Managed care contracting jobs in Union City, New JerseyCreate job alerts

The successful candidate will be able to: • Responsible for functions of the Medical Staff Office Coordinators in their absence as needed., • Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, takes minutes, processes, and distributes appropriate correspondence as needed in the absence of MSO Coordinators., • Assists in compliance with the accrediting and regulatory agencies (i.e., Joint Commission, CMS, NJBOME, etc.) in regard to medical staff while developing and maintaining a working knowledge of the statutes and laws., • Maintains the confidentiality of all business/work and medical staff information., • Assists in managing the flow of information between the MSO team, Credentials and MEC Committee members, Medical Staff Leadership (including the Service, Department and Section Chairpersons) and the Chief Medical Officer, as needed., • Maintains open communication with the Medical Staff, Administration, Hospital Departments, practitioner’s office staff, Corporate Office, and related health agencies. Identifies and works to solve problems as they arise., • Maintains knowledge of standards of The Joint Commission, CMS, and State and Federal regulations related to Medical Staff organization., • Maintains working knowledge of the Medical Staff Bylaws, Rules and Regulations, and Hospital policies, and works to ensure the medical staff’s compliance with the stated parameters., • Attends Medical Staff meetings as necessary. Assists as needed with agenda and materials preparation. Records minutes at specified committees., • Assumes responsibility and accountability as Custodian of Records for all files, minutes, reports, etc., relative to the activity of the Medical Staff., • Composes and distributes monthly Medical Staff Calendar to the Corporate Credentialing and Medical Staff Affairs Department., • Coordinates new physician orientation as directed by the Corporate Office., • Schedules applicant interviews as directed by the Corporate Office., • Maintains the electronic board with current information as directed by medical staff officers, and the Corporate Office, • Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility., • Conducts thorough background investigation, research and primary source verification of all components of the application file., • Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up., • Prepares credentials file for completion and presentation to Health System Entity Medical Staff Committees, ensuring file completion within time periods specified., • Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions., • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise., • Assists with managed care delegated credentialing audits; conducts internal file audits., • Utilizes the Cactus credentialing database, optimizing efficiency, and performs query, report, and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act., • Monitors the initial, reappointment and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts., • Develop and trains staff on regulations, policies, and procedures., • Responsible for the regular review of internal processes in order to evaluate quality and efficiency within the Managed Care Department; recommend, administer and implement multiple activities in support of the Managed Care Department initiatives., • Work with Managed Care Leadership to find efficiencies that will improve processes and communication., • As a working supervisor, research and respond to routine, non-routine, complex and escalated inquiries in a timely and professional manner., • Work with various departments to prevent issues as well as resolve elevated billing, reimbursement, health plan participation and credentialing issues., • Maintain awareness of Payor Managed Care activities for changes in policies, authorization requirements and other processes that impact the Practice., • Maintain the Payor matrix, including limited network participation, to ensure information is accurate and up to date., • Maintain standard operating processes and procedures for contract monitoring and renewals., • Gather current data and monitors changes on plan membership, patient volume, plan/benefit structure, reimbursement and other information needed to complete the contract profile., • Review fee schedules for accuracy and identifies significant changes in reimbursement., • Oversee activities responsible for ensuring that all Providers are credentialed with Payors and Hospitals in a timely and accurate fashion., • Promptly communicate credentialing status to applicable parties., • Monitor Payor directories to ensure all providers are listed accurately by plan, • Monitor trends to avoid minor issues from having a major impact on reimbursement and collections., • Other duties as assigned. What We're Looking For • Five or more years in healthcare managed care contracting and medical staff experience, • Associates degree or BA needed, • Working knowledge of both Managed Care and Provider Insurance Credentialing, • Working knowledge of government and non-government insurance, payer requirements, and healthcare operations, • Excellent knowledge of healthcare revenue cycle, healthcare finance, CMS and state regulations and healthcare compliance requirements/activities, • Previous experience in a Medical Staff Services Administrative/Credentialing position required., • Previous experience as a Medical Staff Coordinator or two or more years of experience in Medical Staff setting preferred, • Must have excellent organizational, time management, customer service and oral & verbal communications skills, • Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment, • Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff, and allied health professional staff, • Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds., • Proficiency in Cactus is critical., • Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint, and Cactus., • Willingness to maintain a flexible work schedule as needed., • Ability to adapt to changing schedules, deadlines and demands, and a heavy workload. What We Offer • Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity., • Comprehensive health, dental, and vision insurance, • 401K, Retirement savings plan with employer contribution, • Generous Paid Time Off (PTO) and paid holidays, • Tuition Reimbursement, • Opportunities for professional growth, development, and continuing education, • Employee wellness programs and resources Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption. We are an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.

Director of Contracts & Compliance Location: New York, NY (42nd Street) Schedule: Hybrid – 4 days onsite, 1 day remote Conveniently located near major public transportation Position Overview We are seeking a Director of Contracts & Compliance to serve as the critical bridge between Managed Care, Revenue Cycle, and Clinical Operations. This individual will ensure payer contracts are negotiated, operationalized, and monitored effectively so the organization receives appropriate reimbursement while maintaining compliance with contractual and regulatory requirements. This role is ideal for someone who understands both the managed care and revenue cycle sides of healthcare and can translate complex contract terms into actionable processes for clinical, operational, and billing teams. Key Responsibilities • Lead negotiation, implementation, and ongoing management of payer and managed care contracts., • Serve as the primary liaison between Managed Care, Revenue Cycle, and Clinical Operations to ensure contract requirements are understood and executed., • Interpret contract language and communicate operational, documentation, and reimbursement requirements to clinical and operational teams., • Partner with Revenue Cycle leadership to ensure claims are adjudicated according to contract terms and reimbursement is aligned with negotiated rates., • Analyze underpayments, reimbursement variances, denials, and contract performance issues., • Develop processes to ensure payer contract provisions are effectively translated into workflows and operational practices., • Collaborate with clinicians and operational leaders to support compliance with payer requirements and quality initiatives., • Monitor regulatory and compliance requirements related to payer contracts and reimbursement programs., • Identify opportunities for revenue optimization, contract improvement, and operational efficiencies., • Support value-based care initiatives, provider enrollment, and payer relationship management efforts. Qualifications • 8+ years of healthcare experience within managed care, payer contracting, provider contracting, revenue cycle, reimbursement, or healthcare operations., • Strong understanding of both professional billing and payer contract administration., • Experience working directly with clinicians, operational leaders, and revenue cycle teams., • Demonstrated experience interpreting contract language and ensuring operational execution of contract requirements., • Knowledge of contract adjudication, reimbursement methodologies, payer policies, and revenue integrity principles., • Experience analyzing reimbursement performance and resolving contract-related payment issues., • Bachelor's degree required; Master's degree preferred. Preferred Background • Experience within a hospital, health system, physician group, MSO, IPA, ACO, or managed care organization., • Experience serving as a bridge between contracting and revenue cycle functions., • Value-based care and population health experience., • Strong payer relationship management and negotiation experience. Why Join Us? • Highly visible leadership role with significant cross-functional impact., • Opportunity to influence payer strategy, reimbursement performance, and operational excellence., • Direct partnership with executive leadership, clinical teams, and revenue cycle leadership., • Convenient Midtown Manhattan location adjacent to major transportation hubs.

MAIN FUNCTIONS: • Responsible for all aspects of the verification process for medical staff, • Develops and implements policies and protocols related to physician, nurse and other employee verifications, • Ensures that the organization and staff are in accordance with all standards, • Resolving escalated issues within the department, • Prepares credentials file for completion and presentation to Health System Entity Medical Staff Committees, ensuring file completion with time periods specified, • Leads, coordinates and monitors the review and analysis of practitioner applications and accompanying documents ensuring applicant eligibility, • Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures resolution, • Administer credentialing audits and conducts internal file audits, • Monitors the initial, reappointment and expirable process for all medical staff, Allied Health Professional staff, other health professional staff and delegated providers, • Ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, Federal and State) as well as medical staff Bylaws, Rules and Regulations, • Develop and trains staff on regulations, policies and procedures, • Responsible for the regular review of internal processes in order to evaluate quality and efficiency within the Managed Care Department; recommend, administer and implement multiple activities in support of the Managed Care Department initiatives., • Responsible for the regular review of internal processes in order to evaluate quality and efficiency within the Managed Care Department; recommend, administer and implement multiple activities in support of the Managed Care Department initiatives., • Work with Managed Care Leadership to find efficiencies that will improve processes and communication., • As a working supervisor, research and respond to routine, non-routine, complex and escalated inquiries in a timely and professional manner., • Work with various departments to prevent issues as well as resolve elevated billing, reimbursement, health plan participation and credentialing issues., • Maintain awareness of Payor Managed Care activities for changes in policies, authorization requirements and other processes that impact the Practice., • Maintain the Payor matrix, including limited network participation, to ensure information is accurate and up to date., • Maintain standard operating processes and procedures for contract monitoring and renewals., • Gather current data and monitors changes on plan membership, patient volume, plan/benefit structure, reimbursement and other information needed to complete the contract profile., • Review fee schedules for accuracy and identifies significant changes in reimbursement., • Oversee activities responsible for ensuring that all Providers are credentialed with Payors and Hospitals in a timely and accurate fashion., • Promptly communicate credentialing status to applicable parties., • Monitor Payor directories to ensure all providers are listed accurately by plan, • Monitor trends to avoid minor issues from having a major impact on reimbursement and collections., • Other duties as assigned. What We're Looking For EDUCATION: • Bachelor’s Degree or equivalent professional experience in Healthcare, • CPMSM and/or CPCS Certification EXPERIENCE: • Five or more years in healthcare managed care contracting experience, • Working knowledge of both Managed Care and Provider Insurance Credentialing, • Working knowledge of government and non-government insurance, payer requirements, and healthcare operations, • Excellent knowledge of healthcare revenue cycle, healthcare finance, CMS and state regulations and healthcare compliance requirements/activities What We Offer • Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity., • Comprehensive health, dental, and vision insurance, • 401K, Retirement savings plan with employer contribution, • Generous Paid Time Off (PTO) and paid holidays, • Tuition Reimbursement, • Opportunities for professional growth, development, and continuing education, • Employee wellness programs and resources Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption. We are an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.

Job Description [Position] Sr Manager, Patient Services [About Our Client] Company provides biosimilar and innovative biopharmaceutical medications to help increase patient access to advanced therapies around the world. [Job Summary] Reporting to the Director, Patient Services, responsible for ongoing management of all aspects of patient services and programs. [Job Description] KEY ROLES AND RESPONSIBILITIES • Contribute to the success of a best-in-class patient services programs to support Company’s commercial vision by ensuring close cross functional collaboration and subject matter expertise, • Provide program management across all patient support vendors, including HUB, copay, free drug programs, and creative agency of record., • Support contracting execution - coordinate the signing, tracking, revision and storage of all NDAs, MSAs, SOWs, BRDs, and SDEA documents in accordance with company guidelines., • Deliver an exceptional patient experience by assessing needs, developing action plans, and proactively addressing potential access barriers to support treatment initiation and support continuation of care., • Monitor HUB Services programs and competitive landscape to identify potential gaps and/or areas of competitive advantage for Company HUB Services, Copay and Patient Assistance Programs., • Support Field Reimbursement and Managed Care team needs with strong communication and timely customer service, • Consistently leverage reporting tools and data analytics to support strategic decision making and ongoing program monitoring. Requirements • Minimum of 5 years of experience working either within a HUB vendor program (at the Supervisor level), a manufacturer patient support program, and/or field reimbursement role, • Bachelor’s Degree required in healthcare, business, pharmacy, nursing or related field QUALIFICATIONS • Understanding of patient programs and HUB services at the case level. Knowledge or reimbursement through private payer insurance, Medicare Part B & D, Medicaid, Buy/Bill, and Specialty Pharmacy channels., • Strong problem solving/analytical skills and ability to prioritize under tight deadlines., • Demonstrated excellent interpersonal, written, verbal and visual communication and presentation skills., • Demonstrated effective working relations in a global work environment, • Ability to proficiently use Microsoft Excel, Outlook, and Word. Tableau and Salesforce CRM experience preferred., • Ability to travel periodically to Jersey City, NJ, Vendor sites, and meetings (10%), • Bilingual in Korean and English highly prefer CORE COMPETENCIES • PSP operations and strategy: Experience managing PSP operations across multiple brands., • Regulatory Compliance: Deep understanding of healthcare regulations, privacy laws (HIPAA) and pharmaceutical industry guidelines, • Data analysis and Reporting: Ability to track KPIs, identify patient journey bottlenecks (abandonment) and generate actionable insights for program enhancements., • Project Management: Skills to manage vendor performance, service level agreements and budget tracking., • Communication Skills: Strong oral and written, • Collaboration: Ability to communicate across functions and at all levels in the organization, • Technical Proficiency: Competence in CRM systems (Salesforce/Veeva), digital tools and date reporting software, • Patient Advocacy and Empathy: A patient centric focus with strong communication skills for handling complaints, resolving escalations and enhancing the patient experience. Benefits • Salary 160-170k + Annual Bonus, • Full Benefits - Medical, Dental, Vision with different package, • 401k 4.5 % match, • 15 days PTO & 6 Sick Days

Job DescriptionAutomated Litigation Support Lab Manager Employment Type: Full-Time, ExperiencedDepartment: Finance As a CGS ALS Lab Manager, you will leverage industry knowledge, and market research, and have wide-ranging experiences across operating systems and coding languages. You will serve as the lead manager responsible for the delivery of lab data processing services and be responsible for ensuring that incoming productions are made pursuant to the applicable ESI specifications and providing the case attorney with detailed notice of deficiencies. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Serves as the lead manager responsible for delivery of lab data processing services.- Primarily ensures timely and accurate completion of tasks. Performs analysis, development and implementation of processing approaches for electronic files and related services pursuant to applicable ESI specifications.- Consults with attorneys and support staff on best practices for conforming to ESI specifications and, as required, participates in teleconferences with co-counsel, client agencies, and opposing counsel upon attorney request.- Responsible for ensuring that incoming productions are made pursuant to the applicable ESI specifications and when deficiencies are found, provides case attorney with detailed notice of deficiencies.- Responsible for keeping the client informed on activities in the Lab, e.g. deadlines, technical challenges, and availability of resources to complete work. - Responsible for webhosting support for unsupported cases managed by the lab.- Manages a team of eDiscovery professionals situated in a client-site eDiscovery laboratory, including: scheduling, requirements assessments, assigning work and ensuring deadlines are met, creating progress reports, and Quality Control (QC) of deliverables.- Advises client attorneys, paralegals, and case managers on all phases of the Electronic Discovery Reference Model (EDRM); especially: Data Collection, Processing, Hosting, Review, Analytics, and Production. Qualifications:- Extensive Relativity experience required.- Relativity certifications including Relativity Certified Administrator (RCA) and/or Relativity Analytics Specialist strongly preferred.- At least eight years of experience performing eDiscovery roles including but not limited to electronic files processing (EFP), image and data file conversion, data culling using review tools, quality assurance, database loads and retrieval, and data analysis and review.- At least five years of experience at the management/supervisory level.- Requires thorough knowledge of the litigation discovery process, and the EDRM workflow.- Working knowledge and certifications of document review software such as iConect, Relativity, Venio or similar tools.- Undergraduate degree required, preferably in computer science or related field. Only the Contracting Officer can approve a waiver of the degree requirement. Ideally, you will also have:- Experience with litigation support tools such as LAW, IPRO, Concordance, MS Office Suite, and LiveNote highly valued. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government-contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation!Explore additional job opportunities with CGS on our Job Board:https://cgsfederal.com/join-our-team/For more information about CGS please visit: https://www.cgsfederal.com or contact:Email: info@cgsfederal.com #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job DescriptionCompany Overview: With an annual budget of $2.3 billion and more than 7,000 employees throughout the five boroughs, the New York City Department of Health and Mental Hygiene (NYC DOHMH) is one of the largest public health agencies in the world, serving 8 million New Yorkers from diverse ethnic and cultural backgrounds. We're tackling a broad range of public health issues with innovative policies and programs and getting exceptional results, but our work is never finished. The breadth of our innovative programs provides the widest range of choices for every member of our team. DOHMH is undertaking a new initiative that will meet critical infrastructure needs and make possible strategic investments that will have lasting effects on public health, using grant funds from the Centers for Disease Control and Prevention (CDC). Investments and improvements through this initiative will help modernize DOHMH’s foundational capabilities and data infrastructure, enabling it to partner in complex health and health care environments and, in turn, support better public health outcomes, including COVID-19. This initiative supports larger efforts to rebalance investments in public health and more equitably serve communities and populations. The selected candidate will be an employee of Public Health Solutions, a nonprofit organization which is the fiscal and administrative manager of the grant, but work will be supervised by DOHMH. This is a grant-funded position ending in November 2027. Program Description: The Center for Health Equity and Community Wellness (CHECW) aims to eliminate racial inequities resulting in premature mortality, with a focus on chronic disease, by addressing the social and environmental factors that impact health. CHECW works to increase placed-based investments in priority neighborhoods with community programming and services based on epidemiology; influence and leverage the health system to promote whole-person care; intensify the agency’s approach to tackling big salt, sugar, and tobacco; and finding innovative ways to improve the built environment and address other social determinants of health. CHECW is comprised of the Bureau of Bronx Neighborhood Health, the Bureau of Brooklyn Neighborhood Health, the Bureau of Harlem Neighborhood Health, the Bureau of Chronic Disease Prevention, the Bureau of Health Equity Capacity Building, the Bureau of Equitable Health Systems and the Bureau of Finance, Administration, and Services. CHECW seeks to create healthier neighborhoods by providing New Yorkers the information and resources they need to live healthy lives and work to remove health inequities between New York City neighborhoods that are the result of structural racism such as segregation and disinvestment and social capital. Public health emergencies are becoming more frequent and severe. And public expectations for emergency response have changed in terms of speed of response, level of communications, among other things. As such, DOHMH must become a more “response-ready” Agency to enable more effective and efficient emergency operations. This means strengthening the Agency’s overall systems, processes, and policies to ensure a strong emergency infrastructure to support priority CHECW preparedness needs identified from the COVID-19 pandemic response and other previous emergencies. Emergency Preparedness and Response is a public health infrastructure foundational service, and DOHMH must build capability and capacity in this area to protect the public’s health. Position Summary: In this context, BEHS is looking to recruit an analyst to perform a variety of policy analyses of the financial incentives and payment innovations necessary to improve equity in healthcare access, outcomes, and healthcare accountability. General areas of work include but are not limited to: • Provider payment and financing strategies for addressing health inequities and achieving health equity, • Implementation of New York State 1115 Medicaid waiver, state plan amendments (SPA) and additional initiatives with an equity focus and promoting place-based interventions, • Development and implementation of a Maternal Home Collaborative, a payment model to address maternal mortality and morbidity; with the potential opportunity to be co-located with CBO partner(s) and NYC Health Department, • Support for community and social services organizations to expand into a social care delivery system for Medicaid and other payors in a way that is easy-to-access for patients and providers, and financially sustainable., • Facilitate inclusion of healthcare, preventive, and social care services into alternative payment models ; value-based payment (VBP), capitated arrangements, as examples; inclusive of through blending and braiding approaches., • Policy, financing, and research analyses inclusive but not limited to: literature reviews, landscape analyses, reports, legislation, briefings, memos, publications, etc. Specifically, the Healthcare Payment and Financing Analyst will: Healthcare Payment and Financing: • Investigate various healthcare payment and financing topics including but not limited to Medicaid/Medicare payment and credentialing, alternative payment models, and disproportionate share payments, etc., • Perform policy and financing analyses and literature reviews of the impact of payment and financial policy changes and innovation nationally in quality and population health outcomes., • Creates payment and finance policy goals. This includes but is not limited to preparing projected analyses on claims and utilization, including underlying trends and risk analyses to assist in planning for partner-led population health interventions. Policy Planning, Development, Implementation, & Analyses: • Lead policy analyses of healthcare payment and financing initiatives, policies, and legislation, • Prepare briefs, reports, and presentations, • Leads program development and implementation for healthcare payment and financing initiatives, • Leads, facilitates, and coordinates meetings with stakeholders including but not limited to scheduling, preparing presentations, taking notes, and providing follow-up to action items., • Participates as Office of Healthcare System Strategy and Accountability (OHSSA) representative in workgroup(s) Maternal Home Collaborative • Support implementation of the Maternal Home Collaborative, a novel model to address maternal mortality and morbidity, • Opportunity to be co-located (CBOs and NYC Health Department) for direct service delivery, support services, reporting, and evaluation Whole-person care: • Collaborate with stakeholders to identify key segments of the population, providers, services etc. to target for high value interventions., • Support the creation of a unified and operationally feasible vision for delivery of health-related-social-needs services so it maximizes impact on population health outcomes., • Work with payers, providers, and community-based organizations to co-create win-win payment models for health equity innovations; including blended and braided funding. Training • Develop payment and financial analysis skills among policy and data analysts Other • Provide analysis of the unintended financial implications of policy and programs of interest for the health department., • Investigate innovations in healthcare delivery and financing nationally and assess appropriateness and feasibility of implementation in New York., • Additional duties, as assigned Qualifications: • Advanced degree (masters, MD, PhD, DrPH, JD) in business, public health, health policy & management, healthcare finance, economics, or similar, • 3+ years of experience in roles that provide in-depth understanding of financial incentives in the healthcare delivery and payment systems, • 3-5 years’ experience in progressively complex healthcare policy analyses, • 3+ years of experience analyzing Medicaid and/or Medicare Federal/State regulation., • Experience doing research or analysis of healthcare policy, • Experience in policy and program planning, development, and implementation, • Experience producing briefs, memos, and reports, • Rapidly able to self-teach software products, • Highly analytical and detailed oriented, • Understanding of health care performance metrics and key operating indicators, • Knowledge of statistical and financial metrics in a health care environment such as payor mix, • Health Insurance experience and proficiency in understanding professional and facility claims and managed care concepts such as risk adjustment, capitation, FFS, DRG, APG, APCs and other payment mechanisms, • Some experience in social service or community-based organizations, preferably related to contracting with government and/or insurance companies., • Effective communication and ability to translate financial information to non-financial customers (internal and external), • Strong ability to handle multiple projects including problem solving, research, analysis, and communication in a fast-paced environment Additional Desired Qualities • Demonstrated knowledge in emerging ways to utilize electronic data for collaborative delivery and payment models (e.g. RHIOs), • Advanced use of Microsoft Excel, • Experience in Management Service Organizations, Independent Practice Associations, or other shared service organizations. Benefits: • Hybrid Work Schedule., • Generous Paid Time Off and Holidays., • An attractive and comprehensive benefits package including Medical, Dental and Vision., • Flexible Spending Accounts and Commuter Benefits., • Company Paid Life Insurance and Disability Coverage., • 403 (b) + employer matching and discretionary company contributions., • College Savings Plan., • Ongoing training and continuous opportunities for professional growth and development. Additional Information: • This is a temporary grant-funded position ending in November 2027., • This individual must reside in the tri-state area (NY, NJ, CT) by their confirmed start date., • Preference may be given to individuals residing in New York City (5 boroughs) or surrounding New York State counties., • This individual will be expected to work non-business hours during emergencies. At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities. We look forward to learning more about you! PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA+ individuals, and veterans. Monday-Friday Candidate can work in a hybrid capacity (remote/in-person). 35 Hours Per Week

Job DescriptionHealth Law PBM Associate Attorney or Special Counsel (Off-Track) Locations: Boston, New York, Washington, DC Direct Counsel is seeking a Health Law PBM Associate or Special Counsel to join a national Am Law 100–caliber firm with a premier Health Law Practice. This is an off-track (non-partnership) position and is ideal for attorneys with strong commercial contracting experience in the managed care and pharmaceutical supply chain/PBM space. About the Health Law Practice The Health Law Practice provides comprehensive guidance to a diverse array of clients, including providers, payors, PBMs, manufacturers, distributors, and other pharmaceutical supply chain participants. The team advises on complex litigation, transactions, operational issues, and regulatory matters, leveraging a cross-disciplinary approach to help clients navigate challenges and pursue business opportunities. Responsibilities The Associate or Special Counsel will support a national team advising health plans in their contracting relationships with pharmacy benefit managers (PBMs) and other pharmaceutical supply chain vendors. Core responsibilities include: Drafting, reviewing, and negotiating PBM contracts and related commercial agreements (e.g., rebate agreements, pharmacy network contracts, vendor arrangements). Leading and supporting the full contracting lifecycle for PBM procurements, including coordination with clients and in-person negotiations (occasional travel required). Counseling clients on operational, regulatory, transactional, and contract administration matters affecting health plan operations. Managing multiple contract workflows and collaborating with partners, clients, co-counsel, and opposing counsel. Handling disputes arising under PBM and health plan contracts. This role requires the ability to work autonomously on day-to-day contract drafting and negotiations while maintaining close communication with team members. This position requires approximately 60% in-office presence in accordance with firm guidelines. Qualifications JD or LLM from an ABA-accredited law school. Admission to or eligibility for admission in MA, NY, or DC. Minimum of 3+ years of transactional or commercial contracting experience in the managed care, PBM, or pharmaceutical supply chain industries. Strong knowledge of federal and state regulations governing health plans, PBMs, and related entities preferred. Excellent written and verbal communication skills. Strong organizational skills and meticulous attention to detail. Ability to manage competing priorities and work effectively in a team environment. Experience with PBM operations, managed care contracting, or in-house PBM roles encouraged to apply. Compensation Salary Range: $200,000 – $345,000 Bonus-eligible Comprehensive benefits package offered

Job Description About the role The Sales Executive at Enavate will be instrumental in driving new account growth within a given vertical (e.g., Professional Services, Manufacturing + Distribution). This leader will drive outbound demand generation and lead the sales process including relationship management, solutioning, negotiations, and contracting for prospective clients seeking to improve their Microsoft ecosystem (e.g., Microsoft Dynamics, Business Central, and Azure). Reports to: Sales Leader Travel: Up to 50% Location: This role is available in multiple locations. Depending on your location, different work environments are supported: Hybrid (3 days in office) in Tampa, FL and Fargo, ND, or Remote across the rest of the U.S. Key Responsibilities: • Account Acquisition: Craft and implement an annual sales strategy to win net new logos within designated market vertical among mid-market prospects, • Sales Attainment: Lead the sales process from discovery to close to achieve overall sales targets, • Strategic Solution Design: Partner with Delivery and / or Sales Engineering teams to optimize solution for client needs, • Active Prospecting: Engage in multi-channel outreach to spread awareness and excitement about Enavate's solutions to new prospects and stakeholders Additional Responsibilities: • Market Awareness: Stay informed on industry trends and evolving client needs within given vertical to improve solutioning efforts, targeting, and overall sales approach, • Inform Solutioning & Go To Market Strategy: Capture key success factors, best practices, and challenges and relay back to Marketing, Product, and Delivery functions to improve Enavate's overall approach, • Presence and Communication: Deliver powerful, credible presentations to internal and external stakeholders, including executive-level attendees, • Project Management: Leverage and improve upon best practices in developing proposals, navigating client's buying process, and coordinating internal resources & stakeholders across an often lengthy and iterative sales process Here's What It Takes to Be Successful in This Role: • Experience: Demonstrated success in new account acquisition, with a focus on SaaS or partner sales. Experience selling large ($100K+ ACV) opportunities to mid-market businesses ($25M - $500M in total revenue) is preferred, • Industry Knowledge: Deep understanding of ERP and CRM solutions, preferably within the Professional Services or Manufacturing + Distribution verticals, with a solid grasp of the Microsoft ecosystem, • Strategic Thinker: Ability to develop and execute strategic plans that drive results, with a focus on new account acquisition and revenue growth, • Action Orientation: Demonstrated persistence in engaging prospects and resolving challenges throughout the sales process, • Creativity: Identification and implementation of novel and compelling ways to become and remain relevant to prospects, driving overall awareness and interest in Enavate, • Communication Skills: Excellent interpersonal and communication skills, capable of building relationships with clients and stakeholders at all levels Important: All North American new hires are onboarded in person at our Tampa office. Onboarding typically lasts 3 to 5 days, depending on the role, and provides a dedicated opportunity to connect with your leader, teammates, and our company culture. ABOUT ENAVATETransforming Businesses and the Lives They Touch At Enavate, we are more than just a Microsoft Gold Partner—we're a trusted partner in Enterprise Resource Planning (ERP) consulting, Cloud services, and managed services. We help businesses embrace the future by guiding them through ERP implementations, migrations to the cloud, and integrations that streamline their operations, allowing them to thrive in an ever-evolving business landscape. Our work isn't just about technology—it's about transforming the way businesses operate, empowering them to grow, innovate, and succeed. By partnering with our clients, we provide peace of mind, enabling them to focus on what matters most while we handle the complexity of their systems and processes. To learn more about what we do and how we make an impact, please check out our "What We Do?" 1-pager. Our Culture Whether you're joining us in North America, Europe, or beyond, Enavate offers a dynamic and collaborative environment where you'll have the opportunity to make a real impact. At Enavate, we're driven by our core values, and our people are at the heart of everything we do: • Team Members: We take care of our own., • Innovation: We explore, evolve, and seek excellence at every level., • Results: We are achievers who set high goals and reach them., • Integrity: We are trustworthy. Our word is our bond. We believe that a diverse and inclusive team leads to better innovation and outcomes. We actively support diversity and inclusion through a variety of initiatives, creating a workplace where everyone is respected and valued. To gain a deeper understanding of our values and the environment we foster at Enavate, take a look at our "Enavate Culture" Guide. What We Offer At Enavate, we're committed to providing a supportive and rewarding environment that empowers you to thrive both professionally and personally. Here's a glimpse of the benefits and perks you'll enjoy as part of our team: • Health and Wellness We offer competitive health insurance, wellness programs, and mental health resources to support your well-being, both physically and mentally. • Flexible Work Arrangements We believe in work-life balance, which is why we offer flexible working hours and, where applicable, remote work options to help you manage both your professional responsibilities and personal needs. • Professional Development Your growth matters to us! We provide access to a range of training programs, workshops, and reimbursement for certifications and courses, helping you continuously expand your skills and advance your career. • Generous Time Off Take the time you need to recharge with unlimited paid time off (PTO), which covers vacation, sick leave, holidays, and personal days. We support you in maintaining a healthy work-life balance, so you can perform at your best. • Team Member Recognition We appreciate and celebrate the hard work and achievements of our team. Our team member recognition programs are designed to acknowledge your contributions and ensure you feel valued at every step of your journey with us. For more details about the benefits available in your region, check out the following links: • USA Benefits Guide, • Europe Benefits Guide, • Canada Benefits GuideWork Structure & Collaboration At Enavate, we embrace flexibility in how we work, but we also believe that collaboration is key to our success. Our office locations in Tampa, FL, Fargo, ND, and Kyiv, Ukraine are central to our culture and provide a hub for team interaction and innovation. All North American new hires are onboarded in person at our Tampa office. Onboarding typically lasts 3 days, depending on the role, and provides a dedicated opportunity to connect with your leader, teammates, and our company culture. Our Hiring Process At Enavate, we take a thoughtful approach to hiring that ensures a great fit for both you and us. Our process includes: • Intro Call – A brief conversation to get to know you, discuss your background, and determine if there's a mutual fit., • Predictive Index Assessment – We use the Predictive Index to understand your natural strengths and how they align with the role and our team dynamics., • Interviews – A combination of technical and cultural interviews, focused on your expertise, problem-solving abilities, and alignment with our core values., • Debrief – Our team will come together to discuss your fit for the role and next steps., • Offer – If all goes well, we'll extend an offer and welcome you to the team! We aim to provide you with a clear understanding of your fit with Enavate, and we want to ensure you feel confident in your decision to join us. Enavate is an Equal Opportunity employer. This commitment applies to all candidates and employees regardless of race, ethnicity, citizenship, creed, place of origin, religion, sex, gender identity, gender expression, sexual orientation, family status, marital status, disability, age, and any other protected characteristic. Accommodation requests can be made at any stage of the recruitment process, and during employment by contacting our Talent Acquisition team. Join Us in Our Mission! At Enavate, we believe in transforming businesses and the lives they touch – because to us, it's personal. If you're ready to make an impact, we invite you to be part of a team that listens, challenges, collaborates, and takes action. Together, we're reshaping the future of ERP and how businesses operate, offering fresh perspectives and innovative solutions. Are you ready to transform your career and help us shape the future? Enavate is the place for you.

Job Description Company Overview: Public Health Solutions (PHS) is a 501(c)3 non-profit community-based organization (CBO) that has existed for 70 years to improve health equity and address health-related social needs (HRSN) for historically underserved marginalized communities. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. Learn more about our work at healthsolutions.org. PHS administers WholeYouNYC (WYNYC), a coordinated community resource network that builds trustworthy and reliable pathways between healthcare providers, health plans and CBOs providing critical resources in the community that address the social drivers of health. WYNYC brings together over 100 organizations offering various programs – such as food, housing, employment, health insurance, and sexual health services – across all five boroughs. These services and programs make it possible for New Yorkers to live their healthiest lives and ultimately reduce health disparities and advance health equity. To date, our network has already impacted thousands of lives through community partnerships and referrals, generating millions in estimated healthcare savings. New York State (NYS) recently announced the availability of $500M statewide to support Social Care Network (SCN) lead entities responsible for coordinating social care delivery in various regions across the state. Public Health Solutions (PHS) and our WYNYC network were awarded the role of regional SCN for Brooklyn, Manhattan, and Queens. This is a grant-funded position ending March 31, 2027. Program Description: Public Health Solutions receives and administers hundreds of millions of dollars from Federal, New York State (NYS), New York City (NYC), and private funding sources to improve public health and human services. PHS administers funds on behalf of external partners as well as internal programs through contracts with small, medium, and large non-profit organizations located in all five boroughs of New York City. Position Summary: Reporting to a Portfolio Manager, the Contract Manager is responsible for all aspects of the contracting processes. We seek an experienced Contract Manager to coordinate with internal and external stakeholders, monitor contractor performance and spending, and provide technical assistance to promote effective program implementation. Specifically, the Contract Manager will have the following key responsibilities: Oversight and Management: • Manage all aspects of the contract lifecycle, including advising on solicitations, negotiating scopes of work and budgets, executing contracts and amendments, conducting ongoing monitoring, and performing closeout duties., • Develop and maintain positive relationships with contractors and internal and external partners, ensuring clear communication of expectations and requirements., • Ensure compliance with funders’ regulations., • Maintain comprehensive contract files and documentation., • Ensure timely reporting and compliance with funding requirements, including financial and programmatic reporting. Financial and Performance Monitoring: • During contract negotiation, review and advise on proposed budgets and scopes., • Throughout the contract term, monitor spend-down and adherence to approved budgets. Work with contractors to address any issues or discrepancies and modify budgets as needed and appropriate., • Ensure that expenditure reports submitted by the contractors are accurate, complete, and in compliance with applicable regulations (e.g., Federal 2 CFR 200). This includes but is not limited to reviewing expense invoices and ensuring that costs are allowable, allocable, and reasonable., • In coordination with external and internal partners, review progress reports to track milestones, deliverables, and other performance metrics to ensure the contractor meets its goals and objectives., • As needed, facilitate site visits and draft associated reports. Provide Technical Assistance and Address Issues • Provide guidance to the contractor when appropriate to ensure that the contract is managed in compliance with the terms and regulations., • Help resolve issues or challenges, including developing corrective actions plans. Close-Out and Final Reporting • At the end of each budget and project period, ensure that the contractor submits final performance and financial reports and has met all reporting, invoicing, and deliverable requirements. Perform Other Related Duties as Assigned Qualifications and Experience: • Bachelor’s degree or equivalent in public health, public administration, or related program or contract monitoring experience with minimum 3+ years of work experience., • Experience reviewing and negotiating scopes of work, budgets, payment requests, and programmatic data., • Knowledge of post award grant management procedure and public health service provision in non-profit organizations., • Ability to learn quickly, manage multiple obligations, proactively problem-solve, and provide timely and clear updates to supervisors., • Excellent attention to detail, organizational skills, and the ability to manage multiple contracts simultaneously., • Ability to communicate complex information clearly and effectively with stakeholders at all levels., • Ability to manage relationships appropriately and effectively with internal and external stakeholders and contractors for the optimal resolution of contract issues., • Proficiency in Microsoft Office required. Experience with contract lifecycle management systems (e.g., Agiloft) a plus. Benefits: • Hybrid Work Schedule., • Generous Paid Time Off and Holidays., • An attractive and comprehensive benefits package including Medical, Dental and Vision., • Flexible Spending Accounts and Commuter Benefits., • Company Paid Life Insurance and Disability Coverage., • 403(b) + employer matching and discretionary company contributions., • College Savings Plan., • Ongoing trainings and continuous opportunities for professional growth and development. At PHS, we place immense value on diversity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities. We look forward to learning more about you! PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, LGBTQIA+ individuals, and veterans. Monday - Friday 9am-5pm 35 Hours Per Week

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Health Insurance Expert Type: Contract Compensation: $1,150–$1,450 per completed task Location: Remote Role Responsibilities • Review and evaluate AI-generated outputs related to plan benefit design, coverage determination, claims adjudication, and medical necessity criteria., • Create realistic scenarios based on health insurance workflows, including prior authorization decisions and regulatory audits., • Annotate, label, and validate data across health insurance use cases, such as ICD coding accuracy and payer policy interpretation., • Provide structured feedback on AI accuracy in federal and state insurance regulations, payer contracting, and industry-specific terminology., • Collaborate asynchronously with research teams to refine evaluation frameworks for health insurance AI. Qualifications Must-Have • 3+ years of professional experience at a health plan, benefits administrator, TPA, PBM, or managed care organization., • Background in claims processing, medical underwriting, utilization management, benefits administration, or regulatory compliance., • Strong analytical thinking and ability to translate health plan workflows into structured evaluation tasks., • Clear written communication and attention to detail. Preferred • Professional designations such as CEBS, AHIP, HIAA, or Fellow/ASA actuarial credentials. Compensation & Legal • Task Completion Pay: Competitive and based on task quality., • Performance Bonus: Weekly bonus incentive for top performers., • Hourly Opportunity: Transition to an hourly compensation model for sustained quality and throughput. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job Description Hi, we're Oscar. We're hiring a Director, Managed Business Services to join our team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will be the primary architect of our global outsourcing strategy and be responsible for the end-to-end health of our outsourced ecosystems. This service covers multiple contact center, business process and configuration functions and works with multiple vendors across several countries. This strategic leadership role designs, implements, and governs external operations to ensure they align with company quality and compliance standards, cost objectives, and customer experience goals. You will report into the SVP, Insurance Operations Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $163,944 - $215,176 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, company equity grants, and annual performance bonuses. Responsibilities: • Lead the ongoing analysis and cross-functional framework to determine which business functions are optimized for outsourcing versus internal retention., • Design and execute an operating model that supports scalability, ongoing risk mitigation, and the execution of critical business initiatives across a matrixed organization., • Drive core business transformation by identifying emerging marketplace trends and shifting the outsourcing model from transactional tasks to transformational outcomes., • Align service provider visions with long-term corporate goals to ensure flexibility and growth as market demands change., • Drive the end to end selection process, in partnership with Procurement and operational leaders, including RFP leadership, vendor vetting, and onboarding of partners that align with company scale and culture., • Partner closely with Procurement to identify and execute optimal Master Service Agreements (MSAs) and Statements of Work (SOWs) while monitoring value delivery and ROI., • Negotiate matters of significance with senior management and external executives to ensure favorable commercial terms and operationally effective programs., • Ensure the establishment and monitoring of rigorous Service Level Agreements (SLAs) and Key Performance Indicators (KPIs) focused on financial accuracy, productivity, and member experience., • Perform ongoing operational governance by preparing consolidated performance reports that provide actionable insights and root-cause identification for issues., • In partnership with finance, track ROI on outsourcing initiatives. Ensure meticulous billing analysis and the identification of opportunities for long-term cost savings., • Set and enforce rigorous standards for all offshore and nearshore sites to ensure total adherence to HIPAA, CMS regulations, SOC2, and data privacy requirements., • Partner with internal Audit, Security, and Compliance departments to lead the operational response to any vendor-side audits or data incidents., • Lead the transition and change management of new work streams, including the creation of documentation, training protocols, and workflow design., • Act as the primary bridge between internal departments and external partners to ensure seamless knowledge transfer and brand consistency., • Create an attractive value proposition for vendor staff to minimize turnover, preserve institutional knowledge, and ensure external teams are educated on company priorities. Requirements: • Bachelor's Degree in Business, Operations or relevant field, • 10+ years in Insurance Operations, • 8+ years working with teams in multiple locations and within multiple disciplines, • 8+ years of coaching and developing leading cross-functional people and teams, • 6+ years of experience in LEAN, Six Sigma, or other improvement methodologies, • 6+ years of experience leading large-scale implementations or expansion implementations across multiple site locations or business units, • 5+ years of experience in procurement processes, including negotiating and contracting BPO services, • 5+ years managing 3rd-party BPO/ITO relationships for major functions in insurance operations., • Strong legal and commercial acumen with experience in multi-million dollar contract negotiations., • Ability to influence internal/external and onshore/offshore leadership Bonus points: • MBA or relevant advanced degree, • 10+ years of experience on Insurance Payer side, • Advanced experience with Procurement or Contract Management functions, • Advanced experience in healthcare, • Experience managing international teams across different time zones (APAC, LATAM, EMEA)., • Proven track record of scaling an outsourcing program from "scratch" to a global footprint. This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description The Senior Health Care Consultant will work closely with firm management to lead complex internal and external projects. This will involve hands-on work with client staff, providers, executives, vendors and other stakeholders to successfully implement innovative care models and improve health outcomes. Project scopes may focus on clinical redesign, financial modeling, network development, strategic planning, data analytics and/or organizational transformation. This position requires an in-depth working knowledge of the health care environment and market issues at the federal, state and local level. FLSA Status Exempt Salary Range $111,600- $139,400 Reports To VBC Director or Manager Direct Reports None Location 315 Madison Ave., New York, NY 10017 (Onsite 3-4 days a week) Travel Up to 60% Work Type Regular Schedule Full Time Position Description: • Work closely with additional members of the Consulting team, executives and staff to accomplish the goals, objectives and strategic plan for the company, continually seeking opportunities to add value and differentiate our services, • Responsible for management of assigned workstream(s) for client and internal company projects. This includes mapping out resource needs, critical path, identifying risks and issues at project and critical success factors, • Provide direction, expectations and requirements to team engaged in assigned workstream(s), • Manage the development of deliverables across projects or workstreams to ensure final products meet or exceed industry standards and organizational expectations, • Build and manage relationships with key executives and staff at the client site to ensure the success of the engagement, • Meet or exceed all contractual obligations, while maintaining high levels of client satisfaction, • Leverage and convene work groups/meetings between clients, COPE Health Solutions’ staff and subject matter experts when necessary and appropriate, • Accountable for proactive risk management across multiple projects through diligent management of scope of work, budget, project resources, and regular status updates with key stakeholders. Execute mitigation strategies as needed, • Contribute thought leadership to engagements and organizational knowledge to continually improve work products and enhance value, • Maintain deep understanding of our firm's service lines/offerings and seek out opportunities to understand and participate in firm's business development pipeline and sales cycle., • Build tools for service line or technical area of expertise, • Support or manage internal organizational initiatives to improve or develop targeted processes, systems or resources as part of continuous quality improvement in response to strategic objectives, client and internal team member feedback, • Support business development initiatives at the Senior Consultant level, including: co-authoring articles, drafting proposals, writing case studies, speaking at least once annually at a local event/webinar, and various networking activities, • Achieve assigned revenue target for Senior Consultant level, through a combination of new and expanded business, • Ensure compliance with all local, state and federal regulations and ethical standards Qualifications: • 2-5 years of health care consulting experience preferred, • Master’s degree in an applicable field strongly preferred (e.g.,MBA, MPH, MHA, MPA), • Prior experience in at least two of the following areas strongly preferred:, • Network Development, • Care Management, • Clinical Redesign, • Behavioral Health, • Strong project management skills required, • Strong customer drive and dedication to quality and success, • Excellent interpersonal, oral and written communication skills, • Open to traveling up to 50% (e.g., Monday – Thursday), • Flexibility to work evenings and weekends as necessary, • Ability to work effectively on multiple projects with a team in a fast-paced environment Benefits: As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/. What We Do: COPE Health Solutions (CHS) is a national tech enabled services firm powering success in risk arrangements and development of the future workforce for payers and providers. Our team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers, de-risking the roadmap to advanced value-based payment. Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care. COPE Health Solutions’ Analytics for Risk Contracting (ARC) Suite provides a powerful array of analytic and reporting tools designed to achieve optimal value and performance for organizations currently in or planning to move to risk-based arrangements. Leveraging our extensive, hands-on expertise in helping IPAs, ACOs and health systems achieve successful outcomes in risk contracts, our team of managed care experts draw insights from the analytic outputs that are tailored to each organization’s unique circumstances to interpret the data and recommend initiatives to help improve total cost and quality. Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry’s most complex problems. We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment. To Apply: To apply for this position, or to view all available positions, visit us at https://copehealthsolutions.com/careers/open-positions/.

Job DescriptionAbout CookUnity: Food has lost its soul to modern convenience. And with it, it has lost the power to nourish, inspire, and connect us. So in 2018, CookUnity was founded as the first-of-its-kind platform that connects the world with the source of truly great food: chefs. Today, CookUnity delivers 50 million meals a year from the industry's best chefs to homes all over the country. Fresh. Ready-to-eat. And crafted with the passion that nourishes body and soul. Unwilling to stop there, CookUnity is expanding beyond delivery to become an ever-innovating marketplace focused on our singular mission: empower Chefs to nourish the world. If that mission has you hungry in more ways than one, you've found the right job posting. About CookUnity CookUnity is a chef-to-you marketplace connecting talented chefs with consumers, revolutionizing meal delivery. We bring small-batch, restaurant-quality meals to eaters nationwide, crafted by a diverse collective of all-star chefs. With over 100 inspired chefs from cities like NYC, LA, Austin, and more, our weekly subscription offers a wide range of hand-crafted meals to cater to various palates and dietary preferences. By delivering over 1 million meals per month, we're also empowering working chefs, tripling their income, and supporting their growth. CookUnity believes in fueling stronger communities, partnering with Food Bank For New York City to combat food insecurity across all five boroughs. About the Team: The B2B team operates like a startup within CookUnity — entrepreneurial, fast-paced, and bold in its ambitions. We are building a new category at the intersection of food, healthcare, and outcomes-driven nutrition. Our Healthcare vertical is one of our highest-priority growth areas, and the Medicaid segment represents one of the most meaningful and underpenetrated opportunities in our pipeline. This role reports directly to the Head of B2B and will be a senior, foundational hire on our Healthcare team — responsible for growing penetration within the Medicaid line of business. The role: We are looking for a Senior Account Executive with deep expertise in Medicaid, Medicaid policy, and selling to organizations that serve Medicaid clients. You will lead our go-to-market strategy for Medicaid. This is not a typical sales role — it is a builder's role. You will define the playbook, prospect your own leads, forge the relationships, and close the complex, high-value deals that will shape CookUnity's presence in the Medicaid ecosystem. Your primary focus will be on Medicaid Managed Care Organizations (MMCOs), Community Health Centers/provider organizations serving Medicaid clients, and state/local government agencies administering the Medicaid program. You will leverage CookUnity's unique position at the intersection of food access, nutrition, and health outcomes to win partnerships that drive both revenue and mission impact. Responsibilities: • Own and drive the full Medicaid sales motion — from pipeline development through contract negotiation and close., • Build the go-to-market playbook for selling into Medicaid and related entities, • Develop and maintain senior-level relationships with CMOs, VPs of Care Management,Chief Health Equity Officers, Medicaid Directors, and other key decision-makers within target organizations., • Identify and prioritize high-value Medicaid opportunities, crafting tailored proposals that speak to outcomes, member engagement, and compliance requirements., • Manage complex, multi-stakeholder enterprise sales cycles with long lead times, multiple decision-makers, and regulatory considerations., • Collaborate cross-functionally with product, operations, and marketing to ensure CookUnity's solutions are positioned compellingly and delivered seamlessly., • Serve as CookUnity's internal subject matter expert on the Medicaid ecosystem — regulatory landscape, funding structures, procurement processes, and key stakeholders., • Represent CookUnity at relevant conferences, industry events, and state-level forums to build brand presence and pipeline within the Medicaid space., • Maintain accurate forecasting and pipeline hygiene in Salesforce, and provide regular reporting to leadership on Medicaid segment performance., • Partner with Bruno and the leadership team to refine our Medicaid ICP strategy and prioritize the accounts with the highest potential impact.Minimum Requirements:, • 8–10+ years of enterprise sales experience, with a significant portion focused on Medicaid, managed care, or government-funded healthcare programs., • Demonstrated success closing high-value deals with Medicaid MCOs, or state/county agencies., • Deep working knowledge of the Medicaid ecosystem: funding structures, managed care contracting, SDOH initiatives, and value-based care frameworks., • Proven ability to navigate long, complex sales cycles with multiple stakeholders and regulatory considerations., • Experience with competitive procurements and RFP strategy., • Exceptional communication and executive presence — comfortable presenting to C-suite and state agency leadership., • Proficiency in Salesforce and structured pipeline management., • Track record of consistently meeting or exceeding quota on enterprise deals exceeding $250K–$500K+ in contract valuePreferred requirements:, • Established network within Medicaid MCOsor related state and federal agencies., • Experience working directly within a Medicaid health plan, FQHC, an agency administering the Medicaid programs, or a Medicaid-focused vendor., • Experience selling to or launching new programs for MMCOs or state/local government serving Medicaid clients., • Passion for food as medicine, health equity, or the role of food access in improving health outcomes for underserved populations., • Experience in a high-growth startup or scale-up environment — you are comfortable building without a full playbook., • Solid understanding of the Medicaid program, funding authorities, and mechanisms for advocating new services or enhanced reimbursement at the state and federal level.Benefits 🩺 Health Insurance coverage 🌅 401k Plan 🌟 Eligible for a bi-annual performance bonus ⛱ Unlimited PTO 🗓️ 5- year Sabbatical: After 5 years with CookUnity, you get a 4-week paid sabbatical 🐣 Paid Family leave 🕯 Compassionate Leave: 3-5 days each time the need arises 🥘 A generous amount of CookUnity credits to enjoy our amazing meals, added to your account, monthly 🤖 AI-forward workplace: enterprise access to ChatGPT and Claude to help you work smarter and grow faster. 🧘🏽️‍♀️ Wellness perks: access to fitness subsidies to build a healthy lifestyle 👩🏾️‍🏫 Personalized Spanish coach 🚀 Awesome opportunity to join a company that is looking to change how we eat and how chefs work! Compensation • All final pay rates will be determined by the candidate's experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data., • Pay Range for this position: $200,000–$260,000 OTE If you're interested in this role, please submit your application and if we think you might be a fit, we'll get in touch with you. Thank you for your time! CookUnity is an Equal Opportunity Employer. We are dedicated to creating a community of inclusion and an environment free from discrimination or harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, citizenship status, protected veteran status, genetic information, or physical or mental disability. Compensation All final pay rates will be determined by candidates experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.Pay Range for this position$180,000—$220,000 USD If you're interested in this role, please submit your application, and if we think you might be a fit, we'll get in touch with you. Thank you for your time! CookUnity is an Equal Opportunity Employer. We are dedicated to creating a community of inclusion and an environment free from discrimination or harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, citizenship status, protected veteran status, genetic information, or physical or mental disability. A quick note for all candidates We've recently seen an increase in recruitment scams across the industry, and we want to make sure you (and your data) stay safe while applying to CookUnity. We also want you to know that we take this seriously — sometimes, as part of our process, we may ask for a brief "proof of humanity" to confirm that we're connecting with a real person, not an impersonator. Here are a few tips to help you protect yourself and know what to expect from us: • Apply only through our official channels. All open roles are listed on our official careers page: careers.cookunity.com, • Our recruiters are real people — and easy to verify. You can always find them on LinkedIn with verified profiles. If you're unsure, feel free to reach out to us on our official LinkedIn Company Page., • We only communicate through official CookUnity channels. That means emails ending in @cookunity.com and interviews held through official company platforms (Google Meet or Zoom) — never WhatsApp, Telegram, or SMS., • We'll never ask for payment or personal financial details. If anyone does, please don't share any information and let us know right away. If something ever feels off or you're unsure about a message, we'd much rather you double-check with us. You can always contact us directly through any of our social media channels. We appreciate your interest in joining CookUnity — and we care about keeping your experience (and safety) as genuine as possible.

Job Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Health Insurance Expert Type: Contract Compensation: $1,150–$1,450 per completed task Location: Remote Role Responsibilities • Review and evaluate AI-generated outputs related to plan benefit design, coverage determination, claims adjudication, and medical necessity criteria., • Create realistic scenarios based on health insurance workflows, including prior authorization decisions and regulatory audits., • Annotate, label, and validate data across health insurance use cases, such as ICD coding accuracy and payer policy interpretation., • Provide structured feedback on AI accuracy in federal and state insurance regulations, payer contracting, and industry-specific terminology., • Collaborate asynchronously with research teams to refine evaluation frameworks for health insurance AI. Qualifications Must-Have • 3+ years of professional experience at a health plan, benefits administrator, TPA, PBM, or managed care organization., • Background in claims processing, medical underwriting, utilization management, benefits administration, or regulatory compliance., • Strong analytical thinking and ability to translate health plan workflows into structured evaluation tasks., • Clear written communication and attention to detail. Preferred • Professional designations such as CEBS, AHIP, HIAA, or Fellow/ASA actuarial credentials. Compensation & Legal • Task Completion Pay: Competitive and based on task quality., • Performance Bonus: Weekly bonus incentive for top performers., • Hourly Opportunity: Transition to an hourly compensation model for sustained quality and throughput. Application Process (Takes 20–30 mins to complete) • Upload resume, • AI interview based on your resume, • Submit form Resources & Support • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome, • For any help or support, reach out to: support@mercor.com PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionE-Commerce TikTok Shop & Digital Marketing Coordinator Department: Digital Sales / E-Commerce Reports to: Director of Digital Sales Employment Type: Full-time We're looking for an E-Commerce TikTok Shop & Digital Marketing Coordinator to own the day-to-day of our TikTok Shop and creator/affiliate programs. In a beauty world where creators drive discovery and content drives sales, you'll be the person keeping our Shop healthy, our creator pipeline full, and our content converting. This is a hands-on, social-first role at the heart of how our brand grows, with TikTok Shop and creator/affiliate execution as your top priority. You'll also help keep our direct-to-consumer (DTC) Shopify site on-brand and running smoothly — handling administrative tasks like product setup, order processing and pushing, and customer service, and partnering closely with our fulfillment, shipping, and logistics partners to keep orders moving and customers happy. You don't need to be a TikTok Shop expert on day one. If you're organized, genuinely excited about creator-led commerce, and energized by a fast-moving environment, we'd love to hear from you — relevant beauty, e-commerce, or digital marketing experience matters most. (And don't worry about the platform-specific terms — we explain them below.) Key ResponsibilitiesTikTok Shop Execution • Coordinate the day-to-day operation of our TikTok Shop, including product setup, listing optimization, pricing accuracy, and compliance., • Build and maintain product listings with accurate titles, descriptions, attributes, and imagery to maximize discoverability and conversion., • Monitor the Shop for issues such as listing suppression, compliance flags, pricing errors, and out-of-stock SKUs, resolving or escalating them promptly., • Conduct daily content and performance reviews, including creator video audits, follow-ups, and managing GMV Max placements (TikTok's automated ad tool that promotes top-performing creator videos)., • Partner with our TikTok agency — the internal point of contact for TikTok Shop — to brief priorities, align on execution, and hand off assets, ensuring all activity stays on-brand and on-strategy.Creator & Affiliate Program Management, • Source, vet, onboard, and manage creators across tiers (from emerging "mid-tier" creators to larger "macro" creators), including outreach, negotiation, contracting, and sampling., • Run outreach and recruitment campaigns to maintain a healthy, growing pipeline of creators promoting our products., • Serve as the primary point of contact for the creator community, managing affiliate communications (email and messaging channels) and responding to creator questions, sample requests, and technical issues., • Coordinate affiliate commissions, contracting, and payouts, routing invoices to the billing team for approval., • Approve and forecast daily product sample requests and monitor sampling efficiency.Customer Service & Community, • Provide on-brand customer service across our channels, responding to customer questions, complaints, returns, and post-purchase concerns in a timely and professional manner., • Manage and engage our community on TikTok Shop, including comments, direct messages, and reviews., • Track recurring customer feedback and share insights with the marketing, product, and broader teams to inform listings, content, and product decisions., • Coordinate with external order-operations partners to ensure a clean resolution when a customer issue involves fulfillment, shipping, or logistics.DTC & Marketplace Support, • Keep product setups, listings, and content current on our DTC (Shopify) site so the brand remains consistent across every channel., • Handle day-to-day administrative tasks within Shopify, including processing and pushing orders through to fulfillment and keeping order records accurate., • Apply listing, content, and merchandising best practices to additional marketplaces such as Amazon as those channels scale., • Maintain catalog hygiene across managed channels by identifying and correcting data errors, missing fields, and outdated information., • Support product launches, promotional moments, sampling activations, and seasonal campaigns with strong operational readiness.Cross-Functional Marketing Partnership, • Partner closely with the marketing team on campaign and promotional calendars so that TikTok Shop activations, creator pushes, and marketing moments are planned and timed together., • Coordinate with marketing and creative to gather updated assets, briefs, and approved messaging, and translate them into Shop content, creator guidance, and listing updates., • Report on marketplace and creator performance — including GMV (Gross Merchandise Value, or total sales through the Shop), conversion, top creators, and winning content formats — to inform marketing strategy and spend., • Maintain consistent product storytelling and brand presentation across marketing campaigns and all sales channels., • Surface assortment gaps, trending products, and high-performing creators or content for the marketing team to amplify.Required Qualifications, • 1–3 years of experience in e-commerce, digital marketing, marketplace management, influencer/creator coordination, or a related role., • Strong interest in and familiarity with TikTok, creator culture, and social-first commerce., • Excellent organizational skills and the ability to manage multiple priorities — creators, content, samples, and deadlines — simultaneously., • Proficiency in Excel or Google Sheets, with comfort working with data and maintaining reporting accuracy., • Familiarity with Shopify or a comparable e-commerce platform, including basic order processing., • Strong written and verbal communication skills, with the ability to manage external creator relationships and internal partners professionally., • A customer-first mindset and experience in customer service or community management, with the ability to represent the brand voice directly to customers., • Comfort in a fast-paced, evolving environment; adaptable, self-directed, and willing to build process where none exists.Preferred Qualifications, • Hands-on TikTok Shop experience, particularly with high-growth or beauty brands., • Experience in beauty, personal care, or consumer packaged goods (CPG)., • Familiarity with affiliate or influencer platforms and outreach tools., • Experience with Amazon Seller/Vendor Central or other marketplace portals., • Familiarity with analytics tools (e.g., Google Analytics 4) and project tools (e.g., Jira, Confluence). Powered by JazzHR NsiYdV1aXC

Job DescriptionAbout Sunrise Group Sunrise Group is building the future of sleep health by combining breakthrough technology with expert care. We started in 2015 with a straightforward idea: sleep diagnosis should happen in the comfort of your own home, not in a hospital. To make that possible, we created a first-of-its-kind chin sensor, carefully validated through clinical research, reviewed by leading sleep experts, and cleared by the FDA. Since then, Sunrise Group has grown from a single innovation into a complete sleep health company. We now design advanced diagnostic and treatment solutions, and we deliver care directly to patients through Dreem Health, our digital sleep clinic. By serving patients in all 50 states with reimbursed care, we are making sleep treatment more accessible, more personal, and much simpler than it has ever been. Your Opportunity We are seeking a Clinical Operations Director to lead and scale the operational engine behind our rapidly growing clinical business. Reporting directly to the Chief Operating Officer, this executive leader will own the quality, efficiency, scalability, and financial performance of clinical operations across the organization. This is not a build-from-scratch role—it is a scale-and-optimize leadership opportunity focused on strengthening what works, improving what does not, and building the operational infrastructure required to support significant growth over the next several years. As a key member of the operations leadership team, the Clinical Operations Director will oversee day-to-day performance of our clinical operations, care coordination, conversion funnel from referral to treatment, and clinical logistics while partnering closely with Medical Directors, Legal & Compliance, Managed Care Contracting, Revenue Cycle Management, Product, Technology, and Finance. This leader will translate business objectives into operational execution, ensuring that clinical operations can support increasing patient volume while maintaining exceptional patient outcomes, provider satisfaction, operational excellence, and financial performance. At Sunrise Group, we work on a problem that affects millions: poor sleep and untreated sleep disorders. Our mission is to make diagnosis and care easier to access, and we're proud of the experience we provide to patients. We feel responsible for making it better every day. If you're looking for the autonomy to take ownership of your work, make an impact, and be part of a team where ideas move fast and everyone has a voice - this role is for you! What You'll Do Clinical Provider Operations • Lead the operational infrastructure that enables the care team to deliver exceptional care at scale., • Oversee day-to-day clinical operations supporting Nurse Practitioners, Physicians, and Sleep Technologists across all markets., • Ensure clinical protocols and standards established by Medical Directors are operationalized through scalable workflows, processes, and systems., • Develop and maintain provider capacity planning models to align clinical supply with projected patient demand., • Optimize provider staffing models, productivity, utilization, and workforce deployment strategies., • Partner with Finance and executive leadership on clinical workforce planning, budgeting, and cost-per-patient analysis. Care Coordination Operations • Lead the teams and processes that connect patients, providers, diagnostics, and treatment., • Oversee care coordination operations and service delivery across the patient journey., • Establish and manage operational standards, and performance metrics., • Identify workflow inefficiencies, operational bottlenecks, and opportunities for automation and scale., • Develop repeatable processes and operating procedures that maintain quality and efficiency as patient volume grows., • Ensure seamless collaboration across clinical, operational, and support functions. Patient Experience & Success • Own the conversion funnel from referral to treatment — and every drop-off point in between, • Define and track experience metrics (NPS, contact resolution rate, time-to-resolution) and drive continuous improvement, • Lead cross-functional analysis to investigate conversion gaps — working across CC, patient success, logistics, and clinical teams, • Build robust feedback loops between patient-facing teams and care team/product/tech teams so insights translate into actions Clinical Logistics & Equipment Operations • Oversee operational performance related to home sleep testing and PAP therapy fulfillment., • Lead end-to-end logistics operations supporting diagnostic and treatment equipment., • Monitor and improve delivery, return, utilization, and cost-efficiency metrics., • Partner with vendors and supply chain partners to ensure operational reliability and scalability., • Ensure logistics performance supports clinical timelines and patient experience expectations., • Develop scalable processes to support growth while maintaining operational quality and cost discipline. Strategic Operations & Business Performance • Serve as the bridge between clinical operations and company growth objectives., • Translate revenue goals and growth targets into operational requirements, staffing plans, and capacity forecasts., • Develop operational models supporting new markets and service offerings., • Build and maintain reporting frameworks that provide visibility into performance across all operational functions. Leadership Responsibilities • The Clinical Operations Director will directly lead a growing team across multiple functions., • This is a player-coach leadership role requiring both strategic vision and operational engagement., • You will:, • Build, mentor, and develop high-performing leaders and teams., • Establish clear goals, performance expectations, and accountability frameworks., • Foster a culture grounded in collaboration, transparency, continuous improvement, and operational excellence., • Drive organizational alignment through effective communication and cross-functional partnership., • Develop organizational structures capable of supporting significant futureWhat You BringRequired, • 10+ years of progressive clinical operations experience within healthcare organizations., • 3–5+ years of senior leadership experience managing multi-functional operational teams., • Experience leading clinical operations across multiple states., • Proven success managing operational teams of 50+ employees within healthcare environments., • Demonstrated experience managing operational budgets and allocating resources effectively to support business objectives., • Strong analytical capabilities with experience leveraging data to drive decision-making and operational improvements., • Experience partnering cross-functionally with clinical, technology, finance, and executive leadership teams., • Ability to thrive in fast-paced, evolving environments and to make thoughtful decisions amid ambiguity., • Experience in working within an international context - you easily navigate the unwritten rules of American and European work culturesPreferred, • Experience in telehealth, digital health, ambulatory care, virtual care, or healthcare services organizations., • Experience supporting rapid-growth or scaling healthcare businesses., • Advanced degree in Healthcare Administration, Business Administration, Public Health, Nursing, or a related field.Our Core Values At Sunrise Group, we keep things clear and simple ✨, value trust and collaboration 🤝, and lead with optimism and compassion 🌞. These values guide everything we do. What We Offer • Meaningful work that directly improves peoples' lives, • Be part of an international team across the US, France, Belgium, • Annual team offsite, • Comprehensive health benefits (medical, dental, vision), • FREE One Medical membership, • 401(k) with company match, • 20 days PTO + 10 paid holidays + 80 hours paid sick leave, • Monthly phone and internet stipend Compensation $130,000 - $160,000 depending on experience. We hire humans, not bullet points. Don't meet every single qualification? That's okay. We care more about who you are than what's on your CV. We're looking for people who are curious, resourceful, and ready to roll up their sleeves — especially if you're excited about building something new in healthcare. So if you think you could make an impact here, reach out to us. Dreem Health / Sunrise is an Equal Opportunity Employer. We welcome people of all backgrounds and are committed to building a workplace where everyone feels included and respected. We do not tolerate discrimination or harassment of any kind.

Job DescriptionSenior Oracle APEX DeveloperEmployment Type: Full-Time, Entry-Mid LevelDepartment: Information Technology CGS is hiring a Senior Oracle APEX Developer to support a range of IT services, including software application support, enterprise infrastructure support, service desk, ITSM, deskside support, workstation engineering and maintenance, telecommunications and mobility engineering services, managed print services, Active Directory services, and video conferencing. The ideal candidate will be personable and articulate and will focus on making sure that the customer’s needs are met quickly and effectively. The successful candidate will be a self-starter who can work with limited supervision. Excellent communication skills are required to effectively interface with customers to understand requirements and mission needs, and then be able to translate them into actions. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success- Work at the direction of the program manager to support the full lifecycle development of custom Oracle Applications, primarily using the Oracle APEX toolset.- Perform advanced use of Oracle APEX 4.0 and above.- Perform work with Oracle Integrated Development Environments such as Quest Toad and Oracle SQL Developer.- Design and manipulate web content dynamically using JQuery, Ajax, JavaScript, CSS, and HTML.- Create dynamic reports within the Oracle APEX environment. Provide support in the advanced use of Oracle Database products version 11 and above.- Provide support for Oracle database objects – tables, indexes, directories, sequences, triggers, etc.- Provide support with PL/SQL, Java, Windows PowerShell, and Unix shell scripting with familiarity with built-in PLSQL packages and procedures.- Provide support with storage, efficient retrieval, and manipulation of unstructured data (BLOBs, CLOBs, JSON, XMLType) in an Oracle environment.- Integrate and manage BI Publisher templates and web Services.- Successfully deliver enterprise-level workflow-centric applications.- Build logical functions and algorithms to automate business processes. Qualifications- Bachelor’s degree with 8+ years experience. A High School diploma with additional years of experience and/or relevant certifications may be considered in lieu of a degree.- U.S. Citizen.- Ability to obtain and maintain a public trust security clearance.- Experience with secure network programming in an Oracle environment; use of security certificates, HTTPS callouts, etc.- Experience with full lifecycle development of custom Oracle Applications, including the Oracle APEX toolset.- Experience with the use of Oracle Integrated Development Environments such as Quest Toad and Oracle SQL Developer.- Experience with JQuery, Ajax, JavaScript, CSS, and HTML.- Experience with PL/SQL, Java, Windows PowerShell, and Unix shell scripting with familiarity with built-in PLSQL packages and procedures.- Experience with storage, efficient retrieval, and manipulation of unstructured data (BLOBs, CLOBs, JSON, XMLType) in an Oracle environment.- Experience establishing goals and meeting project plan objectives.- Must be able to write and maintain system documentation on work products.- Excellent communication and teamwork skills.- Agile development experience.- Customer interface experience. Ideally, you will also have: - Experience with Oracle Database products version 11 and above.- Experience with Oracle Forms and Reports version 10G or higher.- Experience with Oracle APEX 4.0 and above.- Experience troubleshooting operational issues.- Government contracting experience, particularly with the DOJ.- Current DOJ Clearance. Our Commitment : Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact:Email: info@cgsfederal.com #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job DescriptionSenior Oracle APEX Developer IIEmployment Type: Full-Time, Entry-Mid LevelDepartment: Information Technology CGS is hiring a Senior Oracle APEX Developer to support a range of IT services, including software application support, enterprise infrastructure support, service desk, ITSM, deskside support, workstation engineering and maintenance, telecommunications and mobility engineering services, managed print services, Active Directory services, and video conferencing. The ideal candidate will be personable and articulate and will focus on making sure that the customer’s needs are met quickly and effectively. The successful candidate will be a self-starter who can work with limited supervision. Excellent communication skills are required to effectively interface with customers to understand requirements and mission needs, and then be able to translate them into actions. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success- Work at the direction of the program manager to support the full lifecycle development of custom Oracle Applications, primarily using the Oracle APEX toolset.- Perform advanced use of Oracle APEX 4.0 and above.- Perform work with Oracle Integrated Development Environments such as Quest Toad and Oracle SQL Developer.- Design and manipulate web content dynamically using JQuery, Ajax, JavaScript, CSS, and HTML.- Create dynamic reports within the Oracle APEX environment. Provide support in the advanced use of Oracle Database products version 11 and above.- Provide support for Oracle database objects – tables, indexes, directories, sequences, triggers, etc.- Provide support with PL/SQL, Java, Windows PowerShell, and Unix shell scripting with familiarity with built-in PLSQL packages and procedures.- Provide support with storage, efficient retrieval, and manipulation of unstructured data (BLOBs, CLOBs, JSON, XMLType) in an Oracle environment.- Integrate and manage BI Publisher templates and web Services.- Successfully deliver enterprise-level workflow-centric applications.- Build logical functions and algorithms to automate business processes. Qualifications- Bachelor’s degree with 8+ years experience. A High School diploma with additional years of experience and/or relevant certifications may be considered in lieu of a degree.- U.S. Citizen.- Ability to obtain and maintain a public trust security clearance.- Experience with secure network programming in an Oracle environment; use of security certificates, HTTPS callouts, etc.- Experience with full lifecycle development of custom Oracle Applications, including the Oracle APEX toolset.- Experience with the use of Oracle Integrated Development Environments such as Quest Toad and Oracle SQL Developer.- Experience with JQuery, Ajax, JavaScript, CSS, and HTML.- Experience with PL/SQL, Java, Windows PowerShell, and Unix shell scripting with familiarity with built-in PLSQL packages and procedures.- Experience with storage, efficient retrieval, and manipulation of unstructured data (BLOBs, CLOBs, JSON, XMLType) in an Oracle environment.- Experience establishing goals and meeting project plan objectives.- Must be able to write and maintain system documentation on work products.- Excellent communication and teamwork skills.- Agile development experience.- Customer interface experience. Ideally, you will also have: - Experience with Oracle Database products version 11 and above.- Experience with Oracle Forms and Reports version 10G or higher.- Experience with Oracle APEX 4.0 and above.- Experience troubleshooting operational issues.- Government contracting experience, particularly with the DOJ.- Current DOJ Clearance. Our Commitment : Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact:Email: info@cgsfederal.com #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Senior Oracle APEX Developer IIEmployment Type: Full-Time, Entry-Mid LevelDepartment: Information Technology CGS is hiring a Senior Oracle APEX Developer to support a range of IT services, including software application support, enterprise infrastructure support, service desk, ITSM, deskside support, workstation engineering and maintenance, telecommunications and mobility engineering services, managed print services, Active Directory services, and video conferencing. The ideal candidate will be personable and articulate and will focus on making sure that the customer’s needs are met quickly and effectively. The successful candidate will be a self-starter who can work with limited supervision. Excellent communication skills are required to effectively interface with customers to understand requirements and mission needs, and then be able to translate them into actions. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success- Work at the direction of the program manager to support the full lifecycle development of custom Oracle Applications, primarily using the Oracle APEX toolset.- Perform advanced use of Oracle APEX 4.0 and above.- Perform work with Oracle Integrated Development Environments such as Quest Toad and Oracle SQL Developer.- Design and manipulate web content dynamically using JQuery, Ajax, JavaScript, CSS, and HTML.- Create dynamic reports within the Oracle APEX environment. Provide support in the advanced use of Oracle Database products version 11 and above.- Provide support for Oracle database objects – tables, indexes, directories, sequences, triggers, etc.- Provide support with PL/SQL, Java, Windows PowerShell, and Unix shell scripting with familiarity with built-in PLSQL packages and procedures.- Provide support with storage, efficient retrieval, and manipulation of unstructured data (BLOBs, CLOBs, JSON, XMLType) in an Oracle environment.- Integrate and manage BI Publisher templates and web Services.- Successfully deliver enterprise-level workflow-centric applications.- Build logical functions and algorithms to automate business processes. Qualifications- Bachelor’s degree with 8+ years experience. A High School diploma with additional years of experience and/or relevant certifications may be considered in lieu of a degree.- U.S. Citizen.- Ability to obtain and maintain a public trust security clearance.- Experience with secure network programming in an Oracle environment; use of security certificates, HTTPS callouts, etc.- Experience with full lifecycle development of custom Oracle Applications, including the Oracle APEX toolset.- Experience with the use of Oracle Integrated Development Environments such as Quest Toad and Oracle SQL Developer.- Experience with JQuery, Ajax, JavaScript, CSS, and HTML.- Experience with PL/SQL, Java, Windows PowerShell, and Unix shell scripting with familiarity with built-in PLSQL packages and procedures.- Experience with storage, efficient retrieval, and manipulation of unstructured data (BLOBs, CLOBs, JSON, XMLType) in an Oracle environment.- Experience establishing goals and meeting project plan objectives.- Must be able to write and maintain system documentation on work products.- Excellent communication and teamwork skills.- Agile development experience.- Customer interface experience. Ideally, you will also have: - Experience with Oracle Database products version 11 and above.- Experience with Oracle Forms and Reports version 10G or higher.- Experience with Oracle APEX 4.0 and above.- Experience troubleshooting operational issues.- Government contracting experience, particularly with the DOJ.- Current DOJ Clearance. Our Commitment : Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:https://cgsfederal.com/join-our-team/ For more information about CGS please visit: https://www.cgsfederal.com or contact:Email: _ #CJ $149,760 - $216,320 a yearWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

NEOLYTIX GROWTH SERVICES Fractional Engagement Brief Growth Program Architect — Provider Growth & Referral Development Engagement Type Fractional / Hourly Consulting Location Remote (US-based). Periodic collaboration sessions with Neolytix leadership (Chicago). Reports To CEO / Head of NGS Compensation Hourly rate. Scope and cadence determined by mutual agreement. Why This Role Exists Neolytix Growth Services (NGS) is Neolytix’s integrated growth division — combining digital patient acquisition, referral network development, community partnership campaigns, and growth analytics into a managed service for multi-location healthcare organizations. Several of these growth levers — particularly physician referral development, corporate wellness partnerships, and community health campaigns — require structured program design before they can be executed at scale. The playbooks, workflows, scripts, partnership frameworks, and operating models for these programs do not exist today. Building them from scratch through trial and error would cost 12–18 months and significant client goodwill. We are looking for a fractional consultant who has built and operated these programs in a healthcare context — someone who can architect the systems, build the playbooks, and guide our teams through the first implementations, so we launch with credible, repeatable processes rather than improvised ones. What We Need Built The engagement covers three provider growth program areas. These are service offerings that NGS will deliver to its healthcare clients — not internal Neolytix functions. 1. Referral Network Development Priority: Highest. This is the program area where specialized experience matters most. NGS offers a managed physician referral development service — systematic outbound outreach to referring physicians and specialist offices on behalf of our clients’ clinical practices. This is B2B sales for patient volume: identifying high-value referral sources, building relationships, and converting them into consistent referral patterns. What the consultant will design: Referral source identification and prioritization framework — how to map a client’s market, identify the highest-value referring physicians by specialty, geography, and payer network, and rank outreach targets Outreach cadence and contact strategy — who to contact at each practice (office manager, care coordinator, physician), the sequence of touchpoints, and escalation paths when initial outreach stalls Call scripts and messaging frameworks — tailored by specialty (behavioral health referral conversations are different from orthopedic or dental) and by relationship stage (cold outreach, warm follow-up, reactivation) Referral agreement and MOU templates — lightweight partnership documents that formalize the referral relationship without requiring legal review on every deal CRM configuration and tracking model — how referral pipeline stages, activity logging, and attribution should be set up in HubSpot (Neolytix’s CRM) to measure program performance Attribution and reporting framework — how referral volume, conversion, and downstream revenue are tracked and reported to clients US/offshore operating model — which tasks require a US-based relationship manager vs. what can be executed by the Manila outreach team during US business hours 1. Corporate Wellness & Employer Partnerships Priority: Medium. Moderately specialized — benefits from experience but has a lower barrier to entry than referral development. NGS offers clients the ability to establish preferred-provider relationships with local employers — including on-site screening days, flu shot drives, employee wellness programs, and direct employer-to-practice referral pathways. Credentialing with the employer’s health plan is verified before the first employee walks in (a differentiator only Neolytix can deliver because credentialing is a core service line). What the consultant will design: Employer outreach playbook — target identification (HR departments, benefits managers, local employers by size and industry), outreach sequences, and value propositions by employer type Partnership agreement templates — preferred-provider arrangements, screening day logistics agreements, and co-marketing terms Campaign execution checklists — end-to-end workflows for screening days, wellness fairs, and employer health programs, including coordination with credentialing, patient access, and clinical teams ROI measurement model — how to track employer-sourced patient volume and revenue for client reporting 1. Community Presence & Local Partnership Campaigns Priority: Lower. Primarily an execution play. Playbook design is relatively straightforward — the complexity is operational coordination, which is an internal Neolytix muscle. NGS runs community health screenings, local business cross-referral partnerships (gyms, pharmacies, senior living, schools, EAPs), and health education events on behalf of clients. These campaigns require coordinating marketing, clinical, and patient access teams simultaneously — a capability Neolytix uniquely possesses because those functions already exist in the company. What the consultant will design: Campaign blueprints by type — community screening, cross-referral partnership, health education event — each with a planning timeline, resource requirements, promotion playbook, and post-event conversion workflow Local partnership outreach templates — scripts and materials for approaching gyms, pharmacies, schools, senior living facilities, and EAPs about co-marketing or referral arrangements Post-event follow-up and conversion playbook — how screening attendees or partner referrals are captured, followed up, and converted into scheduled appointments Engagement Structure The engagement is designed in three phases. Phases are sequential but may overlap. Hours are billed as incurred with no minimum commitment — scope and pacing are determined collaboratively. Phase Focus Deliverables Phase 1 Program Design Design the playbooks, frameworks, scripts, and operating models for all three program areas. Referral Network Development receives the deepest treatment. Referral development playbook (complete) Corporate wellness playbook Community campaign blueprints CRM configuration spec US/offshore task allocation model Phase 2 Guided Implementation Work alongside the NGS team to execute the first 2–3 client implementations. Refine playbooks based on real-world feedback. Train internal team leads on program execution. Live client implementations (referral dev + one other) Playbook revisions based on field data Team training sessions and knowledge transfer KPI benchmarks from initial campaigns Phase 3 Advisory & Vertical Expansion Light-touch advisory as the internal team takes over day-to-day execution. Available for troubleshooting, new vertical playbook adaptation (e.g., adapting referral playbook from behavioral health to dental DSO), and periodic program reviews. Vertical-specific playbook adaptations as needed Quarterly program performance review Ad-hoc consultation on escalations Who We’re Looking For This is a program design and advisory engagement, not an execution or management role. The ideal candidate has built growth infrastructure for healthcare organizations and can transfer that knowledge into documented, repeatable systems. Background That Matters Director or VP of Business Development, Physician Relations, or Provider Growth at a multi-location physician group, MSO, DSO, or ambulatory-focused health system. Hospital-only BD experience (focused on inpatient volume) is less relevant — NGS clients are outpatient/ambulatory practices. Hands-on experience building or managing a physician liaison / referral development program. Not just overseeing one — actually designing the outreach workflows, scripts, and measurement systems. Experience with healthcare employer/corporate wellness partnerships is a strong plus, but not required if referral development depth is strong. Familiarity with CRM-driven outreach models (HubSpot, Salesforce, or similar) — the consultant should have opinions on pipeline configuration and activity tracking, not just use a CRM that someone else set up. What This Person Is NOT To save everyone time in screening — this role is not a fit for: Marketing professionals (this is B2B business development and program architecture, not digital marketing or branding) Call center or outreach team managers (that’s a downstream hire once the playbooks exist) Payer relations or contracting specialists (different discipline entirely) General healthcare consultants without specific referral program or physician liaison experience About Neolytix & NGS Neolytix is a healthcare operations company — 14+ years, 220+ employees across the US, India, and the Philippines, serving 270+ US healthcare provider organizations. Core services include revenue cycle management, credentialing and payer enrollment, medical coding, patient access, and virtual medical assistants. Neolytix Growth Services (NGS) is the company’s integrated growth division, formally consolidating PracticeTech Solutions (a digital marketing agency Neolytix has operated for several years) with new service lines in referral network development, employer partnerships, and community health campaigns. The strategic thesis: no other vendor in the market can deliver patient acquisition, referral development, and the operational backbone (credentialing, patient access, RCM) that determines whether marketing actually converts into collected revenue — all under one partner relationship. The provider growth programs this consultant will design are core NGS service offerings sold to healthcare clients. They sit alongside NGS’s existing digital marketing capabilities (SEO/AEO, paid search, reputation management, web development) and are differentiated by their operational linkage to Neolytix’s credentialing, enrollment, and patient access infrastructure.

What We Do At Terabase Energy, we believe that digitalization and automation will drive the next wave of innovation and cost reduction in large scale solar. To fully unlock the potential of this opportunity, Terabase is developing an interconnected software and construction automation platform. We work alongside project developers, owners, and engineering & construction firms to support the design, optimization, and construction of huge solar projects around the world. Our team is a blend of solar-industry veterans and newbies, thought-leaders, dreamers, software, electrical and mechanical engineers, coders, product managers, project managers, and sales and marketing professionals. We are based in Northern California, with several other offices in the United States and around the world. If all this piques your interest, we’d love to hear from you! Position Summary As a Senior Project Manager on the Terabase Construct Operations team, you will report to the Director, Operations & Delivery and work closely with a team of Project Managers, Data Analysts, and Capture Technology Operators. This role involves close collaboration with customers, subcontractors, a global data analyst team, and various stakeholders to ensure the Construct product is implemented and delivered effectively within scope, time, and budget constraints. You will be responsible for overseeing and optimizing the day-to-day operations of our utility-scale solar energy project management software, including customer relationship management and engagement. Your scope includes managing a portfolio of projects for key customers which involves regular interface through weekly meetings and project site visits in the field, developing customized deliverables such as weekly progress reports. Additional scope includes performing quality control functions of project artifacts and other deliverables, management and upkeep of project data, product development and design reviews, and other day-to-day project tasking. You should demonstrate a meticulous approach to tasks, ensuring accuracy and thoroughness in all aspects of work, from data entry to project execution, to maintain high-quality standards and minimize errors. Responsibilities Daily Project Operations • Customer Engagement: Support customer engagements, from booking to delivery, demonstrating operational excellence resulting in delighted customers., • Project Planning and Execution: Develop comprehensive project plans that define scope, schedule, budget, and resources. Manage project lifecycle stages from initiation, planning, execution, monitoring, and closure., • Stakeholder Management: Serve as the primary point of contact for customers, subcontractors, and internal teams, facilitating clear and effective communication throughout project phases and managing stakeholder expectations., • Project Controls: Monitor and control project costs & schedules to ensure projects are delivered per budgetary constraints and on-time per project milestones. Prepare cost estimates, track expenses, and work with finance teams to report on financial status., • Quality Control: Ensure that all project deliverables meet quality standards, are free from errors, and delivered in a timely manner per customer contract service level agreements. Oversee development and delivery customer deliverables, addressing issues and ensuring performance requirements are met., • Compliance and Standards: Ensure all projects adhere to the appropriate regulatory guidelines, industry standards, safety regulations, and company policies. Work with stakeholders and technical teams to maintain regulatory requirements., • Documentation and Reporting: Maintain accurate project documentation, including schedules, budgets, progress reports, and change orders. Report regularly to senior management on project status, risks, and issues., • Team Coordination: Lead cross-functional teams, including engineers, technicians, and subcontractors, to ensure alignment on project goals and objectives. Provide direction, delegate tasks, and facilitate collaboration., • Risk Management: Identify potential project risks and implement mitigation strategies to minimize impact. Adjust project plans as necessary to respond to changes and address risks., • Project Contracting & Negotiation: Collaborate with Legal and Sales to review & revise contract terms, identify potential risks & develop mitigation plans, support customer negotiations, and the execution of contracts. Process Improvement & Product Development • Identify and address gaps in processes and procedures, resulting in improved, streamlined workflows., • Collaborate with other departments on operational requirements needed to meet customer deliverables and departmental priorities., • Maintain a complete understanding of our products and services., • Identify and promote changes in Terabase's technology stack to increase operational efficiency., • Lead structured project reviews and contribute to the development of company-wide lessons learned including the documentation, education, and implementation of project learnings across teams. Customer Success • Serve as the face of Terabase for a portfolio of projects across key customers and manage the experience throughout the life of the engagement., • Interface & engagement with senior leadership and executive-level customers to lead strategic initiatives such as project execution workshops and other execution-focused discussions to improve overall experience, • Work in partnership with the sales team to provide expanded services and support organic growth within existing accounts., • Act as a voice of the customer by representing their perspectives and interests in areas such as product roadmap, technical support, quality, etc., • Maintain the relationship to enable effective & active communication and a collaborative environment with the customer team to manage a variety of situations including conflict resolution, addressing complex & technical topics, and understanding when to seek leadership support to ensure the customer receives the proper level of care., • Perform and deliver a customer-centric experience ensuring every aspect of the project is managed such that Terabase becomes an extension of the customer’s project management team. Strategic Initiatives & Teams • Serve as a mentor for more junior Project Manager team members offering guidance, support, and coaching to strengthen the overall team’s capabilities and implementation of lessons learned., • Serve as a collaborative partner to the leadership team with operational enhancements, identification of improved or new tools and processes, and other improvements, • Cross-functional / cross-team operational project planning & execution to support & manage the deployment of multiple products on any given assigned project(s), • Provide performance feedback to management for PMs and lead working groups focused on process standardization and improvement. Minimum Qualifications • Bachelor’s degree in engineering, business management, energy, or related field., • PMI Project Management Professional (PMP), PgMP (Program Management Professional), or PMI-ACP certification(s)., • 7+ years’ experience working as a project or operations manager in the solar or renewable energy industry, heavy construction, or aerospace industry., • Excellent time management and ability to execute multiple projects across multiple customer relationships simultaneously., • Strong communication, customer relationship skills, and ability to communicate effectively and interact within a team environment., • Advanced or expert skill level in MS Suite of software (Outlook, Excel, PowerPoint, etc.), • Experience working with project management tools and platforms such Cora, Wrike, Katana, Project Insight, Primavera P6, JIRA and other Atlassian tools such as Confluence., • Experience leading a small team and working with remotely distributed contractors., • Willing to work in Hybrid (Home/Office) setup and work with minimal supervision., • Travel up to 40% of the time, primarily US-based project sites Preferred Qualifications • Master’s degree in a related field such as engineering, project management, operations, or otherwise., • Experience and knowledge of PV plant components such as PV modules, trackers, inverters, HV systems, Wind, and BESS (battery energy storage systems)., • Familiar with Product Lifecycle Management (PLM) and Enterprise Resource Planning (ERP) software. Compensation And Benefits Our salary ranges are determined by role, level, and location. Within each posted range individual pay is determined (and may be greater or higher) dependent on work location and additional factors, including job-related skills, experience, and relevant education or training. Terabase offers competitive compensation along with a comprehensive benefits package including: • Generous time off and holiday policy, • Remote flexibility, • Flexible time off, • Comprehensive benefits package, • Career progression, • 401k match, • Stock options, • Home office set up allowance, • And much more! Terabase is an equal opportunity employer. We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities. We strongly encourage people of all backgrounds to apply. We do not discriminate for any reason including race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military/ veteran status, or any other characteristic protected by law. We offer a welcoming and inclusive environment in service to one another, our products, the diverse consumers we represent, and the communities we call home. Principles only. This role is not open to receiving agency candidates, and any contingent submissions will not be considered. Terabase Energy does not utilize third-party recruitment agencies. Please contact our Recruiting team at careers@terabase.energy with any staffing-related inquiries.

Brookwood Group has been protecting owner interests in construction since 1989. Our lineage traces back to George T. Heery: one of the original developers of the Construction Project Management profession and creator of the Bridging delivery method. We've managed over $10 billion in construction programs across healthcare, education, government, and commercial sectors. We are seeking experienced owner's representatives and program managers with expertise in hospitals, medical centers, and healthcare facilities who are interested in working on a flexible, contract basis. Whether you're semi-retired, running your own practice, or simply looking for project-based work that fits your schedule, we'd like to talk. We welcome candidates from any U.S. location who are willing to travel to project sites as assignments require. This role offers the flexibility to take on specific projects or provide part-time support while leveraging Brookwood's resources, reputation, and technology platform. If you have deep experience in hospitals, medical centers, and healthcare facilities and want to continue serving clients on your terms, this may be the right fit. Provide owner's representation on hospital construction, medical office buildings, ambulatory care centers, clinical renovations, and healthcare campus expansions on a project-by-project or part-time basis. Serve as the owner's trusted advisor on budget, schedule, quality, and risk management. Navigate state healthcare facility licensing requirements, CMS Conditions of Participation, Joint Commission standards, and local AHJ compliance. Support business development efforts and client relationship development as needed. Mentor junior staff and share institutional knowledge. Coordinate with Brookwood leadership on project staffing and resource needs. 15+ years in construction project management, program management, or owner's representation. Demonstrated track record managing healthcare construction projects. Strong working relationships with health system executives, hospital administrators, and healthcare facility directors. Excellent communication skills and executive presence. Ability to work independently with minimal supervision. Willingness to travel to project sites as assignments require. Bachelor's degree in Construction Management, Engineering, Architecture, or related field. Deep experience in hospitals, medical centers, and healthcare facilities. CCM, PMP, PE, RA, or LEED AP certification. Experience with infection control risk assessments (ICRA), interim life safety measures (ILSM), and healthcare-specific commissioning requirements Existing client relationships that could benefit from Brookwood's platform. Flexible schedule—work on your terms. Competitive hourly or project-based compensation. Access to Brookwood's back-office support, insurance, and contracting infrastructure. AI-powered project management tools that make your job easier. Opportunity to transition to full-time if circumstances change. We were co-founded by George Heery: the person who literally invented much of what we now call Construction Management and Program Management, including the Bridging method. That's our foundation and it's a rich legacy of serving clients and delivering construction projects. But we're not living in the past. We're building AI-powered tools that automate the tedious work and give our people on the ground actual superpowers. The goal isn't efficiency for its own sake, it's serving our clients better and bringing some joy back to managing construction projects. If that sounds like the kind of place you want to be, let's talk.

ICD coding accuracy, payer policy interpretation, managed care utilization review)\n \n- Provide structured feedback on AI accuracy in areas such as federal and state insurance regulations (ACA, ERISA, HIPAA, CMS guidelines), payer contracting, and industry-specific terminology\n \n- Collaborate asy

Contracts Counsel - Hospitals/Healthcare Providers Join to apply for the Contracts Counsel - Hospitals/Healthcare Providers role at Axiom We are seeking experienced Contract Negotiation attorneys specializing in the healthcare industry and with experience advising hospitals, large healthcare systems or large physician groups. This role involves overseeing complex contracting processes with a focus on vendor and payer-side agreements. Responsibilities • Lead and manage the negotiation and execution of external client contracts, particularly with healthcare vendors, focusing on Master Service Agreements (MSAs), Statements of Work (SOWs), Business Associate Agreements (BAAs), Non-Disclosure Agreements (NDAs), and Requests for Proposals (RFPs)., • Provide strategic compliance advice to commercial operations and relevant functional areas, emphasizing market access and pricing issues related to Medicaid and Medicare., • Review, draft, and consult on a variety of agreements, including consulting agreements, supply and distribution agreements, advisory, market access-related contracts (PBM, Payer, and GPO agreements), wholesaler contracts, and discount and rebate agreements., • Act as a legal advisor to marketing, regulatory, and medical teams to ensure advertising and promotional content complies with statutory and regulatory requirements, offering practical solutions., • Utilize expertise in managed care to influence supply chain management, specialty pharma contracting, and federal/state pricing strategies., • Demonstrate proficiency in navigating payer contracting or provider-side environments with payer-facing activities., • Work collaboratively to negotiate agreements with wholesalers. Desired Qualifications • Extensive experience in healthcare contracting and vendor management, with a strong emphasis on payer-side contract negotiation and management., • Proven background in managed care, encompassing external client contract management, supply chain distribution, specialty pharma contracting, and federal/state pricing mechanisms., • Firm knowledge of privacy regulations, including HIPAA, CCPA, and GDPR., • Licensed to practice law in the relevant jurisdiction, with at least 5–8 years of legal practice experience., • Background in overseeing and advising on legal issues pertaining to advertising, promotion, and interactions with healthcare professionals. Compensation, Benefits & Location This position offers an attractive compensation package starting at $145,000, including comprehensive health benefits, a 401K plan, and access to professional development opportunities. While Axiomites primarily work remotely, some clients may require onsite presence. Company Overview Axiom is the global front-runner in delivering high-caliber, on-demand legal expertise, enabling efficiency and growth across legal departments worldwide. Our commitment to diversity, inclusion, and social engagement sets us apart as an equal opportunity employer. Equal Opportunity Employer Axiom is dedicated to equal employment opportunities, free from discrimination or harassment based on race, religion, gender identity, disability, or other protected characteristics. Reasonable accommodations are provided for qualified individuals with disabilities to ensure a fair application process. #J-18808-Ljbffr

Chief Medical Officer Care Management CARE MANAGER, RN UTILIZATION REV, SECRETARY, SOCIAL WORKER MSW Master's in Social Work, Business or Nursing required. Current NYS RN license required Minimum: Five years' experience in a healthcare setting. Three years' experience in utilization management or denial management. Knowledge and experience in developing utilization management and revenue recovery strategies. Experience dealing with authorizations and appeals process. Knowledge of discharge planning and clinical case management strategies. Knowledge of and experience with basic research methods and statistical analysis. Preferred: DRGs, Medicare Regulations, Medical Necessity Criteria, Patient Bill of Rights, HIPAA. Supervises professional and clerical employees who work with a range of functions, including but not limited to access, pre-authorization and precertification, bed placement, coding, utilization review and denial management, care coordination collaborative treatment planning and core measures, discharge planning, clinical social work, tracking of the post-acute period and provision of disease management, and contracting internally and externally. Partners with the CMO for effective relationships with physicians, services, specialties, etc. Provides consultation to the executive team, forming effective relationships with all VPs and department leaders. Participates in the determination and definition of the Care Management Dashboard, using data to better understand strengths and weaknesses of the department, and to determine needs, decisions, and strategies. Establishes, implements, and evaluates a written strategic plan for the department that takes into account internal and external factors. Establishes, manages, and constantly evaluates staffing levels, assignments, skills, learning needs, and deployment of staff. Creates stable and reliable processes to anticipate and address specific situations within the department and between the department and other departments and agencies. Establishes effective communication systems and forums with third party payers, the local PRO/QIO, Medical Records, and the managed care and finance offices. Develops structures and processes to facilitate participation by physicians, physical therapists, social work, and other health professionals in multidisciplinary care planning, care delivery, and discharge planning. Participates in continuous quality improvement groups. Negotiates, approves, and manages the operational and capital budgets. Writes and conducts annual and interim performance appraisals for all staff in the department. Ability to facilitate project management, work effectively under pressure, meet deadlines, manage multiple priorities and enhance the spirit of teamwork through effective role modeling. Familiarity with JCAHO requirements. Excellent leadership, interpersonal, communication (written and oral), analytical, and organizational skills. Demonstrated ability to deal effectively with the public in a professional and courteous manner. Computer literacy required with word processing, spreadsheets, power point.

The Clinical Business Development Manager supports a broad range of initiatives that strengthen clinical integration, enhance patient access, promote clinical growth, and increase market competitiveness. Provides high-level analytical support to the Director of Clinical Business Development to help advance both the financial and operational goals of the organization. Responsibilities • Business Development, • Develop fair market value (FMV) assessments and draft proposals for physician lease and service agreements., • Prepare and review business plans for new clinical faculty recruitment and clinical program expansion., • Deliver training sessions to departmental staff on business plan development and best practices., • Leads cross-functional initiatives tied to clinical growth, managing timelines and deliverables., • Monitor and report on actual performance versus business plan targets, identifying variances and areas for improvement., • Identify and track common concerns or trends in clinical department business plans to identify potential gaps., • Develop and monitor KPIs to assess clinical business initiatives, identify performance gaps, and support ROI and value-based decision-making., • Support the creation of executive-level presentations outlining business plans, key findings, and recommendations for internal and external stakeholders., • Finance and Operations, • Prepare and review financial reports of practices, including Profit & Loss statements and billing analysis across the institution in partnership with stakeholders in the clinical academic departments in VP&S and any external stakeholders., • Provides recommendations to Director of Clinical Business Development for areas of concern., • Conduct financial and operational assessments of existing practices to identify opportunities for improved efficiency and sustainability., • Assist in the implementation of approved recommendations derived from practice evaluations to enhance performance and proficiency., • Design and direct the preparation of ad hoc reports to analyze specific operational and/or financial concerns., • Create and maintain practice monitoring scorecards and other reporting tools to effectively summarize and track key performance indicators., • Provide technical and analytical expertise to improve efficiency within the organization's reporting and analysis tools., • Coordinate with billing and clinical operations to ensure accuracy and integrity of reported data., • Designs and directs preparation of ad hoc reports to analyze specific operational and/or financial concerns., • Oversee the rollout of improvement plans and monitor their operational impact., • People, • At the request of the Director of Clinical Business Development, represent at department meetings and act as a liaison with external partners (accounting firms, billing companies, vendors, etc.), • Partner with internal stakeholders to co-design tools and solutions to enhance business development support services and decision-making., • Serves as the Subject Matter Expert and leverages expertise to drive solutions., • Build trust and maintain strong working relationships with client stakeholders. Create end user buy-in for the workflow, policy, or procedure by facilitating a positive support experience., • Managed Care, • Evaluate payer reimbursement levels to assist the Director of Clinical Business Development in developing business plans, • Analyze reimbursement rates, payer mix, and insurance trends to inform strategic planning and contract negotiations., • Provide data-driven insights that support the development of payer-specific business plans and financial models., • Compliance, • Document FMV analyses and maintains justification for all agreements., • Ensure that all business plans, financial models, and physician agreements align with institutional policies and federal regulations., • Uphold confidentiality and data protection standards in compliance with HIPAA and institutional policies., • Collaborate with Legal, Compliance, and Contracting teams to review high-risk agreements., • Support audits and reviews related to business development activities., • Other, • Stay informed of regulatory and industry developments that may influence business planning or operational practices., • Performs other duties and responsibilities as assigned by the Director. Minimum Qualifications • Bachelor's degree in Finance, Economics, Public Health or equivalent combination of education and experience., • Minimum 4 years of related experience in Finance, Economics, or related fields., • Advanced proficiency in Microsoft Office (especially Word, Excel, and PowerPoint), • Strong analytical, critical thinking and problem-solving skills., • Exceptional written and verbal communication skills. Demonstrated ability to work autonomously, while effectively managing competing priorities and consistently meeting deadlines., • Must be a motivated individual with a positive and exceptional work ethic., • Ability to work independently and follow-through and handle multiple tasks simultaneously., • Familiarity with advanced reporting tools such as Tableau, Power Bi Preferred Qualifications • Experience in healthcare finance or clinical business operations., • Master's Degree (MBA, MHA, or similar) preferred., • Experience with GE/IDX, EPIC, Experian, and Cognos is preferred. Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents.

Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status: Regular Full time Work Shift: Compensation Range: The base pay scale for this position is $112,000.00 - $170,875.00. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future. Reporting to the AVP, Managed Care & Executive Director, PHO, the Director of Managed Care plays a crucial role that demands a unique set of skills to ensure seamless interactions with insurance payers, PHO physician members, hospital administrative leadership, and various other stakeholders. This highly visible position is primarily responsible for the administration of HSS PHO and the negotiation and implementation of HSS PHO managed care contracts, ensuring their alignment with HSS clinical initiatives and strategic priorities. This includes engagement with various administrative and clinical stakeholders to determine contracting strategy to best support HSS PHO physicians. Responsibilities: • Under the guidance of the Executive Director, oversees the day-to-day administration of HSS PHO operations including managed care contracting strategy and other additional administrative functions., • Meets with organizational leadership and stakeholders to ascertain and develop strategic payer contracting goals., • Negotiates contracts ensuring financial and strategic goals are translated into contractual language accordingly., • Analyzes payer contract proposals in conjunction with the analytics team to ensure contracts meet financial goals., • Works closely with the legal team to review and edit contracts as appropriate., • Assesses contract administrative terms and payer policies to advise leadership accordingly on measures of contract performance., • Maintains up to date knowledge on the healthcare market, specifically in regard to payer policies and reimbursement trends., • Implements departmental policies, protocols and systems to enhance efficiency and effectiveness of workflows., • Possesses strong leadership skills and demonstrate capability to inspire staff to pursue excellence in goals and productivity; capable of coaching and improving staff in need of professional development. Places high priority on overall team performance., • Additional responsibilities as required to accomplish departmental goals. Experience, Competencies, and Personal Characteristics: • Experience (minimum 7+ years) with IPA/physician network administration and/or payer or provider contracting. Major teaching/surgical hospital experience or health plan experience is highly desirable., • Experience managing and leading a professional team., • Experience dealing with physicians and their office/billing staff., • Possesses key payer contacts and knowledge of payer contracting and enrollment processes., • Knowledge of the healthcare industry and payer reimbursement methodologies (both hospital and physician)., • Ability to work independently and collaboratively to solve complex problems., • The ability to influence and motivate others, as well as work collaboratively within a multi-stakeholder environment is required., • Excellent verbal and written communication skills., • Excellent organizational and multi-tasking skills., • Is professional when dealing with stakeholders; uses good judgement and takes a thoughtful approach to resolving and communicating issues. Education: Bachelor's degree in health or business administration, economics or related subject is required. Masters preferred. Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.

Director of Contracts & Compliance Location: New York, NY (42nd Street) Schedule: Hybrid – 4 days onsite, 1 day remote Conveniently located near major public transportation Position Overview We are seeking a Director of Contracts & Compliance to serve as the critical bridge between Managed Care, Revenue Cycle, and Clinical Operations. This individual will ensure payer contracts are negotiated, operationalized, and monitored effectively so the organization receives appropriate reimbursement while maintaining compliance with contractual and regulatory requirements. This role is ideal for someone who understands both the managed care and revenue cycle sides of healthcare and can translate complex contract terms into actionable processes for clinical, operational, and billing teams. Key Responsibilities • Lead negotiation, implementation, and ongoing management of payer and managed care contracts., • Serve as the primary liaison between Managed Care, Revenue Cycle, and Clinical Operations to ensure contract requirements are understood and executed., • Interpret contract language and communicate operational, documentation, and reimbursement requirements to clinical and operational teams., • Partner with Revenue Cycle leadership to ensure claims are adjudicated according to contract terms and reimbursement is aligned with negotiated rates., • Analyze underpayments, reimbursement variances, denials, and contract performance issues., • Develop processes to ensure payer contract provisions are effectively translated into workflows and operational practices., • Collaborate with clinicians and operational leaders to support compliance with payer requirements and quality initiatives., • Monitor regulatory and compliance requirements related to payer contracts and reimbursement programs., • Identify opportunities for revenue optimization, contract improvement, and operational efficiencies., • Support value-based care initiatives, provider enrollment, and payer relationship management efforts. Qualifications • 8+ years of healthcare experience within managed care, payer contracting, provider contracting, revenue cycle, reimbursement, or healthcare operations., • Strong understanding of both professional billing and payer contract administration., • Experience working directly with clinicians, operational leaders, and revenue cycle teams., • Demonstrated experience interpreting contract language and ensuring operational execution of contract requirements., • Knowledge of contract adjudication, reimbursement methodologies, payer policies, and revenue integrity principles., • Experience analyzing reimbursement performance and resolving contract-related payment issues., • Bachelor's degree required; Master's degree preferred. Preferred Background • Experience within a hospital, health system, physician group, MSO, IPA, ACO, or managed care organization., • Experience serving as a bridge between contracting and revenue cycle functions., • Value-based care and population health experience., • Strong payer relationship management and negotiation experience. Why Join Us? • Highly visible leadership role with significant cross-functional impact., • Opportunity to influence payer strategy, reimbursement performance, and operational excellence., • Direct partnership with executive leadership, clinical teams, and revenue cycle leadership., • Convenient Midtown Manhattan location adjacent to major transportation hubs.

Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared visionto deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what's possible in community healthcare. Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. • Advanced Emergency Services - 24/7 emergency departments across all four hospitals, • Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems, • Neurosurgery & Spine Care - including Stealth Navigation and precision-guided treatment, • Women's Health & Maternity - comprehensive services tailored for every stage, • Imaging & Diagnostics - AI-enhanced systems for faster, more accurate results, • Outpatient & Specialty Care - coordinated care across multiple disciplines Explore our hospitals and discover care that's high-tech, high-touch, and close to home: • Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care., • Bayonne University Hospital, A full-service community hospital offering personalized acute care., • Hoboken University Hospital, A local leader in women's health, family medicine, and outpatient services., • The Heights University Hospital (Jersey City), Expanding access to state-of-the-art care in the heart of Jersey City. The successful candidate will be able to: • Responsible for functions of the Medical Staff Office Coordinators in their absence as needed., • Responsible for coordination and preparation of medical staff functions; prepares for committee meetings, takes minutes, processes, and distributes appropriate correspondence as needed in the absence of MSO Coordinators., • Assists in compliance with the accrediting and regulatory agencies (i.e., Joint Commission, CMS, NJBOME, etc.) in regard to medical staff while developing and maintaining a working knowledge of the statutes and laws., • Maintains the confidentiality of all business/work and medical staff information., • Assists in managing the flow of information between the MSO team, Credentials and MEC Committee members, Medical Staff Leadership (including the Service, Department and Section Chairpersons) and the Chief Medical Officer, as needed., • Maintains open communication with the Medical Staff, Administration, Hospital Departments, practitioner's office staff, Corporate Office, and related health agencies. Identifies and works to solve problems as they arise., • Maintains knowledge of standards of The Joint Commission, CMS, and State and Federal regulations related to Medical Staff organization., • Maintains working knowledge of the Medical Staff Bylaws, Rules and Regulations, and Hospital policies, and works to ensure the medical staff's compliance with the stated parameters., • Attends Medical Staff meetings as necessary. Assists as needed with agenda and materials preparation. Records minutes at specified committees., • Assumes responsibility and accountability as Custodian of Records for all files, minutes, reports, etc., relative to the activity of the Medical Staff., • Composes and distributes monthly Medical Staff Calendar to the Corporate Credentialing and Medical Staff Affairs Department., • Coordinates new physician orientation as directed by the Corporate Office., • Schedules applicant interviews as directed by the Corporate Office., • Maintains the electronic board with current information as directed by medical staff officers, and the Corporate Office, • Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility., • Conducts thorough background investigation, research and primary source verification of all components of the application file., • Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up., • Prepares credentials file for completion and presentation to Health System Entity Medical Staff Committees, ensuring file completion within time periods specified., • Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions., • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise., • Assists with managed care delegated credentialing audits; conducts internal file audits., • Utilizes the Cactus credentialing database, optimizing efficiency, and performs query, report, and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act., • Monitors the initial, reappointment and expirable process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts., • Develop and trains staff on regulations, policies, and procedures., • Responsible for the regular review of internal processes in order to evaluate quality and efficiency within the Managed Care Department; recommend, administer and implement multiple activities in support of the Managed Care Department initiatives., • Work with Managed Care Leadership to find efficiencies that will improve processes and communication., • As a working supervisor, research and respond to routine, non-routine, complex and escalated inquiries in a timely and professional manner., • Work with various departments to prevent issues as well as resolve elevated billing, reimbursement, health plan participation and credentialing issues., • Maintain awareness of Payor Managed Care activities for changes in policies, authorization requirements and other processes that impact the Practice., • Maintain the Payor matrix, including limited network participation, to ensure information is accurate and up to date., • Maintain standard operating processes and procedures for contract monitoring and renewals., • Gather current data and monitors changes on plan membership, patient volume, plan/benefit structure, reimbursement and other information needed to complete the contract profile., • Review fee schedules for accuracy and identifies significant changes in reimbursement., • Oversee activities responsible for ensuring that all Providers are credentialed with Payors and Hospitals in a timely and accurate fashion., • Promptly communicate credentialing status to applicable parties., • Monitor Payor directories to ensure all providers are listed accurately by plan, • Monitor trends to avoid minor issues from having a major impact on reimbursement and collections., • Other duties as assigned., • Five or more years in healthcare managed care contracting and medical staff experience, • Associates degree or BA needed, • Working knowledge of both Managed Care and Provider Insurance Credentialing, • Working knowledge of government and non-government insurance, payer requirements, and healthcare operations, • Excellent knowledge of healthcare revenue cycle, healthcare finance, CMS and state regulations and healthcare compliance requirements/activities, • Previous experience in a Medical Staff Services Administrative/Credentialing position required., • Previous experience as a Medical Staff Coordinator or two or more years of experience in Medical Staff setting preferred, • Must have excellent organizational, time management, customer service and oral & verbal communications skills, • Ability to focus on detail while responding to multiple tasks simultaneously and work effectively in a goal-oriented team environment, • Must be able to maintain confidentiality of proprietary information related to all aspects of the position, hospital, medical staff, and allied health professional staff, • Excellent interpersonal skills, including the ability to communicate clearly, professionally, both verbally and in writing with a broad range of professionals and people of varying education and backgrounds., • Proficiency in Cactus is critical., • Proficiency in data entry, typing and computer skills using a variety of software programs including Microsoft Word, Excel, Access, Outlook, PowerPoint, and Cactus., • Willingness to maintain a flexible work schedule as needed., • Ability to adapt to changing schedules, deadlines and demands, and a heavy workload., • Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity., • Comprehensive health, dental, and vision insurance

Job Title Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans' procedures, benefits, policies, and available provider tools Coordinates and provides administrative support to the Network Contracting and Relations team. Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely and accurate follow-through. Document all provider interactions and outcomes in internal systems. Support implementation and onboarding of new providers, including credentialing follow-up and demographic updates. Monitor, track, and follow up on provider issues; escalate complex or unresolved items as needed. Assist in maintaining accurate provider directories by validating demographic and operational information. Participate in Network Management projects and initiatives to support departmental goals. Support cross-functional collaboration to resolve routine provider operational concerns. Department Description The Network Management / Provider Relations department is responsible for developing, supporting, and maintaining relationships with the provider network across all product lines. The team ensures providers have the information, resources, and operational support needed to deliver high-quality care to plan members. The department collaborates with internal stakeholders including Claims, Utilization Management, IT, and Configuration to resolve provider issues and improve overall provider satisfaction. Experience/Education/Qualifications Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required Strong organizational skills with the ability to manage multiple priorities effectively Excellent written and verbal communication skills Proficiency in Microsoft Office applications (Word, Excel, Outlook, PowerPoint) required Health plan experience strongly preferred, particularly in one or more of the following areas: Provider Relations Referral Authorization Provider Data Maintenance Claims Processing Knowledge/Skills/Abilities Data entry accuracy. Organization and time management. Basic managed care concepts. Communication and collaboration. Ability to follow SOPs. Detail orientations Shift: Days (0800-1700) Remote, no weekends Specialty Type: Clerical Sub Specialties: Clerical/Office Assistant/Support General Certifications: N/A

Reporting to the AVP, Managed Care & Executive Director, PHO, the Director of Payer Relations plays a crucial role that demands a unique set of skills to ensure seamless interactions with insurance payers, PHO physician members, internal and external billing departments, and various other stakeholders. This highly visible position is primarily responsible for the escalation and resolution of facility and professional claims issues. These include, but are not limited to, contract or enrollment issues impacting billing and reimbursement, administrative issues impacting operations, and effective issues management and communication with key stakeholders through final and accurate payment. This position provides oversight to a team of Payer Relations Coordinators and serves as a liaison to the HSS and PHO Managed Care team. Responsibilities: • Oversees compliance of managed care companies and payment rules with negotiated contracts., • Works closely with other members of the Managed Care team, Patient Financial Services, and/or Central Billing Office to identify trends and opportunities in outstanding Accounts Receivables for both PHO providers and facilities., • Responsible for ensuring reports and updates (i.e. A/R, denials, etc.) are disseminated to departmental staff. This includes working with Patient Financial Services and other departments on the implementation and maintenance of departmental dashboard., • Escalates issues as necessary to payer contacts for resolution as well as HSS contracting team. Recommends escalation as appropriate to senior management., • Provides feedback on trends/patterned issues to Managed Care team to aid in negotiation and implementation of fee-for-service and value-based payer contracts across HSS and PHO., • Assesses contract administrative terms and payer policies to advise leadership accordingly on measures of contract performance., • Ensures key stakeholders are communicated to on contractual obligations, emerging trends stemming from contract performance, payer policy changes, and other related topics, • Maintains up to date knowledge on the healthcare market and timely initiatives, • Implement departmental policies, protocols and systems to enhance efficiency and effectiveness of workflows, • Possess strong leadership skills and demonstrate capability to inspire staff to pursue excellence in goals and productivity; capable of coaching and improving staff in need of professional development. Places high priority on overall team performance., • Additional responsibilities as required to accomplish departmental goals. Experience, Competencies, and Personal Characteristics: Experience (minimum 7+ years) with payer or provider contracting and/or revenue cycle management. Major teaching/surgical hospital experience or health plan experience is highly desirable. Experience with EPIC or other comparable EMR systems preferred. Experience with Salesforce preferred. Experience managing and leading a professional team. Experience dealing with physicians and their office/billing staff. Possesses key payer contacts and knowledge of payer resolution processes. Knowledge of the healthcare industry and payer reimbursement methodologies (both hospital and physician). Ability to work independently and collaboratively to solve complex problems The ability to influence and motivate others, as well as work collaboratively within a multi-stakeholder environment is required. Excellent verbal and written communication skills Excellent organizational and multi-tasking skills Is professional when dealing with stakeholders. Uses good judgement and takes a thoughtful approach to resolving and communicating issues. Education: Bachelor's degree in health or business administration, economics or related subject is required. Masters preferred. Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.

DS creates systems that power the next generation of radio spectrum intelligence. We collect radio data from all over the world, train neural networks to decipher it, and run them on the smallest chips we can. We're solving a new, technically hard problem where nothing from other fields works out of the box, and along the way, we've built our own stack from scratch, including entirely new embedding model architectures, custom GPU kernels, and much more. Joining DS means owning major parts of a fast-growing AI research organization, joining a collaborative, talent-dense team with decades of experience in probabilistic ML, accelerated computing, embedded systems, and signal theory, and growing your career in the areas that interest you. You'll fit in if you want to come to work for the problem itself and don't want to choose between technical rigor, business value, and real-world impact. We work with high ownership and trust, and we do it together in the office 5 days/week. As the Senior Program Manager for NGTUAV, you'll own end-to-end execution of a multi-year SOCOM rapid prototyping contract integrating Distributed Spectrum's RF Vision AI/ML software onto tactical UAS platforms. This is a defining program for the company, taking our edge-AI RF sensing capability into one of the most challenging operational environments possible. You'll manage a multi-year effort spanning RF characterization, embedded integration, flight testing, and operational demonstrations, coordinating across DS engineering, multiple subcontractors, and the SOCOM program office. This role reports to the Director of Mission Operations and works closely with DS's Growth, Engineering, and Product functions. • Own the Integrated Master Schedule (IMS) across all DS and partner workstreams, tracking dependencies and driving accountability for 12-month capability delivery cycles., • Manage contract execution including CDRLs, invoicing, period-of-performance milestones, data rights, and government reporting against the SOCOM contract vehicle., • Serve as the primary interface to the SOCOM program office, contracting officer, and partner program leads., • Track and mitigate programmatic and technical risk, maintaining a living risk register that spans infrastructure gaps (RF test lab, UAS integration bench, classified dev environment), personnel readiness, and vendor dependencies., • Coordinate in-person demonstrations and exercise participation periodically throughout the award, managing logistics, range access, and FAA/DoD waivers., • Manage subcontractor relationships and teaming agreements, ensuring SOWs, deliverables, and cost performance align across the partner base., • Drive internal readiness, working with engineering leadership to close infrastructure and staffing gaps required for milestone execution., • Maintain a single source of truth for program status, artifacts, and decisions, keeping internal communication channels current and usable., • 5+ years managing DoD rapid prototyping, SBIR Phase III, OTA, or BAA-funded contracts, with demonstrated experience delivering hardware/software integration programs through milestone-based development., • Comfortable operating as the sole PM on a complex program, i.e. you don't need a PMO behind you to drive schedule, cost, and risk management., • Strong instinct for multi-partner coordination; you've managed teaming relationships with subcontractors and government labs on programs with real technical interdependencies., • Experienced with cost accounting, IMS development, and CDRL/deliverables tracking., • Excellent communicator who can translate between engineering teams, SOF operators, and government acquisition professionals., • Active Secret clearance required; TS preferred., • Based in NYC (or willing to relocate), with ability to travel ~25% to partner sites, government facilities, and exercise locations., • Experience with USSOCOM acquisition processes (BAAST, SOFWERX, SOF AT&L, SOCOM SBIR/XTECH)., • Familiarity with UAS systems, EW/SIGINT, or RF technology programs; you don't need to be an engineer, but you should be able to hold your own in conversations about SWaP constraints, SDR architectures, and ML model deployment., • Prior work supporting SOCOM/JSOC customer sets., • Experience standing up program infrastructure (tools, processes, cadence) at a startup or small defense tech company rather than inheriting an existing PMO., • Lead a flagship program that transitions DS's core RF Vision AI capability from the ground to the air shaping the company's trajectory in tactical autonomy and signature management., • Work at the intersection of cutting-edge AI and SOF operations, delivering technology that directly supports operators in contested and denied environments., • Build from the ground up. This isn't a maintenance PM role; you'll establish the program rhythms, partner relationships, and execution infrastructure from Day 1., • Thrive in a high-trust, high-autonomy culture where program managers are empowered decision-makers, not slide-deck administrators., • Fast learners over specific backgrounds We care more about how quickly you can pick up new skills than where you've worked before., • Intellectual honesty The right answer matters more than being right. You challenge assumptions, test ideas, and pivot when needed., • Adaptability We're organized, but sometimes things change quickly. You find a way to make it work and balance short-term deliverables with long-term goals., • Ownership of outcomes You optimize your own time, focus on what matters to deliver quickly, and cut out inefficiencies., • Not building in a vacuum You stay connected to the rest of our teams and our customers to make sure all the pieces fit together., • Above-market salary, equity, and benefits package., • Early Series A Equity, • Excellent health, dental, and vision coverage, • 401(k) match - up to 4% of your salary, • Flexible PTO, • Daily office lunches in NYC ITAR Requirements To conform to U.S. Government technology export regulations, including the International Traffic in Arms Regulations (ITAR) you must be a U.S. citizen, lawful permanent resident of the U.S., protected individual as defined by 8 U.S.C. 1324b(a)(3), or eligible to obtain the required authorizations from the U.S. Department of State. Learn more about the ITAR here.

The Director, Out-of-Network Contracting will report directly to the VP of Provider Network Strategy and Optimization and will serve as the Company's central authority for establishing, negotiating, and maintaining Out-of-Network contractual arrangements, with a primary focus on reducing OON spend through disciplined contracting strategies and network expansion opportunities. This role has end-to-end accountability for the development, negotiation, execution, and governance of all OON contractual arrangements, with a mandate to materially reduce OON spend, improve unit cost performance, and expand sustainable network access. The Director will be responsible for developing contracting solutions to address escalated OON unit cost issues and formalizing rate agreements across facility, professional, ancillary, and behavioral health providers. The function will consolidate all OON contracting activities under a single, centralized organization to drive consistency, compliance, and cost efficiency. This role will own the development and maintenance of OON contracting policies, procedures, and rate methodologies, informed by regulatory requirements, market intelligence, and network access needs. The Director will develop efficiencies that reduce reliance on episodic negotiations by converting repeat OON utilization into structured contractual arrangements, including opportunities to transition OON providers into Healthfirst's contracted network at sustainable rates. The role will establish the long-term contracting vision, operating model, and rate strategy for OON providers, ensuring alignment with regulatory requirements, market dynamics, and Healthfirst's affordability and access objectives. Responsibilities • Set the enterprise strategy for Out-of-Network contracting, including rate methodologies, provider segmentation, and conversion strategies to bring high-utilization OON providers into the contracted network, • Own accountability for OON contracting financial outcomes, including unit cost reduction, medical cost savings, and mitigation of OON spend, • Design and govern the operating model for centralized OON contracting across facility, professional, ancillary, and behavioral health providers, • Establish and maintain enterprise policies, procedures, and rate guidelines that ensure consistency, compliance, and scalability and in alignment with regulatory requirements and market conditions, • Lead and develop a team responsible for negotiating and executing Out-of-Network contracts, • Represent Healthfirst in external-facing negotiations with providers and other stakeholders as required, • Partner with Finance and Medical Economics to develop savings targets, forecasts, and performance tracking tied to OON contracting activity, • Ensure compliance with Medicare, Medicaid, and Commercial regulatory requirements and proactively mitigate contracting and reimbursement risk, • Translate regulatory changes into contracting strategy, • Consolidate facility, professional, ancillary, and behavioral health OON contracting functions to drive standardization and medical cost savings, • Partner with Provider Data, Medical Economics, and DSE leadership to assess provider access gaps and recommend contracting or network participation strategies, • Identify and advance opportunities to transition high-utilization OON providers into contracted status at Healthfirst rates, • Oversee OON contracting needs to satisfy regulatory gaps in the network, • Oversee new OON provider request to join the network, • Establish and maintain strong working relationships with Regulatory, Legal, Finance, teams to ensure compliant and enforceable contracting outcomes, • Participate in cross-functional forums to assess the contracting impact of OON requests, • Lead the end-to-end OON contracting strategy to materially reduce organizational OON spend, • Maintain oversight of contract inventory, savings realization and documentation, • Develop and present executive-level materials related to OON contracting performance, inventory, savings, and strategic initiatives, • Lead and participate in high-stakes provider contract negotiations, • Provide daily staff supervision, coaching, mentoring, and performance oversight, • Conduct ad hoc analyses to identify root-cause drivers of OON utilization and contracting gaps, • Perform additional internal and external duties as assigned, • Serve as an advocate for Providers within Healthfirst while balancing affordability, access, and sustainability Minimum Qualifications • Bachelor's Degree from an accredited institution, • 10+ years of progressive experience in Managed Care contracting, network management, or related payer functions, • Deep expertise in healthcare reimbursement methodologies, including Capitation, APR DRG, MS DRG, APGs, APCs, RBRVS, and Per Diems, • Demonstrated success leading enterprise-scale OON contracting strategies with significant financial impact, • Experience negotiating complex facility, professional, ancillary, and behavioral health contracts, • 7+ years of people leadership experience, including leading managers and senior professionals, • Strong knowledge of Medicare, Medicaid, and Commercial healthcare regulations and reimbursement structures, • Proven ability to influence executive stakeholders and lead cross-functional initiatives Preferred Qualifications • Master's Degree (MBA, MHA, MPH, or related field), • Experience owning or materially influencing budgets, forecasts, and savings targets, • Track record of leading large-scale transformation or cost optimization initiatives, • Familiarity with behavioral health contracting and reimbursement models, • Strong executive presence with the ability to represent the organization in high-stakes internal and external settings Hiring Range • Greater New York City Area (NY, NJ, CT residents): $154,600 - $236,555, • All Other Locations (within approved locations): $127,500 - $195,075 As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision. In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live. The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role. #J-18808-Ljbffr

Senior Financial Analyst Managed Care - Corporate Location. In this role, you will support hospital managed contracting through analysis of the financial and operational impact of managed care contracts, participate in and provide oversight of contract compliance activities and load contract rates

Job Description Our Vision: To make New York City the global model for inclusive innovation and economic growth, fueled by the City's diverse people and businesses. Our Mission: Creating a vibrant, inclusive, and globally competitive economy for all New Yorkers. NYCEDC's Asset Management Division manages real estate properties and non-traditional assets across all five boroughs of New York City including commercial real estate properties as well as transportation, critical infrastructure, and energy assets. The division pursues a double-bottom line strategy, targeting not just economic returns but also multiple social metrics including but not limited to job creation, and growing equitable neighborhoods. The overall assets are divided into multiple portfolios, each managed by a Portfolio Manager, with a Portfolio Surveillance group that monitors and enforces standards and practices across the division. The division-wide portfolio encompasses all property types including those that are standard in the real estate industry (Retail, Mixed-Use/Commercial, Industrial, etc.) with individual Portfolio Managers also managing assets particular to public sector and public/private (Transportation assets including Ferry, Cruise, Freight/Rail, and Aviation, Retail and Market assets, Cultural, Industrial and Commercial assets). The Hunts Point Portfolio is a key component of NYCEDC's broader mission to enhance the economic vibrancy and sustainability of New York City. The portfolio includes the Hunts Point Food Distribution Center, the largest food distribution center of its kind in the world, and the Hunts Point Market, serving millions of New Yorkers with fresh produce, meat, and seafood. The portfolio also encompasses strategic land-use initiatives, workforce programs, and innovative sustainability efforts aimed at creating jobs, promoting environmental justice, and supporting economic growth in the South Bronx. Position Overview: Reporting to the Vice President, Hunts Point, the AVP is responsible for supporting the growth and management of a portfolio of real estate assets consisting of industrial and distribution facilities within the Hunts Point Food Distribution Center campus in the South Bronx. The AVP will focus on creating the physical assets and supporting initiatives in New York City that fulfills NYCEDC's double-bottom line strategy of producing both economic and social returns. Essential Duties and Responsibilities: • Support negotiation and contracting across a range of agreements, including operating agreements, leases, permits, and other contractual matters, in partnership with EDC Legal team, the Law Department, and outside counsel where appropriate., • Identify and execute redevelopment opportunities within the portfolio, including planning RFPs and capital projects to modernize, expand, or reposition assets; develop financial underwriting for proposed investments and oversee team members in building financial models., • Partner with the Business Operations team to prepare annual revenue/expense budgets. Verify forecasted revenues and utility reimbursement calculations for the portfolio., • Serve as a key external representative at required engagements., • Manage day-to-day asset management functions, including tenant communications, monthly portfolio meetings to reconcile management budgets, review lease pipelines, plan for lease expirations, evaluate tenant financial reports, manage arrears and collections, investigate insurance issues, advise on any ongoing litigations., • Participate in special projects with city agencies and City Hall., • Prepare contracts, requests for proposals (RFPs), reports, and key correspondence., • Other duties as assigned. Qualifications: • Bachelor's Degree and at least 5 years of experience in real estate development, asset management, urban planning, private equity, management consulting, economic development and/or related field, • Master's degree in a related field preferred, • Experience with property management, lease administration, negotiations, and tenant relations, • Strategic and independent thinker with the ability to structure and present a compelling plan, • Effective project management and financial analysis skills, with a detail-oriented approach, • Demonstrated written, verbal, and analytical communication skills, with an emphasis on strategic and persuasive communication, • Proficient in Microsoft Office, • New York City residence is required within 180 days of hire Salary Range$110,000—$113,000 USD About Us: New York City Economic Development Corporation is a mission-driven, nonprofit organization that works for a vibrant, inclusive, and globally competitive economy for all New Yorkers. We take a comprehensive approach, through four main strategies: strengthen confidence in NYC as a great place to do business; grow innovative sectors, with a focus on equity; build neighborhoods as places to live, learn, work, and play; and deliver sustainable infrastructure for communities and the city's future economy. NYCEDC is committed to offering competitive benefits to support employee health, happiness, and work-life balance. We offer comprehensive benefits and unique perks to ensure NYCEDC employees flourish in their professional and personal lives: • Generous employer subsidized health insurance, • Medical, dental, and pharmacy plans, • Vision and hearing benefits, • Flexible spending accounts for healthcare and dependent care, • Short term and long-term disability coverage, • 100% employer covered life insurance and supplemental life insurance coverage, • Up to 25 vacation days, • Floating Holidays and Summer Fridays, • Parental leave - up to 20 paid weeks, • Retirement savings programs, • Company-paid 401(a) defined contribution plan, • 457(b) tax-advantaged retirement savings plan, • Tuition Reimbursement program, • Continuing education and professional development, • Public Service Loan Forgiveness (PSLF) eligible employer, • College savings plan, • Backup childcare, • Gym membership discounts, • A Calm.com membership for mindfulness and mental health support, • Employee discounts through Plum Benefits and much more Benefits listed above may vary based on the length and nature of your employment with New York City Economic Development Corporation. These benefits are subject to be modified at any time, at the discretion of the organization. The New York City Economic Development Corporation is an Equal Opportunity Employer. Our Diversity, Equity, and Social Responsibility Mission is to create a People First strategy by attracting, retaining, and engaging a diverse and talented workforce. Like the city of New York, NYCEDC knows our strength comes from each of our connected parts, making the fabric of our organization better and stronger because of our unique employees' talents. For more information, visit our website at edc.nyc.

Job Description Job Code U826HF2 Department Name Health Fund Admin Reports To Managing Director, Health Fund FLSA Status Exempt Union Code N/A Management Yes About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 185,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. The Funds oversees and manages $11 billion of dollars in assets, which are made up of many, varied and complex funds. The dollars come from a number of sources, including the property owners who pay into the funds on behalf of their employees, and as such, requires those who oversee and manage the money to be highly skilled financial management people. 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Job Summary: The Senior Director, Health Systems & Strategy is a senior strategic leader responsible for provider partnership development, healthcare strategy, and innovation. This role operates at the intersection of external relationship management and internal transformation, leading the development and stewardship of provider relationships that support the Health Fund’s direct contracting strategy while advancing initiatives designed to improve member experience, enhance quality, and reduce costs. The Senior Director serves as strategic adviser to the Managing Director, Health Fund, providing expertise on provider operations, healthcare market trends, and emerging opportunities. The role is responsible for evaluating strategic initiatives, developing actionable recommendations, and facilitating the transition of approved initiatives from planning through implementation. The position maintains a strong focus on member outcomes while supporting the Fund’s long-term operational, financial, and strategic objectives. This role reports directly to the Managing Director, Health Fund and serves as a key strategic partner in shaping the Fund’s provider engagement strategy, innovation agenda, and long-term healthcare delivery model. Essential Duties and Responsibilities: • Leads the development, execution, and ongoing evolution of the Health Fund's provider partnership and direct contracting strategy, ensuring alignment with organizational goals related to member experience, quality, access, and cost management., • Develops, manages, and strengthens strategic relationships with healthcare providers, health systems, physician groups, and other key partners to support the Fund's long-term healthcare delivery and purchasing objectives., • Leads negotiations, governance, and performance oversight of direct contracting arrangements, ensuring agreements are structured to deliver measurable value for members and the Fund., • Establishes and oversees governance structures, including Joint Operating Committees and other collaborative forums, to promote accountability, strategic alignment, issue resolution, and continuous improvement across provider partnerships., • Develops and implements performance frameworks, metrics, and reporting processes to evaluate provider partnerships, monitor outcomes, identify opportunities, and support data-driven decision-making., • Serves as the primary executive relationship manager for key provider organizations, maintaining ongoing engagement with senior healthcare executives and representing the Fund in strategic discussions, partnership development, and contract-related matters., • Ensures member experience and access considerations are incorporated into provider partnership management, performance evaluations, and strategic decision-making, and collaborates with operational teams to address areas of member friction or service concerns., • Leads the Health Fund's strategy and innovation function, including the identification, evaluation, prioritization, and advancement of initiatives designed to improve member outcomes, enhance operational effectiveness, and reduce healthcare costs., • Oversees the assessment of healthcare market trends, regulatory developments, emerging care delivery models, payment innovations, and other strategic opportunities relevant to the Fund's mission and long-term objectives., • Establishes and maintains a structured process for evaluating strategic initiatives, business cases, and organizational change proposals, ensuring recommendations are supported by appropriate analysis, stakeholder input, financial considerations, and member impact assessments., • Serves as a strategic advisor and thought partner to the Managing Director, Health Fund, providing insights, recommendations, and expertise regarding provider partnerships, healthcare trends, innovation opportunities, and organizational strategy., • Leads, develops, and mentors staff responsible for provider partnership management, strategic planning, and implementation activities, fostering a culture of collaboration, accountability, innovation, and continuous improvement., • Collaborates with internal departments, external partners, consultants, and stakeholders to support strategic initiatives, operational priorities, and organizational transformation efforts., • Provides leadership and oversight for the successful implementation and transition of approved strategic initiatives, ensuring alignment between planning, operational execution, and organizational objectives., • Performs other duties and special projects as assigned. Qualifications (Competencies): • Bachelor's degree in Healthcare Administration, Public Health, Business Administration, or a related field required; Master's degree preferred;, • Significant experience in provider relations, network strategy, managed care contracting, healthcare operations, or a related healthcare leadership role required;, • Demonstrated success building and managing executive-level relationships with health systems, provider organizations, physician groups, or other healthcare stakeholders, including engagement with senior executive leadership required;, • Deep knowledge of value-based care and alternative payment models, including shared savings, bundled payments, capitation, and other risk-based arrangements, with experience evaluating, negotiating, and managing strategic provider partnerships required;, • Demonstrated ability to serve as a strategic advisor to senior leadership and contribute to organizational planning, innovation, and decision-making beyond a single functional area required;, • Exceptional communication, negotiation, relationship management, and executive presence skills, with the ability to represent the organization effectively in complex internal and external environments required;, • Experience leading, supporting, or contributing to healthcare strategy, innovation, business planning, or organizational transformation initiatives in a complex, multi-stakeholder environment required;, • Strong analytical, problem-solving, and business judgment skills, with the ability to evaluate opportunities, assess risks, and develop actionable recommendations required;, • Experience working with self-funded health plans, Taft-Hartley funds, union benefit funds, or other mission-driven healthcare organizations preferred;, • Direct experience within a provider organization, health system, physician group, managed care organization, or related healthcare delivery environment preferred;, • Familiarity with healthcare price transparency requirements, the No Surprises Act, and other regulatory considerations affecting provider contracting, reimbursement, and healthcare purchasing strategies preferred;, • Demonstrated ability to balance strategic thinking with operational execution, lead cross-functional initiatives, manage competing priorities, and drive organizational change;, • Proven leadership skills with the ability to build collaborative relationships, influence stakeholders, foster accountability, and develop high-performing teams; and, • Demonstrated commitment to improving member outcomes, enhancing value, and supporting the Fund's long-term strategic objectives. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals to perform the essential functions. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

EmblemHealth Review vendor trends and impact on care cost, member and provider experience. Perform Root Cause Analysis (RCA) to resolve payment integrity issues to resolution. Initiate project requests, develop or support the development of care cost impacts, partnering with external vendors, and/or Healthcare Economics. Support vendor relationship to ensure external and internal expectations are met. • Responsible for analyzing specific contracts in Enterprise Payment Integrity., • Serve as a primary subject matter expert for each contract to ensure optimal contract management and outcomes., • Evaluate feasibility of implementing interim workflow processes as a stop gap to provider abrasion and interest payments., • Act as a point of communication and coordination with all internal business units for all issues related to vendor contracts., • Ensure current and future state analysis is performed, business requirements and change requests are analyzed and accurately documented and aligned with business needs., • Responsible for "end to end" contract management which includes performing all pre-contractual and implementation activities, business ownership of EPMO and IT projects, development of contract performance standards and associated penalties, root cause analysis and ongoing monitoring and oversight., • Review content of new Payment Integrity contracts and provide input as appropriate, • Partner with business and IT to develop testing strategy, test plans and functional test cases. Participate in the development and execution of user test plans to ensure that the system design meets business needs., • Actively participate in all related Policy Meetings, Quarterly Business Reviews, Reimbursement Policy Committees, Steering Committees., • Create monthly savings reports and identify and address trends in comparison to established goals., • Support budget process by creating requisitions, purchase orders, and accruals for each Payment Integrity program, to ensure program alignment with budget., • Complete monthly invoices and reconcile against Oracle system reporting., • Identify system enhancements and process improvements which will result in enhanced reporting and savings., • Apply project management skills to complete related projects and assignments., • Initiate claims to determine under and overpayments, presents outcomes and seeks appropriate business approvals., • Identify and recommend new programs, savings opportunities, and ways to optimize current contracts., • Complete assigned Maestro cases in the appropriate Payment Integrity queues to ensure case closure within SLAs., • Engage vendors and internal business units to review opportunities and lead business case development, savings opportunity analysis, and creation of EPMO or IT related projects., • Bachelor's degree, • AAPC CPC - AAPC Certified Professional Coder &/or CCS - AHIMA Certified Coding Specialist (Preferred), • Master's Degree (Preferred), • 4 - 6 years or relevant, professional experience in health care contracting and management (Required), • Strong understanding of the healthcare industry, managed care and health plan operations (Required), • Experience in managing large, complex contracts (Required), • Additional experience/specialized training/certifications may be considered in lieu of educational requirements (Required), • Knowledge of accruals, invoicing and financial reporting (Required), • Experience with performance improvement (Required), • Ability to prioritize complex projects (Required), • Excellent organizational and project management skills (Required), • Proficiency in Microsoft product suite (Required), • Knowledge of claims operating platforms (Preferred), • Excellent communication skills; ability to interact appropriately/effectively across all departments and management levels (Required)

A major healthcare organization is seeking an Executive to drive provider network strategy and contracting activities.This hybrid role requires a Bachelor's Degree and over 10 years of relevant experience in managed care network development.Responsibilities include leading network operations, managi

Job DescriptionSenior Automated Litigation Support Lab Manager Employment Type: Full-Time, ExperiencedDepartment: eDiscovery As a CGS Senior ALS Lab Manager, you will leverage industry knowledge, and market research, and have wide-ranging experiences across operating systems and coding languages. You will serve as the lead manager responsible for the delivery of lab data processing services and be responsible for ensuring that incoming productions are made pursuant to the applicable ESI specifications and providing the case attorney with detailed notice of deficiencies. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Serves as the lead manager responsible for delivery of lab data processing services.- Primarily ensures timely and accurate completion of tasks. Performs analysis, development and implementation of processing approaches for electronic files and related services pursuant to applicable ESI specifications.- Consults with attorneys and support staff on best practices for conforming to ESI specifications and, as required, participates in teleconferences with co-counsel, client agencies, and opposing counsel upon attorney request.- Responsible for ensuring that incoming productions are made pursuant to the applicable ESI specifications and when deficiencies are found, provides case attorney with detailed notice of deficiencies.- Responsible for keeping the client informed on activities in the Lab, e.g. deadlines, technical challenges, and availability of resources to complete work. - Responsible for webhosting support for unsupported cases managed by the lab.- Manages a team of eDiscovery professionals situated in a client-site eDiscovery laboratory, including: scheduling, requirements assessments, assigning work and ensuring deadlines are met, creating progress reports, and Quality Control (QC) of deliverables.- Advises client attorneys, paralegals, and case managers on all phases of the Electronic Discovery Reference Model (EDRM); especially: Data Collection, Processing, Hosting, Review, Analytics, and Production. Qualifications:- Extensive Relativity experience required.- Relativity certifications including Relativity Certified Administrator (RCA) and/or Relativity Analytics Specialist strongly preferred.- At least eight years of experience performing eDiscovery roles including but not limited to electronic files processing (EFP), image and data file conversion, data culling using review tools, quality assurance, database loads and retrieval, and data analysis and review.- At least five years of experience at the management/supervisory level.- Requires thorough knowledge of the litigation discovery process, and the EDRM workflow.- Working knowledge and certifications of document review software such as iConect, Relativity, Venio or similar tools.- Undergraduate degree required, preferably in computer science or related field. Only the Contracting Officer can approve a waiver of the degree requirement. Ideally, you will also have:- Experience with litigation support tools such as LAW, IPRO, Concordance, MS Office Suite, and LiveNote highly valued. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government-contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation!Explore additional job opportunities with CGS on our Job Board:https://cgsfederal.com/join-our-team/For more information about CGS please visit: https://www.cgsfederal.com or contact:Email: info@cgsfederal.com #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description About Vessel Vessel Technologies is reinventing the apartment building. Unlike traditional construction companies, Vessel delivers projects through a highly standardized building production system in which design, engineering, materials, sequencing, budgets, work instructions, and construction methods are developed and continuously improved at the corporate level. This approach allows Vessel to deliver multifamily housing with greater speed, quality, predictability, and efficiency than conventional construction. Because Vessel projects are executed through a defined production system, many responsibilities traditionally assigned to construction project managers are centralized or performed by specialized teams. The Trade Partner Operations Manager plays a critical role within this model by ensuring that the trade partners required to execute the Vessel production system are properly sourced, contracted, administered, and managed throughout project delivery. The Opportunity The Trade Partner Operations Manager is responsible for securing, contracting, administering, and managing the network of trade partners required to execute Vessel projects. Working within Vessel’s established production system, the Trade Partner Operations Manager ensures that all required trade partners are engaged and capable of performing within Vessel’s predefined standards for staffing, productivity, quality, cost, and schedule. Unlike a traditional construction project manager, this role does not create project budgets, develop project schedules, manage permitting activities, coordinate inspections, report to ownership, or supervise day-to-day field operations. Vessel’s project plans, budgets, production sequences, and work instructions are established in advance. The Trade Partner Operations Manager’s responsibility is to ensure that the trade partners executing those plans perform successfully. What You'll Do Trade Partner Buyout and Sourcing • Execute trade partner buyout activities for assigned projects., • Review project staffing plans and trade requirements., • Identify, solicit, evaluate, and select qualified trade partners., • Negotiate commercial terms and subcontract agreements., • Build and maintain a network of preferred trade partners across all major construction trades., • Develop backup sources for critical scopes of work., • Ensure trade partners understand and commit to Vessel’s production requirements, staffing expectations, schedule requirements, and performance standards. Contract Administration • Prepare, negotiate, execute, and administer subcontract agreements., • Manage subcontract documentation and records., • Administer change orders and contract modifications., • Maintain accurate records of contract values, commitments, and obligations., • Ensure compliance with contractual requirements throughout project execution. Compliance and Qualification Management • Verify insurance coverage, licensing, qualifications, and required certifications., • Monitor compliance throughout the life of each project., • Maintain complete and current trade partner qualification records., • Ensure adherence to Vessel safety and operational requirements. Trade Partner Performance Management • Maintain ongoing communication with trade partners throughout project execution., • Monitor staffing levels, workforce availability, and trade partner readiness., • Ensure trade partners are performing in accordance with Vessel’s production requirements., • Address performance deficiencies and implement corrective actions when necessary., • Escalate significant performance concerns and recommend replacement of underperforming trade partners when required. Schedule Performance and Recovery • Meet regularly with Field Operations leadership to review project progress., • Maintain a detailed understanding of trade partner performance across active projects., • Identify emerging labor-related schedule risks., • Investigate and resolve trade partner-related causes of schedule deviation., • Develop and execute recovery plans when trade partner performance threatens project objectives., • Serve as the primary owner of labor-related schedule performance., • Partner with Procurement to distinguish labor-related delays from material-related delays and ensure issues are properly resolved., • Provide clear reporting regarding trade partner performance, schedule risks, and corrective actions. Commercial Administration • Review trade partner requisitions and payment applications., • Confirm completed work in coordination with Field Operations., • Approve payments in accordance with contractual requirements., • Track subcontract commitments and remaining balances., • Coordinate with Accounting to ensure timely payment processing. Qualifications • 5+ years of experience in construction operations, subcontractor management, procurement, supplier management, project delivery, or a related field., • Strong understanding of construction trades and field operations., • Experience negotiating contracts and commercial agreements., • Demonstrated ability to manage external partners and drive performance., • Excellent organizational, communication, and problem-solving skills., • Ability to operate in a fast-paced, highly structured environment., • Strong sense of accountability and ownership. Preferred Qualifications • Experience managing subcontractors on multifamily, commercial, industrial, or manufacturing projects., • Experience in supplier management, procurement, operations, logistics, or manufacturing environments., • Familiarity with lean production systems and process-driven organizations., • Experience working in organizations that emphasize standardization, continuous improvement, and operational excellence. Why Vessel • Opportunity to shape and scale a modern multifamily development company., • Competitive compensation with performance bonus and equity options., • 401k & Health Plans (Medical, Dental, and Vision), including HSA/FSA options., • Life, AD&D, and Disability Insurance, plus Critical Illness and Accident Insurance., • Weekly lunches and team building events., • Adoption Assistance, Caregiver Support, and Financial Assistance through Employee Support Programs., • Commuter Benefits. At Vessel We believe everyone deserves a home built with care—beautiful, durable, and made to last. That starts with the people who make it happen. Join us and help reimagine what housing can be. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

The role requires a Bachelor's degree and at least three years of healthcare experience.