18 Healthcare Management jobs in Lakewood

**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Director of Product Management - AI & Healthcare Innovation**
Evolent is seeking a strategic and experienced **Director of Product Management** to lead the vision, planning, and execution of cutting-edge healthcare AI solutions. This leader will own the end-to-end delivery of product features, particularly those powered by data science and machine learning, working in close partnership with cross-functional teams. The Director will define and execute product strategies that align with company goals, ensuring innovation and excellence in every release. This role also has the potential to **build and lead a high-performing product team** .
**Collaboration Opportunities:**
This Director will play a pivotal role in aligning engineering, data science, clinical, and customer teams around a shared product vision. They will work closely with healthcare payer executives, clinical experts, frontline staff, and internal stakeholders, while actively collaborating with data science teams to ensure AI models are effectively translated into impactful, user-facing product features. The ideal candidate will bring a deep passion for applying data-driven approaches to transform healthcare and operational workflows.
**What You Will Be Doing:**
+ Own the product vision and roadmap for a suite of healthcare solutions, with a strong focus on **AI and data science-powered features** .
+ Serve as the primary liaison between external customers, users, and internal teams-including **engineering and data science** -to define and document high-impact feature requirements.
+ Collaborate closely with **data science teams** to translate analytical insights and model outputs into meaningful product functionality, ensuring feasibility, accuracy, and clinical relevance.
+ Manage the end-to-end product lifecycle, from ideation through delivery, including backlog creation, prioritization, and release planning.
+ Lead the **prioritization process** across engineering, data science, operations, and client needs, balancing technical complexity with business value.
+ Partner with engineering to ensure timely, high-quality delivery of product features; contribute to QA processes where needed.
+ Define and monitor KPIs for product performance and user impact, leveraging insights to inform future development.
+ Own bug triage and resolution workflows in collaboration with technical leads.
+ Create and maintain clear, comprehensive documentation for internal teams and external clients.
+ Drive strategic alignment across functions and champion a **proactive, data-informed product culture** .
+ Operate with autonomy and authority, while fostering a collaborative, mission-driven environment.
+ Support future team growth by identifying talent needs, mentoring junior PMs, and contributing to team-building efforts.
**Qualifications Required and Preferred:**
+ Bachelor's degree in Computer Science, Engineering, Healthcare, or a related field; advanced degree (MBA, MPH, MS) preferred.
+ **7+ years of product management or program leadership experience** in a software development environment, with **3+ years working directly with data science or machine learning teams** .
+ Demonstrated success delivering data science-enabled product features, especially in regulated or complex industries such as healthcare.
+ Experience owning a roadmap and vision for AI- or analytics-driven products, ideally in a B2B or enterprise healthcare context.
+ Strong background in agile product development and managing cross-functional engineering teams.
+ Excellent communication, stakeholder management, and strategic planning skills.
+ Proven ability to synthesize complex technical concepts into actionable business requirements.
+ Proficiency in product and project management tools (e.g., Jira, Confluence, Trello).
+ Technical fluency and familiarity with backend APIs, and modern web frameworks (e.g., Java, Scala, React.js, JavaScript).
+ Passion for improving healthcare delivery through intelligent, AI-driven solutions.
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $13000 - 16000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Description
Job Summary:
As a Treasury Management Advisor III - Corporate Healthcare, you will play a pivotal role in driving the growth and success of our treasury management business at Huntington Bank. You will deliver sophisticated treasury solutions tailored to complex business needs and take full ownership of the sales cycle for cash management, liquidity, card, and merchant services deals. This includes the full sales cycle, from initial prospecting and consultative discovery through proposal, negotiation, and implementation.
In this role, you will act as a trusted advisor to both clients and prospects, providing insightful guidance and strategic advice on treasury management practices. Your ability to understand and anticipate the unique requirements of each client will be crucial in delivering value-added solutions that enhance their financial operations.
Duties & Responsibilities
+ Strategic Business Development : Target and win opportunities with large, complex clients using advanced consultative selling techniques
+ Existing Client Management: Leverage your expertise to maintain and expand existing customer relationships, ensuring that our clients receive exceptional service and tailored solutions to meet their financial needs
+ Customized Solution Design : Lead the design of complex treasury solutions, coordinating with product specialists to address client needs
+ Product Pricing and Structuring : Develop and implement competitive pricing strategies and product structures tailored to meet the specific client needs
+ Negotiation & Deal Closing : Handle negotiations on pricing, contracts, and service-level agreements
+ Implementation Oversight : Ensure seamless transition from sales to implementation, coordinating with various teams
+ Client Portfolio Leadership : Oversee portfolio performance, ensuring revenue growth and high utilization of treasury solutions
+ Risk Management & Compliance : Manage risk and ensure compliance with relevant regulations
+ Sales Performance Management : Maintain and manage weekly and monthly sales results, ensuring timely and accurate pipeline management and monitoring to achieve sales targets
+ Strategic Contribution : Contribute to high-level sales strategy and product development feedback
Basic Qualifications:
+ 8+ years' experience working with Healthcare Banking clients with revenues of $500 million and above, including both for-profit and non-profit organizations across a national footprint.
+ 8+ years' experience addressing the complex financial needs of healthcare providers-such as hospitals, physician practices, skilled nursing facilities, and senior living communities with a strong understanding of healthcare revenue cycle management and patient payment solutions.
+ Bachelor's degree in business or related field
Preferred Qualifications:
+ Proven leadership and mentoring capabilities
+ Strong understanding of risk management and regulatory awareness
+ Certified Treasury Professional (CTP) or equivalent high-level treasury certification
+ Master's degree (MBA or similar) in a relevant field
+ Recognition for outstanding performance in treasury services sales or corporate banking
+ Established network of industry contacts and involvement in industry associations
+ Deep knowledge of treasury services/products and industry applications
+ Proven high sales performance and client relationship growth
+ Excellent communication, negotiation and presentation skills
+ Strong analytical and strategic planning abilities
+ Proficient in treasury technology and systems
#LI-Hybrid
#LI-BM1
Exempt Status: (Yes = not eligible for overtime pay) (No = eligible for overtime pay)
Yes
Applications Accepted Through:
07/21/2025
Huntington expects to accept applications through at least the date above, and may continue to accept applications until the position is filled.
Workplace Type:
Office
Our Approach to Office Workplace Type
Certain positions outside our branch network may be eligible for a flexible work arrangement. We're combining the best of both worlds: in-office and work from home. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. Remote roles will also have the opportunity to come together in our offices for moments that matter. Specific work arrangements will be provided by the hiring team.
Compensation Range:
$3,000- 189,000 Annual Salary
The compensation range represents the low and high end of the base compensation range for this position. Actual compensation will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. ?Colleagues in this position are also eligible to participate in an applicable incentive compensation plan. ?In addition, Huntington provides a variety of benefits to colleagues, including health insurance coverage, wellness program, life and disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off (PTO).
Huntington is an Equal Opportunity Employer.
Tobacco-Free Hiring Practice: Visit Huntington's Career Web Site for more details.
Note to Agency Recruiters: Huntington will not pay a fee for any placement resulting from the receipt of an unsolicited resume. All unsolicited resumes sent to any Huntington colleagues, directly or indirectly, will be considered Huntington property. Recruiting agencies must have a valid, written and fully executed Master Service Agreement and Statement of Work for consideration.

**Candidates who reside within 50 miles of the following locations may be asked to work in person: Bloomfield, CT, Chattanooga, TN, Denver, CO, St Louis, MO, or Scottsdale, AZ.**
**Description**
The job profile for this position is Data Measurement & Reporting Advisor, which is a Band 4 Senior Contributor Career Track Role.
This is a technical individual contributor role within the Delivery Support & Insights organization, specifically supporting Data Management and Reporting (DM&R) and a companywide tool conversion. This position will primarily be focused on understanding a new provider tool's frontend and backend, documenting the necessary database needs for DM&R, training DM&R on the tool, and converting all existing reporting to the new database.
A successful candidate for this role will have Oracle and T-SQL querying knowledge, system conversion or migration experience, strong technical writing skills, the ability to train team members, and proven data analysis and problem-solving skills. SAS, SSIS and Tableau experience are desired but not required.
This role requires the ability to be on point in medium complexity projects, or components of larger projects impacting multiple business units relating to quality data analysis, quality excellence, and process improvement. This role requires equal parts technical skill and knowledge with the ability to fully understand the business processes it supports.
**Job responsibilities include:**
+ Ability to work with very technical skills with a strong understanding of the business processes involved - equal parts technical and business
+ Comfortable working in an environment with priorities often changing daily - ability to prioritize work accordingly
+ Development and maintenance of various tables that are critical to identifying and remediating defective data
+ Development and maintenance of automated processes to support identification of defective data and remediation
+ Strong ability to tell the story of the data for the business in order to help influence process decisions
+ Close engagement with all Quality and Process Outcomes focused teams to assist with any technical needs to support the business
+ Collaboration with IT and other key matrix partners to build and maintain many different technical tools and automated processes
+ Creating and maintaining documentation for all developed and supported processes and tools
+ Ability to quickly deliver in an ambiguous environment - able to handle multiple iterations to accomplish the final product
+ Able to organize and execute project deliverables with high quality, leadership, and drive strategic execution
+ Is comfortable leaning in to learn complex data relationships
+ Builds and maintains working relationships with functional areas outside of the Department
+ Maintains project issues/risk logs, implement mitigation strategies, and confirm all issues are resolved appropriately
+ Co-leads regular project driven meetings as necessary to review progress and priorities
**Required Competencies:**
+ **Interpersonal Savvy** : Building and utilizing formal and informal channels and relationships.
+ **Perspective** : Differentiate between what's really important through a larger lens. Consumers, customers, impact. Utilizing perspective in day to day and program planning efforts and prioritization.
+ **Informing:** Communications are tailored for audiences. Right medium, right timing, right content. Effective at simplifying the message and conveying important facts and concepts. Consistent, effective communication.
+ **Priority Setting** : Can separate what's truly important vs. what is not. Ensures proper attention and action to critical items. Through the lens of impact, planning, deliverables. Gains awareness and buy in.
+ **Organizing** : Strong, visible leadership. Identifies action items and organizes to drive action and results. Comfortable leading and organizing amongst higher bands. Efficient and effective meetings, calls, actions items.
**Required Qualifications** :
+ Bachelor's degree or higher strongly preferred or equivalent work experience required
+ Minimum 7+ years of experience working in a role driving insights from large data sets using technical skills and tools
+ 4+ years of solid experience working with and using Oracle SQL, ideally with experience comparing output data across data sources.
+ Experience with Tableau, SSIS and SAS not required but a plus
+ Strong data mining and analytical skills
+ Solid oral, presentation, and written communication skills with the ability to work effectively within diverse groups
+ Ability to determine the best technology for various reporting requests
+ Strong organization skills with the ability to manage multiple priorities that differ in complexity and scope
+ Self-directed, works independently with minimal oversight
+ Functions as a team player
+ Adept critical thinking skills with the ability to identify process gaps and determine root causes with consistency in results
**Preferred Qualifications** :
+ Knowledge of Medicare and/or Commercial Network, Contract and Demographic provider data elements highly preferred
+ System migration or conversion participation
+ Technical documentation writing experience
+ Experience working in HCPM highly desired, not required
+ Related experience executing in an Agile environment preferred
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 94,600 - 157,600 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group .
**About The Cigna Group**
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _for support. Do not email_ _for an update on your application or to provide your resume as you will not receive a response._
_The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._
_Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._

**Your Future Evolves Here**
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
**Clinical Rules Management, Analyst**
Seeking a detail-oriented **Clinical Rules Management, Analyst** who will play a critical role in ensuring the accuracy and integrity of our clinical rule engine, impacting our clinical review and recommendations for thousands of patients every day. This role will be responsible for the design, implementation, support, and maintenance of our clinical rules management systems. The ideal candidate will have a strong understanding of healthcare data and systems, with the ability to analyze and interpret complex clinical pathways to improve patient care.
**What You Will Be Doing:**
+ Collaborate with clinical staff to develop and implement systems that improve patient outcomes and enable efficient use of resources.
+ Assist with troubleshooting and problem resolution within the clinical information systems.
+ Conduct regular system audits to ensure the accuracy and quality of data.
+ Lead the evaluation of clinical processes in collaboration with other clinical corporate, division, and facility teams to facilitate process redesign and guide application of technology to ensure adoption, satisfaction, and compliance with policies and reporting requirements.
+ Proactively monitor updates to ICD-10/CPT/HCPCS codes, notify stakeholders of any changes, and ensure the system is updated on a timely basis, along with identifying its impact on clinical rules and implementing changes.
+ Support new client implementations.
+ Improve existing rule triggers for all specialties, including RBM, Physical Medicine, Genetic Testing, Pain Medicine, Sleep Study, Radiation Oncology, Cardiology, and any new specialty taken on by the organization.
+ Development and delivery of application training to end clients.
**Qualifications - Required and Preferred:**
+ Bachelor's/associate's degree plus a minimum of 5 years' relevant work experience
+ Good understanding of specialty benefit management business
+ Project management skills to keep up with multiple time sensitive tasks and projects
+ Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, SharePoint, Teams)
+ Team player, critical thinker with excellent interpersonal skills
+ Knowledge of ICD-10 and CPT coding assignments for billing in an outpatient or physician office setting
+ Understanding of various lines of businesses in healthcare industry - Medicare, Medicaid, Commercial and Exchange plans
+ Strong adaptability and capacity to work in fast-paced environments
+ Effective written and verbal communication skills
+ Familiarity with CaseLogix or any clinical rules management system- **Not required but strongly preferred.**
+ Logical skills and familiarity with MS-Visio and convert them to an excel format for building the Q&A in the system- **Not required but strongly preferred.**
+ Clinical knowledge or previous experience in a medical environment- **Not required but strongly preferred.**
**To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.**
**Technical Requirements:**
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
**Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ** ** **for further assistance.**
The expected base salary/wage range for this position is $75,000 to $80,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Senior Director Clinical Account Management - Remote
**Job Description**
The Sr Director of Clinical Account Management is responsible for providing strategic and operational leadership to a team of account executives and is accountable for the satisfaction and retention of assigned clients. This position collaborates across functions to ensure strategic alignment and execution of Prime, and assigned client priorities.
**Responsibilities**
+ Provide strategic and operational leadership to the account executive function; serve as point of escalation and accountable leader for issue resolution across clients.
+ Establish processes and tracking methodologies to monitor performance against contracts and prevent repeat issues in the future; develop and document standard operating procedures, reporting requirements, other operational activities required to serve our clients in a consistent and efficient manner.
+ Collaborate with the cross functional teams throughout the organization and maintain direct relationships with clients, specifically with the senior leadership; develop a consultative, service-oriented partnership with the client in order to maximize client satisfaction, contract renewals and the adoption of new or expanded use of Prime's products and services; build and maintain relationships with key client stakeholders and provide and request routine feedback from client contacts, including information on the performance of the pharmacy program and the strategic account plan.
+ Identify, establish and maintain relationships with key cross-functional partners; collaborate with account leadership and business development to develop and implement Go-To-Market strategies and establish a regular communication cadence to monitor performance, create awareness of issues and drive process improvements across the enterprise.
+ Leads contract negotiations and pricing for new business and renewals with clients; participates in request for proposals; account leadership during project implementations.
+ Review and assign account executive's book of business and determine necessary alignment and structure to support retention and fulfillment of strategic plans.
+ Facilitate strategic discussions with clients regarding the status and performance of services provided and the identification and execution of growth and retention strategies; support the development and execution of consultant engagement strategies necessary to grow the market.
+ Manage budgets and revenue goals, staffing, performance and development, and consistently demonstrate Prime's leadership expectations during interactions with direct reports, cross functional and external stakeholders; provides support, training and coaching to team members; oversees resolution of employee relations issues; supports team by attending face-to-face meetings with customers as needed.
+ Other duties as assigned.
**Education & Experience**
+ Bachelor's degree in Business, Marketing, Finance, Healthcare Administration, PharmD, or related field, or equivalent combination of education and/or related work experience; HS diploma or GED is required.
+ 8 years of relevant client services experience in healthcare or pharmacy benefit management, preferably in Medicaid.
+ 5 years of leadership / people management experience.
+ Must be eligible to work in the United States without need for work visa or residency sponsorship.
**Additional Qualifications**
+ Thorough understanding of the PBM industry with subject matter expertise in one or more areas (pharmacy trend, Medicaid plan benefits, etc.).
+ Excellent interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport, collaborate, and influence effectively across departments, internally and externally, and at all levels within an organization.
+ Able to balance and prioritize compliance, business and other competing goals and risks, while still driving programs and initiatives to completion.
+ Strong organization and prioritization skills, strong attention to detail, and the ability to simultaneously lead multiple, complex projects and strategies, under pressure and strict timeframes.
+ Proven ability to establish a team culture, create a clear and compelling vision, build trust, inspire action, achieve team results, and develop people.
+ Proven ability to produce and establish strategic plans to deliver consultative guidance with results of successful client retention and product adoptions.
+ Strong ability to manage complex information to develop well-reasoned solutions that solve client's problems.
+ Ability to work effectively in a matrixed team environment; demonstrated leadership experience across departments and functions.
+ Ability to drive the identification of improvements opportunities and lead the implementation of process changes.
**Preferred Qualifications**
+ MBA or other advanced degree
**Physical Demands**
+ Ability to travel up to 30% of the time
+ Ability to work outside of standard business hours when needed, which may include holidays, nights and weekends
+ Constantly required to sit, use hands to handle or feel, talk and hear
+ Frequently required to reach with hands and arms
+ Occasionally required to stand, walk and stoop, kneel, and crouch
+ Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
+ Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Potential pay for this position ranges from $143,000.00 - $243,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page ( and click on the "Benefits at a glance" button for more detail.
_Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?_
_We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._
_Prime Therapeutics LLC is a Tobacco-Free Workplace employer._
Positions will be posted for a minimum of five consecutive workdays.
Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.
If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.
Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law? ?
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1. or email

Healthcare Operations Associate Attorney

An AmLaw 100 firm is looking to hire a Healthcare Operations Associate Attorney for their nationally recognized healthcare practice. Located preferably in Denver, with possible placements in St. Louis, Chicago, Los Angeles, or Washington DC. This position offers the successful candidate the chance to handle sophisticated regulatory and compliance issues in a dynamic environment. The role is vital in supporting the firms extensive healthcare clientele through rigorous legal and regulatory challenges, offering a range of services from state licensure advocacy to major M&A transaction support.

Salary: $220,000 - $310,000 per year

Essential Duties and Responsibilities:

• Provide legal and strategic advice to healthcare clients on regulatory and compliance matters including state licensure, Medicaid/Medicare reimbursements, and audits.
• Handle government investigations and litigation related to healthcare fraud and abuse laws, ensuring clients navigate complex legal landscapes effectively.
• Counsel on HIPAA, privacy, and security compliance to safeguard client operations against potential legal risks.
• Assist in negotiating and closing healthcare mergers and acquisitions, advising on both regulatory and transactional aspects.
• Collaborate with a team of attorneys to support and grow the national healthcare practice in a fast-paced and intellectually challenging environment.

Minimum Position Qualifications:

• JD from a top-tier law school with a strong academic record.
• Active Bar Admission in the relevant jurisdiction.
• At least 2 years of substantive experience in healthcare law.
• Proven track record of managing cases related to government healthcare payor systems.
• Demonstrated ability in handling healthcare fraud and abuse laws and related litigation.
• Experience with HIPAA, privacy, and security compliance.

Preferred Qualifications:

• Experience in healthcare system operations and payor contracting.
• Familiarity with the regulatory and transactional support aspects of healthcare M&A.

Skills:

• Strong research, writing, and communication abilities.
• Excellent negotiation and legal analytical skills.
• Ability to work effectively in a team and independently.
• Capable of managing multiple projects and deadlines in a fast-paced environment.
• Motivation to contribute positively to the growth of the firms healthcare practice.

Benefits:

• Competitive compensation package including discretionary performance-based bonuses.
• Comprehensive health benefits including medical, dental, vision, life, and disability insurance.
• 401(k) plan with employer matching.
• Generous paid time off and holidays.
• Continued professional development opportunities in legal and healthcare fields.

#J-18808-Ljbffr

**LOCATION:** Remote U.S. locations
**OVERVIEW**
Your role will be responsible for initiating and managing productive business relationships as well as expanding existing business relationships in the rapidly evolving specialty of clinical neurology.
You will play a pivotal role in cultivating consultative relationships with influential decision-makers, with the goal of enabling delivery of innovative, tailored marketing solutions. By conducting in-depth needs analyses and aligning offerings with client objectives, you will drive demand and foster long-term partnerships. Your ability to negotiate with authority and implement strategic sales initiatives ensures both revenue growth and exceptional customer satisfaction. Regular client engagement, performance tracking, and proactive issue resolution will position you as a trusted advisor, uncovering opportunities for upselling and cross-selling. This role is ideal for someone who thrives on strategic collaboration and delivering measurable value to clients.
You will identify revenue opportunities by providing biotechnology, pharmaceutical, and medical device manufacturers as well as other commercial entities with effective solutions to their marketing challenges that leverage the full range of Wolters Kluwer's products and services. You will meet or exceed the sales target assigned to him or her. You will identify, develop, and watch for these opportunities and meets your sales target. Establishing productive business relationships with important marketing and sales decision-makers at biotechnology, pharmaceutical, and medical device manufacturers
**RESPONSIBILITITES**
**Opportunity Identification & Development**
+ Develop in-depth relationships with important decision-makers in assigned accounts.
+ Conduct thorough needs analysis to align products/services to customer requirements.
+ Negotiate terms and close sales with a high degree of authority.
+ Develop and implement targeted sales strategies.
+ Track and analyze sales performance metrics and tailor strategies accordingly. =
+ Conduct regular status meetings with clients to ensure satisfaction and identify opportunities.
+ Provide detailed and accurate sales forecasts.
+ Support clients during the implementation of products/services.
+ Resolve complex customer issues promptly and effectively.
+ Identify opportunities for upselling and cross-selling within the account portfolio.
**Active Selling**
+ Meet and exceed monthly, quarterly, and yearly revenue targets through complete ownership of an assigned book of business.
+ Create and update a Book of Business Plan to include strategy, tactics, and milestones as it relates to hitting goals set by the company.
+ Customize and communicate product value proposition and solution design.
+ Develop and review implementation scope.
+ Coordinate with Sales Operations team in executing supporting active selling functions including contract creation, terms, and conditions development, quoting, and modifications.
+ Conduct contract reviews, pricing, and negotiation.
+ Obtain final signature and finalize order.
**Customer Retention & Satisfaction**
+ Build lasting customer relationships to retain and grow existing commercial customer base.
+ Review account utilization management reporting and provide recommendations.
+ Conduct regular account review meetings.
+ Collaborate with marketing in account communications planning and marketing campaigns.
+ Identify cross-sell and up-sell opportunities.
+ Work closely with other Commercial Sales colleagues on new implementation, training of customers.
+ Manage all aspects of trial and subscription usage activity to ensure the customer realizes the full value of our services.
+ Trains all new clients and proactively seeks out training opportunities with existing clients who demonstrate low product usage. Client usage stats must be reviewed during the monthly meetings with the Account Manager to identify renewal concerns and the need for additional training opportunities. Responds promptly and professionally to customer inquiries and seeks out opportunities to provide a high level of customer service.
+ Collaborate with marketing in account communications planning and marketing campaigns.
**Additional Duties**
+ Assist and communicate effectively with all departments as it relates to the company selling process.
+ Comply with established sales policies, pricing guidelines, and best practices.
+ Maintain the highest standards of integrity and respect for co-workers and customers Special projects as assigned.
+ Act as liaison between the marketplace and Wolters Kluwer Product Development Team by actively seeking out and documenting product and market feedback.
+ Participating in new system user acceptance testing.
**QUALIFICATIONS**
**Education:** Bachelor's degree or equivalent years of experience.
**Experience:** A minimum of 5 years of sales experience preferably in healthcare or IT related sales with a track record of success in building relationships throughout relevant customer disciplines and departments, meeting goals, and presenting to high level decision makers.
**Other Knowledge, Skills, Abilities or Certifications:**
+ Computer skills (Internet, Excel, PowerPoint, Word, and CRM Programs)
+ Experience demonstrating and selling sophisticated and complex products/technologies.
+ Possess product knowledge of all applications that are sold in the commercial market.
+ Telephone, presentation, and written communication skills.
+ Valid US driver's license and passport to manage overnight travel up to 30% - 35% in territory.
**TRAVEL:** Travel to an assigned territory to meet with customers. This position requires approximately 30%-35% travel.
#LI-Remote
_Applicants may be required to appear onsite at a Wolters Kluwer office as part of the recruitment process._
**Compensation:**
Target salary range CA, CT, CO, DC, HI, IL, MD, MN, NY, RI, WA: $95,560 - $133,750
EQUAL EMPLOYMENT OPPORTUNITY Wolters Kluwer U. S. Corporation and all of its subsidiaries, divisions and customer/business units is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Looking for a chance to drive measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 4 industry leader.
We are currently seeking a Utilization Management Medical Director to join our Clinical Performance team. This team is responsible for conducting hospital and post-acute utilization reviews for the state of California. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization.
You'll enjoy the flexibility to work remotely * as you take on some tough challenges.
**Primary Responsibilities:**
+ Work to improve quality and promote evidence-based medicine
+ Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement
+ Support initiatives that enhance quality throughout our national network
+ Ensure the right service is provided at the right time for each member
+ Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ MD or DO degree
+ Active, unrestricted license
+ Current board certification in ABMS or AOA specialty
+ 5+ years of clinical practice experience post residency
+ Solid understanding of and concurrence with evidence-based medicine (EBM) and managed care principles
**Preferred Qualifications:**
+ Hands-on utilization and/or quality management experience
+ Project management or active project participation experience
+ Substantial experience in using electronic clinical systems
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Compensation for this specialty generally ranges from $269,500 to $425,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._