Presbyterian is seeking a IT Manager – Claims and Encounters position purpose is to manage primarily one IT function. Responsible for development and management of their respective department budget. Acts as coach and mentor to direct reports; performs performance reviews
How you belong matters here.
We value our employees’ differences and find strength in the diversity of our team and community.
At Presbyterian, it’s not just what we do that matters. It’s how we do it – and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.
Why Join Us
Full Time – Exempt: Yes
Remote work from home: This job is intended to be conducted in the state of New Mexico.
Work hours: Days
Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.
Preferred Qualifications:
Healthcare
Claims
HRP
Facets
Agile software development
PL/SQL
Java
Qualifications
High School and five to eight years combined experience in management of IT or equivalent experience.
Bachelor s Degree preferred with 2-3 years of experience in management of IT or equivalent experience.
Responsibilities
Provides team leadership and administration to include performance reviews and departmental budgets.
Monitors project work plan progress to ensure projected timelines, resources and budget guidelines are on schedule and within budget.
Provides IT communications to the appropriate governance process.
Creates, monitors, and provides required specifications to maintain service level agreements for production systems in order to meet IT standards and customer needs.
Defines project leadership accountabilities involving clinical or financial management systems
Benefits
All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
Wellness Presbyterian’s Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.
Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers’ markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state’s largest private employer with nearly 14,000 employees – including more than 1600 providers and nearly 4,700 nurses.
Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
#ITA123
Maximum Offer for this position is up to
USD $63.87/Hr.
Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.
We are a fast-growing arbitration/medical billing company looking for a positive person who is interested in being a success and will help take the company to the next level. The seasoned professional for this job needs superior communication and computer skills including familiarity, with Microsoft Outlook, Word and Excel. This individual specializes in the resolution of arbitration negotiations, schedule arbitration teleconferences, and performs a wide variety of tasks such as generating reports, correspondence, and setting up informal offers.
Job Summary
The Arbitration Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, Microsoft Outlook, Word and Excel. This individual will review, analyze and report reimbursement integrity measures.
Responsibilities
Essential Job Duties and Responsibilities
Analyze claim reports to determine claims eligible for Arbitration for both ERISA/NSA claims as well as state insurance department claims
Prepare claims for submission to the appropriate portals for arbitration
Have the ability for re-prioritizing key tasks and meet with manager and director to provide updates of findings and outcomes
Complete special projects and other duties as assigned
Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.
Strong organizational, analytical, and problem-solving skills
Knowledge of the insurance industry
Proven success in negotiation and technical writing
Professionalism in all dealings, both internal and external
Ability to clearly communicate, both verbally and in writing
Knowledge of medical terminology
Other duties as assigned
Qualifications
Education and/or Experience
High School Diploma or equivalent is required
Medical Billing/Collections Management Experience is highly preferred
Skills/Specialized Knowledge
Knowledge of CPT
Knowledge of laws that regulates communication and privacy act
Understanding of HIPPA Laws
Other Requirements
Must maintain professional appearance
Ability to be at work on a regular and consistent basis
Proficiency in using the computer as your primary tool for performing these job responsibilities is required
Perks & Benefits:
Fully Remote – Work from anywhere within the United States with reliable high-speed internet
Multiple medical plan options
Health Savings Account with company contributions
Dental & vision coverage for you and your dependents
401k with Company match
Vacation, sick time & Company paid holidays
Company wellbeing program with health insurance incentives
What’s Next?
If you’re ready to bring your skills and passion to our growing team, we want to hear from you! Apply today and help us create a future where success is the standard.
Vaxcyte is a clinical-stage vaccine innovation company engineering high-fidelity vaccines to protect humankind from the consequences of bacterial diseases, which have serious and costly health consequences when left unchecked. Working to eradicate or treat bacterial infections such as invasive pneumococcal disease, Group A Strep, periodontitis and Shigella is just the beginning. Our path to success is clear and well-defined, and Vaxcyte is set up to go the distance.
WHAT we do is every bit as important as HOW we do it! Our work together is guided by four enduring core values:
*RETHINK CONVENTION: We bring creative and intellectual diversity to every facet of the work we do in order to innovate and re-innovate the way vaccines are delivered.
*AIM HIGH: We embody our collectively audacious goal to courageously make the most complex biologics ever attempted to protect humankind.
*LEAD WITH HEART: Everyone leads at Vaxcyte with a kindness-first, inclusive approach to collaboration and vigorous debate that advances our business objectives.
*MODEL EXCELLENCE: The magnitude of our challenge requires our shared commitment to demonstrating integrity, accountability, equality and clarity across communications and decision making.
Summary:
The Director for Drug Substance (DS) Commercialization of Conjugation will lead and facilitate launch readiness and commercial supply of glycoconjugate drug substances, including the polysaccharide activation, conjugation, and associated raw materials. This role focuses on technical launch planning and execution by bringing best-practices and coordinating cross-functional efforts for regulatory filings, facility readiness, and launch supplies.
This role also provides leadership to ensure that the organization is equipped to effectively communicate the scientific and commercial rationale for critical raw material manufacturing processes to internal stakeholders, relevant CMOs, and to regulatory agencies. The incumbent will work with the organization to ensure on-time execution and appropriate planning for commercial lifecycle management.
This position will be reporting into the Executive Director for Global DS Commercialization. The Director will collaborate on overall program strategy, with primary responsibility and accountability for the critical raw material strategy.
Manufacturing Science and Technology (MSAT) is responsible for successfully and seamlessly transitioning the vaccine process from Process Development to Commercial, developing and executing technical launch and commercialization strategy, continuously improving process robustness through to end of lifecycle, and ensuring best possible patient outcomes while creating value for the enterprise. As part of the Commercial Manufacturing and Supply Chain organization, MSAT will lead the technical and process support for end-to-end commercial manufacturing, including Polysaccharides, Carrier Proteins, and Conjugation across all Drug Substances (DS). The range of activities will include technology transfer support, process characterization experiments in support of validation, process improvement, evaluation of novel process technologies, investigation of process related manufacturing issues, ensuring continuous improvement in process robustness throughout the product life cycle, etc.
Essential Functions:
DS Commercialization – Provide strategic and scientific leadership for polysaccharide activation and conjugation processes with internal and external stakeholders and ensure successful execution of launch plans and post-launch commercial activities.
Organization – Build a strong and highly-skilled team for the global network with special focus on conjugation manufacturing processes. Support resourcing recommendations on staffing requirements to meet organizational goals.
Process robustness – Continuously improve process understanding and process robustness using staff and laboratory resources across the organization to monitor, trend, and optimize operations.
Interface – Collaboration with cross-functional teams across the network, including Regulatory, CMC, Quality, Supply Chain, Procurement, and Process Engineering, to drive the successful development and commercial launch of carrier proteins for pipeline products.
Tech-transfer new technologies – Ensure robust processes exist to support technical transfers and integration of new technologies.
Supporttechnical services – Support of our internal and external manufacturing network, including materials management and data analytics.
Process validation and comparability – Provide leadership for the execution of process validation and process comparability activities. Effectively communicate the scientific and commercial rationale for polysaccharide processes to the Manufacturing organization for commercialization
Regulatory – Engage In technical reviewing and authoring of regulatory filings and responding to questions received from health authorities. Effectively communicate the scientific and commercial rationale for polysaccharide processes to the Boards of Health for regulatory submissions for commercialization.
Communicate – Effectively and efficiently communicate process performance to key stakeholders (internal-facing and external-facing). Connect and build strong working relationships with others, demonstrating strong emotional intelligence and an ability to communicate clearly and persuasively.
Leadership – Contribute as DS Commercialization lead for Conjugation and as member of the Global Manufacturing Operations organization, with an aim to ensure effective and efficient delivery of our life-enhancing therapies to our patients.
Travel – 10-30% travel required.
Requirements:
Degree(s) in Chemical or Biochemical Engineering, Chemistry, Biochemistry, or related discipline with a minimum of 10+ years of relevant experience for Ph.D., 12+ years for M.S./M.A., or 16+ years for B.S./B.A.
Extensive experience in conjugate production processes, including polysaccharide activation, conjugation to carrier proteins, and associated purification processes across multiple operational scales. Experience with glycoconjugate vaccines is highly preferred.
Leadership experience in MSAT or Process Development in supervisory and/or matrixed team roles.
Able to leverage deep technical knowledge in a collaborative manner to establish strategic plans and achieve collective goals.
Excellent organization, problem solving and strategic planning skills.
Highly skilled in both verbal and written communication with the ability to interact effectively with people of diverse backgrounds and perspectives.
Proactively recognizes needs and potential challenges, and directs activities to implement effective solutions.
The ability to seek and analyze data from a variety of sources to support decisions and to align others with the organization’s overall strategy.
An entrepreneurial and creative approach to developing new, innovative ideas that will stretch the organization and push the boundaries within the industry.
Reports to: Executive Director, Global Drug Substance Commercialization Lead
Location: Remote; prefer San Carlos, CA or Raleigh, NC
Compensation:
The compensation package will be competitive and includes comprehensive benefits and an equity component.
Salary Range: $208,000 – $242,000 (SF Bay Area). Salary ranges for non-California locations may vary.
Relocation:
This role is not eligible for relocation assistance.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
SCM is committed to a workplace that values and promotes diversity, inclusion and equal employment opportunity by ensuring that all employees are valued, heard, engaged and involved at work and have full opportunities to collaborate, contribute and grow professionally.
We are currently seeking a highly driven, well organized, and motivated candidate to join our team. SCM offers the opportunity to work in person, remotely or in a hybrid work environment.
Primary Responsibilities:
Develop new software and enhance existing systems in C++ on a linux platform.
Create tools to process, store and analyze quote, order and financial data.
Work closely with our quantitative research analysts, engineers and other groups to provide software solutions.
Requirements:
Undergraduate or graduate level degree in Computer Science, Mathematics, or related field.
C++ programming experience in a Linux environment.
Excellent academic record.
Strong problem solving skills.
Knowledge of shell scripts and other languages including Python is a plus.
Knowledge of relational databases including Sybase, MySQL, SQL Server and Oracle is a plus.
The base pay for this position is anticipated to be between $150,000 and $300,000 per year. The anticipated annual base pay range is current as of the time this job post was generated. This position is eligible for other forms of compensation and benefits, such as a bonus, health and dental plans and 401(k) contributions, which includes a discretionary profit sharing program. An employee’s bonus and related compensation benefits can be a significant portion of total compensation. Actual compensation for successful candidates will be carefully determined based on a number of factors, including their skills, qualifications and experience.
At Tetra Pak we commit to making food safe and available, everywhere; and we protect what’s good – protecting food, protecting people, and protecting the planet. By doing so we touch millions of people’s lives every day.
And we need people like you to make it happen.
We empower you to reach your potential with opportunities to make an impact to be proud of – for food, people and the planet.
Job Summary
We are looking for a Pre-Project Engineer, who will be responsible for preparing quotations sales activities We are looking for a Pre-Project and Sales Support Engineer who will be responsible for applying knowledge and tools to deliver the results within their own specialist area and work with the line managers to achieve overall process and factory KPIs.
The position is remote and based in Brooklyn Park, MN.
You may be required to travel 50% of your time regionally and occasionally some international travel for training purposes.
Tetra Pak is not sponsoring work visas or international relocation for this position.
What you will do
Manage project quotation activities on specific inquiries within a customer team.
Provide comprehensive process engineering and technical support, in the pre-project and sale phases.
Handle the design specification, dimensioning and arrangement of process equipment and solutions.
Execute drawings in CAD software: P&ID, layouts.
Prepare and/or participate in Line Concept, Design Criteria, Mass Balance, Performance Guarantees and Production Time Schedule.
Prepare and/or participate in the creation of Project Plannings, Risk Analyses, and collection of project costs and budgets.
Define line functionality, Prepare and/or participate in creating Technical Descriptions and Process Functional Specifications.
Create engineering and quotation documents according to Tetra Pak Standards and Processes.
May perform onsite system audits, process improvements, startup support, and commissioning support.
Drive and/or participate in technical discussions with Market Operation teams, Customers and Suppliers.
Develop and improve customer’s plants regarding performance, safety and quality and building of competitive solutions based on Tetra Pak portfolio.
Lead of pre-project process on a structured way and ensuring information flow in external/internal connection with pre-projects, documentation, and follow-ups.
Provide preliminary technical information, such as utility consumption estimates, layout, and P&ID’s.
We believe you have
Strong technical background both in theory and practice, and a degree level in an Engineering or filtration related subject.
At least 5 years of experience in Process and Mechanical Engineering or Food Technology preferably with experience in liquid process industries.
Good knowledge of food safety & hygienic design, food industry standards, practices, and regulations.
Proficient with AutoCAD and Microsoft applications.
Good communication skills. English is a must.
Strong drive for the result, an analytic mindset and can find common solutions.
Ability to structure your work efficiently to deliver accurate and timely result
Pay Equity
Tetra Pak provides the following compensation range that in good faith believes it might pay and/or offer for this position. The range displayed reflects the minimum and maximum target for new hire salaries for the position across all US locations. Ranges are determined by role, level and location. Within the range, individual pay is defined by work location and additional factors, including job-related skills, experience, and relevant education or training. This compensation range is based on a full-time schedule. The estimate displayed is just one component of Tetra Pak’s total compensation package for employees. Other rewards include overtime, annual performance bonus, competitive benefits, and work-related allowances.
Annual Base Salary Range (ABS): $100,100.00– $142,800.00. Short-term Incentive/Bonus (Variable Pay): Eligible to performance incentive of 10% of ABS. Benefits: 401k company match, paid time off, paid holidays, health, dental, vision, life and disability insurance, paid parental leave, company credit card, and much more!
We Offer You
A variety of exciting challenges with ample opportunities for development and training in a truly global landscape
A culture that pioneers a spirit of innovation where our industry experts drive visible results
An equal opportunity employment experience that values diversity and inclusion
Market competitive compensation and benefits with flexible working arrangements
Apply Now
If you are excited for a new adventure at Tetra Pak, please submit your resume in English through myLink.
This job posting expires on April 18, 2025.
If you have any questions about your application, please contact Jatwana Calhoun Brown.
Diversity, equity, and inclusion is an everyday part of how we work. We give people a place to belong and support to thrive, an environment where everyone can be comfortable being themselves and has equal opportunities to grow and succeed. We embrace difference, celebrate people for who they are, and for the diversity they bring that helps us better understand and connect with our customers and communities worldwide.
Recent Comments