Healthcare Manager Salary in Glendale, AZ

LOCATION: HYBRID position aligned to the Southern CA market. Must reside in Los Angelis/Orange County/Glendale, CA Will require a weekly schedule of: several days per week working at Home AND several days per week working either in Office or Travel out to in-person meetings with Providers. The AVP, Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies. DUTIES AND RESPONSIBILITIES Directly manages a contracting team or geography, providing leadership and mentoring to their direct reports. Manages increasingly complex contracts and negotiations for fee for service and sophisticated value-based reimbursements with hospitals and other providers for both Cigna's US Commercial and Medicare product lines (e.g., Hospital systems, Ancillaries, and large physician groups) for one or more geographies. Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates, nurtures and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies and acts upon opportunities for greater value-orientation and risk arrangements. Identifying and implementing alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Responsible for meeting unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Identify and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. Creates and / or oversees the development of "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. Partner with Regulatory Affairs to ensure all network filings are timely and accurate. POSITION REQUIREMENTS Should possess a bachelor degree; preferably in the areas of Finance, Economics, Healthcare or Business related. MBA or MHA preferred. 5+ years Contracting and Negotiating experience involving complex delivery systems and organizations required Experience with Physician, Hospital and Ancillary group contracting and negotiations Experience negotiating delegated, capitated agreements in California. • Knowledge of HMO pay-for-performance and IHA's role in the industry. Experience with Healthcare - Commercial Prior experience managing direct reports and leading project teams in a non-centralized work environment Experience in developing and managing key provider relationships including senior executives Knowledge of complex reimbursement methodologies, including incentive based models required Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners Intimate understanding and experience with larger, more complex integrated delivery systems, managed care, and provider business models Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations Customer centric and interpersonal skills are required Demonstrates managerial courage and change leadership in a dynamic environment Superior problem solving, decision-making, negotiating skills, contract language and financial acumen Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook) Proficient in contract building software such as Contract ManagerIf you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 106,400 - 177,300 USD / yearly, depending on relevant factors, including experience and geographic location.This role is also anticipated to be eligible to participate in an annual bonus plan.We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .About Cigna HealthcareCigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Aligned with a team of CIGNA Healthcare Sales Professionals, the DSE is positioned as the market leader for the dental product. Overall responsibilities are broadly defined in the categories of market strategy, new business development, client retention, training/coaching and product expertise. The incumbent is expected to ensure the successful attainment of all assigned membership and profitability goals in the assigned territory. Key factors for success include a strong sales orientation, a powerful inclination to influence the actions and results of others, superior personal credibility and demonstrated expertise in the delivery of CIGNA's dental products. In driving market success, the DSE must possess and capitalize on an enduring capacity to understand, assimilate and effectively promulgate complicated product features and advantages to peers. This is critical because of a constantly changing market environment, along with continually evolving competitive responses from CIGNA Dental. In most instances, the DSE operates quite independently, with only broad management direction from local sales management and with limited coaching and counseling from the Dental organization. Market Strategy Responsibilities Use insight into customer needs, local competitive landscape and independent judgment to work with the Dental Organization to drive industry leading Dental Products, Networks and Pricing.Work in conjunction with aligned CIGNA Healthcare Regional sales team; develop and implement short and long-term sales strategies for local market; focus on brokers/consultants as well as industry (i.e. Government Sector).Annually develop an individual business plan, providing a clear path to the attainment of profitable membership growth;Assume singular responsibility for overall market results, balancing membership needs and profit leversOperate as the liaison (in cooperation with the aligned DSO) between the market's sales team and the Dental Organization, reporting progress against plan, identifying gaps, and directing action to avoid future shortfallsFulfill all perceived information needs expressed by GMs and SMs; this includes ETF competitiveness review, network competitiveness, etc.Make determinations as to proper use of limited resources, particularly in area of network recruitment and management Sales Key Responsibilities Meet or exceed new business goals for assigned territory;Maintain visibility among brokers/consultants throughout the year; demonstrate a strong understanding of their perspective and their needs; actively promote the Dental Value Proposition;Work in conjunction with aligned CIGNA Healthcare Regional sales team to maximize the volume of Dental new business opportunities generated by the producer community; suggest alternative strategies as deemed necessaryIn consultation with aligned CIGNA Healthcare Client Managers, develop and execute on a comprehensive Dental Y upsell strategyBuild collaborative partnerships by actively participating in local market management discussions (e.g., growth calls, local strategy development meetings, etc.)Understand competitive and market-level dynamics and implications; independently recognize those that must be brought back to Dental Senior Management Team Client Management Key Responsibilities Meet or exceed persistency goals for assigned territoryBy assimilating output from multiple operating systems, provide consultative support to our customers utilizing Dental Benefit Insight Reporting ToolsDrive successful retention and growth of existing Book of Business; as needed provide proactive and consultative dental subject matter expertise on large and/or "at risk" cases within aligned market geographyOffer support to CIGNA Healthcare Client Managers in the face of client-facing service challenges; intervene with Underwriting to ensure competitiveness; delineate network strategies (as required) and ensure attainment of goals Training/Coaching Key Responsibilities Maintain all-encompassing knowledge and proficiency in CIGNA Dental's products and capabilities; accomplish this through attendance and active participation in ongoing monthly dental information sessions, monthly dental operating results reviews, training programs, etc.Maintain a tight connection between the CIGNA Dental Organization and the aligned CIGNA Healthcare Regional sales team; promulgate the Value Proposition, emerging competitive information, and any other new information which helps to drive sales and reinforces partnershipEnsure 100% satisfaction of local Market management in terms of ability of sales team to understand effectively deliver Dental Value PropositionProvide dental updates and training to CIGNA Healthcare sales partners, Producers and ClientsThrough superior coaching skills, aggressively and proactively promote new dental products and features (i.e. DICE/Brighter, Member Outreach, etc.) ; provide ongoing coaching to the CIGNA Healthcare sales partners on Dental product positioning and techniques on how to sell against top market competitors Qualifications College Degree or years equivalent related experience.5+ years' experience in Dental benefits. Proven healthcare sales experience is required, managed dental sales experience is strongly preferred.Ability to work very independently in a complex environment requiring "real time" judgment and discretion, strong analytical skills, common sense, decisiveness and assertivenessStrong influence skills and ability to work cooperatively with others in a highly matrixed environment.Excellent communication, customer service skills and sales negotiation skills.Financial Savvy; membership growth orientationExcellent interpersonal, communication and negotiation skills, including well-honed public speaking, presentation and writing skills.If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.This role is also anticipated to be eligible to participate in an incentive compensation plan.We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Description Community Health Worker Location: Remote, requires travel to worksite and other locations in the Glendale, Upland, or Apple Valley, CA area. Hours: M-F; 8 am - 5pm PST CareMore is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. The Community Health Worker is responsible for serving as a liaison/connector between the patient, care team, and the community. You will help to bridge conversations with patients and remove barriers that prevent them from accessing health and social services; and conduct telephonic and/or face-to-face outreach to panel of patients for appointment scheduling, needs assessment, and care gap closure. How you will make an impact: Meets patient in clinic, facility or at home to help identify social determinants of health impacting patient's health and general well-being. Collaborates with social worker and/or care manager to develop action plan. Develops trusting relationship with patients by providing support and advocacy to help achieve health goals. Assists patients in accessing health-related services and community resources, such as accompaniment to specialist appointments and assistance with enrollment forms. Facilitates communication between all parties (patients, families, colleagues, and community-based organizations) as needed. Documents interactions with patients and on behalf of patients in medical record. Attends meetings as required. Minimum Requirements: Requires a High School diploma or GED and experience utilizing electronic medical record as well as a minimum of 1 year experience in a healthcare, community-based, or social work environment; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: Bilingual preferred. Certified Community Health Worker preferred. Experience working in Behavioral Health is preferred. Proficient in Microsoft Office Suite, preferably Excel is strongly desired. Experience in EPIC is preferred. *** For candidates working in person or remotely in the below locations, the salary* range for this specific position is $18.83 to $29.53 Locations : California In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] assistance.

JOB SUMMARYThe Lead assists the Office Manager in managing back office operations. Duties include: Monitoring patient flow, referral sources and covers back office employees during their breaks and lunches. Ensure an efficient and qualitative operation through effective planning, leading, controlling and organizing.ESSENTIAL DUTIES AND RESPONSIBILITIESInsure proper training of back office staff through development and implementation of training program that meets the scope of practice for medical assistants.Retrain staff as needed.Handles patient relations including listening to patient complaints for services.Interface with patients, vendors, referring physicians to resolve any issues concerning patient care.Insure proper maintenance of crash cart and other medications and supplies i.e. Oxygen, emergency kits etc. required for appropriate patient care. Responsible for insuring that expiration dates are properly tracked.Interview potential new hires for back office positions.Order and maintain the stock of in-house medications.Order and maintain Vaccine Supply. (per par level established for corresponding site)VFC/VFA tracking and reporting of state funded vaccines)Maintain websites i.e. Care 360 Insure staff is adequately trained in access and use of these websites.Ensure refrigerator logs and sterilization log are accurately maintained and current.Track calibration of equipment according to manufacturer’s suggested schedule.Assist Administration with any projects or protocol development as needed.Help facility prepare for Audits, Evaluations, Re-evaluations,Participate in the review of staff.Assist in handling, evaluating and solving daily problems and issues which may arise within the facility. (Including appropriate incident reporting processes when applicable)Assist with trouble shooting minor computer issues.Prepare Call Back list on daily basis.Help with ongoing Medical Assistant Performance Measures.Coordination of staff time off request.Assure providers have adequate support/coverage.Ensure that established workflows are being followed.Reports malfunctioning equipment to Office Manager.Ordering and tracking of medical supplies.RequirementsEDUCATION AND EXPERIENCEHigh School Graduate or GEDMedical Assistant Certificate1 year of experience preferredCPR CertifiedBilingual in Armenian or Spanish requiredPAY RATE: $26- $28 an hourBENEFITS:Medical, Dental and Vision 100% paid by EmployerLife Insurance and Accidental Dismemberment 100% paid by EmployerPaid HolidaysPaid Time Off401K401K MatchingFlexible Spending AccountFringeSupplemental Insurance

MEDICAL ASSISTANT JOB SUMMARYPerform administrative and certain clinical duties under the direction of provider. Prepare and maintain treatment rooms, drape and position patients, hand equipment, supplies, and instruments to provider. Takes vital signs, visions PAMS, assists with treatments, maintains equipment, visual fields and inventory supplies, including EMR, patient scheduling, charge slips and routine patient instruction and knowledge of CPR.MEDICAL ASSISTANT ESSENTIAL DUTIES AND RESPONSIBILITIESClinical Duties:Administer medical questionnaires directly to Clinic Staff, Patients as well as any visitors entering job sitesAdminister and interpret the temperature of an individual utilizing forehead, tympanic and/or oral thermometers according to manufacturer’s instructions and CDC guidance for personal protectionReporting cases of positive and negative responses according to established protocolsCommunicate findings directly to the Leads as requiredDocument findings and results of the Medical ScreeningMake changes in the appointment type as needed basis depending on findings and results while having polite, but clear communication with the patients about the changesDon and Doff PPE as required within the protocol for performing medical screening as needed basisPatient RelationsAssures timeliness of services rendered to patientsClearly informs patient the name of provider who will render servicesArranges for and assists patients in understanding instructions for all ancillary servicesListens to complaints from patients regarding services renderedDemonstrates adequate triage technique in handling telephone calls from patients and inquiries regarding services renderedAppropriate management of filing records, recording telephone calls and prescription refill information in electronic medical recordsChecks floor stock and sample medications, discards expired medications appropriately, re-orders as neededDemonstrates accurate knowledge in management of emergency situationsAssists patient to roomLooks after patient's comfort while on premisesMaintains availability to examining Provider as needed.Accurately performs visual testing and on-site testing.Accurately file all patients' lab results, x-ray, EKG, SCANS and all miscellaneous documents after doctor signs offAssists providers in all medical examinationsCollection of all specimens, including cultures, for laboratory processingAssists in minor surgery, positioning and draping patient, passing instrumentsInventory, Ordering, Facility MaintenanceScreens telephone calls for referral and takes messages for providerUnder the direction of the provider an MA may administer injections of scheduled drugs, including narcotic medications, only if the dosage is verified by the provider prior and the injection is intradermal, subcutaneous, or intramuscular.Compiles and condenses technical and statistical data for reports and records.Updates and maintains required logsTranslates for provider and office staff as requestedAssists in preparation of office for a site review and auditPerforms tasks under the direction of provider and managementCalls in prescriptions or prescription refills under the direction of the providerPerforms related work as requiredMaintains patient care areas as follows:- Cleans (daily) all community areas- Cleans immediately following infectious exposure- Inventories supplies daily and orders as appropriate- Maintains patient confidentiality at all timesProvide reproductive health counseling ( title X services )Participate in huddles with provider MA teamConducting chart prep (to ensure that patients file are complete for patient care on day of appointment, including Standing Order Sets based on Clinical Guidelines)Motivational interviewingAdministrative Duties:Schedules appointmentsRegisters patient data in computerSends appropriate information to various departments and medical officesOrganizational Activities:Knows rules and procedures for request for Information.Knows rules and procedures for release of information.Acquires appropriate signatures.Ascertains that Provider or manager is aware of request for information.Submits appropriate information per above procedure.Reports equipment or supply needs to Administrator.Reports malfunctioning equipment.Maintains general office equipment, i.e., Xerox, typewriters, Computer, Printers, CPR carts, emergency supply and auxiliary servicesMarketing Activities:Maintains computerized files of patients, including updated names, addresses, telephone numbers, etc.Conducts mailings to patients.Performs calls to patients for recall purposes.Attends health fairs/events.Plans for event and prepares necessary items required to conduct successful event.Communicates effectively with event attendees, explains services, and schedules appointments.Works with Management in creating/reviewing necessary collateral materials.Other duties as assigned.RequirementsMEDICAL ASSISTANT EDUCATION, TRAINING AND EXPERIENCEHigh school diploma or its equivalentMedical Assistant Certificate2 years experience preferredCPR CertifiedCertification through AAMA preferredMust speak Spanish or ArmenianMEDICAL ASSISTANT PAY RATE: $19-22 hourlyMEDICAL ASSISTANT BENEFITS:Medical, Dental and Vision 100% paid by EmployerLife Insurance and Accidental Dismemberment 100% paid by EmployerPaid HolidaysPaid Time Off401K401K MatchingFlexible Spending AccountFringeSupplemental Insurance