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

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

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

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.

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.

At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customers—and their patients—are at the heart of what we do.

Our mission is to empower our customers to advance healthcare, and our success starts with our teammates. 

Owens & Minor teammate benefits include:

• Medical, dental, and vision insurance, available on first working day
• 401(k), eligibility after 30 days of employment
• Employee stock purchase plan
• Tuition reimbursement
• Development opportunities to grow your career with a global company

Summary

Product and Healthcare Service (P&HS) IT team delivers enterprise level technology stack, products, and platforms supporting key enterprise functions including Supply Chain, ERP, 3PL and Distribution.

The  IT Director,  Manufacturing and Distribution will be part of our P&HS function and report directly to the Head of P&HS IT. IT Director,  Manufacturing and Distribution, you will be responsible for leading and handling all aspects of the 3PL, Distribution, Warehouse Management and Manufacturing technology functions within our organization. You will play a critical role in driving digital transformation and leveraging technology to optimize our operations.

The ideal candidate will have a good background in Supply Chain, 3PL, Warehouse Mgmt. and Distribution, extensive knowledge of technology solutions, a proven track record of successfully implementing and leading large-scale Distribution and Warehouse Mgmt. initiatives, and will be accountable for managing budget effectively.

This role will work extensively with the supply chain, operations and product teams and will need to collaboratively partner across functions to drive effective outcomes. Experience in leading teams and directing both internal and third party resources will be necessary for success. Candidates should be comfortable leveraging analytics to drive insights and using storytelling to update executives and drive alignment across teams.

This is an exciting opportunity for an experienced technology leader to help shape the transformation of infrastructure and operations products and services to the entire Owens and Minor environment.

Responsibilities:

• Develop and implement the overall  strategy for Warehouse Mgmt, 3PL, Distribution technologies, aligned with the organization's objectives and growth plans.
• Lead a team of technology professionals, providing guidance, mentorship, and support to drive dedication and achieve departmental goals.
• Collaborate with cross-functional teams including operations, logistics, procurement, and IT to identify technology needs, prioritize initiatives, and ensure seamless integration with existing systems.
• Assess current technology landscape, identify gaps, and recommend innovative solutions to enhance efficiency, visibility, and responsiveness.
• Lead the selection, implementation, and integration of supply chain technology systems, such as warehouse management systems (WMS), transportation management systems (TMS), demand planning, and inventory optimization tools.
• Oversee vendor relationships and contracts, ensuring effective partnerships and optimal utilization of external resources.
• Stay abreast of industry trends, emerging technologies, and best practices in relevant technology, and apply relevant knowledge to drive continuous improvement.
• Establish and monitor key performance indicators to measure the effectiveness and efficiency of  technology initiatives, providing regular reports and insights to senior leadership.
• Develop and run the  technology budget, ensuring resource allocation aligns with strategic objectives and delivers a positive return on investment.
• Proactively identify potential risks, challenges, and dependencies across programs, and develop mitigation strategies to ensure successful program outcomes
• Foster a culture of innovation, collaboration, and continuous learning within the team.

Qualifications

Basic Qualifications

• Demonstrable experience in Supply Chain Management, with a focus on technology and digital transformation
• Strong leadership skills with a demonstrated ability to lead and motivate multi-functional technology teams
• Extensive knowledge of supply chain technology solutions including WMS, and TMS
• Experience managing large-scale technology implementations and integrations within complex supply chain environments
• Strong analytical and problem-solving skills, with the ability to use data and metrics to drive decision-making

Preferred Qualifications

• Experience with SAP EWM or Blue Yonder WMS
• Experience working in a global or multi-national organization a plus
• Experience working in Warehouse and Distribution Companies

Experience

• 10+ years of experience in supply chain management with a focus on technology and digital transformations

If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis.

Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.

Please see the attached job description where you can find further details of the job, main duties and responsibilities.