Engineering Structures Impact Factor Jobs in Ray Macomb County Mi Remote

702 positions found — Page 18

Attorney - Commercial Real Estate Litigation |Hybrid | $250K
✦ New
Salary not disclosed

Commercial Real Estate Litigation Associate | Manhattan, NY (Hybrid) – Base Salary $250k+

Location/Schedule: Manhattan, NY (Hybrid)


Base Salary: $250k+

Practice: Commercial Real Estate Litigation – Landlord-tenant disputes, lease enforcement, development conflicts, zoning appeals, property tax certiorari


What stands out about this opportunity:

  • Iconic Legacy in NYC Real Estate: Pioneer at a pre-eminent firm founded in 1975, renowned for transforming the NYC skyline over 50 years with unmatched expertise in every facet of real estate law.
  • Award-Winning Litigation Excellence: Dominate with a top-ranked practice by The Real Deal Magazine among NYC's largest, twice honored as Litigation Department of the Year (Real Estate) by The New York Law Journal from 2
  • Supportive, Balanced Culture: Excel in a collegial environment rated 5.0/5 on Glassdoor and named Crain's 2024 Best Places to Work in NYC, offering superior work-life balance and career growth
  • Exclusive Real Estate Mastery: Specialize deeply in litigation, administrative law, and appeals within NYC's dynamic real estate sector, building expertise that's unparalleled for passionate advocates.
  • Elite Compensation Structure: Command a premium $250,000+ base augmented by performance bonuses and comprehensive benefits, rewarding your impact on high-profile disputes.


Core Requirements (Flexibility for Exceptional Candidates):

  • JD from an accredited law school and active New York State Bar admission (additional jurisdictions a plus).
  • 3+ years of relevant litigation experience, ideally in commercial real estate, landlord-tenant, zoning, or property disputes.
  • Strong proficiency in legal research, drafting (motions, briefs), discovery, court appearances, and strategic advocacy in complex matters.


No one fits every box perfectly - if you're driven by real estate litigation and close on experience, let's connect confidentially! This is one of several similar roles I'm handling.


If this ignites your litigation ambitions, reach out for a quick, private chat.

working/work at home options are available for this role.

Not Specified
Brand New Insurance Defense Attorney | Premier National Defense Firm | Boutique Feel with Nationwide Reach | Up to $180k Package | Hybrid in Houston
✦ New
🏢 We Are Legal Revolution
Salary not disclosed

Brand New Commercial Real Estate Attorney | Mid-Sized Houston Powerhouse with $13M+ Landmark Deals | Hybrid in Houston | Up to $220k Package


I am currently working closely with one of the main partners of a standout mid-sized full-service firm that delivers high-impact commercial real estate work for developers and institutional clients while offering true collaboration, hands-on exposure, and a supportive culture that keeps attorneys engaged and growing!


Highlights:

• Founded in the 90’s and consistently recognized as a Houston Business Journal Best Place to Work for multiple consecutive years; a Houston Top Workplace; this respected firm features a dedicated standalone real estate practice handling sophisticated acquisitions, dispositions, leasing, financing, and development — including landmark deals such as a landmark 6.3-acre mixed-use acquisition in a prestigious district for a prominent family office, along with major raw land purchases in prime locations — including a 46-acre suburban tract and a 17-acre downtown parcel.

• True mid-market powerhouse with a collaborative, flat structure — attorneys get meaningful client contact, input on strategy, and the chance to work on national and multistate projects alongside charismatic, diligent partners in a busy, cash-backed environment that stays active even in economic uncertainty.


The Role:

• Handle commercial real estate transactions including acquisitions, dispositions, leasing, and financing for developers, investors, and national clients

• Negotiate and draft purchase/sale agreements, commercial leases, and related documents

• Support development work on residential master-planned communities and other projects

• Collaborate directly with partners on due diligence, title review, and closing strategy


About you: At least 3 years of relevant experience with a demonstrated background in commercial real estate transactional matters. Active Texas Bar membership and JD from an accredited law school. Houston-based with local presence required.


Location: Hybrid in Houston


Package:

• Base salary up to $220k DOE + bonus potential.

• Health, dental, vision & 401(k) retirement plan.


If this sounds like your ideal next move — please book in some time below for us to speak: OR Email your resume to:


Remote working/work at home options are available for this role.
Not Specified
Attorney - Corporate Transactions| Hybrid | $230K
✦ New
🏢 We Are Legal Revolution
Salary not disclosed

Senior Corporate Attorney | New York, NY (Hybrid) – Base Salary $250k


Location/Schedule: New York, NY (Hybrid)


Base Salary: $250k


Practice: Corporate Transactions – M&A, private equity/venture investments, corporate governance, securities compliance, joint ventures, financing, and general business counseling for entrepreneurs, financial institutions, Fortune 500 companies, and emerging growth clients


What stands out about this opportunity:

  • Prestigious Mid-Size Powerhouse – Join a full-service firm with over 60 attorneys renowned for sophisticated, high-caliber work across diverse practices, offering the resources of a larger firm with mid-size agility and collaboration.
  • Established Legacy Since 1975 – Thrive a a respected New York institution providing a full spectrum of services including complex corporate transactions, commercial litigation, real estate, trusts & estates, family law, and government relations.
  • Multi-Level Jurisdiction Reach – Leverage offices in New York City, Albany, Washington, D.C., White Plains, and Palm Beach to handle matters intersecting local, state, and federal issues with seamless cross-office support.
  • Elite, Diverse Clientele – Advise Fortune 500 companies, entrepreneurs, financial institutions, real estate developers, and high-net-worth individuals on strategic deals that drive business growth and innovation.
  • Senior-Level Rewards – Command a premium $250,000+ base with performance bonuses in a merit-driven environment that values expertise, client impact, and long-term career advancement.


Core Requirements (Flexibility for Exceptional Candidates):

  • JD from an accredited law school and active New York State Bar admission (additional jurisdictions a plus).
  • 7+ years of corporate/transactional experience, ideally in M&A, private equity, securities, or general business counseling.
  • Proven skills in deal structuring, due diligence, drafting (agreements, disclosures), negotiations, and advising clients on complex corporate matters.


No one fits every box perfectly -if you're a senior corporate attorney seeking sophisticated work in a respected mid-size firm, let's connect confidentially! This is one of several similar roles I'm handling.


If this aligns with your next leadership step, reach out for a quick, private chat.

working/work at home options are available for this role.

Not Specified
Commercial Real Estate & Lending Attorney | Hybrid (Manhattan) | $200K Base DOE
✦ New
🏢 We Are Legal Revolution
Salary not disclosed
Manhattan, NY, Hybrid 1 day ago

Commercial Real Estate & Lending Attorney | Hybrid (Manhattan) | $200K Base DOE


Join a well-established NYC real estate and finance law firm with a strong reputation for transactional excellence, collaborative culture, and deep market presence. Recognized as a Best Place to Work in 2025, the firm offers attorneys a sophisticated platform with national reach, complex matters, and meaningful career growth in commercial real estate and lending.


Why You Should Join:


  • Competitive Compensation & Stability ($200K Base DOE):
  • The role offers a strong base salary with opportunities for performance-linked upside, reflecting both experience and contribution to high-value commercial real estate and lending matters.
  • Prestigious, High-Growth Practice:
  • The firm’s commercial real estate group counsels lenders, investors, owners, and developers on complex transactions, including acquisition financing, loan documentation, restructurings, and strategic developments.
  • Joint Venture & Sophisticated Deal Exposure:
  • While not required, joint venture experience is a plus, and the firm’s real estate practice routinely handles JV structures, equity placements, syndications, and co-investment arrangements with significant economic stakes.
  • Award-Winning Culture & Collaborative Environment:
  • With more than 150 attorneys and a culture recognized as a Best Place to Work in 2025, the firm emphasizes professionalism, mentorship, teamwork, and work-life balance—making it an attractive home for ambitious real estate practitioners.
  • National Reach with NYC Focus:
  • Though rooted in Manhattan, the firm’s transactional platform supports clients regionally and nationally, offering depth across markets and asset classes.


Day-to-Day:


  • Advise on commercial real estate transactions, including acquisitions, dispositions, and finance.
  • Draft, review, and negotiate loan documents, security agreements, and related transactional instruments.
  • Support joint venture agreements, equity structures, and co-investment frameworks (where applicable).
  • Coordinate with lenders, investors, brokers, and client leadership throughout deal cycles.
  • Collaborate with colleagues across practice groups to deliver seamless client solutions.


Ideal Candidate:


  • 7+ years of commercial real estate and lending experience
  • Strong transactional background in real estate finance and related document negotiation
  • Joint venture experience is a plus
  • Excellent drafting, analysis, and client communication skills
  • New York bar admission required
  • Comfortable in a hybrid environment with in-office presence for collaboration

Take the Next Step:

Email resume:

Book a confidential chat: working/work at home options are available for this role.

Not Specified
Associate Attorney, Insurance Coverage | Competitive Compensation | Houston (Hybrid) | Sophisticated Third-Party & Excess Coverage Practice
✦ New
🏢 We Are Legal Revolution
Salary not disclosed
Houston, TX, Hybrid 1 day ago

This is a high-level insurance coverage role focused on complex third-party liability matters — not routine auto or homeowners files.


The position is based in Houston with a flexible hybrid structure (approximately 3 days in office) and offers long-term growth within a respected coverage-focused platform.


The Role

  • Third-party liability coverage analysis
  • Excess and umbrella liability matters
  • Complex CGL policy interpretation
  • Advisory and litigation-related coverage work
  • Hands-on file responsibility from early stages

This is meaningful coverage work involving sophisticated policies and nuanced analysis — not commodity files.


Why This Opportunity Stands Out

  • Highly flexible working model without rigid in-office mandates
  • Profit sharing eligibility after one year
  • Flexible PTO managed at the team level
  • Health and dental benefits from day one
  • Exposure to environmental and professional liability coverage matters
  • Strong reputation in coverage-focused practice


Compensation & Structure

  • Competitive compensation aligned with experience
  • Hybrid schedule (Houston office)
  • Balanced litigation and advisory exposure
  • Long-term growth within an established coverage team


Ideal Background

  • 3+ years of meaningful insurance coverage experience
  • Strong grounding in general liability (CGL) policies
  • Experience with excess and umbrella coverage
  • Exposure to environmental or professional liability coverage a plus
  • Background from a reputable coverage-focused practice preferred

Remote working/work at home options are available for this role.
Not Specified
Clinical Pharmacist Advisor (Medicare Part D) – REMOTE
Salary not disclosed
San Antonio, Remote 2 days ago
Clinical Pharmacist Advisor – Medicare Part D (REMOTE) Location: 100% Remote (U.S.) Pay Rate: $53.00/hr Schedule: Set rotation within business hours (see below) Opportunity: Contract with potential for full-time conversion About the Role We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.

This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.

As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.

Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines Required Qualifications Active Pharmacist license in state of residence (in good standing) PharmD or Bachelor’s Degree in Pharmacy Strong computer skills (Excel, Word required; Access, PowerPoint, Visio preferred) Experience with data entry, dual screens, and multiple systems Ability to work independently in a productivity-driven remote environment Strong attention to detail and documentation accuracy Preferred Experience Managed Care / PBM experience Prior Authorization, Coverage Determinations, or Appeals Medicare Part D knowledge and CMS guideline familiarity Remote pharmacist or high-volume review experience Retail + Managed Care hybrid background Schedule & Training Requirements Training: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks – no time off allowed) Post-Training Schedule: Business Hours: 7:00 AM – 8:00 PM EST (Mon–Fri) Weekends: 7:00 AM – 4:30 PM EST Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) Dedicated, quiet, private workspace Wired internet connection: Minimum 25 Mbps download / 5 Mbps upload Speed test screenshot required (must be included on resume) Ability to remain on camera during training and team meetings Ability to sit and focus for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) Screenshot of internet speed test ( ) Screenshot of active pharmacist license (showing name, state, expiration) Completed candidate questionnaire (see below) Candidate Pre-Screen Questionnaire (Include with Submission) Are you available for full-time training (M–F, 9–5:30 EST) for 8 weeks with no time off? Can you work any assigned 8-hour shift between 7 AM – 8 PM EST, including weekends? Do you have a dedicated, quiet workspace for remote work? Do you have wired internet meeting 25/5 Mbps requirements? Can you sit and focus for the entire shift without interruptions? Do you have experience with data entry and multiple systems/screens? Do you have an active pharmacist license in your state of residence? Are you comfortable working independently in a productivity-based role? Do you bring a positive, engaged attitude to a team environment? We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.

This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.

As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.

Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines
Remote working/work at home options are available for this role.
Not Specified
Inside Senior Property Adjuster - Hybrid Work Flexibility (SAN ANTONIO)
🏢 Usaa
Salary not disclosed

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Senior Property Adjuster, you will work within defined guidelines and framework, investigate, evaluate, negotiate and settle complex property insurance claims presented by or against our members. You will confirm/analyze coverage, recognize liability exposure and negotiate equitable settlement in compliance with all state regulatory requirements. Adjusters recognize and empathize with members’ life events, as appropriate.

This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Colorado Springs, CO, Tampa, FL or Chesapeake, VA. Relocation assistance is not available for this position.

The Inside Senior Property Adjuster role is a telephone concentrated environment without physical inspection of loss. This is an hourly, non-exempt position with paid overtime available. Training will be approximately 12 weeks, Monday – Friday and hours may vary by location. Upon successful completion of training, employees will transition to an eight-hour work shift ranging between 8:00 am – 5:30 pm (local time) Monday to Friday with availability for occasional evenings and weekends based on business needs.

What you'll do:

  • Proactively manages assigned claims caseload comprised of claims with moderate complexity damages that require commensurate knowledge and understanding of claims coverage.

  • Partners with vendors and internal business partners to facilitate moderate complexity claims resolution. May also involve external regulatory coordination to ensure appropriate documentation and compliance.

  • Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies and identifies subrogation potential resulting from unusual characteristics.

  • Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines coverage through analyzing investigation information involving moderate complexity policy terms and contingencies.

  • Determines and negotiates moderate complexity claims settlement. Develops recommendations and collaborates with management for determining settlement amounts outside of authority limits and accurately manages claims outcomes.

  • Maintains accurate, thorough, and current claim file documentation throughout the claims process.

  • Applies proficient knowledge of estimating technology platforms and virtual inspection tools; Utilizes platforms and tools to prepare claims estimates to manage moderate complexity property insurance claims.

  • Applies working knowledge of industry standards of inspection, damage mitigation and restoration techniques.

  • Serves as an informal resource for team members.

  • Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations.

  • Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.

  • May be assigned CAT deployment travel with minimal notice during designated CATs.

  • Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:

  • High School Diploma or General Equivalency Diploma.

  • 2 years relevant property adjusting and/or claims adjusting experience handling moderately complex claims or construction related industry/insurance experience.

  • Developing knowledge of residential construction.

  • Working knowledge of estimating losses using Xactimate or similar tools and platforms.

  • Demonstrated negotiation, investigation, communication, and conflict resolution skills.

  • Working knowledge of property claims contracts and interpretation of case law and state laws and regulations.

  • Proficient in prioritizing and multi-tasking, including navigating through multiple business applications.

  • May need to travel up to 50% of the year (local & non-local) and/or work catastrophe duty when needed.

  • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:

  • Experience handling water loss claims including water mitigation, water loss estimating and reconciliation

  • Experience desk adjusting property claims involving Dwelling, Other Structures, Loss of Use, and Contents using virtual technologies (Hosta, Hover, Xactimate, ClaimsX)

  • Experience handling large loss complex claims (i.e., water, vandalism, malicious mischief, foreclosures, earth movement, appraisal, collapse, etc.)

  • Experience with full file ownership handling claims from start to finish (FNOL, estimating, reviewing policy, making coverage decisions, settlement)

  • Insurance industry designations such as AINS, CPCU, AIC, SCLA (or actively pursuing)

  • Proficiency in Xactimate (Level 1 and/or Level 2 certification)

  • Experience in a call center environment

  • Currently hold an active Adjuster License

  • Bachelor’s degree

  • US military experience through military service or a military spouse/domestic partner

Physical Demand Requirements:

  • May require the ability to crouch and stoop to inspect confined spaces, to include attics and go beneath homes into crawl spaces.  

  • May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.

  • May require the ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a car.

  • May require the ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics.

Compensation range: The salary range for this position is: $63,590 - $114,450

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

 

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

 

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

 

For more details on our outstanding benefits, visit our benefits page on

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

 

USAA is 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 status as a protected veteran.


Remote working/work at home options are available for this role.
Not Specified
Sr. Program Manager, International Student Recruitment, NYU Abu Dhabi (Hybrid)
✦ New
Salary not disclosed
The Institute of International Education (IIE) is hiring a Senior Program Manager, International Student Recruitment for our Middle East Programs and Outreach Department supporting NYU Abu Dhabi.

We invite you to join a team united by our mission to help people and organizations forge brighter futures through educational exchange and lifelong learning.

Working at IIE is more than just a job; it's a chance to make an impact.

To collaborate with a passionate team, grow your skills, and contribute to programs that change lives around the world.

Learn more about IIE and our culture here.

If you are a job seeker in need of an accommodation to navigate our careers site or apply for one of our jobs, please click here to learn more.

Job Summary The Senior Program Manager, International Student Recruitment is the subject matter expert (SME) and key driver for the development and implementation of a strategic student outreach/recruitment campaign to attract qualified applicants in designated world regions on behalf of NYU Abu Dhabi (NYUAD).

This position has primary responsibility to develop specific regional plans to drive student applications to NYUAD, optimize initiatives and activities to enhance the student application pool, conduct data-driven impact analysis of recruitment activities on application targets from each region, and develop focused reports to communicate success and strategies to change approaches as required.

This position is responsible for management of operations, personnel, and budget allocations of the IIE/NYUAD Program, including supervision of direct reports (3), international contractors through a third-party Employer of Record (EOR) (4), and a dotted-line (matrix) reporting structure for outreach officers in IIE International Offices (4).

The Senior Program Manager represents IIE/NYUAD in interactions with NYUAD admissions leadership and team members.

Essential Functions: Manages the daily activities of the NYUAD program, including overseeing operations, budget allocations, personnel, and policy decision-making.

Provides guidance and direction to a global team of international recruitment professionals to achieve program deliverables including accountability of each team deliverables in five different world regions.

Manages employment of outreach officers through an EOR, including establishment, maintenance, and tracking of processes for payroll, expenses, reimbursements, vendor payment, and PTO.

Oversees the development of an international recruitment plan and strategy to identify and recruit a competitive and diverse international student applicants for all academic programs prioritizing students from regions relevant to the Scope of Work.

Responsible for the development of required, measurable, and outcome-based comprehensive progress reports on international student recruitment and outreach activities, in addition to target application data to communicate progress, challenges, and strategies to NYU and NYUAD leadership.

Develops customized and data-driven assessments of all recruitment initiatives to ensure required outcomes for recruitment plans are adequately accomplished.

Empowers team members to take a well-informed, data-driven, and strategic approach to country-level and regional-level outreach through providing guidance, training, and support.

Develops user-friendly recruitment resources and tools with assistance from the Business Process Analyst to inform recruitment planning and decision making.

Assesses ongoing regional strategies based on application targets, adjusting as required.

Responsible for program budget allocations between regional teams to allow for changes in program needs; monitors budget expenditures and provides input into policies; realignment of funds within various project and activity charge codes Oversees the planning and travel for all team members to recruitment and yield functions, including school visits, recruitment fairs, prospective student receptions, and yield events.

Develops and implements comprehensive onboarding/training of new team members and ongoing trainings for all IIE/NYUAD team members.

Manages full-team events including annual virtual January Retreat, Summer "mini sessions
Remote working/work at home options are available for this role.
Not Specified
Medical Director - Sharp Health Plan - Hybrid / Remote - Day Shift - Full Time
Salary not disclosed
Hours:

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

As Needed

On-Call Required:

Yes

Hourly Pay Range (Minimum - Midpoint - Maximum):

$124.640 - $160.830 - $197.020

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.

Required Qualifications

- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED

Other Qualification Requirements

- Board certified in a medical discipline (internal medicine or family practice preferred).

Essential Functions

- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.

Knowledge, Skills, and Abilities

- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)

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Remote working/work at home options are available for this role.
permanent
Yacht Client Advisor Manager (Remote East Coast)
Salary not disclosed
Atlanta, GA, Remote 2 days ago
Our Not-So-Secret Sauce

Award-winning, inclusive, top workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Client Advisor Manager at MMA.

Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC).

A Day in the Life

As our Yacht Client Advisor Manager, you'll be at the helm of a dynamic team, guiding client advisory efforts and ensuring our clients receive top-notch service. You'll keep a pulse on client satisfaction, proactively delivering solutions that meet their needs. Collaboration is key, so you'll work closely with our sales team to assign client advisors and manage smooth transitions. Working collaboratively with various business units, you'll promote a OnePCS mindset and build strong relationships across the organization. Building and nurturing relationships with Centers of Influence (COIs) will be a priority, as these connections can enhance our service offerings.

You'll also take charge of forecasting and conducting performance reviews, addressing any underperformance to keep the team on track. Managing relationships with local and regional carriers is essential, and you'll stay informed about contract changes and underwriting guidelines to ensure compliance with regulatory requirements while overseeing the audit process. Your role will involve handling client communications and presentations, as well as participating in hiring and interviewing processes to bring in the best talent. You'll analyze workload and manage resources effectively, conducting regular staff meetings and one-on-ones to foster development.

For larger clients, you'll participate in advisory reviews and assist in resolving complex client or underwriting issues. Your focus will be on colleague development, training, and succession planning, ensuring our team is well-prepared for the future. You'll monitor key performance indicators (KPIs) to deliver solid financial results and develop business plans that set clear goals for referrals, new business, and cross-selling opportunities for Client Advisors. Additionally, you'll manage reporting requirements on a weekly, monthly, and quarterly basis while leading a hybrid workforce. Embracing change and adapting as needed, you'll reinforce the Marsh McLennan Agency Private Client Service vision and communicate effectively to provide clear and consistent leadership during transitions.

Our Future Colleague

We'd love to meet you if your professional track record includes these skills:

  • Yacht insurance experience required
  • Personal lines insurance experience with High-Net-Worth clientele
  • Property & Casualty (P&C) License
  • Client service orientation with balance on managing expectations
  • Ability to travel for client and company meetings as needed
  • 5+ years experience managing individuals and team goals preferred
  • 3-5+ years yacht insurance background required with client facing experience
  • Demonstrate an understanding of cultivating opportunities from within their client's centers of influence

We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you.

Valuable Benefits

We value and respect the impact our colleagues make every day both inside and outside of work. Our culture promotes colleague well-being through robust benefits programs and resources, professional and personal development opportunities, and fulfillment through meaningful work.

Some benefits included in this role are:

  • Generous time off, including personal and volunteering
  • Tuition reimbursement and professional development opportunities
  • Hybrid work if near an office; or fully remote on the East Coast
  • Charitable contribution match programs
  • Stock purchase opportunities

We embrace a culture that celebrates and promotes the many backgrounds, heritages, and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams. Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.

The applicable base salary range for this role is $81,270 to $151,620. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.


Remote working/work at home options are available for this role.
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