field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Director, Claims and Encounter Operations to join our growing team!Position Description:Provides strategic leadership and oversight to claims and encounter operations, driving process innovation, system optimization, regulatory compliance, and cross-functional program delivery. This role is accountable for ensuring technical integrity, efficiency, and compliance of all claims and encounter operations while fostering a high-performing, results-driven culture.Office Location:** Remote **Responsibilities include, but are not limited to the following:<ul><li>Ensure integrations are functioning optimally; recommend and implement enhancements to improve departmental efficiency and effectiveness.</li><li>Identify, propose, and embed business rules and operational best practices that advance claims processing performance.</li><li>Oversee claims vendor relationships and maintenance activities to uphold quality and compliance standards.</li><li>Lead configuration and testing of plan benefits and claims within the claims system, ensuring system design aligns with business goals and compliance requirements.</li><li>Serve as the business lead for process improvements and system alignment.</li><li>Deliver solutions that elevate claims workflows and support organizational efficiency through cross-departmental collaboration.</li><li>Oversee quality management and provide technical direction to ensure compliance with internal and external policies across all claims and encounter operations.</li><li>Define, monitor, and measure operational effectiveness; analyze data to identify opportunities for improvement.</li><li>Respond to and remediate operational issues in partnership with other business units and vendor partners.</li><li>Collaborate with organizational leaders to achieve strategic objectives and drive organizational vision.</li><li>Maintain direct accountability for all functional and technical aspects of claims processing.</li><li>Foster a results-driven, compliant, and high-performing culture across the claims teams.</li><li>Lead reviews and resolution efforts for auto-adjudication inhibitors, leveraging process automation and system tool advancements.</li><li>Oversee technical processes for adjustments and reprocessing using automated system tools.</li></ul>Qualifications:<ul><li>Bachelor's degree required (advanced degree preferred)</li><li>8+ years in healthcare claims operations, including 5+ years in a leadership capacity</li><li>Deep expertise in systems configuration, claims adjudication, process automation, operational compliance, and cross-functional program management</li><li>Advanced knowledge of EDI, COB, auto-adjudication rules, and claims system platforms</li><li>Proven ability to manage complex technical implementations and drive organizational change</li><li>Strong analytical, strategic thinking, and communication skills across all organizational levels</li></ul>Proven Personal Attributes:<ul><li>Strategic thinker with ability to balance operational excellence with innovation</li><li>Strong leadership presence and ability to build and motivate high-performing teams</li><li>Results-oriented with proven track record of delivering measurable improvements</li><li>Detail-oriented with strong organizational and project management skills</li><li>Excellent communication and stakeholder management abilities</li><li>Self-motivated, proactive problem-solver with strong work ethic</li><li>Commitment to continuous learning and process improvement</li></ul>tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

tango

Director, Claims and Encounter Operations

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.We are currently looking for a Director, Network Operations&nbsp;to join our growing team!The Network Operations Director is a key leadership role responsible for overseeing the entire provider credentialing process, optimizing operational workflows, implementing policies, and leading strategic initiatives within the Network Department. This role involves managing a dedicated team, coordinating communications, and ensuring accurate provider data configuration. Additionally, the Director will oversee provider onboarding and system enhancement requests, contributing to the ongoing transformation of network management operations. Successful candidates will bring a proven track record of effective leadership, strong compliance knowledge, and a focus on driving impactful enhancements in a dynamic environment.Job Responsibilities:<ul><li>Manage the credentialing team, providing guidance and oversight throughout the end-to-end provider credentialing process.</li><li>Ensure that provider credentials align with company compliance policies, Medicare guidelines, and State and Federal laws and regulations.</li><li>Review Network department workflows and proactively recommend improvements for enhanced operational efficiency and team performance.</li><li>Develop, implement, evaluate, and refine operational policies and procedures for the Network department, aligning with industry standards and best practices.</li><li>Plan, develop, and track projects related to operational enhancements, network related system implementations, and provider network strategic initiatives, assessing their impact on the Network Management function.</li><li>Lead the execution of strategic initiatives that contribute to the ongoing transformation of network management operations.</li><li>Oversee and coordinate the release of all Network-related communications, ensuring clear and consistent messaging.</li><li>Take charge of all provider data configuration activities, ensuring accuracy and alignment with organizational objectives.</li><li>Collaborate cross-departmentally to execute on provider configuration, process improvement, and strategic Network initiatives.</li><li>Oversee a centralized provider onboarding and system enhancement requests process.</li><li>Undertake network management assignments and other duties as directed by the management team.</li></ul>Ideal Candidate:<ul><li>Helps to create a challenging and fulfilling work environment while empowering others to deliver high quality customer service to both internal and external clients.</li><li>Excellent interpersonal, organizational and critical problem-solving skills.</li><li>Ability to build trust and assurances with various partners and stakeholders both externally and internally.</li><li>Project management skills with a focus on driving impactful enhancements.</li><li>Establish forward-looking goals and deliver results.</li><li>Proven experience in effectively leading teams managing credentialing processes and other network operations tasks.</li><li>Strong understanding of compliance policies, Medicare guidelines, and State and Federal laws and regulations.</li><li>Track record of optimizing workflows and implementing operational policies.</li><li>Project management skills with a focus on driving impactful enhancements.</li><li>Excellent written and verbal communication and presentation skills.</li><li>Ability to lead internal and external meetings.</li><li>Proficient in the use of Microsoft Office products (Word, Excel, Outlook and PowerPoint).</li></ul>Requirements:<ul><li>Minimum 5 years’ experience in a leadership role for a home health entity or minimum 3 years’ experience in a supervisor or management role for an insurance company.</li><li>Degree in healthcare administration, business administration or a closely related field preferred.</li><li>Minimum 2 years’ experience in a project manager role, preferred.</li><li>Must have a strong understanding of ancillary provider credentialing.</li><li>Must have a strong working knowledge of home care’s role in the post-acute care space.</li><li>Requires significant strategic experience working within home health, hospital setting, hospital system, association, insurance plan or benefit management organization.</li><li>Experience interacting, directing strategic planning, business planning and/or other organizational development activities.</li><li>Demonstrated management skills that include making effective and efficient decisions and prudent judgment to achieve long-range and short-term goals.</li><li>Knowledge of business processes that impact ancillary contracts.</li><li>Knowledge of ancillary contract reimbursement methodologies.</li><li>Ability to travel on a quarterly basis, at minimum.</li></ul>Continuous Education:Company personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, company personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All company personnel must attend mandatory educational programs.tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.

Director, Network Operations

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career.Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.How will you make an impact in this role?As part of our diverse tech team, you can architect, code and ship software that makes us an essential part of our customers’ digital lives.&nbsp; Here, you can work alongside talented engineers in an open, supportive, inclusive environment where your voice is valued, and you make your own decisions on what tech to use to solve challenging problems.&nbsp; American Express offers a range of opportunities to work with the latest technologies and encourages you to back the broader engineering community through open source.&nbsp; And because we understand the importance of keeping your skills fresh and relevant, we give you dedicated time to invest in your professional development.&nbsp; Find your place in technology on #TeamAmex.The U.S. Consumer and Digital Technology (USCDT) Team brings together foundational strategic technology capabilities in digital experience engineering (Mobile and Web), AI/ML, marketing technology, enterprise communications, travel and lifestyle, and automation, grounded in our data technology model that prioritizes data governance. It employs a ground-breaking focus with development responsibilities for customer-facing capabilities that deepen and expand digital engagement, as well as core technical capabilities that cut across business lines and customer segments.Overview of The Department:&nbsp;Be part of the exciting transformation world and join a team of creative, curious, and passionate professionals whose mission is to become the future of American Express by staying on the cutting edge and bringing innovation to life! The Marketing Platforms Management team leads the technology strategy and engineering delivery of marketing campaigns and centralizing of marketing assets. &nbsp;This position works closely with Enterprise Marketing Platform Solutions Product teams to craft, develop and support critical components and platforms for majority of American Express products and services, that drive current and prospective customer acquisition and loyalty via multitude of channels. We are looking for a dynamic, innovative, action-and-results oriented leader to lead this fast-evolving eco system.&nbsp;The ideal candidate is required to be accomplished in the development and deployment of complex software solutions, with a strong focus on, Cloud based engineering, various Java technologies including Spring, API design and user experience. The candidate should be able to come up with innovative solutions, have a pragmatic approach to application architecture, and be excited to work on a varied tech stack. You will be expected to have a deep understanding of the functional platforms, plan, manage, and execute the tech advancement roadmap. You are required to have a futuristic mindset, ability to question status quo and technologically advance the platforms.&nbsp;This is an opportunity to work in a fast-paced, Scaled Agile environment and work with a team of engineers, product owners and several technology stakeholders. You should be familiar with modern software development methodologies and be able to dive deep and rapidly iterate on ideas despite ambiguity.&nbsp;Job Responsibilities:&nbsp;<ul><li>Bring a strong technical foundation; able to engage the team on coding practices, architecture, design, get under the hood of complex integrated architectures, coding systems, and interface design&nbsp;</li></ul><ul><li>Collaborate successfully with product owners, designers, and a broad set of internal Technical partners (across multiple internal groups)&nbsp;</li></ul><ul><li>Ensure product releases are high quality, deliver excellent user experiences, perform seamlessly at scale, and comply with regulatory requirements.&nbsp;</li></ul><ul><li>Partner with peers in technologies to identify opportunities for code sharing, common services, joint development, etc.&nbsp;</li></ul><ul><li>Keep up with the latest industry research and emerging technologies to ensure we are appropriately leveraging new techniques and capabilities.&nbsp;</li></ul><ul><li>Demonstrate accountability while leading people with passion, enthusiasm, loyalty and integrity. Own and lead HR processes such as performance reviews, talent development, etc.&nbsp;</li></ul><ul><li>Flawless interpersonal skills and ability to partner with executive leadership to push Technical solutions forward.&nbsp;</li></ul><ul><li>Recruit top talent with technical skills, growth potential, design sensibility, and emotional intelligence.&nbsp;</li></ul><ul><li>Lead teams in iterative product development using lean principles.&nbsp;</li></ul><ul><li>Build and lead a high-performing, self-managing team of Software Engineers.&nbsp;</li></ul><ul><li>Passion, energy, personal accountability, and a desire to lead others to excellence.&nbsp;</li></ul><ul><li>Build and leverage strong relationships with business and Technology partners.&nbsp;</li></ul><ul><li>Drive strategic change in tools and process.&nbsp;</li></ul><ul><li>Deep appreciation for the importance of elegant solutions to Technical challenges.&nbsp;</li></ul><ul><li>Consistently question assumptions, challenge the status quo, and strive for improvement.&nbsp;</li></ul><ul><li>Never settle for being “good enough”.&nbsp;</li></ul>Qualifications:&nbsp;<ul><li>Must have engineering experience using the following Adobe products - CDP, AJO, CJA &amp; Analytics&nbsp;</li></ul><ul><li>Google Cloud application development experience using data services such as BigQuery and BigTable&nbsp;</li></ul><ul><li>Marketing Technology engineering experience&nbsp;</li></ul><ul><li>Extensive background in Software Product Engineering and Computer Science.&nbsp;</li></ul><ul><li>10+ years of demonstrable experience building and deploying large scale software products.&nbsp;</li></ul><ul><li>Strong Experience in Agile development, code review, Big Data – Hive, Spark, Python, Google Big Query, Rest API, Performance optimization in Big Data, CSS, HTML, Java, Javascript, React, Spring framework, Redis, Relational database, Cloud computing, UNIX and Web Services.&nbsp;</li></ul><ul><li>Moderate or higher skill in SOA, Restful, Asynchronous and Microservices technologies for large scale environments.&nbsp;</li></ul><ul><li>Strong understanding and experienced in CICD and DevOps&nbsp;</li></ul><ul><li>In depth knowledge of Customer Marketing technology ecosystem and related programs is preferred&nbsp;</li></ul><ul><li>Knowledge of American Express Marketing &amp; Data platforms a plus&nbsp;</li></ul><ul><li>The ability to communicate complex technical concepts clearly and concisely to non-technical individuals&nbsp;</li></ul><ul><li>Excellent verbal and written communications skills required, with ability to create and deliver effective presentations to executive leadership and technical architects across the organization is a plus.&nbsp;</li></ul><ul><li>Hands on experience with technology planning and road mapping&nbsp;</li></ul><ul><li>Proven track record to lead problem analysis and resolution&nbsp;</li></ul><ul><li>Bachelor’s Degree in Computer Science, Computer Engineering or Information Systems degree or equivalent work experience; Advanced Degree preferred&nbsp;</li></ul>Salary Range: $144,250.00 to $256,250.00 annually + bonus + equity (if applicable) + benefitsThe above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:<ul><li>Competitive base salaries&nbsp;</li><li>Bonus incentives&nbsp;</li><li>6% Company Match on retirement savings plan&nbsp;</li><li>Free financial coaching and financial well-being support&nbsp;</li><li>Comprehensive medical, dental, vision, life insurance, and disability benefits&nbsp;</li><li>Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need&nbsp;</li><li>20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy&nbsp;</li><li>Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)&nbsp;</li><li>Free and confidential counseling support through our Healthy Minds program&nbsp;</li><li>Career development and training opportunities</li></ul>For a full list of Team Amex benefits, visit our Colleague Benefits Site.American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.US Job Seekers - Click to view the “Know Your Rights” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window: <a href="https://www.eeoc.gov/poster" target="_blank">https://www.eeoc.gov/poster</a>Employment eligibility to work with American Express in the United States is required as the company will not pursue visa sponsorship for these positions.

American Express

Director Software Engineering - Marketing Platforms - Adobe

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career.Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.American Express is on an exciting cloud transformation journey driven today by a successful, high-energy, delivery-focused team that enables our vision of “security-as-code” and integrations across a diverse set of teams and tools to ensure public cloud security equivalency with on-premises security capabilities, methods, and processes for all cloud service models (IaaS, PaaS, SaaS) and workloads. The Director – Cloud Security Strategy and Governance&nbsp;will collaboratively lead the Strategic Program Management, Governance, and Operations functions of the technology risk and cyber security controls and capabilities required to secure the American Express cloud journey, including both our private/public cloud. The Director will partner with Cloud Engineering, Cloud Operations, other Technology partners, and all TRIS domains to help drive secure adoption, governance, compliance, and operations using a standardized risk-based model. The Director will set the agenda by collaborating and driving cross-TRIS matrixed capabilities to ensure appropriate risk informed delivery, &nbsp;directly supporting the enterprise cloud strategy. The successful candidate will be accountable for the oversight and delivery of the Cloud Security Strategy and Governance program and the enablement of all up-stream/down-stream processes and methods.This position demands a well-organized action-oriented, team player with the ability to prioritize daily work vs strategic roadmap items; work on multiple initiatives simultaneously; establish and maintain an outward looking view on new and evolving technologies; and an ability to mature and operate business critical, end-to-end processes and solutions – while ensuring a great colleague user experience. You will work closely with other Information Security departments, architecture and the Enterprise Cloud team, as well as external cloud providers on requirements, design, integration and delivery of these solutions. Responsibilities Include:<ul><li>Build and lead Program Management functions to drive delivery of centralized cloud security reporting, governance, and finance functions</li><li>Develop, coach and mentor a highly motivated team, while coordinating closely with other Information Security and Engineering leaders and business partners.</li><li>Partner in external and internal audits, ensuring overall adherence to policies and standards, driving the highest level of compliance through response, remediation and escalation as necessary</li><li>Establish and refine cloud security budget and finance forecasting for public cloud consumption of security tools</li><li>Assess, measure and report against cloud controls, and drive risk reduction guidance across and in partnership with all TRIS domains&nbsp;</li><li>Partner with TRIS, Engineering and business stakeholders to help define and prioritize cloud security initiatives</li><li>&nbsp;Provide security expertise to the Cloud Program, including Infrastructure as a Service (IaaS), Platform as a Service (PaaS), and Cloud Application Architecture subprograms.</li><li>Collaborate with enterprise architects and SMEs to deliver comprehensive security solutions that align to Amex cloud strategy</li><li>Capture requirements; build functional specifications, timelines, adoption plans and other artifacts to support security implementation.</li><li>Partner with Architecture teams to build cloud-optimized security patterns and contribute to Enterprise Architecture governance.</li><li>Partner with and support the Engineering team to drive and execute results in a timely manner.&nbsp;</li></ul>Required Skills/Experience<ul><li>8+ years of experience in Information Security Roles</li><li>Experience with Cloud Control Matrix and CIS benchmarks for gap assessment&nbsp;</li><li>Broad understanding of all IS disciplines including, Governance, Cyber Threat, Identity and Access, Infrastructure, Endpoint, Vulnerability, Data Protection, Operations, Application, Incident Response.</li><li>Understanding of Information Security technology and platform delivery with experience in planning and execution of security projects.</li><li>Understanding of Cloud Fundamentals, including containers, software-defined networks, high availability design, multi-cloud, and serverless compute.</li><li>Demonstrated experience in Agile environments, application design, software development, and testing.</li></ul>Educational Requirement:<ul><li>Bachelor’s Degree in computer science, computer engineering, or related field; or equivalent experience</li><li>Information Security Certification strongly desired, CISM or similar.</li></ul>Salary Range: $170,000.00 to $255,000.00 annually + bonus + equity (if applicable) + benefitsThe above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:<ul><li>Competitive base salaries&nbsp;</li><li>Bonus incentives&nbsp;</li><li>6% Company Match on retirement savings plan&nbsp;</li><li>Free financial coaching and financial well-being support&nbsp;</li><li>Comprehensive medical, dental, vision, life insurance, and disability benefits&nbsp;</li><li>Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need&nbsp;</li><li>20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy&nbsp;</li><li>Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)&nbsp;</li><li>Free and confidential counseling support through our Healthy Minds program&nbsp;</li><li>Career development and training opportunities</li></ul>For a full list of Team Amex benefits, visit our Colleague Benefits Site.American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.US Job Seekers - Click to view the “Know Your Rights” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window: <a href="https://www.eeoc.gov/poster" target="_blank">https://www.eeoc.gov/poster</a>Employment eligibility to work with American Express in the United States is required as the company will not pursue visa sponsorship for these positions.

4 Leadership / Executive Board Jobs in Maricopa County