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Leader jobs at UnitedHealth Group - 89 jobs

  • Commercial Lending Team Lead - Loan Accounting - Remote

    Unitedhealth Group 4.6company rating

    Leader job at UnitedHealth Group

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Lead and manage a team of loan analysts, providing guidance, training, and support as needed + Oversee the day-to-day operations of the loan accounting team, ensuring that loan transactions are processed accurately and in a timely manner + Oversee the process flow to guarantee timely funding of all loans assigned to the loan accounting team + Collaborate with internal stakeholders, such as Compliance, Risk Management, and Finance departments, to ensure compliance with regulatory requirements and internal policies + Develop and implement policies and procedures to improve efficiency and accuracy in loan accounting processes + Perform regular reviews of loan accounting transactions to identify discrepancies or errors and take corrective actions as needed + Perform periodic review of loan system data integrity, review of critical coding (LTV, Risk Codes, Collateral Codes, Credit line codes etc.) + Performs periodic system maintenance to global rate indexes + Prepare reports and analysis on loan accounting activities for management review + Participate in audits and regulatory examinations related to loan accounting processes + Keep abreast of industry trends and best practices in loan accounting to recommend and implement process improvements + Spearhead/assign new projects to incorporate innovation and minimize risk through compliance and accuracy + Provide requirements while leading testing and implementation for new/current systems to enhance productivity and timeliness + Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 5+ years of commercial lending operations experience in loan accounting, with 2+ years in a supervisory or team lead role + 2+ years of experience working in banking or another financial institution + Experience with loan and lease documentation, including UCC filings + In-depth knowledge of loan accounting principles, practices, and regulations + Proficiency in Microsoft Office Suite and other accounting software + Proven solid analytical skills and attention to detail + Proven excellent written and verbal communication and interpersonal skills + Proven growth mindset with the ability to build out new departments and processes + Demonstrated ability to lead and motivate a team in a fast-paced and dynamic environment + Must be able to travel 10% **Preferred Qualifications:** + Healthcare Industry experience + Experience of Commercial & Consumer Loan Operations + Experience with SQL or Power BI + Knowledge of standard commercial loan and lease documentation requirements for various commercial loan types (Real Estate, SBA, and Asset Based loans) + Familiarity with Commercial & Consumer lending regulatory and compliance components + Knowledge of the necessary documentation and procedures to secure and perfect the bank's collateral *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $41k-60k yearly est. 30d ago
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  • Risk Adjustment Risk Lead & Compliance Strategist

    Humana Inc. 4.8company rating

    Washington, DC jobs

    A national healthcare organization is seeking a Risk Management Lead to oversee risk adjustment operations and compliance. This role requires a minimum of three years of project leadership experience and expertise in audit and compliance. The ideal candidate will have strong relationship-building skills and the ability to manage multiple projects effectively. This remote position offers a salary range of $104,000 to $143,000 annually, along with competitive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr
    $104k-143k yearly 3d ago
  • Risk Adjustment Risk Lead & Compliance Strategist

    Humana Inc. 4.8company rating

    Boston, MA jobs

    A leading health services company is seeking a Risk Management Lead responsible for oversight of risk adjustment operations. The role includes advising on risk management strategies, compliance, and project management. The ideal candidate should have significant experience in project leadership and risk analysis, with a passion for enhancing consumer experiences. This remote position requires strong initiative and the ability to manage multiple projects simultaneously. Interested candidates are encouraged to apply for a rewarding opportunity focused on health improvement. #J-18808-Ljbffr
    $92k-126k yearly est. 1d ago
  • Remote Finance Data Platform Leader

    Humana Inc. 4.8company rating

    Boston, MA jobs

    A leading healthcare organization seeks an Associate Director for Finance Data Management to oversee data configuration and implement policies. This role requires a Bachelor's degree, at least 6 years of finance-related experience, and management expertise. Candidates should be proficient in SQL and familiar with Oracle Fusion Cloud and cloud platforms like Databricks. The position offers a pay range of $129,300 to $177,800 annually and is eligible for a bonus based on performance. #J-18808-Ljbffr
    $129.3k-177.8k yearly 1d ago
  • Remote Finance Data Platform Leader

    Humana Inc. 4.8company rating

    Urban Honolulu, HI jobs

    A leading healthcare organization is seeking an Associate Director, Finance Data Management based in Honolulu, Hawaii. This role involves supporting all aspects of finance data management and implementing vital policies. Candidates must have a Bachelor's degree and extensive experience in ERP systems and finance functions. Additionally, proficiency in managing large datasets and SQL is required. Join a dynamic team to help enhance data architecture and improve operational efficiencies. #J-18808-Ljbffr
    $68k-82k yearly est. 1d ago
  • Senior Infra Ops Lead: Cloud & GenAI Enablement (Remote)

    Humana Inc. 4.8company rating

    Boston, MA jobs

    A leading healthcare company is seeking an experienced Infrastructure Operations leader to drive innovation in AI and cloud technologies. The ideal candidate will have over 10 years in infrastructure, with a strong background in AI/ML, leading cloud operations for Azure and AWS. Key responsibilities include overseeing cloud strategy and governance, enhancing operational performance, and fostering partnerships across teams. This role offers a competitive salary and benefits focused on well-being. #J-18808-Ljbffr
    $114k-139k yearly est. 3d ago
  • Remote Finance Special Projects Lead

    Humana Inc. 4.8company rating

    Washington, DC jobs

    A leading health services organization is seeking a Lead - Finance Special Projects to drive process improvements within the Finance function. This position requires collaboration with Finance leadership to optimize operations and promote technology adoption. Candidates should have a Bachelor's degree in Finance or related field and extensive experience in benchmarking and project management. This role involves creating project plans and tracking progress to ensure successful project delivery. Various benefits and a compensation range of $94,900 - $130,500 annual are offered. #J-18808-Ljbffr
    $94.9k-130.5k yearly 2d ago
  • Remote Finance Special Projects Lead

    Humana Inc. 4.8company rating

    Urban Honolulu, HI jobs

    A healthcare organization is seeking a Lead - Finance Special Projects in Honolulu, Hawaii to drive process improvements within Finance. The ideal candidate will have a Bachelor's degree, extensive experience in benchmarking, and strong analytical skills. This role involves collaboration with Finance leadership to implement solutions optimizing operations. Occasional travel is required. The compensation range is $94,900 - $130,500 annually, with additional bonuses and comprehensive benefits. #J-18808-Ljbffr
    $94.9k-130.5k yearly 5d ago
  • Cryptographic Governance Lead

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads the Cryptographic Governance Program within Enterprise Privacy and Security Risk Management (EPSRM). Provides subject matter expertise to IT and Cybersecurity capability owners who are responsible for implementing the solutions. Works with capability owners, ensuring that cryptographic controls are effectively implemented to protect sensitive data and ensure compliance with regulatory and contractual obligations. Design, implement and operationalize the Cryptographic Governance Program, including identifying any staffing needs. Analyze monitoring and assessments to identify weaknesses and vulnerabilities; collaborate with capability owners to address root causes. Develop and maintain cryptographic policies and standards aligned with industry and regulatory requirements (e.g., encryption, key lifecycle management, certificate management, etc.). Define and track KPI's and metrics to assess risk and maturity; communicate findings to leadership and stakeholders. Monitor industry trends and regulatory changes; communicate relevant developments to internal stakeholders. Identify emerging and deprecated cryptographic algorithms, coordinate transition planning with impacted teams. Maintain expertise in relevant frameworks and standards (e.g. NIST 800-53, FIPS 140). Ensure timely remediation of identified weaknesses; assist in removing blockers as needed. Document and maintain governance processes and procedures. Develop and promote an enterprise cryptographic strategy and use cases for both on-premises and cloud environments. Collaborate with capability owners (e.g., security engineering, operations, IT infrastructure, application teams (to ensure solutions meet internal standards. Provide guidance on cryptographic techniques such as hashing, key combinations, and digital signatures to ensure data confidentiality and integrity. Define requirements for encryption tools and platforms (e.g., AWS KMS, Azure Key Vault, HSMs, and TLS infrastructure). Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree Cybersecurity, Mathematics, Cryptography or related field required Master's Degree Cybersecurity, Mathematics, Cryptography or related field preferred 5+ years Cryptographic governance or related cybersecurity roles required Deep understanding of cryptographic algorithms, standards, and protocols (e.g., AES, RSA, TLS) required Proven experience with PKI, key lifecycle management, and encryption across cloud, on-prem, and hybrid environments required Knowledge of data security platforms such as Splunk, Varonis, and the Thales suite of tools required Experience in large, complex organizations and/or healthcare preferred Licenses/Certifications: CISSP Certified Information Systems Security Professional preferred Certified Security Software Lifecycle Professional preferred Certified Cloud Security Professional preferred Pay Range: $107,700.00 - $199,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $107.7k-199.3k yearly Auto-Apply 15d ago
  • Procurement Lead; Req to Pay & Catalog Operations

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Procurement Lead within the Procure-to-Pay organization will lead initiatives in Catalog Operations and Requisition to Purchase Order space. This role focuses on streamlining workflows, optimizing catalog offerings, and implementing enterprise-wide catalogs in partnership with IT, business stakeholders, vendor partners, and legal teams. The Procurement Lead will develop, manage, and execute strategic initiatives that deliver additional value to internal stakeholders and the business within Procure to Pay operations. This position reports to the Associate Director of Procurement overseeing the Catalog Operations team and Requisition to Purchase Order team to ensure seamless procurement processes. Responsibilities Partner with and govern offshore teams Work through implementations, system changes, and process enhancements, ensuring alignment with global standards and successful delivery of operational objectives. Lead Catalog Strategy & Governance Develop and maintain enterprise-wide catalog standards, ensuring alignment with procurement policies and business objectives and Identify opportunities to optimize catalog processes, reduce complexity, and improve user experience Implement Enterprise Catalogs Partner with IT, business stakeholders, and vendor partners to design and deploy catalogs. (e.g., Coupa, Oracle). Requires leading as Project Manager to cover wide array of tasks associated with catalog implementation. Lead and manage the end-to-end Requisition-to-Purchase Order (Req-to-PO) Support process end to end, ensuring accuracy, compliance, and timely execution across all procurement activities. Serve as a subject matter expert on system integrations and cross-platform workflows Collaborating across several teams to maintain seamless connectivity and data integrity, validate concerns and errors, identify solutions to resolve Drive process optimization and continuous improvement initiatives Scenario testing, troubleshooting, and implementing best practices to enhance efficiency and reduce cycle times. Handle escalated customer service inquiries Requires professionalism and urgency, providing resolution and guidance while maintaining strong stakeholder relationships. Drive Compliance & Preferred Supplier Adoption Ensure catalog content supports corporate compliance initiatives and preferred supplier programs through effective change management. Overseeing catalog updates, pricing accuracy, and supplier data integrity to maintain a reliable procurement experience. Drive Continuous Improvement Monitor catalog performance metrics and implement process improvements to enhance efficiency and compliance. Use your skills to make an impact Required Qualifications Minimum 5 years of Procure to Pay experience, including Requisition to Purchase Order and Catalog implementation experience. Experience with Coupa and Oracle Strong interpersonal and communication skills (oral and written), with the ability to influence and lead. Proven relationship management skills with integrity and confidence. Ability to manage multiple priorities in a complex, multi-business environment. Analytical skills to interpret ambiguous data and make actionable recommendations. Strong project management skills to motivate teams and meet deadlines. Flexibility and willingness to learn new skills quickly. Solid financial and business acumen. This role is hybrid office, 2-3 days per week based on business objectives and collaboration. Preferred Qualifications Advanced degree (MBA or equivalent). Professional certifications such as CPSM, Six Sigma, and/or PMP. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $104k-143k yearly Auto-Apply 1d ago
  • Regional Consultant Strategy Lead

    Cigna 4.6company rating

    New York, NY jobs

    Cigna Healthcare's Consultant Strategy team leads the development and execution of key producer firm strategies across the Cigna Healthcare portfolio. The Regional Consultant Strategy Lead (RSRL) will be responsible for 1.) understanding the goals and initiatives of our brokerage / consulting partners to identify and execute on joint growth opportunities, and 2.) supporting local market growth by enabling our Sales organization through broker engagement strategies. This role will support multiple firms and two regions: NY/NJ & Southwest. DUTIES AND RESPONSIBILITIES Local Market Broker Strategy: * Consultative partner to Market leadership; identifies key partner firms at a market level and supports strategic plan to drive mutual growth. * Serve as a liaison to Market leadership to share 1.) national partner firm updates and 2.) competitive intelligence and best practices that impact local market dynamics and/or strategies. Key point of escalation for local market issues with national partner firms. * Collaborates with Market leadership to identify opportunities to drive growth and retention by effectively leveraging compensation levers; standard PIP, spot bonuses, and non-standard supplemental agreements. * Drive opportunities to show up as "One Cigna" in the Market; stewardship/leadership meetings, training opportunities, advisory councils, key sponsorships, etc. Brokerage / Consultant Partner Firm Management: * Understand partner firm dynamics, goals, and initiatives to identify, develop, and execute on partnership opportunities that drive mutual growth. Develop a multi-year plan to achieve year over year growth and earnings, taking in to account buyer group, solution line, and market level priorities and dynamics. * Maintain open lines of communication with carrier relations contacts, key functional leads, and regional sales leaders; hold regular touchpoints to ensure alignment on key accomplishments, areas of opportunity, and day-to-day needs/priorities. Ensure firm and Cigna leadership within key functions maintain regular points of connection. * Serve as key point of escalation for all partner firm issues both nationally and locally. Continuously share relevant partner firm updates across the organization to ensure there is a clear understanding on trends, goals, and priorities within our partner firms. * Identify opportunities to leverage compensation to drive growth and earnings. POSITION REQUIREMENTS * Bachelor's Degree highly preferred, master's degree a plus. * Owning, driving and influencing results and outcomes both internally with markets and externally with partner firms. * Proven ability to create and further develop strong relationships with Senior Leaders and key matrix partners. * Excellent oral/written presentation and communication skills. * Ability to navigate, lead, and influence in a matrixed environment is critical. * Adaptable, flexible and able to lead/manage the organization through change. * Goal-oriented and personally accountable; resourceful and self-directed. * Strong analytical and problem solving skills. * Strong business acumen, with proven ability to leverage knowledge base and communicate this knowledge to key stakeholders and business partners. * Adapts to ambiguous or unfamiliar terrains. * Works independently * Strong experience and skill managing relationships * 5+ years industry experience (particularly carrier and/or consultant environment) * Life, Accident & Health Insurance license a plus. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 110,900 - 184,800 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $54k-78k yearly est. Auto-Apply 60d+ ago
  • Forsyth Health Sales Leader

    Cigna 4.6company rating

    Philadelphia, PA jobs

    Forsyth Health is a data analytics and insights company that delivers unprecedented visibility into the market access journey from prescriber intent to patient adoption. We are dedicated to connecting closed data variables across prescribers, payers, and one-third of the U.S. patient population to uncover where and why demand is lost. Our data provides niche actionable insights about the market access journey across all points of the product lifecycle - from pre-launch to early launch, to established markets. Driven by the belief that better access leads to better outcomes, we strive to make extraordinary results possible for patients. Inspired by their stories, our mission is to accelerate innovations that remove barriers and improve adoption. Every day, we work alongside customers and partners to unlock potential, empower smarter decisions, and help improve health across the country. Position Summary The Senior Director, Sales Leader (Sales Strategy & Contracting) will drive Forsyth Health's pharmaceutical sales portfolio to achieve annual sales targets by way of leading a team of two Business Development Directors, expanding our commercial footprint, and securing new business across targeted pharmaceutical manufacturers. This leader partners closely with go‑to‑market strategy, product strategy, client solutions, data operations, pricing, and contract execution to position Forsyth data solutions effectively and accelerate adoption across brand, commercial, market access, field reimbursement, sales operations, and centralized analytics buyers. In addition to new business growth, this leader is accountable for client retention and overall client satisfaction. While Client Solutions manages day‑to‑day onboarding, enablement, and ongoing engagement, Business Development ensures these teams are supported, aligned, and delivering the level of impact required to retain and grow clients. Retention and upsell performance, along with new sales, are core components of success in this role. Essential Functions * Own both new business and client retention outcomes. * Ensure attainment of sales targets, including new revenue, product penetration, gross margin, profitability, upsell growth, and retention KPIs. * Oversee and coach two Business Development Directors, setting account strategies, sales targets, prospecting plans, and performance expectations to drive growth. * Ensure accurate documentation of contacts, activities, pipeline stages, account plans, forecasting, and sales processes * Serve as Executive Sponsor with C‑Suite, SVP-, and VP‑level leaders at pharmaceutical manufacturers to assess needs, influence decision‑making, and differentiate Forsyth capabilities. * Build and execute a comprehensive sales strategy from initial prospecting through RFP, finalist presentations, and contracting, ensuring a consistent, winning approach. * Lead development of market‑penetration strategies, identifying top prospects, building account plans, and opening new logos across targeted segments and therapeutic areas. * Partner with Client Solutions to ensure clients are onboarded effectively, adopting and using Forsyth data assets, realizing value, and satisfied throughout the relationship. * Develop tailored client‑engagement and buyer‑journey acceleration plans across commercial, procurement, data/analytics, market access, brand, and field reimbursement teams. * Oversee end‑to‑end contract strategy and execution, including partnership with Legal on MSA, SOW, and data‑licensing terms; ensure accurate handoff to Data Operations for implementation. * Develop insightful, value‑driven proposals addressing complex client challenges and clearly articulating the strategic value of Forsyth's data solutions. * Demonstrate strong understanding of clients' commercial analytics needs-spanning brand marketing, sales operations & optimization, launch planning, market access, and field reimbursement teams, and HEOR-to connect Forsyth data assets to measurable client impact. * Collaborate cross‑functionally with senior leaders in data operations, client solutions & contract execution, go‑to‑market strategy, pricing, and product strategy to shape client‑specific solutions and proposals.. * Monitor competitive landscape and adapt sales strategies to address emerging market dynamics and opportunities. * Execute against Forsyth's global strategy and growth roadmap, translating enterprise priorities into actionable plans for the sales team. Qualifications * Bachelor's degree required; Master's strongly preferred. * 12+ years of experience in data/insights sales to life sciences companies, healthcare sales, or within a pharmaceutical environment; strong preference for experience selling data, analytics, or real‑world data solutions. * Demonstrated ability to build and execute sales strategies that span both enterprise‑level buyers and brand‑level commercial teams. * Established, high‑value network across commercial pharma buyers - including procurement, centralized analytics/data teams, brand/commercial leadership, market access, HEOR, field reimbursement, and sales operations. * Proven track record of cultivating trust, influencing senior‑level leadership, and negotiating complex deals with tough trade‑offs. * Strong capability to synthesize client goals into solutions and drive mutual value across pharma accounts and Evernorth/Forsyth. * Ability to thrive in complex, matrixed organizations while driving alignment across multiple teams and functional levels. * Exceptional verbal and written communication skills; ability to translate complex concepts into concise, compelling narratives. * Demonstrated ability to work under pressure and manage multiple opportunities with competing deadlines. * Experience proactively identifying issues, planning work, and achieving goals on schedule. * Strong interpersonal, organizational, and leadership skills; ability to build credibility quickly and foster cross‑team collaboration. * Comfortable operating in a fast‑paced, dynamic, entrepreneurial environment. * Experience with commercial analytics for pharmaceutical brands strongly preferred. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 196,600 - 327,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. Cigna has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $75k-110k yearly est. Auto-Apply 5d ago
  • Financial Planning & Analysis Lead

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Financial Planning & Analysis Lead analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. The Financial Planning & Analysis Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Financial Planning & Analysis Lead collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely information for making strategic and operational decisions on, for example, acquisitions, investments, capital expenditure, divestitures, mergers, or the sale of assets. Analyzes the financial implications of proposed investments or other transactions so that senior managers can evaluate alternatives against the organization's business objectives. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium, and long-term financial and competitive position. Analyzes revenues, expenses, costs, prices, investments, cash flow, profits, labor market trends, inflation, interest rates, and exchange rates. May involve financial modeling, reporting and budgeting as well. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Bachelor's degree in finance, accounting or related field 5 or more years of finance and/or accounting experience, or equivalent 2 or more years of project leadership experience Experience advising senior leadership on financial strategies Knowledge of complex accounting and financial transactions for internal and external reporting Prior experience developing methods and criteria for measuring and summarizing data for complex analyses Ability to lead and manage special projects that may necessitate cross-functional partnerships Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree in Business Administration or a CPA strongly preferred Prior health insurance industry experience working in Finance/Accounting Location: Preference for candidates located in the Louisville, KY or Ohio markets; however, nationwide remote applicants will be considered for exceptional talent. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $104k-143k yearly Auto-Apply 1d ago
  • Lead - Finance Portfolio Management and Strategy

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Lead - Finance Portfolio Management and Strategy plays a critical role in supporting the development and execution of the Finance function's strategic roadmap. This position partners closely with Finance leadership, IT, Enterprise Data Governance, and other cross-functional teams to advance key initiatives, ensure robust portfolio management, and foster continuous improvement across the Finance organization. This role requires travel into the Humana's Louisville headquarters at least 1 time per month. Support the creation and refinement of the Finance target state and strategic roadmap in collaboration with senior stakeholders. Develop a strong understanding of the requirements and priorities across Finance towers and the business teams they serve to inform the strategic direction and execution plans. Contribute to the development and implementation of prioritization frameworks, working with Finance stakeholders to assess and validate proposed priorities and initiatives. Analyzes the financial implications of proposed investments so that senior managers can evaluate alternatives against the organization's business objectives. Liaise with Finance, IT, Enterprise Data Governance, and other relevant teams to ensure effective sequencing of initiatives, identify dependencies, and create detailed project plans with clear KPIs and value metrics. Monitor progress against established milestones and project budgets, providing timely updates and reports to stakeholders. Execute ad-hoc priorities as required, including preparing materials for the Enterprise Transformation Office and other executive audiences. Design and implement efficient and effective portfolio management infrastructure, including project reporting and budget tracking, in collaboration with cross-functional teams. Manage the Finance change portfolio and budget jointly with IT and Finance teams, ensuring transparency and accountability across all stakeholders. Coordinate tracking of value measures in alignment with Transformation Office methodology to assess the impact of key initiatives. Support the development of training, communications, and capability-building programs to position Finance for future success Stay informed on emerging technologies and best practices relevant to Finance, recommending and supporting their application where appropriate. Foster collaboration and the sharing of best practices across the Finance organization, serving as a connector between teams. Demonstrate strong communication and problem-solving abilities, synthesizing complex information and delivering clear messaging to diverse audiences. Use your skills to make an impact Required Qualifications: Bachelor's degree in Finance, Accounting, Business Administration, or related field 6+ years of experience in portfolio management, strategy development, and project management within a Finance or corporate environment. 2 or more years of project leadership experience Proven ability to lead and support cross-functional teams and drive complex initiatives to completion. Strong analytical, organizational, and communication skills. Demonstrated ability to develop and implement effective processes and training programs. Familiarity with emerging technologies and process improvement methodologies. Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Master's Degree in Business Administration or a CPA strongly preferred Prior health insurance industry experience working in Finance/Accounting Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 02-19-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $104k-143k yearly Auto-Apply 24d ago
  • Lead - Finance Special Projects

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Lead - Finance Special Projects is responsible for driving targeted process improvement initiatives within the Finance function. This role partners closely with Finance leadership and cross-functional teams to identify, design, and implement solutions that optimize operations, increase efficiency, and promote the adoption of emerging technologies. The successful candidate will serve as a catalyst for collaboration and best practice sharing across Finance, helping to advance both strategic and operational objectives. + This role requires travel into the Humana's Louisville headquarters at least 1 time per month. + Maintain up-to-date knowledge of emerging technologies and their practical applications within Finance, with a continuous focus on improvements enabled by organizational and process design. + Lead and execute special projects such as benchmarking, process redesign, identification and implementation of automation opportunities, and reporting enhancements. + Partner with Finance teams and relevant stakeholders to assess current processes, recommend solutions, and drive the execution of approved initiatives. + Facilitate collaboration and the sharing of best practices across Finance, acting as a connector between teams to promote alignment and continuous improvement. + Develop project plans, manage timelines, and monitor progress to ensure timely and successful delivery of process improvement objectives. + Support the change management process by developing training materials, communications, and capability-building programs as needed. + Prepare reports and presentations to communicate project outcomes and recommendations to leadership and other stakeholders. + Track and report on key performance indicators and value metrics for process improvement projects. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Finance, Accounting, Business Administration, or related field; advanced degree preferred. + 6+ years of demonstrated experience in benchmarking, process improvement, project management, or transformation initiatives, ideally within Finance or a related corporate function. + 2+ years of project leadership experience + Strong analytical, problem-solving, and organizational skills. + Proven ability to synthesize complex information and communicate effectively with diverse audiences. + Experience with process design methodologies, automation technologies, and reporting tools is highly desirable. + Exceptional interpersonal skills and a collaborative approach. + Experience in the healthcare industry or other complex, regulated industry is preferred + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** **Additional Information** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-19-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $94.9k-130.5k yearly 23d ago
  • Lead - Finance Special Projects

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Lead - Finance Special Projects is responsible for driving targeted process improvement initiatives within the Finance function. This role partners closely with Finance leadership and cross-functional teams to identify, design, and implement solutions that optimize operations, increase efficiency, and promote the adoption of emerging technologies. The successful candidate will serve as a catalyst for collaboration and best practice sharing across Finance, helping to advance both strategic and operational objectives. This role requires travel into the Humana's Louisville headquarters at least 1 time per month. Maintain up-to-date knowledge of emerging technologies and their practical applications within Finance, with a continuous focus on improvements enabled by organizational and process design. Lead and execute special projects such as benchmarking, process redesign, identification and implementation of automation opportunities, and reporting enhancements. Partner with Finance teams and relevant stakeholders to assess current processes, recommend solutions, and drive the execution of approved initiatives. Facilitate collaboration and the sharing of best practices across Finance, acting as a connector between teams to promote alignment and continuous improvement. Develop project plans, manage timelines, and monitor progress to ensure timely and successful delivery of process improvement objectives. Support the change management process by developing training materials, communications, and capability-building programs as needed. Prepare reports and presentations to communicate project outcomes and recommendations to leadership and other stakeholders. Track and report on key performance indicators and value metrics for process improvement projects. Use your skills to make an impact Required Qualifications Bachelor's degree in Finance, Accounting, Business Administration, or related field; advanced degree preferred. 6+ years of demonstrated experience in benchmarking, process improvement, project management, or transformation initiatives, ideally within Finance or a related corporate function. 2+ years of project leadership experience Strong analytical, problem-solving, and organizational skills. Proven ability to synthesize complex information and communicate effectively with diverse audiences. Experience with process design methodologies, automation technologies, and reporting tools is highly desirable. Exceptional interpersonal skills and a collaborative approach. Experience in the healthcare industry or other complex, regulated industry is preferred Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Additional Information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 02-19-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $94.9k-130.5k yearly Auto-Apply 24d ago
  • Patient Account Lead Representative - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for providing assistance, coaching and training to staff members, including new hires. They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of the billing, follow up and collection activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. May assist in special projects as assigned my management, including acting as a point of contact for internal operational questions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites. May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. Proactively identify issues or trending and provide suggestions for resolution. * Provide assistance, coaching and training to staff members, including new hires. Provide enhanced training and assist staff with techniques to increase production, quality and collections. Participate in the new hire peer interviewing process. Assist in special projects assigned by management. * Participate and attend meetings, training seminars and in-services to develop job knowledge. Attend various conference calls, webinars or advanced training to provide assistance to the team members. Respond timely to emails and telephone messages from the staff, management and the client. Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions. FINANCIAL RESPONSIBILITY (specify Revenue/Budget/Expense): $2.5 million R&D Budget KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Very good written and verbal communication skills * Strong interpersonal skills * Advanced technical skills including PC and MS Outlook * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Advanced knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High school diploma or equivalent education * 3-6 years experience in Medical/Hospital Insurance related collections PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 6d ago
  • Patient Account Lead Representative - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for providing assistance, coaching and training to staff members, including new hires. They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of the billing, follow up and collection activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. May assist in special projects as assigned my management, including acting as a point of contact for internal operational questions. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. * Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites. May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. Proactively identify issues or trending and provide suggestions for resolution. * Provide assistance, coaching and training to staff members, including new hires. Provide enhanced training and assist staff with techniques to increase production, quality and collections. Participate in the new hire peer interviewing process. Assist in special projects assigned by management. * Participate and attend meetings, training seminars and in-services to develop job knowledge. Attend various conference calls, webinars or advanced training to provide assistance to the team members. Respond timely to emails and telephone messages from the staff, management and the client. Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions. FINANCIAL RESPONSIBILITY (specify Revenue/Budget/Expense): $2.5 million R&D Budget KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Very good written and verbal communication skills * Strong interpersonal skills * Advanced technical skills including PC and MS Outlook * Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation * Advanced knowledge of CPT and ICD-9 codes * Advanced knowledge of insurance billing, collections and insurance terminology Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High school diploma or equivalent education * 3-6 years experience in Medical/Hospital Insurance related collections PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Teamwork Environment As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 13d ago
  • Specialty Pharmacy Operations Supervisor

    Humana Inc. 4.8company rating

    Chesterville, OH jobs

    Become a part of our caring community and help us put health first The Specialty Operations Pharmacy Supervisor collaborates across multiple departments to execute Specialty Pharmacy Distribution strategies, by ensuring Specialty Rx distribution operations, supporting processes, and programs that fully support the Specialty Program Strategy. The Specialty Operations Pharmacy Supervisor works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. The Specialty Operations Supervisor supports strict compliance of all Drug Enforcement Administration (DEA), Pharmaceutical Manufacturer Companies, Centers for Medicare & Medicaid Services (CMS), federal, state, and company regulations, policies, and procedures. Collaborates with and influences internal and external aligned partners to build strategies and capabilities supporting the pipeline with access to limited distribution drugs, Provider Relations Advisors, and encourages commercial/pharma account/client management. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of support and technical associates; coordinates and provides day-to-day oversight to associates. Ensures consistency in execution across teams. Holds team members accountable for following established policies. This role is specific to Specialty Dispensing and Inventory departments. You will manage a team of inventory clerks and certified pharmacy technicians. The Specialty Pharmacy Operations Supervisor processes and dispenses or directly supports the processing and dispensing of Specialty prescription orders to be mailed to patients' homes and handles complex and/or escalated issues. The Specialty Pharmacy Operations Supervisor works within thorough, prescribed guidelines and procedures, uses independent judgment requiring analysis of variable factors to solve basic problems, and collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. Location: This is an onsite role. 9843 Windisch Rd | West Chester, OH 45069 Shift: Must be available from 5:00AM-5:00 PM Monday-Friday. Regularly scheduled hours/standard schedule will be five 8-hour shifts, Monday-Friday, based off business need. Occasional overtime as needed. The Specialty Pharmacy Operations Supervisor: * Leads a team of inventory clerks and pharmacy technicians as they receive, store, and replenish medication throughout the facility. * Works with other Supervisors in the Inventory, Packing, and Dispensing departments to resolve problems relating to department processes. * Analyzes distribution and supports pharmacists and pharmacy technicians. * Assists Pharmacists in medication preparation and dispensing directly or through program/process development. * Complies with all Drug Enforcement Administration (DEA), Centers for Medicare & Medicaid Services (CMS), federal, state, and company regulations, policies, and procedures. * Performs escalated or more complex work of a similar nature, supervises a group of support and technical associates, and coordinates and provides day-to-day oversight to associates. * Ensures consistency in execution across teams. * Holds team members accountable for following established policies. This includes holding monthly 1x1 sessions with each direct report and maintaining staffing. Use your skills to make an impact Required Qualifications * Previous leadership experience in any environment OR team lead/ leadership duties in a warehouse environment * Must be passionate about contributing to an organization focused on continuously improving consumer experiences * Intermediate skill level in Microsoft Software (Excel, Outlook, Word, PowerPoint) * Ability to learn Internal computer-based processing systems (Elite Inventory Management, E-Post, QMSI) * Ability to effectively communicate both written and verbally. Preferred Qualifications * National Certification, PTCB CphT with an active registration * Pharmacy Technician license with the Board of Pharmacy in Ohio * Previous supervisory experience * Previous warehouse experience * Associate or Bachelor's Degree Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $58,700 - $70,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $58.7k-70.4k yearly 10d ago
  • Accountant - Senior or Lead

    Progressive 4.4company rating

    Mayfield, OH jobs

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a senior or lead accounting financial reporting specialist on the GAAP Financial Reporting team, you'll complete and review complex GAAP and SEC financial reporting tasks. You'll prepare and analyze financial statement schedules to support external reporting, including various SEC filings. You'll monitor accounting and financial reporting changes from the FASB and SEC and maintain compliance with internal SOX controls. You'll also monitor changes, conduct research, and ensure compliance for accurate financial reporting, and update company accounting and reporting policies and procedures. In addition, you'll train, direct workflow, and review responsibilities of lower-level financial reporting specialists and lead projects. Location: This is a hybrid role working out of our headquarters in Mayfield Village, Ohio. Must-have qualifications * Bachelor's degree or higher in Accounting or related field of study (e.g. Finance) and a minimum of 4 years related accounting experience, with at least 2 years in a specialized area (e.g., reinsurance, investments), financial reporting, or public accounting experience. Preferred skills * Experienced accountant with expertise in quarterly and year-end financial reporting. * Strong background in GAAP accounting principles and SEC reporting requirements, and a consistent track record in delivering accurate and compliant financial reports. * Excellent communication (verbal, written, and listening) and organizational skills (planning, time management, and priority management). * Strong analytical, research, and problem-solving skills. * Ability to identify and communicate accounting and financial reporting issues to management in a timely and concise manner. Compensation * $72,100 - $116,300/year depending on position level * Gainshare annual cash incentive program up to 30% of your eligible earnings, based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance * Onsite gym & healthcare at large locations Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer Sponsorship for work authorization is not available for this position. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** #LI-Hybrid Share: Email X Facebook LinkedIn Apply Now
    $72.1k-116.3k yearly 7d ago

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