Senior Portfolio Manager
Risk manager job in Portland, OR
Job Title: Senior Portfolio Manager - Affordable Housing
Employment Type: Full-Time, Direct Hire
Schedule: Monday-Friday
Salary: $90,000 - $110,000 annually, DOE
Overview:
LHH Recruitment is seeking a seasoned Senior Portfolio Manager with deep expertise in affordable housing to oversee a portfolio of properties in the Portland area. This leadership role is ideal for someone who thrives in a mission-driven environment and is passionate about providing quality housing solutions to underserved communities.
Key Responsibilities:
Lead and manage a team of property managers and support staff across multiple affordable housing sites
Ensure compliance with all federal, state, and local housing regulations, including LIHTC and HUD guidelines
Oversee budgeting, financial performance, and operational efficiency of the portfolio
Develop and implement strategic plans to improve property performance and resident satisfaction
Conduct regular site visits to assess property conditions and support on-site teams
Collaborate with internal departments and external stakeholders to ensure smooth operations and compliance
Mentor and develop team members to foster a high-performance culture
Qualifications:
Minimum 5 years of experience as a Portfolio Manager or similar in the affordable housing sector
Proven track record of managing and leading teams effectively
Strong knowledge of affordable housing programs and compliance requirements
LIHTC, HUD, Section 8 program knowledge
Experience with property management software (e.g., Yardi, RealPage)
Strong financial acumen and reporting capabilities
Excellent communication, leadership, and organizational skills
Ability to travel locally to properties as needed
Benefits:
Competitive salary based on experience
90% company paid medical and dental premiums plus optional vision coverage
401K with up to 40% company match of your contribution
Paid time off, holidays, and shorter schedules during the summer
Professional development opportunities
Company that is well known for being collaborative and a great place to work
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit **************************************
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
Clinical Risk Manager Sr Evergreen
Risk manager job in Vancouver, WA
J **OIN PeaceHealth - Lead with Excellence in Risk Management** At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities.
_Why PeaceHealth?_
**Integrated Clinical Excellence** -
We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care.
**Leadership Commitment to Safety** -
Our leadership team is deeply committed to building and sustaining a culture of safety - aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch.
**Your Growth, our Investment -**
+ Access to professional development opportunities with Seminars and national Conferences
+ Internally hosted training with a focus on CE eligibility
+ Connections to top professional affiliations
+ Access to resource libraries, webinars and experts.
**Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety.**
**Job Summary**
The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events across the healthcare system. Provides strategic leadership and oversight in the identification, evaluation, and mitigation of clinical risks for their assigned areas. This role provides expert-level consultation on clinical risk, supports regulatory compliance, and leading enterprise-wide initiatives to enhance patient safety and reduce liability. In addition, this role is responsible for mentoring and supporting our clinical risk managers. The Senior Clinical Risk Manager collaborates with executive leadership, legal counsel, and clinical teams to drive a proactive risk management culture and ensure compliance with regulatory standards.
**Essential Functions**
+ Leads the identification and investigation of high-severity risk events, including coordination with legal, patient safety, compliance, and executive leadership. Collaborates with legal counsel on complex claims and litigation support.
+ Oversees and guides Root Cause Analyses (RCAs), Failure Mode and Effects Analyses (FMEAs), Apparent Cause Analysis, and other risk assessments. Leads proactive risk assessments for high-risk areas.
+ Serves as a senior advisor to clinical and operational leaders on risk mitigation strategies and patient safety initiatives. Develops and communicates with senior management on appropriate responses to risk events and medical care complaints in accordance with legal requirements.
+ Develops and implements system-wide risk management standard work, protocols, and policies. Leads the development and delivery of advanced risk management education and training. Provides mentorship, training, and support for clinical risk managers.
+ Analyzes system-wide trends in incident reporting, tracks key performance indicators, and develops strategic recommendations for improvement. Regularly provides leadership with progress reports and data (including recommendations) related to risk management. Provides leadership of performance improvement and loss prevention activities.
+ Represents the Risk Management department on committees and task forces focusing on high-risk issues.
+ Investigates alleged EMTALA violations. Ensures that applicable regulatory and accreditation requirements are met in a proactive manner. Participates in development of processes/systems designed to share and recognize performance improvements and compliance across the organization to mitigate risks to patient and caregiver safety/risks to the organization.
+ Facilitates teams related to system-wide approaches for risk mitigation. Supports skills and competency development in risk management for community-based resources. With system team, designs training curriculum, develop program content and provide education to leadership teams, quality leaders, supervisor other caregivers/providers.
+ Serves as system subject matter expert for risk mitigation strategies on high-risk topics such as OB, ED, ICU and Behavioral Health service lines or Informed Consent, Use of Force oversight, Laser Safety, Medical Device Reporting, Adoptions and other topics.
+ Assists Patient Relations to address complex grievances that involve patient care and responds to the patient in the time frame designated by policy.
+ In partnership with the Quality department, leads the organization's regulatory response in the event of a formal patient complaint or EMTALA survey and corrective action plan.
+ Serves as the lead for the communication & resolution program (disclosure process) in assigned areas of responsibility.
+ Monitors and interprets changes in healthcare regulations and proactively adjusts risk strategies to maintain compliance.
+ Serves as the non-discrimination officer for their assigned areas of responsibility.
+ Performs other duties as assigned.
**Qualifications**
**Education**
+ Bachelor's Degree Required: in Nursing or other clinical field and
+ Master's Degree Preferred: in nursing, healthcare administration, public health or related field
**Experience**
+ Minimum of 5 years Required: Healthcare risk management, compliance, quality improvement or patient safety and
+ Minimum of 5 years Required: Combination of directly related clinical experience AND risk management, compliance, quality improvement, or patient safety
**Credentials**
+ Required: RN or license in clinical discipline (RN preferred), in OR, WA, or AK and
+ Required: within 2 years Certified Professional Healthcare Risk Management
**Skills**
+ Advanced knowledge of state, federal, and accreditation requirements including but not limited to: CMS Conditions of Participation for acute care and critical access hospitals. (Required)
+ General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA. (Required)
+ State healthcare rules and statutes, and state licensing requirements. (Required)
+ Proficient with MS Office applications. (Required)
+ Excellent communication, interpersonal, collaboration, and presentation skills. (Required)
+ Advanced analytical and problem-solving skills. (Required)
+ Ability to lead and motivate teams, influence others, and drive change. (Required)
+ Able to work flexible hours. (Required)
+ Participation in on-call coverage. (Required)
The salary range for this job opening at PeaceHealth is $49.64 - $74.46. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER: 122479
Risk Manager/Senior Negotiator - State, Local & Higher Education
Risk manager job in Portland, OR
The Government & Public Services (GPS) Risk Management Team is currently seeking a full-time dedicated Senior Risk Manager/Senior Negotiator who has experience in supporting deal and contract structuring, drafting customized contractual provisions and deal and project delivery risk review, negotiations, operations, and operational aspects of professional services contracts.
Recruiting for this role ends on January 31, 2026.
Work You'll Do
The GPS State, Local & Higher Education (SLHE) Risk Manager/Senior Negotiator will be responsible for supporting Deloitte Consulting's GPS practice from a contracting and negotiation perspective, covering the full life cycle of an engagement. The role provides the organization with a focal point for business risk and contract negotiations, from analysis to mitigation recommendations to leadership. Additional responsibilities are as follows:
Deal Desk Support, Contracting and Negotiations
* Assist with deal desk and contract review activities and support our sales team with deal and contract structuring, RFI/RFP/Proposals, and contract review, drafting custom provisions and negotiations
* Intersect with various functions including sales, legal, finance and delivery to act as a strategic advisor to help manage deal flow and to optimize sales and contracting cycles
* Work closely with deal teams and legal in reviewing and negotiating agreements, such as master agreements, confidentiality agreements and teaming agreements
* Own risk consultation and contracting review of scope of work/SOW documents
* Provide guidance on contracting and negotiation strategies and ensure cross-functional alignment through contracting life-cycles
* Ensure contracting requirements are met and handled in a manner that is consistent with the Firm's policies, requirements, and good business practices
Ongoing and Post Execution Risk Management and Contracting Support
* Assist with ongoing contracting, risk management and mitigation support for ongoing contracting requirements - SOWs, Change Orders, amendments, and renewals
* Facilitate continued compliance with contractually required policies and processes and with the Firm's internal policies
* Continue to collaborate with different functions to socialize agreement/contractual requirements and business terms
* Work actively with account leadership and quality team to identify and help mitigate post-signature delivery and engagement risks
Knowledge Management and Training Support
* Maintain knowledge of core professional services (IT, Managed Services, Outsourcing) and product offerings to continue supporting contracting and risk matters in a fast paced constantly changing environment
* Work independently to manage contractual matters and risks and be the trusted advisor on multiple accounts
* Provide mentoring and training to Risk Management colleagues and to a broader audience to enhance knowledge of and compliance with firm's policies, templates and processes
* Proactively pursue, assess and, where appropriate, advance firm's initiatives including in the areas of software, cloud, data analytics, operate services and privacy & security
* Support strategic initiatives pertaining to development/updating of processes, tools, and templates to improve overall risk management and contracting practices and to help drive adoption of such processes, tools, and templates
Qualifications:
Required:
* 10+ years of direct contract negotiation for technology services (i.e., technology delivery and implementation services)
* Experience with managing the negotiation, delivery, and risk assessments of large professional services and product contracts
* Experience in working with client delivery teams; preferably in State, Local, or Higher Education
* Experience with complex contract negotiation and working high stakes multi-million-dollar engagements
* Knowledge of professional services contracting lifecycle with an emphasis on technology services
* Bachelor's Degree
* Ability to travel up to 10-25%, on average, based on the work that you do and the clients and industries/sectors you serve
* Must be legally authorized to work in the United States without need for employer sponsorship, now or at any time in the future
Preferred:
* Juris Doctor (JD) Degree preferred
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $176,000 to $322,000.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
Information for applicants with a need for accommodation: ************************************************************************************************************
Recruiting tips
From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters.
Benefits
At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you.
Our people and culture
Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work.
Our purpose
Deloitte's purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more.
Professional development
From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career.
As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see ********************************* for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Qualified applicants with criminal histories, including arrest or conviction records, will be considered for employment in accordance with the requirements of applicable state and local laws, including the Los Angeles County Fair Chance Ordinance for Employers, City of Los Angeles's Fair Chance Initiative for Hiring Ordinance, San Francisco Fair Chance Ordinance, and the California Fair Chance Act. See notices of various fair chance hiring and ban-the-box laws where available. Fair Chance Hiring and Ban-the-Box Notices | Deloitte US Careers
Requisition code: 319287
Job ID 319287
Risk Management BSA I, II, III
Risk manager job in Vancouver, WA
Risk Management - Business System Analyst I, II or III Work a Hybrid work schedule within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For:
Every day, Cambia's dedicated team of Business System Analysts (BSA) is living our mission to make health care easier and lives better. As a member of the Risk Management team, our BSAs are responsible for complying with CMS mandates to submit Enrollment, Medical Claim and Pharmacy Claims data for Reinsurance Reimbursement, Member Risk Assessment and Risk Corridor calculations - all in service of making our members' health journeys easier.
you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Risk Management BSA I: Bachelor's degree in Business, Data Analysis or other related field plus 2 years' experience with data analysis, process modeling or equivalent combination of education and experience.
The Risk Management BSA II: Bachelor's degree in Business, Data Analysis or other related field plus 2 - 4 years' experience with data analysis, process modeling or equivalent combination of education and experience.
The Risk Management BSA III: Bachelor's degree in Business, Data Analysis or other related field plus 5 - 7 years' experience with data analysis, process modeling or equivalent combination of education and experience.
Skills and Attributes:
* Experience aggregating, reviewing and extracting data from various sources to create larger, more complex data sets.
* Good research and problem solving skills including the ability to determine action steps and remediation actions to resolve issues.
* Ability to accurately complete activities within established deadlines. Ability to work under pressure and partner with others.
* Good written and verbal communication skills including the ability to work with internal and external partners.
* Proficiency with Microsoft Office software programs and general experience database query tools.
* Ability to update process documentation to ensure activities and outputs align with CMS guidelines.
* General knowledge of medical terminology and procedure coding.
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
Additional Requirements for BSA II:
* Ability to identify problems, develop solutions and implement actions with minimal supervision.
* Ability to develop and modify data queries for use in the CMS data submission process. Works with internal partners to test and validate the effectiveness of new or modified queries.
Additional Functions and Outcomes for BSA III:
* Tracks and monitors CMS data submission guidelines. Reviews and verifies updates made to process documentation align with data submission guidelines. Acts as a resources to others on the Risk Management team.
* Updates business partner groups (enrollment, medical claims, pharmacy claims, etc.) on annual changes to CMS submission requirement.
What You Will Do at Cambia:
* Extracts required information from the source systems into a staging area and performs validation checks based on CMS Edge Server Business Rules.
* Submits data to the Edge Server via an established translation process.
* Reviews data validation reports that are received back from CMS and any errors are investigated and corrected prior to data being resubmitted.
* Communicates with internal/external customers to resolve any errors within the source systems for any of the above areas.
* Encourages ongoing innovation and looks for opportunities to enhance the quality and efficiency of departmental processes.
* Assists in the training and communicating system changes for end-users and other affected staff.
* Schedules, organizes and prioritizes work to ensure timely completion of all assigned activities.
* Maintins process documentation and ensures data submission and validation activities align with CMS guidelines.
Additional Functions and Outcomes for BSA II:
* Partners with Risk Management leadership to prioritize data submission activities and resolve issues in a timely manner.
* Creates new data queries for the data submission process.
Additional Functions and Outcomes for BSA III:
* Communicates to the enrollment, medical claims, pharmacy claims, and supplemental condition code business partners as to what the requirements are for CMS submission.
* Completes technical peer review of process improvements and ad hoc departmental projects.
Work Environment
* Work performed in office environment or can be remote.
* Travel rarely required, locally or out of state.
* May be required to work outside normal hours.
The expected hiring range for a Risk Management BSA I is $62,100.00 - $82,800.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full salary range for this role is $57,000.00 to $95,000.00.
The expected hiring range for a Risk Management BSA II is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $64,000.00 to $106,000.00.
The expected hiring range for a Risk Management BSA III is $75,700.00 - $102,350.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $71,000.00 to $116,000.00.
#LI-hybrid
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
* Work alongside diverse teams building cutting-edge solutions to transform health care.
* Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
* Grow your career with a company committed to helping you succeed.
* Give back to your community by participating in Cambia-supported outreach programs.
* Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
* Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
* Annual employer contribution to a health savings account.
* Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
* Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
* Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
* Award-winning wellness programs that reward you for participation.
* Employee Assistance Fund for those in need.
* Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email ******************************. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Auto-ApplyClinical Risk Manager
Risk manager job in Portland, OR
Why You Should Work With Us: At Sinceri Senior Living, we are a fun loving, employee-centric company like no other! Maybe that's why we have been certified by our employees as a Great Place to Work for our 6th Year in a row. Create your career with us and learn about all the career growth opportunities we offer.
Have we sparked your interest yet? Apply online and join our wonderful team. Questions about the application process? Come visit us and our staff will be happy to assist you!
Sinceri Senior living is proud to be an Equal Employment Opportunity employer. We celebrate diversity and do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, veteran status, disability status, or any other applicable characteristics protected by law. Minors must be at least 16 years of age to be employed by Sinceri Senior Living. Candidates submitted by unsolicited 3rd party recruiters will not be considered.
Purpose:
This critical role combines clinical nursing expertise with risk management responsibilities to protect our organization and residents through proactive risk assessment, claims management, and quality improvement initiatives. The position requires a Registered Nurse or Licensed Practical Nurse with strong analytical skills and the ability to work collaboratively with legal teams, insurance carriers, and community staff.
Essential Job Functions:
Claims Management & Insurance Coordination
* Submit and manage claims to insurance carriers, ensuring accurate and timely processing
* Coordinate with insurance adjusters and carriers throughout the claims process
* Prepare comprehensive claim documentation and supporting materials
* Assist in annual insurance renewals by providing claims data and risk assessments
* Maintain detailed records of all claims activities and outcomes
* Analyze claims patterns to identify trends and prevention opportunities
Litigation Support & Legal Coordination
* Work closely with attorneys on legal cases involving the organization
* Prepare clinical documentation and evidence for legal proceedings
* Attend trials and depositions as required to provide clinical expertise
* Monitor ongoing litigation and provide regular updates to management
* Assist in case strategy development from a clinical perspective
* Coordinate with expert witnesses and medical consultants
Risk Assessment & Loss Prevention
* Monitor litigation trends and loss runs to identify potential risk areas
* Conduct comprehensive risk assessments of communities and operations
* Analyze incident reports and claims data to identify patterns and root causes
* Develop and implement risk mitigation strategies and prevention programs
* Perform community risk assessments and safety inspections
Quality Improvement & Community Support
* Work with communities on quality improvement processes and initiatives
* Provide clinical expertise to support quality assurance programs
* Investigate incidents and adverse events to determine contributing factors
* Collaborate with community teams to implement corrective action plans
* Monitor compliance with risk management policies and procedures
* Provide training and education to community staff on risk prevention
Documentation & Reporting
* Maintain accurate and detailed documentation of all risk management activities
* Prepare regular reports on claims status, litigation updates, and risk metrics
* Generate loss run reports and analysis for management review
* Document lessons learned and best practices from claims and litigation
* Ensure compliance with regulatory reporting requirements
* Maintain confidential and secure risk management records
Additional Responsibilities
* Participate in risk management committees and meetings
* Maintain relationships with insurance brokers and carriers
* Provide risk management consultation to executive leadership
* Participate in industry risk management organizations and training
* Perform other duties as assigned
Minimum Eligibility Requirements
* Bachelor's degree preferred in Nursing, Healthcare Administration, Risk Management, or related field preferred
* Current and unrestricted Registered Nurse (RN) of Licensed Practical Nurse (LPN)
* Minimum 5 years of clinical nursing experience, preferably in long-term care or assisted living
* 2+ years of experience in risk management, claims management, or healthcare administration
* Experience working with insurance carriers and claims processes
* Previous experience with legal proceedings or litigation support preferred
* Knowledge of healthcare regulations and compliance requirements
* Strong computer proficiency including Microsoft Office Suite
* Experience with claims management software and databases
* Ability to analyze data and generate comprehensive reports
* Knowledge of healthcare documentation standards
* Excellent clinical assessment and critical thinking skills
* Strong written and verbal communication abilities
* Ability to work effectively with attorneys and legal teams
* Professional demeanor for courtroom proceedings and depositions
* Detail-oriented with strong organizational skills
* Ability to handle sensitive and confidential information
* Problem-solving and analytical thinking capabilities
* Understanding of insurance processes and requirements
Preferred Qualifications
* Professional certification in risk management (ARM, CPHRM, or similar) preferred
* Experience with assisted living or senior care regulations
* Previous litigation support or expert witness experience
* Knowledge of state insurance regulations and requirements
* Experience with root cause analysis and quality improvement methodologies
Risk Manager
Risk manager job in Portland, OR
This is a hybrid role that is highly consultative and has regular meetings at a variety of Legacy locations across the Portland Metro area. On days that onsite activity is not scheduled, individuals in this role may work from remotely.
All new hires are required to come to a designated Legacy Health office location in Portland, Oregon prior to their start date for a new hire health assessment and to complete new employee orientation.
Responsibilities
In this role, you are an essential link between the Risk Management and Patient Relations teams, working to reduce risk, resolve concerns, and provide the safest and most restorative environment for Legacy patients. Your knowledge of healthcare standards of practice and consultative skills, combined with your genuine concern for the well-being of others, help to fulfill the Legacy mission of making life better for others.
This role supports Legacy Health's clinical risk management and patient safety activities. The primary responsibilities are to provide expertise in identifying, mitigating and controlling losses related to patient and visitor injury, to maintain compliance with specified regulatory requirements including mandatory and voluntary patient safety reporting, and the control of related charges, and to promote patient safety.
Related activities include partnering with clinical personnel in managing adverse outcomes, investigating incidents, recognizing, investigating and reporting potentially compensable events, and providing education, support and consultation to clinical personnel regarding clinical risk management issues and practices.
Additional activities include facilitating root cause analyses, surveillance for and reporting events in compliance with LH policy and regulatory agency requirements, support of the investigation of patient grievances, and real time risk management consultation. Clinical experience is required.
Qualifications
Education:
Bachelor's degree required.
Experience:
Three to five years of experience in healthcare including behavioral health risk management or related field required.
Three to five years of experience in a clinical role or clinical management preferred
Licensed Health Care Professional preferred.
Knowledge/Skills:
Requires knowledge of and remains current in: healthcare risk management; healthcare standards of practice; LH policies and procedures; professional and general liability and liability insurance; and specified regulatory requirements for management of grievances and adverse events. Maintains and demonstrates skills in investigation, witness interviewing techniques, negotiation and conflict resolution. Manages critical situations in a professional, objective and effective manner. Able to make independent, real time decisions within the clinical risk management and patient safety scope of responsibility. Communicates effectively both orally and in written form. Able to engender trust among internal customers. Provides excellent customer service for internal and external customers. Works independently and establishes and reevaluates priorities daily. Meets deadlines. Keyboard skills and ability to navigate electronic systems applicable to job functions. Excellent public speaking skills and ability and willingness to train others about risk management.
Licensure
If Licensed Health Care Professional - Applicable state licensure required.
Pay Range USD $48.91 - USD $72.88 /Hr. Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: ********************************************************************
Auto-ApplyCampbell Global- Portfolio Manager- Vice President
Risk manager job in Portland, OR
Campbell Global is a leading global investment manager focused on forestland. We are widely recognized as an authority on both forest management and timberland investing. Based in Portland, Oregon, we have nearly four decades of experience in forestland management and value creation. A pioneer in the field, over the last 40+ years we have managed 5 million acres worldwide for pension funds, foundations, and other institutional investors. As part of the Alternatives platform within Asset Management, Campbell Global (“CG”) is a leading global investment manager focused on forestland.
As a Portfolio Manager at Campbell Global, you're not just managing investments, you're nurturing growth - both in our client portfolios and in our approach to sustainable forestry. We want to use your expertise to drive investment decisions and build lasting client relationships. You'll be part of a team that thrives on creativity, values your insights, and is committed to making a positive impact through forestland investment.
Job responsibilities:
Serve as the primary liaison between clients and Campbell Global, ensuring exemplary service. Engage in proactive client communication, maintaining strong relationships through regular meetings and updates.
Ensure contract compliance as well as the preparation and monitoring of the annual Client Service Plan; manage investor communications surrounding financial statements, operational results, significant changes in the forest products industry or related markets, and significant changes at CG.
Actively participate on relevant committees and groups to represent the client's needs and interests, and provide recommendations; proactively interact with CG Operations, Finance & Accounting, and other internal groups to ensure optimal asset performance, prudent risk management, equitable treatment based on client objectives; and appropriate accounting, tax treatment, and tax and entity structures are in place and maintained.
Prepare and present investor reporting, including monthly, quarterly, and annual reports, budget forecasts, valuations.
Evaluate and recommend strategic adjustments to portfolio construction to meet client goals. This may encompass advice on acquisition, disposition, leverage, and value creation.
Facilitate effective communication between corporate and field personnel, and ensure compliance with environmental and financial risk management protocols.
Review and participate in strategic planning as well as all ongoing business aspects of the portfolio, seeking to achieve ‘best practices' within forest (and asset, if applicable) operations, (i.e. ESG compliance, log marketing, forest management practices, etc.).
Required qualifications, capabilities, and skills:
BS in Business Administration, Accounting, Finance, Forestry, or an equivalent field of study; and a minimum of five years working experience in a related field; or equivalent combination of education, training and experience.
Demonstrated ability to conduct financial analysis and problem-solving. Ability to synthesize complex financial data into actionable insights.
Commitment to client service excellence and ability to build productive relationships. Proactive approach in addressing client inquiries and providing solutions.
Expertise in financial reporting, accounting practices, and investment industry standards.
Exceptional interpersonal and communication skills, both written and verbal.
Strong organizational skills, with the capacity to manage multiple tasks efficiently under tight deadlines.
Willingness to travel as needed for client engagement and portfolio oversight.
Preferred qualifications, capabilities, and skills;
MBA, CFA, or CAIA certification, or progress towards obtaining such credentials.
Experience in the timber investment industry is highly desirable.
Auto-ApplyManager, Case Management of Low and Emerging Risk
Risk manager job in Portland, OR
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Manager of Case Management for Rising and Emerging Risk leads a specialized team focused on early identification, proactive engagement, and targeted interventions for members showing early signs of increasing health risk. This leader is responsible for ensuring members receive the right level of support at the right time to prevent avoidable escalation into moderate or high-risk categories. The role includes strategic oversight, operational leadership, and staff development to deliver high-quality, coordinated care management services that stabilize member health, reduce future utilization, and advance Pacific Source's population health goals.
Essential Responsibilities:
Responsible for oversight, management, development, implementation, and communication of department programs.
Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback, including regular one-on-ones and performance evaluations, for direct reports.
Develop annual department budgets. Monitor spending versus the planned budget throughout the year and take corrective action where needed.
Oversee the use of risk-stratification tools, predictive analytics, and member segmentation to identify rising-risk members early and prevent escalation into moderate or high-risk tiers.
Partner with Analytics to refine forecasting models and ensure actionable data drives daily workflows and intervention strategies.
Align closely with Transitions of Care teams to reduce re-admissions and maintain continuity of care.
Ensure case management activities, documentation, and care plans meet regulatory and accreditation standards (e.g., CMS, OHA, NCQA).
Monitor and improve member satisfaction, engagement, and activation in the care management program.
Promote person-centered care by ensuring individualized care plans reflect member goals, preferences, and cultural considerations.
Track outcomes for program improvement and support continuous optimization of member interventions.
Develop short- and long-term strategic plans for the rising/emerging risk program, ensuring alignment with enterprise goals including Member Bridge and cost-of-care initiatives.
Lead readiness efforts for major organizational initiatives (e.g., Epic, new analytic tools, vendor partnerships).
Coordinate business activities by maintaining collaborative partnerships with key departments.
Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize lean methodologies for continuous improvement. Utilize visual boards and daily huddles to monitor key performance indicators and identify improvement opportunities.
Actively participate as a key team member in Manager/Supervisor meetings.
Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.
Lead and manage case management programs for rising and emerging risk populations, ensuring compliance with regulatory standards and organizational objectives.
Collaborate with Health Services leadership and cross-functional teams to design, implement, and optimize care management processes, including physical and behavioral health integration.
Develop and maintain workflows and data systems to track caseloads, program effectiveness, and patient outcomes, ensuring timely reporting and actionable insights.
Provide leadership in hiring, training, coaching, and performance management of case management staff, fostering a culture of collaboration, accountability, and professional growth.
Ensure timely communication of high-cost or complex cases to finance, underwriting, and leadership teams for risk mitigation and resource planning.
Serve as a liaison with internal departments, provider networks, and community partners to coordinate care management programs that enhance member outcomes.
Oversee and participate in clinical interdisciplinary rounds with our medical directors, utilization management, disease management, appeals and grievance and behavioral health to ensure members' needs are met.
Monitor adherence to privacy standards and regulatory requirements, maintaining the integrity of personal health information.
Establish and track goals for care management programs related to caseloads, timeliness, quality, and member outcomes, and report progress to senior leadership.
Establish and track goals pertaining to enterprise metrics related to reduction in length of stay, reduction in readmission and reduction in hospital admissions.
Stay current with best practices in case management and care coordination through continuing education and apply innovative models of care.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum 5 years in case management or care coordination required. 3 years direct health plan experience in case management, disease management, care coordination, or equivalent preferred. Prior supervisory or management experience required.
Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker or other licensed healthcare or behavioral health care clinician, Oregon licensure required. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire.
Knowledge: Thorough knowledge and understanding of medical and behavioral health procedures, diagnoses, and treatment modalities, procedure codes, including ICD-9 & 10, DSM-IV & V, CPT codes, health insurance and State of Oregon mandated benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Strong knowledge of health insurance; including managed care products as well as state mandated benefits. Ability to develop, review and evaluate utilization and care management reports. Experience in adult education preferred. Proficient in the use and implementation of the following tools and concepts across all teams within scope and accountability: Training, Coaching, Strategy Deployment, Daily Operations, Visual Management, Operational Improvement & Team Building/Development.
Competencies
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Partnerships
Customer Focus
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time.
Skills:
Accountable leadership, Collaboration, Data-driven & Analytical, Delegation, Effective communication, Listening (active), Situational Leadership, Strategic Thinking
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Auto-ApplyInformation Risk Analyst - AI
Risk manager job in Portland, OR
Job Overview: The AI Information Risk Analyst will be responsible for identifying, evaluating, and mitigating risks associated with the use of generative AI technologies in our organization. This role requires a blend of technical expertise, analytical skills, and strong ethical judgment to ensure that our AI initiatives are both effective and compliant with regulatory standards.
Key Responsibilities:
• Conduct comprehensive risk assessments of generative AI systems, identifying potential vulnerabilities and threats.
• Collaborate with cross-functional teams to design and implement robust AI security measures.
• Ensure compliance with relevant legal, regulatory, and industry standards related to AI and data privacy.
• Develop and maintain risk management frameworks and policies specific to AI applications.
• Perform regular audits and assessments to monitor the effectiveness of risk mitigation strategies.
• Provide expert guidance on AI ethics and responsible AI practices.
• Prepare detailed reports and presentations on risk assessment findings and recommendations for senior management.
• Stay updated with the latest advancements in AI, cybersecurity, and risk management practices.
Junior Risk Analyst
Risk manager job in Beaverton, OR
Did you know that Genesis Financial Solutions, the leader and largest second-look private label credit business in the US, focused on providing a prime credit experience for consumers with less-than-perfect credit, is headquartered and growing (we've just hit One Billion Dollars originated!) right here in the Portland metro?
Did you know
that we've spent the last 15 years building a stellar reputation in the consumer finance space by delivering financing products designed to address the needs of consumers with less-than-perfect credit histories at very competitive rates, simple terms, and exceptional customer service.
We're focused on growth and need you to help us succeed!
Did you know
that we offer really great benefits including free lunch provided by senior management as a thank you the first Wednesday of every month, weekly stretching classes, massage clinics, food carts onsite twice a week during the spring and summer months, retailer partner discounts, and the opportunity to collaborate with talented colleagues throughout the company?
If you think Genesis sounds like a great place to work, you're right!
Even better, you can join our team as a
Junior Risk Analyst
today!
This is a fulltime position with a competitive starting salary, plus benefits which include
Medical, Dental, and Vision coverage for employees and dependents, a 401K with a company match that is 100% vested from enrollment date, paid time off, flexible spending accounts for dependent and/or medical care, tuition assistance, and much more.
Are you ready to be a part of an organization that challenges the status quo, is nimble, and whose core business is in rapid growth mode?
Is your intellectual curiosity constantly in overdrive mode?
Do you thrive on making sense out of data and developing strategies rooted in analytics?
Interested in working with a dynamic and high-performing team?
Excited about growing your career with a company that loves people who are passionate
about analyzing business performance and making data-driven decisions.
If this sounds like you, we would love to hear from you.
Job Description
As our
Junior Risk Analyst
, you will:
Perform empirically derived analysis to understand business performance, identify improvement opportunities, and develop strategies and recommendations
Leverage your strong quantitative, critical thinking, and communication skills in all of your projects and assignments
Be accountable for the accurate construction and evaluation of data sets, graphs, and reports
Present your work regularly to your team and to stakeholders, and provide supporting evidence for your recommendations
Manage and manipulate large data sets using a variety of software packages
Recommend and evaluate test strategies with a focus on profitability and implementation
Analyze underwriting strategies and criteria and develop strategies to improve portfolio performance
Effectively communicate analytical approach, relevant findings, and recommendations with supporting evidence throughout the organization
Regularly audit all datasets, analysis and presentations for accuracy
Perform ad-hoc queries and create ad-hoc reports to support analysis
Interact with various business area managers on a regular basis
Qualifications
Requirements:
A Bachelor's degree in Economics, Business, Mathematics, Computer Science, MIS, or related
field or equivalent experience
Excellent problem solver, disciplined attention to detail, great communicator
Strong ability to work proactively and collaboratively in a cross-functional team to drive results
Intermediate skills using Microsoft Excel
Strong quantitative skills and communication skills, both verbal and written
Self-starter with the ability to work independently or in a team
Ability to learn MS SQL Server (experience is preferred)
Additional Information
Ready to make the move to a new beginning with Genesis? Apply online today. We strive to contact qualified applicants within a week of submission. Unfortunately, we are currently unable to provide sponsorship for this position.
If this position isn't a match for you, we encourage you to share it with someone you think it might be suited for. Please feel free to connect with us via LinkedIn or to keep an eye on our website as we often have employment opportunities available.
SAP Order to Cash Manager - Life Sciences
Risk manager job in Beaverton, OR
We Are: Accenture's SAP practice, and we live to see how this can transform the way we live and work. We bring reinvention to life using design thinking, modern delivery methodologies, embedding AI into the way we deliver and into business processes. Additionally, the Life Sciences Industry is going through remarkable levels of transformation with new therapies that improve lives of patients, new implantable devices that improve health and wellness and much more global supply chains. SAP technologies power these organizations with modern cloud-based and AI-enabled solutions, and Accenture is the undisputed market leader in this industry.
We are continuously expanding our SAP team with advisory skills to continue to drive transformation at scale for our clients.
You are:
Do you have a passion for storytelling, originating and for delivering SAP-based Customer, Sales and Services Transformation projects that make a positive impact in your clients' business? Are you inspired by working with the best companies in their industries? Want a role that provides you with a sense of purpose and satisfaction?
Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world
You will thrive in our highly collaborative, digitally-driven and innovation-led environment. Nurture your talent for thoughtful and game changing solutions in our inclusive culture that values diversity of ideas, experiences and backgrounds.
You are a confident manager who spots and stays ahead of the SAP platform, industry and Customer, Sales and Services trends and knows how to translate client goals into clear and actionable outcomes that everyone can get behind. You know how to fully utilize the capabilities of various SAP platforms to drive business value, transform end-to-end functions and drive leading practices for your clients in markets all over the globe. The more complex their challenges, the more excited you are about leading the charge to solve them.
The Work:
Team with clients on their SAP functional transformation programs through your combined SAP application and functional process expertise which includes your ability to:
+ Engage with client executives on the business challenges/trends and the potential value of SAP solutions (current & future)
+ Lead customers in defining their SAP journey through the development of business cases & roadmaps including during sales origination, proposal development and client presentations
+ Architect E2E solutions that leverage SAP technologies, custom apps, & add on partner solutions
+ Advise, design and deliver solutions based on the latest industry and technology best practices leveraging a SAP solutions and embedded innovation.
+ Lead small teams - helping them achieve transformational roadmaps - onsite with clients or within Accenture
+ Become a trusted expert and advisor to your clients, team, and Accenture Leadership by staying current on regulations, trends, and innovations across your area of expertise
+ Be a thought leader, build assets and best practices and develop the next level of transformation experts
Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements
Here's what you need:
+ Minimum 7 years of SAP functional and technical experience/expertise in Order to Cash: pricing, order management, condition contracts, EDI and billing
+ Minimum 5 years of experience in SAP projects supporting Life Sciences clients (SAP support / managed services experience will not be considered for this requirement)
+ Minimum of 2 end-to-end SAP S/4 implementations, including project planning, estimation and solution architecture for Life Sciences clients
+ Minimum of 2 years experience driving complex workshops and leading design decisions, as well as leading the design and execution of system build, configuration, testing, cutover, and go-live
+ Experience leading teams in a Global Delivery model
+ Prior experience in a Consulting/Advisory role
+ Bachelor's degree or equivalent (minimum 5 years' work experience). If Associate's Degree, must have equivalent minimum 6-year work experience
Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We accept applications on an on-going basis and there is no fixed deadline to apply.
Information on benefits is here. (************************************************************
Role Location Annual Salary Range
California $94,400 to $293,800
Cleveland $87,400 to $235,000
Colorado $94,400 to $253,800
District of Columbia $100,500 to $270,300
Illinois $87,400 to $253,800
Maryland $94,400 to $253,800
Massachusetts $94,400 to $270,300
Minnesota $94,400 to $253,800
New York/New Jersey $87,400 to $293,800
Washington $100,500 to $270,300
Requesting an Accommodation
Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at **************** or send us an email or speak with your recruiter.
Equal Employment Opportunity Statement
We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
For details, view a copy of the Accenture Equal Opportunity Statement (********************************************************************************************************************************************
Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities.
Accenture is committed to providing veteran employment opportunities to our service men and women.
Other Employment Statements
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.
Please read Accenture's Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
Account Manager/Specialty Account Manage - lgG4 - Portland, OR (Rare Disease)
Risk manager job in Portland, OR
**Join Amgen's Mission of Serving Patients** At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
**Account Manager/Specialty Account Manager - Rare Disease**
**Live**
**What you will do**
Let's do this! Let's change the world!
In this vital role you will be responsible for representing UPLIZNA to physicians and health care professionals, establishing product sales, and performing total territory account management.
The Specialty Account Manager is responsible for providing account management support to accounts within a specific geography in the designated marketplace with a focus on issues specific to their designated accounts. The SAM acts as central account manager; responsible for driving product demand and coordinating relevant field teams to address account needs.
+ Develops a comprehensive and effective territory business plan aimed at achieving and exceeding annual sales goals established by sales and business unit leadership.
+ Promotes UPLIZNA within approved labeling in a comprehensive, fair and ethical manner that is consistent with industry specific and corporate legal and regulatory guidelines.
+ Addresses issues related to access, pull-through, and reimbursement by coordinating with key stakeholders and matrix team members.
+ Develops strong customer relationships by better understanding the customer's needs and goals and communicating those needs and goals to other team members.
+ Consistently meets or exceeds corporate sales goals.
+ Communicates territory activity in an accurate and timely manner as directed by management.
+ Drive product demand among targets through education on disease state and product information.
+ Provides feedback to sales and business unit leadership, colleagues, and other internal departments about changing environment and results.
+ Adheres to the Company's compliance policies and guidelines as well as any other applicable guidelines, including but not limited to the PhRMA code.
+ Must be able to work closely with patient services and market access team members, and understand their roles, to achieve overall business goals,
+ Coordinate between accounts and relevant Amgen field teams to support full range of account needs,
+ Educate healthcare professionals and office staff on site of care options.
+ Attends medical congresses and society meetings as needed.
+ Manages efforts within assigned promotional and operational budget.
+ Maximizes use of approved resources to achieve territory and account level goals
+ Territory will include but is not limited to the following areas: Portland: OR, Reno NV, Sacramento, CA, Santa Rosa CA
+ Successfully completes all Company training classes.
+ Completes administrative duties in an accurate and timely fashion.
+ Functions as a contributing member of a high-performance team.
+ Perform such other tasks and responsibilities as requested by the Company.
**Win**
**What we expect of you**
We are all different, yet we all use our unique contributions to serve patients. The Specialty Account Manager we seek is a motivated professional with these qualifications.
**Basic Qualifications (Account Manager - Level 4)**
+ Bachelor's Degree and 3 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience OR
+ Associate degree and 6 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience OR
+ High school diploma/GED and 8 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
**Basic Qualifications (Specialty Account Manager - Level 5)**
+ Doctorate degree & 2 years of collective account management experience, sales, & commercial experience OR
+ Master's degree & 6 years of collective account management experience, sales, & commercial experience OR
+ Bachelor's degree & 8 years of collective account management experience, sales, & commercial experience OR
+ Associate degree & 10 years of collective account management experience, sales, & commercial experience
**Preferred Qualifications:**
+ Demonstrated success in a role involving reimbursement navigation, site of care education, and/or patient access coordination.
+ Experience promoting a product that requires extensive coordination with office staff, infusion centers, and patient services teams.
+ Proven ability to build strong customer relationships, educate on complex disease states, and adapt communication to diverse audiences.
+ Buy-and-bill experience with documented success and/or biologic/infusion experience strongly preferred.
+ Sales experience in Rheumatology, Gastroenterology, Nephrology, Hematology, Neurology, and/or rare/specialty disease states preferred.
+ Site of care and reimbursement experience strongly preferred.
+ Experience working with institutions and integrated delivery networks preferred.
+ Pharma account management selling experience essential; must be able to coordinate across field teams to address full range of account needs.
+ Approximately 80% travel (may vary by territory), including some overnight and weekend commitments.
+ Proficient in Microsoft Office.
+ Professional, proactive demeanor.
+ Strong interpersonal skills.
+ Excellent written and verbal communication skills.
**Thrive**
**What you can expect of us**
As we work to develop treatments that take care of others, we also work to care for our teammates' professional and personal growth and well-being.
_The annual base salary range for the_ **_Account Manager opportunity_** _in the U.S._ **_is $ 149,052 to $177,700._** _This range is also referenced below._
_The annual base salary range for the_ **_Specialty Account Manager_** _opportunity. (excluding Puerto Rico) is_ **_$158,046.00 to $185,910.00._**
Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including:
+ Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.
+ A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
+ Stock-based long-term incentives
+ Award-winning time-off plans and bi-annual company-wide shutdowns
+ Flexible work models, including remote work arrangements, where possible
**Apply now**
**for a career that defies imagination**
Objects in your future are closer than they appear. Join us.
**careers.amgen.com**
Application deadline:
Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.
As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.
Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
Assistant Portfolio Manager
Risk manager job in Tigard, OR
Job Title: Assistant Portfolio Manager - Project Coordination Focus
Travel: Local travel to properties in the Portland area (mileage reimbursed)
Schedule: Monday-Friday, 8:30 AM-5:00 PM
Employment Type: Direct Hire
Compensation: $27 - $32 per hour DOE
Position Overview
LHH Recruitment is seeking a reliable and tech-savvy Assistant Portfolio Manager to support our client's regional property management team. This role is ideal for someone with 2+ years of property management experience with a strong desire to focus on managing projects of capital improvements. We are looking for someone with strong organizational skills, and the ability to delegate and eventually lead teams.
Key Responsibilities
Support Regional Managers with property-related projects across Portland area properties
Coordinate bids, vendor communications, and property inspections
Track project progress, ensuring timely completion
Create and manage invoices, following up with vendors and clients to ensure timely payments
Handle administrative tasks including phone coverage and reporting for managers
Compile bid packages and maintain daily updates on project status
Qualifications
Preferred Experience: 2+ years of experience in property management, ideally supporting a regional portfolio
Technical Skills: Must be computer savvy; AppFolio experience preferred, but other property management software exposure is a plus
Soft Skills: Dependable, strong work ethic, approachable, and willing to learn
Education: High School Diploma or equivalent required; Bachelors Degree or furthering education in relation to property management is a strong plus
Benefits
Strong pathway for growth within the company
100% employer-paid medical and dental premiums
2 weeks PTO, 1 week of sick time, plus holidays and your birthday off
401(k) with employer match
Short-term disability, long-term disability, life insurance, and FSA
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit **************************************
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
Clinical Risk Manager Sr Evergreen
Risk manager job in Vancouver, WA
JOIN PeaceHealth - Lead with Excellence in Risk Management At PeaceHealth, our commitment to safety and compassionate care is at the heart of everything we do. We are reimagining our approach to Risk Management and are looking for compassionate leaders and caregivers who want to make a lasting impact on our communities.
Why PeaceHealth?
Integrated Clinical Excellence -
We combine a proactive risk management with strong clinical foundation to ensure the highest quality of care.
Leadership Commitment to Safety -
Our leadership team is deeply committed to building and sustaining a culture of safety - aligned with our safety vision that every person shall receive safe, compassionate care; every time, every touch.
Your Growth, our Investment -
* Access to professional development opportunities with Seminars and national Conferences
* Internally hosted training with a focus on CE eligibility
* Connections to top professional affiliations
* Access to resource libraries, webinars and experts.
Be Part of Something Great - Join a team that prioritizes Growth, an Integrated approach, and safety.
Job Summary
The Senior Clinical Risk Manager leads the investigation and management of complex, high-severity risk events across the healthcare system. Provides strategic leadership and oversight in the identification, evaluation, and mitigation of clinical risks for their assigned areas. This role provides expert-level consultation on clinical risk, supports regulatory compliance, and leading enterprise-wide initiatives to enhance patient safety and reduce liability. In addition, this role is responsible for mentoring and supporting our clinical risk managers. The Senior Clinical Risk Manager collaborates with executive leadership, legal counsel, and clinical teams to drive a proactive risk management culture and ensure compliance with regulatory standards.
Essential Functions
* Leads the identification and investigation of high-severity risk events, including coordination with legal, patient safety, compliance, and executive leadership. Collaborates with legal counsel on complex claims and litigation support.
* Oversees and guides Root Cause Analyses (RCAs), Failure Mode and Effects Analyses (FMEAs), Apparent Cause Analysis, and other risk assessments. Leads proactive risk assessments for high-risk areas.
* Serves as a senior advisor to clinical and operational leaders on risk mitigation strategies and patient safety initiatives. Develops and communicates with senior management on appropriate responses to risk events and medical care complaints in accordance with legal requirements.
* Develops and implements system-wide risk management standard work, protocols, and policies. Leads the development and delivery of advanced risk management education and training. Provides mentorship, training, and support for clinical risk managers.
* Analyzes system-wide trends in incident reporting, tracks key performance indicators, and develops strategic recommendations for improvement. Regularly provides leadership with progress reports and data (including recommendations) related to risk management. Provides leadership of performance improvement and loss prevention activities.
* Represents the Risk Management department on committees and task forces focusing on high-risk issues.
* Investigates alleged EMTALA violations. Ensures that applicable regulatory and accreditation requirements are met in a proactive manner. Participates in development of processes/systems designed to share and recognize performance improvements and compliance across the organization to mitigate risks to patient and caregiver safety/risks to the organization.
* Facilitates teams related to system-wide approaches for risk mitigation. Supports skills and competency development in risk management for community-based resources. With system team, designs training curriculum, develop program content and provide education to leadership teams, quality leaders, supervisor other caregivers/providers.
* Serves as system subject matter expert for risk mitigation strategies on high-risk topics such as OB, ED, ICU and Behavioral Health service lines or Informed Consent, Use of Force oversight, Laser Safety, Medical Device Reporting, Adoptions and other topics.
* Assists Patient Relations to address complex grievances that involve patient care and responds to the patient in the time frame designated by policy.
* In partnership with the Quality department, leads the organization's regulatory response in the event of a formal patient complaint or EMTALA survey and corrective action plan.
* Serves as the lead for the communication & resolution program (disclosure process) in assigned areas of responsibility.
* Monitors and interprets changes in healthcare regulations and proactively adjusts risk strategies to maintain compliance.
* Serves as the non-discrimination officer for their assigned areas of responsibility.
* Performs other duties as assigned.
Qualifications
Education
* Bachelor's Degree Required: in Nursing or other clinical field and
* Master's Degree Preferred: in nursing, healthcare administration, public health or related field
Experience
* Minimum of 5 years Required: Healthcare risk management, compliance, quality improvement or patient safety and
* Minimum of 5 years Required: Combination of directly related clinical experience AND risk management, compliance, quality improvement, or patient safety
Credentials
* Required: RN or license in clinical discipline (RN preferred), in OR, WA, or AK and
* Required: within 2 years Certified Professional Healthcare Risk Management
Skills
* Advanced knowledge of state, federal, and accreditation requirements including but not limited to: CMS Conditions of Participation for acute care and critical access hospitals. (Required)
* General knowledge in other regulatory areas such as, OSHA, EMTALA, and HIPPA. (Required)
* State healthcare rules and statutes, and state licensing requirements. (Required)
* Proficient with MS Office applications. (Required)
* Excellent communication, interpersonal, collaboration, and presentation skills. (Required)
* Advanced analytical and problem-solving skills. (Required)
* Ability to lead and motivate teams, influence others, and drive change. (Required)
* Able to work flexible hours. (Required)
* Participation in on-call coverage. (Required)
The salary range for this job opening at PeaceHealth is $49.64 - $74.46. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
Risk Manager/Senior Negotiator - State, Local & Higher Education
Risk manager job in Portland, OR
The Government & Public Services (GPS) Risk Management Team is currently seeking a full-time dedicated Senior Risk Manager/Senior Negotiator who has experience in supporting deal and contract structuring, drafting customized contractual provisions and deal and project delivery risk review, negotiations, operations, and operational aspects of professional services contracts.
Recruiting for this role ends on January 31, 2026.
Work You'll Do
The GPS State, Local & Higher Education (SLHE) Risk Manager/Senior Negotiator will be responsible for supporting Deloitte Consulting's GPS practice from a contracting and negotiation perspective, covering the full life cycle of an engagement. The role provides the organization with a focal point for business risk and contract negotiations, from analysis to mitigation recommendations to leadership.Additional responsibilities are as follows:
Deal Desk Support, Contracting and Negotiations
+ Assist with deal desk and contract review activities and support our sales team with deal and contract structuring, RFI/RFP/Proposals, and contract review, drafting custom provisions and negotiations
+ Intersect with various functions including sales, legal, finance and delivery to act as a strategic advisor to help manage deal flow and to optimize sales and contracting cycles
+ Work closely with deal teams and legal in reviewing and negotiating agreements, such as master agreements, confidentiality agreements and teaming agreements
+ Own risk consultation and contracting review of scope of work/SOW documents
+ Provide guidance on contracting and negotiation strategies and ensure cross-functional alignment through contracting life-cycles
+ Ensure contracting requirements are met and handled in a manner that is consistent with the Firm's policies, requirements, and good business practices
Ongoing and Post Execution Risk Management and Contracting Support
+ Assist with ongoing contracting, risk management and mitigation support for ongoing contracting requirements - SOWs, Change Orders, amendments, and renewals
+ Facilitate continued compliance with contractually required policies and processes and with the Firm's internal policies
+ Continue to collaborate with different functions to socialize agreement/contractual requirements and business terms
+ Work actively with account leadership and quality team to identify and help mitigate post-signature delivery and engagement risks
Knowledge Management and Training Support
+ Maintain knowledge of core professional services (IT, Managed Services, Outsourcing) and product offerings to continue supporting contracting and risk matters in a fast paced constantly changing environment
+ Work independently to manage contractual matters and risks and be the trusted advisor on multiple accounts
+ Provide mentoring and training to Risk Management colleagues and to a broader audience to enhance knowledge of and compliance with firm's policies, templates and processes
+ Proactively pursue, assess and, where appropriate, advance firm's initiatives including in the areas of software, cloud, data analytics, operate services and privacy & security
+ Support strategic initiatives pertaining to development/updating of processes, tools, and templates to improve overall risk management and contracting practices and to help drive adoption of such processes, tools, and templates
Qualifications:
Required:
+ 10+ years of direct contract negotiation for technology services (i.e., technology delivery and implementation services)
+ Experience with managing the negotiation, delivery, and risk assessments of large professional services and product contracts
+ Experience in working with client delivery teams; preferably in State, Local, or Higher Education
+ Experience with complex contract negotiation and working high stakes multi-million-dollar engagements
+ Knowledge of professional services contracting lifecycle with an emphasis on technology services
+ Bachelor's Degree
+ Ability to travel up to 10-25%, on average, based on the work that you do and the clients and industries/sectors you serve
+ Must be legally authorized to work in the United States without need for employer sponsorship, now or at any time in the future
Preferred:
+ Juris Doctor (JD) Degree preferred
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $176,000 to $322,000.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
Information for applicants with a need for accommodation: ************************************************************************************************************
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law.
Risk Management BSA I, II, III
Risk manager job in Beaverton, OR
Risk Management - Business System Analyst I, II or III Work a Hybrid work schedule within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For:
Every day, Cambia's dedicated team of Business System Analysts (BSA) is living our mission to make health care easier and lives better. As a member of the Risk Management team, our BSAs are responsible for complying with CMS mandates to submit Enrollment, Medical Claim and Pharmacy Claims data for Reinsurance Reimbursement, Member Risk Assessment and Risk Corridor calculations - all in service of making our members' health journeys easier.
you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
The Risk Management BSA I: Bachelor's degree in Business, Data Analysis or other related field plus 2 years' experience with data analysis, process modeling or equivalent combination of education and experience.
The Risk Management BSA II: Bachelor's degree in Business, Data Analysis or other related field plus 2 - 4 years' experience with data analysis, process modeling or equivalent combination of education and experience.
The Risk Management BSA III: Bachelor's degree in Business, Data Analysis or other related field plus 5 - 7 years' experience with data analysis, process modeling or equivalent combination of education and experience.
Skills and Attributes:
* Experience aggregating, reviewing and extracting data from various sources to create larger, more complex data sets.
* Good research and problem solving skills including the ability to determine action steps and remediation actions to resolve issues.
* Ability to accurately complete activities within established deadlines. Ability to work under pressure and partner with others.
* Good written and verbal communication skills including the ability to work with internal and external partners.
* Proficiency with Microsoft Office software programs and general experience database query tools.
* Ability to update process documentation to ensure activities and outputs align with CMS guidelines.
* General knowledge of medical terminology and procedure coding.
* Experience with AI tools and technologies to enhance productivity and decision-making in professional settings highly desired.
Additional Requirements for BSA II:
* Ability to identify problems, develop solutions and implement actions with minimal supervision.
* Ability to develop and modify data queries for use in the CMS data submission process. Works with internal partners to test and validate the effectiveness of new or modified queries.
Additional Functions and Outcomes for BSA III:
* Tracks and monitors CMS data submission guidelines. Reviews and verifies updates made to process documentation align with data submission guidelines. Acts as a resources to others on the Risk Management team.
* Updates business partner groups (enrollment, medical claims, pharmacy claims, etc.) on annual changes to CMS submission requirement.
What You Will Do at Cambia:
* Extracts required information from the source systems into a staging area and performs validation checks based on CMS Edge Server Business Rules.
* Submits data to the Edge Server via an established translation process.
* Reviews data validation reports that are received back from CMS and any errors are investigated and corrected prior to data being resubmitted.
* Communicates with internal/external customers to resolve any errors within the source systems for any of the above areas.
* Encourages ongoing innovation and looks for opportunities to enhance the quality and efficiency of departmental processes.
* Assists in the training and communicating system changes for end-users and other affected staff.
* Schedules, organizes and prioritizes work to ensure timely completion of all assigned activities.
* Maintins process documentation and ensures data submission and validation activities align with CMS guidelines.
Additional Functions and Outcomes for BSA II:
* Partners with Risk Management leadership to prioritize data submission activities and resolve issues in a timely manner.
* Creates new data queries for the data submission process.
Additional Functions and Outcomes for BSA III:
* Communicates to the enrollment, medical claims, pharmacy claims, and supplemental condition code business partners as to what the requirements are for CMS submission.
* Completes technical peer review of process improvements and ad hoc departmental projects.
Work Environment
* Work performed in office environment or can be remote.
* Travel rarely required, locally or out of state.
* May be required to work outside normal hours.
The expected hiring range for a Risk Management BSA I is $62,100.00 - $82,800.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full salary range for this role is $57,000.00 to $95,000.00.
The expected hiring range for a Risk Management BSA II is $68,900.00 - $93,150.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $64,000.00 to $106,000.00.
The expected hiring range for a Risk Management BSA III is $75,700.00 - $102,350.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $71,000.00 to $116,000.00.
#LI-hybrid
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
* Work alongside diverse teams building cutting-edge solutions to transform health care.
* Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
* Grow your career with a company committed to helping you succeed.
* Give back to your community by participating in Cambia-supported outreach programs.
* Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
* Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
* Annual employer contribution to a health savings account.
* Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
* Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
* Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
* Award-winning wellness programs that reward you for participation.
* Employee Assistance Fund for those in need.
* Commute and parking benefits.
Learn more about our benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.
If you need accommodation for any part of the application process because of a medical condition or disability, please email ******************************. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.
Auto-ApplySenior Risk Adjustment Analyst
Risk manager job in Portland, OR
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations. This position leverages available tools and knowledge of the applicable risk models to optimize data submission as it pertains to Hierarchical Condition Categories (HCCs), HEDIS and Quality performance as well as other data within a given system. The Senior RA Analyst will collaborate and coordinate with internal and external partners to minimize submission and response errors, provide thorough oversight of vendor partners, accumulate, and report out on pertinent data sets, develop and improve processes related to risk adjustment and quality improvement, maintain required documentation, and ensure compliance to all applicable laws, guidance, and regulations. Assume lead role on specified projects. Projects are completed with cross-functional teams of peers and business partners. This includes interaction with provider partners with the intent of informing them on performance and educating on best practices in risk adjustment. The Senior RA Analyst will provide mentorship to less experienced team members. In addition, this position influences decision making by leadership and provides recommendations regarding potential improvements to risk adjustment processes and outcomes.
Essential Responsibilities:
Recommend and guide process improvements that will optimize risk adjustment factor increases while minimizing inaccurate capture of disease burden.
Identify, analyze, interpret and communicate risk adjustment trends to be consumed by provider partners and related entities.
Responsible for maintenance of existing reports, development of new reports to help ensure company goals are met, as well as other ad hoc requests as needed.
Develop and maintain reporting capabilities to measure and forecast risk scores & quality metrics, monitor suspecting model performance, and identify areas of improvement
Maximize risk adjustment revenue and quality bonus payments by driving data integration and analytics to properly capture and improve the health status of PacificSource members.
Validate data integrity and collaborate with technical teams to improve data pipelines and business logic for identified areas of opportunity
Identify and lead internal subject matter experts in regular meetings to identify and rectify various data submission and adjudication errors related to risk adjustment and quality data submission.
Develop and maintain data sets leveraging internal data, response data from regulatory entities (including but not limited to: EDGE files, MMR, MOR, RAPS Response, MAO-004, PSV, PLD, etc.), and ancillary data sources to be consumed across the enterprise.
Demonstrate mastery in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, and others as needed.
Maintain strict oversight of vendor partners through analytic reconciliations to ensure regulatory compliance, optimal data submission and error resolution, and general accuracy.
Assist with all pertinent audits, including RADV, through preparation activities and documentation. Perform root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps.
Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment and CMS Star Ratings. This includes review of regulatory announcements, attending educational sessions and opportunities provided by regulatory entities or within the industry.
Develop, maintain, and report out on actionable metrics related to risk adjustment and HEDIS to incorporate quality/health outcome metrics where applicable.
Prepare new and review existing specifications, project plans, and other internal procedural documents. Ensure users and partners understand nature of work being performed, as well as timeframes and milestones. Provide regular status updates to supervisors and stakeholders.
Provide support as needed for projecting annual receivable amounts, preparing projections related to pricing efforts, and predicting cost utilization as it relates to risk adjustment.
Work with changing data, file specifications, and internally coordinate releases and modifications through approved procedures.
Collaborate with internal and external partners to resolve data issues related to member, claim, provider and pharmacy data and processes.
Work with internal teams, provider partners, and vendor partners as needed to support risk adjustment activities.
Provide mentorship, leadership, and training to less experienced risk adjustment analysts.
Supporting Responsibilities:
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Participate in and support project teams led by other departments and provide necessary input to support the goals of colleagues.
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Five years' experience in data analytics or software development required, to include at least three years' experience in Health Plan required. In depth risk adjustment and/or HEDIS experience required, including risk models, CMS guidelines, regulatory data submissions, retrospective and prospective programs, interpreting health care regulatory/accreditation requirements and data validation audits. Expertise in Microsoft Excel and SAS/SQL is required. Experience in leading projects and project teams required. Familiarity with Medicaid risk adjustment and CMS 5-Star required. Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred. Equivalent work and education experience will be considered.
Education, Certificates, Licenses: Bachelor's degree in Mathematics, Statistics, Health Informatics or similar research related field required. Advanced degrees preferred.
Knowledge: Expert-level analytical and problem-solving abilities are required. Mastery of theories and applications of computer programming required. Ability to keep current with changing technologies, work independently under limited supervision, exercise initiative within established procedural guidelines, and prioritize work to meet established deadlines a must. Excellent communication skills, both verbal and written, particularly the ability to convey technical information in an accessible and understandable manner. The ability to establish and maintain effective work relationships, exercise good judgement, and demonstrate decisiveness and creativity. Read, understand, and interpret documents of complex subject matter.
Competencies:
Building Trust
Building a Successful Team
Aligning Performance for Success
Building Customer Loyalty
Building Strategic Work Relationships
Continuous Improvement
Decision Making
Facilitating Change
Leveraging Diversity
Driving for Results
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time with some overnight travel.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Auto-ApplyTransition Manager - IT Asset Management
Risk manager job in Beaverton, OR
Duties: Engage with various levels of stakeholders, sponsors, teams, and strategic partners across the company. to define, build, and implement comprehensive transition management strategies for various programs and initiatives.
Transition Management:
Drive TM principles and methodology across medium to large regional and/or global initiatives
Training and Awareness Building:
Lead and develop training and associated materials to support transitions.
Communication:
Develop and deliver TM communication plans and materials for specific initiatives to generate momentum and raise awareness.
Skills: This role covers TechOps and IT Asset Management (ITAM) but is primarily dedicated to the ITAM team. This TM will need the ability to
Build trust and rapport.
Work proactively in an ambiguous environment.
Use MS Office and other software applications to complete and manage tasks, schedules, and projects.
Grasp and translate tech concepts so they can be clearly understood and adopted by end users in the business.
Work across leadership levels to prioritize initiatives, project launches and associated communications.
Assess stakeholder readiness and build business cases for change.
Facilitate conversations and align cross functional, global teams in a virtual setting.
Align and partner with stakeholders to draft narratives around rollouts.
Reduce business disruption around various IT Asset Management initiatives.
Understand the dynamics of both the hardware and software asset lifecycle.
Understand the basics of how software consumption is measured.
SAP Order to Cash Manager - Industrial
Risk manager job in Beaverton, OR
We Are: Accenture's SAP practice, and we live to see how this can transform the way we live and work. We are the industry-leader for building SAP solutions and we're curious and always learning. We're building the smartest team on the planet, and helping our people gain new skills, training, and experience.
Additionally, the Industrial Equipment industry is going through remarkable levels of transformation as they are developing digital smart factories ,connecting machinery through IoT, and transforming internal operations for efficiencies.
SAP technologies power these organizations with modern cloud-based and AI-enabled solutions, and Accenture is the undisputed market leader in this industry. We are continuously expanding our SAP team with advisory skills to continue to drive transformation at scale for our clients.
You are:
Do you have a passion for storytelling, originating and for delivering SAP-based Customer, Sales and Services Transformation projects that make a positive impact in your clients' business? Are you inspired by working with the best companies in their industries? Want a role that provides you with a sense of purpose and satisfaction?
Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world
You will thrive in our highly collaborative, digitally-driven and innovation-led environment. Nurture your talent for thoughtful and game changing solutions in our inclusive culture that values diversity of ideas, experiences and backgrounds.
You are a confident manager who spots and stays ahead of the SAP platform, industry and Customer, Sales and Services trends and knows how to translate client goals into clear and actionable outcomes that everyone can get behind. You know how to fully utilize the capabilities of various SAP platforms to drive business value, transform end-to-end functions and drive leading practices for your clients in markets all over the globe. The more complex their challenges, the more excited you are about leading the charge to solve them.
The Work:
Team with clients on their SAP functional transformation programs through your combined SAP application and functional process expertise which includes your ability to:
+ Engage with client executives on the business challenges/trends and the potential value of SAP solutions (current & future)
+ Lead customers in defining their SAP journey through the development of business cases & roadmaps including during sales origination, proposal development and client presentations
+ Architect E2E solutions that leverage SAP technologies, custom apps, & add on partner solutions
+ Advise, design and deliver solutions based on the latest industry and technology best practices leveraging a SAP solutions and embedded innovation.
+ Lead small teams - helping them achieve transformational roadmaps - onsite with clients or within Accenture
+ Become a trusted expert and advisor to your clients, team, and Accenture Leadership by staying current on regulations, trends, and innovations across your area of expertise
+ Be a thought leader, build assets and best practices and develop the next level of transformation experts
Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements
Here's what you need:
+ Minimum 7 years of SAP functional and technical experience/expertise in Order to Cash: pricing, order management, condition contracts, EDI and billing
+ Minimum 5 years of experience in SAP projects supporting Industrial clients (SAP support / managed services experience will not be considered for this requirement)
+ Minimum of 2 end-to-end SAP S/4 implementations, including project planning, estimation and solution architecture for Industrial clients
+ Minimum of 2 years experience driving complex workshops and leading design decisions, as well as leading the design and execution of system build, configuration, testing, cutover, and go-live
+ Experience leading teams in a Global Delivery model
+ Prior experience in a Consulting/Advisory role
+ Bachelor's degree or equivalent (minimum 5 years' work experience). If Associate's Degree, must have equivalent minimum 6-year work experience
Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below. We accept applications on an on-going basis and there is no fixed deadline to apply.
Information on benefits is here. (************************************************************
Role Location Annual Salary Range
California $94,400 to $293,800
Cleveland $87,400 to $235,000
Colorado $94,400 to $253,800
District of Columbia $100,500 to $270,300
Illinois $87,400 to $253,800
Maryland $94,400 to $253,800
Massachusetts $94,400 to $270,300
Minnesota $94,400 to $253,800
New York/New Jersey $87,400 to $293,800
Washington $100,500 to $270,300
Requesting an Accommodation
Accenture is committed to providing equal employment opportunities for persons with disabilities or religious observances, including reasonable accommodation when needed. If you are hired by Accenture and require accommodation to perform the essential functions of your role, you will be asked to participate in our reasonable accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodations once hired.
If you would like to be considered for employment opportunities with Accenture and have accommodation needs such as for a disability or religious observance, please call us toll free at **************** or send us an email or speak with your recruiter.
Equal Employment Opportunity Statement
We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.
For details, view a copy of the Accenture Equal Opportunity Statement (********************************************************************************************************************************************
Accenture is an EEO and Affirmative Action Employer of Veterans/Individuals with Disabilities.
Accenture is committed to providing veteran employment opportunities to our service men and women.
Other Employment Statements
Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.
Candidates who are currently employed by a client of Accenture or an affiliated Accenture business may not be eligible for consideration.
Job candidates will not be obligated to disclose sealed or expunged records of conviction or arrest as part of the hiring process. Further, at Accenture a criminal conviction history is not an absolute bar to employment.
The Company will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Additionally, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.
California requires additional notifications for applicants and employees. If you are a California resident, live in or plan to work from Los Angeles County upon being hired for this position, please click here for additional important information.
Please read Accenture's Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
Account Manager/Specialty Account Manage - lgG4 - Portland, OR (Rare Disease)
Risk manager job in Portland, OR
Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives.
Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career.
Account Manager/Specialty Account Manager - Rare Disease
Live
What you will do
Let's do this! Let's change the world!
In this vital role you will be responsible for representing UPLIZNA to physicians and health care professionals, establishing product sales, and performing total territory account management.
The Specialty Account Manager is responsible for providing account management support to accounts within a specific geography in the designated marketplace with a focus on issues specific to their designated accounts. The SAM acts as central account manager; responsible for driving product demand and coordinating relevant field teams to address account needs.
* Develops a comprehensive and effective territory business plan aimed at achieving and exceeding annual sales goals established by sales and business unit leadership.
* Promotes UPLIZNA within approved labeling in a comprehensive, fair and ethical manner that is consistent with industry specific and corporate legal and regulatory guidelines.
* Addresses issues related to access, pull-through, and reimbursement by coordinating with key stakeholders and matrix team members.
* Develops strong customer relationships by better understanding the customer's needs and goals and communicating those needs and goals to other team members.
* Consistently meets or exceeds corporate sales goals.
* Communicates territory activity in an accurate and timely manner as directed by management.
* Drive product demand among targets through education on disease state and product information.
* Provides feedback to sales and business unit leadership, colleagues, and other internal departments about changing environment and results.
* Adheres to the Company's compliance policies and guidelines as well as any other applicable guidelines, including but not limited to the PhRMA code.
* Must be able to work closely with patient services and market access team members, and understand their roles, to achieve overall business goals,
* Coordinate between accounts and relevant Amgen field teams to support full range of account needs,
* Educate healthcare professionals and office staff on site of care options.
* Attends medical congresses and society meetings as needed.
* Manages efforts within assigned promotional and operational budget.
* Maximizes use of approved resources to achieve territory and account level goals
* Territory will include but is not limited to the following areas: Portland: OR, Reno NV, Sacramento, CA, Santa Rosa CA
* Successfully completes all Company training classes.
* Completes administrative duties in an accurate and timely fashion.
* Functions as a contributing member of a high-performance team.
* Perform such other tasks and responsibilities as requested by the Company.
Win
What we expect of you
We are all different, yet we all use our unique contributions to serve patients. The Specialty Account Manager we seek is a motivated professional with these qualifications.
Basic Qualifications (Account Manager - Level 4)
* Bachelor's Degree and 3 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience OR
* Associate degree and 6 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience OR
* High school diploma/GED and 8 years of sales experience within pharmaceutical, biotech or medical device industry or hospital sales experience
Basic Qualifications (Specialty Account Manager - Level 5)
* Doctorate degree & 2 years of collective account management experience, sales, & commercial experience OR
* Master's degree & 6 years of collective account management experience, sales, & commercial experience OR
* Bachelor's degree & 8 years of collective account management experience, sales, & commercial experience OR
* Associate degree & 10 years of collective account management experience, sales, & commercial experience
Preferred Qualifications:
* Demonstrated success in a role involving reimbursement navigation, site of care education, and/or patient access coordination.
* Experience promoting a product that requires extensive coordination with office staff, infusion centers, and patient services teams.
* Proven ability to build strong customer relationships, educate on complex disease states, and adapt communication to diverse audiences.
* Buy-and-bill experience with documented success and/or biologic/infusion experience strongly preferred.
* Sales experience in Rheumatology, Gastroenterology, Nephrology, Hematology, Neurology, and/or rare/specialty disease states preferred.
* Site of care and reimbursement experience strongly preferred.
* Experience working with institutions and integrated delivery networks preferred.
* Pharma account management selling experience essential; must be able to coordinate across field teams to address full range of account needs.
* Approximately 80% travel (may vary by territory), including some overnight and weekend commitments.
* Proficient in Microsoft Office.
* Professional, proactive demeanor.
* Strong interpersonal skills.
* Excellent written and verbal communication skills.
Thrive
What you can expect of us
As we work to develop treatments that take care of others, we also work to care for our teammates' professional and personal growth and well-being.
The annual base salary range for the Account Manager opportunity in the U.S. is $ 149,052 to $177,700. This range is also referenced below.
The annual base salary range for the Specialty Account Manager opportunity. (excluding Puerto Rico) is $158,046.00 to $185,910.00.
Amgen offers a Total Rewards Plan comprising health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities including:
* Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts.
* A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
* Stock-based long-term incentives
* Award-winning time-off plans and bi-annual company-wide shutdowns
* Flexible work models, including remote work arrangements, where possible
Apply now
for a career that defies imagination
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Application deadline:
Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position.
As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease.
Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. Amgen is an Equal Opportunity employer and will consider you without regard to your race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.
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Salary Range
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