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<h1>Medical Management - Medical Director 145-7004</h1> Tulsa, OK, USA Req #718 Tuesday, December 31, 2024 JOB SUMMARY: The Medical Director will exhibit strong expertise in utilization management and health plan leadership for our provider sponsored organization. They will have a proven track record working within a health plan environment, with a deep understanding of clinical operations, healthcare utilization, and strategies for controlling healthcare costs while maintaining high-quality care. This key role within our Clinical Operations team is pivotal in optimizing the efficiency and effectiveness of our health plan’s utilization management programs, ensuring that medical services are delivered in a cost-effective manner while meeting the clinical needs of our members. KEY RESPONSIBILITIES: <ul> <li>Utilization Management: Lead and oversee the health plan's utilization management policies, ensuring that care is appropriately managed across all settings (inpatient, outpatient, ancillary services, etc.). Establish and enforce medical necessity criteria, review processes, and decision-making protocols. Collaborate with providers to enhance care coordination and cost efficiency through peer-to-peer reviews and secondary reviews.</li> <li>Cost Control Strategy: Develop and implement cost-effective strategies for managing the utilization of healthcare services. Utilize data-driven approaches to identify trends and opportunities to improve care delivery while reducing unnecessary costs. Collaborate with other departments to integrate cost containment initiatives across the plan.</li> <li>Clinical Leadership: Provide clinical oversight and direction for the medical management team. Serve as a subject matter expert on clinical best practices, evidence-based guidelines, and cost-effective care delivery. Management of and/or participation in internal company committees as requested.</li> <li>Appeals and Grievances: If not involved with the initial denial determination, renders an appeal determination on medical, behavioral or drug utilization management cases under review.</li> <li>Collaboration and Communication: Work closely with cross-functional teams including the network management, claims, quality improvement, and pharmacy departments to design, implement, and monitor health plan initiatives.</li> <li>Policy and Compliance: Ensure compliance with all relevant federal and state regulations, accreditation standards, and health plan policies. Stay current with industry trends, regulatory changes, and emerging healthcare technologies related to utilization management and cost control.</li> <li>Performance Metrics and Reporting: Develop and track performance metrics related to utilization, cost control, and quality outcomes. Provide regular reports to senior leadership, identifying opportunities for improvement and recommending actionable steps.</li> <li>Member and Provider Education: Educate and support providers on evidence-based guidelines and efficient care delivery practices. Engage with members to promote care management and prevention programs that align with cost-effective health outcomes.</li> <li>Innovation and Continuous Improvement: Promote a culture of continuous improvement within the medical management team. Lead efforts to enhance the efficiency of clinical workflows, reduce administrative burden, and introduce innovative solutions to optimize both clinical care and cost-effectiveness.</li> <li>Other Projects and Responsibilities: Perform other special projects and duties as assigned by the executive staff of CommunityCare Managed Healthcare Plans.</li> </ul> QUALIFICATIONS: <ul> <li>Strong analytical and data-driven decision-making skills, with experience using claims data, cost analysis, and reporting tools.</li> <li>Excellent communication, leadership, and interpersonal skills.</li> <li>Knowledge of regulatory and compliance standards within the managed care industry preferred.</li> </ul> EDUCATION/EXPERIENCE: <ul> <li>MD or DO, maintain board-certification in an ABMS recognized specialty.</li> <li>Current and active unrestricted license to practice medicine in the State of Oklahoma.</li> <li>Minimum 5 years direct patient care and clinical experience in their specialty.</li> <li>Previous experience as a Medical Director with a health plan, managed care, or health insurance organization.</li> <li>Proven expertise in utilization management, medical necessity reviews, and cost containment strategies.</li> <li>In-depth knowledge of healthcare delivery systems, including inpatient, outpatient, and ancillary care.</li> <li>Experience with clinical guidelines, evidence-based practices, and care management programs.</li> <li>Experience with health plan accreditation processes (NCQA, URAC, etc.) preferred.</li> <li>Familiarity with healthcare technology platforms, such as electronic health records (EHR) and utilization management software preferred.</li> </ul> CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin <h2 id="otherDetailsHeader">Other details</h2> <ul> <li> Job Family Commercial </li> <li> Pay Type Salary </li> </ul> <a href="#"> Apply Now </a>

CommunityCare

Medical Management - Medical Director 145-7004

Zeeco

Retrofit Engineer Team Lead

<h2>Ready to be a Titan?</h2>We are seeking a driven, collaborative, and creative Lead Compensation Analyst to join our team. In this role, you will be responsible for the design, communication, execution, analysis, and change management of our compensation programs and practices, with a primary focus on equity-based compensation. As a newly public company, we need someone who can reinforce and build well-defined systems and processes to support our growth.The ideal candidate will have a strong background in broad-based and equity compensation, and will be able to think strategically about program vision and design while bringing creative solutions based on data and business needs. We are looking for someone who takes initiative, is passionate about people, highly organized, and can multitask and prioritize various complex projects in a rapidly changing and growing environment. <h2>What you'll do:</h2><ul> <li>Gather and analyze market-based compensation survey data to assess equity compensation administration, design, and market trends</li> <li>Prepare monthly equity grant files for compensation committee approval</li> <li>Monitor, analyze, and report on equity pool health and projections</li> <li>Evaluate the effectiveness of all compensation programs, with a focus on equity-based compensation</li> <li>Partner with HR stakeholders to address equity-related issues and inquiries from our Titans</li> <li>Assist with the execution of compensation cycles, including annual compensation and promotion cycles, annual equity cycle, and annual company bonus program</li> <li>Develop and implement Titan communications related to total compensation programs</li> <li>Define and build global compensation policies and guidelines</li> <li>Identify areas for process optimization to support future growth and scalability</li> <li>Conduct regular compliance checks on programs and identify areas of risk or improvement </li> </ul><h2>What you'll need:</h2><ul> <li>Minimum of 5 years of equity compensation experience</li> <li>Experience supporting global compensation programs and design</li> <li>Advanced proficiency in Google Suite/Microsoft Office</li> <li>Experience with HRIS and Compensation Software implementation and administration (Workday experience is a plus)</li> <li>Strong attention to detail, self-motivation, and the ability to multitask</li> <li>Excellent communication skills; ability to simplify complex topics and tell a story with data and insights</li> <li>Experience educating non-subject matter experts on compensation designs and practices </li> </ul>If you are passionate about building effective and equitable compensation programs in a fast-paced, growing company, we would love to hear from you!Be Human With Us:Being human isn’t about checking every box on a list. It’s about the experiences we have, people we meet, and the perspectives we share. So, if you have the skills but are hesitant to apply because of your background, apply anyway. We need amazing people like you to help us challenge the conventional and think differently about the problems that we’re solving. We’re in this together. Come be human, with us. What We Offer:When you join our team, you’re not just accepting a job. You’re making a career move. Here’s how we’ll support you in doing some of the most impactful work of your career:<ul> <li>Flextime, recognition, and support for autonomous work: Flexible time off with ample learning and development opportunities to continue growing your career. We offer a comprehensive onboarding program, leadership training for Titans at all levels, and other programs and events. Great work is rewarded through Bonusly, peer-nominated awards, and more. </li> <li>Holistic health and wellness benefits: Company-paid medical, dental, and vision (with 100% employer paid options and 90% coverage for dependents), FSA and HSA, 401k match, and telehealth options including memberships to Headspace, Galileo, One Medical, Ginger and more. </li> <li>Support for Titans at all stages of life: Parental leave and support, up to $20k in adoption reimbursement, on demand maternity support through Maven Maternity, free breast milk shipping through Maven Milk, pet insurance, legal advisory services, financial planning tools, and more.</li> </ul>At ServiceTitan, we celebrate individuality and uniqueness. We believe that the convergence of fresh perspectives and experiences from all walks of life is what makes our product and culture so great. We strongly encourage people from underrepresented groups to apply. We do not discriminate against employees based on race, color, religion, sex, national origin, gender identity or expression, age, disability, pregnancy (including childbirth, breastfeeding, or related medical condition), genetic information, protected military or veteran status, sexual orientation, or any other characteristic protected by applicable federal, state or local laws.ServiceTitan is committed to fair and equitable compensation for all of our employees. We thoughtfully consider a wide range of factors when determining individual compensation. The expected salary range for this role for candidates residing in the United States is between $115,000 USD - $165,000 USD. Compensation for candidates residing outside the United States will vary by location and the specific salary range will be discussed during the hiring process. Actual compensation for an individual may vary depending on skills, performance over time, qualifications, experience, and location. In addition to the base salary, the total compensation package also includes an annual bonus, equity and a holistic suite of benefits.

ServiceTitan

Lead Compensation Analyst

Why We Work at Dun &amp; Bradstreet Dun &amp; Bradstreet unlocks the power of data through analytics, creating a better tomorrow. Each day, we are finding new ways to strengthen our award-winning culture and accelerate creativity, innovation and growth. Our 6,000+ global team members are passionate about what we do. We are dedicated to helping clients turn uncertainty into confidence, risk into opportunity and potential into prosperity. Bold and diverse thinkers are always welcome. Come join us! Learn more at <a href="https://bit.ly/dnb-careers" target="_blank">dnb.com/careers</a>. The New Business Sales function is responsible for selling the Company’s digital marketing products and services to new and/or existing clients and developing or expanding accounts primarily in the healthcare, real estate, insurance and financial services industries. Grow the revenue stream by identifying new logo opportunities, win-back opportunities and close cross-sell (and select up-sell) opportunities in existing customer base.<h3>Essential Key Responsibilities</h3> <ul> <li>Grow the revenue stream by identifying new logo opportunities, win-back opportunities and close cross-sell (and select up-sell) opportunities with new contacts in existing customer base</li> <li>Creatively break into net new logos in your assigned territory/portfolio and introducing them to Dun &amp; Bradstreet’s capabilities</li> <li>Convert viable prospects to active clients, leading the full sales conversation and negotiation, through to the transition of new clients to the account management team</li> <li>Map account strategies, aligning resources and uncovering which of Dun &amp; Bradstreet’s products best serve the prospect’s needs</li> <li>Generate pipeline that leads to closed revenue and attainment against an annual quota</li> <li>Maintain accurate client data throughout CRM and different systems, ensure pricing and allocations are correct, and document pertinent transaction details. Ensure consistency and accuracy for all stages of the sales cycle</li> <li>This role is intended for a fully qualified, experienced professional</li> </ul><h3>Education and Experience</h3> <ul> <li>Bachelor's Degree (Required)</li> <li>Minimum eight (8) years of proven success with driving new and existing large dollar engagements in a highly complex environment</li> <li>Strong business development skills with experience prospecting and bringing in new business</li> <li>Ability to orchestrate multiple internal resources and extended team members including: solutions engineers, account executives, and product specific specialists</li> <li>Highly articulate with excellent business communication (verbal and written) skills and presentation skills suitable for a global corporate environment</li> <li>Possesses excellent industry-leading sales methodology, <a href="http://salesforce.com" target="_blank">salesforce.com</a>, MS-Excel, MS-PowerPoint and MS-Word skills</li> <li>Show an ownership mindset in everything you do; be a problem solver, be curious and be inspired to take action, be proactive, seek ways to collaborate and connect with people and teams in support of driving success</li> <li>Continuous growth mindset, keep learning through social experiences and relationships with stakeholder, experts, colleagues and mentors as well as widen and broaden your competencies through structural courses and programs</li> <li>Willing to travel beyond city limits for the interest of business</li> </ul>Benefits We Offer · Generous paid time off in your first year, increasing with tenure. · Up to 16 weeks 100% paid parental leave after one year of employment. · Paid sick time to care for yourself or family members. · Education assistance and extensive training resources. · Do Good Program: Paid volunteer days &amp; donation matching. · Competitive 401k &amp; Employee Stock Purchase Plan with company matching. · Health &amp; wellness benefits, including discounted Wellhub membership rates. · Medical, dental &amp; vision insurance for you, spouse/partner &amp; dependents. · Learn more about our benefits: <a href="http://bit.ly/41Yyc3d" target="_blank">http://bit.ly/41Yyc3d</a>. Pay Transparency Dun &amp; Bradstreet is an equal employment opportunity employer and believes in honesty and transparency in the employment hiring process, including pay transparency. Accordingly, listed on this posting is a good faith reasonable estimate of the salary range and other compensation in the job posting, as of the date of this posting. Actual compensation decisions for base salary and other compensation will be dependent upon a wide range of factors including but not limited to: an individual’s skill sets, experience, qualification, training, education, location, and any other legally permissible factors. Successful applicants will also be eligible for D&amp;B’s generous benefit package, outlined above. All Dun &amp; Bradstreet job postings can be found at <a href="https://www.dnb.com/about-us/careers-and-people/joblistings.html" target="_blank">https://www.dnb.com/about-us/careers-and-people/joblistings.html</a> and <a href="https://jobs.lever.co/dnb" target="_blank">https://jobs.lever.co/dnb</a>. Official communication from Dun &amp; Bradstreet will come from an email address ending in @dnb.com. Notice to Applicants: Please be advised that this job posting page is hosted and powered by Lever. Your use of this page is subject to Lever's <a href="https://www.lever.co/privacy-notice/" target="_blank">Privacy Notice</a> and <a href="https://www.lever.co/cookie-policy/" target="_blank">Cookie Policy</a>, which governs the processing of visitor data on this platform. Equal Employment Opportunity (EEO): Dun &amp; Bradstreet provides equal employment opportunities to applicants and employees without regard to race, color, religion, creed, sex, age, national origin, citizenship status, disability status, sexual orientation, gender identity or expression, pregnancy, genetic information, protected military and veteran status, ancestry, marital status, medical condition (cancer and genetic characteristics) or any other characteristic protected by law. Know Your Rights: Workplace Discrimination is Illegal - The current poster can be found <a href="https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf" target="_blank">here</a>. Pay transparency nondiscrimination statement/posting - OFCCP's pay transparency policy can be found <a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">here</a>. We participate in E-Verify - The current poster can be found <a href="https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf" target="_blank">here</a>. Accommodations information for applicants with disabilities: Dun &amp; Bradstreet is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with Dun &amp; Bradstreet, please send an e-mail to <a href="http://mailto:AcquisitionT@dnb.com/" target="_blank">AcquisitionT@dnb.com</a> to let us know the nature of your accommodation request and your contact information.

Dun & Bradstreet

New Business Sales Executive I, Digital Marketing Services (R-17272)

Mechanical Design Engineer

Structural/Civil Engineer

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Ardent Health Careers</a> <a href="https://hillcrest.com/rncareers" target="_blank">Nurse Residency Program</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/hillcrestmedicalcenter" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Hillcrest Healthcare System

Special Procedures Technologist

<a href="#"> </a> <a href="#">About Us</a> <a href="#">Nursing</a> <a href="#">Current Employee Job Search</a> <a href="#">Go to Hillcrest HealthCare System Careers</a> <a href="https://hillcrest.com/rncareers" target="_blank">Nurse Residency Program</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul>

Hillcrest Medical Center

Technical Sales Engineer

<h1>Medical Management - Utilization Management RN 145-2018</h1> Tulsa, OK, USA Req #707 Monday, January 13, 2025 JOB SUMMARY: Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team. KEY RESPONSIBILITIES: <ul> <li>Performs utilization review of outpatient and ancillary services as well as inpatient and post-acute services when indicated.</li> <li>Determines medical necessity and appropriateness of services using clinical review criteria.</li> <li>Accurately documents all review determinations and contacts providers and members according to established timeframes.</li> <li>Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director.</li> <li>Appropriately identifies and refers quality issues to Medical Management leadership.</li> <li>Appropriately identifies potential cases for Care Management programs.</li> <li>Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum.</li> <li>Performs accurate data entry.</li> <li>Communicates appropriate information to other staff members as necessary/required.</li> <li>Participates in continuing education initiatives.</li> <li>Collaborates with other departments as needed.</li> <li>Performs other duties as assigned.</li> </ul> QUALIFICATIONS: <ul> <li>Knowledge of managed care and associated group benefit plans.</li> <li>Possess strong oral and written communication skills.</li> <li>Ability to reason logically and to use good judgment when interpreting materials or situations.</li> <li>Knowledge of community- based resources.</li> <li>Must have excellent organizational skills and be able to perform multiple tasks.</li> <li>Proficient in Microsoft applications.</li> <li>Excellent time management and documentation skills.</li> <li>Successful completion of Health Care Sanctions background check.</li> </ul> EDUCATION/EXPERIENCE: <ul> <li>Graduation from accredited School of Nursing.</li> <li>Current, active, unrestrictive license to practice as a Registered Nurse in the State of Oklahoma.</li> <li>Three years of acute care experience preferred.</li> <li>Two years of experience working with population health preferred.</li> <li>Previous discharge planning or case management experience preferred.</li> <li>Managed care experience a plus.</li> </ul> CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin <h2 id="otherDetailsHeader">Other details</h2> <ul> <li> Job Family Commercial </li> <li> Pay Type Salary </li> </ul> <a href="#"> Apply Now </a>

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