Job Description Brinks Texas License About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 51 countries serves customers in more than 100 countries. We believe in building partnerships that secure commerce and doing that requires fostering an engaged culture that values people with different backgrounds, ideas, and perspectives. We build a sense of belonging, so all employees feel respected, safe, and valued, and we provide equal opportunity to participate and grow. Job Description The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 51 countries serves customers in more than 100 countries. Role Summary The Tax Specialist will support the organization's global tax function with a focus on analysis and planning, minimizing tax risk, and driving tax-efficient strategies across multiple jurisdictions. The position plays a key role in supporting the timely preparation and filing of federal, state, local, and international tax obligations, while also contributing to tax provisioning, forecasting, and financial planning activities. The specialist will collaborate cross-functionally with finance, legal, and operational teams to support business decisions and maintain strong tax governance. This role also partners with external advisors that support planning, compliance and reporting and tax authorities. Further it monitors evolving tax regulations and helps implement best practices to enhance overall tax efficiency. Key Responsibilities • Support strategies to minimize tax exposure and improve global tax efficiency, including supporting the calculation and review of key international tax components, including: • GILTI, Subpart F, FDII, BEAT, and foreign tax credits • Assist with U.S. international elements of the income tax provision (ASC 740), including disclosures and documentation • Analyze global financial data to support international tax reporting and planning • Monitor developments in U.S. international regulations and assess impacts to the company • Partner with regional finance teams to ensure accurate data for tax reporting • Support the quarterly and annual income tax provision, including review of US and non-US deferred taxes, valuation allowances, and effective tax rate analysis • Provide data, analysis, and support to external providers responsible for federal and state tax return preparation • Assist with state and local tax matters, including tax payments and nexus tracking • Analyze book-to-tax differences and maintain supporting documentation • Act as a liaison between the company and external tax advisors for compliance deliverables • Partner closely with accounting, FP&A, legal, and treasury to support tax-sensitive business activities • Support US domestic and global tax audits by gathering data, preparing responses, and coordinating with stakeholders • Drive process improvements, standardization, and documentation across the tax function • Support implementation and use of tax technology and data automation tools • Prepare clear, concise summaries and presentations for leadership How We Lead at Brink's At Brink's, leadership is defined by how we work, not by our title. Our leadership model guides how we lead, collaborate and grow: • Take Ownership: Deliver results with excellence and hold yourself accountable. • Collaborate Boldly: Partner across teams and regions to solve complex challenges. • Stay Curious: Continuously seek opportunities to learn, improve, and innovate. • Deliver with Integrity: Build trust by prioritizing safety, security, and ethical decision-making. Preferred Qualifications: • Bachelor's degree in Accounting, Finance, or related field required; advanced degree or CPA/CTA preferred. • 4-6+ years of progressive tax experience, including international or multi-jurisdictional exposure. • Experience in cross-border taxes and stock compensation tax accounting. • Strong knowledge of U.S. and international tax regulations. Ability to interpret complex tax laws and provide practical, business-focused solutions. • Strong analytical and critical-thinking skills with the ability to assess financial data and identify risks. • Excellent communication skills, with the ability to explain tax concepts to non-tax stakeholders. • Proven collaboration skills, working effectively with cross-functional teams. • Experience working with external advisors, auditors, and tax authorities to support audits and inquiries. • Strong organizational skills, with the ability to manage competing priorities and meet deadlines. What's Next? Thank you for considering applying for a job at Brink's. To be considered for this position, you must complete the entire application process, which includes answering all prescreening questions and providing your eSignature. Upon completion of the application process, you will receive an email confirming that we have received your application. We will review all candidates and notify you of your status should we deem you fit for a job. Thank you again for your interest in a career at Brink's. For more information about future career opportunities, join our talent network, like our Facebook page or Follow us on X. Brink's is an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, marital status, protected veteran status, sexual orientation, gender identity, genetic information, or history or any other characteristic protected by law. Brink's is also committed to providing a drug-free workplace. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.
06/23/2026
Full time
Job Description Brinks Texas License About Brink's: The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 51 countries serves customers in more than 100 countries. We believe in building partnerships that secure commerce and doing that requires fostering an engaged culture that values people with different backgrounds, ideas, and perspectives. We build a sense of belonging, so all employees feel respected, safe, and valued, and we provide equal opportunity to participate and grow. Job Description The Brink's Company (NYSE:BCO) is a leading global provider of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, mints, jewelers, and other commercial operations. Our network of operations in 51 countries serves customers in more than 100 countries. Role Summary The Tax Specialist will support the organization's global tax function with a focus on analysis and planning, minimizing tax risk, and driving tax-efficient strategies across multiple jurisdictions. The position plays a key role in supporting the timely preparation and filing of federal, state, local, and international tax obligations, while also contributing to tax provisioning, forecasting, and financial planning activities. The specialist will collaborate cross-functionally with finance, legal, and operational teams to support business decisions and maintain strong tax governance. This role also partners with external advisors that support planning, compliance and reporting and tax authorities. Further it monitors evolving tax regulations and helps implement best practices to enhance overall tax efficiency. Key Responsibilities • Support strategies to minimize tax exposure and improve global tax efficiency, including supporting the calculation and review of key international tax components, including: • GILTI, Subpart F, FDII, BEAT, and foreign tax credits • Assist with U.S. international elements of the income tax provision (ASC 740), including disclosures and documentation • Analyze global financial data to support international tax reporting and planning • Monitor developments in U.S. international regulations and assess impacts to the company • Partner with regional finance teams to ensure accurate data for tax reporting • Support the quarterly and annual income tax provision, including review of US and non-US deferred taxes, valuation allowances, and effective tax rate analysis • Provide data, analysis, and support to external providers responsible for federal and state tax return preparation • Assist with state and local tax matters, including tax payments and nexus tracking • Analyze book-to-tax differences and maintain supporting documentation • Act as a liaison between the company and external tax advisors for compliance deliverables • Partner closely with accounting, FP&A, legal, and treasury to support tax-sensitive business activities • Support US domestic and global tax audits by gathering data, preparing responses, and coordinating with stakeholders • Drive process improvements, standardization, and documentation across the tax function • Support implementation and use of tax technology and data automation tools • Prepare clear, concise summaries and presentations for leadership How We Lead at Brink's At Brink's, leadership is defined by how we work, not by our title. Our leadership model guides how we lead, collaborate and grow: • Take Ownership: Deliver results with excellence and hold yourself accountable. • Collaborate Boldly: Partner across teams and regions to solve complex challenges. • Stay Curious: Continuously seek opportunities to learn, improve, and innovate. • Deliver with Integrity: Build trust by prioritizing safety, security, and ethical decision-making. Preferred Qualifications: • Bachelor's degree in Accounting, Finance, or related field required; advanced degree or CPA/CTA preferred. • 4-6+ years of progressive tax experience, including international or multi-jurisdictional exposure. • Experience in cross-border taxes and stock compensation tax accounting. • Strong knowledge of U.S. and international tax regulations. Ability to interpret complex tax laws and provide practical, business-focused solutions. • Strong analytical and critical-thinking skills with the ability to assess financial data and identify risks. • Excellent communication skills, with the ability to explain tax concepts to non-tax stakeholders. • Proven collaboration skills, working effectively with cross-functional teams. • Experience working with external advisors, auditors, and tax authorities to support audits and inquiries. • Strong organizational skills, with the ability to manage competing priorities and meet deadlines. What's Next? Thank you for considering applying for a job at Brink's. To be considered for this position, you must complete the entire application process, which includes answering all prescreening questions and providing your eSignature. Upon completion of the application process, you will receive an email confirming that we have received your application. We will review all candidates and notify you of your status should we deem you fit for a job. Thank you again for your interest in a career at Brink's. For more information about future career opportunities, join our talent network, like our Facebook page or Follow us on X. Brink's is an equal opportunity/affirmative action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, marital status, protected veteran status, sexual orientation, gender identity, genetic information, or history or any other characteristic protected by law. Brink's is also committed to providing a drug-free workplace. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state, or local protected class.
Puget Sound Educational Service District (PSESD)
Renton, Washington
Are you a strategic, mission-driven leader ready to make a lasting impact on Washington's public education system? We are seeking an Executive Director for the Workers' Compensation Trust and Unemployment Pool, an influential role that supports and strengthens the well-being of school district employees across the region. This is your opportunity to guide a trusted program that safeguards financial integrity, advances innovative claims management, and champions safe, supportive workplaces where staff can thrive. If you excel at building partnerships, driving operational excellence, and delivering meaningful results for the communities we serve, we invite you to join us in shaping a stronger future for our member districts. The Puget Sound Workers' Compensation Trust is a self-insured pool for workers' compensation coverage. The Trust provides insurance for on-the-job injuries for 34 school districts and PSESD and their 45,000 employees in King, Pierce, Skagit, Snohomish and Whatcom counties. Services Districts receive professional claims management services to help injured workers return to the workplace. At the same time, Trust staff work with the employer to assess workplace safety and implement effective loss control programs. Participating school districts own the Trust, with all premiums building equity to help offset costs. PSESD is one of nine regional educational agencies serving school districts and state approved charter and private schools in Washington. Serving over 39% of Washington's K-12 public school students, our agency provides critical services designed to ensure that our students are ready to enter school, achieve at high levels in the K-12 system, and succeed in postsecondary endeavors. We are committed to becoming an Antiracist Multicultural Organization driven by equity in education. To learn more about PSESD, visit This executive position reports to Executive Director, Business and Operations Open until filled, complete application by best consideration date of Tuesday, June 9, 2026. Formal Interviews are tentatively scheduled for Monday, June 15, 2026 and second interviews tentatively scheduled for Wednesday, June 17, 2026. Essential Functions Collaborates with others to develop and sustain equitable partnerships with PSESD staff, school districts, and advisory board for the purpose of designing and implementing high quality services. Compiles data from a wide variety of sources for the purpose of analyzing issues, ensuring compliance with various policies and procedures and/or monitoring program components. Convenes and/or facilitates meetings on a variety of issues for the purpose of identifying issues, making recommendations, and/or conveying information to stakeholders. Cultivates mutually rewarding relationships with executive advisory boards and trustees of group risk management insurance programs for the purpose of communicating program developments and decision-making that support effective program oversight and governance. Develops and maintains an account management framework for the purpose of meeting programmatic customer retention and satisfaction goals as well as business development objectives. Develops and executes strategic and operational business plans for the purpose of achieving short-term and long-term goals aligned with the programs' vision and mission. Develops and maintains an annual administrative budget encompassing projection of rates and program costs as directed by ESD policies for the purpose of ensuring programs' solvency and complying with associated regulations. Embodies the principles and practices that form our culture for the purpose of meeting the Agency's End: Success for Each Child. Models adaptive leadership practices for the purpose of arriving at a shared understanding of stakeholder roles and responsibilities in developed solutions to risk management challenges. Oversees a variety of activities for the purpose of ensuring that program objectives are achieved within budget and in compliance with established regulations. Performs personnel functions (e.g., interviewing, evaluating, training, supervising, etc.) for the purpose of maintaining adequate staffing, cultivating a culture that fosters staff engagement and encourages best work, enhancing productivity of personnel, and achieving objectives within budget. Represents risk management programs before regulatory, adjudicatory, and governing entities for the purpose of providing information that positions the programs favorably, as well as maintaining the security and integrity of assets. Responds to issues and inquiries from school district administrators as well as escalated matters from staff for the purpose of identifying the relevant issues and recommending and/or implementing a solution. Secures reinsurance and surety bonds in a timely manner for the purpose of ensuring financial integrity of risk management programs. Supervises personnel (e.g., provide coaching and consultation on technical issues, adaptive challenges, personnel matters, strategic opportunities, career goals, professional development, job performance, etc.) for the purpose of advancing the development of effective leaders and high performing teams and achieving agency and departmental objectives. Supports and is accountable to an advisory board for the purpose of keeping them appraised of the pool and trust's financial status, trends, and emerging concerns. Other Functions Assists other personnel as may be required for the purpose of ensuring an efficient and effective work environment. Job Requirements: Minimum Qualifications Skills, Knowledge, and Abilities SKILLS are required to perform multiple, technical tasks with a need to periodically upgrade skills in order to meet changing job conditions. Specific skill-based competencies required to satisfactorily perform the functions of the job include: See competencies under Abilities below. KNOWLEDGE is required to perform algebra and/or geometry; read technical information, compose a variety of documents, and/or facilitate group discussions; and analyze situations to define issues and draw conclusions. Specific knowledge-based competencies required to satisfactorily perform the functions of the job include: See competencies under Abilities below. ABILITY is required to schedule a number of activities, meetings, and/or events; routinely gather, collate, and/or classify data; and use basic, job-related equipment. Flexibility is required to independently work with others in a wide variety of circumstances; analyze data utilizing a variety of complex processes; and operate equipment using standardized methods. Ability is also required to work with a significant diversity of individuals and/or groups; work with data of widely varied types and/or purposes; and utilize job-related equipment. Independent problem solving is required to analyze issues and create action plans. Problem solving with data requires analysis based on organizational objectives; and problem solving with equipment is limited to moderate. JOB-SPECIFIC COMPETENCIES BUILDING EFFECTIVE TEAMS: Builds a diverse and cohesive team who work together toward shared goals. INNOVATION AND CREATIVITY: Generates unique methods, ideas, insights, and connections that challenge the status quo to expand possibilities. RISK ANALYSIS AND MANAGEMENT: Identifies, defines and analyzes risks to the Agency, represented districts, programs, staff, and students posed by potential adverse actions or events. Plans, communicates, and implements measures that will avoid, reduce, overcome, or compensate for elements of risk. VISIONARY: Uses creativity and wisdom to anticipate and plan for the future. Bachelor's degree in business administration, finance, public administration, risk management, or a related field. Substantial, progressively responsible experience in a directly related area may substitute for a Bachelor's degree. Leadership and supervisory experience in insurance, risk management, or related administrative and operational functions. Demonstrated experience leading diverse teams, managing complex budgets, and developing strategic plans that align with organizational mission and fiscal responsibility. Proven ability to foster equitable, trusting, and collaborative relationships with internal and external partners, including boards, member districts, and regulatory agencies. Strong knowledge of principles, practices, laws, and regulations related to group self-insurance, workers' compensation, and unemployment compensation programs. Demonstrated skill in analyzing complex data and financial reports, identifying trends and risks, and developing actionable strategies to ensure solvency and sustainability. Excellent communication, facilitation, and adaptive leadership skills with the ability to engage in crucial conversations and lead through change. Models inclusive and human-centered leadership that cultivates trust and shared accountability across the organization. Experience working within or in partnership with educational institutions, public agencies, or member-based organizations. In-depth understanding of Washington State laws and regulatory requirements governing self-insured workers' compensation programs and unemployment insurance pools. Experience working with or supporting a governing or advisory board to shape organizational vision and policy. Professional certification in risk management . click apply for full job details
06/16/2026
Full time
Are you a strategic, mission-driven leader ready to make a lasting impact on Washington's public education system? We are seeking an Executive Director for the Workers' Compensation Trust and Unemployment Pool, an influential role that supports and strengthens the well-being of school district employees across the region. This is your opportunity to guide a trusted program that safeguards financial integrity, advances innovative claims management, and champions safe, supportive workplaces where staff can thrive. If you excel at building partnerships, driving operational excellence, and delivering meaningful results for the communities we serve, we invite you to join us in shaping a stronger future for our member districts. The Puget Sound Workers' Compensation Trust is a self-insured pool for workers' compensation coverage. The Trust provides insurance for on-the-job injuries for 34 school districts and PSESD and their 45,000 employees in King, Pierce, Skagit, Snohomish and Whatcom counties. Services Districts receive professional claims management services to help injured workers return to the workplace. At the same time, Trust staff work with the employer to assess workplace safety and implement effective loss control programs. Participating school districts own the Trust, with all premiums building equity to help offset costs. PSESD is one of nine regional educational agencies serving school districts and state approved charter and private schools in Washington. Serving over 39% of Washington's K-12 public school students, our agency provides critical services designed to ensure that our students are ready to enter school, achieve at high levels in the K-12 system, and succeed in postsecondary endeavors. We are committed to becoming an Antiracist Multicultural Organization driven by equity in education. To learn more about PSESD, visit This executive position reports to Executive Director, Business and Operations Open until filled, complete application by best consideration date of Tuesday, June 9, 2026. Formal Interviews are tentatively scheduled for Monday, June 15, 2026 and second interviews tentatively scheduled for Wednesday, June 17, 2026. Essential Functions Collaborates with others to develop and sustain equitable partnerships with PSESD staff, school districts, and advisory board for the purpose of designing and implementing high quality services. Compiles data from a wide variety of sources for the purpose of analyzing issues, ensuring compliance with various policies and procedures and/or monitoring program components. Convenes and/or facilitates meetings on a variety of issues for the purpose of identifying issues, making recommendations, and/or conveying information to stakeholders. Cultivates mutually rewarding relationships with executive advisory boards and trustees of group risk management insurance programs for the purpose of communicating program developments and decision-making that support effective program oversight and governance. Develops and maintains an account management framework for the purpose of meeting programmatic customer retention and satisfaction goals as well as business development objectives. Develops and executes strategic and operational business plans for the purpose of achieving short-term and long-term goals aligned with the programs' vision and mission. Develops and maintains an annual administrative budget encompassing projection of rates and program costs as directed by ESD policies for the purpose of ensuring programs' solvency and complying with associated regulations. Embodies the principles and practices that form our culture for the purpose of meeting the Agency's End: Success for Each Child. Models adaptive leadership practices for the purpose of arriving at a shared understanding of stakeholder roles and responsibilities in developed solutions to risk management challenges. Oversees a variety of activities for the purpose of ensuring that program objectives are achieved within budget and in compliance with established regulations. Performs personnel functions (e.g., interviewing, evaluating, training, supervising, etc.) for the purpose of maintaining adequate staffing, cultivating a culture that fosters staff engagement and encourages best work, enhancing productivity of personnel, and achieving objectives within budget. Represents risk management programs before regulatory, adjudicatory, and governing entities for the purpose of providing information that positions the programs favorably, as well as maintaining the security and integrity of assets. Responds to issues and inquiries from school district administrators as well as escalated matters from staff for the purpose of identifying the relevant issues and recommending and/or implementing a solution. Secures reinsurance and surety bonds in a timely manner for the purpose of ensuring financial integrity of risk management programs. Supervises personnel (e.g., provide coaching and consultation on technical issues, adaptive challenges, personnel matters, strategic opportunities, career goals, professional development, job performance, etc.) for the purpose of advancing the development of effective leaders and high performing teams and achieving agency and departmental objectives. Supports and is accountable to an advisory board for the purpose of keeping them appraised of the pool and trust's financial status, trends, and emerging concerns. Other Functions Assists other personnel as may be required for the purpose of ensuring an efficient and effective work environment. Job Requirements: Minimum Qualifications Skills, Knowledge, and Abilities SKILLS are required to perform multiple, technical tasks with a need to periodically upgrade skills in order to meet changing job conditions. Specific skill-based competencies required to satisfactorily perform the functions of the job include: See competencies under Abilities below. KNOWLEDGE is required to perform algebra and/or geometry; read technical information, compose a variety of documents, and/or facilitate group discussions; and analyze situations to define issues and draw conclusions. Specific knowledge-based competencies required to satisfactorily perform the functions of the job include: See competencies under Abilities below. ABILITY is required to schedule a number of activities, meetings, and/or events; routinely gather, collate, and/or classify data; and use basic, job-related equipment. Flexibility is required to independently work with others in a wide variety of circumstances; analyze data utilizing a variety of complex processes; and operate equipment using standardized methods. Ability is also required to work with a significant diversity of individuals and/or groups; work with data of widely varied types and/or purposes; and utilize job-related equipment. Independent problem solving is required to analyze issues and create action plans. Problem solving with data requires analysis based on organizational objectives; and problem solving with equipment is limited to moderate. JOB-SPECIFIC COMPETENCIES BUILDING EFFECTIVE TEAMS: Builds a diverse and cohesive team who work together toward shared goals. INNOVATION AND CREATIVITY: Generates unique methods, ideas, insights, and connections that challenge the status quo to expand possibilities. RISK ANALYSIS AND MANAGEMENT: Identifies, defines and analyzes risks to the Agency, represented districts, programs, staff, and students posed by potential adverse actions or events. Plans, communicates, and implements measures that will avoid, reduce, overcome, or compensate for elements of risk. VISIONARY: Uses creativity and wisdom to anticipate and plan for the future. Bachelor's degree in business administration, finance, public administration, risk management, or a related field. Substantial, progressively responsible experience in a directly related area may substitute for a Bachelor's degree. Leadership and supervisory experience in insurance, risk management, or related administrative and operational functions. Demonstrated experience leading diverse teams, managing complex budgets, and developing strategic plans that align with organizational mission and fiscal responsibility. Proven ability to foster equitable, trusting, and collaborative relationships with internal and external partners, including boards, member districts, and regulatory agencies. Strong knowledge of principles, practices, laws, and regulations related to group self-insurance, workers' compensation, and unemployment compensation programs. Demonstrated skill in analyzing complex data and financial reports, identifying trends and risks, and developing actionable strategies to ensure solvency and sustainability. Excellent communication, facilitation, and adaptive leadership skills with the ability to engage in crucial conversations and lead through change. Models inclusive and human-centered leadership that cultivates trust and shared accountability across the organization. Experience working within or in partnership with educational institutions, public agencies, or member-based organizations. In-depth understanding of Washington State laws and regulatory requirements governing self-insured workers' compensation programs and unemployment insurance pools. Experience working with or supporting a governing or advisory board to shape organizational vision and policy. Professional certification in risk management . click apply for full job details
Job Summary Location: Pennsylvania (onsite/hybrid/remote with periodic in state travel)Reports to: Chief Medical OfficerDepartment: Health Services / Medical ManagementFLSA: Exempt Employment Type: Full time Job Duties Role Summary Lead clinical strategy, medical management, and regulatory performance for our Medicaid line of business across Pennsylvania (and any adjacent markets we enter). Partner with Quality, Utilization Management, Case/Disease Management, Pharmacy, Behavioral Health, Provider Network, and Compliance to deliver high quality, cost effective care and strong outcomes for Medicaid members. Serve as the primary physician liaison with the state Medicaid agency and key provider partners, and ensure contractual and regulatory compliance. Key Responsibilities Clinical leadership & Medicaid program oversight Provide clinical direction for the Medicaid product, including medical policy, clinical guidelines, and care model design across UM/CM/DM. Provide physician leadership for utilization management (prospective, concurrent, retrospective), complex case reviews, and peer to peer discussions. Ensure determinations are clinically sound and timely. Oversee grievance and appeals clinical reviews and author evidence based rationales. Serves as clinical lead for GHP on meetings with DHS and other external stakeholders with strong understanding of contractual and regulatory requirements, in partnership other GHP departments. Regulatory, accreditation & quality Ensure compliance with state Medicaid contract requirements and with NCQA/URAC, CMS, and state Department of Health rules; support surveys, audits, and reporting. Drive quality improvement (e.g., HEDIS aligned initiatives), close gaps in care, and monitor outcomes and utilization trends; partner with Quality to design performance interventions. Maintain familiarity with Pennsylvania regulatory expectations (e.g., DOH reporting under applicable code) and represent the plan in required state meetings. Provider engagement & network collaboration Serve as clinical liaison to hospitals, systems, and practices; educate on medical policies/criteria (e.g., InterQual/MCG), practice guidelines, and performance opportunities. Collaborate with Provider Network on value based models, performance feedback, appeals resolution themes, and market growth priorities. Cross functional partnership Partner with Pharmacy on formulary strategy and prior authorization criteria; with Behavioral Health on integrated medical/behavioral management; with Social Care/Population Health on SDoH and equity initiatives. Contribute physician expertise to clinical analytics, trend reviews, fraud/waste/abuse investigations, and policy updates. External representation Act as the plan's clinical spokesperson with the state Medicaid agency and advisory bodies; participate in accreditation committees, stakeholder forums, and community partnerships. Represents GHP in meetings with other MCO's and appropriately manages information shared between organizations Minimum Qualifications (Required) MD or DO, board certified (ABMS/AOA). Active Pennsylvania medical license or eligibility to obtain PA licensure within 6 months of hire. 5-7+ years clinical practice plus 3+ years in a health plan medical leadership role (Medical Director or Deputy) specific to Medicaid (multi state plan experience required-e.g., oversight in at least one additional state or a regional program). Demonstrated experience with utilization management, appeals/grievances, and medical policy in a managed care setting. Working knowledge of NCQA/URAC standards and state Medicaid regulatory requirements; familiarity with CMS expectations for managed care. Must primarily reside in PA and have a home address in PA or willing to relocate. Preferred Qualifications Direct Pennsylvania Medicaid experience (e.g., DHS engagement, PA DOH reporting, CHC/HealthChoices familiarity). Background in population health, value based payment, behavioral health integration, and LTSS. Preferred Certification: Certified Professional in Healthcare Quality (CPHQ). Or obtain upon hire within the first year of employment. Familiarity with InterQual/MCG criteria and care management platforms; comfort using data to guide clinical operations and provider performance. Core Competencies Evidence based decision making; concise clinical writing for determinations and appeals. Collaborative leadership across UM, Quality, Pharmacy, BH, Network, and Compliance. Executive presence with regulators, providers, and internal leadership. Position Details Location: Pennsylvania (onsite/hybrid/remote with periodic in state travel) Education Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience Minimum of 5 years-Clinical (Required), Minimum of 3 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Certified Professional in Healthcare Quality - The National Association for Healthcare Quality (NAHQ); Licensed Medical Doctor - State of Pennsylvania About Geisinger Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook , Instagram , LinkedIn and Twitter . Our Vision & Values Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. Our Benefits We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.
06/15/2026
Full time
Job Summary Location: Pennsylvania (onsite/hybrid/remote with periodic in state travel)Reports to: Chief Medical OfficerDepartment: Health Services / Medical ManagementFLSA: Exempt Employment Type: Full time Job Duties Role Summary Lead clinical strategy, medical management, and regulatory performance for our Medicaid line of business across Pennsylvania (and any adjacent markets we enter). Partner with Quality, Utilization Management, Case/Disease Management, Pharmacy, Behavioral Health, Provider Network, and Compliance to deliver high quality, cost effective care and strong outcomes for Medicaid members. Serve as the primary physician liaison with the state Medicaid agency and key provider partners, and ensure contractual and regulatory compliance. Key Responsibilities Clinical leadership & Medicaid program oversight Provide clinical direction for the Medicaid product, including medical policy, clinical guidelines, and care model design across UM/CM/DM. Provide physician leadership for utilization management (prospective, concurrent, retrospective), complex case reviews, and peer to peer discussions. Ensure determinations are clinically sound and timely. Oversee grievance and appeals clinical reviews and author evidence based rationales. Serves as clinical lead for GHP on meetings with DHS and other external stakeholders with strong understanding of contractual and regulatory requirements, in partnership other GHP departments. Regulatory, accreditation & quality Ensure compliance with state Medicaid contract requirements and with NCQA/URAC, CMS, and state Department of Health rules; support surveys, audits, and reporting. Drive quality improvement (e.g., HEDIS aligned initiatives), close gaps in care, and monitor outcomes and utilization trends; partner with Quality to design performance interventions. Maintain familiarity with Pennsylvania regulatory expectations (e.g., DOH reporting under applicable code) and represent the plan in required state meetings. Provider engagement & network collaboration Serve as clinical liaison to hospitals, systems, and practices; educate on medical policies/criteria (e.g., InterQual/MCG), practice guidelines, and performance opportunities. Collaborate with Provider Network on value based models, performance feedback, appeals resolution themes, and market growth priorities. Cross functional partnership Partner with Pharmacy on formulary strategy and prior authorization criteria; with Behavioral Health on integrated medical/behavioral management; with Social Care/Population Health on SDoH and equity initiatives. Contribute physician expertise to clinical analytics, trend reviews, fraud/waste/abuse investigations, and policy updates. External representation Act as the plan's clinical spokesperson with the state Medicaid agency and advisory bodies; participate in accreditation committees, stakeholder forums, and community partnerships. Represents GHP in meetings with other MCO's and appropriately manages information shared between organizations Minimum Qualifications (Required) MD or DO, board certified (ABMS/AOA). Active Pennsylvania medical license or eligibility to obtain PA licensure within 6 months of hire. 5-7+ years clinical practice plus 3+ years in a health plan medical leadership role (Medical Director or Deputy) specific to Medicaid (multi state plan experience required-e.g., oversight in at least one additional state or a regional program). Demonstrated experience with utilization management, appeals/grievances, and medical policy in a managed care setting. Working knowledge of NCQA/URAC standards and state Medicaid regulatory requirements; familiarity with CMS expectations for managed care. Must primarily reside in PA and have a home address in PA or willing to relocate. Preferred Qualifications Direct Pennsylvania Medicaid experience (e.g., DHS engagement, PA DOH reporting, CHC/HealthChoices familiarity). Background in population health, value based payment, behavioral health integration, and LTSS. Preferred Certification: Certified Professional in Healthcare Quality (CPHQ). Or obtain upon hire within the first year of employment. Familiarity with InterQual/MCG criteria and care management platforms; comfort using data to guide clinical operations and provider performance. Core Competencies Evidence based decision making; concise clinical writing for determinations and appeals. Collaborative leadership across UM, Quality, Pharmacy, BH, Network, and Compliance. Executive presence with regulators, providers, and internal leadership. Position Details Location: Pennsylvania (onsite/hybrid/remote with periodic in state travel) Education Doctor of Medicine or Doctor of Osteopathic Medicine- (Required) Experience Minimum of 5 years-Clinical (Required), Minimum of 3 years-Health Insurance/Managed Care (Required) Certification(s) and License(s) Certified Professional in Healthcare Quality - The National Association for Healthcare Quality (NAHQ); Licensed Medical Doctor - State of Pennsylvania About Geisinger Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook , Instagram , LinkedIn and Twitter . Our Vision & Values Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. Our Benefits We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.
