A Vacancy at Kent Community Health NHS Foundation Trust.


The NHS is changing. More emphasis on community-based care means there’s never been a better time to join us.

We have an exciting opportunity for a skilled and efficient Assistant Director for Community Hospitals Transformation to join our executive team on a secondment contract for 24 months.

We’re a close team but we’re never exclusive, if you can bring a professional approach and fresh ideas we would love to hear from you.

Could you use your skills and experience to support the NHS to deliver great patient care? Great patient care needs great people to support clinical teams. That’s where you come in.

We’re always looking for enthusiastic, responsive, and adaptable people to join our outstanding trust. This role is an important one as you’ll be using your knowledge, experience and expertise to provide admin support to our hard-working frontline NHS teams.

We put patients first and we expect all of our colleagues to do the same, so although NHS experience isn’t a requirement for this role you’ll need to share our passion for delivering excellent patient care and keep that passion at the forefront of your professional activity at all times.

The challenges come thick and fast in this role but you’ll know that your input is contributing to the excellent experience our patients and service users have every day.









Rated ‘outstanding’ by the CQC, we’ve got a passion for delivering high standards of patient care and excellent services to improve the health of our communities. To do this we need outstanding people who share our values compassionate Aspirational Responsive Excellent

We know a commitment to equity, diversity and inclusion leads to better patient care and a happier workforce. We pride ourselves in being diverse and welcome applications from people with varied backgrounds, perspectives and experiences

We ask for information about your protected characteristics on our application forms. This isn’t visible to anyone involved with shortlisting or interviewing you, except when you choose to be considered under the guaranteed interview scheme due to disability. Short listers will see two ticks alongside your application to ensure they apply the principles of the scheme to your submission

The data we collect helps us to ensure we are attracting diversity in our applicants, that all our colleagues have equitable access to career opportunities and supports us on our journey to being a Great Place to Work

As a flexible working friendly organisation, we want you to be able to work in a way that is best for us, for our patients and for you. Talk to us about a flexible working arrangement that won’t involve sacrificing time for personal interests or family commitments. We’ll support you to work flexibly in a way that will suits us both

See where you can go with KCHFT career pathways

The job description and person specification gives you all the information you need about this role. Please look carefully at the criteria in the person specification and tell us what you have done that shows you meet this in your application. If you need an application form in an alternative format please let our recruitment team know. All information you supply on your application should, to the best of your knowledge, be true and accurate.

Still have questions? The recruiting manager would love to hear from you, their contact details can be found in the job advert.

We can get a lot of applications for some roles so to be in with the best chance of being shortlisted please make sure you apply as soon as possible. A vacancy may close early if there is a lot of interest in the job.

At KCHFT we strongly encourage colleagues in clinical and non-clinical roles who have direct or social contact with patients to be fully vaccinated. In this way we will be doing all we can to ensure your safety and that of your colleagues and the patients we serve.

Find out more about the community difference here.

Good luck! We can’t wait to meet you and welcome you to #teamKCHFT, #cometocommunity.


This advert closes on Wednesday 30 Oct 2024

Associate Planning Director/Planning Director

You are strategic steward for the company's business: an advocate for what’s right for the Health & Wellness industry. You are a leader and mentor offering thought leadership both inside and outside the company. You contribute back to the business, by owning a key part of training the next generation of planners or publishing thought leadership.

You help to grow the healthcare business and create opportunities for the company within the industry based on our company's expertise. Senior clients seek your council.

You create career paths for your team members, giving them feedback and creating opportunities for them to thrive. Thought leadership comes naturally, as your broad and deep experience leads you to new ideas naturally.

Your focus as an Associate Planning Director/Planning Director:

• Support Brand platform and brand architecture for strategic Health consumer health, Heath tech, Nutrition, and wellness brands. You will lead regional planning development for a few corner stone clients.
• Act as a strategy leader advising client on their Coms and Marketing needs, with a holistic vision across the range of services provided by Ogilvy (Coms, advertising, PR, Digital experiences, etc.…)
• Lead business strategy work, and help your client transform their marketing models.
• Contribute to our Ogilvy Innovation positioning in participating to our tech and digital acceleration (AI in marketing, digital partnership, Marketing technology).
• Foster partnership with the rest of our organization and businesses to develop proper Health acceleration products and bring the best of our company's practices and expertise to all Healthcare clients/business partners.
• Establish yourself as a trusted advisor to industry partners and a critical part of the client-facing leadership team.
• Lead regional new and existing business and knowing how and when to determine a direction for new projects.
• Running strategic workshops as well as being conversant enough on other types of strategy such as engagement, social, data to be in the discussion and spot opportunities.
• Seeking to inspire those around you to create and deliver ever better strategic work.
• Coaching and developing more junior strategists in your team and supporting the company's strategy team to evolve and grow.

Qualities for the role:

• people management & help them to succeed
• commercially astute and accountability
• strong stage presence
• brand builder and architect
• direct high-level client exposure and management
• healthcare category expert
• Approx. 10 to 15 + years’ experience

Driving Customer Experience

• Establishing a strong relationship with our customers through beauty knowledge sharing and excellent customer service
• Advocating for Sephora Beauty Pass to help customers discover the benefits of our loyalty programme
• Introducing customers our eCommerce platform to increase conversion and repeated purchases
• Meeting sales targets by understanding customers' needs, recommending and selling products and services to our customers in all categories such as makeup, skincare, fragrance, and hair care

Beauty Excellence

• Assisting customers with product testing
• Performing basic beauty services across all categories

Operational Excellence

• Helping to make a beautiful first impression by keeping the store tidy, well-stocked, and ensuring our products are in good sellable conditions
• Participating in inventory control to reduce loss, and ensure compliance with sampling policies
• Operating the cashier functions in a professional and timely manner

We would love to hear from you if you have…

• Passion for customer service and enjoy working with people
• Knowledge about what’s new and trending in beauty
• Prior experience working in retail or services industries (a plus!)
• Strong communication skills, ability to multitask, and comfortability with computer/store systems
• Resilience and the ability to react to situations in-the-moment and stay aware of changing store priorities as they arise
• Flexible availability to work shifts as per mall retail hours

The Director of Estates Optimisation will be responsible for representing the Trust in relation to estates optimisation across the Kent and Medway Integrated Care System (ICS), Integrated Care Board (ICB) and
the Health and Care Partnerships (HCPs). Accountable to the Trust executives, the post holder will operate as a member of the senior management team, responsible for creating, maintaining and executing an
evidence-based estates optimisation strategy and operating model and ensuring it aligns with the values and objectives of the Trust. Forging strong collaborative relationships with internal and external stakeholders will be key to ensuring the sharing of best practice and learning and the post holder will act as an ambassador for the Trust at all times, promoting the Trust values, philosophy and objectives

The Director of Estates Optimisation is a critical leadership and professional role accountable for ensuring a property portfolio of around £66m is optimised to meet the Trust’s needs taking account of:
• Suitability of premises for both clinical activity and support services
• Cost of occupying, including relation to frequency and flexibility of use
• Accessibility for patients and access to patients

The postholder will be responsible for representing the Trust in relation to estates optimisation across the ICS and H&CPs. A major component of the role will be leading multi-disciplinary teams across the wider system to achieve national and local system objectives and visions. This will also include chairing the West Kent HCP Estates Steering Group and East Kent/Thanet Steering Group amongst other system meetings and projects.

Rated ‘outstanding’ by the CQC, we’ve got a passion for delivering high standards of patient care and excellent services to improve the health of our communities. To do this we need outstanding people who share our values compassionate Aspirational Responsive Excellent

We know a commitment to equity, diversity and inclusion leads to better patient care and a happier workforce. We pride ourselves in being diverse and welcome applications from people with varied backgrounds, perspectives and experiences

We ask for information about your protected characteristics on our application forms. This isn’t visible to anyone involved with shortlisting or interviewing you, except when you choose to be considered under the guaranteed interview scheme due to disability. Short listers will see two ticks alongside your application to ensure they apply the principles of the scheme to your submission

The data we collect helps us to ensure we are attracting diversity in our applicants, that all our colleagues have equitable access to career opportunities and supports us on our journey to being a Great Place to Work

As a flexible working friendly organisation, we want you to be able to work in a way that is best for us, for our patients and for you. Talk to us about a flexible working arrangement that won’t involve sacrificing time for personal interests or family commitments. We’ll support you to work flexibly in a way that will suits us both

See where you can go with KCHFT career pathways

The job description and person specification gives you all the information you need about this role. Please look carefully at the criteria in the person specification and tell us what you have done that shows you meet this in your application. If you need an application form in an alternative format please let our recruitment team know. All information you supply on your application should, to the best of your knowledge, be true and accurate.

Still have questions? The recruiting manager would love to hear from you, their contact details can be found in the job advert.

We can get a lot of applications for some roles so to be in with the best chance of being shortlisted please make sure you apply as soon as possible. A vacancy may close early if there is a lot of interest in the job.

At KCHFT we strongly encourage colleagues in clinical and non-clinical roles who have direct or social contact with patients to be fully vaccinated. In this way we will be doing all we can to ensure your safety and that of your colleagues and the patients we serve.

Find out more about the community differencehere.

Good luck! We can’t wait to meet you and welcome you to #teamKCHFT, #cometocommunity.

It is important to us that all our staff are aligned to our Values and in particular the behaviours we expect from KCHFT managers. With this in mind as part of the selection process for this position you will be asked to complete two other activities in addition to the competency-based interview that you will invited to. This extended selection process is designed to assess your management style and the specific details of the exercises will be given if you are successfully shortlisted.The provisional date of the selection event is 4th September, although this may be subject to change.


This advert closes on Sunday 25 Aug 2024

Job Responsibilities:

Marketing Strategy Development:

• Conceptualize and implement the overall marketing strategy for all brands.
• Ensure alignment of marketing activities with brand equity.

Sales Impact and Cross-functional Collaboration:

• Collaborate with cross-functional teams to ensure marketing efforts positively impact sales performance.

Competitive Analysis:

• Monitor competitor activities and market trends to stay informed of developments.

KPI Measurement and Reporting:

• Define and develop KPI framework to measure marketing effectiveness.
• Provide analysis and performance reports on KPIs, recommending improvements.

E-commerce Management:

• Evaluate e-commerce campaign effectiveness and ROI.
• Manage e-commerce team, overseeing day-to-day operations (user experience, order fulfillment, customer service, content creation).

Team Management:

• Manage and develop the e-commerce team, including training, career development, and recruitment.
• Supervise offshore customer care/e-commerce support officer.

Requirements:

• Education and Experience:Bachelor’s degree in Business Administration or equivalent.
  Minimum 5 years of experience in a related field, with at least 2 years in a managerial capacity
  
• Digital Marketing Expertise:Prior experience in digital marketing strategy.
  Proficiency in SEO, Woocommerce, Shopify, Wordpress.
  
• Analytical Skills:Solid knowledge of web analytics tools such as Google Analytics.
  
• Team Leadership:Ability to lead and manage a small team effectively.
  
• Personal Attributes:Self-driven and motivated individual capable of taking initiative.
  

Additional Skills (Desirable):

• Experience in managing e-commerce platforms and campaigns.
• Familiarity with customer service and e-commerce support operations.

This role requires a strategic thinker with strong leadership skills in digital marketing and e-commerce, capable of driving growth and performance through effective marketing strategies and team management.

Interested candidates who wish to apply for the advertised position, please email us an updated copy of your resume for a confidential discussion. We regret that only shortlisted candidates will be notified.

Job Code: Ky

PERSOLKELLY Singapore Pte Ltd | EA Licence No: 01C4394

Chan Sau Wah Kenny | EA Reg No: R1106707

More jobs available www.persolkelly.com

By sending us your personal data and curriculum vitae (CV), you are deemed to consent to PERSOLKELLY Singapore Pte Ltd and its affiliates to collect, use and disclose your personal data for the purposes set out in the Privacy Policy available at https://www.persolkelly.com.sg/policies. You acknowledge that you have read, understood, and agree with the Privacy Policy.

#SGUnited

The person in this position plays a decisive role in increasing creativity and improving working capacity. Guarantee work achieves and even goes beyond Ogilvy’s creative standard, and always ensure actual effectiveness in terms of the brand and Client’s business. Responsible for all creative output and managing the creative process

Client Management

• Actively collaborate with Account department, and be willing to communicate with Clients in person as needed.

Strategy

• Provide helpful feedback to Strategy, and generate inspiring ideas in order to create even more high-quality works.

Creative Leadership

• Effectively transfer the message from Creative Committee to Creativity Team to ensure that all parties reach an agreement on how to achieve positive results and drive the performance of Ogilvy Creativity.
• Coordinate and manage creative resources reasonably to improve both effectiveness and efficiency.
• Review works monthly and quarterly, and report to CCO.
• Organize the team to participate in different national and international creative competitions, and report to CCO.
• Be passionate about innovative ideas, and encourage others to generate different ideas.
• Maintain the belief in being creative, and display the power of curiosity and creativity in daily life.
• Keep being patient, persistent and hopeful in pursuing the “Big Idea”.
• Earn respect and trust of colleagues.
• Ensure that creative ideas are executed in an exceptional way.
• Create a productive and “Big Idea” creative environment.
• Responsible for creative and effectiveness recognition at local and international awards competitions and new/existing business growth.

Leadership & People Management

• Be inspiring, encouraging and friendly to others, always work hard to make positive progress.
• Build trust and respect with others, provide training opportunities to ensure others’ development, and develop a team with professional ethics and effective performance.
• Take responsibility and keep commitments when facing huge challenges or mistakes.
• Provide different possible solutions to broaden horizons and achieve goals.
• Abide by the WPP Code of Business Conduct.
• Have cost management skills, and ensure that creative ideas can be executed.

Our client is a branded pharmaceutical MNC. They are looking for a qualified associate marketing director to be responsible for strategic planning and execution of marketing campaigns for both B2B and B2C, thus expanding market share across APAC.

Responsibilities

• Own the overall marketing strategy, conceptualization and execution of plans in APAC
• Develop a comprehensive understanding of brand portfolio, competition and customer needs and support strategy, execution and market roll-out of brand initiatives
• Collaborate closely with in-country Sales and Marketing and cross-functional teams to ensure a robust marketing strategy, product positioning, messaging, branding and activation are in place
• · Increase awareness, recommendation, usage and purchase of brand portfolio through active engagement with KOLs
• Provide compelling consumer / patient insights, including conceptualization and conducting market researches, and apply them to develop and differentiate marketing concepts, evidence-based claims as well as product experience
• Development of APAC regional campaigns (for local markets implementation and roll-out) targeted at consumers and KOLs
• Support channel partners in preparation for product launches and work closely with the regional teams in opening new markets as necessary
• Develop and maintain close working relationship with country teams to achieve alignment on strategies, plans and action

Requirements

• 10 -15 years of marketing experience in pharmaceutical/ FMCG/ Health & Beauty industry.
• Energetic, dedicated with strong presentation skills.

How to Apply:

• Interested applicants may apply by sending in your updated résumé (in MS Word format) to my email or apply directly:
• Consultant: Tan Weixiang
• EA personnel reg. no.- R1658660
• EA License No. 17C8502

Roles & Responsibilities:

- Manage assigned branch operations

- manage the beauticians assigned to the branch

- Responsible to promote the company's services and products to customers

- To build and maintain relationships with customers, and manage to convert them into long-term customers

- Willing to keep exploring in the beauty industry- treatments, procedures, and technology

- Manage and provide training and guidance to beauticians when necessary

- Able to do sales reports and analyses for management, and suggest the solution

Requirements:

- Good interpersonal skills, service-oriented, and able to multi-task

- Good working attitude and enjoy meeting people

- Fluent in English and Mandarin, prefer spoken and written

- Self-motivated in achieving sales targets

- Minimum 5 years working experience

Your Future Evolves Here

Associate Director, Medical Economics - Healthcare Experience Required

Our Research & Development team offers candidates the opportunity to explore new ways to promote appropriate and high-value care and improve clinical efficiencies which have meaningful impacts for our patients, providers, and partners. Our team values curiosity, continuous learning, and collaboration as we tackle some of the most challenging questions facing healthcare.

Collaboration Opportunities:

As an Associate Director on the Research and Development (R&D) team, you will be joining a group of multidisciplinary individuals with a passion for using analytics to drive innovation. You will have the opportunity to work within a team, shape team culture, and directly impact our offerings within a high-growth organization. You will interact with a broad range of subject matter experts from Clinicians to Healthcare Administration Specialists to understand some of the biggest issues in Healthcare. You will work closely with Data Science, Product, and select Business Units to find opportunities to advance Evolent’s mission to change the way healthcare is delivered.

What You’ll Be Doing:

• The Associate Director, Research and Development (R&D) will help lead the development of proof of concepts (POCs), identify automation and efficiency opportunities, and surface product optimization methods which empower healthcare payers, providers, and patients to optimize clinical interventions and reduce healthcare costs. This individual will apply their knowledge of healthcare and data analysis to Evolent products, platforms, data sources, and applications to provide recommendations and support our business. Recommendations will be evaluated for business impact and subsequently implemented into Evolent’s platforms and applications.

• Work with business stakeholders to identify high volume, manual, recurring processes ripe for automation using tools such as rules, robotic process automation (RPA), and Artificial Intelligence (AI)

• Work with the Medical team to define new ways to measure clinical value that inform value-based clinical pathways.

• Work with internal and external stakeholders to develop new value-based care initiatives.

• Rapidly prototype ideas, approaches, and methods

• Develop analysis plans and manage timelines for project deliverables.

• Communicate findings to team leadership and partner with teams who will translate findings into actions.

Qualifications - Required and Preferred:

• 4+ years of healthcare industry experience or related fields- Required.

• Bachelor’s degree in related fields such as Computer Science, Applied Mathematics, Statistics/Biostatistics, Software Engineering, Physics, Informatics, or Public Health from a strong academic program - Required.

• 2+ years applying one or more of the following languages (SQL, Python, SAS, R) in an analytics role/setting– Required.

• Programming experience, including understanding concepts in data structures, relational databases, algorithms- Required

• Experience with data visualization tools to communicate insights effective - Required.

• Experience applying Statistics, Data Science, or AI capabilities and concepts - Required.

• Independent, self-motivated, ability to work in ambiguity with little oversight – Required.

• Master’s or PhD in a field listed above with a focus on Artificial Intelligence, Machine Learning, Computational Linguistics, or another related field – Preferred.

• Experience with medical coding (CPT, ICD-10, DRG, REV, etc.) – Preferred.

• Experience with administrative healthcare claims and prior authorization data- Preferred.

Technical Requirements:

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. 

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.

The expected base salary/wage range for this position is $95,000 up to 110,000. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

Welcome to a team of caring and passionate people who work each day to meet the needs of our members and clients. At Luminare Health (a subsidiary of Health Care Service Corporation), you will be part of an organization committed to offering custom services to self-funded health benefits plans that manage costs – without compromising benefits – by offering innovative solutions, flexibility, transparency and customer support. This is an exciting time to join our team and enhance our culture that emphasizes caring, diversity and inclusion, mutual respect, collaboration and service to our communities. 

Job Summary

The primary purpose of this role is focused on the HB stop loss offering, inclusive of developing the appropriate stop loss carrier network for applicable markets and clients. Owning relationships with preferred vendors, while nurturing non-preferred vendor relationships is a critical component of the position. This position will be the stop loss sales lead, especially for complex cases, and driving overall collaboration with sales to grow stop loss business and with client management to retain and convert to HB stop loss placements.

Internally this position works closely with client management, sales, healthcare management, managed care, proposal team, and claims. This position also provides support to Underwriting team. Externally this position interacts with stop loss carriers, brokers, and potentially key accounts.

The role will also lead a monthly cadence to review cases and assess for sales pipeline opportunities to continuously grow the stop loss business. Developing the stop loss offering to have a program that matches capabilities with as a source for new growth. Nuances for different markets will require engagement with stop loss carriers to determine the appropriate offering. (ER TPA, DTE, Tribal, etc)

The Director of Underwriting & Stop Loss will be the SME to the business and leadership and may advise regarding program incentives and fee structures that will lead to stop loss program growth.

A key responsibility of this position is to provide underwriting support for overall new business prospects and renewal self-funded clients. This position focuses on pricing strategy to win new business and retain clients. Works collaboratively with stop loss carriers to maximize account retention and new business sales by obtaining the best possible rates for the client or prospect. In addition, this position leads, manages, audits a team of Sr Managers of Underwriting, Senior Underwriters, and Underwriting Executives.

• Acting as the stop loss sales lead, especially related to complex cases.
• Focusing on managing with Sales team all new Opportunity Stop Loss placement and assisting Client Management on complex renewal cases and presentation of case to carrier(s)
• Focusing on determining alternative paths to getting data that Stop Loss carriers require to quote new opportunity.
• Acting as a resource for Sales and Client Management in moving Broker placed Stop Loss to Health Benefits direct placement.
• Leading monthly cadence and strategizes with client management, sales, and leadership to meet growth and retention goals. 
  • Prioritizing cases that should be targeted to move Stop Loss from Broker placed to Health Benefits placed.  Create action plan for each case to approach Broker to sell placement by Health Benefits.
  • Prioritizing cases that should be consolidated to preferred Stop Loss carriers to improve override revenue and improve Health Benefits position within carrier panel.   Identify which carriers each case should be discussed with and strategy for placement.
  • Reviewing list of cases that are not placed by Health Benefits and do not have integration fee to ensure that the waiving of integration fee is appropriate action.   Determine if the integration fee set for non-preferred carriers is set at the appropriate level.   Any waiver of integration fees needs to be approved by the U/W – Stop Loss Director
  • Ensuring Client Management has broader access to the Stop Loss claims team to discuss potential Stop Loss issues prior to them reaching escalation point.
• Ensuring that any pricing changes as the renewal moves from UW to Client Services is approved and documented across the enterprise.  Recommend not to allow client services to change pricing once it has passed through the Underwriting / pricing process.  If change is required it must be reviewed and approved by Client Management, Finance, and U/W – Stop Loss Director.   Documentation must occur regarding change in pricing.
• Identifying cases that may have high probability of significant rate increases or other stop loss carrier action and create action plan and proactive data plan to manage Stop Loss renewal.  Engage Stop Loss New Business / Complex Case Lead to assist in managing case with carriers.
• Analyzing monthly reports of stop loss carriers and collaborates with client management, sales executives, and brokers to create customized solutions.  
• Developing, building, and maintaining strong relationships with key stop loss carriers to negotiate the best possible terms for new business prospects and clients to maximize new business sales and client retention.
• Acting as an SME to internal customers.
• Maintaining solid knowledge of existing and new products, services, networks, vendors, and partners. 
• Providing support to internal stakeholders and leadership as necessary. 
• Analyzing concerns and pain points and creates compelling pricing options.
• Preparing and maintains stop loss data and historical carrier information for business analysis. Works with leadership and stakeholders to ensure that stop loss carrier changes are communicated and implemented as appropriate. 
• Coordinating with RFP team to maintain and update uniform pricing language to be used in RFP responses.
• Providing management and leadership to direct reports, which includes:
  • Daily workflow
  • Career development
  • Coaching
  • Performance management
  • Development opportunities
• Managing Sr Managers of Underwriting and helping provide direction for medium complexity clients/prospects.
• Ensuring consistency amongst regions in processes to complete renewal activities including downloading and running reports, completing LCM grid and forwarding the grid to healthcare management for completion, compiling complete package for stop loss carrier including SPDs and SBCs, and submitting the package to the applicable carriers. 
• Creating processes to support effective and efficient activities of the Underwriting team.  (Standardized and consistent approaches to spreadsheeting stop loss competition/options, make appropriate carrier selection recommendations on medium complexity cases, development of proposals and guidance to sales/CM teams).
• Other duties as assigned

Minimum Requirements

• College degree or equivalent
• 7-10 years’ experience in underwriting/stop loss.
• 3-5 years’ experience leading/managing employees.
• Experience with MS Suite including strong excel skills.
• Effective time management and organization skills
• Ability to prioritize effectively.
• Strong verbal and written communication skills
• Detail-oriented
• Proven ability to build rapport with both internal and external customers.
• Ability to work effectively at all levels in the organization.
• Demonstrated ability to provide quality work under tight timelines while managing multiple requests.
• Demonstrated negotiating skills

Preferred

• Experience working in RFP/proposal software.
• Salesforce experience
• Adobe Professional software experience
• Prior leadership experience
• Knowledge of medical terminology preferred

#LI-EL1

INJLF

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, veteran, or disability.

Pay Transparency Statement:

At Luminare Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 days’ of paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, new parent paid leave, tuition reimbursement, plus other incentives, we offer a robust total rewards package for full-time associates.

 

The salary offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan.

Min to Max Range:

$85,600.00 - $160,700.00

Be a key member of the Group finance team, responsible for overseeing the company's financial and treasury operations, including cash flow management, financing strategies, investment management, and risk assessment. The ideal candidate will provide strategic insights and leadership to optimize financial performance, ensure financial stability, and support the company's growth objectives.

Job Description:

1. Strategic Financial Planning: Develop and implement strategic financial plans that align with the company's long-term goals, including capital structure optimization, investment strategies, and financial risk management.

2. Cash Flow Management: Oversee the management of the company's cash flow, ensuring optimal liquidity for operational needs and strategic investments, while maintaining strong banking relationships.

3. Financing and Capital Management: Identify and secure financing options to support corporate initiatives, including debt and equity financing, while managing the company's capital allocation and investment strategies.

4. Risk Management: Assess and mitigate financial risks related to currency, interest rates, and credit, ensuring compliance with financial regulations and internal policies.

5. Treasury Operations: Oversee daily treasury operations, including cash management, bank account management, and transaction processing, ensuring accuracy and efficiency.

6. Financial Reporting and Analysis: Provide accurate and timely financial reporting, including cash flow forecasts, budget variances, and financial performance analysis to support executive decision-making.

7. Team Leadership and Development: Lead, mentor, and develop the treasury and finance team, fostering a culture of high performance, continuous improvement, and professional growth.

8. Stakeholder Engagement: Collaborate with internal and external stakeholders, including financial institutions, auditors, and regulatory bodies, to ensure financial objectives are met.

Job Requirements:

Describe a level of education, training, or experience.

1. Bachelor’s degree in finance, accounting, economics, or related fields; a master’s degree or professional certification (e.g., CPA, CFA) is preferred.

2. Minimum of 10 years of relevant experience in finance and treasury roles, with at least 5 years in a leadership position.

3. Proven track record of success in financial modeling, risk management, and strategic financial planning.

4. Strong knowledge of financial regulations, accounting principles, and best practices in treasury management.

5. Exceptional analytical, organizational, and decision-making skills.

6. Excellent communication and interpersonal abilities, with a proven ability to lead teams and manage stakeholder relationships.

7. Proficiency in financial software and advanced Excel skills.

Job Family:

Operational Effectiveness Consulting

Travel Required:

Up to 75%+

Clearance Required:

None

What You Will Do:

The ideal candidate will bring extensive healthcare industry experience with a proven track record of delivering innovative clinical and strategic performance solutions to hospitals and health systems.  This individual will lead the design, development and implementation of integrated (clinical effectiveness and system operations) optimization efforts within resulting in the workforce and capacity management solution.  He or she will manage the work stream efforts to timeline / scope / budget across the larger platform.

This Associate Director will work with Guidehouse specialty areas and partner with the client to deliver robust solutions/outcomes for the client and ultimate revenue for the firm including: performance improvement, workforce productivity, clinical operations, clinical shared services and revenue management.

This Associate Director will participate in business development and relationship management activities for Guidehouse Healthcare clients requiring optimization. This individual will play a key role in helping guide the firm’s continued development of leading-edge consulting, in the performance improvement service line.

• This position includes responsibilities in both leveraging and delivering quality, high-level, consulting services to clients for the Guidehouse Healthcare Provider Practice.  The following sections describe the specific areas of prime importance in the execution of these responsibilities:

• Deliver industry expertise and management consulting services in support of client engagements in the Healthcare Practice

• Develop practice wide methodologies to be applied across individual account strategies / client plans

• Establish account management relationships with key client decision makers

• Identify key industry issues and develop a practice response

• Assist in the development of industry alliances and relationships within vertical markets

• Provide delivery assurance support for engagements with targeted clients

• Mentor Guidehouse staff on assignments within the account delivering services

• Provide visible leadership within the account and the practice.

• Leads consulting projects Statement of Work, Project Plans, Writes Proposals, Presents to Client Executive; Facilitates, Advises and Persuades key decision makers and influencers

What You Will Need:

• Requires a University Degree and minimum 7-10 years of prior relevant work or consulting experience; some roles may require graduate-level education Master’s or Doctorate degree (Relevant experience may be substituted for formal education or advanced degree)

• 7-10+ years rigorous project/program management leadership of complex provider deliverables with 5 of those years in larger complex provider systems.

• Ability to develop and monitor performance metrics at all levels of operations both clinical and non-clinical.

• Ability to articulate financial and non-financial results across multiple projects with ease

• Proficient in Excel, Word, and PowerPoint skills

• Health system leadership experience in one or more of the following areas: Emergency Department, Peri-Op, Nursing Operations

• Knowledge of and familiarity with IT solutions and tech-enabled solutions which are integral to enabling efficiency and appropriate to quality and throughput of care
  • Capacity to adapt and lead others to understand and accept values, strategies, goals and plans in response to changing business conditions
  • Experience leading complex projects with multiple workstreams

  • Ability and willingness to travel up to 75%

What Would Be Nice To Have:

• Outstanding oral and written presentation skills and is recognized as an industry expert (via published articles, white papers and public speaking engagements)

• Flexible, positive, clear interpersonal and communication skills with ability to facilitate the exchange of information within all levels of Guidehouse as well as a provider based, client organization, including, but not limited to, hospital executives, physicians and other professional and ancillary staff

• MS Project Experience preferred

The annual salary range for this position is $144,400.00-$216,600.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Roles and Responsibilities:

• Provide medical leadership and advisory to Group and LBUs including driving quality assurance standards and developing LBU medical leadership and health expertise
• Represent AIA Group in external healthcare forums to promote AIA and seek to introduce international healthcare standard process to AIA
• Partner with Group Transactions on strategic investment initiative due diligences
• Collaborate with LBU’s and ensure delivery of implementation of healthcare strategy in country in line with agreed implementation plans and achievements
• Support post-acquisition integration programmes
• Establish medical governance framework, and handle overall governance – policies, standards and guidelines
• Develop provision quality assurance standards on clinic operations incl. facility management, patient journey management, procurement of third-party services
• Champion clinical quality and customer advocacy in health outcomes, define and manage brand reputation and quality assurance framework in health services and support LBUs in their delivery
• Lead medical government and external affairs, including public policy & regulatory
• SME for medical under-writing standards advisory to Group Operations and LBUs
• Mentor, supervise and develop healthcare team and to lead by example
• Uplift Regional Capability Development; deliver LBU ExCo management education programme on healthcare and ensure CPD programme is in place for all health-related staff across the region

Minimum Job Requirements:

• Strong commercial Healthcare expertise with particular emphasis on medical management/claims control experience, insurance proposition, direct health provider/services management experience and experience in vertical integration between payors and providers, ideally in Asia;
• 20+ years-experience working within the healthcare industry across health insurance and health provision at senior management positions inclusive of having a led a business unit.
• Academic background in healthcare for which Degrees or master’s degree or equivalent experience in relevant discipline(s)
• Previous roles/training in the delivery of healthcare services (e.g., a qualified medical practitioner)
• Stays up to date on latest developments in healthcare (both regulatory and commercial) to ensure AIA develops and retains an innovative, patient centered, differentiated medical management capabilities.
• Ability to prioritize high, fast-changing workload and to work effectively under pressure
• Strong intellect, intellectual curiosity and ability to deal with sophisticated and ambiguous situations
• Ability to communicate and influence optimally across all levels
• Excellent presentation skills with the talent to present convincingly and influence diverse audiences on business initiatives and strategies

Company :

Highmark Inc.

Job Description : 

JOB SUMMARY

This job, as part of a  physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards.  The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service.  Depending on the nature of the case, telephonic peer to peer discussions may be required.  The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times.  In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management.  They will advise the multidisciplinary team on cases, particularly high risk cases, through the team structure.  Additionally, the incumbent may be assigned special projects to help support and improve the care of our members.  

ESSENTIAL RESPONSIBILITIES

• Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness.  Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned.  Compose clear and concises rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.).  Ensure that all aspects of the medical management process are consistent with community standards of care.
• Participate as a member of the CMDM multidisciplinary team.  Attend huddles and grand rounds.  Advise multidisciplinary team on cases that require physician expertise. 
• Participate in protocol and guidelines development to ensure consistency in the review process. 
• Actively manage projects and/or participate on project teams that require a physician subject matter expert.
• Other duties as assigned.

EDUCATION

Required

• Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)

Substitutions

• None

Preferred

• Master's Degree in Business Administration/Management or Public Health

EXPERIENCE

Required

• 5 - 7 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
• 1 - 3 years in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry

Preferred

• None

LICENSES AND CERTIFICATION

Required

• Medical Doctor or Doctor of Osteopathic Medicine (DO), with an active, unrestricted license to practice in any U.S. state
• Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards

Preferred

• None

SKILLS

• Critical Thinking
• Case Management
• Customer Service
• Oral & Written Communication Skills
• Collaboration
• Listening
• Telephone Skills
• General Computer Skills
• Clinical Software
• Managed Care

Language (Other than English)

None 

Travel Required

0%  - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Rarely

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$170,000.00

Pay Range Maximum:

$342,274.00

Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.  The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf)

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Job Family:

Strategy & Transformation Consulting

Travel Required:

Up to 50%

Clearance Required:

None

What You Will Do:

We are seeking experienced clinical pharmacy professionals to support and enhance our Pharmacy Practice. We are looking for professionals with experience in the following: Specialty Pharmacy, PBM design, outpatient infusion, drug expense management, 340B optimization, pharmacy enterprise development, and service line integration.

In this Associate Director role, you will work extensively with leading clients, utilizing your deep clinical expertise in Pharmacy, business process improvement skills, and business development skills to achieve personal and professional success for our clients.

 Specific Responsibilities:

• Demonstrate expertise in the design and optimization of Specialty and Retail Pharmacy and PBM strategies that yield capture and health plan cost management.

• Demonstrate expertise and understanding of end-to-end pharmacy business processes.

• Conceptualizes pharmacy related solution design, provides structure for deliverable, builds SOW, execution plan and overseas or manages multiple work streams to get results intended.

• Heavily contributes to proposal development and support of sales

• Offer strategies for the effective and affordable use of pharmaceuticals across the continuum of care.

• Evaluate pharmaceutical distribution processes in the hospital, ambulatory and outpatient settings.  Include review of pharmacy technology and automation.

• Provides leadership and guidance to healthcare teams for designing formulary and benefit design for both inpatient and outpatient care

• Analyze work flow, staffing patterns, organizational design and impact of technology and automation.  Develop and implement initiatives to increase efficiency of the pharmacy workforce.

• Identify opportunities to improve pharmacy revenue cycle, e.g., pricing strategies, implementation of 340B pricing program, Medicaid carve-outs, and CDM review.

• Work independently in client facing situations and guide others in the design, development, and implementation of innovative pharmacy solutions, or design and implementation of improvements to existing processes in the pharmacy.

• Work with teams through the assessment, problem definition, solution development, issue and risk identification/mitigation, and work plan development to ensure quality results that exceed our client’s expectations.

• Identify value creation opportunities for a project and manage financial assessment to develop business case and validate alternatives in the pharmacy.

• Ability to work collaboratively, in a team-oriented environment to deliver innovative solutions to our clients.

What You Will Need:

• Experienced Pharmacists with a minimum of 7 - 10 years of relevant consulting or work experience

• Previous pharmacy management consulting experience with a leading firm

• Knowledge of 340B clinical requirements and operations assessment and optimization principals and concepts related to the pharmacy

• Specialty Pharmacy design and implementation experience

• Comprehensive Outpatient Infusion strategy design experience (HOPD, non-HOPD, Home)

• Experience with analytics and value assessment for business case development and validation of alternative solutions

• Experience with communicating with all levels of staff

• Experience leading teams

• Ability to independently perform analyses of complex therapeutic/contracting issues, e.g. colony stimulating factor scenarios, calculates savings, and defends savings analysis to pharmacist peers and physicians

• Ability to perform analyses related to opportunities in the pharmacy

• Current licensed Pharmacist is required

What Would Be Nice To Have:

• PharmD preferred

• Masters degree preferred

• Payer PBM experience

• Pharmacy Residency experience

• Six Sigma Certification

The annual salary range for this position is $144,400.00-$216,600.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.