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Healthcare Principal

77007 Houston, Texas Arup

Posted 6 days ago

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Job Description

ReqID: HOU000CQ
At Arup, you belong to an extraordinary collective - in which we encourage individuality to thrive. Our strength comes from how we respect, share and connect our diverse experiences, perspectives and ideas.
You will have the opportunity to do socially useful work that has meaning - to Arup, to your career, to our members and to the clients and communities we serve.
Our Houston office is looking for a principal with healthcare experience to join our growing team. This role will be a mechanical seller/doer located in Houston who will partner with our leadership team to deliver and grow our Houston healthcare business. You'd be leading and mentoring our multi-disciplinary teams; help deliver forward-thinking healthcare designs that are sustainable and help solve our client's toughest issues and help continue to grow. This role will be a key member of our Texas leadership team.
**The opportunity**
+ Lead multidisciplinary teams in the design and execution of healthcare projects, ensuring alignment with client goals, regulatory standards, and contractual obligations.
+ Cultivate and maintain strong relationships with healthcare clients to drive repeat business and identify new opportunities.
+ Be responsible for project budgets, timelines, and resources to ensure delivery on time, within budget, and to the highest quality standards.
+ Manage financial performance, implement risk controls, and ensure compliance with technical and regulatory requirements.
+ Supervise and mentor engineering teams, fostering professional growth through development opportunities and performance evaluations.
+ Present complex technical concepts to both technical and non-technical audiences in engaging and innovative ways.
+ Promote sustainable design practices that support improved health outcomes, grounded in the latest scientific research.
+ Serve as Lead Engineer or Engineer of Record on key projects, ensuring technical excellence and accountability.
**The skills**
+ Minimum 15 years of professional experience with experience designing hospitals from concept design through construction administration and commissioning of systems.
+ Bachelor's Degree in Mechanical Engineering or Architectural Engineering required.
+ Experience leading project teams as a project manager or project director on medium to large scale projects.
+ Proven leadership in mechanical design, with a client-focused, collaborative approach.
+ Excellent communication, planning, and organizational skills.
+ PE in Texas.
Please note that all applicants must apply directly via the job portal. If this role is not quite what you are looking for, but you are interested in other opportunities for a future with purpose, please sign up to our Talent Community is where you will be kept up to date with roles suitable for you to shape a better world.
**The Benefits - What we offer you**
At Arup, we care about each member's success, so we can grow together.
Guided by our values, we provide an attractive total reward package that recognizes the contribution of each of our members to our shared success. As well as competitive, fair and equitable pay, we offer a career in which all of our members can belong, grow and thrive - through benefits that support health and wellbeing, a wide range of learning opportunities and many possibilities to have an impact through the work they do.
We are owned in trust on behalf of our members, giving us the freedom, with personal responsibility, to set our own direction and choose work that aligns with our purpose and adds to Arup's legacy. Our members collaborate on ambitious projects to deliver remarkable outcomes for our clients and communities. Profit Share is a key part of our reward, enabling members to share in the results of our collective efforts.
**Benefits that Work** - At Arup, we have a comprehensive and valuable benefits program that works for our employees and their families while keeping costs low. These benefits provide health and welfare security for you as well as paid time off for rest and renewal. As a member of Arup, everyone shares in our success through a global profit share scheme (payments are dependent on the firm's financial performance). Our Global Profit Share Plan (paid bi-annually) provides an opportunity for you to share in the success of the Firm. As a valued employee of Arup, you can also choose to participate in our 401(k) plan with up to 10% company match to help you save for your future
**Flexible Working** - We believe that flexible arrangements create a more inclusive way of working that supports our diversity and the wellbeing of our people. Options for alternative schedules and the ability to work outside of the office for a portion of your workweek are available
Hiring Range - The good faith base salary hiring range for this job if performed in Houston is $240,000 to $290,000 per year. This range is commensurate with experience, educational background, and skill level. Benefits are not included in the base salary. Please note hiring ranges for candidates performing work outside of Houston will differ.
**Life at Arup - Different People, Shared Values**
Arup is an equal opportunity employer that actively promotes and nurtures a diverse and inclusive workforce. We welcome applications from individuals of all backgrounds, regardless of age (within legal limits), gender identity or expression, marital status, disability, neurotype or mental health, race or ethnicity, faith or belief, sexual orientation, socioeconomic background, and whether you're pregnant or on family leave. We are an open environment that embraces diverse experiences, perspectives, and ideas - this drives our excellence.
Guided by our values and alignment with the UN Sustainable Development Goals, we create and contribute to equitable spaces and systems, while cultivating a sense of belonging for all. Our internal employee networks support our inclusive culture: from race, ethnicity and cross-cultural working to gender equity and LGBTQ+ and disability inclusion - we aim to create a space for you to express yourself and make a positive difference. Discover more about life at Arup at internal employee networks support our inclusive culture - from race, ethnicity and cross-cultural working to gender, LGBTQ+ and disability - we aim to create a space for you to express yourself and make a positive difference - Discover more about life at Arup at .
**Our application process**
We will be reviewing our candidates for this position on a rolling basis. Once you have applied you will be evaluated and potentially moved on to the next round, at which point a member of the talent resourcing team will reach out to you directly.
Arup is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.
Stay safe online. Recruitment fraud is on the rise, and Arup's name, logo, and branding have been used in fraudulent job advertisements. Arup will never ask for bank information as part of our recruitment process.
**#LI-nn1**
EOE-Protected Veterans/Disability
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Mechanical Practice Leader - Healthcare MEP

77007 Houston, Texas Kimley-Horn

Posted 3 days ago

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Job Description

**Overview**
Ranked as one of Fortune Magazine's "100 Best Companies to Work For", Kimley-Horn prides itself on hiring high-achieving, dedicated, and reliable professionals. We are seeking aSeniorMechanicalEngineerto join ourHouston, TX office.Thisindividualwillbe a motivated professionalwith 7-12 years of experiencewho willlead junior staff andoversee mechanical designfrom concept through construction documents and construction administration.AProfessional Engineer (PE) licenseisrequired.
**Responsibilities**
The ideal candidatewillhaveexperience managingproject teamsand clientsin an engineering consulting environment, specifically withinMechanical, Electrical, and Plumbing (MEP)projects and the healthcare industry.
+ Senior Mechanical Engineer role in conjunction with lead engineer responsibilities, including the ability to serve as the Engineer of Record (EOR)
+ Ability to serve as the project manager, overseeing MEP design execution for various healthcare projects is a plus.
+ Lead project teams in delivering high-quality, cost-effective, and timely solutions
+ Prepare cost proposals and administer project contracts, including add service agreements
+ Write responses to Requests for Proposals and Requests for Qualifications for various clients and marketing opportunities
+ Collaborate with various departments, disciplines, and subconsultants to plan and manage project resources efficiently
+ Supervise and mentor junior staff, ensuring project execution aligns with industry standards
+ Manage the full project lifecycle, from conceptual design through completion
+ Ensure compliance with local, state, and national codes and regulations
+ Communicate effectively with stakeholders, including clients, consultants, and contractors
+ Perform quality control reviews of MEP system designs, calculations, and drawings
**Qualifications**
+ 10+ years of experience in MEP design for healthcare projects within an engineering consulting environment
+ Strong knowledge of mechanical, electrical, and plumbing systems
+ Experience with design software such as Revit BIM, AutoCAD, SKM, ETAP, and Easypower
+ Proficiency in national and local building codes, including NEC, State Energy Codes, NFPA guidelines, and FGI guidelines
+ Excellent leadership and communication skills, with the ability to manage multiple projects simultaneously
+ Experience conducting electrical system studies (e.g., short circuit, over-current device coordination, Arc Flash Hazard analysis per NFPA 70E) is a plus (For electrical engineers posting only)
+ A PE license is mandatory, along with strong program management experience
+ Demonstrated ability to work independently and within a multidisciplinary team
+ Strong verbal and written communication skills and critical thinking ability
+ Experience with mentoring and coordinating the work of designers and other technical staff on various mechanical or multi-discipline projects
**Why Kimley-Horn?**
At Kimley-Horn, we do things differently. People, clients, and employees are at the forefront of who we are. Clients know we prioritize achieving their goals and growing their success. Employees know our culture and approach to business are built on a desire to provide an environment for everyone to flourish. Our commitment to quality is only as good as the people behind it- that's why we welcome and develop passionate, hardworking, and proactive employees. We take pride in how our employee retention, robust benefits package, and company values have led to Kimley-Horn's placement on the Fortune "100 Best Companies to Work" list for 17 years!
_Key Benefits at Kimley-Horn_
+ Exceptional Retirement Plan: 2-to1- company match on up to 4% of eligible compensation (salary + bonus) and additional profit-sharing contribution.
+ Comprehensive Health Coverage: Low-cost medical, dental, and vision insurance options.
+ Time Off: Personal leave, flexible scheduling, floating holidays, and half-day Fridays.
+ Financial Wellness: Student loan matching in our 401(k), and performance-based bonuses.
+ Professional Development: Tuition reimbursement and extensive internal training programs.
+ Family-Friendly Benefits: New Parent Leave, family building benefits, and childcare resources.
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_Applications are being accepted on an ongoing basis; however, this job posting may close at any time after a minimum of 3 days of being posted._
PleaseCLICK HERE ( to learn more about the potential Benefits you may be eligible to receive with this role.
If you require an accommodation, pleaseCLICK HERE. ( must be legally authorized to work for Kimley-Horn in the U.S. without employer sponsorship. We do not typically sponsor H1-B or any other work visa petitions.**
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
**Posted Date** _8 months ago_ _(3/10/2025 5:29 PM)_
**_ID_** _ _
**_Education_** _Bachelor's Degree_
**_Discipline/Focus_** _Mechanical_
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Business Consulting - Healthcare Transformation - Manager - Patient Access

77007 Houston, Texas EY

Posted today

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Job Description

At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
Today's healthcare environment in the post-COVID era is undergoing rapid change and transformation. As healthcare organizations seek to stabilize operations and plan for a financially sustainable future, they are challenged to integrate transformative technology (Artificial intelligence, automation, etc.), adjust to patient-focused operations, and maintain operational discipline to withstand increasing financial pressures. As a manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in transforming operations to meet the evolving demands of today's healthcare market.
**The opportunity**
As part of EY's Health consulting practice, you will work with these clients across the country in solving complex problems in today's rapidly changing healthcare environment. We currently are seeking a highly motivated Manager, with a focus on provider operations, specifically patient access to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts.
**Your key responsibilities**
You'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes.
As a Manager in our Health consulting group focused on Provider Operations, you'll work with clients across the following areas:
+ Operational improvement
+ Benchmarking and financial quantification
+ Cost reduction/revenue enhancement
+ Workflow redesign
+ Patient access initiatives including template management, template optimization, and scheduling algorithms
**Skills and attributes for success**
+ Effectively manage and motivate client engagement teams with diverse skills and backgrounds. Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
+ Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
+ Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
+ Demonstrate in-depth technical capabilities and professional knowledge
**To qualify for the role you must have**
+ A bachelor's degree and approximately 5 years of related work experience; or a master's degree and approximately 4 years of related work experience
+ Approximately 4 years of healthcare consulting experience, preferably with prior experience as a manager (or above), in a consulting firm or in a management role within industry
+ Required experience with patient access and centralized contact centers.
+ Ability to lead patient access initiatives which includes clinician management, template management, template optimization, referral management, and scheduling algorithms. Experience should include assessment, design, and implementation of template optimization and scheduling algorithms within an ambulatory setting.
+ Experience with centralization of patient access functions, including contact center staffing models and technology for various engagement channels
+ Ability to read and interpret hospital financial statements and contract terms, utilize complex financial models, experience with operational process mapping and experience with healthcare cost reduction planning and implementation
+ Experience with healthcare organization M&A, physician alignment, or financial margin improvement initiatives
+ Experience in selling and delivering projects that cover the full life cycle of assessment, design and implementation support
+ Assist in generating revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
+ Ability to manage a team of staff/senior consulting professionals
+ Ability to work collaboratively in a team environment (knows when to lead and when to follow)
+ Strong analytical and problem-solving skills, as well as excellent oral and written communication skills.
+ Ability to create work products within Microsoft's suite of applications, including but not limited to Excel models, Visio scheduling and referral workflows, and PowerPoint presentations.
+ A willingness to travel to meet client needs; travel is required as needed by the client.
**Ideally you'll also have**
+ A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
**What we look for**
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $128,400 to $35,300. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 154,000 to 267,400. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
+ Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law. 
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
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Manager, Provider Contracting - Houston, TX market - Healthcare

77007 Houston, Texas The Cigna Group

Posted 6 days ago

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Job Description

**WORK LOCATION:** supports our **Houston, TX** **market** - **Candidate will be required to live in the Houston, TX area**
The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.
**DUTIES AND RESPONSIBILITIES**
+ Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
+ Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
+ Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
+ Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
+ Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
+ Creates and manages initiatives that improve total medical cost and quality.
+ Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
+ Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
+ Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
+ Manages key provider relationships and is accountable for critical interface with providers and business staff.
+ Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
+ Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
+ May provide guidance or expertise to less experienced specialists.
**POSITION REQUIREMENTS**
+ **Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree.** MBA or MHA preferred.
+ **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.**
+ Experience in developing and managing key provider relationships
+ Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
+ Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
+ Intimate understanding and experience with hospital, managed care, and provider business models.
+ Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
+ The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
+ Customer centric and interpersonal skills are required.
+ Demonstrates an ability to maneuver effectively in a changing environment.
+ Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
+ Knowledge and use of Microsoft Office tools.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
**About Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.
_Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._
_If you require reasonable accommodation in completing the online application process, please email:_ _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._
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Manager, Provider Contracting - Houston, TX market - Healthcare

77001 Houston, Texas Cigna

Posted 3 days ago

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Job Description

Permanent
WORK LOCATION: supports ourHouston, TX market - Candidate will be required to live in the Houston, TX area

The Manager, Provider Contracting Network Management serves as an integral member of the Provider Contracting Team and reports to the AVP, Provider Contracting. This role assists in developing the strategic direction and management of the day to day contracting and network management activities for a local given territory.

DUTIES AND RESPONSIBILITIES

  • Manages complex contracting and negotiations for fee for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups).
  • Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the local market strategy.
  • Initiates and maintains effective channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service.
  • Contributes to the development of alternative network initiatives. Supports and provides direction to develop network analytics required for the network solution.
  • Works to meet unit cost targets, while preserving an adequate network, to achieve and maintain Cigna's competitive position.
  • Creates and manages initiatives that improve total medical cost and quality.
  • Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost initiatives.
  • Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms.
  • Creates healthcare provider agreements that meet internal operational standards and external provider expectations. Ensures the accurate implementation, and administration through matrix partners.
  • Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external partners/customers to resolve highly complex and/or escalated issues.
  • Manages key provider relationships and is accountable for critical interface with providers and business staff.
  • Demonstrates knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape.
  • Responsible for accurate and timely contract loading and submissions and interface with matrix partners for network implementation and maintenance.
  • May provide guidance or expertise to less experienced specialists.

POSITION REQUIREMENTS

  • Should possess a bachelor's degree; preferably in the areas of Finance, Economics, Healthcare or Business related. Significant industry experience will be considered in lieu of a bachelor's degree. MBA or MHA preferred.
  • 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and organizations required.
  • Experience in developing and managing key provider relationships
  • Knowledge of complex reimbursement methodologies, including incentive based models strongly preferred.
  • Demonstrated experience in seeking out, building and nurturing strong external relationships with provider partners.
  • Intimate understanding and experience with hospital, managed care, and provider business models.
  • Team player with proven ability to develop strong working relationships within a fast-paced, matrix organization.
  • The ability to influence both sales and provider audiences through strong written and verbal communication skills. Experience with formal presentations.
  • Customer centric and interpersonal skills are required.
  • Demonstrates an ability to maneuver effectively in a changing environment.
  • Superior problem solving, decision-making, negotiating skills, contract language and financial acumen.
  • Knowledge and use of Microsoft Office tools.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: 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.

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Lead Analyst, Healthcare Analytics- Managed care analytics & financial contracts

77007 Houston, Texas Molina Healthcare

Posted 18 days ago

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Job Description

**JOB DESCRIPTION**
***Candidates must be located in California and work PST hours.***
**Job Summary**
Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Develops, implements, and uses software and systems to support the department's goals.
+ Develops and generates ad-hoc and standard reports using SQL programming, excel , Databricks and other analytic / programming tools.
+ Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring the highest quality on every project/request. Responsible for error resolution, follow up and performance metrics monitoring.
+ Provides peer review of critical reports and guidance on programming / logic improvements; provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques to determine significance and relevance.
+ Applies process improvements for the team's methods of collecting and documenting report / programming requirements from requestors to ensure appropriate creation of reports and analyses while reducing rework.
+ Manage the creation of comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Create new databases and reporting tools for monitoring, tracking, and trending based on project specifications.
+ Create comprehensive workflows for the production and distribution of assigned reports, document reporting processes and procedures.
+ Assist with research, development and completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.
+ Maintains SharePoint Sites as needed, including training materials and documentation archives.
+ Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of Healthcare.
+ Must be able to act as a liaison between Finance and Network Contracting as well as other external teams.
+ Must have experience in Financial modeling, identifying Utilization mgmt. trends and monitor pair mix.
+ Experience with Medicaid contract analytics is highly preferred.
+ Experience working on Managed care analytics and healthcare reimbursement models is required.
+ Must be able to work in a cross functional team.
**JOB QUALIFICATIONS**
**Required Education**
Bachelor's Degree in Finance, Economics, Computer Science
**Required Experience**
+ 6+ years of progressive responsibilities in Data, Finance or Systems Analysis
+ Expert knowledge on SQL, PowerBI, Excel, Databricks or similar tools
**Preferred Education**
Bachelor's Degree in Finance, Economics, Math, Accounting or related fields
Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators:
+ Proactively identify and investigate complex suspect areas regarding contract rate and related medical costs
+ Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
+ Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc.
+ Analysis of trends in medical costs to provide analytic support for finance, pricing, and actuarial functions
+ Multiple data systems and models
+ BI tools (Power BI)
**Preferred License, Certification, Association**
QNXT or similar healthcare payer applications
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $77,969 - $171,058 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Part-Time Remote Focus Group Participant - Healthcare Survey Taker

77001 Houston, Texas $100 hour TowardJobs Staffing

Posted 4 days ago

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Job Description

Permanent

Part-Time Remote Focus Group Participant - Healthcare Surveys

We are actively seeking medical physicians and healthcare professionals  to join national and local paid focus groups and paid surveys.

This flexible remote opportunity allows you to contribute to the healthcare industry from the comfort of your home by providing valuable insights into medical products and services.

Job Responsibilities:

  • Engage in focus groups, clinical studies, and surveys by following detailed instructions.
  • Participants can earn up to $100 per completed survey.
  • Complete surveys and provide feedback on each session.
  • Use and evaluate medical products or services when provided, and be prepared to discuss your experiences in detailed sessions prior to the meeting date.

Qualifications:

  • Must be medical physicians and healthcare professionals
  • Must possess a smart phone with a working camera or a webcam on a desktop/laptop.
  • Access to a reliable high-speed internet connection.
  • A strong interest in contributing to discussions on medical topics.
  • Ability to read, understand, and follow both oral and written instructions.
  • No prior experience in data entry is necessary.

Benefits:

  • Flexible scheduling options allow for participation in discussions online or in-person as preferred.
  • Work remotely with no requirement for commuting.
  • No minimum hours; this can be a part-time or full-time opportunity.
  • Receive free samples of medical products from our sponsors and partners in exchange for your honest feedback.

This role is ideal for healthcare professionals seeking flexible, part-time, or full-time remote opportunities to supplement their income. The position offers the convenience of working from home and the flexibility of choosing your hours without any previous experience required.

Note:  This role is designed to supplement your income and should not be considered a full-time job.

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Middle Market Client Experience Consultant: Houston, TX - Hybrid - Cigna Healthcare

77001 Houston, Texas Cigna

Posted 3 days ago

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Job Description

Permanent
The Client Experience Coordinator partners with the Middle Market Client Managers to drive retention and growth by helping clients optimize the value they realize from Cigna Healthcare's products and services. They do this through execution and coordination of activities in support of client operational, health & wellness and service needs.

Essential Functions & Scope of Role

  • Support Middle Market Client Manager's strategic selling approach that best demonstrates Cigna Healthcare's value
  • Develop/Maintain a 'Trusted Partner' relationship with Client Managers
  • Fully understands client needs, develops and executes (in conjunction with internal partners) on actions that addresses the client issues
  • Maintain in-depth knowledge of Cigna Healthcare products/solutions/services across all product lines (Dental, Behavioral, Pharmacy, Medical, Clinical, and Wellness & Incentives)
  • Effectively leverage Expert Advisors (e.g. Client Service Executive, Implementation Manager, Strategic Wellbeing Advisors and others) to deliver on client expectations
  • Ensure all communications are clear/concise and delivered in a timely and consistent manner aligning with Cigna's strategy and value proposition - may require broad organizational collaboration, influence, and escalation

Qualifications
  • Bachelor's degree preferred .
  • 2+ years of experience in health-related industry required ; to include many or all the following: product knowledge, sales practices, account management and knowledge of administrative operations.
  • Knowledge of Cigna Healthcare funding options, benefits structure, and platforms are preferred .
  • Proven ability to manage through systems and influence both external clients/brokers and internal matrix partners.
  • Salesforce & KnowledgeXchange experience preferred .
  • Strong Word, Excel, PowerPoint, SharePoint, Outlook skills required .
  • Strong oral and written communication skills required .
  • Strong presentation skills required.
  • Demonstrated planning/organizational skills; ability to plan for both the long and short term; ability to work on many issues at once and to prioritize work required .
  • If residence is in WVA, FL, TX: Ability to obtain Health & Life Insurance license
  • Must reside in local market and have ability to regularly commute to local Cigna office 3 days per week.

Competencies
  • Manages Ambiguity: Operating effectively, even when things are not certain or the way forward is not clear.
  • Decision Quality: Making good and timely decisions that keep the organization moving forward.
  • Action Oriented: Taking on new opportunities and though challenges with a sense of urgency, high energy, and enthusiasm.
  • Plans and Aligns: Planning and prioritizing work to meet commitments aligned with organizational dynamics.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: 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.

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Outpatient Clinical Dietitian

77007 Houston, Texas MD Anderson Cancer Center

Posted 6 days ago

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Job Description

The Outpatient Clinical Dietitian (RD/LD) position at MD Anderson Cancer Center in the Texas Medical Center is responsible for providing outpatient nutrition care for patients. The RD/LD must be proficient in a wide range of clinical nutrition assessment and nutrition education for adults and children. Cross coverage in the inpatient hospital services and other clinics may be required depending on staffing.
The shift will be Monday-Friday, 8am-4:30pm. It will be a hybrid role but will require spending at least 60% of time onsite at the Medical Center campus.
MD Anderson offers our employees:
- Paid employee medical benefits (zero premium) starting on first day for employees who work 30 or more hours per week
- Group Dental, Vision, Life, AD&D, and Disability coverage
- Paid time off (PTO) and Extended Illness Bank (EIB) paid leave accruals
- Paid institutional holidays, wellness leave, childcare leave, and other paid leave programs
- Tuition Assistance Program after six months of service
- Teachers Retirement System defined-benefit pension plan and two voluntary retirement plans
- Employer paid life, AD&D, and an illness-related reduced salary pay program
- Health Savings Account and Dependent Care Reimbursement flexible spending accounts
- Fertility benefits
- State of Texas longevity pay
- Extensive wellness, recognition, fitness, employee health programs and employee resource groups.
The Clinical Nutrition department at MD Anderson consists of registered dietitians that provide comprehensive nutrition care for our patients. Registered Dietitians (RDs) are experts in nutrition with extensive training. Our dietitians work with MD Anderson's medical teams to pinpoint opportunities for nutrition intervention or support.
Our services include education, assessment, and counseling in:
- Cancer prevention
- Nutrition intervention prior to, during and after treatment
- Management of treatment side effects
- Specialized diets
- Management of specialized feeding regimens like tube feeds and IV parenteral nutrition.
The University of Texas MD Anderson Cancer Center is ranked the nation's top hospital for cancer care by U.S. News & World Report's "Best Hospitals." MD Anderson's mission is to eliminate cancer in Texas, the nation and the world through exceptional programs that integrate patient care, research, and prevention. Our mission also includes education for undergraduate and graduate students, trainees, professionals, employees, and the public.
JOB SPECIFIC COMPETENCIES:
Direct Patient Care:
Provides quality nutrition care in relation to the patient's diagnosis, treatment, age group, nutrition status, and other needs in both an acute care environment, and/or within the clinics as appropriate. Provides a comprehensive assessment of nutritional status for medically complex patients by analysis of subjective data, physical assessment, consulting with other members of the care team and information retrieved from the electronic medical record. Determines patient's nutrient needs and develops a comprehensive plan of care by using department-established guidelines. Work in partnership with interdisciplinary team and participates in patient care rounds by recommending, implementing, and monitoring of nutrition interventions. Documents care in the medical record using appropriate forms and/or formats within established guidelines. Provides initial and ongoing or follow-up care according to established timeframes and reassessment criteria. Identifies and provides for patient and family education needs, assesses barriers to learning, provides appropriate instructions utilizing appropriate modalities, assesses patient understanding and documents interventions per policy.
Clinical Practice:
Maintain high level of competency and professional development related to nutrition trends, research, policy, certifications, and standards of practice. Includes participation in staff development activities via formal and informal education. Participates in departmental revision of resources that may include Diet Manual, Practice Guidelines, Formulary, educational resources, and Policies and Procedures when appropriate. Provides advanced clinical nutrition practice education or case studies to other clinicians. Provide supervised learning experiences for new employees, students, interns, and observers within the department. Lead or active participation in workgroups or institutional committee. Routinely attends meetings, completes assignments, and turns in reports on time providing pertinent information to clinical team.
EDUCATION:
Required: Bachelor's degree and completion of an Academy of Nutrition and Dietetics approved dietetic internship or its equivalent.
Preferred: Master's degree in directly related field would be a plus.
EXPERIENCE:
Required: No experience required with required degree and internship.
Preferred: Must have acute care clinical experience through employment or internship.
LICENSE/CERTIFICATION:
Required: Both current Registered Dietitian (RD) and current Licensed Dietitian (LD).
The University of Texas MD Anderson Cancer Center offers excellent tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law. Information
* Requisition ID:
* Employment Status: Full-Time
* Employee Status: Regular
* Work Week: Days
* Minimum Salary: US Dollar (USD) 67,000
* Midpoint Salary: US Dollar (USD) 83,500
* Maximum Salary : US Dollar (USD) 100,000
* FLSA: exempt and not eligible for overtime pay
* Fund Type: Hard
* Work Location: Hybrid Onsite/Remote
* Pivotal Position: No
* Referral Bonus Available?: No
* Relocation Assistance Available?: No
* Science Jobs: No
#LI-Hybrid
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