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Implementation Manager Salary in Utah, USA

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Manager, Provider Network Management - Utah market - Hybrid - Cigna Healthcare
Cigna, Sandy
LOCATION: REMOTE/HYBRID position aligned to the Utah markets. Must reside in Salt Lake City, UT The Manager, Provider Network Management serves as an integral member of the Provider Contracting Team. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory. DUTIES AND RESPONSIBILITIES Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups). Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy. Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service. Manages strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements. Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution. Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position. Creates and manages initiatives that improve total medical cost and quality. Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives. Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. Creates "HCP" agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners. Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues. Manages key provider relationships and is accountable for critical interface with providers and business staff. Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape. Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance. May provide guidance or expertise to less experienced specialists. POSITION REQUIREMENTS Bachelor Degree required, preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a Bachelor degree. MBA or MHA preferred. 3+ years Provider Contracting and Negotiating experience involving complex delivery systems and organizations required. Commercial and Medicare Contracting experience required Good understanding of CMS regulations Experience in developing and managing key provider relationships Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred. Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners. Intimate understanding and experience with hospital, managed care, and provider business models. Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization. The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations. Customer centric and interpersonal skills are required. Demonstrates managerial courage as well as an ability to maneuver effectively in a changing environment. Superior problem solving, decision-making, negotiating skills, contract language and financial acumen. Proficient with Microsoft Office (Word, Excel, PowerPoint, Outlook)If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Manager of Clinical Operations - (Pacific-Northwest)
Vatica Health, Salt Lake City
The Manager of Clinical Operations leads and manages the Clinical Operations teams in multiple Metropolitan Service Areas (MSAs) to ensure their efficiency, productivity, and effectiveness. The Manager of Clinical Operations collaborates with and reports to the Senior Director of Clinical Operations on clinical and non-clinical issues (employee relations, productivity, management of relationships with practices, market growth and expansion goals including penetration rate). This role requires expert clinical acumen as well as strong interpersonal and management skills. This position requires regular travel (as needed) within the assigned territory. Additionally, this role is responsible for supervising, directing, coaching, and mentoring his/her teams.?ResponsibilitiesManage a team of up to 25 individuals, including Registered Nurses, Advanced Practice Providers, and Coordinators located across different geographical areas. Manage and monitor the teams' work schedules, productivity, performance, and quality against required standards.? Regularly consult with team members and the Manager of Clinical Training & Development to provide support and improve clinical and operational training.? Mentor/coach staff members, to enhance their professional development.? Regularly assess and communicate the performance of staff members; provide ongoing feedback and coaching and work with Human Resources to manage/oversee Performance Improvement Plans (PIPs) of all team members as needed.? Assess staffing needs of teams according to workload, staff competency and geographic location. Assigns and adjusts staffing based upon the needs of the organization and the practices served.? Maintain keen awareness of all issues and problems in assigned territory.? Work proactively and collaboratively with Senior Director of Clinical Operations, Provider Engagement Representatives, and other necessary stakeholders to support the business goals of participating practices, deliver the highest level of customer service, and drive prompt, effective resolution of any issues.? Learn, understand, implement, and communicate all changes in strategy, technology, systems, workflows, policies, and procedures to appropriate team members.? Collaborate with other company departments and teams (Member Engagement, Provider Engagement, Product, Provider Network, Sales, Compliance, etc.) on key initiatives and projects and to resolve issues and improve workflow processes.? Independently lead new site order implementations. Assist teams with onsite and/or virtual provider training on Vatica technology during initial setup, and continually as needed.? Assist all team members to develop best practices and improve workflows to increase Vatica encounter utilization and member penetration to achieve defined goals and objectives.? Participate in activities to collect and analyze data to help Vatica better understand the value proposition, revenue improvement, care coordination, quality metrics, and medical cost savings.? Promote an atmosphere of team building, professionalism, resiliency, honesty, transparency, and open communication that facilitates staff input into decision-making, conflict resolution and collegiality among all team members.?Requirements Licensed Registered Nurse (RN) with very strong clinical acumen and leadership skills.? At least three years of clinical experience in an inpatient or outpatient setting required; adult critical care experience preferred.? At least 3 years of management experience, preferably managing nurses.? Proficiency with diagnosis coding, healthcare billing, quality and Value Based Care measures and metrics. Risk Adjustment knowledge/experience is preferred.? Understanding of Medicare, ACD, Medicaid, and health plan benefit structures.? Strong management experience or demonstrated ability to lead, prioritize, make decisions, delegate, and work independently.? Excellent interpersonal skills, including the ability to effectively communicate both verbally and in writing with Vatica colleagues and leadership as well as physicians, advanced practice providers and medical office personnel such as Practice and Billing Manager.? Must be adept and proficient in all aspects of the technology tools and software platforms utilized by the Clinical Operations team including but not limited to Well365, TASC, PBI, Salesforce, and the Admin Portal, etc.? Experience with change management; leading in a dynamic and fast-paced environment.? Flexible, energetic, and detail-oriented self-starter with the ability to work and lead in a fast-paced, non-structured, and at times, fluctuating environment.? Must possess and have proven problem resolution skills.? Excellent organizational skills with the ability to multi-task and adapt in a fast-paced environment.? Strong technical knowledge of computers, software, and EMR systems.? Willingness to regularly travel within the assigned region as needed.? Strong time management and multitasking skills and the ability to work independently and within the construct of a team.?BenefitsVATICA HEALTH ADVANTAGESEvery single person at Vatica Health is working to fight the good fight every single day. What we do matters, a lot. If you are looking for a job that has real meaning and you'd like to work with people who care deeply about what they do, we've got thatWe work hard (see point above), but we don't forget to have fun. "I want a job that is dull," said no one everWe believe in fostering a culture of servant leadership - command and control is so 1990s. We look for brilliant people that are great at what they do because they love what they are doingWe know that teams are exponentially more successful than the sum of their individuals. Our teams value what each member brings to the table and also values continuous improvement of each team member as well as the whole teamWe love learning. And we love working with people who love learning. Our industry changes every single day; stagnation is not an optionAnd of course, we offer the usual goodies - Medical / dental insurance, PTO, 401k match, and the likeProsperityCompetitive salary based on your experience and skills - We believe the top talent deserves the top dollarBonus Potential (based on role and is discretionary) - If you go above and beyond, you should be rewarded401k match- We want to empower you to prepare for your futureRoom for growth and advancement- We love our employees and want to develop withinGood HealthComprehensive Medical, Dental, and Vision insurance plansTax-free Dependent Care AccountLife insurance, short-term, and long-term disabilityHappiness4 weeks of PTO (Everyone deserves a vacation now and then)Monday through Friday (normal business hours) work week (No more working weekends, overnights, or on call shifts, and especially NO WORKING ON HOLIDAYS!-We believe family comes first!Reimbursement for RN license and Continuing Education CreditsStrong supportive teams- There is always a helping hand when you need it!The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $90,000 to $125,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.Are you up to the challenge? What are you waiting for? Apply today!
Project Manager
BGIS, Salt Lake City
BGIS is currently seeking aProject Manager to join the team Remote, US. BGIS is a leading provider of integrated real estate management services, including facilities management, project management, energy & sustainability services, strategic workplace consulting, real estate services and capital planning. Its range of solutions, supported by efficient systems, processes and people, enables it to create and optimize places that work for its clients. The team is dedicated to inspiring better business performance and helping clients focus on their core businesses. The Project Manager develops strategies, goals, and objectives for projects to ensure delivery of each project safely, on time, and within budget to high client satisfaction. The Project Manager sets the example for others positively exemplifying BGIS values. RESPONSIBILITIES Identify required talent and material resources to achieve project goals. Generate preliminary assessments, technical solutions, fee proposals, presentations, studies, and general support. Provide primary contact expertise for team members and leaders during project implementation. Transition project management activities from design to implementation phase and implementation to completion phase. Communicate with key stakeholders both externally and internally. Support and provide input to development strategies, goals, and objectives specific to project execution at each project phase. Develop and manage project plans, schedules, and scopes of work. Define project responsibilities to project management, subject matter experts, and team members. Document and resolve subcontractor and vendor billing issues. Assess site safety and implement actions to prevent injury to property and people. Ensure safety compliance of subcontractors and all individuals on site. Contribute to the completion of other key initiatives as assigned. Project Controls Take financial responsibility for project including accurate, timely and relevant reporting to stakeholders. Facilitate invoice payments from clients and to subcontractors. Review and approve subcontractor billing. Prepare client and subcontract change orders. Monitor, control, and report on financial performance of projects. Draft subcontracts and purchase agreements. Audits and proofs change issue log. Create and maintain network and hardcopy files. Prepare or supervise preparation of submittals, operation and maintenance manuals, expediting reports, change order log, RFI log, correspondence log and other key communications. Ensure preparation of Job Start and Project Closeout materials. Review contracts, drawings, specifications, and other resources to answer questions in a timely manner. Verify all material and equipment is purchased in a timely and cost-effective manner. Evaluate bid estimates, develop cost codes, establish definitive budgets, develop staffing plan, and monitor progress. Take responsibility for development and implementation of a comprehensive plan with sustainability considerations. Monitor progress toward goals to anticipate potential problems. Deliver accurate and timely data to support project forecasts. Asses any potential job cost impacts, submit, negotiate and track all change order requests. Team Management Coach and mentor project team members. Develop project staffing plans to include labor, subcontractors, and other anticipated costs. Establish and lead associated meetings. Define individual project responsibilities and accountabilities. REQUIRED EDUCATION, KNOWLEDGE and ABILITIES Bachelor's degree in construction management or engineering, or other relevant studies or equivalent work experience. Five years of experience in project management, engineering, or construction. Experience working for a general contractor or major mechanical subcontractor preferred. Basic estimating skills. Demonstrates an understanding of accounting and financial management preferred. Excellent verbal and written communication skills. Ability to focus diverse group of stakeholders including external clients and internal expertise on a specified project and projected out comes. Time Management skills to balance competing priorities. Completed OSHA 30 class. Proficient with scheduling software: Microsoft Project, Primavera and/or Suretrak. Advanced knowledge of Microsoft Office Suite including Word, Excel, PowerPoint and Outlook. Proficient with construction financial programs and software preferred. Physical Demands and Work Environment To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions, absent undue hardship. Ability and willingness to travel. Current valid driver's license and ability to provide personal transportation for meetings and job visits away from the office with reimbursement Visit us online at https://www.bgis.com/us/careers.htm for more information. Our company culture includes a robust mix of sound business practices and employee initiatives that promote personal and professional development, work/life balance, health and wellness and community involvement. The Company is an equal opportunity employer. We believe every employee has the right to work in surroundings that are free from all forms of unlawful discrimination. We are committed to providing equal employment opportunity to all employees and applicants without regard to race, color, religion, gender, national origin, age, disability, ancestry, creed, marital status, sexual orientation, or Veteran or military status, genetic information or any other basis prohibited by local, state or federal law in the relevant jurisdiction. This policy applies to all terms and conditions of employment including, but not limited to employment, advancement, assignment and training. BGIS is committed to strengthening our diversity through recruiting and retaining minority and women professionals from all backgrounds. Our commitment is consistent with our recognition that it is the outstanding people within BGIS who have always been the source of our strength. We recognize that promoting diversity is an integral component of our continuing quest for organizational excellence. This commitment to Equal Employment Opportunity is made equally as a social responsibility and as an economic and business necessity. Anyone with questions or concerns regarding Equal Employment Opportunity should contact their direct supervisor or the Human Resources Department without fear of retaliation of any kind. BGIS is committed to fair and equitable compensation practices. BGIS has different pay ranges for different work locations within the United States which allows us to pay team members competitively and consistently in different geographic markets. The applicable base pay range will depend on what ultimately is determined to be the candidate's primary work location. The salary range for this exempt position in the US is $100,000-115,000. A candidate's salary offer is determined by various factors including, but not limited to, relevant work experience, knowledge, skills, abilities, education, certifications, licenses, and location. BGIS offers a comprehensive benefits package including medical, dental, vision, prescription coverage, health savings account, flexible spending account (both healthcare and dependent), 401(k) with a Company match, Paid Time Off, paid company holidays, short term and long term disability, life insurance, employee assistance program, tuition reimbursement, paid parental leave, gym membership discount and team member referral bonus. Our dedication to the principle of pay equity is steadfast. We believe in equal pay for work of equal value. #LI-JV1