2 Mainegeneral Health jobs in Gardiner
Director, Health Services--Northeast Region
04332 Augusta, Maine
Humana
Posted today
Job Viewed
Job Description
**Become a part of our caring community and help us put health first**
The Clinical Director is a key member of the regional clinical leadership team responsible for executing market-level clinical strategy, supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization, and cost-of-care outcomes. At the core, this is a role focused on building relationships with providers and then leveraging those relationships to collaborate on how to overcome operational barriers, reduce administrative burden, and optimize clinical strategies for the benefit of our members
**Primary Responsibilities:**
Northeast Region: (ME, NH, VT, MA, CT, RI, NJ, NY, PA, DE, MD, DC)
**Clinical Strategy Execution & Provider Engagement**
The Clinical Director will partner with provider leadership by:
- Developing and maintaining strong relationships with provider group leaders, ensuring timely communication, education, and collaboration.
- Strengthening relationships, enhancing clinical performance, and driving improvements in patient experience and operational excellence
- Aligning on strategic goals, sharing best practices, and collaborating on initiatives that support quality care delivery and system-wide performance
The Clinical Director will contribute to the design and operationalization of the region's clinical strategy by:
- Driving clinical initiatives across the provider network
- Supporting facility and provider population health programs focused on Stars, HEDIS, MRA, chronic condition management, and other efforts to reduce avoidable utilization
- Supporting Joint Operating Committees (JOCs) and facilitating implementation with pilots around reducing cost of care and improving chronic health care outcomes.
**Data-Driven Performance Management**
Working closely with analytics and finance teams, the Clinical Director will:
- Monitor key performance indicators, identify trends in quality and utilization, and support the development of targeted action plans.
- Prepare performance dashboards, conduct root cause analyses, and facilitate provider education and remediation efforts.
- Collaborate with hospital partners to align on shared performance goals, support data transparency, and drive improvements in clinical outcomes, patient experience, and operational efficiency.
- Partner with the Regional VP of Health Services to align clinical programs with payer-specific needs and market dynamics.
**Innovation & Program Implementation**
The Clinical Director will implement regional pilots and vendor-supported programs, ensuring operational readiness and provider adoption. This includes:
- Advancing the rollout of remote monitoring tools, clinical pathway platforms, and other tech-enabled care solutions
- Working with hospital teams to integrate innovative solutions into inpatient and transitional care workflows, tracking program performance, escalating barriers to adoption, and contributing to continuous improvement efforts that enhance both provider and patient experience.
**Governance & Delegation Oversight**
The Clinical Director will participate in governance committees and support vendor and delegation oversight activities, including:
- Ensuring compliance with clinical policies, quality standards, and regulatory requirements
- Collaborating with hospital leadership to align governance practices
- Promoting operational excellence across delegated entities and facility-based care settings.
**Use your skills to make an impact**
Qualifications:
+ Clinical degree with active unrestricted license (e.g. RN, NP,)
+ 5+ years of experience in clinical operations, care management, or provider performance improvement.
+ 5+ years experience in managed care industry, either provider or payer.
+ Strong understanding of value-based care, population health, and quality metrics (e.g., Stars, HEDIS, MRA).
+ Proficiency in quickly monitoring clinical and financial data and communicating it to drive decision-making and action across teams.
+ Demonstrate ability to manage cross-functional projects and collaborate with clinical and non-clinical stakeholders.
+ Excellent written and verbal communication skills; comfortable engaging executive and clinical audiences.
+ Must be able to travel up to 30-35% in Northeast Region: (ME, NH, VT, MA, CT, RI, NJ, NY, PA, DE, MD, DC)
Preferred:
+ Experience in both provider and payer roles.
+ Prior executive level role with successful track record of building external relationships and driving quality and financial results in a collaborative team/matrixed environment.
+ Advanced degree in business, management and/or population health.
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
The Clinical Director is a key member of the regional clinical leadership team responsible for executing market-level clinical strategy, supporting provider performance, and coordinating with cross-functional teams to drive quality, utilization, and cost-of-care outcomes. At the core, this is a role focused on building relationships with providers and then leveraging those relationships to collaborate on how to overcome operational barriers, reduce administrative burden, and optimize clinical strategies for the benefit of our members
**Primary Responsibilities:**
Northeast Region: (ME, NH, VT, MA, CT, RI, NJ, NY, PA, DE, MD, DC)
**Clinical Strategy Execution & Provider Engagement**
The Clinical Director will partner with provider leadership by:
- Developing and maintaining strong relationships with provider group leaders, ensuring timely communication, education, and collaboration.
- Strengthening relationships, enhancing clinical performance, and driving improvements in patient experience and operational excellence
- Aligning on strategic goals, sharing best practices, and collaborating on initiatives that support quality care delivery and system-wide performance
The Clinical Director will contribute to the design and operationalization of the region's clinical strategy by:
- Driving clinical initiatives across the provider network
- Supporting facility and provider population health programs focused on Stars, HEDIS, MRA, chronic condition management, and other efforts to reduce avoidable utilization
- Supporting Joint Operating Committees (JOCs) and facilitating implementation with pilots around reducing cost of care and improving chronic health care outcomes.
**Data-Driven Performance Management**
Working closely with analytics and finance teams, the Clinical Director will:
- Monitor key performance indicators, identify trends in quality and utilization, and support the development of targeted action plans.
- Prepare performance dashboards, conduct root cause analyses, and facilitate provider education and remediation efforts.
- Collaborate with hospital partners to align on shared performance goals, support data transparency, and drive improvements in clinical outcomes, patient experience, and operational efficiency.
- Partner with the Regional VP of Health Services to align clinical programs with payer-specific needs and market dynamics.
**Innovation & Program Implementation**
The Clinical Director will implement regional pilots and vendor-supported programs, ensuring operational readiness and provider adoption. This includes:
- Advancing the rollout of remote monitoring tools, clinical pathway platforms, and other tech-enabled care solutions
- Working with hospital teams to integrate innovative solutions into inpatient and transitional care workflows, tracking program performance, escalating barriers to adoption, and contributing to continuous improvement efforts that enhance both provider and patient experience.
**Governance & Delegation Oversight**
The Clinical Director will participate in governance committees and support vendor and delegation oversight activities, including:
- Ensuring compliance with clinical policies, quality standards, and regulatory requirements
- Collaborating with hospital leadership to align governance practices
- Promoting operational excellence across delegated entities and facility-based care settings.
**Use your skills to make an impact**
Qualifications:
+ Clinical degree with active unrestricted license (e.g. RN, NP,)
+ 5+ years of experience in clinical operations, care management, or provider performance improvement.
+ 5+ years experience in managed care industry, either provider or payer.
+ Strong understanding of value-based care, population health, and quality metrics (e.g., Stars, HEDIS, MRA).
+ Proficiency in quickly monitoring clinical and financial data and communicating it to drive decision-making and action across teams.
+ Demonstrate ability to manage cross-functional projects and collaborate with clinical and non-clinical stakeholders.
+ Excellent written and verbal communication skills; comfortable engaging executive and clinical audiences.
+ Must be able to travel up to 30-35% in Northeast Region: (ME, NH, VT, MA, CT, RI, NJ, NY, PA, DE, MD, DC)
Preferred:
+ Experience in both provider and payer roles.
+ Prior executive level role with successful track record of building external relationships and driving quality and financial results in a collaborative team/matrixed environment.
+ Advanced degree in business, management and/or population health.
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$138,900 - $191,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
?
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our
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0
Senior Manager, Consulting Services - Oracle Health
04332 Augusta, Maine
Oracle
Posted today
Job Viewed
Job Description
**Job Description**
This manager-level position is responsible for a segment within a given practice focused on a specific industry, service line, technology center, specialty area or region. Responsible for managing the three main pillars of a practice: people management, portfolio/delivery management and sales enablement. Has profit and loss responsibility or financial/expense management of practice.
Accountable for operational/financial metrics and overall business results of practice. Responsible for maintaining practice direction, ensuring quality of consulting delivery, and maintaining customer referenceability. Ensures that operational policies are followed and that business objectives are achieved by focusing on best practices and process improvements. Develops plans to successfully implement operational policies and achieves business plan. Is accountable for managing and growing a revenue stream and customer base. Typically manages individual contributors. May serve as advisor for moderately complex engagements.
8+ years of experience relevant to this position including 4 years of consulting experience and 2 years of project management leadership experience. Undergraduate degree or equivalent experience. Can lead, engage, mobilize and motivate multiple teams to accomplish goals. Product, technology or industry expertise relevant to the practice focus. Ability to travel as needed.
**Responsibilities**
As a Senior Manager, Consulting Services, you will consult with clients on service line workflow, and guide them through interdependencies and design decision impacts. You will provide solution oversight, direction and expertise to stakeholders. You will drive client-specific solution configuration design to meet workflow requirements and make recommendations to clients. You will mitigate solution risks and issues. You will execute workflow and process improvement strategies. You will lead client meetings and events. You will drive internal team initiatives.
**Basic Qualifications**
At least 10 years total combined related work experience and completed higher education, including:
At least 3 years healthcare information technology (HCIT) consulting, HCIT support, business operations and/or other client-facing or HCIT solution work experience
At least 7 years additional work experience directly related to the duties of the job and/or completed higher education
**Expectations**
Perform other responsibilities as assigned
Willing to travel up to 60% as needed
Willing to work additional or irregular hours as needed and allowed by local regulations
Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
**Responsibilities**
Accountable for operational/financial metrics and overall business results of practice. Responsible for maintaining practice direction, ensuring quality of consulting delivery, and maintaining customer referenceability. Ensures that operational policies are followed and that business objectives are achieved by focusing on best practices and process improvements. Develops plans to successfully implement operational policies and achieves business plan. Is accountable for managing and growing a revenue stream and customer base. Typically manages individual contributors. May serve as advisor for moderately complex engagements.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $116,500 to $251,600 per annum. May be eligible for bonus, equity, and compensation deferral.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - M3
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling +1 in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
This manager-level position is responsible for a segment within a given practice focused on a specific industry, service line, technology center, specialty area or region. Responsible for managing the three main pillars of a practice: people management, portfolio/delivery management and sales enablement. Has profit and loss responsibility or financial/expense management of practice.
Accountable for operational/financial metrics and overall business results of practice. Responsible for maintaining practice direction, ensuring quality of consulting delivery, and maintaining customer referenceability. Ensures that operational policies are followed and that business objectives are achieved by focusing on best practices and process improvements. Develops plans to successfully implement operational policies and achieves business plan. Is accountable for managing and growing a revenue stream and customer base. Typically manages individual contributors. May serve as advisor for moderately complex engagements.
8+ years of experience relevant to this position including 4 years of consulting experience and 2 years of project management leadership experience. Undergraduate degree or equivalent experience. Can lead, engage, mobilize and motivate multiple teams to accomplish goals. Product, technology or industry expertise relevant to the practice focus. Ability to travel as needed.
**Responsibilities**
As a Senior Manager, Consulting Services, you will consult with clients on service line workflow, and guide them through interdependencies and design decision impacts. You will provide solution oversight, direction and expertise to stakeholders. You will drive client-specific solution configuration design to meet workflow requirements and make recommendations to clients. You will mitigate solution risks and issues. You will execute workflow and process improvement strategies. You will lead client meetings and events. You will drive internal team initiatives.
**Basic Qualifications**
At least 10 years total combined related work experience and completed higher education, including:
At least 3 years healthcare information technology (HCIT) consulting, HCIT support, business operations and/or other client-facing or HCIT solution work experience
At least 7 years additional work experience directly related to the duties of the job and/or completed higher education
**Expectations**
Perform other responsibilities as assigned
Willing to travel up to 60% as needed
Willing to work additional or irregular hours as needed and allowed by local regulations
Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
**Responsibilities**
Accountable for operational/financial metrics and overall business results of practice. Responsible for maintaining practice direction, ensuring quality of consulting delivery, and maintaining customer referenceability. Ensures that operational policies are followed and that business objectives are achieved by focusing on best practices and process improvements. Develops plans to successfully implement operational policies and achieves business plan. Is accountable for managing and growing a revenue stream and customer base. Typically manages individual contributors. May serve as advisor for moderately complex engagements.
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from: $116,500 to $251,600 per annum. May be eligible for bonus, equity, and compensation deferral.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - M3
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling +1 in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
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