Healthcare Salary in Arizona, USA

LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will require a weekly schedule of: several days per week working at Home AND several days per week working either in Office or Travel out to in-person meetings with Providers. The AVP, Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports. Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers for both Cigna's US Commercial and Medicare product lines (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies. Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. Identifying and implementing alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Identify and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. Creates and / or oversees the development of "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. Partner with Regulatory Affairs to ensure all network filings are timely and accurate. POSITION REQUIREMENTS Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. MBA or MHA preferred. 5+ years Contracting and Negotiating experience involving complex delivery systems and organizations required Experience with Physician, Hospital and Ancillary group contracting and negotiations Experience negotiating delegated, capitated agreements in California. • Knowledge of HMO pay-for-performance and IHA's role in the industry. Experience with Healthcare - Commercial Prior experience managing direct reports and leading project teams in a non-centralized work environment Experience in developing and managing key provider relationships including senior executives Knowledge of complex reimbursement methodologies, including incentive based models required Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations Customer centric and interpersonal skills are required Demonstrates managerial courage and change leadership in a dynamic environment Superior problem solving, decision-making, negotiating skills, contract language and financial acumen Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook) Proficient in contract building software such as Contract ManagerIf 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 106,400 - 177,300 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 HealthcareCigna 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: [email protected] for support. Do not email [email protected] 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.

Mercer is seeking candidates for the Government Healthcare Actuary position. Our primary offices are located in Phoenix, Atlanta, DC, and Minneapolis.Government Healthcare ActuaryWe will count on you to:Serve as actuary on large, complex capitation rate setting and other actuarial projects.Under the direction of senior actuarial staff, support the design and implementation of rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards.Support the development of rate setting assumptions that are built into actuarial models and inform the project teams on the impact of data and assumptions, and provide on-going review and guidance throughout the rate setting process.Collaborate with project teams to finalize rates and educate the clients on the impact of their policies on the data and rates.Participate in the drafting of project communications, including rate certification letters and presentations. When qualified, act as actuarial authority that signs rate certification letters and other statements of actuarial opinion under the supervision of senior actuarial staff.What is in it for you?Be on the cutting edge of health care reform. Mercer GHSC partners with states and the Federal government on implementing a wide variety of healthcare and human services issues, including actuarial, data/systems analysis, clinical, policy, pharmacy, operations, and procurement.On day one you'll be eligible for medical, dental, and vision care benefits in addition to a generous PTO package, as well as time off for community service.What you need to have:BA/BS degreeActuarial credentials (ASA or FSA, MAAA) strongly preferred. We may consider otherwise qualified candidates that are close to receiving actuarial credentials.3+ years minimum health actuarial experience, with Medicaid actuarial experience strongly preferredWhat makes you stand out:Medicaid actuarial experience (any state program, health insurer or Federal agency) or actuarial consulting experience is a plusExcellent interpersonal skills; strong oral and written communication skillsAbility to prioritize and handle multiple tasks in a demanding work environmentStrong critical thinking and analytical problem-solving skillsExperience related to health plan analysis or capitated rate development is preferred, but not requiredTo learn more about Mercer's GHSC practice, please visitwww.mercer-government.mercer.comMercer believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercer's more than 25,000 employees are based in 44 countries and the firm operates in over 130 countries. Mercer is a business of Marsh & McLennan (NYSE: MMC), the world's leading professional services firm in the areas of risk, strategy and people, with 76,000 colleagues and annual revenue of $17 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit https://www.me.mercer.com/. Follow Mercer on Twitter @Mercer.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

Mercer is seeking candidates for the Government Healthcare Actuary position. Our primary offices are located in Phoenix, Atlanta, DC, and Minneapolis.Government Healthcare Actuarial Consultant We will count on you to:Serve as actuary and project leader, working directly with actuarial and data analysts, clinicians and health policy consultants, on large, complex capitation rate setting and other actuarial projects.In conjunction with the other project leaders, work with the client to define and manage the scope of the project, serve as an expert on rate structures and methodologies, and ensure consistency with federal regulations and actuarial standards.Oversee the development of rate setting assumptions that are built into actuarial models and inform client and project teams on the impact of data and assumptions, andprovide on-going review and guidance throughout the rate setting process.Collaborate with client and project teams to finalize rates and educate clients on the impact of their policies on the data and rates.Work with Mercer actuaries, clinicians, and health policy consultants to support the design and implementation of innovative and comprehensive solutions to emerging and/or unique challenges faced by clients.Oversee the drafting of project communications, including rate certification letters and presentations, and act as an actuarial authority that signs rate certification letters and other statements of actuarial opinion.Work with project leaders to identify growth and development opportunities for junior actuaries and actuarial students on project teams. Provide guidance, oversight and mentoring to junior actuarial staff as needed.What is in it for you?Be on the cutting edge of health care reform. Mercer GHSC partners with states and the Federal government on implementing a wide variety of healthcare and human services issues, including actuarial, data/systems analysis, clinical, policy, pharmacy, operations, and procurement.On day one you'll be eligible for medical, dental, and vision care benefits in addition to a generous PTO package, as well as time off for community service.What you need to have:BA/BS degreeActuarial credentials (ASA or FSA, MAAA) strongly preferred.5+ years minimum health actuarial experience, with 3+ Medicaid actuarial experienceWhat makes you stand out:Medicaid actuarial experience spanning multiple states, programs, health insurers or Federal agency and/or actuarial consulting experienceExperience leading large teams and/or large, complex projectsExcellent interpersonal skills; strong oral and written communication skillsAbility to prioritize and handle multiple tasks in a demanding work environmentStrong critical thinking and analytical problem-solving skillsExperience related to health plan analysis or capitated rate development is preferred, but not requiredTo learn more about Mercer's GHSC practice, please visitwww.mercer-government.mercer.comMercer believes in building brighter futures by redefining the world of work, reshaping retirement and investment outcomes, and unlocking real health and well-being. Mercer's more than 25,000 employees are based in 44 countries and the firm operates in over 130 countries. Mercer is a business of Marsh & McLennan (NYSE: MMC), the world's leading professional services firm in the areas of risk, strategy and people, with 76,000 colleagues and annual revenue of $17 billion. Through its market-leading businesses including Marsh, Guy Carpenter and Oliver Wyman, Marsh & McLennan helps clients navigate an increasingly dynamic and complex environment. For more information, visit https://www.me.mercer.com/. Follow Mercer on Twitter @Mercer.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one "anchor day" per week on which their full team will be together in person.

We Impact Lives Through Purpose-Driven Work in A People First Culture Ascend Learning is the connection between a powerful portfolio of brands serving students, educators, and employers with outcomes-based, data driven solutions across the lifecycle of learning. Our values-driven culture unifies our teams and inspires a mindset of action, innovation, and collaboration, with a relentless focus on customers. We're always looking for talented, passionate professionals to join us in our mission to help change lives. If this sounds like an environment where you'd thrive, read on to learn more. The Ascend Learning Healthcare Segment leads the way in innovation and solution creation to improve outcomes and deliver results for students, educators, and healthcare workers in the ever-changing field of healthcare. We offer advanced resources that drive nursing success, empower front-line certified allied health workers, help physicians pass boards and stay current, and provide education management tools for medical education programs. WHAT YOU'LL DO  The successful candidate will be cultivating new business from prospects at hospitals, clinics, and healthcare facilities by managing an assigned list of accounts across the United States. The candidate will also be recommending complex and dynamic solutions to key stakeholders and decision-makers such as Healthcare CEOs, CNOs, CMOs, Nurse Educators, and Clinical/Professional Development Directors. The candidate will need to leverage consultative and strategic sales techniques to understand prospects complex business needs. Additionally, the candidate will obtain agreement from multiple decision makers throughout all stages of the sales cycle and ask for a commitment to confirm a sale through high trust and efficient rapport-building.  WHERE YOU’LL WORK This position will work remote in the Western United States. HOW YOU’LL SPEND YOUR TIME Demonstrated contract negotiating skills.• Understanding and navigating long and complex sales cycles with multiple stakeholders• Ability to travel to client locations, corporate training, and tradeshows about 5%-10% of thetime.• Proficiency in utilizing Microsoft Word, Excel, Teams, and PowerPoint. Proficiency is defined asbeing a clear, concise, error-free, yet persuasive spoken and written communicator.• Experience in forecasting revenue and outcomes for territory.• Prior sales methodology training such as: Sandler, Challenger, MEDDIC or Miller Heiman WHAT YOU'LL NEED Bachelor’s degree• A minimum of 5+ years of recent successful sales experience, in a relevant/related field ofhealthcare with a proven track record of exceeding annual quota. Experience working a defined sales process• Prior leadership or supervisory experience preferred• Demonstrated ability to partner with territory reps and resources to address the needs of theassigned hospital/health system.• Experience using sales enablement platforms for career growth preferred BENEFITS Flexible and generous paid time off  Competitive medical, dental, vision and life insurance  401(k) employer matching program Parental leave Wellness resources Charitable matching program Hybrid work On-site workout facilities (Leawood, Gilbert, Burlington) Community outreach groups Tuition reimbursement Fostering A Sense of Belonging We seek out and celebrate all people and perspectives and cultivate an inclusive culture where everyone can thrive, feel valued and be their authentic selves. Our culture is firmly rooted in the belief that by embracing our differences and drawing on diverse perspectives, we are a stronger, more innovative, and more successful organization where employees experience a sense of belonging. About Ascend Learning As a tech-enabled services company, Ascend Learning is a national leader in developing and delivering data-driven online educational content, software, assessments, analytics, and simulations serving institutions, students and employers across healthcare, fitness and wellness, public and workplace safety, skilled trades, insurance, financial services, cybersecurity, and higher education. We're committed to accelerating the learning pathways that can move people into careers where they have the knowledge and skills to have an impact and help change lives in the communities they serve. Headquartered in Burlington, MA with additional office locations and hybrid and remote workers in cities across the U.S., Ascend Learning was recognized by Newsweek and Plant-A Insights Group as one of America's 2023 Greatest Workplaces for Diversity. Ascend Learning, LLC is proud to be an equal opportunity employer (M/F/Vets/Disabled). No agency or search firm submissions will be accepted. Applications for U.S. based positions with Ascend Learning, LLC must be legally authorized to work in the United States and verification of employment eligibility will be required at the time of hire. #LI-KH1 Sales

Overview The main focus of our Account Executive role is creating and winning sales opportunities for your products/solutions/services in an assigned territory. You are the technical and sales expert and are expected to be able to differentiate between offerings, convey compelling value propositions, lead the opportunity, build out your pipeline, and create new business development opportunities in your territory. The Account Executive will act as a trusted advisor with customers in order to successfully close increasingly complex sales. Duties & Responsibilities Manage sales planning and sales execution in assigned accounts/territory Manage a healthy pipeline of early, mid and late stage opportunities to drive consistent results Prospect for potential customers by using various tools and direct and indirect methods such as calls, email, face to face meetings, SalesForce, LinkedIn, Definitive Healthcare and networking events Forecast orders and sales within the applicable sales funnel tools and reports for your products/solutions/services in your assigned territory Develop business development strategies, and create new opportunities with Healthcare organizations Create business plans for territory including, but not limited to opportunity development, competitive strategies and targets Build strong business relationships and formulate account strategies and plans to continuously strengthen relationships within the assigned territory. Identify & respond to key account technical and departmental decision makers' needs and maintain customer contact records in the relevant CRM tools Continuously develop and improve a network of key opinion leaders within the assigned territory Track and communicate market trends to/from the field including competitor data, and develop and lead effective counter-strategies Healthcare IT/SaaS Product & Payer Market Expertise Maintain up to date detailed knowledge of your product/services Be able to present and discuss the technology benefits in terms which are relevant to customers Maintain up to date market and competitor knowledge related to your product/solutions/services Continuously update your understanding the customers changing and/or operational issues and challenges Create viable product configurations which meet customer needs effectively, while achieving optimum margin for the company Identify and create new opportunities and work with sales leaders and account teams (where applicable) to continuously increase prospect funnel Drive tender/bid process including the needs qualification, vendor selection, quotation and closure of your product/solution/service opportunities to meet orders, sales and margin targets as well as to maximize customer satisfaction in assigned territory Create and maintain opportunities in the applicable sales funnel tool and/or CRM tools Ownership of order and configuration quality at the point of entry to ensure accuracy, configuration integrity and that all requirements are tied to documented customer inputs Skills Required: Excellent time management, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment with attention to detail 3+ years of experience selling SaaS into healthcare in the southeast region Excellent communication skills, including writing, articulating, listening, and questioning skills; must be fluent in English Proficiency with computer applications, computer-based sales tools, and SaaS business applications Ability to effectively influence and guide prospective clients Ability to understand and navigate through complex political environments and corporate structures Proven relationship-building skills Ability to effectively interface with all levels inside and outside the company, including senior management Ability to travel to on-site presentations and meetings for key opportunities, and coordinate trade shows or other marketing efforts ***The compensation range listed below is the base salary, there is also variable income and additional incentives included in the total compensation package. Skills Required Every organization has a culture, whether they mean to or not, so why not be intentional about it?Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships. Strong leadership skills required to manage and attract top performers A self-starter with an entrepreneurial mindset who is motivated and will take ownership of your area of responsibility Experience in a fast-paced environment Able to engage C-suite level technical and business stakeholders in the payer market MinUSD $100,000.00/Yr. MaxUSD $120,000.00/Yr.

Overview The main focus of our Account Executive role is creating and winning sales opportunities for your products/solutions/services in an assigned territory. You are the technical and sales expert and are expected to be able to differentiate between offerings, convey compelling value propositions, lead the opportunity, build out your pipeline, and create new business development opportunities in your territory. The Account Executive will act as a trusted advisor with customers in order to successfully close increasingly complex sales. Duties & Responsibilities Manage sales planning and sales execution in assigned accounts/territory Manage a healthy pipeline of early, mid and late stage opportunities to drive consistent results Prospect for potential customers by using various tools and direct and indirect methods such as calls, email, face to face meetings, SalesForce, LinkedIn, Definitive Healthcare and networking events Forecast orders and sales within the applicable sales funnel tools and reports for your products/solutions/services in your assigned territory Develop business development strategies, and create new opportunities with Healthcare organizations Create business plans for territory including, but not limited to opportunity development, competitive strategies and targets Build strong business relationships and formulate account strategies and plans to continuously strengthen relationships within the assigned territory. Identify & respond to key account technical and departmental decision makers' needs and maintain customer contact records in the relevant CRM tools Continuously develop and improve a network of key opinion leaders within the assigned territory Track and communicate market trends to/from the field including competitor data, and develop and lead effective counter-strategies Healthcare IT/SaaS Product & Payer Market Expertise Maintain up to date detailed knowledge of your product/services Be able to present and discuss the technology benefits in terms which are relevant to customers Maintain up to date market and competitor knowledge related to your product/solutions/services Continuously update your understanding the customers changing and/or operational issues and challenges Create viable product configurations which meet customer needs effectively, while achieving optimum margin for the company Identify and create new opportunities and work with sales leaders and account teams (where applicable) to continuously increase prospect funnel Drive tender/bid process including the needs qualification, vendor selection, quotation and closure of your product/solution/service opportunities to meet orders, sales and margin targets as well as to maximize customer satisfaction in assigned territory Create and maintain opportunities in the applicable sales funnel tool and/or CRM tools Ownership of order and configuration quality at the point of entry to ensure accuracy, configuration integrity and that all requirements are tied to documented customer inputs Skills Required: Excellent time management, resource organization and priority establishment skills, and ability to multi-task in a fast-paced environment with attention to detail 3+ years of experience selling SaaS into healthcare in the west region Excellent communication skills, including writing, articulating, listening, and questioning skills; must be fluent in English Proficiency with computer applications, computer-based sales tools, and SaaS business applications Ability to effectively influence and guide prospective clients Ability to understand and navigate through complex political environments and corporate structures Proven relationship-building skills Ability to effectively interface with all levels inside and outside the company, including senior management Ability to travel to on-site presentations and meetings for key opportunities, and coordinate trade shows or other marketing efforts Skills Required Every organization has a culture, whether they mean to or not, so why not be intentional about it?Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships. Strong leadership skills required to manage and attract top performers A self-starter with an entrepreneurial mindset who is motivated and will take ownership of your area of responsibility Experience in a fast-paced environment Able to engage C-suite level technical and business stakeholders in the payer market MinUSD $100,000.00/Yr. MaxUSD $120,000.00/Yr.

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TX, UT, VA/DC, *WA, WI & WY only) Job Summary The Alternative Health Care Program Manager is responsible for managing the operational relationship between TriWest and its partners that offer alternative access points for care (e.g. telehealth, mobile care, etc.). The Program Manager will help to facilitate direction regarding network, communication, provider education and training, clinical quality, file exchange requirements (e.g. provider or eligibility files), claims integration and reporting. The Program Manager may assist with ensuring that the subcontractor fully understands and meets program requirements.Education & Experience Required: • Bachelor's degree in Business Administration, Finance or Health Care Administration or similar degree; OR equivalent experience • 3+ years' related experience with alternative health care as part of program management approach or as component in network management • Proven ability to execute across multiple locations and stakeholder groups • Experience working on and influencing teams to produce desired outcomes • Experience with data analysis, statistical analysis, process flow mapping and report design, including proficiency with database querying and the Microsoft Product Suite (specifically Word, Excel, PowerPoint, Project, and VISIO) Preferred: • MBA • Experience with quality programs (Six Sigma, Total Quality Management, Continuous Quality Improvement or other quality concepts)Key Responsibilities• Serves as one of the key points of contact to address program implementation issues, network management, provider education and communication needs and system integration • Manages relationship with the primary subcontractor and/or network partners related to network management and all related work streams (e.g. provider education) • Collaborates, and coordinates support the subcontractor may need such as program education materials • Determines the impact of government contract requirements and specific business initiatives on operations and communicates those impacts to primary subcontractor's stakeholders • Identifies and communicates opportunities for redefinition of operational and management processes based upon analyses of "lessons learned" in order to improve operations effectiveness and efficiency • Creates, manages and executes action plans, developed in conjunction with the primary subcontractor, to improve operations and adherence to contract standards • Communicates operational changes and training and program materials to primary subcontractor stakeholders for distribution to staff • Assists with special projects and other duties, as assigned by TriWest Senior LeadershipCompetenciesCommunication / People Skills: Clearly presents information through spoken or written communication; Effectively reads others and adapts communication patterns to multiple individual styles; Demonstrates ability to influence or persuade others in positive or negative circumstances; Ability to listen critically for relevant information; Clearly demonstrate respect for others Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications Coping / Flexibility: Resiliency in adapting to a variety of situations and individuals while maintaining a sense of purpose and mature problem-solving approach is required Independent Thinking / Self-Initiative: Critical thinker with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources Information Management: Ability to manage large amounts of complex information easily, communicates clearly, and draws sound conclusions High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow Multi-Tasking / Time Management: Prioritize and manage actions to meet changing deadlines and requirements within a high volume, high stress environment Organizational Skills: Detail-oriented; Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources Team-Building / Team Player: Ability to influence the actions and opinions of others in a positive direction and build group commitment; Adapt to different styles; Listen critically; collaborate Technical Skills: Advanced knowledge of Microsoft Word, Excel, and PowerPoint; Ability to function without direction to produce outcomes within timelines; Proficiency with project management skills, data analysis, and quality improvement concepts; Collaboration skills and team-oriented approach; Presentations and meeting facilitation skillsWorking ConditionsWorking Conditions: • Availability to work non-regular hours, including weekends, as required • Works within a standard office environment, with up to 50% travel • Extensive computer work with long periods of sittingCompany Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: Medical, Dental and Vision Coverage Generous paid time off 401(k) Retirement Savings Plan (with matching) Short-term and long-term disability, basic life, and accidental death and dismemberment insurance Tuition reimbursement Paid volunteer time *Annual base salary for Colorado and Washington State residents: $99,000 - $110,000 depending on experience*Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

Overview The Solution Executive - CQS (Compliance, Quality and Safety) must have proven sales success selling CQS software solutions in healthcare and be energetic, hardworking, hands-on and self-motivated. The candidate will manage new business growth of the symplr portfolio within the assigned territory. This individual should demonstrate excellent strategic and critical thinking sales skills. The right candidate can expect to be rewarded for performance and successful results. This position can work from a remote location.Duties & Responsibilities A successful candidate will be one who is tactical in the hands-on execution of our enterprise sales strategy; one who can attain sales goals; and one who can contribute to enhancing sales processes. We work in a team selling environment. The successful candidate will have excellent communications skills, be able to work collaboratively with peers while developing and managing a healthy pipeline to deliver consistent results, and achieve monthly, quarterly and annual sales targets. The successful candidate will have experience selling software, preferably SaaS/Cloud software into enterprise accounts and in the healthcare market. This is a remote opportunity. Duties and Responsibilities: Manage sales planning and sales execution in assigned accounts/territory Manage a healthy pipeline of early, mid and late stage opportunities to drive consistent results Prospect for potential customers by using various tools and direct and indirect methods such as calls, email, face to face meetings, SalesForce, Linkedin, Definitive Healthcare and networking events Build strong relationships with prospects with a focus on cultivating strong relationships over time Establish an evergreen business plan by territory and develop comprehensive territory whitespace plans to achieve annual quota Identify prospect's pain points and business objectives and articulate the symplr value proposition effectively Lead client negotiations, and manage the contracting process by working with client and internal business and legal participants, develop executive relationships Meet or exceed Sales and Revenue targets monthly/quarterly/annually Coordinate prospecting activity within assigned accounts/territory and work closely with the business development team and marketing to execute Identify and attend relevant industry events to increase awareness and penetration Skills Required: 3+ years of experience selling CQS SaaS into healthcare Must live in, and have experience selling in the Northeast The ideal candidate possesses the highest levels of business acumen and possess the skills required to lead a strategic sales process Ability to demonstrate a relevant successful track record in sales Demonstrated proficiency with computer applications, computer-based sales tools, and SaaS business applications Ability to effectively influence and guide perspective clients Ability to understand and navigate through complex political environments and corporate structures The ability to effectively shift priorities and work at a rapid pace Proven relationship building skills required Excellent communication skills, including writing, articulating, listening, and questioning skills Must be willing to travel (Frequent travel required). Ability to travel to on site presentations and meetings for key opportunities, and coordinate trade shows or other marketing efforts Ability to effectively interface with all levels inside and outside the company, including senior management Ideally have contacts throughout the industry in various management levels in healthcare management. Skills Required Every organization has a culture, whether they mean to or not, so why not be intentional about it? Together, if we shape our intentions, actions, and interactions around a common, purposeful culture, we are able to quickly achieve more, attract others who help realize our goals, and thrive in our professional relationships. Strong leadership skills required to manage and attract top performers A self-starter with an entrepreneurial mindset who is motivated and will take ownership of your area of responsibility Experience in a fast-paced environment Able to engage both technical and business stakeholders Strong presence and credibility required to anchor symplr's initiatives Strong presentation skills Ability to effectively prioritize and manage team responsibilities Ability to articulate complex concepts clearly Extremely organized, detail-oriented and will demand excellence of themselves Strong competency in managing their time and activities and must possess a "can-do" perspective in their professional attitude MinUSD $100,000.00/Yr. MaxUSD $120,000.00/Yr.

Job DetailsSUMMARYHSAG is nationally recognized as an industry leader in the areas of healthcare data analysis, program evaluation, measure development, and survey research. We are in search of talented individual who is interested in a career as a Python Data Engineer in HSAG's Data Science & Advanced Analytics division. Together we can spread positive change to make healthcare better. UNIQUE BENEFITSThe Python Data Engineer position benefits from HSAG's passion to leverage data-driven insights to drive meaningful improvement in the healthcare industry. The Python Data Engineer is responsible for leading the analysis of healthcare data using Python. The Python Data Engineer will also lead HSAG's efforts to convert SAS code to Python that will be utilized within a Data Bricks environment.DESCRIPTIONThe Python Data Engineer position is a key leader responsible for leading the HSAG's Python-related analytic projects. The Python Data Engineer position will design and implement HSAG's SAS to Python conversion activities. Additionally, the Python Data Engineer will be responsible for leveraging expertise in Python to extract, transform, and load (ETL) healthcare data from various sources and to use Python to analyze these data. The Python Data Engineer will work with a wide array of data to facilitate data exploration and fulfill client deliverables, including (but not limited to) the following data types:surveycase reviewmedical and prescription drug claims and encounterseligibilitydemographicclinicalelectronic health recordregistryvital statisticsoperationalDetails regarding potential project assignments and key sources of data will be discussed with potential candidates during the interview process.ESSENTIAL COMPETENCIES, DUTIES, AND RESPONSIBILITIESServe as the Python programming expert for the HSAG Data Science & Advanced Analytics division.Design, develop, and maintain Python scripts and applications for data manipulation, analysis, and visualization.Utilize Python libraries and frameworks such as Pandas, NumPy, SciPy, and Matplotlib to perform advanced data analysis.Convert SAS code to Python for seamless integration into a Data Bricks environment.Design, develop, and maintain data pipelines for efficient data processing and analysis.Optimize data workflows to enhance performance and scalability.Conduct code reviews and provide technical guidance to junior team members.Stay current with industry trends and best practices in healthcare analytics and data engineering.Present and communicate project results to nonanalytic staff members and customers. Represent HSAG in a professional manner at all times. Compensation: 100,000 - 124,000 DOEJob Requirements:EDUCATION AND/OR EXPERIENCEBachelor's degree in Computer Science, Engineering, or a related field; Master's degree preferred.A minimum of five (5) years of Python programming experience.At least two (2) years of experience working with healthcare data.OTHER QUALIFICATIONSExpert-level proficiency in Python, with a strong understanding of its libraries and frameworks for data analysis and manipulation (e.g., Pandas, NumPy, SciPy).Solid understanding of SAS programming language and experience in converting SAS code to Python.Hands-on experience working within the Databricks unified data analytics platform with specific experience using Python to process, explore, and analyze data.Experience working with healthcare data standards (e.g., HL7, FHIR) and healthcare data interoperability.Knowledge of machine learning techniques and their application in healthcare analytics.Strong problem-solving skills and the ability to thrive in a fast-paced, collaborative environment.Excellent communication and interpersonal skills, with the ability to effectively communicate complex technical concepts to non-technical stakeholders.Proficient in Microsoft Word and Excel.Excellent verbal and written communication skills.Ability to handle several projects simultaneously and work with multiple teams.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.DISCLAIMERThis is not necessarily an exhaustive list of all responsibilities, skills, duties, requirements, efforts or working conditions associated with the position. While this is intended to be an accurate reflection of the current position, management reserves the right to revise the position or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, work load, rush jobs requiring non-regular work hours, or technological developments).HSAG is an EEO Employer of Veterans protected under Section 4212. If you have special needs and require assistance completing our employment application process, please feel free to contact us.EOE M/F/Vet/DisabledGet job alerts by email.Sign up now!

Customer advocate role supporting our members and providers, facilitating care and service. This is a service position providing assistance to Magellan's members, providers, and clients regarding various aspects of our programs, policies, and procedures. Responsibilities include handling incoming/outgoing calls related to healthcare related benefits. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve callers' needs on the first call. Performance expectations are to meet and/or exceed customers' expectations and our quality standards.Researches, articulately communicates medical information regarding a variety of services including: educating providers on claims, member eligibility, benefits, EAP services, claim status, and authorization inquiries to callers while maintaining confidentiality/Protected Health Information (PHI.).Meets key performance indicators and service standards while showing compassion to members and providers per Magellan's values and mission.Identifies and responds to crisis calls with appropriate resource.Facilitates routine referrals and triage decisions not requiring clinical judgment.Comprehensively assembles and enters patient information into the appropriate delivery system.Demonstrates flexibility in areas such as job duties and schedule to aid in better serving members and help Magellan achieve its business and operational goals.Supports team members and participate in activities to help build a high-performance team.Assumes full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).Responsible for staying abreast of operational changes, updating self to ensure accuracy.Assists efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.Leads or participates in activities as requested that help improve Care Center performance, quality, and culture.Navigate Magellan's systems, document customers' comments/information and forwards required information.Responsible for reading and retaining information disseminated through multiple resources, ensuring calls are addressed accurately and appropriately per account information.Other Job RequirementsResponsibilities1- 2 or more years of customer service experience.Must be able to talk and type simultaneously, with attention to detail.Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.Responsible for meeting monthly individual call center metrics.Must agree to recording and evaluations for training and compliance.Must be proficient with keyboard functions and navigation between multiple computer applicationsGeneral Job InformationTitleCustomer Experience Associate I, HealthcareGrade17Work Experience - RequiredCustomer ServiceWork Experience - PreferredCall Center, HealthcareEducation - RequiredGED, High SchoolEducation - PreferredAssociate, Bachelor'sLicense and Certifications - RequiredLicense and Certifications - PreferredSalary RangeSalary Minimum:$31,175Salary Maximum:$46,765This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.