Become a part of our caring community The Market Finance Lead is a key member of the Gulf South Region’s finance team responsible for connecting market financial performance with operational effectiveness. This role will partner closely with Corporate Finance, Network Performance, Network Contracting, and regional Health Services teams. This individual will manage a team covering a diverse set of responsibilities around Medicare Advantage financial business operations with a heavy focus on value-based providers. This role reports to the Market Finance Director. This role analyzes financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence business decisions, and support market growth and operational improvement. The Market Finance Lead will partner closely with regional leadership, actuarial, corporate finance, clinical, risk adjustment, market operations, network performance, network contracting, sales/MarketPoint, and value-based care providers. This individual will translate complex financial and operational data into meaningful insights, recommendations, and action plans that improve performance across the market. As the Market Finance Lead, you will: Manage a team to review value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement. Lead the financial portion of provider engagement prep sessions prior to joint operating committee meetings to advise the Network Performance team on contract performance and opportunities for improvement. Lead analysis and reporting related to value-based provider and contract performance, including financial results, utilization, claims experience, membership, and operational trends. Leverage data analytics, business ins
Jobs in United States
Director Of Design in United States
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Become a part of our caring community The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting. Job Responsibilities: Support the contracting team in drafting, reviewing, and processing provider contracts and amendments Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff Conduct initial financial analyses of contracts and terms; prepare summaries for senior review Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance Assist in identifying and reaching out to potential providers for network development based on current needs and network composition Prepare reports and updates for contracting initiatives as requested Manage assigned priorities and deadlines, escalating complex issues to senior team members Use your skills to make an impact Required Qualifications 2+ years' experience in provider contracting, network management, or a related healthcare field Knowledge of managed care or value-based contracting Understand contract terms and basic financial impact Preferred Qualifications Experience supporting ACO or IPA provider
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Reporting to the Finance Director, this position (Sr Accountant) assists in the preparation of financial statements, journal entries and supporting documentation specifically for Federal Grants and Non-Title funds from the State of AZ. This position’s responsibilities include, but are not limited to, preparing regulatory reports, recording detailed transactions, analyzing variances in the general ledger, and reconciling cash and balance sheet accounts. Incumbent will cross-train to support various accounting and finance functions. Primary Job Duties & Responsibilities: Complete all necessary analysis and research for federal grants and monthly grant invoice review (CER’s) and financial statement reporting, balance sheet reconciliation and journal entries by utilizing Excel, QuickBase, banking information and the Great Plains Accounting System. Complete weekly Research related to provider invoices for grant funding and work closely with the providers for required grant support and reporting. Complete monthly wires for provider payments that require entering the payment into QuickBase including the calculation support for approval. Prepare regulatory reports adhering to all contractual reporting obligations to our regulatory agent on a monthly/quarterly and annual basis per the reporting guide from Mercy Care regulators (AHCC
We anticipate the application window for this opening will close on - 4 Oct 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life First Shift (1st)- M-F 8am-5pm Are you passionate about transforming operations, leading high-performing teams, and delivering measurable business results? As a Sr Manufacturing Manager , you will provide leadership for production operations across key value streams that support multiple Medtronic Operating Units. Based in Tempe, Arizona , this role oversees the manufacturing of life-saving medical technologies used by patients worldwide. Reporting to the Manufacturing Director, you will lead a team of Production Supervisors and play a critical role in driving safety, quality, delivery, and operational performance. You will also lead high-impact continuous improvement initiatives by leveraging the tools and resources of the Medtronic Performance System (MPS). This highly visible position combines people leadership, operational excellence, and strategic execution. You will partner closely with
From $165K/yr
Zscaler (NASDAQ: ZS) accelerates digital transformation so customers can be more agile, efficient, resilient, and secure. The Zscaler Zero Trust Exchange™️ platform protects thousands of customers from cyberattacks and data loss by securely connecting users, devices, and applications in any location. Distributed across 160+ public exchanges globally and thousands of private exchanges at the edge, the SASE-based Zero Trust Exchange is the world’s largest in-line cloud security platform. We believe the future of work is Human + AI and are building an AI-native enterprise where human potential is amplified by machine intelligence to solve the world’s hardest security challenges. Driven by deep customer obsession, we are committed to the mission, outcome, and to each other. We bring these commitments to life through three core behaviors: ownership and collaboration, trust through outcomes and impact, and a challenge culture with ongoing feedback. Ready to make an impact at the company pioneering security transformation in the AI era? Join us at Zscaler. About the Role We are looking for a Majors Account Executive to join our Sales and Go-to-Market team. This role is based in the greater Chicago area, reporting to the Regional Director. You will be part of a global group of professionals passionate about delighting our customers, nurturing trusted partnerships, and sharing expertise to drive a secure, cloud-enabled digital future. By demonstrating the power and agility of cloud transformation, you will help cement our position as the world leader in cloud security. What you’ll do (Role Expectations) Build relationships with important internal and customer stakeholders, including c-suite decision-makers. Create a long-term account strategy aligned with customer goals. Collaborate with internal teams to meet customer needs and contribute to comprehensive account planning. Act as a trusted advisor by understanding client businesses and aligning technical solutions wi
Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement cross-functional quality improvement initiatives, evaluate business processes and performance outcomes, and drive sustainable, measurable improvements. Reporting to the Quality Improvement Director, you will collaborate with internal and external stakeholders to advance a provider-focused culture of quality and performance excellence. You will manage complex projects and analyze diverse data sources to identify opportunities, inform strategy, and support organizational objectives. The Senior Quality Improvement Professional leverages data to lead quality improvement initiatives, monitor performance metrics, and support provider performance enhancement. This role collaborates with provider-facing teams to implement targeted interventions, develop educational resources, and drive achievement of quality and member experience goals. The position leads and participates in multidisciplinary committees, provides strategic clinical guidance on quality initiatives, and influences business decisions through data-driven insights. Operating with a high degree of independence, the Senior Quality Improvement Professional manages complex projects, exercises sound judgment, and recommends solutions to advance organizational objectives. Essential Role Responsibilities The Senior Quality Improvement Professional is responsible for improving clinical quality and performance outcomes among South Carolina network providers. Key responsibilities include: Partner with Provider Engagement, Network, and Contracting teams to implement clinical quality improvement strategies including education, training and performanc
$116.2K – $155.4K/yr
Operational Account Manager Description - Location Flexible in the US Applies advanced subject matter knowledge to solve complex business issues and is regarded as a subject matter expert. Frequently contributes to the development of new ideas and methods. Works on complex problems where analysis of situations or data requires an in-depth evaluation of multiple factors. Leads and/or provides expertise to functional project teams and may participate in cross-functional initiatives. Acts as an expert providing direction and guidance to process improvements and establishing policies. Frequently represents the organization to external customers/clients. Exercises significant independent judgment within broadly defined policies and practices to determine best method for accomplishing work and achieving objectives. May provide mentoring and guidance to lower level employees. Responsibilities: Manages the operational business relationship of large accounts, often with global/regional reach; serves on account team, providing operational perspectives. Plans and leads business analyses and provides recommendations to sales teams and business units. Acts as a point of escalation and collaborates with other functions to drive resolution of operational issues of high complexity, in support of the customer/partner requirements. Represents the customer/partner needs and provides business requirements to projects of high complexity, and conducts post-project evaluations. Prepares and runs operational performance reviews with the customer/partner and drives improvement plans. Consults and advises on operational matters of high complexity to internal clients up to the Director level. Proactively communicates operational process changes to customers/partners and internal clients; drives the implementa
$240K – $270K/yr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Primary Care Physician Company: Oak Street Health Address: 436 E Washington Blvd, Fort Wayne, IN 46802 Salary: $240,000- $270,000 **Wider range available depending on experience and location Schedule: Full-Time, Monday through Friday, 8:00 AM - 5:00 PM Role Description: The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care centers. Our Primary Care Physicians operate at a single medical center supported by large care teams so our providers can focus on delivering a better quality of care, rather than a volume of services. Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience. We’re looking for physicians who are intrinsically motivated to provide this kind of excellent care to older adults. New graduates are encouraged to apply. Highly qualified candidates may also be considered for a Center Medical Director position. Responsibilities: Assess and diagnose patients at our local clinics Oversee, direc
$240K – $270K/yr
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Primary Care Physician Company: Oak Street Health Location: 951 N 6th St #221, Reading, PA 19601 Salary: $240,000 - $270,000 *Wider range available depending on experience and location Role Description: The purpose of a Primary Care Physician at Oak Street Health is to provide equitable and effective value-based healthcare to local Medicare patient populations at our innovative network of neighborhood primary care centers. Our Primary Care Physicians operate at a single medical center supported by large care teams so our providers can focus on delivering a better quality of care, rather than a volume of services. Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience. We’re looking for physicians who are intrinsically motivated to provide this kind of excellent care to older adults. New graduates are encouraged to apply. Highly qualified candidates may also be considered for a Center Medical Director position. Responsibilities: Assess and diagnose patients at our local clinics Oversee, direct, and administer
Become a part of our caring community The Senior Product Owner is responsible for conveying product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog. The Senior Product Owner work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Product Owner maximizes value of product created by Agile team. Liaises with stakeholders and the development team ensuring the right product is being built, in the right order, within budget and by the deadline. Serves as the Agile team's primary contact for information, work prioritization, and decision-making. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, andwork is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. This is a remote position and you will report to the Director, Product Management. This position is created specifically to assist with Humana's efforts to secure and, if awarded, transition into a new business opportunity. Please note that continued employment in this role is expressly contingent upon Humana's receipt of the business opportunity and a satisfactory transition into the work. In the event Humana does not pursue the opportunity or determines that a timely and satisfactory transition cannot be achieved, employment may be subject to termination. Use your skills to make an impact Required Qualifications You will have a Bachelors degree or equivalent You will have 3+ years of technical experience, product ownership, or project management experience You will be Certified SAFe®
Become a part of our caring community The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements. This is done to achieve and/or maintain optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. The Service Coordinator work assignments are often straightforward and of moderate complexity. Your role will involve meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and guide health outcomes. Responsibilities include: Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches. Contacts members both telephonically and/or in-person to establish goals and priorities. This involves evaluating resources, developing a plan of care, and identifying LTSS providers and community partnerships. The goal is to provide a combination of services and supports that best meet the needs and goals of the member and caregiver through person-centered thinking approaches. Development and modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP) Support members through navigation of their LTSS and related environmental and social needs Use available information about member to prevent the need for administration of duplicative assessments. Focus on supporting members or caregivers in accessing long-term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs. Assist members in maintaining Medicaid eligibility Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holist
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Discount Strategy Team oversees the strategy, planning, execution, and optimization of all discount strategies to drive profitable growth and consumer engagement. This team works closely with internal partners such as Merchandising, Pricing, Digital, and Marketing leadership to develop best-in-class promotional strategies across all vehicles. The Sr. Manager is responsible for analyzing discount strategies to create clear, compelling, profitable promotions across the business, which includes organizing and prioritizing key areas of focus to facilities efficient decision making. The team uses deep category and consumer knowledge to analyze market trends and dynamics, develop promotional events that drive consumer engagement, analyze and optimize promotional effectiveness, understand vendor/brand economics and productivities, drive customer loyalty and related optimization opportunities across various levers. The Senior Manager, Discount Strategy is charged with developing and driving a portfolio of profitable growth initiatives in partnership with Category Managers and Price Value Strategy leadership. The Senior Managers oversee the budget and project execution plan for multiple initiatives. The Senior Manager will report to the Promo Strategy Director. Required Qualifications</b
For over 20 years, Smartsheet has empowered teams to manage work seamlessly and scale solutions smarter. Now, in our most ambitious chapter yet, we are uniting human teams with AI agents. By orchestrating the work agents do best, automating manual tasks and uncovering insights at scale, we create the space for people to focus on what truly matters: judgment, creativity, and big thinking. That is magic at work, and it’s what we show up for every day. Smartsheet targets industries where workflow specificity is essential. As a Principal Product Marketing Manager, Vertical Industries, you will lead the strategic development of industry-specific value narratives, use case positioning, and sales-ready content for priority vertical, Manufacturing. In this role, you will own the GTM narrative, ensuring positioning is grounded in quantified, defensible value claims. This role requires deep industry curiosity, methodological discipline, and the ability to drive multiple complex workstreams in parallel to maintain Smartsheet’s competitive edge. This full-time position reports to the Sr. Director, Customer Value and can be located in our Bellevue, WA office, or you may work remotely from anywhere in the US where Smartsheet is a registered employer. What You Will Own: Value Strategy Execution — Vertical Industries Lead the team's execution of the Smartsheet Value Strategy process for priority verticals. Define positioning scope, including target segments, industry-specific buyer roles, KPIs, and competitor sets. Validate buyer value levers and map them to Smartsheet's capabilities to demonstrate differentiated, quantified benefits. Build vertical Value Impact Models and define the problem Smartsheet owns within each industry. Develop cross-functional Adoption Plans and validate position hypotheses through direct buyer sessions. ICP & CAPDB for Vertical Segments: Own ICP definition and target account prioritization for each priority vertical. Ensure each vertical ICP sp
About Pinterest: Millions of people around the world come to our platform to find creative ideas, dream about new possibilities and plan for memories that will last a lifetime. At Pinterest, we’re on a mission to bring everyone the inspiration to create a life they love, and that starts with the people behind the product. Discover a career where you ignite innovation for millions, transform passion into growth opportunities, celebrate each other’s unique experiences and embrace the flexibility to do your best work. Creating a career you love? It’s Possible. At Pinterest, AI isn't just a feature, it's a powerful partner that augments our creativity and amplifies our impact, and we’re looking for candidates who are excited to be a part of that. To get a complete picture of your experience and abilities, we’ll explore your foundational skills and how you collaborate with AI. Through our interview process, what matters most is that you can always explain your approach, showing us not just what you know, but how you think. You can read more about our AI interview philosophy and how we use AI in our recruiting process here . Each month, the Growth organization helps over 600M people around the world come back to Pinterest, discover new inspiration, and go deeper on the ideas they love. Connections is a key area within Growth focused on how people connect with others they care about on Pinterest — from close friends and family to trusted communities that share their interests. The Connections team builds products that make those relationships feel natural, safe, and uniquely “Pinterest.” As a Staff Product Manager for Connections, one of our most important retention and engagement drivers, you’ll serve as a product lead for how Pinners connect with people they know and with communities they trust, and how those relationships show up across the product — including discovery, collaboration, messaging, and notifications. You’ll report to the Sr. Director,
Airbnb was born in 2007 when two hosts welcomed three guests to their San Francisco home, and has since grown to over 5 million hosts who have welcomed over 2 billion guest arrivals in almost every country across the globe. Every day, hosts offer unique stays and experiences that make it possible for guests to connect with communities in a more authentic way. The Community You Will Join: The Senior Principal, Competitive Intelligence will report to the Director, Product & Performance within Strategic Finance & Analytics. Airbnb is looking for a unique individual that can blend art and science to evaluate our evolving competitive landscape. This team is responsible for understanding the market across geographics and product offerings, building evaluation criteria and metrics, and delivering clear insights to leaders across the company. The Difference You Will Make: The individual will serve as the company's go-to authority on the competitive landscape, including current and future competitors, adjacent marketplaces, the travel industry at large and macroeconomic trends. They will partner with technical and business operating teams to synthesize competitive signals into clear, actionable narratives that inform executive decision-making at the highest levels of the company. The ideal candidate brings a combination of sharp analytical instincts, business acumen, and the ability to distill complex information into crisp executive-ready stories. They are a self-starter who is comfortable operating with ambiguity, thrives in a fast-paced environment, and relishes the opportunity to own a critical capability from end to end. This person will have a high degree of visibility with senior leadership, including Executive and VP leaders across Finance, Product, Marketing and Business functions. A Typical Day: Competitive Monitoring: Develop and manage regular reporting to review key metrics across marketplace and product; track developing news and indus
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