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Development Manager Salary in Renton, WA

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Strategic Sales Proposal Writer or Senior, DOE
Cambia Health, Renton
Strategic Sales Proposal Writer or Senior, DOERemote opportunity for residents of OR, WA, ID and UTPrimary Job PurposeStrategic Sales Proposal Writer or Senior provides expert level writing, message development and conceptualization for highly visible, innovative proposals, sales messaging, and sales support projects. Prepares proposal content by determining guiding strategy and message concept, gathering and formatting information, writing drafts, facilitating reviews and obtaining approvals. Brings together key stakeholders and subject matter experts from across the organization to develop a compelling sales response, using clear and consistent voice and tone throughout large proposals, consistent with Cambia cause and values.General Functions and OutcomesDetermines proposal and messaging concept by identifying and clarifying opportunities and needs; studying requests for proposal (RFPs); facilitating strategy meetings; leads messaging strategy sessions for all major proposals and sales support initiatives.Works with department heads, Marketing managers and other internal stake holders to accurately identify the best solution for clients and translates these into compelling messaging that meets the sales objectives.Maintains quality results by using templates; following proposal-writing standards including readability, consistency, and tone; maintaining proposal support databases.Prepares presentation by evaluating text, graphics, and binding; coordinating printing.Meets proposal deadline by establishing priorities and target dates for information gathering, writing, review, and approval; entering and monitoring tracking data; coordinating requirements with contributors; contributing proposal status information to review meetings; transmitting proposals.Develops proposal by assembling information including project nature, objectives/outcomes/deliverables, implementation, methods, timetable, staffing, budget, standards of performance, and evaluation; writing, revising, and editing drafts including executive summaries, conclusions, and organization credentials.Obtains approvals by reviewing proposal with key providers and project managers.Improves proposal-writing results by evaluating and re-designing processes, approach, coordination, and boilerplate; implementing changes.Updates job knowledge by participating in educational opportunities; maintaining personal networks.Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.Follows and establishes processes, including adherence to legal, regulatory and corporate editorial standards.Presents creative concepts and writing that accurately address proposal objectives that best meet the direction of sales leaders and meets the needs of the customer.Provides leadership relating to processes and systems to expedite execution and delivery of proposals.Researches, writes, edits and designs a variety of additional sales communications collateral as needed, including but not limited to talking points, education collateral, articles for internal and external publications, presentations and sales content.Provides counsel to sales and marketing readiness as needed.Maintains an in-depth knowledge of Cambia's products, services, strategies and operations, then applies that knowledge in developing standard deliverables and responses.Edits/proofs materials for multiple proposals, ensuring consistency of voice and response accuracy.Applies knowledge of customer and business issues in developing and delivering messaging.Ensure timely delivery of all writing services to internal clients.Partners with proposal coordinators, sales teams, product and marketing during proposals and other strategic initiatives.Develops, maintains, and publishes compelling value proposition content that resonates with target audiences, including writing, updating, and publishing messaging that accurately communicates Cambia's unique value proposition and differentiates it from competitors.Minimum RequirementsAbility to develop strong working relationships with multiple departments to achieve the strongest possible brand impact on customers.Excellent relationship and matrix management skills and the ability to motivate and inspire senior leadership, co-workers and peersStrong knowledge base in Marketing concepts and strategies. 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The bonus target for the Strategic Sales and Proposal Writer position is 10% and the Strategic Sales and Proposal Writer Senior is 15%.The current full salary range for the Strategic Sales and Proposal Writer role is $77,000 - $127,000 and the Strategic Sales and Proposal Writer Senior, is $85,000 - $140,000. #LI-remoteBase 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.
Application Development Manager
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DIRECT HIRE!100% ONSITE IN RENTON WARequisition Summary• The Application Development Manager is responsible for planning, organizing, and managing the development, implementation, and support of the organization's business application environment. • The Manager creates and maintains platform strategies to support evolving business requirements. • The Manager builds and strengthens relations with business customers, and other departments and develops the team to meet new technical and functional requirements. • The Manager leads a team of eight full-time IT professionals and a variety of contractors in accomplishing the team's critical mission.Job Responsibilities • Manages and supervises the ASI/AS400 core system team; including planning, assigning, and monitoring work activities, and ensures proper training, development, and skills.• Manages daily support, maintenance, and problem resolution across the application portfolio.• Provides leadership for application projects and system enhancement requests that deliver software solutions that meet customer requirements. • Leads the selection, onboarding, and management of our consulting staff.• Develops and maintains an ongoing application portfolio roadmap.• Ensures systems are kept up to date and secure and all compliance activities are well managed. • Embodies and promotes the organization's values of Teamwork, Continuous Improvement, Commitment, Openness, and Learning.• Supports and grow's organization's Agile Development process and mindset and provides day-to-day agile leadership for the team. • Establishes goals and reports on Key Performance Indicators.• Collaborates with Stakeholders to align platform services with strategic business needs.• Provides technical leadership to ensure scalability of core platforms that include a combination of AS400 solutions and custom-developed applications. • Establishes and maintains collaborative partnerships with internal customers, vendors, ITD departments, and others. • Coordinates or prepares annual capital and operating budgets required for planning and expense control.Required Experience & Skills • Undergraduate degree in IT, Computer Science, or a related field required.• Master's degree in business or technology desirable• 3+ years of management experience required.• 7+ years of experience in systems development and implementation required.• Strong Leadership skills and critical problem-solving skills.• Demonstrated leadership with the ability to function independently and set direction for the organization's IT teams.• Excellent written and verbal communication skills.• Demonstrated ability to effectively coordinate multiple priorities in a dynamic environment.• Excellent organization and interpersonal skills.• Knowledge of the following technologies is a plus:• ASI/AS400• Cobol• SQL• Integration Solutions (API's)• Warehouse Management Solutions• AWS/Snowflake experience• Web technologies• Microsoft Operating Systems
Clinical Pharmacist Consultant
Cambia Health, Renton
Clinical Pharmacist Consultant Remote in ID, OR, WA, UTPrimary Job PurposeProvides professional and clinical pharmacy expertise in making or guiding clinical decisions based on best practices by applying evidence-based medicine evaluations to determine the best quality medication choices that represent the best value in efficacy, safety and affordability. This may include providing coverage recommendations for medications subject to prior authorization, appeals, retrospective claim reviews, and audits based on applicable medication coverage policies, member benefit contracts, and provider contracts or serving as a resource for other staff, such as medical directors or case managers, regarding clinical, policy and benefit questions and interventions. May also provide direct outreach to members and providers around current and future clinical programs that would benefit them.This role may also assist in planning, developing, and implementing clinical strategies with respect to formulary management, drug utilization management, medication therapy management programs, quality initiatives, gaps in care, peer to peer conversations and drug information and education and/or integrated pharmacy and case management strategies. Advanced responsibilities may include analyzing health care cost information, development of position papers, medication coverage policies, formulary monographs and class reviews, cross-functional projects, and/or initiatives related to the provision of pharmacy benefits that impact safety, quality and affordability.General Functions and OutcomesResponsible for delivering high quality pharmacy clinical services for Medication Benefit Management.May be responsible for conducting peer clinical reviews. (The medical director has the responsibility to determine that the peer clinical reviewers are qualified to render a clinical opinion for items under review.) May be responsible for peer to peer conversations.Works independently within framework and guidelines to evaluate intangibles associated with cost-containment and quality improvement of prescription drug charges.Provide coverage recommendations for medications subject to prior authorization, appeals, retrospective claim reviews, and audits based on applicable medication coverage policies, member benefit contracts, and provider contracts.Provides clinical decision-making based on best practice in applying evidence-based medicine process in determining medications that have best value for efficacy and safety.Develops and provides educational materials and correspondences to members to inform them about medication coverage choices, comparative effectiveness, and coverage determinations. Minimum RequirementsClinical pharmacy background with ability to demonstrate clinical therapy skills and knowledge in a clinical care setting.Demonstrated success in managing professional relationships in a managed care system, medical group, hospital, or related organizations.Excellent verbal and written communication skills; strong business analytical skills and abilities; strong project management and coordination ability. Knowledge of pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA.Normally to be proficient in the competencies listed above:Clinical Pharmacist Consultant would have a Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD) or related field and 3-5 years of experience in clinical acute care/hospital setting or equivalent combination of education and experience.Required Licenses, Certifications, Registration, Etc.Pharmacy license. Successful completion of a pharmacy residency or advanced degree in health-related field preferred. Must be an active and unrestricted licensed pharmacist in state of practice.#LI-RemoteThe expected hiring range for a Clinical Pharmacist Consultant is $119,900 - $162,200 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $112,000 - $184,000. 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.
Manager Clinical Operational Excellence
Cambia Health, Renton
Manager Clinical Operational ExcellenceRemote in ID, OR, WA, UTPrimary Job PurposeResponsible for providing oversight and leadership for Cambia's Clinical Operational Excellence program to improve member health, operational excellence, and affordability. This position will provide: direct consultation on complex, cross-functional projects, oversight to the Clinical Operational Excellence team, and mentorship to health services managers/directors. The leader will develop the Clinical Operational Excellence program to help identify, prioritize, design, implement, and facilitate change management clinical operational excellence initiatives. General Functions and OutcomesHandles all management level responsibilities for staff, including performance reviews, employee development, hiring, firing, coaching, counseling, and retention.Assigns and prioritizes work, sets goals, and coordinates daily activities of the team. Provides regular updates and communication to staff through 1:1 and team meetings.Manages and provides oversight and leadership in the planning and implementation of process improvement initiatives. Accountable for the team's performance and results of cross functional process improvement projects. Directs and organizes overall effort to create new cross-functional capabilities.Provides leadership in developing, and implementing new processes that improve core operation, employer experience, consumer experience and/or project delivery.Seeks out information from customers and third-party stakeholders; uses it to establish prioritized operational solutions that drive ongoing enhancementsAdvises leadership and business executives about the improvement initiative portfolio status and resource planning for delivering strategic business initiatives.Consults directly at the executive level across the organization and executes process improvement initiatives on their behalf.Leads efforts to systematically collect, synthesize and report operational performance information, designs, implements and manages metrics and indicators to track performance to goals and objectives. Creates influential metrics, dashboards, and presentations that use information to influence senior leadership on business trends and strategies. Identifies, mitigates and manages operational risks and issues.Manages financial targets and department budget, authorizes expenditures, monitors workforce allocation and resources, and oversees project plans. In conjunction with division leadership, establishes and communicates long-term goals for the department and adapts operational plans as changes occur.Minimum RequirementsProven leadership competencies in recognizing process deficiencies, analyzing developing, implementing and measuring effectiveness of existing business processes, including process redesign and optimization with the ability to develop sustainable, repeatable and quantifiable improvement. Drives tangible and measurable improvements of key processes through the leadership, training, and mentoring of a team of change agents.Demonstrated ability in leading multiple, complex organizational transformation projects. Demonstrated adaptive leadership skill, leading teams through ambiguity and change in order to deliver complex strategic initiatives.Ability to develop and lead a team including: hiring, goal setting, coaching and development (including employees who may be in multiple locations or work remotely).Demonstrated analytical, influential and problem-solving skills, ability to analyze data and complex business situations, learn quickly and synthesize corresponding solutions, options and action plans.Familiarity with health insurance industry trends, operations and technology.Strong communication and facilitation skills with all levels of the organization, including the ability to resolve complex issues and build consensus among groups of diverse stakeholders.Normally to be proficient in the competencies listed aboveManager Clinical Operational Excellence would have a Bachelor's degree in Business, Engineering, Finance, or related field and ten years of experience in Healthcare process improvement, performance improvement business consulting, or general management with experience leading, developing and managing process improvement initiatives or a similar position or equivalent combination of education and experience. MBA is preferable but not required.Required Licenses, Certifications, Registration, Etc.Lean/Six Sigma Black Belt, Business Process Management (BPM/CBPP), or equivalent is required. Certifications in one or more of the following preferred: Change Management or Project/Program Management (PMP/PGMP)FTEs Supervised2-5Work EnvironmentWork primarily remoteTravel may be required, either local or out of state.May be required to work outside normal working hours.#LI-RemoteThe expected hiring range for a Manager Clinical Operational Excellence is $129,500 - $175,500 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $122,000 - $198,500. Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
Underwriting I, II, III or Senior
Cambia Health, Renton
Underwriting I, II, III or SeniorWork Remotely from Oregon, Washington, Idaho or UtahPrimary Job PurposeUnderwriter I, II, III & Senior evaluates each assigned group's risk and attaches the appropriate rate.General Functions and OutcomesUnderwriter I (Entry Level)Approves renewal changes after verifying rates and product selection.Audits both new and renewing groups as necessary.Determines rates for alternative benefit variations.Ensures that group participation requirements are met.Prepare rate filings.Follows underwriting guidelines, policies, procedures and formulas in developing rates for new and renewal groups.Gathers the appropriate data used to determine the status of account refunds.Maintains spreadsheet information on group renewal history.Prepares memos and other correspondence to communicate changes in rates or benefits which have been approved by underwriting management.Processes the appropriate paperwork associated with renewal rate action and proposal closing.Supports internal sales staff regarding underwriting questions and/or resolves issues.Effectively communicates Underwriting decisions to other departments when necessary.Underwriter II - In addition to the Functions and Outcomes Listed above for the UW I, the UW II, III & Senior...May determine rates for alternative benefit variations and funding arrangements.Assist in the training process and mentoring of more junior level Underwriters.Prepares contingent premium settlements.Prepares the rate quotations and completes bid specifications.Processes group financial settlement calculations.Reviews and determines whether or not to grant exception requests.Supports management reporting efforts and the development of automated rating and analysis tools.Underwriter III - In addition to the Functions and Outcomes Listed above for UW I & II, the III & Senior...May determine rates for alternative benefit variations and more complex funding arrangements.Actively involved in the preparation and maintenance of underwriting guidelines and rating policy.Actively involved with testing new rating, underwriting and front end systems.Answers questions regarding the basic factors used in developing rates, (group size, type of benefits, age/gender composition, large claims, experience provided from the prior carrier, current rates).Answers questions regarding the rate model and how it impacts rates in accordance with particular group demographic changes.Assesses health risk in a group environment (performs large claim analysis for ongoing claim cost).Develops prospective and renewal rates for group accounts in accordance with corporate and underwriting guidelines.Reviews and determines whether or not to grant exceptions to underwriting policy.Ensures the proper administration of underwriting and legislative guidelines for new and renewing groups.Handles large volume production with account specific issues (I.e. reinstatements, eligibility standards, group identification criteria, etc)Maintains a working knowledge of State and Federal regulations affecting group rating.Prepares rate breakouts and hierarchy definitions for group setups.Reviews and directs the preparation of experience reports for fiscal, ERISA and contingent premium settlements.May meet with external customers, brokers or account representatives to review underwriting calculations and provide explanations for rating principles.May prepare written summaries of recommendations and/or conditions of coverage for the group after completion of each analysis.May prepare an explanation of the past rating history, documenting benefit and enrollment changes, and providing a recommendation for benefit and financial options.Underwriter Senior - In addition to the Functions and Outcomes Listed above for UW I, II & III, the UW Senior...Contributes to timely and accurate productivity by assisting the Manager in education to new Underwriters.Attends broker meetings, as well as meetings with sales executives, agents and/or groups to provide explanations of rating principles or rationale of rating positions.Contributes to the development of new rating formulas, methodologies and guidelines.Represent underwriting on Cambia workgroups and strategy sessions and serves as department representative where applicable.Minimum RequirementsUnderwriter IDemonstrated analytical and problem solving skills.Business sense including: finance, accounting, economics, and risk management principles.Effective verbal and written communications.Ability to build and maintain positive internal and external customer interactions.Ability to prioritize tasks and meet deadlines.Demonstrated technology proficiency, including Excel, Word, and applicable software applications.Underwriter II - In addition to the Minimum Requirements listed above for the UW I, UW II, III & Senior will have...Demonstrated success with managing competing priorities and workload.Underwriter III - In addition to the Minimum Requirements listed above for the UW I & II, the UW III & Senior will have...Demonstrated proficiency working with complex computer software systems and automation.Ability to effectively explain complex mathematical and abstract concepts to a variety of stakeholders, including those with less familiarity and/or understanding.Underwriter Senior - In addition to the Minimum Requirements listed above for the UW I , II & III, the UW Senior will have...Proven understanding of business, including: finance, accounting, economics, and risk management.Demonstrated attainment of a high level of independent, consistent performance.Ability to organize, plan, prioritize and complete complex assignments with little or no supervision.Demonstrated ability to read the marketplace and competitive environment.Normally to be proficient in the competencies listed aboveThe Underwriter I would have a Bachelor's degree in business, math, statistics or related discipline or an equivalent combination of education and experience.The Underwriter II would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 2 years related experience or an equivalent combination of education and experience.The Underwriter III would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 4 years related experience or an equivalent combination of education and experience.The Underwriter Senior would have a Bachelor's degree in business, math, statistics or related discipline and a minimum of 6 years related experience or an equivalent combination of education and experience.The expected hiring range for a Underwriter I is $22.53 - $/30.48 hr depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full hourly range for this role is $21.20 to $37.50 per hour. The expected hiring range for a Underwriter II is $56,100.00 - $75,900.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 5%. The current full salary range for this role is $56,000.00 to $86,000.00. The expected hiring range for a Underwriter III is $68,000.00 - $92,000.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $64,000.00 to $104,000.00. The expected hiring range for a Underwriter Sr is $82,500.00 - $111,600.00 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 10%. The current full salary range for this role is $77,000.00 to $127,000.00. #LI-remoteBase 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.
AD Sales Operations
Cambia Health, Renton
AD SALES OPERATIONS (HEALTHCARE)Telecommute option - Must reside in ID, OR, UT or WAWHO WE NEEDOversees all activities pertaining to the development, implementation and management of Sales Operations support across all four Regence markets. This management position is responsible for work with all levels of staff and management throughout Cambia, to clearly define strategies, plans, tactics and timelines for multidimensional operations and projects affecting Sales. Preferred Key Experience:Strategic business acumen including understanding of market dynamics, financial/budget management, data analysis and decision makingExperienced communication, presentation and facilitation skills with employer groups, brokers preferredNormally to be proficient in the competencies listed belowAssistant Director Sales Operations candidate would have:Bachelor's degree in business administration, health administration or equivalent field10 years of management experience in member operations, business services role, strategic projects Management experienceOr equivalent combination of education and experience.FTE's Supervised:Up to 100 multi location. (Front line thru manager)YOUR ROLE:Knowledge of practices, procedures, regulations & techniques as they relate to sales, sales operations, group implementation for all group lines of business quoting, new group onboarding, renewal, and mid-year maintenance.Comprehensive knowledge of the health insurance field, including sales processes, terminology, strategic development, cost analysis, and financial reportingDemonstrated ability to perform in-depth analysis; manage complex, multifaceted projects; manage processes across multiple organizational layers while communicating ideas and directions clearly and achieving desired results. Demonstrated ability to organize and manage back-office sales and operational functions. Thorough knowledge of the interrelationships between departments and systems within Cambia.Knowledge of health insurance industry operations, trends, and technologyGeneral business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making.Excellent writing, communication, and facilitation skills with all levels of the organization, including the ability to resolve issues and build consensus among groups of diverse stakeholders.Strong communication, presentation and facilitation skills with employer groups, brokers, and the ability to act as a sales advocate including the ability to resolve client and broker issues.Ability to identify issues, opportunities, and effective solutions and collaborate with other departments to improve processes and/or results.Ability to anticipate future trends accurately while maintaining broad knowledge and perspective on projects.Demonstrated expertise in strategic and tactical project planning and project management, including ability to develop and managed detailed project plans and timelines.Proven leadership skills with the ability to direct the activities of others on a direct or matrix team basis.WHAT YOU BRING:Provides oversight & direction to ensure timely and accurate delivery of group setup and enrollment transactional processing of small, mid, and large group onboarding and maintenance to include processing quotes, RFP's, implantation of all new groups, facilitation, tracking and processing of all renewing groups. This oversight includes end to end channel from quote to benefit documents and ID card generation.Ensures timely and accurate receipt of final paperwork for new and renewing groups, assignment of Group ID, member ID cards generation, facilitation of ordering and tracking of benefit document materials, SOC's, SBC's, SBS's, benefit booklets and group policy documents.Responsible for the activities performed by the Sales Operations department to assure onboarding performance goals are met including productivity, accuracy, timeliness and quality of service to our members and business partners.Provides direction, support and leadership for the Producer/Employer Service Center providing support to employer and brokers for small/mid-size groups. Strong technical skills in the production control, reporting development, requirements development for integration of seamless tools into health plan.Responsibility to direct and manage onboarding projects from visionary concept through final stages of development, implementation, and review.Facilitate the planning, development and implementation of key operational strategies and projects.Oversees project development and implementation activity including coordination with all internally affected departments and external partners, clients, or vendors.Ensure that all projects are in compliance with all applicable laws and regulations.Provides executive level onboarding reporting, monitors enrollment results, and analyzes the movement of membership to support corporate management decisions relating to product development, market strategy, broker incentives, and product- or segment-communications strategies.Provides direction for critical on-boarding functions which may include research, software training, enrollment forecasting, project management, analysis, systems, and budgeting.Provides performance reporting and training on Sales specific systems such as the proposal system or customer relationship management system. This includes sales & broker compensation programs.Coordinates with Strategic Communications, Product Development and outside vendors the testing, maintenance, and update functions of on-line applications for or all market communication tools and web sites.Works directly with Senior Executives to provide enrollment analysis or summary of project results which may include presentations in leadership meetings to present onboarding status reporting.The expected target hiring range for this position is $120k-$150k depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for AD Sales Ops is $112k Low / $141k MRP/ $184k High .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.
Clinical Pharmacist Consultant
Cambia Health, Renton
Clinical Pharmacist ConsultantRemote in ID, OR, WA, UTPrimary Job PurposeProvides clinical pharmacy expertise and applies evidence-based medicine to determine medication coverage. This may include providing coverage recommendations for medications subject to prior authorization, appeals, retrospective claim reviews, and audits based on applicable medication coverage policies, member benefit contracts, and provider contracts. In addition, the pharmacist will serve as a resource regarding clinical, policy, and benefit questions and interventions for other staff, such as medical directors or case managers. May also provide direct outreach to members and providers.This role may also assist in developing and implementing clinical strategies with respect to formulary management, drug utilization management, peer-to-peer conversations, drug education, and/or case management strategies. Advanced responsibilities may include analyzing health care cost information, development of position papers, medication coverage policies, formulary monographs, and cross-functional projects.General Functions and OutcomesResponsible for delivering high quality pharmacy clinical services for Medication Benefit Management.May be responsible for conducting prior authorization reviews and peer-to-peer conversations with external providers.Provide coverage recommendations for medications subject to prior authorization, appeals, retrospective claim reviews, and audits based on applicable medication coverage policies, member benefit contracts, and provider contracts.Provides sound clinical decision-making based on best practice in applying evidence-based medicine process in determining medications that have best value for efficacy and safety.Develops and provides informational materials and correspondences to providers and members to communicate medication coverage choices, comparative effectiveness, and coverage determinations. Provides creative thinking and leadership in accomplishing goals of quality improvement and cost-effective prescription drug programs.Collects, analyzes, interprets, and forecasts health care cost information based on current prescribing patterns based on medication utilization reports.May develop position papers, medication coverage policies, formulary monographs, and formulary coverage recommendations based on critical appraisal of the scientific literature and input from practicing providers.Presents and/or communicates clinical positions on medication analysis in a clear, concise manner. May present formulary and medication coverage considerations to internal and external decision-making bodies such as the Pharmacy and Therapeutics Committee and Medication Policy Group.May identify, develop, implement, and track complex cross-functional programs, projects, and initiatives related to the provision of pharmacy benefits that impact safety, quality, and affordability.May support the execution, development, and maintenance of clinical programs.May empower Case Management to provide comprehensive member support.Minimum RequirementsStrong clinical pharmacy background with ability to demonstrate clinical skills and knowledge in a clinical care setting.Demonstrated success in managing professional relationships in a managed care system, medical group, hospital, pharmacy, or related organizations.Excellent verbal and written communication skills, strong business analytical abilities, and strong project management and coordination abilities. Ability to work independently on long term projects.Strong knowledge of medications, state and federal laws and regulations regarding the practice of pharmacy, and regulation of health care industry practices.Strong knowledge of health care economics, health care/pharmaceutical industry dynamics, and pharmacy/provider service medication reimbursement.Knowledge of health plan and benefit design structures and application, Medicare/CMS regulations and applicability in administering the Medicare Product, and health care coding and payment systems (such as ICD-9, CPT, HCPCS, NDC).Knowledge of compliance related activities, legislative and regulatory activities, health insurance operations, and legal issues.Ability to collaborate as part of cross functional teams, improve clinical programs, enhance processes, and share clinical information.Ability to work independently, prioritize work, meet deadlines, and achieve operational goals.Normally to be proficient in the competencies listed above:Clinical Pharmacist Consultant would have a Bachelor's degree in Pharmacy or Doctor of Pharmacy (PharmD) or related field and 3-5 years of experience in clinical acute care/hospital setting or equivalent combination of education and experience.Required Licenses, Certifications, Registration, Etc.Pharmacy license. Successful completion of a pharmacy residency or advanced degree in health-related field preferred. Must be an active and unrestricted licensed pharmacist in state of practice.#LI-RemoteThe expected hiring range for a Clinical Pharmacist Consultant is $119,900 - $162,200 depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $112,000 - $184,000.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.
Business System Manager
Fusion Business Solutions (P) Limited (FBSPL), Renton
Job Title: Manager Business Systems, Oracle Supply ChainLocation: RemoteJob Type: Full time direct hireResource Engineering & Hospitality (REH) is the name adopted to reflect the employees who work throughout Health and Services in supply chain services and systems in support of our ministries and operations in all regions from Alaska to Texas. REH's objective is to ensure our core strategy, One Ministry Committed to Excellence, is enhanced along with the overall patient care experience (know me, care for me, ease my way) by delivering a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized supply chain management expertise.Be responsible for managing information systems and processes that support the operations of Supply Chain throughout Health and Services - examples include; Oracle (commonly referred to as Genesis), RF Smart, contract management software, analytics systems, master data files and the people that are responsible for these systemsBe responsible for working with customers, Supply Chain staff and end users in order to enhance and execute daily work within these systemsFacilitate processes and support for these systemsManage changes and resolve issues that span work teams and the departments impacted by managing and supervising activities and staff in a cost-effective and productive manner to achieve customer satisfactionRely on experience and judgment to manage and accomplish goals on complex Supply Chain Management issues where analysis of situations or data requires an in-depth evaluation of variablesManage a portfolio of systems ranging from highly strategic and business critical, always seeking out improvements to enhance work function throughout Health and ServicesServe as a role model for the Core Values and Mission of the organizationBe responsible for performing all duties in a manner that promotes Resources Engineering & Hospitality success and reflects the Health and Services Mission, Philosophy, and Core Values of Respect, Compassion, Justice, Excellence, and StewardshipWe welcome 100% remote work for residents who reside in one of the following States / Regions:AlaskaWashingtonOregonMontanaCaliforniaNevadaNew MexicoTexasRequired qualifications for this position include:Bachelor's Degree in Business or Finance -OR- a combination of equivalent education and experience6+ years' of progressive experience in Supply Chain Management roles in comparable or larger institutions including complex Supply Chain operations, software integration, system upgrades and current technologies specific to Supply Chain Management3+ years' current experience managing projects and/or work teams2+ years' experience leading teams consisting of individuals from multiple disciplinesExperience managing complex work efforts while ensuring high customer satisfactionDemonstrated success in managing multiple tasks, programs and projects simultaneously, prioritizing resources and workload effectively, and thriving in an ever changing environmentExperience working effectively under pressure to meet ongoing, changing, and overlapping deadlines with short time constraints and limited resourcesExperience delivering articulate and effective presentations to audiences of all sizesManagement or other leadership roles within a Supply Chain Management organizationPreferred qualifications for this position include:Master's Degree in Business Administration, Healthcare Administration, Public Administration, or a related field3+ years of experience with Oracle Cloud Fusion modules such as: Procurement, Supply Chain Execution, Supply Chain Planning and Payables3+ years of experience with business critical boundary systems such as: EMR, Mobile handheld technology, EDI and OCR3+ years of experience with ERP Application lifecycle management and Business Roadmap Design3+ years of experience working in cross functional teams with technical resources
Manager, Product Management
Cambia Health, Renton
MANAGER, PRODUCT MANAGEMENT(HEALTHCARE)Telecommute thru Onsite Options - Must reside in ID, OR, UT or WAWHO WE NEEDThe Manager of Product Management is responsible for all phases of product development and management from idealization and assessment, through strategy execution, and ongoing monitoring of implementation tactics and results. Accountable for the timely completion of product analyses, business case development, development of formal product marketing plans, senior level presentations, implementation of product changes and new products, and overseeing go-to-market and launch activities. Normally to be proficient in the competencies listed above:The Manager Product Management would have:Bachelor's degree in Business Administration or related field8 years of experience in product management2 years of leadership experience or equivalent combination of education and experienceMaster's degree is preferredFTEs Supervised2-6YOUR ROLE:Oversees development, refinement, and approval of new product concepts.Leads new product design and launch.Coordinates operational, network, process, and systems changes needed to support new/changing products.Partners with go-to-market and sales stakeholders to develop internal and external product/product training and communications.Manages product life cycle through obsolescence.WHAT YOU BRING:Demonstrated broad knowledge of technical product development, management principles, strategic and operational planning, project implementation and performance monitoring.Demonstrated project management skills including effective planning, organizing, and administration of multi-functional work responsibilities.Demonstrated ability to communicate effectively both orally and in writing, including formal presentations and the facilitation of group planning sessions. Demonstrated ability to synthesize findings, prepare reports, create executive level documents and recommend solutions.Excellent interpersonal and leadership skills with demonstrated ability to lead teams and build effective working relationships with individuals and groups at all levels and across the company.Proven leadership skills and abilities including ability to plan, organize and lead the work of others with minimal supervision, while developing department goals and objectives consistent with corporate vision and strategiesThe expected hiring range for this position is $120k - $162k depending on skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 15%. The current full salary range for this role is $112k Low Range/141k MRP/ $184k High Range.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
Service Manager
LHH, Renton
LHH has partnered with a company around Renton, WA in search of a Service Manager. This person must have experience in leadership, customer service and be able to take charge as any day to day issues arise. What you will do: Day to day interactions with the team and customers. Solving any issues that may arise and coming up with a solution to fix those issues.Working with dispatch if there are any conflicts in scheduling.Working with current customers and clients to maintain positive relationships.New business development.Overseeing all of operations for the service department.Leading teams across various departments.What you need: Experience in leading and training a team.Union experience is a plus.Customer service/account management experience.Experience overseeing projects.The ability to problem solve quickly.Other: Fully onsite$150k-$180k Benefits includedBonus potentialApply today!