Director of Healthcare Economics
Miami, Florida 
Hybrid schedule or Remote EST for the right candidate
  
Reports To: Chief Financial Officer (CFO)
Department: Health Economics

Position Overview:
Newly created position, The Director of Healthcare Economics leads a team responsible for analyzing medical cost data within Medicare populations. The primary objective is to identify cost-reduction strategies and enhance patient care and experience. This role involves extracting and interpreting data from diverse sources to pinpoint risks and opportunities. Additionally, the Director fosters cross-functional collaboration to establish best practices and generates reports and presentations tailored for executive leadership.
Required Education and Experience:

• Bachelor’s degree in a STEM field, Statistics, Economics, Finance, or a related discipline.
• 10+ years of experience in healthcare, working with medical claims, membership, and provider data.
• 5+ years of experience in management or leadership roles.
• Proficiency in SQL, including query creation, data manipulation, and analysis.
• Advanced Excel skills, including PivotTables, linked worksheets, graphing, and reporting features.
• Experience with data visualization tools like Power BI.
• Strong communication and interpersonal skills, both verbal and written.
• Excellent analytical and problem-solving capabilities.

Supervisory Duties:

• Manage team members (1-2 employees)  in line with the organization’s policies and legal requirements.
• Oversee hiring, training, and performance management, including providing guidance on tasks, assessing performance, rewarding achievements, addressing issues, and resolving concerns.

Skills and Qualifications:

• Strong leadership, management, and project management skills.
• Ability to bridge communication gaps between finance, technical, and non-technical teams.
• Expertise in data mining, statistical analysis, and data transformation.
• Proven ability to solve complex problems and resolve issues using investigative methods.
• Ability to manage multiple projects simultaneously with minimal supervision.
• Skilled in producing clear, well-written reports and documentation.
• Self-motivated with exceptional attention to detail.

Key Responsibilities:

• Cultivate and leverage cross-departmental relationships to exchange ideas, data, case studies, and industry insights to develop and implement best practices.
• Drive and manage the company’s affordability initiatives, contributing to the ongoing reporting and monitoring of cost-saving strategies.
• Transform large datasets into concise, actionable insights, and clearly present findings to stakeholders and executives, ensuring accurate interpretation of data.
• Oversee projects involving external vendors for evidence development, such as retrospective claims analysis and health economic modeling.
• Lead the creation of value-based resources and clinical-economic evidence, including value-based summaries and calculators.
• Analyze and critically evaluate data to anticipate potential changes in access, reimbursement challenges, and opportunities within the healthcare landscape.
• Supervise teams involved in data collection, management, analysis, and reporting using tools like Excel, Power BI, SQL, and analytical cubes.
• Write complex SQL queries and generate detailed end-user reports, applying advanced analytical techniques to address specific business challenges.
• Examine medical claims data to identify trends related to spend, utilization, and diagnoses, providing insights into emerging patterns in healthcare costs.
• Structure analytical results in a visual, organized manner to convey a meaningful, actionable narrative.
• Utilize data visualization tools to present findings in an accessible and engaging way.
• Maintain confidentiality and professionalism in handling sensitive information.
• Perform other duties as assigned.

Compensation
Salary (based on experience), benefits, 18 days PTO, Paid Holidays and 401k
  
Apply
If you have the key requirements, please apply for immediate consideration.

Environmental Sustainability Leader
Location: Medley, Florida
Schedule: Full-Time
Type of Contract: Direct Hire
Salary: 94.000K

Description:
We are seeking a motivated and knowledgeable Environmental Manager to oversee and implement environmental practices and standards at a large industrial complex in Medley, Florida. This position plays a key role in ensuring compliance with environmental regulations and driving sustainable practices within the facility.
The Environmental Manager will lead a dynamic team, acting as a mentor and resource for environmental engineers and interns. Reporting directly to the Environmental Director, this role requires a detail-oriented professional capable of navigating complex regulatory landscapes, fostering relationships with regulatory agencies, and proactively addressing environmental risks.

Key Responsibilities:
 

• Manage and lead the environmental program for the facility.
• Provide mentorship to environmental engineers and interns, fostering talent development.
• Act as the primary liaison between the organization and regulatory agencies.
• Prepare and submit environmental permit applications, reports, and related documentation.
• Conduct evaluations of facility operations to identify opportunities for waste reduction and pollution prevention.
• Ensure compliance with federal, state, and local environmental regulations.
• Develop strategies to address and mitigate environmental risks.
• Maintain up-to-date knowledge of environmental and land use laws.
• Work efficiently in a fast-paced and time-sensitive environment.

Qualifications: 
Required:
 

• Bachelor’s degree in Environmental Science, Engineering, or a related field.
• A minimum of 5 years of technical experience in an industrial or related sector.
• At least 5 years of experience in engaging with regulatory agencies.
• Proven ability to effectively communicate with diverse stakeholders, including plant leadership and external agencies.
• Strong time management, project planning, and execution skills.
• Excellent interpersonal and teamwork capabilities.
• Analytical skills with a commitment to continuous process improvement.
• Experience managing complex Title V air permits.

Preferred: 
 

• Familiarity with Florida and Miami-Dade County environmental regulations.
• Background in the cement or mining industries.

   
About Us:
At ttg Talent Solutions, we are dedicated to matching the right talent with the right opportunity. We believe in building relationships and providing a seamless recruitment experience for candidates and clients alike. Our philosophy, "We believe in making a difference One Person at a Time," drives everything we do.


Equal Opportunity Employer:
ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status.

ACO Sr Healthcare Sales Rep     
Industry:  ACO (Accountable Care Organization) or Medicare Advantage 
Field-Based Selling to Providers  - PCP’s and IM’s
Territory:  Miami-Dade, Broward, and Palm Beach -
Reports To: VP of Growth & Retention 
 
**Ideal candidate must have experience selling (enrolling) to Physicians with an ACO (Accountable Care Organization), MSO Management Service Organization), Medicare Advantage Plan, or related within this territory.** Local Candidates only
 
Our client: 
Our client is a value-based healthcare company, offering physicians the opportunity to be part of Accountable Care Organizations (ACOs) with savings in the Medicare system.  Through its Management Service Organization (MSO), the company aims to deliver healthcare management services for its participating physicians whose patients are enrolled in Medicare Advantage plans.
 
Summary 
Responsible for lead generation and business development function for healthcare value-based model within specified market region/territory.  The experienced field-based sales representative is responsible for supporting the organization in meeting overall growth and development goals. 
 
Essential Duties and Responsibilities 

• Responsible for driving growth initiatives by identifying and pursuing new market opportunities, partnerships, and revenue streams.   
• Define, develop, and execute business development strategy to achieve growth targets and expand market share. 
• Work closely with the Growth leadership team in planning, developing, and implementing plans and strategies in line with company goals and objectives, aiming to accelerate growth. 
• Conduct comprehensive market research to identify new opportunities and understand industry trends and the competitive landscape. 
• Collaborate with the “Growth Team” and internal partners to align strategies and maximize lead conversion. 
• Identify and qualify growth opportunities through various campaigns. 
• Oversee programs that support the development of growth pipeline based on targeted efforts. 
• Track and report key growth opportunities and updates on a customer management system. 
• Manage and nurture existing partnerships to ensure continued value and mutual growth. 
• Acquire new customers and manage long-term and profitable client/stakeholder relationships (new and existing) 
• Deliver and ensure exceptional client relations and service. 
• Travel to visit providers (Enrolling/Selling to Physicians in the territory)
• Researches each physician and/or group practice to evaluate if they will be a good partner
• Achieve growth quotas, both personal and team targets 
• Educate providers on how products or services can benefit them financially and professionally. 

 
Minimum Education and Experience 

• Must have at least 2 - 5 years of proven sales or business development experience within healthcare, specific to an ACO, MSO, Medicare Advantage, or related to exp must be selling (enrolling) to Physicians, PC, and IM )
• Prior experience with MSO (Management Service Organization) and/or ACO entities (Accountable Care Organization), or Medicare Advantage Plan within the territory
• Degree a plus (no degree required)
• Prior experience with canvassing, lead generation, and direct sales 
• Experience in ACO (Accountable Care Organization) or MSO (Management Service Organization Market (local candidates only)
• Experience with the negotiation of contracts or a strong ability to learn
• Must have a valid driver’s license, clean driving record, and reliable transportation. 
• Must be fluent in English (100% read, write, and speak English)
• Must live within this territory- Local candidates only

 
Knowledge, Skills, and Abilities 

• Thorough understanding of value-based care model 
• In-depth knowledge of market analysis and metrics 
• Proven sales skills – effective prospecting and excellent sales skills, particularly with strong closing abilities and commercial awareness 
• Must be proficient in conversational sales and a closer
• Competitive attitude.  Self-motivated and driven to achieve goals. 
• Track record of achieving quota 
• Familiarity with different sales techniques and pipeline management 
• Strong communication, Contract negotiation, and interpersonal skills 
• Able to work independently. Ability to manage multiple accounts simultaneously.  
• Proficient in Microsoft packet and another web-based software/CRM, ideally Salesforce 
• Frequent road travel required – up to 60%-70% road travel including across counties within specified region/area. 

 
Compensation
Base salary 0K-  0k ( based on experience)  + uncapped Commissions (OTE 0K- 0K)
 
Plus, expense reimbursements for territory travel under review, 18 days PTO, health benefits (Medical, dental, Vision; ( A few plans are 100% subsidized by the company)  401k Match program, Paid Holidays, and more.  Our client has been “Named one of the top 10 places to work in South Florida.”
 
Apply
Please provide your resume in a word document.
Please indicate your specific experience as it relates to this position on your resume.   Plus already living in the area.

NOTE:  Must live within this territory**  Local candidates only** Must have relationships physicians in the territory to be considered.

Only apply if you are a match.   A ttg talent Solution recruiter will contact you ASAP.  Please monitor your inbox, VM and even check junk for messages.
 
    

At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
 
 
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.

  
Technology Sales/ Business Development Manager
Two Positions Available – US only
Houston TX based – Remote
East Coast or Chicago Based – Remote
  
Industry: Enterprise Software Sales – Sell to highly regulated industries such as Oil and Gas, Chemicals Energy, Pharmaceuticals or related
  
**Ideal candidate experience is selling enterprise software solutions worth 0,000**
 
Our client is a global leader in providing enterprise software solutions to high-risk and highly regulated industries. Their innovative technologies are used by enterprise sized oil and gas, chemical, energy, and pharmaceutical companies worldwide, digitizing procedures, creating efficiencies, connecting workers, and maximizing safety. They have a premiere Digital Lifecycle Management system delivers accurate, human-factored content to workers in various formats across smart devices, enabling them to perform their roles flawlessly and safely.
  
About the Role
We are expanding and seeking an experienced and driven Business Development Manager to lead high-stakes sales to the oil and gas, petrochemical, energy, pharmaceutical, chemical, and aviation sectors. If you excel in building relationships with executives and leaders and thrive in a consultative enterprise software sales environment, this role is for you! Your responsibilities include generating leads, nurturing prospects, and managing client relationships. You will collaborate with internal departments to support clients through product demos, needs analysis, scoping, budgeting, and proposals.
  
Key Responsibilities

• Develop a strong pipeline of qualified leads through targeted outreach, warm and cold calls, marketing initiatives, and trade show participation.
• Conduct discovery meetings, presentations, and software demos for mid-level managers and/or executives.
• Represent the company at global trade shows and customer events with overnight travel.
• Facilitate collaboration between key decision-makers across departments to align solutions with client needs and decision criteria.
• Prepare and attend meetings with prospects/clients and conduct demos or presentations to mid-level managers and/or executives.
• Maintain up-to-date sales records using CRM tools and adhere to best practices throughout the sales cycle.

  
 Requirements

• Bachelor's degree from an accredited college or university.
• Experience selling in high-risk or regulated industries.
• Proven history of consultative selling to mid-level managers and/or executives.
• REQUIRED:: Experience selling enterprise software solutions worth 0,000, like SAP, Maximo, JD Edwards, OpenText, Documentum, and Honeywell.
• Must have a valid U.S. Passport or the ability to obtain one within 90 days of hire. International travel may be required.
• Travel – can be local travel, domestic or international
• Book of Business or business contacts within the industries are a huge plus
• Must live in Houston TX or in the area or in a city in the East Coast or in Chicago area - remote

  
  
Knowledge, Skills, and Abilities

• Consultative-style hunter with the ability to articulate with high-level management.
• Strong technical aptitude and ability to convey product value to high-level stakeholders.
• Self-starter with strong prioritization skills.
• Strong planning and organizational skills.

  
Physical Demands

• Frequently required to remain stationary for extended periods while using a computer or conducting virtual meetings.
• Regularly required to travel to customer sites, trade shows, and events, including prolonged periods of standing or walking.
• Occasionally required to lift or move materials, samples, or equipment up to 25 pounds.
• Regular communication with customers and colleagues via phone, email, and in-person meetings.

  
What We Offer

• Competitive salary with opportunities for unlimited commission. )
• Comprehensive healthcare benefits (medical, dental, vision), including Health Savings Accounts (HSA) with employer contributions.
• Paid time off (PTO), including holidays.
• 401(k) with employer match.

  
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or disability.
  
Apply:
Submit your resume and add the type industry experience you have and  sales metrics to be considered.   If you are a good match, we will contact you via email and/or phone.  Monitor your inbox and spam  US candidates only, no relocations are available.
  
  
  
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
  
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.

Business Development Manager - 
Houston TX
Enterprise Software Sales- Premiere Platform  Systems

**Ideal candidate experience selling enterprise software solutions to highly regulated industries such as oil and gas, petrochemical, energy, pharmaceutical, chemical, & aviation** 
 
Our client is a global leader in providing enterprise software solutions to high-risk and highly regulated industries. Their innovative technologies are used by enterprise sized oil and gas, chemical, energy, and pharmaceutical companies worldwide, digitizing procedures, creating efficiencies, connecting workers, and maximizing safety. They have a premiere Digital Lifecycle Management system delivers accurate, human-factored content to workers in various formats across smart devices, enabling them to perform their roles flawlessly and safely.
 
About the Role
We are expanding and seeking an experienced and driven Business Development Manager to lead high-stakes sales in the oil and gas, petrochemical, energy, pharmaceutical, chemical, and aviation sectors. If you excel in building relationships with executives and leaders and thrive in a consultative enterprise software sales environment, this role is for you! Your responsibilities include generating leads, nurturing prospects, and managing client relationships. You will collaborate with internal departments to support clients through product demos, needs analysis, scoping, budgeting, and proposals.
 
The position is in Houston, TX. This position's primary area will include Texas and Louisiana, but it will also expand our brand in North America, requiring overnight travel.
 
Key Responsibilities

• Develop a strong pipeline of qualified leads through targeted outreach, warm and cold calls, marketing initiatives, and trade show participation.
• Conduct discovery meetings, presentations, and software demos for mid-level managers and/or executives.
• Represent the company at global trade shows and customer events with overnight travel.
• Facilitate collaboration between key decision-makers across departments to align solutions with client needs and decision criteria.
• Prepare and attend meetings with prospects/clients and conduct demos or presentations to mid-level managers and/or executives.
• Maintain up-to-date sales records using CRM tools and adhere to best practices throughout the sales cycle.

Education & Experience Requirements

• Bachelor's degree from an accredited college or university.
• Experience selling in high-risk or regulated industries.
• Proven history of consultative selling to mid-level managers and/or executives.
• Required Experience: selling enterprise software solutions worth 0,000, like SAP, Maximo, JD Edwards, OpenText, Documentum, and Honeywell.
• Must have sales metrics 
• Must have a valid U.S. Passport or the ability to obtain one within 90 days of hire. International travel may be required.
• Travel 25- 50% locally, domestically, and internationally. 

Knowledge, Skills, and Abilities

• Consultative-style hunter with the ability to articulate with high-level management.
• Strong technical aptitude and ability to convey product value to high-level stakeholders.
• Self-starter with strong prioritization skills.
• Strong planning and organizational skills.

Physical Demands

• Frequently required to remain stationary for extended periods while using a computer or conducting virtual meetings.
• Regularly required to travel to customer sites, trade shows, and events, including prolonged periods of standing or walking.
• Occasionally required to lift or move materials, samples, or equipment up to 25 pounds.
• Regular communication with customers and colleagues via phone, email, and in-person meetings. 

Compensation 

• Competitive salary with opportunities for unlimited commission. )
• Comprehensive healthcare benefits (medical, dental, vision), including Health Savings Accounts (HSA) with employer contributions.
• Paid time off (PTO), including holidays.
• 401(k) with employer match.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or disability.
 
Apply:
If you have sales experience selling to fortune 500 companies in the industrial space, you are a good match and should apply ASAP! 
 
Submit your resume in a word document. MUST be US based to be considered.  Only if you are a match to the requirements, then you will be contacted by email or phone. Monitor your messages including spam. 
 
 
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
 
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.

Chief Compliance Officer
Skilled Nursing Facilities - Corp Office 
Open to relocating to  Carrollton,  TX
Must have a strong background in compliance in the Skilled Nursing industry or related 
4 days on-site/1 day hybrid

Our client is a well-established company growing organization with diverse business lines in the long-term care industry providing post-acute services through a growing portfolio of skilled nursing facilities, home health agencies, rehabilitation, memory care, and hospices.
 
Job Summary:
The Chief Compliance Officer is responsible for overseeing, leading, and administering the company’s  Compliance Program across all divisions in alignment with the Company policies and procedures including the Health Plan, Code of Conduct, Quality Hotline, Monitoring, Auditing/trending/tracking and Summary Reviews. This position will be responsible for adherence to the requirements and guidance set forth by various regulatory authorities, such as OIG, DOJ, CMS, and HHSC.
 
Qualifications

• Minimum 5 years of experience in healthcare operations or compliance, preferably with a multi-faceted healthcare company
• Minimum of three (3) years supervisory experience, preferably in a long-term care setting.
• Experience with compliance and ethics-related education and training, organizational culture and communications, key performance indicators, documentation retention, policies and procedures, and risk assessment
• Bachelor’s degree preferred
• Certification in Healthcare Compliance preferred
• Experience leading a Compliance Program for an I-SNP is required.
• Must have a strong understanding of  various regulatory authorities, such as OIG, DOJ, CMS, and HHSC
• Thorough knowledge of applicable state/federal regulations regarding nursing home operations and should include a detailed understanding of state and federal programs
• Ability to effectively communicate, direct, and at times, delegate tasks.

Essential Functions:

• Creating and updating compliance programs, policies, and procedures designed to ensure compliance with all applicable federal laws and regulations.
• Partner with company leadership to ensure that the compliance program effectively prevents, detects and responds to violations of law, regulations, policies and industry standards.
• Provide exemplary leadership in promoting the Company’s commitment to compliance and those ethical and compliance values that are reflected in the Compliance Program.
• Review the content and performance of the Compliance Program on a continuing basis and take appropriate steps to improve its effectiveness.
• Receive, intake, monitor, and track Quality Hotline and Compliance calls and work with department leaders in ensuring resolution.
• Establish mechanisms and promote an environment where employees and business partners can report compliance related issues via any communication channel available within the Company without fear of retaliation, which includes, but is not limited to, the maintenance of an independent call-in number where employees may anonymously report compliance-related concerns.
• Promotes sound clinical management principles and strategies in order to identify risks in the clinical setting and coordinate the development of actions to reduce opportunities for harm to patients, visitors, and staff.
• Responsible for the development and implementation of network-wide education for compliance with external accrediting agencies’ standards and state and federal regulations.
• Participate and present in various compliance committees to ensure compliance protocols are in place.
• Review and oversee, either personally or through coordinated efforts with senior management, the prompt resolution of any alleged violations of the law, rules, or regulations, the Code of Conduct or other established Company policies and procedures.
• Supervise and maintain the integrity of the Ethics hotline such that reports are appropriately logged, investigated, tracked, and resolved in a timely manner; calls can be made on an anonymous basis where permitted by law; and the confidentiality of the information is maintained to the maximum extent possible.
• Monitor CMS and Federal regulatory updates and update respective department of necessary changes that need to be adopted.
• Develop and maintain documents related to the operation of the Compliance Program including, but not limited to, the Compliance Plan, the Code of Conduct, policies and procedures and educational materials. Coordinate revisions to the Compliance Plan or Code of Conduct, as necessary, in order to respond to the changing needs of the Company and changes in the laws, rules and regulations governing the Company.
• Perform periodic audits in the facilities that are deemed “critical” as it relates to the error rate and exposure. The audits will be to determine whether the documentation in the medical record supports the intensity and the medical necessity of the services billed. The results shall be shared with key leadership in the respective facility.
• Monitor key factors as they relate to the documentation of medical necessity in the Communities. These factors include (1) RUG classifications, (2) problematic diagnoses, (3) error rate, (4) patterns of denials, and (5) adherence to applicable CMS and Local Coverage Determination regulations.

 
Compensation

• Competitive Wages- plus bonus
• 401k with match, Medical, Dental, Vision & Supplemental Insurance, Vacation Days, Sick Days, Personal Holiday & Paid Holidays
• Short-Term Disability and Life Insurance
• Tuition & CEU Reimbursement
• Work today & get paid tomorrow with PayActiv
• Rewards & Recognition Program
• 4 in the on-site in Carrolton TX office and 1 day remote.
• Sign-on bonus for relocation for the right candidate

 
Apply
Please forward your resume in a Word document.  Please monitor your email and VM for messages from the ttg Talent Solution Recruiter.  Many times messages on in junk.
 
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.
 
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.

Director of Payer Finance (Managed Care)
Healthcare Finance | Health Plan Experience | Provider Side
Location: Remote – US only
  
**The ideal candidate is a Healthcare Finance professional with 7+ years of experience in Payer Finance with provider service fund reconciliations and financial management in Health plans in the provider space. Must have including at least 3 years in a leadership role**
  
About the Client:
Our client is a physician-led healthcare provider operating over 40 clinics, recognized as a leader in transforming care delivery. They combine innovative, physician-led care models with advanced technology and a focus on personalized, coordinated care to empower providers, especially in challenging healthcare environments. They promote work-life balance and support each employee's personal and professional goals to help them lead their best lives.
  
Job Summary:
  
The Director of Payer Finance (Managed Care) will oversee the financial management of service funds within the managed care sector, with a focus on the reconciliation of service fund accounts, identifying discrepancies, and resolving underpayments. This role requires recent health plan exposure, particularly in finance roles related to provider services, and will work closely with internal teams, external payers, and stakeholders to ensure financial operations align with contractual agreements, regulatory requirements, and organizational objectives.
  
Essential Job Functions:

• Service Fund Reconciliation: Oversee the monthly and quarterly reconciliation of payer service fund accounts to ensure all transactions are accurately recorded. Investigate and resolve discrepancies between expected and actual service fund balances.
• Underpayment Resolution: Identify underpayments and billing issues by reviewing payer statements, analyzing payment trends, and coordinating with payer organizations to resolve discrepancies and ensure proper payment processing.
• Health Plan Finance Exposure: Bring recent, hands-on experience in health plan finance, specifically in the provider space, to drive efficient service fund reconciliations. Collaborate with payer representatives to resolve disputes and answer inquiries related to provider service fund balances and payments.
• Financial Reporting: Generate and analyze reports on service fund performance, payment accuracy, and discrepancies. Provide regular updates to senior leadership regarding the status of underpayments and reconciliation efforts.
• Contract Compliance: Ensure all service fund activities align with payer contracts, including terms related to payment structures, adjustments, and reconciliations. Collaborate with the contracting team to address payer-specific issues.
• Process Improvement: Identify and implement process improvements to enhance the accuracy and efficiency of service fund reconciliation. Propose new methodologies or technologies to reduce the occurrence of discrepancies and underpayments.
• Collaboration with Payers: Serve as the primary liaison with payer representatives to resolve disputes, answer inquiries, and address concerns regarding service fund balances and payment issues.
• Team Leadership: Lead and mentor a team of financial analysts or accountants responsible for day-to-day service fund management. Ensure that the team has the resources, training, and guidance necessary to meet performance goals.
• Audit and Compliance: Ensure that all financial processes related to managed care payer funds are compliant with federal and state regulations, as well as internal policies and procedures. Prepare for and participate in audits related to payer financials.

Minimum Required Education, Experience & Skills:

• Bachelor’s degree in Finance, Accounting, Business Administration, or related field (Master’s degree preferred).
• Minimum of 7 years in payer finance w/ managed care finance experience supporting the Provider Side (on the finance team)
• At least 3 years in a leadership role (supervisor role)
• Experience with payer contracts, claims processing, and regulatory compliance - managed care setting.
• Familiarity with healthcare payment models and value-based reimbursement.
• Recent experience, specifically in a finance position with experience in “provider services and fund reconciliations” required
• In-depth knowledge of managed care payer systems, reimbursement structures, and service fund accounting.
• Strong analytical skills with the ability to identify discrepancies, underpayments, and other financial issues.
• Proficient in financial software and Excel, with experience in financial reporting and analysis tools.
• Excellent communication skills, with the ability to collaborate effectively with both internal teams and external partners.
• Strong problem-solving abilities and attention to detail.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

Compensation
Competitive salary (based on experience) and excellent benefits package, PTO (13- 20 days to start based on the level) , and at least 6 paid holidays and 2 floaters, and 401k match,
  
Apply
Please provide your updated resume in word.   Monitor your inbox and VM for messages from a ttg Talent Solutions recruiter. Check spam/junk too!
  
At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
  
  
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees

Physician Performance Representative (Provider Relations Specialist)
Family Medicine/Internal Medicine Offices
Full time - Monday- Friday 
Field rep- 3 travel days within the territory (1-2 days remote w/ possible 1 day at the office)
Open territory:  Miami- Dade Territory 

Field-Based work w/ PCP and IM on their performance scores - Must be LOCAL candidates only- Miami, Florida Area

The Physician Relations Representative is responsible for fostering a strong and satisfied network of healthcare providers in a designated area. They serve as the main liaison between practices, the company, and health plan partners. Their main focus is to work closely with providers to improve performance in areas like cost reduction, revenue optimization, quality enhancement, and provider satisfaction for Medicare patients.
  
Requirements

• Must have at least 2+ years in Provider Relations, Network Management, or contracting within an ACO (Accountable Care Organization) or HMO (Managed Care Organization) Or Medicare Adv Plan with a proven record of working with Providers and their Office Managers
• Must be extremely knowledgeable to discuss results in the area Medical Loss Ratio, Risk Adjustment Factor, Star Rating, HEDIS and others ( preferably field based experience)
• Bachelor's degree a plus
• Valid driver's license and reliable transportation required w/ clean driving record)
• 3 days in the field/ 2 admin days remote (Full-time M- F)
• Strong interpersonal and communication skills
• Experience in presentations
• Analytical and problem-solving skills
• Time management and organizational skills
• Attention to detail and reliability
• Proficiency in MS Office programs and Excel
• Bilingual in English and Spanish is highly desired
• Must have a background and be able to pass a drug screen 

Key Responsibilities:

• Provider Education and Support: Provide comprehensive education and tools to help providers meet quality and financial goals.
• Accountability and Performance: Understand and improve the financial performance of practices, ensuring they meet key performance indicators.
• Provider Training and Orientation:Conduct orientation sessions and ongoing training for providers and their staff.
• Provider Retention: Work to retain providers by ensuring their satisfaction with the organization.
• Provider Collaboration: Facilitate meetings to enhance patient outcomes and operational efficiencies.
• Performance Improvement Plans:Develop, implement, and monitor improvement plans for provider groups.
• Provider Negotiations:Negotiate contract terms and analyze proposals.
• Communication and Issue Resolution: Maintain open communication channels and resolve issues promptly.
• Strategic Planning: Collaborate to implement strategic interventions.
• Onsite Provider Visits: Spend most of the workweek visiting providers, with clear objectives for each visit.
• Engagement with Specialists: Focus on engaging high-quality specialists and improving coordination of care.

Compensation:
Base salary up to K ( possible bonus) plus expense reimbursement, car allowance, 18 days PTO, fully subsidized health benefits, Holidays, 401k
  
Apply:
Only apply if you match the requirements above.  It must be indicated on your resume the types of performance sources you specialize in such as Medical Loss Ratio, Risk Adjustment Factor, Star Rating, HEDIS and others.

Please submit your resume in a word document.   If you are a match, a ttg Talent Solutions recruiter will contact you by phone, email or text. Please monitor your inbox, VM, and spam for messages.

 
At ttg, “We believe in making a difference One Person at a Time” ttg OPT.
  
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.

Regional Vice President of Operations, LNFA (Licensed Nursing Facility Administrator)- 12+ facilities 
Dallas /Fort Worth
Growing organization with diverse business lines in the long-term care industry
Our client established over 40 years ago provides post-acute services through our growing portfolio of skilled nursing facilities, home health agencies, and hospices. Through the use of the latest technologies and our commitment to innovation.
 
**The ideal candidate will have 5+ years of multi-facility SNF experience and a proven track record of business development, census growth, and strong financial results**
 
Reporting Structure: Directly supervises Nursing Home Administrators within the assigned region.
Scope: Manages a region consisting of approximately 12-15 facilities.
 
Job Summary:
The Regional Vice President of Operations (RVP) will drive the company's success by overseeing and supporting administrators in their region. The RVP will ensure goals related to census growth, resident care, regulatory compliance, employee relations, financial performance, and the effective implementation of CCCN programs are met. This role requires strong planning and control skills to address daily operational issues while anticipating future trends and strategizing accordingly. The RVP will also focus on developing administrators to support their professional and personal growth.
Requirements

• Bachelor’s Degree
• Licensed Nursing Home Administrator (LNFA)
• At least 5 years of progressive multi-site management and staff development experience in long-term care.
• Minimum of 5 years as a licensed Nursing Home Administrator.
• Strong interpersonal skills with the ability to engage effectively with residents, families, community members, volunteers, and staff.
• Passion for working with long-term care residents and the elderly.
• Excellent oral and written communication skills.

Key Responsibilities
Census Management:

• Collaborate with the CEO and administrators to set annual census and mix goals aligned with the budget and business plan.
• Ensure facilities have robust sales and marketing plans to maximize census and exceed expectations.
• Monitor daily and monthly census reports to address any shortfalls in achieving goals.

Quality of Care:

• Ensure compliance with quality expectations through QI trends and internal surveys.
• Oversee the implementation of continuous quality improvement (CQI) processes in all facilities.
• Evaluate CQI programs monthly to address any issues promptly.

Financial Oversight:

• Review budgets monthly, including the Spend Down process.
• Monitor labor and supply expenses to maintain financial control and adapt to census changes.
• Ensure proper management of ancillary supplies and maximize revenue opportunities.
• Oversee the use of Vision and manage the clinical reimbursement process, setting goals for any areas not meeting expectations.

Administrator Development:

• Provide comprehensive orientation for newly hired administrators.
• Collaborate with the Area Team to set annual objectives for administrators.
• Conduct annual performance reviews and quarterly evaluations for administrators, ensuring that department heads receive similar reviews.

Benefits:

• Competitive Wages  0k- 0K + + the following: 
• Potential Monthly bonuses. 
• Generous Compensation Package with a ,000 sign on bonus
• 401k with match
• Medical, Dental, Vision & Supplemental Insurance
• Vacation, Sick, Personal Holiday & Paid Holidays
• Short-Term Disability
• Life Insurance
• Tuition & CEU Reimbursement
• Rewards & Recognition Program

Apply:  Only if you have experience in managing multi-site operations in the SNF industry, along with good amount of experience for each company, and a Bachelors degree.  

At ttg, "We believe in making a difference One Person at a Time," ttg OPT.
 
"ttg Talent Solutions is an Equal Opportunity Employer and recruiting agency. We are committed to creating an inclusive and diverse work environment and welcome applications from all qualified candidates regardless of race, color, religion, gender, sexual orientation, national origin, age, disability, or veteran status. Please note that all offers of employment are contingent upon the successful completion of a drug test and background check. We maintain a drug- and substance-free workplace to ensure the safety and well-being of all employees.