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Healthcare Manager Salary in Boise, ID

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Provider Network Manager (Great Plains South)
TriWest Healthcare Alliance, Boise
Veterans, Reservists, Guardsmen and military family members are encouraged to apply!! We offer remote work opportunities (AK, AR, AZ, *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 Develops and maintains provider relationships within designated state/territory, inclusive of relationships with both TriWest Network Subcontractors and any directly contracted provider groups. Manages network development activity with network subcontractors/network providers to ensure network meets all access standards. Provider network includes hospital, physician and ancillary service agreements. Provider Network Manager ensures adherence with government operational manuals, monitors network access, and resolves access issues throughout the assigned region. Facilitates resolution of escalated provider issues, and promotes TriWest Corporate initiatives. Ensures that Network Subcontractors fulfill all performance obligations defined in their Health Network Agreement.Education & Experience Required: • Bachelor's degree in Business, Health Care Administration or equivalent experience • 2+ years of experience managing large or complex provider networks • 5 years of experience in a Managed Care or equivalent health care environment • 2+ years of experience managing provider contracts including pricing, discounts, and all associated terms and conditions Preferred: • Experience in provider contracting for government programs and/or commercial lines of business • Has established relationships and resides in the market for the which the position is located • Management experience in the healthcare industry • Experience in utilizing a contract management system to manage contracting workflow • Negotiation experience • Understanding Claims issues and termsKey Responsibilities• Maintains relationships with Network Subcontractors in state/market of operations. • Develops negotiation strategies for areas of responsibility to achieve individual and department performance metrics. • Develops strategic plan to meet network adequacy needs for areas of responsibility and submits to department leadership for inclusion in overall network development plans. • Coordinates with Federal stakeholders to deploy network solutions to adhere to requirements of the contracts held by TriWest. • Collaborates with Federal stakeholders to identify areas of provider training and education to be incorporated into the TriWest provider education plan. • Aligns with Network Subcontractors and Federal Stakeholders to identify areas of opportunity for deployment of alternative payment models to support TriWest's network and improve health care outcomes. • Collaborates with internal leadership team to address network access.• Supports providers as needed, with issues related to claims, referrals, or any other program related activity. • Demonstrates and maintains current knowledge of all programs, contracting, credentialing, reimbursement and operational policies and TriWest initiatives, operations, and goals. • Reviews systems/work flow processes and procedures to identify/recommend opportunities for productivity and process improvement. • Collaborates closely with other department leadership, staff, and executive leadership on process improvement to promote service level improvements or facilitate new processes. • Monitors and responds to network shortfalls within region through coordination with network subcontractors where appropriate. • Regularly reviews and determines appropriate network access and development and makes recommendations to support network build activities. • Provides regular updates to department leadership regarding provider network development, management, and access for assigned areas. • Communicates information regarding market needs, competition, and industry trends to management team. • Proactively manages provider networks in assigned areas and functions as primary internal spokesperson on network issues. • Regularly meets with network subcontractors/network providers to inform partners about progress towards agreed-upon goals and upcoming network enhancements; coordinates account planning and maintenance issues. • Performs other duties as assigned. • Regular and reliable attendance is required.Competencies Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate. Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications. Empathy / Customer Service: Customer-focused behavior; helping approach, including listening skills, patience, respect, and empathy for another's position. Independent Thinking / Self-Initiative: Critical thinkers 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. High Intensity Environment: Ability to function in a fast-paced environment with multiple activities occurring simultaneously while maintaining focus and control of workflow. Leadership: Successfully manage Network Subcontractor relationships and associated contracts; takes accountability and follows through on service related requests. Responds with an appropriate sense of urgency. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented. Team-Building / Team Player: Influence the actions and opinions of others in a positive direction and build group commitment. Technical Skills: Working knowledge or familiarity with Managed Care, State and Federal health care programs (e.g. Medicaid, Medicare, TRICARE, VA Community Care Network), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel.Working Conditions Working Conditions: • Availability to work non-regular hours as necessary • Works in a hybrid environment, with travel as needed • Must be able to obtain security clearance as required by government contractsCompany 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: $79,000 - $87,000 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.
Data & Analytics Clinical Product Manager
Cambia Health, Boise
Data & Analytics Outreach Product ManagerRemote within OR, WA, ID or UTJob Description:The Data & Analytics Outreach Product Manager brings extensive data & analytics execution and delivery experience using data platform technologies (e.g. database, storage, access, sharing, interfaces), analysis and measurement (e.g. analytics, data science, business intelligence, reporting) and product methodology (e.g. prospecting, discovery, value proposition, feature selection, user-centric design, cross-functional communication) in order to deliver business value to stakeholders in support of the product vision and company goals. The Data & Analytics Outreach Product Manager will collaborate with the Digital and Marketing teams to effectively utilize Data and Analytics products to identify key member populations, deploy impactful experiences to serve those members, and optimize value creation thru measurement and iteration of experiences.General Functions and Outcomes:• Responsible to drive the product delivery roadmap for data & analytics within the assigned data and business domains.• Responsible for stakeholder engagement and value delivery through Data & Analytics Products.• Responsible for communicating and documenting product requirements cross-functionally with stakeholders and technical teams including data governance, engineering, artificial intelligence, analytics, product, etc.• Partner across and collaborate with a high-performing, high-throughput, Data & Analytics Solutions team, our Business Systems Analysts, and our Business Partners.• Understand company business strategies, goals, and objectives; lead interactions with business partners that identify opportunities for the enterprise to effectively leverage data & analytics to drive measurable business results.• Utilize market knowledge to amplify data & analytics product development opportunities leveraging artificial intelligence, data engineering, data warehousing, and data visualization.• Align with business partners to balance business and technical objectives and manifest these in prioritization of Data & Analytics Product feature development.• Look across the enterprise data & analytics landscape to drive a coordinated offense of tactical execution & sequencing, maximizing outcomes.• Lead the distillation of business requirements into concise, detailed product requirements.• Manage complex product and technical decisions and work with program and engineering to drive development through agile methodology.• Build partnership and alignment with internal and third-party partners to define, refine, and develop product development, launch, and enhancement processes.• Measure and communicate the success of your data & analytics products. Analyze usage and drive improvements to the accuracy and effectiveness of overall platform capabilities.Minimum Requirements• Comfortable at influencing without authority. Capable of taking analytical insights and tying them to effective framing for drive high-quality decisions by our business partners.• Ability to build clear and concise presentations and communicate effectively at every level of the organization.• Experience with data instrumentation, data ingestion, data enrichment, and data syndication in a cloud-based ecosystem.• Experience with data analysis, business intelligence, and data visualization.• Experience eliciting and refining business hypothesis to validate thru data analysis.• Experience with measurement and statistical analysis of behavioral data.• Demonstrated specialization, execution, and delivery of the data & analytics product.• Demonstrated ability to facilitate cross-functional planning sessions (ie Scrum and Squad in agile).• Demonstrated ability to effectively partner across, collaborate with, and inspire teams and individuals, including remote employees.• Ability to negotiate and resolve complex and sensitive issues with diplomacy and persuasiveness.• Expertise using SQL for analysis, analytics, and transformation.• Experience in one or more RDBMS (Oracle, DB2, and SQL Server, etc).• Experience using and developing data for visualization tools (SIGMA, Power BI, Tableau, Open Source, etc.).• Understanding of Cloud Data Warehouses, especially Snowflake, master data management, system integrations, etc.Normally to be proficient in the competencies listed aboveData & Analytics Product Development Lead would have a Bachelor's degree in business, computer science, data science or related field. 10+ years of experience in data engineering, data analytics, and/or business intelligence. 5+ years of product management experience, or equivalent, within a data driven industry: Healthcare, insurance, banking, or related industry experience preferred.Work Environment• No unusual working conditions.• Work primarily performed in office environment.• Travel required, locally or out of state.• May be required to work outside normal hourThe expected hiring range for a Data & Analytics Outreach Product Manager is $132,600-$179,40 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15% . The current full salary range for this role is $124,000 - $203,000Base 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.
Account Manager, Immunology- Boise, ID
Galderma Laboratories, Boise
With a unique legacy in dermatology as well as decades of cutting-edge innovation, Galderma is the pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovative, science-based portfolio of premium flagship brands and services that spans the full spectrum of the fast-growing dermatology market through Injectable Aesthetics, Dermo-cosmetics, and Therapeutic Dermatology. Since our foundation in 1981, we have dedicated our focus and passion to the human body's largest organ - the skin - meeting individual consumer and patient needs with superior outcomes in partnership with healthcare professionals. Because we understand that the skin we're in shapes our lives, we are advancing dermatology for every skin story.We look for people who focus on getting results, embrace learning and bring a positive energy. They must combine initiative with a sense of teamwork and collaboration. Above all, they must be passionate about doing something meaningful for consumers, patients, and the healthcare professionals we serve every day. We aim to empower each employee and promote their personal growth while ensuring business needs are met now and into the future. Across our company, we embrace diversity and respect the dignity, privacy, and personal rights of every employee.At Galderma, we actively give our teams reasons to believe in our bold ambition to become the leading dermatology company in the world. With us, you have the ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact.Job Title: Account Manager, ImmunologyLocation: Boise, IDJob Description: The Immunology Account Manager is responsible for achieving/exceeding Galderma portfolio sales and executing strategic objectives across high-valued (large, organized) customers within assigned customer segments (including but not limited to Dermatologists, Pharmacy, Integrated Health Networks, and professional organizations). The Account Manager will effectively promote Galderma's prescription dermatology biologic and consumer product portfolio, as assigned, requiring advanced skills in clinical, operational, and financial commercial selling.Key ResponsibilitiesAccountable for acquiring and maintaining expertise in brand/segment strategy and tactics, providing expert product knowledge. Promote and generate demand for Rx products in a competitive market; including launching new products.Execute Galderma's integrated commercial selling strategies utilizing a deep understanding of contracting and access platforms, and proven ability to apply market and industry insight.Lead the development of cross-functional account plans that deliver penetration, retention, and growth of Galderma's portfolio for key accounts; analyze account/provider objectives to ensure alignment between market/patient access and field reimbursement functions to drive demand and deliver on business unit goals.Collaborate and coordinate with internal/external key stakeholders; proactively utilize business analytics and customer insights to anticipate customer needs and support solution development.Oversee relationships with Key Opinion Leaders (KOL) within the areaExecute customer engagement initiatives to strengthen strategic partnerships with customers.Serve as the liaison, primary point of contact, for assigned contacts in Galderma's commercial speaker bureau.Plan, organize, and execute field-based activities in accordance with all applicable company and regulatory standards.Other duties as assigned.Skills and QualificationsBachelor's degree in Business or a related field, required.Five (5) or more years of outside sales experience with variable commission potential, required.2+ years of Pharmaceutical Sales experience in Dermatological or Medical Sales required.Previous account management experience.Previous business to business sales experience.Prior experience as a Sales "generalist"; not limited to specific product or portfolio.Strong track record of consistent documented performance success.Strong business acumen including excellent communication: verbal, written, interpersonal skills, and persuasive skills.Demonstrated ability to learn and apply technical, industry and product-related information in a professional, consultative manner.High level of integrity, personal motivation, and sense of urgency.Ability to sell assertively and differentiate our products and offerings to increase utilization with target accounts and high value providers.Ability to collaborate with internal customers and functions such as market and patient access and field reimbursement. Ability to demonstrate a strong ownership of book of business.Driven, results oriented; performance driven vs. metric driven.Strong problem solving and decision-making skills.Disciplined self-starter, comfortable with autonomy.Ability to demonstrate strategic thinking with a long-term vision.Skilled at both relationship management and closing ability with customers; ability to flex techniques and style to various audiences.Learning agility and adaptability; ability to work in gray space and without structure.Resilient, persistent, and willing to take risks.Creative, innovative, resourceful, and solution oriented.Proficiency using complex sales data/call reporting software/applications.Superior selling, technical and relationship building skills.Proficient with MS Office in a Windows environment and familiar with sales reporting software.#AMRXSALES
Control Systems Manager
Veolia North America, Boise
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.Job DescriptionBENEFITSVeolia'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. Position Purpose: Functions as a Department Manager and a subject matter expert for controls systems support required for the operations of a surface water treatment plants, wells, wastewater treatment plants and remote facilities in the potable water distribution and wastewater collection systems. Under the direction of the Director of Operations Technology, this position will be responsible for the maintenance, troubleshooting, design, installation, and upgrade to support reliable operations of all plant and remote-facilities control systems.Primary Duties/Responsibilities:Broad knowledge and skills in all aspects of controls engineering, industrial instrumentation and control devices is required.Responsible for ensuring the Utility SCADA standards are maintained and the control systems are in compliance with Veolia, Industry, State, and Federal cyber security rules, guidelines, policies, and best practices for the Idaho Water System.Proactively evaluate, enhance, and develop preventative maintenance activities for instrumentation and control devices in the systems.Responsible for management of data acquisition originated from SCADA, or similar data source to ensure data quality and availability for the operation / business needs.Responsible for the administration, operation, maintenance, repair, and reporting from the eOps system.Execute preventative maintenance and corrective maintenance activities.Key member of the Veolia Idaho Smart SCADA upgrade project team.Responsible for the operation and maintenance of the control systems hardware/software, communication networks, and historical database systems.Responsible for maintaining control system on-call/emergency coverage. Some night and weekend emergency work is required.Troubleshoot systems; perform root cause analysis, identify resolution options, implement best alternatives.Oversee vendors for work performed on control systems and related devices, such as: RTU modules, VFD's, Chemical pumps, Flowmeters, WQ instrumentation, etc.Support operations, engineering, and corporate departments in defining control system requirements balancing cost, efficiency, and security.Travel - Must respond to remote locations to troubleshoot, repair, and improve control systems as required to maintain continuity of service for customers and regulatory compliance.Maintain and repair the control system communications, including plant fiber optic, routers, switches, firewalls, cellular modems, and serial radios.Develop operational procedures, reports, etc. Supporting operations and to ensure regulatory compliance and the requirements of both internal and external clients.Coordinate with the Utility M&S control system group with regards to SCADA standards, significant system changes, problem-solving assistance. Keep proper and timely updates and communication.Coordinate with Veolia's Corporate IT group with regards to Industrial Control System cyber security, network maintenance, and computer system maintenance.Other duties as assigned.QualificationsEducation/Experience/Background:B.S. degree in Engineering or related technical field or 5+ years' experience (as described below).3 to 5 years of management experience required.Demonstrated team development and management experience.5+ years in control system technology.Experience in water or wastewater treatment plants and system facilities. Preferable but not required.The position requires that the skill sets be current.Knowledge/Skills/Abilities:Knowledge of widely used control system packages such as Rockwell, GE Proficy, GeoSCADA or similar required.Hands-on experience in PLC/HMI system programming required.Familiar with basic electric AC/DC circuits, control wirings, function block programing, and ladder logic controls programming.Network and remote communications including radio, cellular, and TCP/IP networking a plus.Excellent interpersonal and problem-solving skills coupled with a strong technical background.Exercise discretion and independent judgment.Familiarity with Google Tools.Required Certification/Licenses/Training:ISA Certified Control System Technician III (CCST III) certification from the instrumentation Society for Measurement and Control required within one year after the minimum time frame established by the Society.Valid driver's license required.Physical Requirements:Must be able to walk on uneven terrain; climb ladders, hills and stairs; enter confined spaces to where SCADA equipment is located, moderate lifting up to 25 pounds; sit, stand and walk for long periods at a time.Must be able to speak, see clearly and hear. Must be able to smell gasses.Must be able to read and write. Ability to learn new water industry technology and teach.Be available to support operations whenever needed (occasional nights and weekends).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.
Manager Clinical Operational Excellence
Cambia Health, Boise
Manager Clinical Operational ExcellenceRemote in ID, OR, WA, UTPrimary Job PurposeResponsible for providing oversight and leadership for Cambia's Clinical Operational Excellence program to improve member health, operational excellence, and affordability. This position will provide: direct consultation on complex, cross-functional projects, oversight to the Clinical Operational Excellence team, and mentorship to health services managers/directors. The leader will develop the Clinical Operational Excellence program to help identify, prioritize, design, implement, and facilitate change management clinical operational excellence initiatives. General Functions and OutcomesHandles all management level responsibilities for staff, including performance reviews, employee development, hiring, firing, coaching, counseling, and retention.Assigns and prioritizes work, sets goals, and coordinates daily activities of the team. Provides regular updates and communication to staff through 1:1 and team meetings.Manages and provides oversight and leadership in the planning and implementation of process improvement initiatives. Accountable for the team's performance and results of cross functional process improvement projects. Directs and organizes overall effort to create new cross-functional capabilities.Provides leadership in developing, and implementing new processes that improve core operation, employer experience, consumer experience and/or project delivery.Seeks out information from customers and third-party stakeholders; uses it to establish prioritized operational solutions that drive ongoing enhancementsAdvises leadership and business executives about the improvement initiative portfolio status and resource planning for delivering strategic business initiatives.Consults directly at the executive level across the organization and executes process improvement initiatives on their behalf.Leads efforts to systematically collect, synthesize and report operational performance information, designs, implements and manages metrics and indicators to track performance to goals and objectives. Creates influential metrics, dashboards, and presentations that use information to influence senior leadership on business trends and strategies. Identifies, mitigates and manages operational risks and issues.Manages financial targets and department budget, authorizes expenditures, monitors workforce allocation and resources, and oversees project plans. In conjunction with division leadership, establishes and communicates long-term goals for the department and adapts operational plans as changes occur.Minimum RequirementsProven leadership competencies in recognizing process deficiencies, analyzing developing, implementing and measuring effectiveness of existing business processes, including process redesign and optimization with the ability to develop sustainable, repeatable and quantifiable improvement. Drives tangible and measurable improvements of key processes through the leadership, training, and mentoring of a team of change agents.Demonstrated ability in leading multiple, complex organizational transformation projects. Demonstrated adaptive leadership skill, leading teams through ambiguity and change in order to deliver complex strategic initiatives.Ability to develop and lead a team including: hiring, goal setting, coaching and development (including employees who may be in multiple locations or work remotely).Demonstrated analytical, influential and problem-solving skills, ability to analyze data and complex business situations, learn quickly and synthesize corresponding solutions, options and action plans.Familiarity with health insurance industry trends, operations and technology.Strong communication and facilitation skills with all levels of the organization, including the ability to resolve complex issues and build consensus among groups of diverse stakeholders.Normally to be proficient in the competencies listed aboveManager Clinical Operational Excellence would have a Bachelor's degree in Business, Engineering, Finance, or related field and ten years of experience in Healthcare process improvement, performance improvement business consulting, or general management with experience leading, developing and managing process improvement initiatives or a similar position or equivalent combination of education and experience. MBA is preferable but not required.Required Licenses, Certifications, Registration, Etc.Lean/Six Sigma Black Belt, Business Process Management (BPM/CBPP), or equivalent is required. Certifications in one or more of the following preferred: Change Management or Project/Program Management (PMP/PGMP)FTEs Supervised2-5Work EnvironmentWork primarily remoteTravel may be required, either local or out of state.May be required to work outside normal working hours.#LI-RemoteThe expected hiring range for a Manager Clinical Operational Excellence is $129,500 - $175,500 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $122,000 - $198,500. 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.
Senior Product Manager (Mobile Application)
Cambia Health, Boise
Senior Product Manager (Mobile Application)Remote in WA, OR, UT or IDPrimary Job PurposeAs a Senior Product Manager, Native Apps, you are responsible for all instances of owned and operated Regence apps beyond the web for iOS and Android. You and your engineering, design, and support partners will lay out a clear vision for Regence Native Apps, its relation to the core web product, and deliver said vision. You'll own the product suite end-to-end, starting from research all the way through to app store optimization and relationship management with hardware and OS manufacturers. You will have a broad latitude to do what it takes to make our native apps a product offering that's on par with the web counterpart, while leveraging the unique use-cases and benefits that native ecosystems offer. You'll report to our Director of Digital Product.The Product Manager job family roles are inherently cross-functional - and require close work and collaboration with counterparts in product development, data science and data engineering, user experience, operations, program, and strategy to ensure all teams are delivering high-quality products that solve real market needs.General Functions and OutcomesOwn the product roadmap, backlog, with an eye towards compatibility with the web product suite.Run projects from end-to-end with design and development teams.Operate day-to-day aspects of the app stores so the product is well represented, have great discovery and download funnel. Liaise support and monitoring workflows with appropriate internal teams.Build and maintain relationships with key technology partners in this space.Occasionally create mock-ups, UI elements, and work with developers in light-touch design needs.Communicate progress and updates succinctly with the executive team and the company at large.Collaborate with other product, marketing, and customer support teammates on various initiatives.Minimum RequirementsYou have a track record of owning a product suite with exposure to more than one million customers.You have expert understanding of native apps development cycle and ecosystem.You care deeply about the usability and design of mobile healthcare apps of all kinds. In your spare time, you contemplate how technology affects people in the always-connected lifestyle.You embrace a challenge, persist in the face of setbacks, understand give-take priorities, champion open disagree-and-commit dialogs, and are inspired by the success of others.You are technically savvy. While you don't have to write any code yourself, you're not shy about jumping into GitHub and working with engineers on various issues or juggling a hardware library.You have a track record for solving problems with real business impact and have owned the setting, building, and validating impact hypotheses. You are outcome-focused.You are self-directed, curious, and patient. You enjoy working independently without much supervision.You have exposure to and enjoy business development work, especially with regards to building relationships with technology partners in the native app space.You value a distributed and diverse work culture. Working side-by-side with co-workers from around the world is something you cherish.You value design excellence and craftsmanship over growth-for-growth's-sake.Strong analytical and strategic thinking and the ability to use data and research to inform decisions and inspire new avenues for exploration.Expertise in project management.Expert understanding of native apps ecosystem capabilities.Normally to be proficient in the competencies listed aboveThe Product Manager Senior would have a BA/BS in Business Administration or relevant field with 10+ years' experience in a product management position in healthcare, or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. Must have experience that aligns directly to the products being managedWork EnvironmentNo unusual working conditions.Work primarily performed in office environment.Travel required, locally or out of state.May be required to work outside normal hours.The expected hiring range for a Senior Product Manager is $145,400 - $196,700 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 20% . The current full salary range for this role is $136,000 - $223,000Base 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.
Case Management Manager - DSNP
PacificSource, Boise
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.Manage the daily operations, including oversight/supervision of the Care Management Team which may include the following: Health Services Representatives (HSR) Member Support Specialists (MSS) and Nurse Case Managers (NCM) and Behavioral Health Clinicians involved in care coordination and case management functions. Key participant in Health Services (HS) strategy, program development and implementation. Integrally involved in, and accountable for, the success of the PacificSource Care Management program development and performance internal measures as well as those established by regulatory entities.Essential Responsibilities:Work closely with the HS Director and other HS Managers to facilitate the development and implementation of new programs and processes to support ongoing success of department goals and initiatives, including but not limited to; ongoing activities related to physical and behavioral health integration and the development of a cohesive team approach to care management.Foster effective teamwork and performance. Manage change and encourage innovation. Build collaborative relationships, encourage involvement and initiative and develop goal orientation in others.Take a leadership role in initiation and implementation of departmental process/performance improvement activities Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Utilize visual boards and frequent huddles to monitor key performance indicators and identify improvement opportunities.Serve as back-up for the Director of Care Management and Utilization Management Manager, as needed.Work collaboratively with the UM Director and Manager Team to develop, implement, and oversee the utilization management process to include; coordination of prior authorization needs for members engaged with care management, as well as the inpatient concurrent review process to ensure medical appropriateness, care coordination needs, and discharge planning for PacificSource patients who have been hospitalized.Develop and oversee the care management process to ensure care coordination and case management needs of PacificSource's are being met and their outcomes are being improved.Ensures consistent workflow and a comprehensive database of patients enrolled in care management and care coordination programs that allows for tracking of case loads, case management program success or failure, and patient and population outcomes.Ensure nurse case managers are providing timely notification of large cases to finance, underwriting, stop loss and other company leaders, as necessary.Serve as key driver and participant to ensure PacificSource care management programs are coordinated with the case management and care coordination functions of our provider and community partners.Responsible for oversight, management, development, implementation, and communication of HS case management and care coordination programs that coordinate and augment community partner programs.Oversee and monitor processes to ensure the protection of personal health information.Facilitate the provision of exceptional customer service to members, providers, employers, agents, and other external and internal customers. Ensure that the delivery of services meet acceptable standards and company and customer expectations.Monitor, evaluate, and report performance relating to volumes, quality, outcomes, accuracy, customer service, and other performance objectives.Serve as a liaison with all PacificSource departments to coordinate optimal provision of service and information.Serve as a resource and participate in development of policies, procedures, and operations.Collaborate and coordinate Health Services department staff between regional offices. At regional offices, represent Health Services by serving on management teams and support marketing and development initiatives towards achievement of PacificSource Health Plans goals specific to the region.Attend continuing education opportunities relevant to case management and care coordination to ensure that PacificSource care management programs maintain current best practices and implement innovative models of care.Maintain frequent and consistent department meetings and one-on-one meetings with individual contributors.Establish and monitor progress towards goals for care management programs, including case loads, outcomes, case timeliness, quality of interventions, training and physician outreach efforts.Encourage and support team members in their pursuit of case management and care coordination certifications.Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback to direct reports, including regular one-on-ones and performance evaluations.Develop annual department budgets. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed.Coordinate business activities by maintaining collaborative partnerships with key departments.Actively participate as a key team member in Manager/Supervisor meetings and HS Management meetings.Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.Ensures ongoing monitoring and adherence to applicable state and federal regulatory and associated compliance requirements.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: 5 years clinical experience required. A minimum of 3 years direct health plan experience in case management, utilization management, or disease management, or equivalent preferred. Prior supervisory or management experience required.Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker or other licensed healthcare or behavioral health care clinician, Oregon licensure required. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire.Knowledge: Thorough knowledge and understanding of medical and behavioral health procedures, diagnoses, and treatment modalities, procedure codes, including ICD-9 & 10, DSM-IV & V, CPT codes, health insurance and State of Oregon mandated benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Strong knowledge of health insurance; including managed care products as well as state mandated benefits. Ability to develop, review and evaluate utilization and care management reports. Experience in adult education preferred. Proficient in the use and implementation of the following tools and concepts across all teams within scope and accountability: Training, Coaching, Strategy Deployment, Daily Operations, Visual Management, Operational Improvement & Team Building/Development.Competencies:Building TrustBuilding a Successful TeamAligning Performance for SuccessBuilding PartnershipsCustomer FocusContinuous ImprovementDecision MakingFacilitating ChangeLeveraging DiversityDriving for ResultsEnvironment: Work inside in a general office setting with ergonomically configured equipment, as needed. Travel is required approximately 20% of the time.Skills:Accountable leadership, Collaboration, Communication, Data-driven & Analytical, Delegation, Listening (active), Situational Leadership, Strategic ThinkingOur 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.
Clinical Services Manager - Boise - (Field Based)
Insulet, Boise
Insulet started in 2000 with an idea and a mission to enable our customers to enjoy simplicity, freedom and healthier lives through the use of our Omnipod product platform. In the last two decades we have improved the lives of hundreds of thousands of patients by using innovative technology that is wearable, waterproof, and lifestyle accommodating.We are looking for highly motivated, performance driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it!Job Title: Clinical Services ManagerDepartment: Field SalesFLSA Status: ExemptPosition Overview: The Clinical Services Manager (CSM) will work in conjunction with the Territory Manager, Customer Care team and Managed Care team to meet the commercial and clinical needs in their territory for the purpose of increasing referrals and sustaining patients on product.Responsibilities: Promotes the benefits of insulin pump therapy and sells OmniPod Insulin Management System to providers and patients in group and/or individual sessions or as a continuing education offering.Works in conjunction with Sales, Customer Care and Managed Care to achieve sales goals.Assists with sales events such as pump clinics, pump support groups, info sessions, in-the-office educational events, patient info nights, JDRF walks, vendor days, etc.Supports Top Twenty Accounts and existing accounts and record calls in Salesforce.Evaluates and recommends Certified Pod Trainers (CPTs) and Super CPTs who wish to become consultant CPTs for Insulet Corporation.Assigns patient trainings to CPTs or conducts patient training based on business needs of territory, overall costs of training and timeliness of training.Assists with providing regular product demos to patients and HCPs.Oversees CPTs by seeing them face-to-face and by providing timely product updates and by being a clinical resource.Assists with product training for Sales and Clinical hires.Provides Field Feedback to Manager on field-based training of customers and HCPs.Ability to perform administrative duties and turn in on a timely basis.Perform other duties as assigned.Education and Experience:Minimum Requirements:Bachelor's degree and a minimum of 2 years' experience training and/or managing pump patients.Professional up to date credentials and/or certifications are mandatory: i.e. Certified Diabetes Educator (CDCES), Registered Dietitian (RD), or Registered Nurse (RN)State licensure is mandatory as required.Preferred Skills and Competencies:Certified Diabetes Educator (CDCES) is strongly preferred. Prior industry/commercial experience strongly preferred.Professional and polished presentation skills.Strong interpersonal communications, both oral and written.Self-started who needs minimal direction; extremely flexible, with good business acumen.Strong contributing member of the commercial team.Credibility and contacts within the diabetes community.Proficiency with computers. Physical Requirements:Valid driver's license required. Must reside within the geographic area of the assigned area. This position requires regular business travel mostly by car within a set geographic region. Overnight travel and amount of air travel varies by territory, typically 2 - 5 overnights per month.The work environment will be the HCPs offices, clinics, home office and car. Some lifting (up to 30 pounds) may be required when sending or receiving shipments, in handling samples, supplies or literature, and transport of laptop computer.The base pay range for this position is $75,000 - $90,000 annually plus uncapped incentive compensation (based on the achievement of goals). Base pay will vary based on job-related knowledge, skills, and experience. Insulet offers a comprehensive benefits package, generous paid time-off, and career growth opportunities.NOTE: This position requires field-based working arrangements (travel within assigned territory required). #LI-Remote At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.( Know Your Rights )
Manager, Product Management
Cambia Health, Boise
MANAGER, PRODUCT MANAGEMENT(HEALTHCARE)Telecommute thru Onsite Options - Must reside in ID, OR, UT or WAWHO WE NEEDThe Manager of Product Management is responsible for all phases of product development and management from idealization and assessment, through strategy execution, and ongoing monitoring of implementation tactics and results. Accountable for the timely completion of product analyses, business case development, development of formal product marketing plans, senior level presentations, implementation of product changes and new products, and overseeing go-to-market and launch activities. Normally to be proficient in the competencies listed above:The Manager Product Management would have:Bachelor's degree in Business Administration or related field8 years of experience in product management2 years of leadership experience or equivalent combination of education and experienceMaster's degree is preferredFTEs Supervised2-6YOUR ROLE:Oversees development, refinement, and approval of new product concepts.Leads new product design and launch.Coordinates operational, network, process, and systems changes needed to support new/changing products.Partners with go-to-market and sales stakeholders to develop internal and external product/product training and communications.Manages product life cycle through obsolescence.WHAT YOU BRING:Demonstrated broad knowledge of technical product development, management principles, strategic and operational planning, project implementation and performance monitoring.Demonstrated project management skills including effective planning, organizing, and administration of multi-functional work responsibilities.Demonstrated ability to communicate effectively both orally and in writing, including formal presentations and the facilitation of group planning sessions. Demonstrated ability to synthesize findings, prepare reports, create executive level documents and recommend solutions.Excellent interpersonal and leadership skills with demonstrated ability to lead teams and build effective working relationships with individuals and groups at all levels and across the company.Proven leadership skills and abilities including ability to plan, organize and lead the work of others with minimal supervision, while developing department goals and objectives consistent with corporate vision and strategiesThe expected hiring range for this position is $120k - $162k depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $112k Low Range/141k MRP/ $184k High Range.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.
Systems Engineering Manager, US Healthcare West
Palo Alto Networks, Boise
Company DescriptionOur MissionAt Palo Alto Networks® everything starts and ends with our mission:Being the cybersecurity partner of choice, protecting our digital way of life.Our vision is a world where each day is safer and more secure than the one before. We are a company built on the foundation of challenging and disrupting the way things are done, and we're looking for innovators who are as committed to shaping the future of cybersecurity as we are.Our Approach to WorkWe lead with flexibility and choice in all of our people programs. We have disrupted the traditional view that all employees have the same needs and wants. We offer personalization and offer our employees the opportunity to choose what works best for them as often as possible - from your wellbeing support to your growth and development, and beyond!Job DescriptionYour CareerAs a Systems Engineer Manager, you are the technical leader for your District's Systems Engineering team. You will work closely with the District Sales Manager and, along with your team, build relationships with your customers with the goal of helping them detect and prevent advanced cyberattacks and breaches. Our customers need guidance on what platforms to deploy. Your guidance, expertise, and mentorship of your team of SEs will keep them ahead of the latest cyberthreats and relevant to our customers' business outcomes. Your role will specifically be focused on leading a team that serves US healthcare providers throughout the territory. You and your team will lead with patient outcomes and patient safety as their ultimate priority.We are looking for a leader to develop our sales teams, providing training and technical support as a product expert. Additionally, you will provide feedback to the product management team on product improvements based on your customer base. Your team, in partnership with sales account managers, will displace competitive technologies, build market share within your enterprise accounts, and most importantly, help your client sleep at night as they secure their digital footprint.Your ImpactRecruit and hire new systems engineers into the district, hiring the best talent in the industryResponsible to train, mentor, and coach systems engineers, keeping them engaged and successful in their careers Support your systems engineer team in complex evaluations, problem-solving and challenging customer environmentsDevelop relationships with channel partners and their technical teams, to ensure they can support our customer installationsProvide technical leadership in customer interactions, including sharing security trends, strategies, and insight to be an active part of the selling processAct as a senior systems engineer on occasion, to enhance coverage, or on strategic opportunitiesAct as an escalation point for pre-sales and post-sales technical issues that arise Build and maintain relationships with key customer executives to augment account teams with defining plans to drive more businessTo be our "Field CTO" for strategic customers' leadershipLead conversations about industry trends and changes to the security landscape Discuss competitive products in the marketplace and positions ours as the best alternativeDeliver confidential product roadmaps Coach account teams on crisp and effective 'proof of concept' testing in strategic opportunitiesMaintain a general understanding of competitor selling strategies50% travel within the regionQualificationsYour Experience2+ years experience as a pre-sales System Engineer ManagerExperience as a Senior System Engineer or Consulting EngineeringExperience serving healthcare providers and a familiarity with healthcare-specific technologiesIndustry knowledge of security product market trends and directional awareness of our roadmap and technology development efforts, knowledge of competitor offerings and products Knowledge of how to deliver comprehensive security solutions to Palo Alto Networks customer baseStrong communication (written and verbal) and presentation skillsQuota driven attitude focused on client's best solution by being a trusted advisorAdditional InformationThe TeamAs part of our Systems Engineering team, you'll support the sales team with technical expertise and guidance when establishing trust with key health systems. You won't find someone at Palo Alto Networks that isn't committed to your success - with everyone pitching in to assist when it comes to solutions selling, learning, and development. As a member of our systems engineering team, you are motivated by a solutions-focused sales environment and find fulfillment in working with clients to resolve complex cyberthreats.Our CommitmentWe're trailblazers that dream big, take risks, and challenge cybersecurity's status quo. It's simple: we can't accomplish our mission without diverse teams innovating, together.We are committed to providing reasonable accommodations for all qualified individuals with a disability. If you require assistance or accommodation due to a disability or special need, please contact us at [email protected] Alto Networks is an equal opportunity employer. We celebrate diversity in our workplace, and all qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or other legally protected characteristics.All your information will be kept confidential according to EEO guidelines.The compensation offered for this position will depend on qualifications, experience, and work location. For candidates who receive an offer at the posted level, the starting base salary (for non-sales roles) or base salary + commission target (for sales/com-missioned roles) is expected to be between $218,600/yr to $300,650/yr. The offered compensation may also include restricted stock units and a bonus. A description of our employee benefits may be found here.Is role eligible for Immigration Sponsorship?: No. Please note that we will not sponsor applicants for work visas for this position.