including compliance investigations and training and monitoring workstreams designed to facilitate adherence to compliance policies and healthcare compliance regulations Support the implementation of new and existing FDA and OIG guidance documents, emerging state and federal regulations, and industry codes to current policies, training and monitoring activities as they relate to business activities and communications with healthcare professionals and/or patients or patient advocacy organizations Maintain current understanding of laws and regulations applicable to pharmaceutical/biotechnology compliance, along with recent industry trends and changes Additional responsibilities as assigned Training Program Support Support Director, Monitoring and Investigations, in creation and maintenance of comprehensive compliance training plan in connection with compliance policies, including but not limited to new hire orientation, role or franchise-based training curricula, anti-bribery and anti-corruption (ABAC) program, privacy, and promotional regulations Facilitate creation of Compliance training content, including alignment across trainings on core Compliance concepts, determination of best formats and methods for training delivery Review and manage Compliance training assignments in training management system for enterprise-wide, franchise-specific and executive training curriculums Track and assist with record retention of all Compliance training records in training management system Review and monitor Compliance training assignments and completion, including following-up with employees who are late on assigned training Development of additional slide decks to support the training program Monitoring Program Support Provide support to Director, Corporate Compliance in data gathering and execution of quarterly data monitoring activities related to employee adherence to Corporate Business Policies. Participate in live monitoring of field activities such as patient events, advisory boards, symposia and hub activities Update and oversee design and maintenance of monitoring dashboard for regional and global visibility to completion of annual monitoring activities Manage communication to Sales Directors regarding annual Director-led monitoring requirements, track completion and documentation of Director-led monitoring of field teams Conduct monitoring activities not limited to sitting in on field ride, speaker programs, virtual programs, and advisory boards Requirements / Qualifications Bachelor's Degree is required A minimum of 4 years of experience working in the pharmaceutical/healthcare legal/compliance/internal audit field. Experience in-house, at a regulatory agency, or at a major law firm also welcome. Experience with statutes, regulations, guidance documents, enforcement trends, and best practices related to the pharmaceutical, biotechnology, and/or healthcare industry generally Experience with the requirements for effective compliance programs as set forth in OIG Guidance and the Federal Sentencing Guidelines Experience with the legal/compliance framework affecting the pharmaceutical/biotechnology industry; including, but not limited to, sales and marketing fraud and abuse issues, OIG and other industry guidance documents, clinical trial regulations, and issues arising under the Anti-Kickback Statute and the False Claims Act Ability to travel extensively to support a robust compliance monitoring program; travel will include field rides, live monitoring of speaker programs, and advisory boards Experience, Knowledge and Skills Demonstrated effectiveness operating in complex organizational and regulatory environments Excellent written, oral, and presentation skills A strong sense of professionalism, and the drive to provide superb and timely support to internal clients Strong problem solving, risk analysis, and project management skills Demonstrated ability to partner effectively with others in addressing complex issues Strong persuasive skills and sound business judgement Motivated, self-starter with ability to appropriately prioritize issues, drive projects, and allocate resources Salary and Benefits: The anticipated salary range for this role is $115,000 - $130,000. We encourage candidates of all levels to apply as there may be flexibility on final job title and responsibilities. The salary offer will be based on a variety of factors, including experience, qualifications, internal equity and location. Axsome offers a competitive employment package that includes an annual bonus, significant equity and a generous benefits package. Axsome is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race, color, gender, sex, age, religion, creed, national origin, sexual orientation, gender identity, ancestry, citizenship, marital status, physical or mental disability, medical condition, veteran status, genetic information, or any other characteristic protected by federal, state, or local law. Axsome Therapeutics does not accept unsolicited resumes from recruiters or third-party recruitment agencies and will not pay placement fees for unsolicited candidates that are sent to hiring managers, the HR team or other Axsome team members. Only approved vendors who have been explicitly asked to support a specific search will receive access to our Applicant Tracking System to submit candidates for consideration.
    $115k-130k yearly 2d ago
  • Global Director of Industrial Engineering & Flow Optimization

    Resmed Inc. 4.8company rating

    Calabasas, CA jobs

    A leading health technology company is looking for a Director of Industrial Engineering in Calabasas, CA. The role involves leading the global Industrial Engineering function, enhancing process efficiency, and delivering measurable operational improvements. Candidates should have 10+ years in Industrial Engineering within high-volume manufacturing and experience with OEE improvement. This position offers a chance to drive transformation in a thriving environment focused on innovation and excellence. #J-18808-Ljbffr
    $138k-179k yearly est. 5d ago
  • Director, Actuarial Analytics - Healthcare Utilization & Revenue Forecasting

    Athenahealth India 4.5company rating

    Austin, TX jobs

    Director, Actuarial Analytics - Healthcare Utilization & Revenue Forecasting page is loaded## Director, Actuarial Analytics - Healthcare Utilization & Revenue Forecastinglocations: Boston MA: Remote USA: Austin TX: Atlanta GA: Burlington VTtime type: Full timeposted on: Posted Todayjob requisition id: R13701Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.**Business Title** Director, Actuarial Analytics - Healthcare Utilization & Revenue Forecasting**Role summary** The Director of Actuarial Analytics will lead the development and execution of advanced actuarial models and analytics to forecast healthcare utilization, evaluate emerging trends, and assist the broader FP&A team in projecting revenue. This role will provide strategic insights to executive leadership, guide business initiatives, and ensure the organization's financial planning is grounded in robust actuarial analysis. This role will report to the Executive Director of Corporate Finance.**Team summary** The FP&A team builds budgets, forecasts, and multi-year financial plans that guide the company's strategic priorities. This actuarial-focused director will partner closely with finance, product, sales, and operations to translate utilization and pricing insights into reliable forecasts and actionable financial models.Essential Job Responsibilities* Develop and lead actuarial forecasting models for utilization, revenue, and cost across products and lines of business.* Manage pricing analyses and rate-setting workstreams for government (Medicare, Medicaid) contracts and commercial payer models.* Analyze utilization trends and identify drivers to inform financial projections and strategic recommendations.* Build and maintain financial models and dashboards to support monthly/quarterly forecasting and executive reporting.* Collaborate with sales, product, and operations to evaluate contract economics, renewals, and new business opportunities.* Mentor and review work from actuarial and analytics staff, ensuring methodological rigor and quality control.* Present findings and recommendations to senior finance and business leaders to support strategic decision-making.* Support development of actuarial documentation and knowledge sharing across the finance organization.**Additional Job Responsibilities*** Support ad hoc actuarial analyses for M&A, strategic investments, or special projects as requested.* Contribute to process improvements in forecasting, pricing, and reporting workflows.* Partner with regulatory and compliance teams on modeling assumptions related to reimbursement and policy changes.* Prepare documentation and assumptions for audit and external reporting needs.* Participate in vendor and third-party model evaluations and oversight.**Expected Education & Experience*** Bachelor's degree in Actuarial Science, Statistics, Mathematics, or related field (Master's preferred).* Associate or Fellow of the Society of Actuaries (ASA or FSA).* 8+ years of experience in healthcare actuarial roles, with deep expertise in forecasting, pricing, and utilization analysis.* Experience with government healthcare contracts (Medicare, Medicaid) and commercial payer models.* Advanced proficiency in Excel, SQL, SAS, and other analytical tools; experience with data visualization platforms (e.g., Power BI, Tableau) preferred.* Strong communication skills, with the ability to present complex analyses to non-technical audiences.* Demonstrated leadership in managing projects and mentoring teams.* Creative problem-solving skills and intellectual curiosity; ability to thrive in a fast-paced, evolving environment.* Experience with value-based contracting and risk adjustment analytics.* Prior consulting experience or exposure to multiple payer environments preferred.* Proven ability to integrate actuarial standards with business strategy and operational goals preferred.*For candidates located in California, Colorado, Hawaii, Jersey City (NJ), New York City, Westchester County (NY), and Washington, please visit the following link for pay range information:**California: ************************************************************************ ********************************************************************** ****************************************************************** Jersey: ****************************************************************** York: ************************************************************************** ********************************************************************** athenahealth******Our vision:*** *In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.****Our company culture:*** *Our talented**employees - or athenistas, as we call ourselves - spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.****Our DEI commitment:*** *Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.****What we can do for you:****Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative**workspaces* - *some offices even welcome dogs.**We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,**full-time. With consistent communication and digital collaboration tools, athenahealth**enables**employees to find a balance that feels fulfilling and productive for each individual situation.**In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.**Learn more about our culture and benefits here: athenahealth.com/careers* #J-18808-Ljbffr
    $124k-160k yearly est. 5d ago
  • Actuarial Analytics Director - Healthcare Utilization

    Athenahealth India 4.5company rating

    Austin, TX jobs

    A leading healthcare technology company is seeking a Director of Actuarial Analytics to oversee advanced forecasting models and analytics for healthcare utilization and revenue. This role involves collaborating across departments and providing strategic insights to executive leadership. Ideal candidates will have over 8 years of experience in health actuarial roles and advanced analytical skills, including proficiency in Excel and SQL. The position offers a full-time contract based in Boston, MA with flexible working options. #J-18808-Ljbffr
    $124k-160k yearly est. 5d ago
  • Global Director, Culture & Engagement

    Revolution Medicines 4.6company rating

    Redwood City, CA jobs

    A clinical-stage precision oncology company is seeking a Director, Culture & Engagement to shape the global employee experience. The successful candidate will lead a high-performing team to develop and drive a strategic onboarding and engagement strategy supporting rapid growth. Responsibilities include overseeing engagement programs and leveraging data to inform organizational effectiveness. A Bachelor's degree and over 15 years of experience in HR and employee engagement are essential. This role requires strong management and project leadership skills. #J-18808-Ljbffr
    $147k-220k yearly est. 2d ago
  • Engagement Manager, Growth San Francisco

    Persona 4.3company rating

    San Francisco, CA jobs

    Persona is the configurable identity platform built for businesses in a digital‑first world. Verifying individuals and organizations is harder - but more important - than ever, with AI enabling fraudsters to launch sophisticated accounts at scale and regulations evolving rapidly. We've built Persona to support practically every use case and industry - that's why we're able to serve a wide range of leading companies. For example, Instacart relies on Persona to verify shoppers who onboard onto their platform before delivering groceries to your doorstep. Meanwhile, OpenAI relies on Persona to keep bad actors out, protecting one of the world's most powerful AI platforms from large‑scale abuse in a time when AI is reshaping the way we work and live. We're growing rapidly and looking for exceptional people to join us! About the Role You will be a trusted advisor for a portfolio of growing customers, supporting them at each stage of their lifecycle with Persona and ensuring they derive value from our platform and services. Our Engagement Managers play a pivotal role in driving business outcomes and revenue growth by deepening platform adoption, amplifying customer voices to shape Persona's product roadmap, and ensuring value delivery through close cross‑functional collaboration. What you'll do at Persona Customer Ownership & Growth: Own a portfolio of mid‑market and commercial customers, driving long‑term success and satisfaction across key touchpoints including onboarding, implementation, launch, post‑launch, and renewal. Retention and Expansion: Ensure customers are deriving maximum value from Persona to support retention and revenue growth. Drive net new revenue through identifying expansion opportunities, promoting product adoption, and leading cross‑sell initiatives. Account Planning & Relationship Building: Build and maintain strategic relationships across customer teams, including decision‑makers and key influencers. Lead joint planning sessions and business reviews to align on goals and success metrics. Product Expertise & Enablement: Become an expert in Persona's platform and use that knowledge to educate customers, showcase new features, and proactively suggest relevant solutions that align to business goals. Act as a consultative partner to business and technical stakeholders, identifying opportunity areas for program/strategy optimization. Cross‑functional Collaboration: Work closely with Sales and Customer Support to ensure a cohesive customer experience. Help shape Persona's internal processes to better support the mid‑market customer segment. Influence roadmap development by delivering structured, actionable feedback to Product and Engineering. Customer Advocacy: Partner with Marketing to highlight and amplify our biggest customer success stories. What you'll bring to Persona A minimum of 3+ years of work experience at a B2B company with a complex technical SaaS product in Account Management, Customer Success, Product Management, or other relevant roles High degree of agency and ownership, with a relentless curiosity to learn and willingness to roll up your sleeves to get the job done. Track record of structured, analytics‑driven problem‑solving Excellent multitasking capabilities, including prioritizing effectively across a wide variety of tasks and evaluating situational urgency Outstanding verbal and written communication, including explaining complex concepts to both technical and non‑technical stakeholders Ability to collaborate efficiently in teams of technical and non‑technical individuals, and comfortable working in a dynamic environment with evolving objectives and iteration with users. A growth mindset - you enjoy learning, are comfortable with ambiguity, can be flexible in your thinking, are ready to give and receive both constructive and positive feedback to be a great teammate! Willingness to travel up to 25% of the time for customer engagements Full‑time Employee Benefits and Perks For full‑time employees (excluding internship and contractor opportunities), Persona offers a wide range of benefits, including medical, dental, and vision, 3% 401(k) contribution, unlimited PTO, quarterly mental health days, family planning benefits, professional development stipend, wellness benefits, among others. While we believe competitive compensation and benefits are a critical aspect of you deciding to join us, we do hope you consider why our core values and culture are right for you. If you'd like to better understand what it's like working at Persona, feel free to check out our reviews on Glassdoor. #J-18808-Ljbffr
    $98k-132k yearly est. 3d ago
  • Growth Engagement Manager - B2B SaaS

    Persona 4.3company rating

    San Francisco, CA jobs

    A technology company is seeking a Customer Engagement Manager in San Francisco to manage mid-market customer portfolios. In this role, you will drive customer retention and expansion while building strategic relationships. Ideal candidates will have 3+ years in B2B SaaS environments, showcasing exceptional problem-solving and communication skills. This position includes comprehensive benefits such as unlimited PTO and a 401(k) contribution. #J-18808-Ljbffr
    $98k-132k yearly est. 3d ago
  • Director, US Medical Affairs Strategy & Execution

    Gilead Sciences, Inc. 4.5company rating

    Foster City, CA jobs

    A leading biopharmaceutical company is seeking a Director for USMA Strategic Execution. This role focuses on operationalizing medical strategy across therapeutic areas, requiring proven experience in the pharmaceutical industry, strategic execution, and leadership. Candidates should hold a relevant degree and possess strong skills in project management, influence, and communication. The position is based in either Foster City, CA, or Parsippany, NJ, and offers a competitive salary. #J-18808-Ljbffr
    $156k-201k yearly est. 5d ago
  • Center Manager - Radiation Therapy

    United Medical Systems 4.1company rating

    San Luis Obispo, CA jobs

    Manager - Radiation Therapy AKSM Oncology, Inc. San Luis Obispo, CA 93401 Full Brand New Freestanding Radiation Therapy Center in San Luis Obispo is looking for a Center Manager Required qualifications: ARRT Certified in Radiation Therapy California Therapeutic Radiologic Technology Certification Working knowledge of Radiation Center operations Working knowledge of medical office computer systems Working knowledge of radiation therapy billing Excellent verbal and written communications skills Customer service-oriented attitude Willingness to participate in continuing education as elated to position Ability to identify problems and provide solutions Recognizes the need and understands how to prioritize Willingness to take on new challenges and roles 5-years' experience is highly preferred Maintains CPR certified A brand new cancer center in the beautiful San Luis Obispo area is seeking a qualified candidate to manage their radiation treatment center. The center will treat a variety of cancers including lung, breast, prostate, and other cancers. The center utilizes a Varian TrueBeam linear accelerator and RaySearch treatment planning system. Knowledge of RayCare EMR system is preferred. All radiation therapist candidates for the Manager position will have the following job responsibilities: Assuring that all aspects of radiotherapy treatments are delivered accurately and in a timely manner with appropriate resources Maintaining patient satisfaction Employee supervision Appropriate patient billing Ordering supplies Strong communication and writing skills General oversight of all aspects of operations of Center Comply with all state, federal, Medicare, and provider regulations and requirements including but not limited to HIPPA, OSHA, and DOH Radiation Division Oversee patient safety and clinical quality in coordination with the Radiation Oncologist Support Center achieving net profit goals Oversee marketing and community relations and outreach functions and results Oversee billing and accounting functions and results Oversee clinical processes and outcomes Understand and work to prioritize and meet the needs of major stakeholder groups: Patients, Urologists, Radiation Oncologist, Insurance Companies/Payers, Center Employees Ensure integrity and accuracy of all financial data; meet or exceed generally accepted accounting principles and all regulatory agency requirements Collaborate with Center Owners and AKSM/Oncology to institute budget controls, monitor timely accounts receivable and payable, prepare and project annual budgets, review monthly financial statements, reconcile cash accounts, resolve all credit balances daily and monitor financial performance versus goals Oversee the support processes impacting Center performance Promote and monitor the implementation and measurement of improvement and quality initiatives. Participates in Center research and educational initiatives. Ensures patient safety, and confidentiality. Inform employees of Center expectations - initially and as changes occur; provide and jointly review their written job description at least annually and evaluate employee skills, needs and desires and plan their development Provide orientation/ongoing education/training tailored to employee needs Verify coverage and obtain and document 100% of required insurance pre-authorizations prior to treatment Ensure patient charges are entered into the billing system within 24 hours of service. Work with billing department to correct all denied claims Work with the finance department on all claim submissions, insurance verification, and delinquent accounts. Document performance. Review expectations. Ensure that the Center has on hand the supplies needed - and only what's needed - at the lowest possible cost. Develop and implement an inventory management process. Oversee the collection of co-pays, the balancing of the daily collections to the billing system report, and the submission of the daily deposit slip to the billing department. Works with AKSM on vendor agreements and pricing. Maintain an open line of communication with all stakeholders Work as a Radiation Therapists as needed on a daily basis to ensure patient treatment schedule is maintained and cover staff Radiation Therapist short-term vacancies. Participates in all required educational sessions (Red Flag, OSHA, Medicare Compliance, and HIPPA Maintains professional conduct and appearance Works collaborate with the Radiation Oncologist, Urologists and Referring MD The employee shall also be responsible for such other duties and responsibilities as may be assigned, from time to time, by Senior Management of AKSM/Oncology, Inc. Benefits include a competitive salary, medical, dental and vision coverage, company-paid short and long term disability insurance, company-paid life insurance, 401(K) with company match, and tuition reimbursement. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Paid time off Professional development assistance Vision insurance Work Location: In person PM19 PIc5ab0540d4c4-37***********4
    $43k-67k yearly est. 2d ago
  • Global Director of Talent Management & Leadership

    Gilead Sciences, Inc. 4.5company rating

    Foster City, CA jobs

    A leading pharmaceutical company is looking for a Director of Talent Management in Foster City, California. This role will focus on developing and implementing talent management strategies to enhance organizational performance. Candidates must have over 12 years of experience in talent management, leadership development, and a relevant degree. Strong collaboration with HR teams and leadership is crucial. The position offers opportunities to shape the future talent landscape in an innovative environment. #J-18808-Ljbffr
    $170k-234k yearly est. 5d ago
  • Senior FP&A Director, Biotech/R&D Finance

    Gilead Sciences, Inc. 4.5company rating

    Foster City, CA jobs

    A leading biotech firm in California is seeking a candidate with over 12 years of experience in financial planning and analysis (FP&A). The ideal individual will have a strong background in supporting business partners and driving financial performance in the biotech or pharma sector. Preferred qualifications include a bachelor's degree in Finance or related field, with an advanced degree being a plus. This role demands expertise in US GAAP, financial reporting, and ERP systems. #J-18808-Ljbffr
    $140k-188k yearly est. 1d ago
  • Senior Project Manager

    Vitality Group 4.5company rating

    San Antonio, TX jobs

    Senior Project Manager - Healthcare Construction San Antonio, TX This is an opportunity to join a national commercial contractor known for taking on some of the most complex healthcare projects in the industry. You'll be trusted to lead from the front, with real ownership over your work, your team, and the final outcome. From day one, you'll be part of a collaborative, people-first culture that invests heavily in its teams through award-winning training, strong total rewards, and a connected, inclusive environment. If you take pride in building meaningful projects and want to work with people who genuinely support one another, this is the kind of place where you can thrive. What You'll Be Doing Leading healthcare projects from preconstruction through closeout Owning jobsite safety, financial performance, quality, and schedule Partnering closely with superintendents and project leadership in the field Managing subcontractors, self-perform work, and project logistics Driving cost control, forecasting, and pay applications Building and developing high-performing project teams Why This Role Stands Out Exposure to complex, high-impact healthcare work Strong focus on training, development, and career growth A culture centered on teamwork, integrity, and accountability National resources with a close-knit, team-oriented feel What We're Looking For Bachelor's degree in Construction Management or related 5+ years of experience on complex construction projects preferably with a top ENR GC. Self-perform experience preferred Proven leader who builds trust with teams, subs, and owners Please send your resume for consideration - all inquiries are confidential.
    $91k-115k yearly est. 4d ago
  • Project Manager/Merchandising Operations - 16103

    Transcend Solutions 4.2company rating

    Plano, TX jobs

    Duration: 6+ Months Schedule: On-site M - Th, WFH Friday **NO C2C due to client restrictions!** Top Skills: Blue Yonder/JDA - Space Planning experience (Planograms) Strong/intermediate Excel knowledge Visual Merchandising Project Management Responsibilities Implement and maintain merchandising strategies for retail initiatives across multiple channels to ensure best-in-class retail experience. Work cross-functionally to innovate the execution and ongoing support retail merchandising concepts to drive customer awareness and engagement in store. Guide merchandising planogram development in partnership with sales and product teams to optimize sales across product categories. Own implementation of all display units, visual merchandising elements, device security, and retail graphics across multiple store layouts. Coordinate internally and externally for on device digital content and customization as needed. Manage the execution for all product and retail experience launches for the carrier customer. Effectively communicate merchandising execution plans to the field and carrier account teams to ensure alignment across the organization. Track ROI and KPIs for all retail merchandising projects post implementation. Develop and maintain strong relationships with multiple cross functional teams, external vendors, carrier account teams and customers. Oversee status of all budget and vendor requests by working with the project manager and internal teams to ensure timely approvals. Able to test and stage Carrier fixtures in our client's Retail Lab according to plan for upcoming launches. Qualifications & Skills Bachelor's degree in business, Marketing, or related field or equivalent work experience. 5+ years' experience in project management and operations for retail organization. Wireless industry a plus. Highly proficient utilizing Blue Yonder Space Planning and Floor Planning planogram program to effectively plan for mobile product launches. Strong experience managing complex projects and details & meeting deadlines for multiple concurrent projects. Experience and understanding of the consumer journey, trends and insights. Demonstrated success in working on cross-functional teams with the ability to influence peers and others to accomplish objectives of multiple projects. Excellent organizational skills to be effective and efficient. Meticulous attention to detail for production schedules/timelines and accurate communication of relevant information to both internal and agency partners. Ability to make informed recommendations on a thorough understanding and analysis of organizational and business objectives. Customer focused with ability to assess opportunities and adjust to customer changing needs. Experience regularly engaging with Leadership Levels. Must have experience in developing presentations using a variety of PC applications, including word processing, spreadsheet, and presentations.
    $73k-106k yearly est. 4d ago
  • Senior Project Manager

    Vitality Group 4.5company rating

    Houston, TX jobs

    Step Into a Leadership Role That Moves the Needle As a Senior Project Manager, you'll lead high-value, high-visibility projects and guide your teams through every stage - from preconstruction to closeout. You'll be a trusted decision-maker, mentor, and strategic partner, working closely with executive leadership. Why This Opportunity Stands Out Major Projects: Lead high-profile commercial builds ranging from $50M to $200M+ Executive Visibility: Report directly to VP-level leadership and influence business outcomes Strategic Ownership: Play a central role in budgeting, scheduling, contract strategy, and client negotiations Talent Development: Mentor and grow junior PMs, engineers, and field teams Growth Trajectory: Clear path to Director or Project Executive roles What You'll Lead Total project oversight from early budgeting through delivery and final punch Owner and architect relationships, negotiations, and communication Internal team leadership and coordination with Superintendents, Precon, and Safety Risk management, value engineering, cost controls, and change order strategies Reporting on project KPIs to ownership and senior stakeholders Support in business development and pursuit strategy when needed If you're ready to lead major projects, shape teams, and make a lasting impact - this is your opportunity. Apply today and take the next bold step in your leadership career.
    $90k-114k yearly est. 4d ago
  • Sr. Project Manager - SCM

    Photon 4.3company rating

    Dallas, TX jobs

    We are hiring Senior Project Manager - Supply Chain to join our Digital Engineering team. Who are we? For the past 20 years, we have powered many Digital Experiences for the Fortune 500. Since 1999, we have grown from a few people to more than 4000 team members across the globe that are engaged in various Digital Modernization. Job Title: Senior Project Manager - Supply Chain Location: Dallas, TX Job Type: Fulltime or Contract Job Summary We are looking for a Senior Project Manager for Technology team who can drive multiple medium to large cross-functional Projects involving eCommerce and Order management Integrations. Prior experience in driving projects related to customer promise, omni channel customer experience, order sourcing and fulfillment projects, merchandizing projects. Understands landscape and systems with significant complexity and clear approach to deliver with a wide variety of systems/ technologies; He/she also partners with Delivery and Product leaders to navigate through program execution. The Senior Project Manager in this role is self-driven, quick learner, shows strong sense of partnership and program delivery. What will you do? Produces meaningful Project/Program plan with clear milestones and deliverables across multiple cross-domain teams. Wholistic program plan including dependencies, risks and other factors impeding the successful execution of the program. Produces Program Forecast on-time, tracks to Forecast and raises alerts on-time before financial overages occur. Can engage right leaders at the right time to resolve issues in the Project/ Program. Can articulate issues clearly, point which delivery / product leader support is needed to keep project on track when issues arise. Can deal with ambiguity and still be able to time-box decisions, keep relevant leaders accountable to make program decisions on time. Can articulate schedule/ cost impacts when delays happen in the project/ program. works with leaders on alternate solutions to keep project on track. Establishes a clear escalation mechanism for the program and uses it when necessary. Depicts strength in Program management and produces for pre and post implementation plans as well. Manages stakeholder expectations includes business interactions, as necessary. Independently drives the program work and is hands-on. May not have PMs supporting in the program based on the size of the program. Orients, orchestrates, and recommends Program strategy. Exercises strong judgment in selecting methods, techniques, and evaluation criteria for obtaining results Use established project management methodologies/tools and work with the project team to successfully manage complex scopes of work(s), which include - defining work effort and estimates, developing effective team execution plan(s), supporting teamwork effort by removing impediments, anticipating issues, and ensuring that the right parties are engaged to resolve problems. Perform financial management of the project: budgeting & forecasting, cost benefit analysis, EV/ROI/earn vs. burn analysis, team velocity, etc. Own project budget. Expected to anticipate budget issues, resolve timely, and adjust forecasts. Plan, monitor, and track delivery of quality control and take corrective action as appropriate. Develop project quality control policy, procedures, and communication plans. Produces meaningful status reports, clearly articulation the overall health of the program w.r.t Scope, Schedule, and Cost. Can clearly define issues, their owners, and ETAs by when resolution/ decisions need to happen to keep project green. Communicate project information to all project team members, sponsors, vendors, and Technology managers, as appropriate. Can interact with third party vendors and partner with VMO, Delivery, Product leaders to define Statements of Work (SOW) and engage the third-party vendors on-time for successful on-time deliveries. Anticipate strategic impact to projects (inter dependencies to/from other projects) and coordinate with appropriate parties. Recommend project strategy. Clearly articulate explanations of complex regulatory and project issues/risks to team members and management within the organization. Establish, motivate, and lead high-performance cross-functional teams. Build effective partnerships with, and between, the developers, architects, QA Team and product managers, and across the company. Coordinate with potential product vendors to collect and analyze information and negotiate resolution of issues impacting projects. Ability to perform in a Hybrid model with agile teams, non-agile third-party teams with SOWs and establishing a clear milestone, dependencies and tasks for each team. What are we looking for? Prior experience handling multiple mid-sized cross-functional projects preferably in the Retail Industry. Should have experience in working with multiple cross domain teams such as eCommerce, Order Management, Merchandising and any Third-Party Integrations with SOWs. 10+ years relevant work experience in Program Management Experience integrating systems on multi-platform and complex systems. Can provide evidence or can clearly articulate their approach of producing a cross functional Program Plan spanning multiple functional teams. Strong hands-on experience in driving deliverables across multiple teams with shared accountability with the resource managers. In depth understanding and proficiency of project management methodology/tools, including Jira for Software Development Life Cycle Prior experience in working with Microsoft Project tools, Jira, Confluence, Smart sheets etc. Prior experience in producing Jira Dashboard to track and report on progress. Proven ability in project estimating, budgeting tools, story development, technical concepts, and defect tracking. Strong communication, team collaboration, facilitation, and influence skills Strong drive towards planning and executing with a plan in place; you're a can-do type of person and willing to roll up your sleeves to get the job done. Bachelor's or Master's degree or equivalent work experience.
    $87k-121k yearly est. 3d ago
  • Senior Manager Claims *Remote*

    Providence Health & Services 4.2company rating

    Senior manager job at Providence Health & Services

    Senior Manager Claims \*Remote * Candidates residing in Alaska, Washington, Montana, Oregon, California, Texas or New Mexico are encouraged to apply. The Senior Manager, Claims role is responsible for management and supervision of a team handling multi-line health provider and institutional claims. This position is responsible for file management, stewardship and file outcomes of the team in collaboration with key system leadership throughout Providence St. Joseph's Health. Also, the role is responsible for ensuring accurate regulatory compliance, adherence to department policy and procedures, stakeholder presentations, and team development. This role utilizes expertise to coach to best outcomes for high exposure, complex matters including medical negligence, organizational negligence, directors and officers, fiduciary, general liability and similar matter types. The role participates in procuring and sharing conclusions to provide actionable insights to key stakeholders across the organization. There is collaboration with various teams to provide consultation, oversight, risk avoidance and mitigation recommendations, data analytics, and efficiency execution. The role also coordinates with operational staff as needed to ensure efficient outcomes. Providence caregivers are not simply valued - they're invaluable. Join our team at Integrity Compliance Audit Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required qualifications: + Bachelor's Degree or an equivalent combination of education and experience. + Coursework/Training: Formal education or training in supervision, management, or leadership. + 7 years of documented direct management or supervisory experience in a in a medical negligence and multi-line setting. + 7 years of Claims experience. + 2 years of experience in an insurance or managed care setting. + Demonstrated experience in program planning, development and evaluation. Preferred qualifications: + Master's Degree + Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience. + Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation. Salary Range by Location: AK: Anchorage: Min: $56.40, Max: $89.04 AK: Kodiak, Seward, Valdez: Min: $58.79, Max: $92.82 California: Humboldt: Min:$57.64, Max: $92.79 California: All Northern California - Except Humboldt: Min: $65.96, Max: $104.13 California: All Southern California - Except Bakersfield: Min: $58.79, Max: $92.82 California: Bakersfield: Min: $56.40, Max: $89.04 Idaho: Min: $50.19, Max: $79.23 Montana: Except Great Falls: Min: $45.41, Max: $71.69 Montana: Great Falls: Min: $43.02, Max: $67.91 New Mexico: Min: $45.41, Max: $71.69 Oregon: Non-Portland Service Area: Min: $52.58, Max: $83.01 Oregon: Portland Service Area: Min: $56.40, Max: $89.04 Texas: Min: $43.02, Max: $67.91 Washington: Western - Except Tukwila: Min: $58.79, Max: $92.82 Washington: Southwest - Olympia, Centralia & Below: Min: $56.40, Max: $89.04 Washington: Min: $58.79, Max: $92.82 Washington: Eastern: Min: $50.19, Max: $79.23 Washington: South Eastern: Min: $52.58, Max: $83.01 Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 408221 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4008 SS RIS Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $see posting - $see posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
    $56.4 hourly Auto-Apply 16d ago

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