VP Salary in Boise, ID

Vice President Clinical Service - Utilization Management & AppealsOregon, Washington, Idaho, UtahPrimary Job PurposeThe Vice President Clinical Services is a member of the Health Services Organization (HSO) leadership team focused on enabling members to achieve their best health by simplifying their care journey, improving quality, supporting providers in their delivery of care, and managing total cost. The VP of Clinical Services is accountable for clinical functions which may include care management, transition of care services, medical policy development and implementation, utilization management, facility stay reviews and appeals. This role helps shape and drive strategy and execution in support of integrated business solutions aligned to the needs of each health plan line of business (e.g. Medicare, individual, ASO, etc.). The position oversees internal programs and external vendors and plays a key role in medical cost stewardship and ensuring clinical quality of services to members.General Functions and OutcomesProvides leadership in developing, implementing, and communicating short and long-range plans, goals and objectives for the function.Aligns team goals with the organization's vision and strategy.Develops strategies and tactics to effectively manage healthcare costs and improve clinical quality across all product lines.Partners with leaders and stakeholders across the enterprise to prioritize activity and solutions in support of medical management strategies and operational plans.Develops, recommends, and implements clinical and operational policies and procedures.Develops and manages performance against business, financial, utilization, and operational metrics to ensure results are achieved across clinical services functions and various Lines of Business.Analyzes and uses information and data to guide the development and implementation of new or enhanced health care interventions that improve value to the member and payers.Ensures programs meet federal and state regulations, accreditation standards, quality metrics, client requirements and evolving models of care (e.g. accountable care organizations, patient centered homes).Determines appropriate staffing levels and resource needs, creates and manages department and/or project budgets, allocates resources and approves expenditures.Fosters an effective work environment and ensures employees receive appropriate communication, recognition, and professional development.Participates in organizational talent management and succession planning. Minimum RequirementsExpertise related to health insurance industry trends, evolving accountable care and payment models, case and utilization management programs and how to best partner with providers to achieve desired outcomes.Strong communication and facilitation skills with all levels of the organization, including the ability to resolve issues and build consensus among groups of diverse internal/external stakeholders.Strong leadership, negotiation and relationship building skills.Deep business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making.Demonstrated competency related to creating and executing business strategies and driving results within a large, complex organization and/or with external partners.Proven ability to implement and execute successful business transformation and lead through change.Proven ability to develop a high performing team and manage and develop leaders.The Vice President Clinical Services would have a bachelor's degree in business management, health administration or a related field, 10 years of management/leadership experience and five years of experience as a director for a health plan with responsibility for medical cost and quality management, with experience in delivering health care insurance programs or an equivalent combination of education and experienceFTEs Supervised4-6 direct reports and oversees a staff > 200.Work EnvironmentDuties are performed primarily in an office environment. Travel to other TRG affiliate plans and to regional offices may be required.The expected hiring range for a Vice President Clinical Service - Utilization Management & Appeals is $283,100-382,950 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 30% . The current full salary range for this role is $266,000-433,000. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

NxEdge is a world class company providing vertically integrated solutions to the Semiconductor market. Our expertise in Engineering Material Coatings (EMC) allows global leading chip manufacturers and OEM equipment makers to achieve next generation technologies. We are seeking a driven, hands-on experienced Director of Quality to join our team that specializes in engineered materials and coating solutions for semiconductor applications worldwide.General Description:If you are a quality professional looking for an opportunity to grow, NxEdge has an exciting opportunity for you! You will provide leadership, direction, and accountability to create and support a world class quality culture across NxEdge by driving continuous improvement in products and business processes, internally and with our suppliers. You will develop and assure the implementation of corporate level strategies, programs, and procedures to provide continuous improvement of global quality performance, and integration of quality principles and activities within the overall business.AS THE DIRECTOR OF QUALITY YOU WILL: Manage the quality organization across NxEdge Direct and develop the quality resources in all NxEdge facilities Engage with key stakeholders to define strategy and future requirements for the Quality Management System Become a focal on the deployment of the Enpro Global Quality Community of Practice at NxEdge Establish and maintain quality management systems at each facility owned by NxEdge Identify near state addressable opportunities, and focus on risk identification and mitigation Focus on implementing and maintaining consistent quality metrics and improvement goals Gather, analyze, and distribute key information on systems performance. Define company wide harmonized elements/tools/work processes/terminology/KPI's our Quality Management System Measure, report, and drive breakthrough performance in all critical quality metrics Develop, implement, and maintain training that improves product and business process quality and reliability Manage by influence, build capabilities, train, and continuously develop the QA team at all sites. Evaluate the effectiveness of established programs, policies, and procedures Promote an open and collaborative cross-functional culture Develop and rollout a robust supplier quality management program Assist in new product development to establish quality standards, customer defined quality, supplier base and manufacturing capabilities are established prior to initial production Safeguard and be accountable for "Copy Exact" in all facilities Ensure that a strong and effective QMS audit program exists across all sites and is well maintained Continually improve and implement required changes to the Quality Management System. Develop and own a QMS maturity model and audit and report to leadership on the performance of site and regional management system implementation and opportunities for improvement WHO YOU ARE: You are self-directed and able to manage by influence You think strategically and act tactical You have a bias for action You tackle difficult issues with optimism and confidence. You pursue everything with energy, drive, and the need to finish. You focus efforts on continuous improvement; and have a knack for identifying and seizing opportunities for synergies and integration. You anticipate customer needs and provide services that are beyond customer expectations. You are a servant leader and react to the voice of the customer People Leadership Ability to manage people and projects Drive the vision, daily operation, and support of a high performing Corporate Quality function. PREFERRED EDUCATION, EXPERIENCE & SKILLS: 4 years degree and 4+ years of experience or 8+ years of experience in managing a quality program across multiple sites is required. Demonstrated leadership skills in guiding quality program Minimum of 2 years of experience in both quality and continuous improvement/lean/six sigma functions. Certified Quality Manager preferred Semiconductor experience preferred Strong technical background and knowledge of QA testing methods, procedures, and standards, as well as knowledge of ISO 9001 standards is a must Ability to work effectively with employees at all levels of the organization Legal authorization to work in the United States Strong written/verbal communication skills. Strong PC skills to include MS Office OTHER RESPONSIBILITIES: Performs other duties as assigned WORKING CONDITIONS: Travel Required. REPORTS TO: VP of Engineering and Quality EEO Statements: NxEdge, an Enpro company, is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

Who we are: CyberArk (NASDAQ: CYBR) is the global leader in Identity Security. Centered on privileged access management, CyberArk provides the most comprehensive security offering for any identity - human or machine - across business applications, distributed workforces, hybrid cloud workloads and throughout the DevOps lifecycle. The world's leading organizations trust CyberArk to help secure their most critical assets. To learn more about CyberArk, visit our CyberArk blogs or follow us on Twitter, LinkedIn or Facebook. About this role: We are seeking an experienced compliance and ethics expert to become an integral part of a dynamic team in a successful global, publicly traded cybersecurity company. You will play a key role in our Compliance & Ethics Team, developing and managing of our compliance program. As a trusted partner, you will, collaborate with other members of the Legal team and work independently with a variety of stakeholders across the business, such as Sales and Finance. The position will report to CyberArk's VP of Compliance & Ethics, who is based in London, United Kingdom.CyberArk's Compliance & Ethics Team is part of the Legal team, which is a trusted advisor and ally across the company. The Legal team is positioned as a partner and business enabler, mitigating risk while driving positive outcomes and supporting CyberArk's rapid growth and expansion into new markets. With team members in Israel, the US, the UK, the Netherlands, Germany, France and Singapore, we work to continuously enhance legal and risk management practices and systems to strengthen the business. With passion, dedication and a true love for tackling challenges, we play a crucial role in supporting CyberArk and our colleagues in other departments around the world.What you will do: Developing and managing CyberArk's compliance program covering all aspects of an effective compliance program to ensure continued compliance with relevant laws, regulations, best practice and company policies Leading the management of compliance policies and controls, including developing new ones (as well as guidance or related procedures) and the required monitoring and assurance work. Leading the development and supporting the delivery of awareness raising initiatives, including employee training, on a variety of compliance and ethics risk topics Collaborating with legal counsels and engaging with business colleagues globally to review and provide practical guidance on day-to-day compliance issues including avenues for resolution. Consulting with outside counsel as needed to resolve complex compliance issues or vulnerabilities. Supporting investigations into allegations of violations of rules, regulations and policies to assess and resolve any non-compliance Conducting periodic impact and risk assessments in coordination with the CyberArk's other compliance and operational assessment functions to identify potential areas of compliance vulnerability and risk, and developing/implementing corrective action plans for resolution of problematic issues. What you need to succeed: Creative and pragmatic team player thinks strategically and establishes a "trusted advisor" relationship Have strong interpersonal skills with ability build meaningful relationships with people from a diverse set of backgrounds Have a great attention to detail and organizational skills, resourceful, business-oriented and results-driven Able to work independently with minimal supervision, motivated self-starter How you will stand out from the crowd: 6+ years of experience practicing law focusing on corporate compliance (such as anti-bribery and corruption, third party and supply chain risks, trade/export control, ethics and corporate responsibility and investigations) with experience working at a publicly traded global company (technology company an advantage) Advanced experience in the development and management of all elements of an effective compliance program, in particular policies, awareness raising and training, risk assessments, monitoring and data analytics, and investigations. Experience working with compliance IT systems and implementing interoperable compliance tools to effectively scale and automate a global compliance program Creative and pragmatic team player thinks strategically and establishes a "trusted advisor" relationship Strong interpersonal skills with ability build meaningful relationships with people from a diverse set of backgrounds Great attention to detail and organizational skills, resourceful, business-oriented and results-driven Ability to work independently with minimal supervision, motivated self-starter CyberArk is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. The salary range for this position is $125,000 - $175,000/year, plus commissions or discretionary bonus, which will be based on the employee's performance. Base pay may also vary considerably depending on job-related knowledge, skills, and experience. The compensation package includes a wide range of medical, dental, vision, financial, and other benefits. #LI-IR1

POSITION SUMMARY Electrical Reliability Services (ERS) is looking for talented and experienced Senior Manager - Commissioning Operations to join our Commissioning Group. This exciting opportunity includes the ability to work remotely and has tremendous responsibility to lead the operations of the commissioning group. This key position is highly visible within the organization and will report to the VP - Commissioning at ERS. This position will be accountable for scheduling workforce, executing projects on schedule and on budget, and accelerating the growth of the commissioning services offering to meet the current and future client's needs. This position will require clear and concise communications, both internally and externally, with stakeholders at the client level and within ERS. This communication requires the elimination of ambiguities as related to scope of work, project execution, and delivery of ERS's Value Proposition in the marketplace. We offer competitive compensation with bonus opportunities and excellent benefits. ERS is a subsidiary of Vertiv. While ERS has been a leader in the commissioning of mission critical facilities for over a decade, Vertiv is committed to creating a world class Commissioning Group. RESPONSIBILITIES Leads day to day commissioning operations Develop weekly schedule for commissioning team. Provide technical support and assistance for Supervising Commissioning Engineers and field team. Manage weekly workforce needs to deliver required utilization rate. Managing Contribution Margins to deliver margins per budget. Review and audit field documents (i.e., final commissioning reports, field observation reports, daily commissioning reports (DCR), commissioning issues log (CIL) Work with Vice President - Commissioning, Cx Manager, and Business Administrator to develop weekly status reports and monthly invoices. This includes but not limited to the Aged Backlog Report, Sales Forecasting, and Invoice Backup (Schedule of Values, AIA). Leads Monthly Operations Meetings and Technical Trainings Delivery of accurate cashflow forecasting by monthly and quarter. Coordinate technical training and assists with career development for commissioning staff including reviewing performance reviews and recommend appropriate salary changes. Review and recommend field technical procedures and procedural changes. Mentor and Train Commissioning Team. Perform employee quarterly and annual reviews and recommend appropriate salary changes. Interview job applicants. Manages customer relationships Directly and indirectly support and sell commissioning services to major enterprise and COLO data center customers, key industry partners and contractors. Partner with the Commissioning Group Leadership Team to plan strategies, provide quality service, training of personnel and provide support as necessary for attainment of goals and objectives. Timely and clear communication of projects and potential projects with Commissioning Group Leadership Team. Develops and executes all phases of the business growth plan. Develop and effectively manage all sales activities for the commissioning program, within budget and timelines to meet performance expectations and requirements. Develop long-range competitive strategy for the offering, including annual sales plans and operational improvements. Interface effectively and on a regular basis with the Commissioning Group Leadership Team to support and drive the program. Budgets and Proposals Manage sales and operations team to stay within budgets assigned. Assist in developing new budgets as required by Senior Management. Develop proposals, including estimate of man-hours and expenses, and development of scope and pricing. QUALIFICATIONS Minimum Job Qualifications: Knowledge of ASHRAE commissioning industry standards and a Commissioning certification is preferred. Cultivate effective relationships with existing and potential key clients, customers and contractors. Requires a high degree of communication, supervisory, and organization skills. Communicate effectively, in writing and verbally, with clients and peers. Communicate technical or project related subjects accurately via email. Performs well as part of a team of various groups and disciplines. Good judgment, dependable, performs on projects with technical expertise. Strong computer skills including editing, formatting in Microsoft Word and Excel, use of Internet for standards/products/ manufacturer research, and operation of computer-controlled test equipment. Willing to work flexible hours, weekends, holidays, and night work. Must be available for out-of-town travel on occasion, less than 20%. Valid Driver's License with clean driving record. All other duties as assigned. Valid Driver's License. EDUCATION AND CERTIFICATIONS Graduate Bachelor Engineer (BSEE or BSME) and ten years minimum same or similar work experience. At least (20) commissioning projects including Design, Construction, and Acceptance phase processes. -OR- Graduate of applicable Commissioning Technical Training and ten years minimum same or similar work experience. At least (20) commissioning projects including Design, Construction, and Acceptance phase processes. -OR- High school education or equivalent and 15 years minimum same or similar work experience. At least (30) commissioning projects including Design, Construction, and Acceptance phase processes. PHYSICAL REQUIREMENTS N/A Due to the safety sensitive aspect of the role, candidates are required to successfully pass a drug test prior to employment. In addition, you will also be required to complete and pass a pre-employment background check and a motor vehicle records check.ENVIRONMENTAL DEMANDS N/A TRAVEL TIME REQUIRED 20% At Vertiv, we offer the stability of a global leader in a growing industry and the opportunity of a startup. We design, manufacture and service the mission-critical infrastructure technologies for vital applications in data centers, communication networks and commercial and industrial environments. With $5.0 billion in revenue, a strong customer base and global reach in nearly 70 countries, our move to establish a standalone business enables us to deliver greater value to our customers and create new opportunities for our people.The successful candidate will embrace Vertiv's Core Principals & Behaviors to help execute our Strategic Priorities. OUR CORE PRINCIPALS: Safety. Integrity. Respect. Teamwork. Diversity & Inclusion.OUR STRATEGIC PRIORITIES Customer Focus Operational Excellence High-Performance Culture Innovation Financial Strength OUR BEHAVIORS Own It Act With Urgency Foster a Customer-First Mindset Think Big and Execute Lead by Example Drive Continuous Improvement Learn and Seek Out Development Vertiv is an Equal Opportunity/Affirmative Action employer. We promote equal opportunities for all with respect to hiring, terms of employment, mobility, training, compensation, and occupational health, without discrimination as to age, race, color, religion, creed, sex, pregnancy status (including childbirth, breastfeeding, or related medical conditions), marital status, sexual orientation, gender identity / expression (including transgender status or sexual stereotypes), genetic information, citizenship status, national origin, protected veteran status, political affiliation, or disability. If you have a disability and are having difficulty accessing or using this website to apply for a position, you can request help by sending an email to [email protected] No calls or agencies please. Vertiv will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas such as E, F-1, H-1, H-2, L, B, J, O, or TN or who need sponsorship for work authorization now or in the future, are not eligible for hire.

Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.This position is a member of the executive management group and reports to the Chief Medical Officer. The VP of Medical Management is responsible for the Utilization Management (UM) and Care Management (CM) functions for health plan members. This position is responsible for integrating efforts across teams, programs, and improvement activities for all lines of business to promote optimal organizational effectiveness and enhance performance. Key focus on advancing the identification, quantification, and management of risks within scope while improving member experience and outcomes.Essential Responsibilities: Lead Care Management, Utilization Management and Health Promotion and Wellness departments for optimal performance against national benchmarks; create a multi-year improvement plan which includes various programs across lines of business (e.g. complex case management and condition support) aimed to sustain a scalable and flexible model aligned with Population Health Management.Performs employee management responsibilities to include but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity using lean / Kaizen tools for process improvements.Demonstrate strong oversight and discipline related to annual department budgets.Coordinate / collaborate with Medical Directors in each Line of Business as job functions relate to care, case, physiologic risk, network, and utilization management in dyad partnerships.Collaborate with clinical leadership to engage the enterprise, members, and network physicians to improve total cost of care and member outcomes including operational performance, clinical costs, clinical appropriateness, and authorizations.Responsible for leading CM/UM to ensure optimal care supports for priority member populations identified through the strategic work plan and other defined stratification emphasizing continuity of care, in an effort to reduce or eliminate fragmentation, duplication, and gaps in care plans.Collaborate with VP of Quality and VP of Pharmacy to support the development, implementation and evaluation of corporate quality improvement programs i.e. NCQA, CMS 5 Star, HEDIS, CAHPS and CCO Quality Incentive Measures.Executive sponsorship of Medical Management Platform for CM/UM.Develops and deploys disciplined and innovative models of care to deliver high value programs that emphasize cost effective management of CM/UM operations.Develop and incorporate performance-enhancing systems and tools for increased automation and efficiency in the scope of work specified for increasing operational excellence (e.g., Machine learning algorithms, ePA deployment, use of bots and Artificial Intelligence to streamline operations)Support enterprise-wide total costs of care initiatives.Support Quality and Population Health strategies in relation to achieving the growth and profitability goals established across lines of business laid out in enterprise strategic plan.Maintain strong and collaborative relationships with the leadership of internal and external stakeholders (e.g., Pharmacy, Quality, Provider Network, IT, Operations, Customer Care, Line of Business and Regional leaders and other identified stakeholders) to address all aspects of CM/UM and total cost of care.Actively participate as a key team member in Executive Management Group to ensure successful deployment of the strategic plan.Actively participates in various internal and external committees in order to promote and support CM/UM, Population Health, Quality and overall enterprise strategic plan.Promote enterprise-wide continuous improvement efforts across teams and demonstrate sufficient knowledge to recognize important synergies and opportunities in clinical outcomes, cost containment, and member satisfaction.Excellent analytic, critical, quantitative thinking skills, the foundation for an industry expert and trusted advisor reputationExcellent communication skills, ability to build executive level professional presentations (MS Power Point and Visio), creating and managing spreadsheets (MS Excel), managing calendar and email (MS Outlook)Responsible for ensuring CM/UM regulatory compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid services (CMS), and Oregon Health Authority.Communicates clear, strategic, and operational direction to ensure CM/UM priorities are aligned with performance standards which include key performance indicators and performance targets focusing on improving healthcare outcomes.Supporting Responsibilities: Meet department and company performance and attendance expectations.Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.Perform other duties as assigned.SUCCESS PROFILEWork Experience: A minimum of ten years' experience in the health insurance industry with five years in a leadership capacity. Experience and understanding of NCQA, D-SNP model of care standards along with various quality standards. Understanding of CMS, federal/state regulations. Experience in system design, strategic planning in health care operations. Experience managing clinicians.Education: Health Care professional such as MD, DO, RN, MSW, or PhD. Bachelors' degree required and master's level in Health care or another relevant field preferred.Knowledge: Knowledge and understanding of disease prevention, medical procedures, diagnoses, care modalities, procedure codes, including ICD-9 & 10 CPT Codes, health insurance and state mandated benefits. Ability to develop, review, and evaluate utilization reports. Knowledge of quality improvement methodology. Knowledge of principles of adult learning and/or motivational interviewing. Experience giving presentations. Good organizational skills with experience in using computers and various software applications including Word, Excel, PowerPoint, Outlook, SharePoint, and audio-visual equipment. Ability to work independently with minimal supervision.Competencies AuthenticityBuilding Organizational TalentCoaching and Developing OthersCompelling CommunicationCustomer FocusEmpowerment/DelegationEmotional IntelligenceLeading ChangeManaging ConflictOperational Decision MakingPassion for ResultsEnvironment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 15% of the time.Skills:Accountable leadership, Business & financial acumen, Developing Networks, Driving initiatives, Empowerment, Influential Communications, Inspirational LeadershipOur ValuesWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:We are committed to doing the right thing.We are one team working toward a common goal.We are each responsible for customer service.We practice open communication at all levels of the company to foster individual, team and company growth.We actively participate in efforts to improve our many communities-internally and externally.We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.We encourage creativity, innovation, and the pursuit of excellence.Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.