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Finance Manager Salary in Tacoma, WA

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Hourly Supervisor & Training
Walmart, Tacoma
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Continuous Improvement Specialist (OPL) - Tacoma, WA
Oldcastle, Tacoma
Job ID: 495343Oldcastle APG, a CRH Company, is the leading provider of outdoor living solutions in North America with an award-winning portfolio that enables customers to Live Well Outside. Inspiring endless possibilities with enduring performance, its collection of premier building products create inviting outdoor spaces where people connect, reflect and recharge. The manufacturer's signature brands include Belgard® and Echelon® hardscape and masonry materials; Barrette Outdoor Living® and MoistureShield® fencing, decking and railing; Sakrete® and Amerimix® packaged concrete and mortar; Techniseal® sands, jointing technologies and surface protectors; PebbleTec® pool finishes; plus popular brands of landscape and gardening materials. Job Summary Oldcastle APG's Operations Performance Team's goal is to convert APG into a world class manufacturing operation, driving operational improvement and employee engagement. The Continuous Improvement Specialist is an integral role that supports all operations performance initiatives at the company level to maximize efficiency. You will work closely with various local and national teams to identify areas of improvement, establish goals, develop and implement action plans, as well as lead the implementation of new processes and technologies. The OPL is a full-time hands-on, dedicated influencer, focused on delivering Oldcastle's Operations Performance System (OPS) and driving improvements across sites at each company. This is an excellent opportunity for candidates who are data driven, able to formulate and execute plans, provide positive influence, coach Site Managers, work well in a group environment and passionate about continuous improvement.Job Description Lead and support a culture of continuous improvement throughout the organization Leverage reporting tools to continually monitor performance, identify gaps and put action plans in place to improve. Work directly with site leadership to execute plans Collaborate with site leaders, operators, and other stakeholders to implement and monitor OPS tools at local companies across initiatives such as Vorne, Maintenance Connection, Machine Health Monitoring and other tools to be developed Lead cross-functional teams in the implementation of process improvements Support OPS network by sharing best practices and providing updates through OPS connectivity events Liaison between Operations Performance Team and own company sites, responsible for troubleshooting issues / communicating changes Training: Provide OPS orientation, training and coaching to site leadership as required Lead training sessions on OPS tools and best practices Attend and contribute to OPS meeting and conferences Coach site on developing SOPs Drive additional operations improvements projects locally including - but not limited to: Problem solving local production / equipment challenges Support capital improvement projects Streamline site(s) processes - analyze each site, define the bottlenecks for each production line, build and execute a plan with the site to increase production efficiency Implement future OPS solutions yet to be developed Conduct frequent site visits and support continuous improvement efforts by enforcing the 5 Fundamentals through leading by example, conducting audits and supporting action item execution Assist sites in maintaining their maintenance program by supporting their 52-week maintenance program utilizing tools such as Maintenance Connection (CMMS) and Machine Health Monitoring Monitor process changes and adjust as needed to ensure desired outcomes are achieved Identify and resolve issues or obstacles that may impede project success Other duties may be assigned as needed Requirements/Education and Experience Bachelor's Degree preferred in relevant field including engineering, management/ finance, IT or 5+ years of experience in the manufacturing field 3+ years of demonstrated track record of driving improvements in operations related field Very strong analytical skills, ability to analyze volumes of data, synthesize and communicate critical findings Communication skills that will work with both frontline manufacturing environment and an executive team Manufacturing/industrial environment experience desired Must be able to travel up to 50% of the time within a designated region including some overnight stays Compensation Base salary range is $90,000 - $110,000 What CRH Offers You Highly competitive base pay Comprehensive medical, dental and disability benefits programs Group retirement savings program Health and wellness programs A diverse and inclusive culture that values opportunity for growth, development, and internal promotion About CRHCRH has a long and proud heritage. We are a collection of hundreds of family businesses, regional companies and large enterprises that together form the CRH family. CRH operates in a decentralized, diversified structure that allows you to work in a small company environment while having the career opportunities of large international organization.If you're up for a rewarding challenge, we invite you to take the first step and apply today! Once you click apply now, you will be brought to our official employment application. Please complete your online profile and it will be sent to the hiring manager. Our system allows you to view and track your status 24 hours a day. Thank you for your interest! Oldcastle APG, a CRH Company, is an Affirmative Action and Equal Opportunity Employer.EOE/Vet/Disability--If you want to know more, please click on this link. Date: Mar 28, 2024 Nearest Major Market: Tacoma Job Segment: Industrial, Engineer, Manufacturing, Engineering
Continuous Improvement Specialist (OPL) - Tacoma, WA
OLDCASTLE APG, INC., Tacoma
Job ID: 495343Oldcastle APG, a CRH Company, is the leading provider of outdoor living solutions in North America with an award-winning portfolio that enables customers to Live Well Outside. Inspiring endless possibilities with enduring performance, its collection of premier building products create inviting outdoor spaces where people connect, reflect and recharge. The manufacturer's signature brands include Belgard and Echelon hardscape and masonry materials; Barrette Outdoor Living and MoistureShield fencing, decking and railing; Sakrete and Amerimix packaged concrete and mortar; Techniseal sands, jointing technologies and surface protectors; PebbleTec pool finishes; plus popular brands of landscape and gardening materials. Job Summary Oldcastle APG's Operations Performance Team's goal is to convert APG into a world class manufacturing operation, driving operational improvement and employee engagement. The Continuous Improvement Specialist is an integral role that supports all operations performance initiatives at the company level to maximize efficiency. You will work closely with various local and national teams to identify areas of improvement, establish goals, develop and implement action plans, as well as lead the implementation of new processes and technologies. The OPL is a full-time hands-on, dedicated influencer, focused on delivering Oldcastle's Operations Performance System (OPS) and driving improvements across sites at each company.This is an excellent opportunity for candidates who are data driven, able to formulate and execute plans, provide positive influence, coach Site Managers, work well in a group environment and passionate about continuous improvement. Job Description Lead and support a culture of continuous improvement throughout the organization Leverage reporting tools to continually monitor performance, identify gaps and put action plans in place to improve. 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We are a collection of hundreds of family businesses, regional companies and large enterprises that together form the CRH family. CRH operates in a decentralized, diversified structure that allows you to work in a small company environment while having the career opportunities of large international organization.If you're up for a rewarding challenge, we invite you to take the first step and apply today! Once you click apply now, you will be brought to our official employment application. Please complete your online profile and it will be sent to the hiring manager. Our system allows you to view and track your status 24 hours a day. Thank you for your interest!Oldcastle APG, a CRH Company, is an Affirmative Action and Equal Opportunity Employer.EOE/Vet/Disability--If you want to know more, please click on this link .
Manager Clinical Operational Excellence
Cambia Health, Tacoma
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, Tacoma
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.
Product Manager I, II, III or Senior - Future Opportunities
Cambia Health, Tacoma
Product Manager I, II, III or Senior - Future OpportunitiesPrimary Job PurposeAre you looking for a career in Product Management but do not currently see an opening? We are always looking for great talent to bring into our company. If you would like to be considered for a Product Manger role when we have an opening, please submit your resume here for future consideration. *Please note that this is not an open role, but a place to submit your interest in these roles if/when they come open.The Product Manager job family is responsible for creating the business and product plan, and articulating the product strategy, vision, design, development and ongoing oversight of products that support the launch and growth of businesses within the Cambia family of companies. These roles are responsible for all phases of new product development and management activities including defining business requirements, leading product development, implementing and sustaining the strategic product roadmap, pricing and budget models, competitive positioning and product design for both existing and next-generation product offerings.The Product Manager job family roles are inherently cross-functional - and require close work and collaboration with counterparts in product development, data science and data engineering, user experience, operations, program, and strategy to ensure all teams are delivering high-quality products that solve real market needs.General Functions and OutcomesManage the product roadmap and prioritization process, including defining the deliverables into discrete commitments (sprint planning).Directs the product management activities for products to meet business, market segmentation and financial goals.Produces product requirements for and interfaces and documents initiatives with marketing, UX, engineering and category management teams.Understands the target market and primary user needs for a product.Synthesizes business requirements from multiple sources including or may include customer segments, healthcare product experts, brokers, and sales teams into requirement documents and agile project plans.Define the feature sets, and business requirements from multiple sources, focusing on measures of success, and product roadmap.Contribute to the long term product vision.May conduct market research by working with internal teams and visits to customers and other relevant companiesManage a products life-cycle from planning to tactical activities to cross company go to market planning.May specify product requirements in the form of functional requirements, user stories, wireframes, and their objectives.Define and drives the solutions across all departments including the development of company-wide go to market plans.Collaborates with team to develop and deploy strategies for improving customer acquisition, engagement, and retention.Writes accurate and useful functional specifications for multiple projects simultaneously.Ensures that all issues are identified, reported, tracked and resolved in a timely manner.Minimum RequirementsProven record of creating successful products based on a balance of user needs, business goals, and technical constraints.Concrete experience managing complex products (preferably in healthcare) through a product development lifecycleExcellent interpersonal and leadership skills with demonstrated ability to lead teams and build effective working relationships with individuals and groups at all levels.Demonstrated project management skills including effective planning, organizing, and administration of multi-functional work responsibilities.Demonstrated ability to prioritize features and enhancements, and are data driven and a student of test driven design.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.Demonstrated track record in developing and managing highly successful products for healthcare preferred.Experience with analytics, forecasting, and developing business cases.Ability to negotiate and resolve issues with diplomacy and persuasiveness.Ability to work within cross-functional teams.Ability to operate independently to navigate organizational complexities and to obtain resources needed to move initiatives forward.Ability to write executive level documents and make executive level presentations.Demonstrated excellent attention to detail including proven ability to manage multiple projects and priorities in parallel.Ability to learn new technology concepts quickly.Ability to think strategically and execute methodically.Ability to work in a fast-paced environment where continuous innovation is desired.For technology specific roles:Mobile / Desktop software experience across top-tier platforms or relevant consumer software experience, if applicable to role.Knowledge of Agile methodology, project and product management best practicesStrong understanding of web design/development concepts and processes, and industry best practices for ecommerce, if applicable to role.Normally to be proficient in the competencies listed aboveThe Product Manager I would have a BA/BS in Business Administration or relevant field with 4+ years' experience in a product management position in healthcare, or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred.The Product Manager II would have a BA/BS in Business Administration or relevant field with 6+ years' experience in a product management position in healthcare or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. MBA preferred.The Product Manager III would have a BA/BS in Business Administration or relevant field with 8+ years' experience in a product management position in healthcare, or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. MBA preferred.The Product Manager Senior would have a BA/BS in Business Administration or relevant field with 10+ years' experience in a product management position in healthcare, or equivalent combination of education and experience. For technology specific roles experience in consumer-facing software & services or a start-up environment preferred. Must have experience that aligns directly to the products being managed. MBA preferred.At Cambia, we advocate for transforming the health care system. You aren't satisfied with the status quo and neither are we. We're looking for individuals who are as passionate as we are about transforming the way people experience health care. We offer a competitive salary and a generous benefits package. We are an equal opportunity 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 drug screen and background check is required.Cambia's portfolio of companies spans health care information technology and software development; retail health care; health insurance plans that carry the Blue Cross and Blue Shield brands; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access; and free-standing health and wellness solutions.We have a century of experience in developing and providing health solutions to serve our members. We had our beginnings in the logging communities of the Pacific Northwest as innovators in helping workers afford health care. That pioneering spirit has kept us at the forefront as we build new avenues to improve access to and quality of health care for the future.Information about how Cambia Heath Solutions collects, uses, and discloses information is available in our Privacy Policy.This position includes 401(k), healthcare, paid time off, paid holidays, and more. For more information, please visit www.cambiahealth.com/careers/total-rewards.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.
Case Management Manager - DSNP
PacificSource, Tacoma
Base Salary Range:$88,919.56 - $155,609.24Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.Manage the daily operations, including oversight/supervision of the Care Management Team which may include the following: Health Services Representatives (HSR) Member Support Specialists (MSS) and Nurse Case Managers (NCM) and Behavioral Health Clinicians involved in care coordination and case management functions. Key participant in Health Services (HS) strategy, program development and implementation. Integrally involved in, and accountable for, the success of the PacificSource Care Management program development and performance internal measures as well as those established by regulatory entities.Essential Responsibilities:Work closely with the HS Director and other HS Managers to facilitate the development and implementation of new programs and processes to support ongoing success of department goals and initiatives, including but not limited to; ongoing activities related to physical and behavioral health integration and the development of a cohesive team approach to care management.Foster effective teamwork and performance. Manage change and encourage innovation. Build collaborative relationships, encourage involvement and initiative and develop goal orientation in others.Take a leadership role in initiation and implementation of departmental process/performance improvement activities Responsible for process improvement and working with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Utilize visual boards and frequent huddles to monitor key performance indicators and identify improvement opportunities.Serve as back-up for the Director of Care Management and Utilization Management Manager, as needed.Work collaboratively with the UM Director and Manager Team to develop, implement, and oversee the utilization management process to include; coordination of prior authorization needs for members engaged with care management, as well as the inpatient concurrent review process to ensure medical appropriateness, care coordination needs, and discharge planning for PacificSource patients who have been hospitalized.Develop and oversee the care management process to ensure care coordination and case management needs of PacificSource's are being met and their outcomes are being improved.Ensures consistent workflow and a comprehensive database of patients enrolled in care management and care coordination programs that allows for tracking of case loads, case management program success or failure, and patient and population outcomes.Ensure nurse case managers are providing timely notification of large cases to finance, underwriting, stop loss and other company leaders, as necessary.Serve as key driver and participant to ensure PacificSource care management programs are coordinated with the case management and care coordination functions of our provider and community partners.Responsible for oversight, management, development, implementation, and communication of HS case management and care coordination programs that coordinate and augment community partner programs.Oversee and monitor processes to ensure the protection of personal health information.Facilitate the provision of exceptional customer service to members, providers, employers, agents, and other external and internal customers. Ensure that the delivery of services meet acceptable standards and company and customer expectations.Monitor, evaluate, and report performance relating to volumes, quality, outcomes, accuracy, customer service, and other performance objectives.Serve as a liaison with all PacificSource departments to coordinate optimal provision of service and information.Serve as a resource and participate in development of policies, procedures, and operations.Collaborate and coordinate Health Services department staff between regional offices. At regional offices, represent Health Services by serving on management teams and support marketing and development initiatives towards achievement of PacificSource Health Plans goals specific to the region.Attend continuing education opportunities relevant to case management and care coordination to ensure that PacificSource care management programs maintain current best practices and implement innovative models of care.Maintain frequent and consistent department meetings and one-on-one meetings with individual contributors.Establish and monitor progress towards goals for care management programs, including case loads, outcomes, case timeliness, quality of interventions, training and physician outreach efforts.Encourage and support team members in their pursuit of case management and care coordination certifications.Responsible for hiring, staff development, coaching, performance reviews, corrective actions, and termination of employees. Provide feedback to direct reports, including regular one-on-ones and performance evaluations.Develop annual department budgets. Monitor spending versus the planned budgeted throughout the year and take corrective action where needed.Coordinate business activities by maintaining collaborative partnerships with key departments.Actively participate as a key team member in Manager/Supervisor meetings and HS Management meetings.Actively participate in various strategic and internal committees in order to disseminate information within the organization and represent company philosophy.Ensures ongoing monitoring and adherence to applicable state and federal regulatory and associated compliance requirements.Supporting Responsibilities:Meet department and company performance and attendance expectations.Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.Perform other duties as assigned.SUCCESS PROFILEWork Experience: 5 years clinical experience required. A minimum of 3 years direct health plan experience in case management, utilization management, or disease management, or equivalent preferred. Prior supervisory or management experience required.Education, Certificates, Licenses: Registered Nurse or Licensed Clinical Social Worker or other licensed healthcare or behavioral health care clinician, Oregon licensure required. Certified Case Manager Certification (CCM) as accredited by CCMC (The Commission for Case Management) strongly desired at time of hire. CCM certification required within two years of hire.Knowledge: Thorough knowledge and understanding of medical and behavioral health procedures, diagnoses, and treatment modalities, procedure codes, including ICD-9 & 10, DSM-IV & V, CPT codes, health insurance and State of Oregon mandated benefits. Knowledge of community services, providers, vendors and facilities available to assist members. Strong knowledge of health insurance; including managed care products as well as state mandated benefits. Ability to develop, review and evaluate utilization and care management reports. Experience in adult education preferred. Proficient in the use and implementation of the following tools and concepts across all teams within scope and accountability: Training, Coaching, Strategy Deployment, Daily Operations, Visual Management, Operational Improvement & Team Building/Development.Competencies:Building TrustBuilding a Successful TeamAligning Performance for SuccessBuilding PartnershipsCustomer FocusContinuous ImprovementDecision MakingFacilitating ChangeLeveraging DiversityDriving for ResultsEnvironment: Work inside in a general office setting with ergonomically configured equipment, as needed. Travel is required approximately 20% of the time.Skills:Accountable leadership, Collaboration, Communication, Data-driven & Analytical, Delegation, Listening (active), Situational Leadership, Strategic ThinkingOur ValuesWe live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:We are committed to doing the right thing.We are one team working toward a common goal.We are each responsible for customer service.We practice open communication at all levels of the company to foster individual, team and company growth.We actively participate in efforts to improve our many communities-internally and externally.We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.We encourage creativity, innovation, and the pursuit of excellence.Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.