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Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. Primary Purpose Provides leadership oversight and directs the operations for the Program Integrity department and associated functions with focus on claims editing, fraud, waste, and abuse (FWA) prevention, and payment accuracy. Accountable for supporting Parkland Community Health Plan's (PCHP) commitment to operational excellence, cost containment, and adherence to state and federal requirements. As the Director of Payment Integrity/Program Integrity, this is a great opportunity to join PCHP. We prioritize our Members, foster creativity and innovation, and simplify the Provider experience. Minimum Specifications Education Bachelor's degree in business administration, healthcare Administration, or related discipline required. Experience Required Five (5) years of management experience required. Eight (8) years of experience in Payment Integrity Audit and Recovery with knowledge of audit strategies such as Data Mining, Clinical Medical Record Review, and Bill Audit Recovery/Program Integrity experience preferred. 2 years of experience in a Managed Care health plan or state agency required Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology required. Preferred 5 Years of Texas Medicaid, Managed Care Health Plan or State agency experience preferred. Equivalent Education and/or Experience Eight (8) years of experience in a comparable position working in Texas Medicaid or Medicaid Managed Care may be considered in lieu of a bachelor's degree. Certification/Registration/Licensure Project management or Six Sigma certification preferred. Required Tests for Placement Skills or Special Abilities Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines and with a variety of constituents as well as the ability to articulate complex information in understandable terms. Demonstrated ability to coach and influence for results. Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships with diverse groups across and beyond the organization. Strategic thinking and long-range planning skills with the ability to lead major organizational initiatives, accomplish results, and achieve measurable outcomes or goals. Ability to work in challenging situations involving competing interests, and high level-interdisciplinary groups. Excellent time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities. Strong analytical and problem-solving skills. Knowledge of Texas Medicaid (STAR, STAR Kids/CHIP) program, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual. Sound business acumen. Proficient Microsoft Office and computer skills. Responsibilities Operations Develops policies and procedures for an effective program integrity program that aligns with State and Federal laws. Responsible for the discovery, validation, recovery, and adjustments of claims overpayments. May do all or some of the following in relation to cash receipts, cash application, claim audits collections, overpayment vendor validation, and claim adjustments applicable to Medicaid, CHIP, Medicare, and Marketplace claims. Audits paid claims for overpayments using various techniques including systems-based queries, specialized reporting, or another research. Maintains and reconciles department reports for outstanding payments identified, collected, past-due, uncollectable, and auto-payment recoveries. Assists with Coordination of Benefit, eligibility, DRG validation. Responsible for complex issues such as coordination of benefits and medical policies. Works closely with departments within the health plan to identify and correct contractual issues when applicable. May perform collection activities to ensure the recovery of overpayments and maintenance of unprocessed cash and accounts receivable processes and all other cash applications as required. Prepares and provides write-off documents that are deemed uncollectible, or collection efforts are exhausted for write-off approval. Works with Finance to complete accurate and timely posting of provider and vendor refund checks and manual check requests to reimburse providers. Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claim's lifecycle. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends, and changes in laws/regulations. Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. Prepare and deliver clear, concise, and actionable reports and presentations to executive leadership. Strategy Leads the strategy, implementation, and oversight of programs that assure provider payments are appropriate and accurately reflect the plan's policies, provider contracts, and member benefits. Quality Integrates health literacy principles into all communication including Members and Providers. Supports strategies that meet clinical, quality and network improvement goals. Promotes the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination. Regulatory Develops processes to maintain compliance with regulatory agencies and accrediting bodies. Ensures operations are carried out in compliance with these regulations. Works collaboratively with others to validate and sustain compliance with regulatory and accreditation standards. Conducts routine compliance audits identifying gaps and implementing remediation plans as necessary. Works collaboratively with leadership and/or PCHP Compliance to investigate and respond to matters of concern or alleged violations taking corrective action as necessary. Provides timely and accurate responses to requests for information from regulatory agencies and accrediting bodies. Fiscal Management and Operating Budget Operationally responsible for the financial performance of assigned area(s). Promote activities to achieve operational efficiency. Manage the approved budget through frequent and regular monitoring. Implement written action plans to address variances adjusting strategies as necessary to meet budgetary targets. Consider operational outcomes and financial implications when making recommendations to implement new programs or modify current programs. Manage staffing levels within established targets. Talent Management Recruits and retain diverse talent with a variety of backgrounds, skills, experiences, and viewpoints that reflect the communities we serve. Promotes and support a culturally welcoming, inclusive, collaborative, and highly engaged work environment where everyone feels empowered to bring their full, authentic selves to work. Accountable for orientation, ongoing education and training, and competency verification for all employees. Ensures Human Resource metrics (i.e., retention, vacancy, engagement) meet established targets. Utilize workforce metrics to monitor, identify, and respond to workforce trends. Timely completion of employee performance appraisals. Conducts regular meetings, inform team of changes in policy or procedure, and provide information regarding overall strategy and direction of the health plan. Mentors, coach, and support direct reports with building teamwork, professional development, and education to achieve optimal performance and develop talent. Ensures employee engagement survey participation rates and results meet established targets. Mandatory requirements are completed timely by employees. . click apply for full job details

Associate Director (0462U), Major Gifts, New York Region - 75402 About Berkeley At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff. As a world-leading institution, Berkeley is known for its academic and research excellence, public mission, diverse student body, and commitment to equity and social justice. Since our founding in 1868, we have driven innovation, creating global intellectual, economic and social value. We are looking for applicants who reflect California's diversity and want to be part of an inclusive, equity-focused community that views education as a matter of social justice. Please consider whether your values align with our Guiding Values and Principles , Principles of Community , and Strategic Plan . At UC Berkeley, we believe that learning is a fundamental part of working, and provide space for supportive colleague communities via numerous employee resource groups (staff organizations). Our goal is for everyone on the Berkeley campus to feel supported and equipped to realize their full potential. We actively support this by providing all of our full-time staff employees with at least 80 hours (10 days) of paid time per year to engage in professional development activities. Find out more about how you can grow your career at UC Berkeley. Departmental Overview University Development and Alumni Relations (UDAR), increases support for and enhances knowledge of UC Berkeley through communications, public outreach, and fundraising. UDAR is responsible for fundraising and donor engagement, and works to strengthen unit development offices by consulting and partnering with campus fundraisers. UDAR also handles a range of central activities and services encompassing events, communications, stewardship, prospect development, gift management, database management, and more. The Major Gifts team within UDAR works to secure philanthropic support among University alumni, parents, and friends across a range of geographical regions with a focus on gifts in the $100,000 - $5 million range. Geographically, the regional areas of focus of the team are Southern California, the greater Bay Area/Northern California region, Texas and Florida, and the Northeast. There are 18 staff on the Major Gifts team, including one Deputy Director and three senior development directors in charge of each of the three regions, as well as gift officers and professional administrative staff. Position Summary This position is focused on major gift and principal level fundraising from alumni, parents, and friends on the East Coast, with a focus on the tri-state area and on behalf of all of campus. The Associate Director, New York Region is an East Coast-based position with a focus on the tri-state region. This position will be a leader with a high degree of knowledge in the overall field and recognized expertise in fundraising. This position includes formulating fundraising strategies including planning, organizing, and directing complex large-scale fundraising strategies which include multiple components. These results have a major impact on the overall program goals and assignments and are typically at the major gifts level, including managing a portfolio of donors capable of giving gifts of $250k+, with many solicitations focused on $1M+. This position may attend functions, meetings, and serve on internal / external committees as a location representative. This position is expected to raise gift dollar amounts as established with an overall goal to achieve a minimum of $1M, and actual goals will be determined based on the portfolio pipeline. Application Review Date The First Review Date for this job is: January 22, 2025 Responsibilities Develops and manages a dynamic portfolio of around 120 University prospects to identify, qualify, cultivate, solicit and steward prospective and current donors. Prospects may include alumni, parents, friends, and corporate and foundation prospects. Plans, organizes, and directs large-scale, fundraising plans which include multiple campus and alumni stakeholders. Writes proposals for solicitation of individual, corporate, and / or foundation prospects. Helps to manage and directly staff campus leadership travel including Chancellor, Vice Chancellors, Deans and Faculty. May serve as an expert or lead development professional in a specific academic discipline on behalf of campus units. Ensures that predetermined fundraising goals are met and implements program activities to achieve these goals, with a minimum of $1M raised annually. Evaluates programs using data analyses and regional expertise, including planning and evaluating solicitation programs and making recommendations for improvements. Results have a major impact on the overall goals of the program. Recruits key volunteers who assist in advancement efforts. May oversee the work of professional and support staff involved in the implementation of multi-component fundraising programs. May attend functions, meetings and serve on internal / external committees as a representative of the location. Required Qualifications Minimum of three years of leadership level or major gift level fundraising experience, demonstating advanced knowledge of all aspects of fundraising, donor relations, and public relations concepts, principles, procedures, and techniques. Demonstrates and has experience using advanced working knowledge of all aspects of the tri-state region, including current issues of concern for both the campus and / or throughout higher education generally. Applies advanced working knowledge of public higher education institutions, its vision, mission, goals, objectives, achievements and infrastructure. Uses advanced working knowledge of applicable laws, rules, regulations, policies, etc. Advanced written, oral and interpersonal communication skills, including political acumen, to establish and maintain good working relationships throughout the organization and with outside constituencies. Ability to make persuasive and compelling presentations of goals and objectives for UC Berkeley in order to secure major philanthropic gifts. Advanced organizational, analytical and critical thinking skills, including skill in creative and effective decision-making and problem identification / avoidance / resolution, and strong project management skills. Very strong skills in maintaining confidentiality. Education Level Bachelor's degree in related area and / or equivalent experience / training Salary & Benefits For information on the comprehensive benefits package offered by the University, please visit the University of California's Compensation & Benefits website. Under California law, the University of California, Berkeley is required to provide a reasonable estimate of the compensation range for this role and should not offer a salary outside of the range posted in this job announcement. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, analysis of internal equity, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience. The budgeted salary or hourly range that the University reasonably expects to pay for this position is $123,000 - $137,000, commensurate with experience. This is a 100% full-time (40 hours per week), career position that is eligible for full UC benefits. This position is exempt and paid monthly. This position is based 100% remotely, with a strong preference for being on the East Coast. Travel requirements are 20% of time. Exact arrangements are determined in partnership with your supervisor to meet role responsibilities, department needs and travel expectations, and are subject to change. Other Information This position is not eligible for Visa Sponsorship. How to Apply To apply, please submit your resume and cover letter. Conviction History Background This is a designated position requiring fingerprinting and a background check due to the nature of the job responsibilities. Berkeley does hire people with conviction histories and reviews information received in the context of the job responsibilities. The University reserves the right to make employment contingent upon successful completion of the background check. Misconduct Disclosure As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer. . click apply for full job details

RELOCATION ASSISTANCE: Relocation assistance may be available CLEARANCE TYPE: Secret TRAVEL: No Description At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact people's lives around the world today, and for generations to come. Our pioneering and inventive spirit has enabled us to be at the forefront of many technological advancements in our nation's history - from the first flight across the Atlantic Ocean, to stealth bombers, to landing on the moon. We look for people who have bold new ideas, courage and a pioneering spirit to join forces to invent the future, and have fun along the way. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work - and we have an insatiable drive to do what others think is impossible. Our employees are not only part of history, they're making history. Northrop Grumman's Defense Systems is currently seeking a Digital FPGA Engineer Level 3 with the desire to learn new technologies to join our innovative Digital Technologies Organization to help develop, enhance, and maintain FPGA designs on cutting edge products and systems. As a Digital FPGA Engineer at Northrop Grumman, you will have a challenging and rewarding opportunity to be a part of our Enterprise-wide digital transformation. Through the use of Model-based Engineering, DevSecOps and Agile practices we continue to evolve how we deliver critical national defense products and capabilities for the warfighter. Our success is grounded in our ability to embrace change, move quickly and continuously drive innovation. The selected individual will work on FPGA and ASIC Design across the full product life cycle process. In this capacity, you will utilize your working knowledge of digital signal processing and digital interfaces. This role will support the ARRGM-ER program within the Advanced Weapons Business Unit in Northridge, CA . This position requires the selected candidate to work on-site in Northridge; CA on a 9/80 schedule . Telework is not available for this position. Relocation assistance, although not guaranteed, may be available. Roles and Responsibilities: Responsible for research, design, and development for complex high speed digital designs. Support the implementation of digital FPGA hardware architecture and algorithms. Collaborate with Systems Engineering to ensure firmware design meets system level requirements, review designs and analysis. Basic Qualifications Digital FPGA Engineer Level 3: Bachelor's degree in electrical engineering or other STEM discipline with 5 years of digital verification engineering experience using industry standard simulation tools; 3 years with an MS degree Must have hands on FPGA design experience with VHDL and/or Verilog within the past 3 years. Experience with AMD/Xilinx and/or Intel/Altera SoC FPGAs Experience with Electronic Design Automation (EDA) Tools: Vivado, Quartus, and QuestaSim Must have an active DoD Secret Clearance to start Preferred Qualifications Digital FPGA Engineer Level 3: Experience with DSP, MATLAB, and SimuLink Knowledgeable in FPGA physical constraints and achieving timing closure. Experience with board or system level debug using test equipment such as oscilloscopes and logic analyzers. Generation of Test Benches and support of formal VHDL Verification Experience in high-speed FPGA implementation such as AXI, DMA, and Ethernet Strong design skills in VHDL and/or Verilog Experience in debugging FPGA applications using Altera signal tap or Xilinx ILA Experience with PCB schematics Primary Level Salary Range: $121,400.00 - $182,000.00 The above salary range represents a general guideline; however, Northrop Grumman considers a number of factors when determining base salary offers such as the scope and responsibilities of the position and the candidate's experience, education, skills and current market conditions. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. Employees in Vice President or Director positions may be eligible for Long Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business. The application period for the job is estimated to be 20 days from the job posting date. However, this timeline may be shortened or extended depending on business needs and the availability of qualified candidates. Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. For our complete EEO and pay transparency statement, please visit U.S. Citizenship is required for all positions with a government clearance and certain other restricted positions.

Associate Director of Elementary Camps and Family Learning (4168U), Lawrence Hall of Science - 8193 About Berkeley At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff. As a world-leading institution, Berkeley is known for its academic and research excellence, public mission, diverse student body, and commitment to equity and social justice. Since our founding in 1868, we have driven innovation, creating global intellectual, economic and social value. We are looking for applicants who reflect California's diversity and want to be part of an inclusive, equity-focused community that views education as a matter of social justice. Please consider whether your values align with our Guiding Values and Principles , Principles of Community , and Strategic Plan . At UC Berkeley, we believe that learning is a fundamental part of working, and provide space for supportive colleague communities via numerous employee resource groups (staff organizations). Our goal is for everyone on the Berkeley campus to feel supported and equipped to realize their full potential. We actively support this by providing all of our full-time staff employees with at least 80 hours (10 days) of paid time per year to engage in professional development activities. Find out more about how you can grow your career at UC Berkeley. Departmental Overview The Lawrence Hall of Science is UC Berkeley's public science center, serving more than 100,000 visitors each year to programs and events onsite and hundreds of thousands more in schools and community settings across Northern California. Our programs, products, and research impact youth, communities, educators, leaders and partners locally, nationally and globally. Our mission is to inspire and engage through science discovery and learning in ways that advance equity and opportunity. We do this by working with audiences that include learners, who experience our programs and products; educators, who work both in and out of school settings; and partners, who conduct research, build capacity for learning, and transform education systems. Research underlies everything we do, and we design all of our programs and products to have high impact beyond the walls of The Lawrence. Since we were founded in 1968, The Lawrence has been at the forefront of science, technology, engineering, and math (STEM) learning. The Lawrence is unique among science centers as it is a Learning Lab. We design, develop and study a wide array of science, technology, engineering and mathematics learning programs and products for youth, families and adults from diverse backgrounds in our specialized facilities and through our community partnerships. Our spaces and partnerships offer unique opportunities for public engagement and learning. Position Summary The Associate Director of Family Learning and Elementary Programs leads the development, implementation, and continuous improvement of dynamic learning experiences for children in grades K-5 and their families. This role ensures that seasonal camps and year-round family programming are inclusive, joyful, and rooted in research- based practices that center curiosity, community, and equity. Reporting to the Director of Program Leadership and Impact, this position is responsible for overseeing the full lifecycle of elementary camp operations - from program design and educator preparation to enrollment strategies and evaluation. The Associate Director also drives the strategy for family learning events that invite multigenerational audiences to engage with science together, while coordinating meaningful evaluation and impact efforts to inform future planning. As a key leader within the public engagement team, the Associate Director collaborates with internal teams across exhibitions, learning design, visitor experience, and operations, as well as external partners and families, to shape offerings that are mission-aligned and responsive to community interests. This role supports a team of staff and seasonal educators and plays a critical role in ensuring that our elementary and family programs reflect the values of cultural responsiveness, access, and educational excellence. This position is on-site (non-hybrid) and requires some work on evenings, weekends, and holidays. Application Review Date The First Review Date for this job is: 10/30/2025. Responsibilities Program Operations and LogisticsManages the day-to-day operations of elementary camp programs to ensure smooth and efficient delivery. Responsibilities include coordinating staff schedules, assigning teaching spaces, overseeing daily setup and cleanup, managing supplies and materials, and responding promptly to operational challenges or emergencies to maintain program quality and participant safety.Coordinates transportation logistics by planning bus schedules and routes, liaising with transportation providers, and communicating with families and staff to ensure timely and safe student pick-up and drop-off.Tracks registration and enrollment data continuously, monitoring attendance patterns and trends to forecast demand. Adjusts staffing levels, student group assignments, and facility usage to maintain compliance with staff-to-student ratio requirements and optimize program delivery. Collaborates with program leaders to manage waitlists and accommodate last-minute changes.Collaborates closely with the Director of Business Strategy and the Marketing team to develop and implement targeted marketing and outreach campaigns. Supports efforts to increase program visibility, drive registrations, and achieve revenue goals through strategic communications and community engagement.Maintains comprehensive documentation of all operational procedures, registration processes, safety protocols, and compliance requirements. Ensures all program activities adhere to institutional policies, regulatory standards, and best practices for educational programming and child safety.Recruits, screens, and selects qualified course and program instructors to meet program needs and standards. Conducts comprehensive orientation and training to ensure instructors are well-prepared to deliver curriculum effectively. Provides ongoing supervision through regular performance evaluations, feedback sessions, and professional development opportunities to maintain instructional quality and alignment with program goals. Addresses performance issues promptly and supports instructor growth to enhance participant experience.Participates in the development of strategic marketing and fundraising plans by identifying target audiences, analyzing market trends, and contributing to goal-setting. Collaborates with cross-functional teams to align outreach efforts with organizational priorities and maximize program visibility and funding opportunities.Actively participates in the long-range strategic planning and development of public educational programs, contributing insights and recommendations to support program growth, community engagement, and alignment with organizational goals.Identifies, recruits, and evaluates prospective program partnerships to expand educational offerings and strengthen community engagement. Assesses partnership opportunities based on alignment with organizational goals, resource capacity, and potential impact, fostering collaborative relationships that support program success.Required Qualifications Demonstrated ability to design, revise, and implement developmentally appropriate STEM learning experiences for children and families, aligned with research-based practices and community interests.Proven experience recruiting, training, and supervising a diverse team of educators, interns, and volunteers, with a focus on inclusive practices, performance feedback, and professional development.Strong organizational and project management skills to lead scheduling, staffing plans, and long-term strategy for seasonal and annual programming.Ability to collect, analyze, and apply participant data and evaluation findings to improve program quality, measure impact, and communicate results internally and externally.Thorough understanding of how to achieve program goals in coordination with other departments - such as Marketing, Business Strategy, Visitor Experience, and Operations - while adhering to university policies and compliance requirements.Excellent verbal, written, and interpersonal communication skills, with the ability to clearly present ideas, lead meetings, and connect with audiences ranging from UC staff to public visitors and community partners.Experience working with marketing or outreach teams to develop enrollment strategies, track sales goals, and align program offerings with audience needs and institutional revenue targetsAbility to create and manage program budgets, forecast revenue, monitor expenditures, and reconcile costs in alignment with financial sustainability and strategic priorities.Skill in using business software systems in the completion of work assignments; i.e., Word, Excel, Access, PowerPoint.Continuing education in a related field required, including early childhood education, family learning, child development, STEM education or informal education or equivalent experience.Bachelor's degree in related area and/or equivalent experience/training. . click apply for full job details

Student Support Coordinator (4555C), Disabled Students Program - 81247 About Berkeley At the University of California, Berkeley, we are dedicated to fostering a community where everyone feels welcome and can thrive. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff. As a world-leading institution, Berkeley is known for its academic and research excellence, public mission, diverse student body, and commitment to equity and social justice. Since our founding in 1868, we have driven innovation, creating global intellectual, economic and social value. We are looking for applicants who reflect California's diversity and want to be part of an inclusive, equity-focused community that views education as a matter of social justice. Please consider whether your values align with our Guiding Values and Principles , Principles of Community , and Strategic Plan . At UC Berkeley, we believe that learning is a fundamental part of working, and provide space for supportive colleague communities via numerous employee resource groups (staff organizations). Our goal is for everyone on the Berkeley campus to feel supported and equipped to realize their full potential. We actively support this by providing all of our full-time staff employees with at least 80 hours (10 days) of paid time per year to engage in professional development activities. Find out more about how you can grow your career at UC Berkeley. Departmental Overview The Disabled Students' Program (DSP) is recognized for its commitment to ensuring that all students with disabilities have equal access to educational opportunities at UC Berkeley and helps students to achieve academic success through its programs. DSP provides a wide array of legally mandated services to students with disabilities and consists of approximately 50 FTE, serves over 6500 students, and hires over 400 service providers and student volunteers to provide educational support to this growing population. The unit has an annual operating budget of approximately $3.5 million in state and permanent funding, while gifts and endowments add to that total. DSP is also responsible for administering a Department of Education TRIO Student Support Services federal grant. DSP is dedicated to excellence in service and we welcome interested persons who are committed to disability access to consider applying for employment with DSP. Position Summary The DSP Scholars Service Support Coordinator job summary under the Director supervision, support DSP Scholars Students Support Services objectives through coordinating financial literacy, career, and personal/cultural enrichment activities and workshops, managing financial literacy program, managing media outlets, creating website design and branding for the program, data collection, entry, maintenance, analysis, and reporting activities while ensuring security of confidential information for the DSP Scholars Student Support Services Program. Essential functions include coordinating TRIO academic, social and cultural activities and workshops, managing financial literacy program, assisting with creating website design and branding for the program, collecting, organizing, entering, maintaining and verifying information within all DSP Scholars SSS specific database systems for the participants within the Student Support Services Program. While maintaining confidential FERPA-program files on all participants, activities, and services provided. Also, assemble, and maintain systems for collection, aggregation, and reporting of data required for compliance with the U.S. Department of Education and other accountability processes. Assist with the Department of Education Annual Performance Report. Assist the Director in statistical reporting and report generation. Create necessary evaluative reports as needed. Application Review Date The First Review Date for this job is: 10/13/2025. Responsibilities Coordination of Student Services and Support Research student financial resources and literacy issues; develop curriculum and deliver the DSP Scholars financial literacy education content, products, and services; assess the financial literacy partners, products, and services to provide credible personal money management education to post-secondary students, administrators, staff and faculty and other audiences as required. Teach DSP Scholars about budgeting, saving, banking, credit, housing, and identity theft through conducting workshops and information sessions. Develops and implements strategies to support and foster financial literacy among students and staff. Develops partnerships with campus staff and the student finance team to promote financial literacy initiatives/programs and provide training workshops. Provide financial coaching for individuals to help them reach their financial goals. This may include helping students improve their credit score, develop assets, and learn how to use financial services. Administration and Organization: Works with students' services staff and other members of the DSP Scholars staff to identify populations of students who are most at risk of not completing their educational goals (e.g., students who do not meet standards of progress) and designs and provides financial literacy activities to improve student retention. In collaboration with the Financial Aid Office, the California Department of Rehabilitation (DOR) develops communication and information strategies for the Financial Literacy Program for students. FLC helps students find appropriate referrals, both internally and externally and tracks those referrals in an Excel spreadsheet or other tracking management systems. Help build positive relations within the team and external parties, including collaborating with key campus stakeholders such as the Financial Aid and Scholarships Office, specifically Bears for Financial Success, Other Student Support Services (Transfer Classic SSS, and STEM). Provide a welcoming and safe environment for students and staff to succeed in the Scholars program. Support students, staff, and faculty by attending and participating in campus events. Maintain accurate record keeping of the student's counseling and coaching sessions and prepare reports about their activities. Ensures compliance with US Department of Education policies and grant guidelines. Prepares progress reports to document project activities. In collaboration with Financial Aid, tracks and measures student outcomes (e.g., assessment of financial literacy learning). Manages the DSP Scholars calendar of events and provides conference, event, and workshop support. Ensuring technology is used correctly for all operations, equipment is set up and in functional condition, and space and online platforms are coordinated when needed. Provide administrative support to the DSP Scholar Program and create necessary evaluative reports. Work with Learning Specialist and the Director to produce monthly newsletter and coordinate use of the Slottman Hall Unit One for program activities and operational hours. Outreach and Recruitment Under the direction of the DSP Scholar Director and Learning Specialist, help recruit participants by participating in on-campus recruitment events, completing interviews, and creating student success plans. Manage TRIO social media accounts and platforms. Create fliers/announcements, upload pictures, and ensure all program information stays current, relevant, and up to date. Work with the DSP Web development team to keep the DSP Scholars web pages current, accessible, and uniform. Become a resource for staff and students by familiarizing them with campus and community resources and broadly sharing them. Recruit students to participate in workshops and events and follow up to assess effectiveness and interest. Participation, Training, Other: Participate in one-on-one meetings with supervisors, team meetings, and training, including weekly team meetings with staff, mid-semester and semester review team meetings, and training and professional development as applicable. Participate in ongoing Trio Priority training, DSP Scholars, People & Culture, and Information technology training. Participate in committees as assigned and other duties assigned. Coordinates and delivers Financial Education and coaching services to UC Berkeley DSP Scholars. Coordinates other DSP Scholars Program deliverables for Financial Education Activities. Seeks to integrate and promote other asset-building services to amplify the tracking and success of the Students and Families Economic Empowerment initiative at UC Berkeley. Required Qualifications Participate in community development collaboratives, research and develop new programming, and assist in the rollout of new initiatives. Advanced level of written and oral communication skills. Must be accurate and detail-oriented, with strong organizational and time management skills, with the ability to prioritize competing duties in a complex and fast-paced environment. Superior customer service skills. Ability to work independently, collaboratively and the ability to keep client's information confidential, work flexible hours (occasional evenings and weekends). Excellent database management knowledge, report generation skills, and records maintenance skills. Experience in planning and organizing events. . click apply for full job details