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Director of Revenue Management | Remote Opportunities Available
78703 Austin
Hyatt
Posted today
Job Viewed
Job Description
**Description:**
Since opening its doors in 1886, The Driskill has stood as one of Texas's most iconic and luxurious hotels. For more than a century, it has played an integral role in the history, culture, and character of Austin. In 2013, The Driskill joined the Hyatt family of hotels and has since become a flagship property within The Unbound Collection by Hyatt. Today, following a comprehensive restoration of its guestrooms and meeting spaces, the hotel continues its legacy of Texas luxury. Committed to exceptional service, authentic hospitality, and Forbes standards of excellence, The Driskill remains a celebrated destination where historic grandeur meets modern sophistication.
**At Hyatt, we believe our guests select us because of our caring and attentive associates who are focused on providing efficient service and meaningful experiences. As a member of the property's Leadership Committee, the Director of Revenue Management is a highly visible role with exposure to Owners, Senior and Corporate leadership.**
The Director of Revenue Management is responsible for maximizing overall hotel revenue for rooms and food and beverage through the implementation of effective pricing and distribution strategies in the hotel. They will out-perform direct competitors by winning market share with rational and competitive pricing, distribution strategy backed by targeted marketing, and careful management hotel inventory to maximize topline revenue and yield high net profits. The Director of Revenue Management will manage and oversee revenue management analytic functions to produce reporting that support and evaluate hotel business strategies. They provide guidance and support sales and marketing initiatives that are targeted to meet the needs of the hotel and produce accurate revenue forecasts that help set hotel goals and outgrow the competition. The Director of Revenue Management will display leadership qualities that mentor, develop, and guide hotel team members such as revenue analysts and managers.
**Position Responsibilities/Essential Functions**
+ Oversee and guide the hotel's revenue management and reservation team to formulate transient and group inventory restrictions and pricing strategies to increase market share and maximize revenues for the hotel.
+ Confidently lead ownership and asset management relationships relating to commercial strategy in conjunction with the DOS and GM
+ Implement resort sales strategy and pricing recommendations across all channels, Hyatt revenue systems, and market segments.
+ Facilitate and Lead the luxury rate strategy with key consortia and distribution partners to maximize market share for the hotel.
+ Analyze the results of strategies and tactics deployed on a monthly basis. Provide all communication necessary to resort's teams, regional teams and ownership groups
+ Responsible for executing Hyatt corporate revenue management initiatives, and maintaining the standards outlined in the Americas Revenue 5. Management Standards and Procedures manual. Manage the relationship with major OTA market managers to ensure that the resort is maximizing revenue and marketing exposure from each of our top partners
+ Create the revenue forecasting process for the resort to ensure that the accuracy of each forecast falls within Hyatt standards. This includes the 11-day, Monthly, and Annual forecast as needed. Prepare the Annual Budget for the resort.
+ Work with the Director of Sales to develop and implement group pricing and inventory strategies for the entire group booking cycle.
+ Develop a pricing strategy for the business/leisure travel sales team based on demand projections and competitive shops. Partner with the Director of Sales to ensure that hotel strategy is implemented on an account-by-account basis.
+ Partner with the hotel's Director of Sales, Events & Marketing to develop and implement the hotel SEO/SEM goals in conjunction with TIG/Milestone. Focus the teams on tactics that produce the highest revenue and return on investment.
+ Facilitate and lead weekly hotel Sales Strategy meetings in accordance with Hyatt Revenue Management standards
+ Facilitate Daily Business Review meetings in accordance with Hyatt Revenue Management standards.
+ Effectively manage and maintain Hyatt revenue management systems including eFlex, Reserve, Opera, Envision and Passkey in accordance with Hyatt Revenue Management Standards.
+ Coordinate with the Front Office team to maximize revenue from the following programs; Front Desk up-sell programs, sell out management effectiveness.
+ Work closely with the Events to ensure that hotel meeting space is properly utilized to maximize room and food and beverage revenue potential.
+ Represent the hotel by participating in and/or conducting industry functions in the region/state.
+ Develop working relationships with managers in the Group Sales, Event Sales, and Event Planning staff, providing consultation on strategies for booking optimal group and catering business
**Core Competencies**
_Teamwork_ - Fosters collaborative relationships with other Leadership Committee members and Department Heads in the resort to effectively implement a wide range of revenue strategies. Able to educate others on the resort team on sound revenue management strategies and principles.
_Oral and Written Communications_ - Communicates effectively at all levels both verbally and in writing; responds appropriately to verbal and non-verbal cues; can succinctly get messages across that have the desired effect. Educates team members on the strategies and trends of the resort and local lodging market as a whole.
_Leadership_ - Matches leadership style to the needs of individuals and teams; delegates and provides guidance and coaching accordingly; anticipates and quickly addresses skill or behavioral gaps before they create performance issues; identifies and recognizes good performance; does not tolerate poor performance and works quickly to get employees back on track. Models and expects from others the behaviors identified in Hyatt's Values and Code of Business Conduct and Ethics.
**Qualifications:**
+ Minimum of 5 years' experience is preferred as a Revenue Manager or Director in hotel revenue management organization.
+ Minimum of 1 year preferred leading others in a dynamic team environment
+ Minimum of 3 years' experience preferred with Excel and related data management systems
+ Technically skilled in managing all systems related to Revenue Management. These include but are not limited to Hotel Industry Revenue Management Systems, Central Reservation Systems, Property Management Systems, Sales and Catering Systems, Passkey and Cognos or another form of business intelligence tool.
+ Refined written and verbal communication skills
+ Intermediate or Expert skill level in the use of the Microsoft Office suite of applications such as Excel, Word, Access, PowerPoint and Outlook
+ Requires understanding and analysis of financial statements
+ Ability to develop and deliver training materials
+ Ability to develop and deliver effective presentations
**Primary Location:** US-TX-Austin
**Organization:** The Driskill
**Pay Basis:** Yearly
**Job Level:** Full-time
**Job:** Revenue
**Req ID:** AUS
Hyatt is an equal employment opportunity and affirmative action employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, marital status, pregnancy, national origin, ancestry, age, religion, disability, veteran status, genetic information, citizenship status or any other group protected by law.
Since opening its doors in 1886, The Driskill has stood as one of Texas's most iconic and luxurious hotels. For more than a century, it has played an integral role in the history, culture, and character of Austin. In 2013, The Driskill joined the Hyatt family of hotels and has since become a flagship property within The Unbound Collection by Hyatt. Today, following a comprehensive restoration of its guestrooms and meeting spaces, the hotel continues its legacy of Texas luxury. Committed to exceptional service, authentic hospitality, and Forbes standards of excellence, The Driskill remains a celebrated destination where historic grandeur meets modern sophistication.
**At Hyatt, we believe our guests select us because of our caring and attentive associates who are focused on providing efficient service and meaningful experiences. As a member of the property's Leadership Committee, the Director of Revenue Management is a highly visible role with exposure to Owners, Senior and Corporate leadership.**
The Director of Revenue Management is responsible for maximizing overall hotel revenue for rooms and food and beverage through the implementation of effective pricing and distribution strategies in the hotel. They will out-perform direct competitors by winning market share with rational and competitive pricing, distribution strategy backed by targeted marketing, and careful management hotel inventory to maximize topline revenue and yield high net profits. The Director of Revenue Management will manage and oversee revenue management analytic functions to produce reporting that support and evaluate hotel business strategies. They provide guidance and support sales and marketing initiatives that are targeted to meet the needs of the hotel and produce accurate revenue forecasts that help set hotel goals and outgrow the competition. The Director of Revenue Management will display leadership qualities that mentor, develop, and guide hotel team members such as revenue analysts and managers.
**Position Responsibilities/Essential Functions**
+ Oversee and guide the hotel's revenue management and reservation team to formulate transient and group inventory restrictions and pricing strategies to increase market share and maximize revenues for the hotel.
+ Confidently lead ownership and asset management relationships relating to commercial strategy in conjunction with the DOS and GM
+ Implement resort sales strategy and pricing recommendations across all channels, Hyatt revenue systems, and market segments.
+ Facilitate and Lead the luxury rate strategy with key consortia and distribution partners to maximize market share for the hotel.
+ Analyze the results of strategies and tactics deployed on a monthly basis. Provide all communication necessary to resort's teams, regional teams and ownership groups
+ Responsible for executing Hyatt corporate revenue management initiatives, and maintaining the standards outlined in the Americas Revenue 5. Management Standards and Procedures manual. Manage the relationship with major OTA market managers to ensure that the resort is maximizing revenue and marketing exposure from each of our top partners
+ Create the revenue forecasting process for the resort to ensure that the accuracy of each forecast falls within Hyatt standards. This includes the 11-day, Monthly, and Annual forecast as needed. Prepare the Annual Budget for the resort.
+ Work with the Director of Sales to develop and implement group pricing and inventory strategies for the entire group booking cycle.
+ Develop a pricing strategy for the business/leisure travel sales team based on demand projections and competitive shops. Partner with the Director of Sales to ensure that hotel strategy is implemented on an account-by-account basis.
+ Partner with the hotel's Director of Sales, Events & Marketing to develop and implement the hotel SEO/SEM goals in conjunction with TIG/Milestone. Focus the teams on tactics that produce the highest revenue and return on investment.
+ Facilitate and lead weekly hotel Sales Strategy meetings in accordance with Hyatt Revenue Management standards
+ Facilitate Daily Business Review meetings in accordance with Hyatt Revenue Management standards.
+ Effectively manage and maintain Hyatt revenue management systems including eFlex, Reserve, Opera, Envision and Passkey in accordance with Hyatt Revenue Management Standards.
+ Coordinate with the Front Office team to maximize revenue from the following programs; Front Desk up-sell programs, sell out management effectiveness.
+ Work closely with the Events to ensure that hotel meeting space is properly utilized to maximize room and food and beverage revenue potential.
+ Represent the hotel by participating in and/or conducting industry functions in the region/state.
+ Develop working relationships with managers in the Group Sales, Event Sales, and Event Planning staff, providing consultation on strategies for booking optimal group and catering business
**Core Competencies**
_Teamwork_ - Fosters collaborative relationships with other Leadership Committee members and Department Heads in the resort to effectively implement a wide range of revenue strategies. Able to educate others on the resort team on sound revenue management strategies and principles.
_Oral and Written Communications_ - Communicates effectively at all levels both verbally and in writing; responds appropriately to verbal and non-verbal cues; can succinctly get messages across that have the desired effect. Educates team members on the strategies and trends of the resort and local lodging market as a whole.
_Leadership_ - Matches leadership style to the needs of individuals and teams; delegates and provides guidance and coaching accordingly; anticipates and quickly addresses skill or behavioral gaps before they create performance issues; identifies and recognizes good performance; does not tolerate poor performance and works quickly to get employees back on track. Models and expects from others the behaviors identified in Hyatt's Values and Code of Business Conduct and Ethics.
**Qualifications:**
+ Minimum of 5 years' experience is preferred as a Revenue Manager or Director in hotel revenue management organization.
+ Minimum of 1 year preferred leading others in a dynamic team environment
+ Minimum of 3 years' experience preferred with Excel and related data management systems
+ Technically skilled in managing all systems related to Revenue Management. These include but are not limited to Hotel Industry Revenue Management Systems, Central Reservation Systems, Property Management Systems, Sales and Catering Systems, Passkey and Cognos or another form of business intelligence tool.
+ Refined written and verbal communication skills
+ Intermediate or Expert skill level in the use of the Microsoft Office suite of applications such as Excel, Word, Access, PowerPoint and Outlook
+ Requires understanding and analysis of financial statements
+ Ability to develop and deliver training materials
+ Ability to develop and deliver effective presentations
**Primary Location:** US-TX-Austin
**Organization:** The Driskill
**Pay Basis:** Yearly
**Job Level:** Full-time
**Job:** Revenue
**Req ID:** AUS
Hyatt is an equal employment opportunity and affirmative action employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, marital status, pregnancy, national origin, ancestry, age, religion, disability, veteran status, genetic information, citizenship status or any other group protected by law.
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0
Case Management Coordinator, Assessor Team (Remote, Illinois)
Il
CVS Health
Posted 1 day ago
Job Viewed
Job Description
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
**Program Overview**
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.
**Position Summary**
The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.
**Key Responsibilities**
+ Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
+ Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
+ Coordinates and implements assigned care plan activities and monitors care plan progress.
+ Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
+ Identifies and escalates quality of care issues through established channels.
+ Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
+ Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
+ Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
+ Helps member actively and knowledgably participate with their provider in healthcare decision-making.
+ Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
**Remote Work Expectations**
+ Candidates must have a dedicated workspace free of interruptions Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
+ Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.
**Required Qualifications**
+ Must reside in the state of Illinois
+ Must possess reliable transportation and be willing and able to travel up to 40% of the time from candidate home location. Mileage is reimbursed per our company expense reimbursement policy
+ Must have computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word.
+ Effective communication, telephonic and organization skills
+ Excellent analytical and problem-solving skills
+ Ability to work independently
+ Ability to effectively participate in a multi-disciplinary team including internal and external participants.
+ 2 years' experience in behavioral health, social services or appropriate related field equivalent to program focus
**Preferred Qualifications**
+ Case management and discharge planning experience
+ Managed Care experience
+ Bilingual
**Education**
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (nursing, psychology, social work, marriage and family therapy, counseling).
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$21.10 - $44.99
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments ( .
We anticipate the application window for this opening will close on: 07/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
**Program Overview**
Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country.
**Position Summary**
The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.
**Key Responsibilities**
+ Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.
+ Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
+ Coordinates and implements assigned care plan activities and monitors care plan progress.
+ Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
+ Identifies and escalates quality of care issues through established channels.
+ Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
+ Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
+ Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
+ Helps member actively and knowledgably participate with their provider in healthcare decision-making.
+ Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
**Remote Work Expectations**
+ Candidates must have a dedicated workspace free of interruptions Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
+ Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services.
**Required Qualifications**
+ Must reside in the state of Illinois
+ Must possess reliable transportation and be willing and able to travel up to 40% of the time from candidate home location. Mileage is reimbursed per our company expense reimbursement policy
+ Must have computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word.
+ Effective communication, telephonic and organization skills
+ Excellent analytical and problem-solving skills
+ Ability to work independently
+ Ability to effectively participate in a multi-disciplinary team including internal and external participants.
+ 2 years' experience in behavioral health, social services or appropriate related field equivalent to program focus
**Preferred Qualifications**
+ Case management and discharge planning experience
+ Managed Care experience
+ Bilingual
**Education**
Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (nursing, psychology, social work, marriage and family therapy, counseling).
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$21.10 - $44.99
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments ( .
We anticipate the application window for this opening will close on: 07/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
Is this job a match or a miss?
Apply Now
1
Director of Product Management - Program Operations - Remote
55344 Eden Prairie
UnitedHealth Group
Posted today
Job Viewed
Job Description
**Requisition number:**
**Job category:** Product
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.**
The Director of Product Management - Program Operations will lead the strategy, vision, and execution for the Program Operations business within the State Government portfolio. This leader will be responsible for defining a cohesive product strategy, rationalizing the product portfolio, driving innovation, commercialization, and improving financial performance across a $95M business. The Program Operations business is currently underperforming, and this role will be accountable for aligning product investments with market demand, customer outcomes, and business objectives to restore profitable growth.
Working closely with technology, operations, sales, implementation, and client leaders, this individual will ensure the Program Operations product portfolio delivers differentiated value to state agencies while strengthening competitive positioning and long-term sustainability.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
The Director will provide strategic product leadership across solutions including:
+ Provider Management Self-Service - Digital solutions that streamline provider enrollment, credentialing, communications, claims support, and self-service experiences for Medicaid providers
+ Long-Term Services & Supports (LTSS) - Solutions supporting eligibility, enrollment, care coordination, service authorization, and case management for long-term care programs
+ Prior Authorization - Workflow and decision-support solutions that improve authorization efficiency, compliance, and clinical appropriateness
+ Program Integrity - Analytics and workflow solutions that detect fraud, waste, and abuse while improving Medicaid program oversight
+ One Assist - A government-secure, FedRAMP-hosted, cloud-native omnichannel contact center platform supporting constituent, provider, and agency interactions
**Primary Responsibilities:**
+ Develop and execute the product vision, strategy, and multi-year roadmap for the Program Operations business
+ Own the product portfolio strategy and performance, including revenue growth, profitability, customer adoption, and market competitiveness
+ Evaluate and rationalize existing products and investments to optimize the portfolio and focus resources on the highest-value opportunities
+ Identify emerging market and product opportunities, customer needs, and strategic partnerships that drive growth, commercialization, and competitive differentiation
+ Translate customer, regulatory, and market insights into product strategy and investment priorities
+ Partner with technology and engineering teams to deliver secure, scalable, cloud-based solutions that meet client and regulatory requirements
+ Collaborate with operations, implementation, sales, and customer leadership to ensure successful product adoption and customer outcomes
+ Develop business cases, pricing strategies, commercialization plans, and investment recommendations for new and existing offerings
+ Establish product governance, performance metrics, and KPIs to measure customer value, business performance, and financial outcomes
+ Serve as the executive product leader for the Program Operations business, aligning cross-functional teams around a common vision and strategic priorities
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:**
+ 10+ years of experience in State Government, Medicaid, or public sector healthcare technology
+ 7+ years of progressive leadership experience leading strategic initiatives that drive business growth, market expansion, customer success, portfolio optimization, or commercialization
+ Experience leading business, solution, or product portfolios with responsibility for financial performance, revenue growth, margin improvement, or business outcomes
+ Solid understanding of Medicaid operations, including provider management, LTSS, prior authorization, program integrity, and/or government contact center solutions
+ Demonstrated ability to translate customer, regulatory and market needs into strategic priorities, investment decisions, and measurable business outcomes
+ Proven solid financial and business acumen with experience developing business cases, prioritizing investments, and evaluating business and product performance
+ Proven ability to influence and align cross-functional leaders across technology, operations, sales, client organizations, and product
+ Proven excellent executive communication, stakeholder management, and strategic planning skills
**Preferred Qualifications:**
+ Experience with cloud-native SaaS platforms, FedRAMP environments, and government security requirements
+ Experience modernizing legacy technology, business, or solution portfolios and leading digital transformation initiatives
+ Knowledge of state Medicaid programs, CMS regulations, and government procurement processes
**Success Measures**
Within the first 12-24 months, the Director will be expected to:
+ Establish a unified product vision and roadmap for the Program Operations business
+ Rationalize the product portfolio to improve investment focus, reduce complexity, and increase market competitiveness
+ Improve business profitability through product optimization, commercialization, pricing, and investment decisions
+ Increase customer adoption, satisfaction, and retention across strategic product offerings
+ Deliver new product capabilities that drive measurable revenue growth and strengthen market differentiation
+ Implement a disciplined product management operating model with clear governance, performance metrics, and accountability
+ Partner with executive leadership to position the Program Operations business for sustainable long-term growth and improved financial performance
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**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._
**Job category:** Product
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.**
The Director of Product Management - Program Operations will lead the strategy, vision, and execution for the Program Operations business within the State Government portfolio. This leader will be responsible for defining a cohesive product strategy, rationalizing the product portfolio, driving innovation, commercialization, and improving financial performance across a $95M business. The Program Operations business is currently underperforming, and this role will be accountable for aligning product investments with market demand, customer outcomes, and business objectives to restore profitable growth.
Working closely with technology, operations, sales, implementation, and client leaders, this individual will ensure the Program Operations product portfolio delivers differentiated value to state agencies while strengthening competitive positioning and long-term sustainability.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
The Director will provide strategic product leadership across solutions including:
+ Provider Management Self-Service - Digital solutions that streamline provider enrollment, credentialing, communications, claims support, and self-service experiences for Medicaid providers
+ Long-Term Services & Supports (LTSS) - Solutions supporting eligibility, enrollment, care coordination, service authorization, and case management for long-term care programs
+ Prior Authorization - Workflow and decision-support solutions that improve authorization efficiency, compliance, and clinical appropriateness
+ Program Integrity - Analytics and workflow solutions that detect fraud, waste, and abuse while improving Medicaid program oversight
+ One Assist - A government-secure, FedRAMP-hosted, cloud-native omnichannel contact center platform supporting constituent, provider, and agency interactions
**Primary Responsibilities:**
+ Develop and execute the product vision, strategy, and multi-year roadmap for the Program Operations business
+ Own the product portfolio strategy and performance, including revenue growth, profitability, customer adoption, and market competitiveness
+ Evaluate and rationalize existing products and investments to optimize the portfolio and focus resources on the highest-value opportunities
+ Identify emerging market and product opportunities, customer needs, and strategic partnerships that drive growth, commercialization, and competitive differentiation
+ Translate customer, regulatory, and market insights into product strategy and investment priorities
+ Partner with technology and engineering teams to deliver secure, scalable, cloud-based solutions that meet client and regulatory requirements
+ Collaborate with operations, implementation, sales, and customer leadership to ensure successful product adoption and customer outcomes
+ Develop business cases, pricing strategies, commercialization plans, and investment recommendations for new and existing offerings
+ Establish product governance, performance metrics, and KPIs to measure customer value, business performance, and financial outcomes
+ Serve as the executive product leader for the Program Operations business, aligning cross-functional teams around a common vision and strategic priorities
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:**
+ 10+ years of experience in State Government, Medicaid, or public sector healthcare technology
+ 7+ years of progressive leadership experience leading strategic initiatives that drive business growth, market expansion, customer success, portfolio optimization, or commercialization
+ Experience leading business, solution, or product portfolios with responsibility for financial performance, revenue growth, margin improvement, or business outcomes
+ Solid understanding of Medicaid operations, including provider management, LTSS, prior authorization, program integrity, and/or government contact center solutions
+ Demonstrated ability to translate customer, regulatory and market needs into strategic priorities, investment decisions, and measurable business outcomes
+ Proven solid financial and business acumen with experience developing business cases, prioritizing investments, and evaluating business and product performance
+ Proven ability to influence and align cross-functional leaders across technology, operations, sales, client organizations, and product
+ Proven excellent executive communication, stakeholder management, and strategic planning skills
**Preferred Qualifications:**
+ Experience with cloud-native SaaS platforms, FedRAMP environments, and government security requirements
+ Experience modernizing legacy technology, business, or solution portfolios and leading digital transformation initiatives
+ Knowledge of state Medicaid programs, CMS regulations, and government procurement processes
**Success Measures**
Within the first 12-24 months, the Director will be expected to:
+ Establish a unified product vision and roadmap for the Program Operations business
+ Rationalize the product portfolio to improve investment focus, reduce complexity, and increase market competitiveness
+ Improve business profitability through product optimization, commercialization, pricing, and investment decisions
+ Increase customer adoption, satisfaction, and retention across strategic product offerings
+ Deliver new product capabilities that drive measurable revenue growth and strengthen market differentiation
+ Implement a disciplined product management operating model with clear governance, performance metrics, and accountability
+ Partner with executive leadership to position the Program Operations business for sustainable long-term growth and improved financial performance
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. 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. The salary for this role will range from $159,300 - $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**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._
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2
Manager, Master Data Management - CHEFSTORE (Hybrid: Onsite and Remote Work)
60018 Rosemont
US Foods
Posted 1 day ago
Job Viewed
Job Description
ARE YOU A CURRENT US FOODS EMPLOYEE? PLEASE APPLY DIRECTLY THROUGH OUR INTERNAL WORKDAY CAREER SITE ( Our Community of Food People!
The Manager, Master Data Management (MDM) is responsible for leading the organization's master data management function and ensuring the accuracy, consistency, governance, and availability of critical master data across the food retail enterprise. This role manages a team of Master Data Management Analysts and provides strategic and operational oversight of master data domains - including items, vendors, pricing, and locations-to support merchandising, supply chain, store operations, marketing, e-commerce, and finance. The MDM Manager partners with business and IT leaders to establish standards, optimize processes, and drive continuous improvement in data quality.
**This position has been segmented as Hybrid meaning there are three onsite days per week and the rest remote.**
**This position can sit in our Rosemont, IL corporate office or in our West Linn, OR office.**
**Responsibilities:**
+ Own the master data management function and roadmap for the organization.
+ Define master data standards, policies, and governance frameworks.
+ Ensure alignment of master data strategy with business objectives and retail operations.
+ Serve as the accountable owner for assigned master data domains.
+ Establish and enforce data governance, stewardship, and approval workflows.
+ Define and monitor master data quality metrics and KPIs.
+ Ensure data accuracy, consistency, and completeness across systems.
+ Partner with compliance and risk teams to support regulatory, audit, and reporting requirements.
+ Act as the primary point of contact for master data-related initiatives.
+ Collaborate with Merchandising, Supply Chain, Finance, Store Operations, Marketing and E-commerce leaders.
+ Translate business requirements into data standards, attributes, and governance processes.
+ Support new item introductions, assortment changes, promotions, and private label initiatives.
+ Oversee master data processes within ERP, MDM, and PIM platforms.
+ Support system implementations, upgrades, and data migration efforts.
+ Identify and lead process improvements to increase efficiency, scalability, and data quality.
+ Drive continuous improvement in master data processes and controls.
+ Ensure documentation of data standards, SOPs, and data definitions.
+ Promote data literacy and best practices across the organization.
+ Lead, manage, and develop a team of Master Data Management Analysts
+ Other duties as assigned by manager.
**Supervision:**
+ Master Data Analyst
**Relationships:**
+ Internal: Interact with all levels of associates within the CHEF'STORE.
+ External: The incumbent is required to interact with customers and other service and product providers.
**Work Environment:**
**Hybrid:** This role is partially remote, and the associate is expected to perform assigned responsibilities from a combined home-based and office-based environment.
The role operates in a fast-paced food retail environment, where data accuracy directly impacts pricing, promotions, inventory availability, food safety, and customer trust. Primarily an office-based or hybrid position, with regular collaboration across IT, Merchandising, Supply Chain, Finance, Store Operations, Marketing and E-commerce teams. Work involves detailed data analysis and validation, requiring sustained focus, accuracy, and adherence to governance standards. Occasional collaboration with external vendors, suppliers, and third-party data providers to resolve data issues and ensure alignment. Occasional extended work hours or high-intensity periods may be necessary during peak seasons, system migrations, or major data initiatives.
**Minimum Qualifications:**
+ 5 years of experience in master data management, data governance, or retail data operations
+ 2+ years of experience managing or leading analysts or data professionals.
+ Strong understanding of retail master data domains and governance principles
+ Strong proficiency in Microsoft Office and Microsoft 365 applications (Word, Excel, PowerPoint, Outlook, Teams, etc.)
+ Experience working with ERP, MDM, or PIM systems to manage item, vendor, pricing, or location master data.
+ Ability to analyze and reconcile data across multiple systems and sources.
+ Familiarity with reporting tools or dashboards to monitor data quality metrics.
+ Strong written and verbal communication skills, with the ability to explain data concepts to non-technical audiences.
+ Proven ability to collaborate with cross-functional teams including Merchandising, Supply Chain, Finance, Store Operations, and IT
+ Ability to set priorities, make data-driven decisions, and provide clear direction to a team.
+ Ability to travel: 10%.
**Certifications/Training:**
+ Certifications in Data Management, Data Governance, or MDM (e.g., SAP, Oracle, Informatica)
+ Lean, Six Sigma, or process improvement certifications
+ Ongoing professional development in data management or retail systems
**Preferred Qualifications:**
+ Experience working in food, grocery, or multi-category retail, including exposure to fresh, frozen, or perishable product data.
+ Strong understanding of retail merchandising and supply chain processes, including item lifecycle management, assortment planning, replenishment, pricing, promotions, and vendor onboarding.
+ Familiarity with omnichannel retail environments, supporting data needs across store, e-commerce, click-and-collect, and delivery channels.
+ Exposure to internal or external audit processes related to data accuracy, vendor compliance, or regulatory reporting.
+ Familiarity with reporting, dashboarding, or visualization tools (e.g., Power BI, Tableau, or similar) to communicate data quality trends and insights.
+ Experience leveraging data to drive decision-making and influence stakeholders.
**Education:**
+ Bachelor's degree in Information Systems, Business, Data Management, Supply Chain, or related field or equivalent work experience.
This role will also receive an annual incentive plan bonus.
Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: .
Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law (for example: state or local minimum wage thresholds). The expected base rate for this role is between
$100,000 - $155,000
***EOE - Race/Color/Religion/Sex/Sexual Orientation/Gender Identity/National Origin/** **Age/Genetic Information** **/Protected Veteran/Disability Status***
Puede ver este sitio de empleo y aplicación en español utilizando la configuración de su navegador o teléfono móvil. Haga clic a continuación para obtener más información.
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Androide ( Foods is one of America's great food companies and a leading foodservice distributor, partnering with approximately 300,000 restaurants and foodservice operators to help their businesses succeed. With 28,000 employees and more than 70 locations, US Foods provides its customers with a broad and innovative food offering and a comprehensive suite of e-commerce, technology and business solutions. US Foods is headquartered in Rosemont, Ill., and generates more than $28 billion in annual revenue. Visit to learn more.
US Foods may collect personal information from you in connection with the application process. US Foods complies with the California Privacy Rights Act of 2020, and its policy may be found here ( **.**
US Foods, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other basis prohibited by applicable law.
Know Your Rights ( Transparency policy statement is available here ( Foods is committed to working with and providing reasonable accommodation to individuals with disabilities. If reasonable accommodation is needed to participate in the interview process or to perform essential job functions, please contact our US Foods Application Accommodation Line at . You will be prompted to leave a message. Please state the specifics of the assistance needed and your contact information. A member of our HR department will return your call within two business days.
The Manager, Master Data Management (MDM) is responsible for leading the organization's master data management function and ensuring the accuracy, consistency, governance, and availability of critical master data across the food retail enterprise. This role manages a team of Master Data Management Analysts and provides strategic and operational oversight of master data domains - including items, vendors, pricing, and locations-to support merchandising, supply chain, store operations, marketing, e-commerce, and finance. The MDM Manager partners with business and IT leaders to establish standards, optimize processes, and drive continuous improvement in data quality.
**This position has been segmented as Hybrid meaning there are three onsite days per week and the rest remote.**
**This position can sit in our Rosemont, IL corporate office or in our West Linn, OR office.**
**Responsibilities:**
+ Own the master data management function and roadmap for the organization.
+ Define master data standards, policies, and governance frameworks.
+ Ensure alignment of master data strategy with business objectives and retail operations.
+ Serve as the accountable owner for assigned master data domains.
+ Establish and enforce data governance, stewardship, and approval workflows.
+ Define and monitor master data quality metrics and KPIs.
+ Ensure data accuracy, consistency, and completeness across systems.
+ Partner with compliance and risk teams to support regulatory, audit, and reporting requirements.
+ Act as the primary point of contact for master data-related initiatives.
+ Collaborate with Merchandising, Supply Chain, Finance, Store Operations, Marketing and E-commerce leaders.
+ Translate business requirements into data standards, attributes, and governance processes.
+ Support new item introductions, assortment changes, promotions, and private label initiatives.
+ Oversee master data processes within ERP, MDM, and PIM platforms.
+ Support system implementations, upgrades, and data migration efforts.
+ Identify and lead process improvements to increase efficiency, scalability, and data quality.
+ Drive continuous improvement in master data processes and controls.
+ Ensure documentation of data standards, SOPs, and data definitions.
+ Promote data literacy and best practices across the organization.
+ Lead, manage, and develop a team of Master Data Management Analysts
+ Other duties as assigned by manager.
**Supervision:**
+ Master Data Analyst
**Relationships:**
+ Internal: Interact with all levels of associates within the CHEF'STORE.
+ External: The incumbent is required to interact with customers and other service and product providers.
**Work Environment:**
**Hybrid:** This role is partially remote, and the associate is expected to perform assigned responsibilities from a combined home-based and office-based environment.
The role operates in a fast-paced food retail environment, where data accuracy directly impacts pricing, promotions, inventory availability, food safety, and customer trust. Primarily an office-based or hybrid position, with regular collaboration across IT, Merchandising, Supply Chain, Finance, Store Operations, Marketing and E-commerce teams. Work involves detailed data analysis and validation, requiring sustained focus, accuracy, and adherence to governance standards. Occasional collaboration with external vendors, suppliers, and third-party data providers to resolve data issues and ensure alignment. Occasional extended work hours or high-intensity periods may be necessary during peak seasons, system migrations, or major data initiatives.
**Minimum Qualifications:**
+ 5 years of experience in master data management, data governance, or retail data operations
+ 2+ years of experience managing or leading analysts or data professionals.
+ Strong understanding of retail master data domains and governance principles
+ Strong proficiency in Microsoft Office and Microsoft 365 applications (Word, Excel, PowerPoint, Outlook, Teams, etc.)
+ Experience working with ERP, MDM, or PIM systems to manage item, vendor, pricing, or location master data.
+ Ability to analyze and reconcile data across multiple systems and sources.
+ Familiarity with reporting tools or dashboards to monitor data quality metrics.
+ Strong written and verbal communication skills, with the ability to explain data concepts to non-technical audiences.
+ Proven ability to collaborate with cross-functional teams including Merchandising, Supply Chain, Finance, Store Operations, and IT
+ Ability to set priorities, make data-driven decisions, and provide clear direction to a team.
+ Ability to travel: 10%.
**Certifications/Training:**
+ Certifications in Data Management, Data Governance, or MDM (e.g., SAP, Oracle, Informatica)
+ Lean, Six Sigma, or process improvement certifications
+ Ongoing professional development in data management or retail systems
**Preferred Qualifications:**
+ Experience working in food, grocery, or multi-category retail, including exposure to fresh, frozen, or perishable product data.
+ Strong understanding of retail merchandising and supply chain processes, including item lifecycle management, assortment planning, replenishment, pricing, promotions, and vendor onboarding.
+ Familiarity with omnichannel retail environments, supporting data needs across store, e-commerce, click-and-collect, and delivery channels.
+ Exposure to internal or external audit processes related to data accuracy, vendor compliance, or regulatory reporting.
+ Familiarity with reporting, dashboarding, or visualization tools (e.g., Power BI, Tableau, or similar) to communicate data quality trends and insights.
+ Experience leveraging data to drive decision-making and influence stakeholders.
**Education:**
+ Bachelor's degree in Information Systems, Business, Data Management, Supply Chain, or related field or equivalent work experience.
This role will also receive an annual incentive plan bonus.
Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: .
Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law (for example: state or local minimum wage thresholds). The expected base rate for this role is between
$100,000 - $155,000
***EOE - Race/Color/Religion/Sex/Sexual Orientation/Gender Identity/National Origin/** **Age/Genetic Information** **/Protected Veteran/Disability Status***
Puede ver este sitio de empleo y aplicación en español utilizando la configuración de su navegador o teléfono móvil. Haga clic a continuación para obtener más información.
Microsoft Edge ( Chrome
Safari
iPhone
Androide ( Foods is one of America's great food companies and a leading foodservice distributor, partnering with approximately 300,000 restaurants and foodservice operators to help their businesses succeed. With 28,000 employees and more than 70 locations, US Foods provides its customers with a broad and innovative food offering and a comprehensive suite of e-commerce, technology and business solutions. US Foods is headquartered in Rosemont, Ill., and generates more than $28 billion in annual revenue. Visit to learn more.
US Foods may collect personal information from you in connection with the application process. US Foods complies with the California Privacy Rights Act of 2020, and its policy may be found here ( **.**
US Foods, Inc. is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other basis prohibited by applicable law.
Know Your Rights ( Transparency policy statement is available here ( Foods is committed to working with and providing reasonable accommodation to individuals with disabilities. If reasonable accommodation is needed to participate in the interview process or to perform essential job functions, please contact our US Foods Application Accommodation Line at . You will be prompted to leave a message. Please state the specifics of the assistance needed and your contact information. A member of our HR department will return your call within two business days.
Is this job a match or a miss?
Apply Now
3
External Wholesaler - Raymond James Investment Management - Remote / Ohio
43201 Columbus
Raymond James Financial, Inc.
Posted 2 days ago
Job Viewed
Job Description
**Responsibilities:**
- Responsible for building and maintaining relationships with financial advisors to generate assets within a specific territory.
- Assists with educating financial advisors on the benefits of offered products and services for their clients through individual or group meetings presentations, including branch visits, seminars and conferences/trade shows.
- Assists with developing and implementing wholesaling business plans for the territory to deliver on sales goals.
- Presents sales activities at weekly wholesaling meetings.
- Maintains wholesaling activity logs and or databases to create and maintain broker profile levels and data on current and proposed sales activity.
- Works closely with assigned internal wholesaler to deliver sales goals by identifying and fostering leads generated from referrals, ad campaigns and territory canvassing.
- Manages expense account within allotted budget.
- Performs other duties and responsibilities as assigned.
**Knowledge of:**
- Fundamental concepts, principles and practices of the securities industry and asset management products.
- Broker/dealer operations.
**Skill in:**
- Identifying the needs of customers through effective questioning and listening techniques.
- Organize, manage and track multiple detailed tasks and assignments with frequently changing priorities in a fast-paced work environment.
- Preparing and delivering clear, convincing and professional sales presentations to small and large audiences.
- Problem solving sufficient to effectively analyze, research and resolve inquiries and issues in a timely manner.
- Analyzing business processes and identifying process improvement opportunities.
- Operating standard office equipment and using required software application to produce correspondence, reports, electronic communication, and spreadsheets.
**Ability to:**
- Represent the company in a highly professional manner.
- Organize, prioritize, and manage tasks and projects to complete work efficiently.
- Use appropriate interpersonal styles and communicate effectively and professionally, both orally and in writing, with all organizational levels to accomplish objectives and convince others to accept ideas or goals.
- Develop and maintain effective working relationships with team members, internal partners, and external parties.
- Assimilate and prioritize strategies into operational guidelines.
- Work independently as well as collaboratively within a team environment.
- Establish clear directions and priorities.
**Educational/Previous Experience Requirements:**
- Bachelor's Degree (B.A.) in Finance or related field and a minimum two (2) years of experience in the financial services industry.
~or~
- Any equivalent combination of experience, education, and/or training approved by Human Resources.
**Licenses/Certifications:**
- SIE required provided that an exemption or grandfathering cannot be applied.
- FINRA Series 7 and the ability to obtain other necessary license within sixty (60) days of hire.
- Responsible for building and maintaining relationships with financial advisors to generate assets within a specific territory.
- Assists with educating financial advisors on the benefits of offered products and services for their clients through individual or group meetings presentations, including branch visits, seminars and conferences/trade shows.
- Assists with developing and implementing wholesaling business plans for the territory to deliver on sales goals.
- Presents sales activities at weekly wholesaling meetings.
- Maintains wholesaling activity logs and or databases to create and maintain broker profile levels and data on current and proposed sales activity.
- Works closely with assigned internal wholesaler to deliver sales goals by identifying and fostering leads generated from referrals, ad campaigns and territory canvassing.
- Manages expense account within allotted budget.
- Performs other duties and responsibilities as assigned.
**Knowledge of:**
- Fundamental concepts, principles and practices of the securities industry and asset management products.
- Broker/dealer operations.
**Skill in:**
- Identifying the needs of customers through effective questioning and listening techniques.
- Organize, manage and track multiple detailed tasks and assignments with frequently changing priorities in a fast-paced work environment.
- Preparing and delivering clear, convincing and professional sales presentations to small and large audiences.
- Problem solving sufficient to effectively analyze, research and resolve inquiries and issues in a timely manner.
- Analyzing business processes and identifying process improvement opportunities.
- Operating standard office equipment and using required software application to produce correspondence, reports, electronic communication, and spreadsheets.
**Ability to:**
- Represent the company in a highly professional manner.
- Organize, prioritize, and manage tasks and projects to complete work efficiently.
- Use appropriate interpersonal styles and communicate effectively and professionally, both orally and in writing, with all organizational levels to accomplish objectives and convince others to accept ideas or goals.
- Develop and maintain effective working relationships with team members, internal partners, and external parties.
- Assimilate and prioritize strategies into operational guidelines.
- Work independently as well as collaboratively within a team environment.
- Establish clear directions and priorities.
**Educational/Previous Experience Requirements:**
- Bachelor's Degree (B.A.) in Finance or related field and a minimum two (2) years of experience in the financial services industry.
~or~
- Any equivalent combination of experience, education, and/or training approved by Human Resources.
**Licenses/Certifications:**
- SIE required provided that an exemption or grandfathering cannot be applied.
- FINRA Series 7 and the ability to obtain other necessary license within sixty (60) days of hire.
Is this job a match or a miss?
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4
Director, Master Data Management - Remote
15222 Pittsburgh
Insight Global
Posted 1 day ago
Job Viewed
Job Description
Job Description
We are seeking a Director of Master Data Management (MDM) to lead enterprise-wide MDM strategy and execution, with a focus on Customer and Supplier domains. This role will drive data governance, stewardship, and data quality initiatives to enable business growth, operational efficiency, and data-driven decision-making.
This leader will own the vision, design, and execution of MDM data products, while leading a cross-functional team and partnering closely with stakeholders across Enterprise Applications, Sales, Supply Chain, Finance, and HR. The Director will play a key role in advancing data governance maturity, standardization, and enterprise-wide adoption of high-quality master data.
Key Responsibilities
Define and execute the enterprise MDM strategy aligned to digital transformation initiatives
Lead MDM initiatives across Customer and Supplier domains
Establish and scale Master Data domains, governance frameworks, and operating models
Drive data harmonization and standardization across the enterprise to ensure consistency
Build and lead a team of MDM Architects, Data Stewards, and Analysts
Own data quality, stewardship, and governance processes
Develop and track KPIs/metrics to measure MDM effectiveness and business impact
Partner with cross-functional stakeholders to drive adoption and alignment
Implement best practices, automation, and scalable data models
Champion a data accuracy and governance culture across the organization
Oversee development and delivery of MDM data products and platforms (Informatica)
Drive continuous improvement and operational excellence in master data processes
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: and Requirements
10+ years of IT / enterprise applications experience
7+ years specifically in Master Data Management (Customer, Supplier, Product, or Reference domains)
Proven experience leading enterprise MDM strategy and implementations
Hands-on experience with Informatica MDM solutions
Experience building MDM functions from the ground up (domains + governance)
Strong leadership experience managing cross-functional teams (MDM, Data Stewards, Architects)
Deep understanding of:
Data governance & stewardship frameworks
Data quality & standardization practices
Experience partnering with business stakeholders across multiple functions (Sales, Supply Chain, Finance, etc.)
Strong ability to define KPIs and measure business impact of data initiatives
Exceptional communication skills with ability to present to technical and executive audiences Experience in multiple master data domains (Customer, Supplier, Product, Reference)
Background in AI/ML, statistics, or advanced analytics
Experience with enterprise data product design or data platforms
Prior experience driving MDM in large, complex enterprise environments (distribution/supply chain preferred)
Experience with automation and advanced data modeling techniques
Master's Degree in a relevant field
MDM-related certifications
Experience managing data-intensive or ML-driven initiatives
We are seeking a Director of Master Data Management (MDM) to lead enterprise-wide MDM strategy and execution, with a focus on Customer and Supplier domains. This role will drive data governance, stewardship, and data quality initiatives to enable business growth, operational efficiency, and data-driven decision-making.
This leader will own the vision, design, and execution of MDM data products, while leading a cross-functional team and partnering closely with stakeholders across Enterprise Applications, Sales, Supply Chain, Finance, and HR. The Director will play a key role in advancing data governance maturity, standardization, and enterprise-wide adoption of high-quality master data.
Key Responsibilities
Define and execute the enterprise MDM strategy aligned to digital transformation initiatives
Lead MDM initiatives across Customer and Supplier domains
Establish and scale Master Data domains, governance frameworks, and operating models
Drive data harmonization and standardization across the enterprise to ensure consistency
Build and lead a team of MDM Architects, Data Stewards, and Analysts
Own data quality, stewardship, and governance processes
Develop and track KPIs/metrics to measure MDM effectiveness and business impact
Partner with cross-functional stakeholders to drive adoption and alignment
Implement best practices, automation, and scalable data models
Champion a data accuracy and governance culture across the organization
Oversee development and delivery of MDM data products and platforms (Informatica)
Drive continuous improvement and operational excellence in master data processes
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: and Requirements
10+ years of IT / enterprise applications experience
7+ years specifically in Master Data Management (Customer, Supplier, Product, or Reference domains)
Proven experience leading enterprise MDM strategy and implementations
Hands-on experience with Informatica MDM solutions
Experience building MDM functions from the ground up (domains + governance)
Strong leadership experience managing cross-functional teams (MDM, Data Stewards, Architects)
Deep understanding of:
Data governance & stewardship frameworks
Data quality & standardization practices
Experience partnering with business stakeholders across multiple functions (Sales, Supply Chain, Finance, etc.)
Strong ability to define KPIs and measure business impact of data initiatives
Exceptional communication skills with ability to present to technical and executive audiences Experience in multiple master data domains (Customer, Supplier, Product, Reference)
Background in AI/ML, statistics, or advanced analytics
Experience with enterprise data product design or data platforms
Prior experience driving MDM in large, complex enterprise environments (distribution/supply chain preferred)
Experience with automation and advanced data modeling techniques
Master's Degree in a relevant field
MDM-related certifications
Experience managing data-intensive or ML-driven initiatives
Is this job a match or a miss?
Apply Now
5
Payment Compliance & Contract Management Collector (REMOTE)
37065 Franklin
Community Health Systems
Posted 2 days ago
Job Viewed
Job Description
**Benefits**
+ Comprehensive Health Coverage - Medical, dental, and vision plans to keep you and your family healthy.
+ Future Security: 401(k) with matching
+ Student Loan Support - Up to $10,000 repayment assistance, because we invest in your future.
+ Educational Tuition Assistance
+ Competitive Pay & Full Benefits - A salary and package designed to reward your expertise and dedication.
**Job Summary**
The Payment Compliance & Contract Management (PCCM) Collector is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements.
**Essential Functions**
+ Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution.
+ Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms.
+ Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies.
+ Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements.
+ Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance.
+ Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management.
+ Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections.
+ Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree or higher preferred
+ 1-2 years of experience in healthcare collections, revenue cycle, or contract management required
+ Familiarity with payer contracts and healthcare reimbursement methodologies preferred
**Knowledge, Skills and Abilities**
+ Strong analytical and problem-solving skills.
+ Proficient in understanding and interpreting payer contracts and reimbursement terms.
+ Effective communication and negotiation skills.
+ Ability to work independently and manage multiple priorities in a fast-paced environment.
+ Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel.
+ Attention to detail and high degree of accuracy in reconciliation and analysis.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
+ Comprehensive Health Coverage - Medical, dental, and vision plans to keep you and your family healthy.
+ Future Security: 401(k) with matching
+ Student Loan Support - Up to $10,000 repayment assistance, because we invest in your future.
+ Educational Tuition Assistance
+ Competitive Pay & Full Benefits - A salary and package designed to reward your expertise and dedication.
**Job Summary**
The Payment Compliance & Contract Management (PCCM) Collector is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements.
**Essential Functions**
+ Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution.
+ Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms.
+ Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies.
+ Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements.
+ Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance.
+ Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management.
+ Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections.
+ Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree or higher preferred
+ 1-2 years of experience in healthcare collections, revenue cycle, or contract management required
+ Familiarity with payer contracts and healthcare reimbursement methodologies preferred
**Knowledge, Skills and Abilities**
+ Strong analytical and problem-solving skills.
+ Proficient in understanding and interpreting payer contracts and reimbursement terms.
+ Effective communication and negotiation skills.
+ Ability to work independently and manage multiple priorities in a fast-paced environment.
+ Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel.
+ Attention to detail and high degree of accuracy in reconciliation and analysis.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.
Is this job a match or a miss?
Apply Now
6
Director, Account Management - Remote
Posted 2 days ago
Job Viewed
Job Description
**Job Description:**
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit .
**Job Summary:**
Primary responsibility is to effectively manage ongoing relationships with Employer/Payor/Government clients in portfolio. Focus of this position is to provide excellent account management resulting in client success, retention, and growth of existing and new services. Directly manage a team which manages individual client accounts and may include directly managing accounts. Function as a resource and mentor to Account Managers on your team and across Account Management.
**Client Management:**
+ Nurture and develop overall business relationships at highest level possible of assigned accounts.
+ Establish and/or improve positive strategic relationships with clients and respective consultants.
+ Strive to maximize existing services to their full value and search for opportunities to augment portfolio with new/add on services.
+ Understand and report up to date financial standing of all services and overall portfolio performance, developing action plans as needed.
+ Conduct formal periodic review meetings with client(s) to: review performance; surface any threats and opportunities; discuss new ideas and solutions.
+ Supporting AM in initial handoff process from sales to ensure clear definition of scope, pricing, PGs, for all new clients.
+ Resolve issues through proper channels in the organization with customer's perspective in mind.
**Contract Delivery, Expansion and Renewal:**
+ Accountable for all contractual deliverables including performance guarantees and revenue targets.
+ Use consultative selling practices to identify and pursue opportunities for contract expansion.
+ Facilitate pre-renewal internal strategy meetings to discuss customer issues, problems, needs, opportunities, competitive threats and alternatives to be proposed.
+ Drive the renewal strategy development, packaging, presentation, and negotiation activities to ensure clients receive a comprehensive, professional, and compelling renewal package.
+ Coordinate and prepare for renewal, new services, and RFP responses as applicable.
+ Drive pricing strategy and appropriate financial data needed to support pricing strategy.
**Strategic Planning:**
+ Ability to effectively manage up to VP and SVP levels on strategic opportunities and risks related to book of business.
+ Ensure profitability of individual accounts and overall Sharecare profitability.
+ Discuss customer issues affecting the cost-of-service delivery and margin and help identify creative solutions to those issues.
+ Responsible for account level business plan.
**Reporting:**
+ Partner with the internal reporting teams to ensure timely and accurate reporting of necessary data, reports, and course of action in managing and renewing clients.
+ Ability to analyze provided reporting metrics to develop reporting story based on agreed client objectives or KPIs.
+ Effectively prepare and present reports to client(s). (e.g. monthly, quarterly and annual reporting) With ability to communicate value story based on provided reporting data.
**Colleague Management and Development:**
+ Provide direct supervision to assigned Account Managers, as applicable.
+ When applicable, be responsible for hiring, developing, supervising, and retaining colleagues.
+ Provide the leadership necessary to maintain a relationship focused, motivated, productive and competent team through open communication, coaching, and delegation of responsibilities and authority.
+ Responsible for performance reviews and real time feedback, as applicable.
+ Ability to hold team members accountable against business requirements (Financial updates, sales force tracking, etc.), as applicable.
+ Support career planning as needed.
**Leadership and Management:**
+ Participate as an active member of the Account Management team and provide strategic and tactical perspectives including serving on committees or handling special projects.
+ Ability to work cross functionally and drive needed conversations across technology, marketing, customer service teams for client support needs.
+ Manage your individual and team's client base with a goal to streamline, innovate, and use technology and systems effectively at scale.
+ Identify opportunities or gaps for improved service and/or growth of existing services or new services via coordination with internal groups.
**Qualifications:**
+ 10 or more years of progressive experience in a health care environment is required.
+ This experience will be predominately in account management/marketing/operations/technical capacity.
+ Demonstrated experience leading an account team of large, national commercial and/or Health plan accounts, preferred.
+ Bachelor's degree in business, health administration, or health-related discipline required. Master's degree or equivalent additional experience, preferred.
+ Diverse capabilities represented by successful experiences in several healthcare settings or a variety of healthcare experiences within a single setting, preferred.
+ Solid understanding of key financial metrics such as revenue and margins.
+ Strong analytic and quantitative skills with client relationship management and consultative sales abilities.
+ Exceptional written and verbal communication skills and effective presentation skills are required.
+ Ability to travel as business needs require.
**Specific Skills/Attributes:**
+ Ability to build relationships with clients and to develop unique client focused solutions based on strong understanding of client business challenges and needs.
+ Skillful negotiator and experience with conflict resolution.
+ Outstanding execution skills and values planning and preparation to ensure success.
+ Demonstrated leadership skills, with emphasis on management with ability to stay on top of administrative tasks.
+ Maintenance of detailed and up-to-date customer status reports.
+ Ability to manage inter-company relationships and appropriately influence others.
+ Act strategically when confronted with barriers.
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit .
**Job Summary:**
Primary responsibility is to effectively manage ongoing relationships with Employer/Payor/Government clients in portfolio. Focus of this position is to provide excellent account management resulting in client success, retention, and growth of existing and new services. Directly manage a team which manages individual client accounts and may include directly managing accounts. Function as a resource and mentor to Account Managers on your team and across Account Management.
**Client Management:**
+ Nurture and develop overall business relationships at highest level possible of assigned accounts.
+ Establish and/or improve positive strategic relationships with clients and respective consultants.
+ Strive to maximize existing services to their full value and search for opportunities to augment portfolio with new/add on services.
+ Understand and report up to date financial standing of all services and overall portfolio performance, developing action plans as needed.
+ Conduct formal periodic review meetings with client(s) to: review performance; surface any threats and opportunities; discuss new ideas and solutions.
+ Supporting AM in initial handoff process from sales to ensure clear definition of scope, pricing, PGs, for all new clients.
+ Resolve issues through proper channels in the organization with customer's perspective in mind.
**Contract Delivery, Expansion and Renewal:**
+ Accountable for all contractual deliverables including performance guarantees and revenue targets.
+ Use consultative selling practices to identify and pursue opportunities for contract expansion.
+ Facilitate pre-renewal internal strategy meetings to discuss customer issues, problems, needs, opportunities, competitive threats and alternatives to be proposed.
+ Drive the renewal strategy development, packaging, presentation, and negotiation activities to ensure clients receive a comprehensive, professional, and compelling renewal package.
+ Coordinate and prepare for renewal, new services, and RFP responses as applicable.
+ Drive pricing strategy and appropriate financial data needed to support pricing strategy.
**Strategic Planning:**
+ Ability to effectively manage up to VP and SVP levels on strategic opportunities and risks related to book of business.
+ Ensure profitability of individual accounts and overall Sharecare profitability.
+ Discuss customer issues affecting the cost-of-service delivery and margin and help identify creative solutions to those issues.
+ Responsible for account level business plan.
**Reporting:**
+ Partner with the internal reporting teams to ensure timely and accurate reporting of necessary data, reports, and course of action in managing and renewing clients.
+ Ability to analyze provided reporting metrics to develop reporting story based on agreed client objectives or KPIs.
+ Effectively prepare and present reports to client(s). (e.g. monthly, quarterly and annual reporting) With ability to communicate value story based on provided reporting data.
**Colleague Management and Development:**
+ Provide direct supervision to assigned Account Managers, as applicable.
+ When applicable, be responsible for hiring, developing, supervising, and retaining colleagues.
+ Provide the leadership necessary to maintain a relationship focused, motivated, productive and competent team through open communication, coaching, and delegation of responsibilities and authority.
+ Responsible for performance reviews and real time feedback, as applicable.
+ Ability to hold team members accountable against business requirements (Financial updates, sales force tracking, etc.), as applicable.
+ Support career planning as needed.
**Leadership and Management:**
+ Participate as an active member of the Account Management team and provide strategic and tactical perspectives including serving on committees or handling special projects.
+ Ability to work cross functionally and drive needed conversations across technology, marketing, customer service teams for client support needs.
+ Manage your individual and team's client base with a goal to streamline, innovate, and use technology and systems effectively at scale.
+ Identify opportunities or gaps for improved service and/or growth of existing services or new services via coordination with internal groups.
**Qualifications:**
+ 10 or more years of progressive experience in a health care environment is required.
+ This experience will be predominately in account management/marketing/operations/technical capacity.
+ Demonstrated experience leading an account team of large, national commercial and/or Health plan accounts, preferred.
+ Bachelor's degree in business, health administration, or health-related discipline required. Master's degree or equivalent additional experience, preferred.
+ Diverse capabilities represented by successful experiences in several healthcare settings or a variety of healthcare experiences within a single setting, preferred.
+ Solid understanding of key financial metrics such as revenue and margins.
+ Strong analytic and quantitative skills with client relationship management and consultative sales abilities.
+ Exceptional written and verbal communication skills and effective presentation skills are required.
+ Ability to travel as business needs require.
**Specific Skills/Attributes:**
+ Ability to build relationships with clients and to develop unique client focused solutions based on strong understanding of client business challenges and needs.
+ Skillful negotiator and experience with conflict resolution.
+ Outstanding execution skills and values planning and preparation to ensure success.
+ Demonstrated leadership skills, with emphasis on management with ability to stay on top of administrative tasks.
+ Maintenance of detailed and up-to-date customer status reports.
+ Ability to manage inter-company relationships and appropriately influence others.
+ Act strategically when confronted with barriers.
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Is this job a match or a miss?
Apply Now
7
Utilization Management Nurse Consultant - Medical Review (Remote)
Posted 5 days ago
Job Viewed
Job Description
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
**Position Information**
Schedule: Monday-Friday 8:00am-5:00pm EST
Location: 100% Remote (U.S. only)
**About Us**
American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members.
**Position Summary**
Join a team that's making a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers.
This fully remote position offers the opportunity to apply your clinical expertise in a fast-paced, desk-based environment where precision, communication, and compassion intersect.
**Key Responsibilities**
+ Utilizes clinical experience and skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases.
+ Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical determination to the client.
+ Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed.
+ Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring and feedback.
+ Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client needs.
+ Recommends, tests, and implements process improvements, new audit concepts, technology improvements, etc. that enhance production, quality, and client satisfaction.
+ Must be able to work independently without personal distractions to meet quality and metric expectations.
**Remote Work Expectations**
+ This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
+ Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
**Required Qualifications**
+ Active, unrestricted RN license in your state of residence with multistate/compact licensure privileges. Ability to obtain licensure in non-compact states as needed.
+ Minimum 3 years of clinical experience.
+ 5 years demonstrated to make thorough independent decisions using clinical judgement.
+ 5 Years proficient use of equipment experience including phone, computer, etc. and clinical documentation systems.
+ 1+ Year of Utilization Review Management and/or Medical Management experience.
+ Commitment to attend a mandatory 3-week training (Monday-Friday, 8:30am-5:00pm EST) with 100% participation.
**Preferred Qualifications**
+ Experience with interpreting Plan Language, Policies, and Benefits to determine medical necessity.
+ MCG Milliman, CPB or other criteria guideline application experience is preferred.
**Education**
+ Associate's degree in nursing (RN) required, BSN preferred.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$26.01 - $56.14
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments ( .
We anticipate the application window for this opening will close on: 07/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
**Position Information**
Schedule: Monday-Friday 8:00am-5:00pm EST
Location: 100% Remote (U.S. only)
**About Us**
American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members.
**Position Summary**
Join a team that's making a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a vital role in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers.
This fully remote position offers the opportunity to apply your clinical expertise in a fast-paced, desk-based environment where precision, communication, and compassion intersect.
**Key Responsibilities**
+ Utilizes clinical experience and skills in a collaborative process to implement, coordinate, monitor and evaluate medical review cases.
+ Applies the appropriate clinical criteria/guideline and plan language or policy specifics to render a medical determination to the client.
+ Applies critical thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a Medical Director referral as needed.
+ Assists management with training new nurse reviewers/business partners or vendors to include initial and ongoing mentoring and feedback.
+ Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet client needs.
+ Recommends, tests, and implements process improvements, new audit concepts, technology improvements, etc. that enhance production, quality, and client satisfaction.
+ Must be able to work independently without personal distractions to meet quality and metric expectations.
**Remote Work Expectations**
+ This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
+ Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
**Required Qualifications**
+ Active, unrestricted RN license in your state of residence with multistate/compact licensure privileges. Ability to obtain licensure in non-compact states as needed.
+ Minimum 3 years of clinical experience.
+ 5 years demonstrated to make thorough independent decisions using clinical judgement.
+ 5 Years proficient use of equipment experience including phone, computer, etc. and clinical documentation systems.
+ 1+ Year of Utilization Review Management and/or Medical Management experience.
+ Commitment to attend a mandatory 3-week training (Monday-Friday, 8:30am-5:00pm EST) with 100% participation.
**Preferred Qualifications**
+ Experience with interpreting Plan Language, Policies, and Benefits to determine medical necessity.
+ MCG Milliman, CPB or other criteria guideline application experience is preferred.
**Education**
+ Associate's degree in nursing (RN) required, BSN preferred.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$26.01 - $56.14
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments ( .
We anticipate the application window for this opening will close on: 07/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
Is this job a match or a miss?
Apply Now
8
Strategic Sourcing Manager - Category Management (Remote)
Posted 3 days ago
Job Viewed
Job Description
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
**Job Posting Title**
Strategic Sourcing Manager - Category Management (Remote)
**Job Description**
The Strategic Sourcing Manager is responsible for supporting the Sourcing team in executing sourcing strategies for lower risk, lower spend, and lower complex vendor categories. This includes assisting in developing vendor strategies, designing and administering RFx(s), vendor negotiations, contract drafting and redlining, and other sourcing management functions. The Strategic Sourcing Manager will assist in cross-functional vendor lifecycle management and sourcing initiatives.
**Responsibilities**
+ Lead the sourcing needs and procurement activities for lower-risk, lower spend, and lower complex vendor categories, including basic option/cost analysis, contract drafting and redlining, and negotiations in alignment to company sourcing processes, standards, and documentation
+ Support the Strategic Sourcing team in negotiation strategy development, spend management and action planning for contract renewals, extensions, and amendments, ensuring that projects are completed on a timely basis and at maximum value; research and develop sourcing strategy options and support team on implementing the sourcing strategies approved by leadership
+ Provide monthly, quarterly, and ad hoc reports including, but not limited to, vendor spend, contract clause library, contract pricing, vendor performance, and other ad hoc research and analysis in support of the broader sourcing team's and Prime's needs
+ Participate in department projects and initiatives, including but not limited to, Sourcing and Finance policy management, process improvement, contract audits, contracting project management reporting, and competitive sourcing events and Request For Proposal (RFP) responses
+ Responsible for data integrity, usability, and insights into the procurement and contract management systems. Assist and lead financial and options analysis. Assist Sourcing Managers and Director to develop and execute implementation of Sourcing systems roadmap and continuous improvement plans.
+ Other duties as assigned
**Minimum Qualifications**
+ Bachelor's degree in accounting, finance or related area of study, or equivalent combination of education and/or work experience
+ 2 years of work experience in procurement, buying, supply chain, or strategic sourcing
+ Must be eligible to work in the United States without need for work visa or residency sponsorship
**Additional Qualifications**
+ Strong verbal and written communication skills
+ Ability to work effectively in a matrix environment, collaborate, and manage multiple tasks and priorities.
+ Proficient in use of Microsoft Office suite (Excel, Word, and PowerPoint)
+ Basic understanding of contract drafting and redlining and the sourcing process
**Preferred Qualifications**
+ Experience with ERP financial systems, sourcing tools, contract lifecycle management systems, and/or other related systems
+ Prior project management experience
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
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 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 ( 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 (including pregnancy), 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.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
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 (including pregnancy), 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 email
**Job Posting Title**
Strategic Sourcing Manager - Category Management (Remote)
**Job Description**
The Strategic Sourcing Manager is responsible for supporting the Sourcing team in executing sourcing strategies for lower risk, lower spend, and lower complex vendor categories. This includes assisting in developing vendor strategies, designing and administering RFx(s), vendor negotiations, contract drafting and redlining, and other sourcing management functions. The Strategic Sourcing Manager will assist in cross-functional vendor lifecycle management and sourcing initiatives.
**Responsibilities**
+ Lead the sourcing needs and procurement activities for lower-risk, lower spend, and lower complex vendor categories, including basic option/cost analysis, contract drafting and redlining, and negotiations in alignment to company sourcing processes, standards, and documentation
+ Support the Strategic Sourcing team in negotiation strategy development, spend management and action planning for contract renewals, extensions, and amendments, ensuring that projects are completed on a timely basis and at maximum value; research and develop sourcing strategy options and support team on implementing the sourcing strategies approved by leadership
+ Provide monthly, quarterly, and ad hoc reports including, but not limited to, vendor spend, contract clause library, contract pricing, vendor performance, and other ad hoc research and analysis in support of the broader sourcing team's and Prime's needs
+ Participate in department projects and initiatives, including but not limited to, Sourcing and Finance policy management, process improvement, contract audits, contracting project management reporting, and competitive sourcing events and Request For Proposal (RFP) responses
+ Responsible for data integrity, usability, and insights into the procurement and contract management systems. Assist and lead financial and options analysis. Assist Sourcing Managers and Director to develop and execute implementation of Sourcing systems roadmap and continuous improvement plans.
+ Other duties as assigned
**Minimum Qualifications**
+ Bachelor's degree in accounting, finance or related area of study, or equivalent combination of education and/or work experience
+ 2 years of work experience in procurement, buying, supply chain, or strategic sourcing
+ Must be eligible to work in the United States without need for work visa or residency sponsorship
**Additional Qualifications**
+ Strong verbal and written communication skills
+ Ability to work effectively in a matrix environment, collaborate, and manage multiple tasks and priorities.
+ Proficient in use of Microsoft Office suite (Excel, Word, and PowerPoint)
+ Basic understanding of contract drafting and redlining and the sourcing process
**Preferred Qualifications**
+ Experience with ERP financial systems, sourcing tools, contract lifecycle management systems, and/or other related systems
+ Prior project management experience
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
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $66,000.00 - $106,000.00 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 ( 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 (including pregnancy), 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.
At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference.
We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together.
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 (including pregnancy), 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 email
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