Regional Vice President 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.

Vice President, Customer EngagementOperationsRemote, with hybrid options available in New York City or Reston, VAType: This is a full-time position About the TeamCollege Board's Operations division (130 ppl) aims to be a world class digital assessment delivery and customer engagement organization that supports millions of students and thousands of test centers, annually. Operations is also leading exciting work to advance customer experience through the use of innovative solutions, products and technology to enhance the delivery of digital assessments.The Customer Engagement department (65 ppl) is a combination of customer and technical support teams augmented by vendor operations, training and forecasting/planning to deliver all aspects of multi-channel support to our key constituents, including students, parents, educators, and our state partners representing approximately 2 million contacts per year.This integrated team serves as the organization's 'front line' and represents the voice of the customer, partnering across the organization to provide a positive and effective overall customer experience.About the OpportunityYou'll direct our day-to-day customer engagement work and all aspects of customer support and service, plus guide customer experience strategy and vendor operations aswe aim to deliver a positive experience for each College Board customers. This position is responsible for the delivery of services and support for our wide range of customers, including educators, students, parents, states and districts. You will also be a key contributor to our Operations leadership team as we complete our transition to a digital testing operation. Ready to lead an extraordinary team? Keep reading!In this role, you will be required to excel at the following to deliver effective and positive customer experience and support through excellent service, innovations and operational enhancements:Strategic Leadership: Develop and execute the strategic vision and roadmap for Customer Engagement aligning with the overall College Board mission and Operations division priorities.Team Leadership: Provide strong leadership and direction to the Customer Engagement team, fostering a culture of collaboration, excellence, inclusion and customer-centricityOperational Excellence: Drive operational efficiency and effectiveness across all Operations customer-facing functions and large external vendors, optimizing processes, workflows, and systems to enhance customer satisfaction and drive business resultsCustomer Experience: Champion a customer-first approach throughout the organization, ensuring the delivery of exceptional experiences at every touchpoint of the customer journeyCross-functional Collaboration: Collaborate closely with Program, Product, Technology and Field leadership, as well as Communications and Marketing to ensure alignment on customer needs, product enhancements, and go-to-market strategiesPerformance Management: Define key performance metrics and benchmarks for Customer Engagement, regularly monitoring and analyzing performance data to drive continuous improvement and operational excellenceCustomer Advocacy: Leverage the voice of our external customers and establish the people, processes and data required to advocate for them through a focus on their needs, feedback, and challenges to influence program and product policy and communications.Talent Development: Recruit, develop, and retain top talent, providing coaching, mentorship, and growth opportunities to empower team members to reach their full potentialRisk Management: Identify potential risks and issues impacting customer satisfaction and experience and operational delivery, developing proactive mitigation strategies to address them effectivelySpecific Responsibilities include:Set Vision & Strategy (40%)Set the overarching vision and direction for customer engagement at College Board and ensure a strong customer experience that is differentiated based on customer needs and expectationsFoster a customer experience mindset and framework for processes, products and decision-makingWork closely with different stakeholders across the organization to provide a strong service to our customers by addressing the root of the problemDevelop a deep understanding of College Board's customer base to drive change initiatives, business strategy and technology enhancement programs that improve the support and success of customersDevelop, monitor, and report on critical measurements and metrics that drive high levels of customer satisfaction; define clear measurements of successSet a strategic vendor management and optimization strategy for a wide range of customer support models, with a focus on cost management and experienceProvide Team Leadership & Management (40%)Effectively manage a high-performing, remote team of 5-8 direct reports to ensure they are engaged and working effectively toward accomplishing goalsProvide the leadership necessary to deliver results across the teamBuild and drive a performance-based culture and actions to support an inclusive and engaged teamEstablish critical forecasting and planning capabilities and anticipate and manage work volumes and budgets based on data; responsible for managing a vendor budget of ~$30MEnhance the customer support vendor management functionDrive Continuous Improvement & Innovation (20%)Provide actionable intelligence and insights via thorough analysis and assessment of all escalation data that comes into the teamMake data-driven decisions on continuous improvement for our escalations programs based on that analysis and insightsFoster an innovative culture to explore technology, AI and other solutions to help drive efficiencies in support models and improve experience metrics.About YouYou have:15+ years of directly related experience in customer operations, customer experience, or customer service with 5+ years in an executive leadership positionDirect experience working in a customer service call center, either as an individual contributor or in a management capacityDeep understanding of industry best practices, trends, and technologies related to customer operations and supportA proven track record of developing, coaching, training, and retaining top talent with high levels of engagementThe ability to empower others and effectively delegate work with accountabilityProven track record of driving operational excellence and delivering exceptional customer experiencesExcellent communication, negotiation, and interpersonal skillsAbility to thrive in a fast-paced, high-stakes, and dynamic environment and lead through changeExceptional strategic thinking, analytical and planning skills - you can build a strategy, connect the dots, and build towards the futureExperience as a highly collaborative leader with ability to influence others and build strong relationships across internal and external stakeholdersThe ability to communicate effectively with product leads and technologists to meet and drive business requirementsExperience leading high-visibility projects from start to finish with measurable resultsFluency with data and confidence in making data-driven decisionsDemonstrated success managing complex customer escalationsA passion for education and the impact that educators have on studentsThe ability to travel, at least once a monthEligible to work in the United States of AmericaAbout Our ProcessApplication review will begin immediately and will continue until the position is filledWhile the hiring process may vary, it generally includes: resume and application submission, recruiter phone screen, hiring manager interview, performance exercise and panel interview, finalist interview and reference checks. This is an approximately a 10 to 12-week processAbout Our Benefits and CompensationCollege Board offers a competitive benefits and compensation program that attracts top talent looking to make a difference in education. As a self-sustaining non-profit, we believe in compensating employees equitably in relation to each other, their qualifications, their impact, and the relevant market.The hiring range for a new employee in this position is $176,000 to $260,000. College Board differentiates salaries by location so where you live will narrow the portion of this range in which you can expect a salary.Your salary will be carefully determined based on your location, relevant experience, the external labor market, and the pay of College Board employees in similar roles. College Board strives to provide our best offer up front based on this criteria.Your salary is only one part of all that College Board offers, including but not limited to:A comprehensive package designed to support the well-being of employees and their families and promote education. Our robust benefits package includes health, dental, and vision insurance, generous paid time off, paid parental leave, fertility benefits, pet insurance, tuition assistance, retirement benefits, and moreRecognition of exceptional performance through annual bonuses, salary growth over time through market increases, and opportunities for merit raises and promotions based on increased scope of responsibilityA job that matters, a team that cares, and a place to learn, innovate and thriveYou can expect to have transparent conversations about benefits and compensation with our recruiters throughout your application process.About Our CultureOur community matters, and we strive to practice and improve our culture daily. Here are some headlines:We are motivated to positively impact the educational and career trajectories of millions of students a yearWe prioritize building a diverse and inclusive team where every employee can thrive, and every voice is heardWe welcome staff to join any or all six of our affinity groups: ARISE (Alliance for Asian Retention, Inclusion, Success, and Engagement; DIASPORA (Alliance for Pan-African Success and Achievement); Pride (alliance for LGBTQ+ staff and allies); Resilience (alliance for Native staff and advocates); SALSA (Staff Alliance for Latinx Success and Achievement); and WIN (Women's Impact Network)We value learning and growth; we offer formal and informal ways to lead through your superpowers, sharpen your strengths, and meet your development goalsWe know that our impact is strongest together. Our College Board Cares program offers all staff up to $1,000 annual match against partner non-profit organizationsWe offer a transparent approach to promotions and merit raises, annual performance-based bonuses, and how to grow your career here over time#LI-Remote#LI-CW1

Company DescriptionAbout Veolia North AmericaA subsidiary of Veolia Group, Veolia North America (VNA) offers a full spectrum of water, waste and energy management services, including water, and wastewater treatment, commercial and hazardous waste collection and disposal, energy consulting and resource recovery. VNA helps commercial, industrial, healthcare, higher education, and municipality customers throughout North America. Headquartered in Boston, Mass., Veolia North America has approximately 10,000 employees working at more than 350 locations across the continent. Please visit our website www.veolianorthamerica.com.BENEFITSVeolia's comprehensive benefits package includes paid time off policies, as well as health, dental and vision insurance. In addition, employees are also entitled to participate in an employer sponsored 401(k) plan, to save for retirement. Pay and benefits for employees represented by a union are outlined in their collective bargaining agreement. Job DescriptionThis role will be based in Boise, Idaho. Candidates outside of Boise are encouraged to apply as Veolia North America will provide relocation assistance. Position Purpose: The General Manager is responsible for the overall management and operation of the water utility, ensuring the delivery of high-quality water services to customers in compliance with all relevant regulations and standards. The General Manager provides strategic leadership, manages financial performance, oversees operational activities, and represents the utility in interactions with stakeholders.Primary Duties/Responsibilities:Number of Customers: 260,000 people across four communities. Boise, Eagle, Meridian & Ada CountyDivision Revenue: $60M Lead a Local Team of 141 employees, including 6 Direct Reports.Develop and implement strategic plans to achieve the utility division's mission and goals including local & HQ priorities.Oversee the operation and maintenance of water treatment and distribution systems.Ensure compliance with all applicable laws, regulations, and standards related to water quality, safety, and environmental protection.Responsible for the profit & loss of the utility. Manage the utility's budget, financial performance, and capital improvement projects.Lead, mentor, and develop a team of employees, fostering a culture of excellence, accountability, collaboration and innovation.Establish and maintain effective relationships with customers, regulatory agencies, government officials, and other stakeholders.Represent the utility in public meetings, hearings, and other forums.Active member of the Utility Division Senior leadership team.QualificationsEducation/Experience/Background:Bachelor's degree in Civil Engineering, Environmental Science, Business Administration, or a related field; MBA / related post graduate degree preferred.Minimum of 7 years of experience in the management of water utility operations, including 3 years in a senior leadership role.Strong knowledge of water treatment, distribution, and regulatory requirements.Excellent leadership, communication, and interpersonal skills.Proven ability to develop and implement strategic plans, manage budgets, rate-making and achieve results.Knowledge/Skills/Abilities:Confidence and maturity with the ability to connect, inspire, and influence others with or without direct reporting relationships.Motivates and builds trust through actions and deeds.Ability to collect and process data, understand trends, drive specific analyses, and develop actionable insights from them.Critical and conceptual thinker who is able to professionally challenge and drive change.Ability to build and maintain friendly, reciprocal, and warm relationships or networks of contacts with people at all levels.Ability to respond positively and appropriately pivot with change.Ability to translate large amounts of technical and statistical information into actionable insights and communicate to non-technical audiences.Required Certification/Licenses/Training:Valid driver's license and US passport and ability to travel as needed.Physical Requirements:This position is primarily sedentary, with some filing or lifting required.Must be able to read complex reports, write detailed & articulate reports and prepare and deliver presentations.Analyze complex operational and engineering challenges and resolve the same.Learn new technological advances in the water/wastewater industry.Must be able to bend and lift and carry up to 20 pounds.All applicants must pass a background check and pre-employment drug screen.Additional InformationWe are an Equal Opportunity Employer! All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, subject to applicable law.

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.

Job SummaryThis role is full-time, in person, located in Boise, Idaho.The VP of Product Development oversees the team that turns concepts into tangible products. They ensure that product designs create customer value, are feasible, and meet quality standards. The ideal candidate for this position is an innovative product leader with an eye for on-brand designs, product applications and production methods. This position will work with executives and managers to deliver exceptional products while also inspiring the team to achieve goals.Essential Job ResponsibilitiesLead and manage product development efforts.Establish strategic product direction to continuously create customer value.Oversee translation of product strategy into actionable designs.Prototype new products and product improvements that are technically feasible and reflect company brand.Verify items are produced as designed as intended.Continuously improve products to create a competitive advantage.Create and implement new tools and business processes that simplify and enable new product innovation.Requirements?Proven experience creating compelling vision for change, preferably in industrial manufacturing.Excellent communication skills, in various modalities, at all levels of a manufacturing organization.Experience using data to solve problems and make decisions.Experience with 3D modeling software, Autodesk/Vault preferred.Experience with quote configure tools and associated integrations preferred.At least 5 years' experience in previous, related role.Ability and desire to work in-person, not a remote role.