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Delivery Director Salary in Boise, ID

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Vice President Clinical Service - Utilization Management & Appeals
Cambia Health, Boise
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.
Director, Career Kickstart Professional Learning
TheCollegeBoard, Boise
About College BoardCollege Board is a mission-driven not-for-profit organization that connects students to college success and opportunity. Founded in 1900, College Board was created to expand access to higher education. Today, the membership association is made up of over 6,000 of the world's leading educational institutions and is dedicated to promoting excellence and equity in education. Each year, College Board helps more thanseven million studentsprepare for a successful transition to college through programs and services in college readiness and college success-including the SAT®, the Advanced Placement® Program, and BigFuture®. The organization also serves the education community through research and advocacy on behalf of students, educators, and schools.About Career KickstartCareer Kickstart (CK) expands the successful AP model to the career and technical education (CTE) space, by offering schools a new set of career-oriented high school courses that provide students with relevant, high-quality instruction and experiences that lead to industry-recognized credentials and college credit, and ultimately, power students' progress to in-demand jobs in high-growth sectors and choice-filled lives. We are in the nascent stages of building this program and have a start-up culture.About the OpportunityUnlocking opportunities for a wider range of students, especially in CTE, requires attentiveness to not only what is taught, but also how it is taught. To ensure students are successful in in-demand jobs and, ultimately, have choice-filled lives, we must prepare them with technical knowledge and the ability to apply their knowledge to solve problems in a work-based setting.As the Director of Career Kickstart Professional Learning, you will be a catalyst for change in expanding opportunities for students through teacher practice. In close collaboration with the Director of Career Kickstart Instruction and Training, you will play a critical role in developing and delivering Career Kickstart's pedagogical model and vision, the strategy to ensure all teachers are equipped to deliver CK courses in alignment to this vision, and building the suite of instructional resources for teachers and students to ensure every CK student leaves with the technical knowledge, professional skills, and applied learning experiences that give them the confidence and skills to be successful in an internship or apprenticeship in the pathway.Career Kickstart is a start-up within a large organization, College Board. You will be a part of the three-person Instruction Team within CK, a part of the larger CK team (approximately 15 people) and have the resources of the broader AP team to support you in your execution. In this role and in close collaboration with the Director of Career Kickstart Instruction and Training you will:Teacher Professional Learning (PL) - 35%Develop and execute a teacher PL program, inclusive of a week-long CK summer institute (CKSI) and through-year PL experiences, that ensure CK teachers (~1000 new teachers annually) are prepared to and supported in teaching CK pathway courses in alignment with CK's pedagogical model and vision. You will start by developing this for our first pathway: cybersecurity.Collaborate with CK's Market Adoption team to align teacher PL with state certification requirements to provide pathways for teachers to earn their CTE certification/credentialLead the creation and delivery of content in CK PL experiences (inclusive of asynchronous/synchronous and in-person/virtual opportunities)Facilitator Professional Learning (Train the Trainer) - 35%Recruit and onboard talent to facilitate high-quality CKSIs across the countryDevelop and execute an application process and retention strategy for CK PL facilitatorsDesign and develop a facilitator PL program to equip CK facilitators with the skills to successfully impact teacher practice in CK's PL offeringsInstructional Resource Development - 20%Collaborate with course leads to build and publish a suite lesson plans and other instructional resources that reflect CK's pedagogical vision and current discipline-specific best practicesConduct in-depth reviews of content developed by external creators to ensure alignment with CK's pedagogical model and visionEnsure coherence between the CK lesson plan suite and other instructional resources (including external curriculum provider offerings), teacher PL, and facilitator PL.Alignment and Cycles of Improvement - 10%Collaborate with course leads to ensure the content of course-specific teacher PL and facilitator PL is aligned with the corresponding course frameworks and industry/disciplinary practiceMaintain a deep understanding of the CTE landscape and best pedagogical practices and translate knowledge into Career Kickstart's program strategy and improvements related to teacher PL and instructional supportsEnsure all products are as fair, bias-free, and in alignment with CK/AP standards as possibleApply regular cycles of feedback from key stakeholders (e.g. teachers, schools/districts, students, etc.) to update and improve PL experiences for teachers, facilitator PL, and curricular resources (e.g. lesson plans, formative assessments, etc.)Support cross-functional teams and workstreams to ensure product/program delivers exceptional user experience to students, educators, and schoolsAbout YouYou have:A passion for and commitment to expanding educational opportunities for a diverse audience of students and teachers7+ years of relevant experience in CTE education, pedagogy, or teacher professional learning (including training the trainer)Demonstrated leadership or recognition in applying best pedagogical practices and an ability to translate knowledge into high-quality learning experiences for both teachers and studentsDemonstrated ability to design and implement high-quality teacher professional learningExperience with instructional coaching, instructional design, and content developmentProven ability to manage and/or launch new projectsHigh degree of personal ownership and accountability to consistently deliver results in a fast-paced and high-profile environmentComfort with ambiguity and entrepreneurial mindset and an ability to adapt and problem-solve when presented with new information, situations, or challengesNatural curiosity and a commitment to continuous learning and improvementStrong organizational and time management skills with a process-oriented mindsetStrong ability to make data-driven decisions to inform product strategy, development, and improvement cyclesExcellent interpersonal, collaborative, and communication skills; demonstrated ability to establish positive working relationships at all levels of the organizationExceptional communication skills that allow you to be clear, compelling, and persuasive across formats and audiencesThorough understanding of the CTE landscape and experience with career-focused education offerings (e.g., coursework, credentials) that are successfully adopted in K-12, including development processes, state/district needs, emerging technologies, go-to-market strategies, partnership integrations, etc. is preferredAbility to travel up to 10-12 times a yearYou are eligible to work in the US for any employerAbout Our CultureWe 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 team member can thrive, and systems and meeting structures where every voice is heardWe value learning and growth; we offer formal and informal ways to lead through your superpowers, sharpen your strengths, and meet your development goalsRequirementsThis is a remote role, but residence in New York (where our central office is located) or one of our focus states - CO, TN, CA, TX or NC - is preferred.If you live in NYC, staff are asked to come into the office Tuesdays and WednesdaysWe are asking for all applications by April 15.Proficiency in Microsoft Word, Excel, and PowerPoint required.Background in K-12 education and/or Career and Technical Education is preferred, but not required.About Our ProcessApplication review will begin immediately and will continue until the position is filled.While the hiring process may vary, it generally includes: resume and application submission, recruiter phone screen, hiring manager interview, performance exercise and/or panel interview, and reference checks. This is an approximately 8-week process.About 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 $80,000 to $135,000. 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 processEEOC statementCollege Board is proud to be an equal opportunity employer. We're committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status.#LI-REMOTE#LI-GG1
Vice President, Customer Engagement
TheCollegeBoard, Boise
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
Director, Institutional Assessment Management
TheCollegeBoard, Boise
College Board - College Readiness Assessments / Institutional Assessment Management100% Remote (anticipated travel of 2-3 times/month)About the TeamThe College Readiness Assessments (CRA) division, comprised of approximately 40 mission-driven individuals, annually delivers the SAT Suite of Assessments (SAT, PSAT/NMSQT, PSAT10, and PSAT 8/9). The SAT Suite connects students to a wide range of post-high school opportunities, including scholarships, career, and college. We are committed to working with states, districts, schools, and community organizations to bring the opportunities that the SAT Suite provides to all students. As of Spring 2024, our assessments are now fully digital.Within CRA, the Institutional Assessment Management team is focused on day-to-day programmatic ownership of our in-school model that offers the full SAT Suite to students during the school day. Through deep understanding of the market dynamics of our States, Districts, and Schools, our seven-person team drives the use of the SAT Suite as a large-scale assessment at the state and district level. About the OpportunityAs Director, Institutional Assessment Management, you will play a critical role in the continued evolution of the digital SAT Suite. You will manage the day-to-day institutional purchasing policies and processes, business proposal development, and product functionality to support the use of the SAT Suite as a large-scale assessment at the state and district level. You are self-motivated and will use your proven ability to execute and move projects forward as you develop, influence, and implement strategies to secure new business and retain current customers. You will work closely with other College Board divisions like State and District Partnerships, Operations, Technology, Communications, Assessment Design and Development, Psychometrics, Research, and Legal.In this role, you will:Client Engagement and Business Development (65%)Build and maintain deep relationships with the largest state/district customers of the SAT SuiteSupport implementation of institutional purchasing models, policies, and processesSupport and implement a plan to ensure K-12 stakeholders are provided with information, communications, resources, and training to support their use of the SAT Suite of Assessments in collaboration with other teamsSupport and craft business proposals for competitive RFPs and RFIsInternal Collaboration and Product Development (35%)Develop and demonstrate a deep, thorough knowledge of College Board's SAT Suite of Assessments including program features, policies, platforms, systems, and dataProvide market intelligence to support general product development, roadmap prioritization, and administration policiesOrganize and facilitate cross-divisional meetings with key stakeholders to prioritize and manage the delivery of psychometric and assessment design related resources and reportsMaintain a deep level of knowledge related to education policy at the federal and state levels, with an emphasis on assessment, accountability, privacy, and fundingAbout YouYou have:7+ years of relevant and progressive experience in education or a related fieldDirect experience in strategic client engagement, product management, consultative sales and/or federal/state accountability ideally focused on products within the K-12 education spaceDeep knowledge of assessments; experience with College Board SAT Suite preferredDemonstrated experience collaborating in a cross-functional environment, managing expectations with internal and external stakeholdersPassion for education and deep commitment to the College Board's mission of promoting educational equity, access, and excellence for all studentsDemonstrated ability to build deep and meaningful relationships that influence others to action Strong organization and prioritization skills and the proven ability to move forward multiple time-sensitive projects in concert, both independently and as a member of the teamAdept problem-solving skills, including using data to inform decisions and actionsAbility to travel 2-3 times a month to external client sites and College Board officesBachelor's degree requiredAuthorization to work in the United StatesAbout 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/video screen, hiring manager interview, performance exercise and/or panel interview, and reference checks. This is an approximately 8-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 $76,000 to $125,000. 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 these 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 year.We prioritize building a diverse and inclusive team where every employee can thrive, and every voice is heard.We 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 goals.We 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 organizations.We offer a transparent approach to promotions and merit raises, annual performance-based bonuses, and how to grow your career here over time.#LI-MS1#LI-REMOTE
HRIS Delivery Analyst
Amalgamated Sugar Company, Boise
HRIS Delivery Analyst Amalgamated Sugar Company - Boise, IDJoin Amalgamated Sugar Company's Human Resources, as the HRIS Delivery Analyst you will collaborate with Human Resources, IT, Payroll, and business leaders in the vital role of managing and optimizing the human resources information systems. This position will report to the Director of Human Resources. Amalgamated Sugar Company is a grower-owned sugar beet cooperative supporting shareholders that farm 180,000 acres of sugar beets in Southern Idaho, Eastern Oregon, and Southeastern Washington. The Amalgamated Sugar Company is built on innovation and is a proud leader in the sugar industry and that can only happen with the best people. Qualified candidates need to be dynamic and able to work successfully in a fast-paced, fluid environment.ResponsibilitiesIn collaboration / partnership with internal stakeholders, analyzes business processes and the capabilities of the HRIS system or other technology platforms to recommend and implement process changes that improve efficiency and the user experience with the system.Enter or update the configuration of business processes on the platform in collaboration with HR Management such as changing the approval process, updating reporting structure, security administration, etc.Acts as main point of contact between HR / Payroll and HRIS technical team to ensure that existing HR / Payroll process are well supported and change applications are appropriately executed.Configure workflows to build out functionality not yet being utilized in support of streamlining processes and assisting with transitioning paper processes into electronic processes.Efficiently and effectively coordinates, monitors & audits information entered HRIS system.Responsible for the maintenance of the HRIS including assessing and testing new features, understanding product updates, supporting software integrations in collaboration with IT, and performing quality audits to ensure the integrity of data feeds.Participate in or coordinate efforts for testing of systems before and after implementation / upgrades.Regularly review and troubleshoot processes and HR data and identify opportunities for further improvement.Troubleshoot HRIS issues, determining root cause and resolution.Provide HRIS training and customer service support to end-users.Create complex custom reports, managerial dashboards, and executive scorecards.Provide friendly, fast, and helpful guest service to all guests and team members.Continually increase HRIS knowledge through participation in user groups, webcasts, trainings, etc. to ensure best practices and to keep up on current trends.Perform other job-related and compatible duties as assigned.QualificationsBachelor's degree in human resources, business, or finance or the equivalent combination of education, training, and experience that provides the required knowledge, skills, and abilities.3+ years of professional experience working with an HRIS.HR/Payroll background.Background in, and strong understanding of Human Resource Information Systems.Must have advanced technical proficiency in Microsoft Office applications, specifically Excel, PowerPoint, and Word.Good oral and written communication skills; must be fluent and literate in English.PreferredExperience with UKG, ADP, Kronos, JDE or like system. Previous experience in Human Resources.Skills and KnowledgeEssentialExceptional analytical and problem-solving skills, and experience applying these skills to create presentations, reports, and/or resolve issues.Strong project management skills and ability to successfully manage multiple competing priorities and projects.Ability to operate independently.Ability to communicate and collaborate with vendors, team members, and visitors.Ability to foster beneficial relationships with key stakeholders.A true team-first mentality, ability to jump from tactical to strategic mindset.Attention to detail and ability to deliver results in a fast-paced and dynamic environment.Ability to create office forms, documents, and written reports.Working knowledge of database applications.Working knowledge of Microsoft Word, Excel, and PowerPoint.Ability to maintain confidentiality.DesiredBilingualSupervisor / Managerial AccountabilityDirect Reports: NoneIndirect Reports: None
Vice President / General Manager - Municipal Water (Regulated) - Idaho
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.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.
Lead Cost Specialist
Quanta Infrastructure Solutions Group, Boise
The Lead Project Controls Specialist will be responsible for assisting the Project Managers, Operations Directors, and other project team members with all facets of project cost and schedule execution. Key to this role will be the ability to effectively liaise between Project Management, Project Controls, and Project Accounting regarding both Cost Analysis and Planning/Scheduling functions to ensure appropriate information sharing and risk/performance management. The Lead Project Controls Specialist will be responsible for effectively capturing, tracking, and measuring a broad range of project scheduling, progress, manpower, productivity data, budget, and cost information to satisfy QISG monthly close, and client reporting requirements. This position will be expected to guide and transfer knowledge to junior project controls individuals as needed. Work assignments may include multiple concurrent projects. While not otherwise involved in project-specific work, the Lead Project Controls Specialist will support other project and proposal efforts.The Lead Project Controls Specialist understands both Cost Analysis and Planning/ Scheduling functions and will assume the project controls, cost controls and scheduling responsibilities below.Job DutiesDevelop or modify Project Controls Execution Plan (PCEP), either in a standalone plan or part of the overall Project Execution Plan (PEP)Assist with staff development in project controls processes and proceduresAdheres to internal standards, policies, and proceduresSupports internal and external auditsResponsible for ad hoc requests and inquiries, as requiredEstablish, maintain, and update cost control budgets, actuals, and forecasts within QISG cost control system via Cost Breakdown Structure (CBS)Prepares, manages, and updates project budgets, budget transfers, through the Prime and Subcontract change management process (including change logs)Supporting project change processes by helping to create, review and track project deviation notices and variationsManage impact of changes & trends with discipline leads and project managementActively manage cost forecast; raise and facilitate the trend process; updates to forecast and cost flowManage Internal Operating Unit (OpU) and 3rd part subcontractor budgets, commitments, actuals and forecastingManage material and equipment vendor budgets, commitments, actuals and forecast, including tracking cancellation clausesDeveloping, reviewing and validating data with discipline leads for cost reporting data, incurred cost, earned value and forecastCommunicate with project team, receiving regular status and forecast updatesQuality Control (QC) and analysis of project controls deliverables including Estimate at Completion (EAC) changesDevelop and maintain professional services staffing plansCalculate, explain, and report variances, performance, and other project metrics, including Cost Performance Index (CPI), Schedule Performance Index (SPI), Manpower, Progress and ProductivityCalculate and explain value of work done and accruals for all aspects of project costPerforms change and risk management responsibilities; identifies, documents, and assists with developing mitigation plansCalculate and forecast project cost risk values and assess against remaining contingencies and allowancesAssists in the preparation of Prime Contract progress payment applicationsReview, code, and enter vendor and subcontract invoices, lien waivers, logs, against contract terms, into QISG accounting systemAssimilate project data for monthly or other frequency customer and internal reports; create reporting graphics and tables using Power BI or other graphical softwareInterface with finance and accounting for understanding and forecasting all revenue and project cost expenditure, revenue recognition, customer invoicing, cash flow and cash callsAbility to be solely responsible for all cost analyst duties on a project or portfolio of projects Create, update and analyze project engineering, procurement and construction schedules and reportsFacilitate and guide interactive planning sessions, where key project stakeholders plan and discuss the major project tasks, interaction with other tasks, and the duration and timing of such tasks utilizing Primavera P6 via a Work Breakdown Structure (WBS)Review each schedule activity with project stakeholders to confirm logic and duration, including manpower, material delivery and equipment requirementsResource load discreet schedule activities, based on estimated hours. Ensure overall discipline task durations are workable and achievable given resource constraintsDevelop and maintain detailed procurement vendor logic schedulesIncorporate customer activities, milestones etc.Develop and issue the project baseline schedule, analysis and basis of schedule documentInteract with engineering, procurement, construction, customers and project stakeholders for obtaining actual progress. Update project schedule, usually weeklyInterconnect Primavera P6 schedule activities with EcoSys and progress deliverables in EcoSysAnalyze schedule updates, review critical path, review schedule performance indicators, review schedule variances from last update and baseline. Recommend corrective actions when necessaryIncorporate approved project schedule changes into project master scheduleAccountable for accurate and timely schedule reports, including variance analysis, critical path, schedule adherence summary and detail schedulesUpdate, monitor, trend and forecast installed or to-be-installed quantitiesActively participate in project review meetings, providing clear and accurate schedule assessment. Provide proactive advice to drive successful project completionAbility to work schedule and organize multiple projects within a portfolio or programResponsible for all planning and scheduling duties on a project, portfolio of project or programCreate and maintain alternate schedule data or information reporting, using Power BI or other graphical reporting methodPerform schedule what if scenarios and analysisEvaluate schedule health using Acumen FuseDevelop the basis and perform schedule risk analysisRequired Experience and EducationBachelor's degree in Construction Management, Engineering, Business or related field; or extensive Project Controls and industry experience, may be substituted15+ years of project controls experience with multi-year design and construction projects, specifically in the EPC spaceThorough knowledge and proficiency of Primavera P6Strong knowledge of Microsoft Office SuiteJDE and EcoSys experience is a plusDocument control (Procore a plus) and contract administration and management preferredSkillsMaintain a safe office working environmentStrong knowledge of, and the interrelationship of, a thorough technical project scope definition, quality of the schedule and estimate, construction sequence and execution, procurement and contracting strategies through substantial completionThorough understanding of project controls activities related to cost control, planning/scheduling, progress / manpower / productivity, change management, risk management, contingency management and reportingProven team player with the ability to work effectively in cross-function teams and to develop and maintain collaborative working relationshipsExcellent interpersonal and communication skills (both written and verbal) with the ability to communicate effectively and professionally to all levels of the organization Strong organizational and time management abilities; capable of managing multiple projects and priorities simultaneously Innovative individual with pro-active, analytical approach to problem identification and resolutionTravel RequirementsTravel: YesPercent of Time: Up to 25%
Director Member and Provider Appeals
Cambia Health, Boise
Director Member and Provider AppealsRemote in Washington, Oregon, Utah or IdahoPrimary Job PurposeProvides leadership for operational areas within Clinical Services including functions such as Medical Management (Prior Authorization and IP Concurrent Review), Member and Provider Appeals, Vendor Management, and Project Implementation. Participates on the Clinical Services Leadership Team and helps drive effective systems and processes, operational reporting, regulatory compliance, and business and clinical results.General Functions and OutcomesProvides leadership in developing, implementing, and communicating short and long-range plans, goals, and objectives. Aligns team goals with the organization's vision and strategy, federal and state law and regulations, accreditation standards, and client requirements.Develops and implements systems, policies and procedures for areas managed. Analyzes work flows to optimize business process and compliance, identifies system business requirements and continuously improves processes and outcomes.Manages the organization by ensuring clear performance expectations along with appropriate skills sets. Fosters an effective work environment and ensures employees receive recognition, feedback and development. Participates in organizational talent management and succession planning.Determines appropriate staffing levels and resource needs, creates and manages department and/or project budget, allocates resources, and approves expenditures. Manages quality and successful outcomes of functions or projects.Makes recommendations as to the use and selection of external vendors. Provides leadership and operational oversight to vendors, ensuring quality, cost and efficiency goals are attained.Partners with leaders across Health Care Services, multiple lines of business, and other functional areas of the organization to develop, lead and oversee clinical operations and related programs. Ensures compliance with and participates in legislative initiatives and mandates including but not limited to federal, HIPAA, state mandates and URAC.Oversees the production and delivery of high-impact, timely reports that support clinical services and demonstrate the value of clinical programs and services.Advocates for effective and efficient technology solutions for clinical services staff and for clinical programs. Provides leadership to develop new process and system capabilities. Minimum RequirementsKnowledge of health insurance industry trends and technology including familiarity with clinical program management and related functional and operational areas. Demonstrated ability to develop and lead high performing teams, manage managers, and direct vendors.Strong communication and facilitation skills with all levels of the organization, including the ability to resolve issues and build consensus among groups of diverse stakeholders.General business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making.Proficiency with healthcare data, technology, and data reporting systems.Demonstrated ability to create and execute operationally efficient and cost-effective programs and drive results across internal teams and/or external vendors.Extensive knowledge of CMS and state regulatory requirements and demonstrated ability to manage compliant operations. NCQA, URAC and/or HEDIS accreditation experience strongly preferred.Familiarity with clinical terminology and data. Direct clinical background or licensure preferred. Normally to be proficient in the competencies listed aboveDirector Member and Provider Appeals would have a Bachelor's degree in healthcare, business or related field, ten years of experience in a health insurance environment (to include utilization management, clinical intake/customer service, health information management, and/or quality improvement) and five years leadership experience or equivalent combination of education and experience.Work EnvironmentWork primarily performed in remote setting.Travel may be required - locally or out of state.May be required to work outside of normal hours.#LI-RemoteThe expected hiring range for a Director Member and Provider Appeals is $159,800 - $216,200 depending on location, skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 25%. The current full salary range for this role is $150,000 - $245,000. 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.
Associate Medical Director or Medical Director
Cambia Health, Boise
Associate Medical Director or Medical Director (dependent on experience)Remote must reside in ID, OR, WA, UTIn this role, physicians will participate in utilization management and provide clinical leadership and support to clinical teams to ensure our members receive quality, cost effective care yielding optimal outcomes. General Functions and Outcomes May Include:Provides clinical leadership for staff to ensure members receive safe, effective and cost efficient services.Contributes to the development of various medical management strategies and tactics to drive results and achieve key performance metrics.Conducts peer clinical review for medical necessity on utilization management authorization requests.Provides clinical input on case management reviews working closely with the CM clinical staff.Responsible for discussing review determinations with providers who request peer-to-peer conversations.Participates on multiple teams to provide clinical input on medical policy reviews and development and may participate on committees that develop programs impacting clinical interventions, utilization management and case management.Analyzes and uses data to guide the development and implementation of health care interventions that improve value to the member and employer.Advises Health Care Services Leaders on related key performance metrics and the effectiveness of various efforts, initiatives, policies and procedures.Identifies and communicates new opportunities in utilization management, provider contracting or other areas that would enhance outcomes and the reputation of the organization.Provides clinical expertise and coordinates between internal clinical programs and providers of care to improve the quality and cost of care delivered to health plan members.Ensures ethical decision making in compliance with contractual arrangements, regulations and legislation.Supports internal communication or training that ensures service is provided to members and providers by a well-trained staff.Promotes provider understanding of utilization management and quality improvement policies, procedures and standards.Provides guidance and oversight for clinical operational and clinical decision-making aspects of the program.May participate in health plan credentialing operations and clinical aspects of the credentialing program and provider services support.Minimum RequirementsDemonstrated competency working with hospitals, provider groups or integrated delivery systems to effectively manage patient care to improve outcomes.Strong communication and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes.Proven ability to develop and maintain positive working relationships with community and provider partners.Knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models.General business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making. Strong orientation to the application of data in managing health and quality.Proven ability to develop creative strategies to accomplish goals and objectives, plan and execute complex projects and programs and drive results across internal teams and/or external partners.Demonstrated ability to effectively lead and engage in a constructive manner with others.Normally to be proficient in the competencies listed aboveAssociate Medical Director would have a MD or DO degree, at least 3 years clinical experience, or equivalent combination of education and experience.Medical Director would have a MD or DO degree, at least 5 years clinical experience, plus at least 2 years medical utilization management and/or case management experience (prefer health insurance experience and additional MHA or MBA training), or an equivalent combination of education and experience.Required Licenses, Certifications, Registration, Etc.Licensed Physician with an MD or DO degree. Active, unrestricted license to practice medicine in one or more states or territories of the United States, with one of these licenses in our four-state area (OR, WA, ID, UT). Applicant must also live in four state area. Board Certification required. Qualification by training and experience to render clinical opinions about medical conditions, procedures and treatments under review. Work EnvironmentWork is performed primarily remote setting. Periodic travel to a different office location, provider office, or other meeting location.May be required to work outside normal working hours.Must be located in a state or territory of the United States when conducting a peer clinical review.#LI-RemoteThe expected hiring range for an Associate Medical Director is $208,500 - $282,500 and for a Medical Director is $229,000 - $310,000 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for an Associate Medical Director is 25% and for a Medical Director is 30%. The current full salary range for this role is $196,000 - $319,500 for an Associate Medical Director, and is $215,500 - $350,500 for a Medical Director.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.
Provider Performance Director, Medicare Advantage
Cambia Health, Boise
Provider Performance Director, Medicare Advantage (HEALTHCARE)Telecommute or Tele-Flex Options (Depending on location) - Must reside in ID, OR, UT or WAWHO WE NEEDThe Government Programs Provider Performance Director develops provider engagement strategies to drive performance improvements critical objectives such as population health management, Medicare Stars, and Risk Adjustment. They are responsible for creating and deploying actionable campaigns to enable provider performance, including analyzing performance data, setting targets, and communicating improvements. They are also responsible for identifying innovative interventions to support provider practice transformation and meet the needs of Regence members. Finally, they develop strategies and manage initiatives, projects, and workstreams in consultation with internal experts and regional market strategies to drive sustainable performance improvement in quality and outcomes.Preferred Key Experience:Familiarity with Medicare Advantage and its business modelExperience at a provider organization in population health or in provider relations/engagement at a planFamiliarity w/ value-based care, including shared savings/risk modelsNormally to be proficient in the competencies listed below:The Government Programs Provider Performance Director would haveBachelor's Degree (Master's Degree preferred) in healthcare, science, business or related field12+ years' experience in one of the following areas: population health management, Provider contracting and reimbursement, managed care, healthcare delivery, risk adjustment, StarsOr equivalent combination of education and experience.YOUR ROLE:Initiates and leads network efforts focused on industry best practices. Acquires deep knowledge of cost, quality, and utilization metrics to oversee performance of provider controllable measures for all contracted groups. Identifies barriers and offers tailored solutions based on group cultures and competencies.Contributes to the overall development and execution of cohesive and coordinated network business strategies by working with Network Management leadership, Government Programs teams and subject matter experts to support action plans. Partners with the Network Management market team to identify key stakeholders and technologies within provider groups to support key initiatives and strategies.Improves provider organization performance through data analysis, knowledge of best practices, and development and execution of interventions in collaboration with peers and leaders of contracted healthcare delivery systems. Serves as a Subject Matter Expert on MA programs and objectives such as quality, risk adjustment, and other Medicare programs and stays informed and updated on measures, program changes and quality gap closure processes. Establishing credibility as a trusted advisor and resource to influence positive change while imparting a great company image and professional demeanor.Develops and deploys best-practice network incentives/recognition. Participates in internal workgroups to support development of effective member and provider network-directed interventions; coordinates interventions with internal stakeholders.WHAT YOU BRING:Demonstrated knowledge of medical group/IPA operations, integrated delivery systems, and health plans, as well as industry trends, challenges and solutions as they relate to improved performance in MedicareKnowledge of provider coding, documentation practices, reimbursement and contract methodologiesDemonstrated acumen identifying problems, developing solutions, and implementing a chosen course of action to resolve issues and build consensus among groups of diverse stakeholders. Ability to develop and drive new initiatives from concept through execution, including developing, managing and leading complex projects.Demonstrated ability to develop relationships quickly and leverage working relationships to drive performance outcomes. Excels at working with all levels of staff, within and external to the organization, to achieve goals.Strong written and verbal communication and facilitation skills, excellent presentation and public speaking skills (formal and informal)The expected target hiring range for this position is $135k - $145k 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 the Provider Performance Director, Medicare Advantage is $124k Low Range / $156k MRP / $203k 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.