Join Aya Healthcare, winner of multiple Top Workplace awards! The Account Manager will develop and manage new accounts for Locum Tenens services. He or she will proactively generate new business and strengthen existing client relationships, exceeding sales goals and offering exceptional client service. Who We Are: We’re a $8+ billion dollar, rapidly growing workforce solutions provider in the healthcare industry. We deliver tech-enabled services that help healthcare organizations meet and manage their contingent labor needs. We build and manage tech-enabled marketplaces for national and local healthcare talent and deliver contingent labor management solutions through our proprietary software platform. At Aya, we’re obsessed with creating exceptional experiences for our clients, clinicians and employees. In fact, we put employee satisfaction above all else. Our team members are responsible for incomparable customer experience and we know that happy employees are critical to maintaining happy clients. We foster an entrepreneurial, high-energy, low-bureaucracy culture and value innovative thinking and creative problem solving. We embrace diversity in thought and backgrounds unified by a commitment to high achievement. When you join Aya, you’ll be surrounded by teammates who care about you as an individual and leaders who will help you grow both personally and professionally. Responsibilities: - Proactively call into prospective clients to generate new business - Persistently use traditional and creative methods to reach new points of contact at current clients to sell and maintain Locum Tenens services - Continuously generate client leads using high volume calls and emails - Submit appropriate candidates for Locum Tenens assignments with our contracted client facilities - Cultivate and maintain valuable relationships with prospective clients - Ensure the satisfaction of our client facilities through proactively meeting their staffing needs with alacrity - Renegotiate contracts with healthcare facilities resulting in mutually beneficial terms - Strive for continuous improvement and career advancement - Work with internal teams to collaborate and find successful solutions for fulfillment Required Qualifications: - Bachelor's Degree (direct industry experience can be substituted) - Direct relevant experience in Locum Tenens staffing, preferred - Proven success in a metrics driven environment - At least 3 years as a top producer in a sales position - Client centered mentality and passion for customer service - Ability to relate to a variety of people and sustain meaningful relationships - Strong motivation to achieve results and meet goals What We Offer: - Free premium medical, dental, life and vision insurance - Generous 401(k) match - Aya also offers other benefits to those that are eligible and where required by applicable law, including reimbursements and discretionary bonuses - Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya’s general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling - Celebrations! We hit our goals and reward ourselves. - Company-sponsored virtual events, happy hours and team-building activities are always on the horizon — plus, you get a special treat on your birthday! - Unlimited DTO — we believe in time off! - Virtual yoga, meditation or boot camp classes offered daily Compensation: Aya reasonably anticipates the pay scale for this position starting to be $36.06 to $57.69, which equates to $75,000 to $120,000 annually, plus commissions. The pay scale for this position may vary if applicant possesses experience outside of what Aya reasonably anticipates for this position. Bonuses are subject to the role and your manager’s discretion. Aya is an Equal Opportunity Employer (EEO), including Disability / Vets, and welcomes all to apply. Please click here for our EEO policy.

Description Position Title: Manager, Utilization Management (UM) Company: Southeast Primary Care Partners – Physicians First ACO (PFACO)/Physicians First Health Network (PFHN) Location: Primarily Remote | Occasional Travel Required Position Overview Physicians First ACO (PFACO) and Physicians First Heatlh Network (PFHN), divisions of Southeast Primary Care Partners, is seeking an analytical and proactive Manager, Utilization Management (UM) to monitor, evaluate, and optimize healthcare utilization across a network of independent provider practices. This role is central to improving total cost of care and patient outcomes in a value-based care environment. The UM Manager will work closely with our Analytics Team to leverage claims data, population health reports, and EMR data. The UM Manager’s goals are to identify utilization trends, uncover drivers of high spend, and implement actionable strategies in collaboration with clinicians, patients, and senior leadership. The role involves conducting reviews for medical necessity and the utilization of ancillary services to ensure the appropriate level of patient care. The Manager determines the appropriate level of patient care through collaboration with physicians, reviews, monitors, evaluates, and coordinates patient stays to assure services are timely and efficient, maintains appropriate documentation, and ensures compliance with federal, state, and local requirements, as well as organizational policies and procedures. The ideal candidate brings strong utilization management experience (in payer, provider, or hospital settings), thrives in a data-driven environment, and is comfortable working independently while influencing provider behavior. Requirements Key Responsibilities Utilization Analysis & Monitoring - Analyze daily claims, population health data, and EMR data to identify utilization trends and cost drivers, incorporating industry best practices such as predictive analytics and risk stratification models (e.g., aligned with CMS ACO benchmarks). - Monitor key metrics, including Emergency Department (ED) utilization; admission and readmission rates; potentially avoidable admissions; post-discharge follow-up gaps (7–14 days); Skilled Nursing Facility (SNF) utilization and bounce-backs; hospice utilization patterns (including prolonged stays); high-cost imaging, procedures, and specialist utilization; and identify variation in utilization patterns across practices and providers. Develop a UM Team - Develop and lead a strong UM team to support multiple payers, ACOs, and physician practices, fostering interdisciplinary collaboration and ongoing training in evidence-based utilization review protocols (e.g., per URAC or NCQA standards). Practice & Clinician Engagement - Identify physician practices’ patients with high utilization and spend. - Conduct targeted outreach to share actionable, data-driven insights; highlight opportunities to reduce unnecessary utilization; and support workflow improvements and care coordination, drawing on best practices like shared decision-making tools and provider education sessions. - Deliver clear, practical recommendations tailored to each practice. Patient-Level Intervention - Identify high-risk, high-cost patients using claims and analytics tools. - Collaborate with practices on care management strategies, incorporating best practices such as patient-centered care plans and motivational interviewing techniques. - Conduct patient outreach (as appropriate) to reinforce care plans; promote appropriate site-of-care utilization (e.g., ED avoidance); and address gaps in follow-up care. Clinical Collaboration - Partner closely with the Medical Director to review complex cases and utilization patterns; align on clinical appropriateness and interventions; develop strategies to reduce avoidable utilization; and escalate cases requiring clinical review or physician input, ensuring adherence to evidence-based guidelines (e.g., from AHRQ). Systems Navigation & Workflow - Navigate multiple EHR systems across independent practices. - Extract and interpret clinical and operational data to support initiatives, while maintaining HIPAA compliance and data security best practices. - Utilize population health and analytics platforms to guide daily workflow, optimizing for efficiency and Triple Aim outcomes. Performance Improvement & Reporting - Track and report on utilization trends, interventions, and outcomes. - Support development of dashboards and performance reports, incorporating continuous quality improvement methodologies (e.g., Plan-Do-Study-Act cycles). - Contribute to ACO-wide strategies to reduce costs and improve quality, ensuring compliance with OSHA standards for safe remote and on-site work environments and FLSA regulations for fair compensation and overtime. Qualifications Required - 3–5+ years of experience in Utilization Management, Care Management, or a related field. - Bachelor’s degree in Nursing, Healthcare Administration, Public Health, or a related field. - Clinical background (currently licensed LPN, RN, or equivalent). - Experience in payer, hospital/health system, or ACO environment preferred. - Strong understanding of healthcare utilization drivers; claims data analysis; transitions of care; and care coordination. Preferred - Certification (e.g., CCM, CPUR, or equivalent) is a plus. - Experience in value-based care models (ACO, Medicare Advantage, Commercial) highly desirable. Core Competencies - Strong analytical skills with the ability to translate data into actionable insights. - Excellent communication skills with the ability to engage and influence providers. - Ability to work independently and manage priorities effectively. - Comfortable navigating multiple systems and adapting to varied workflows. - High level of professionalism and discretion. Work Environment - Primarily remote role with occasional travel to physician practices (travel may include adherence to OSHA safety protocols for on-site visits). - Independent position with a high level of autonomy, requiring self-motivation in a virtual setting. - OSHA Compliance Requirements: As a hybrid remote position with occasional travel to physician practices, ensure adherence to OSHA standards primarily during on-site visits. This includes proper ergonomics for any prolonged standing, safe lifting techniques (e.g., lifting up to 50 lbs),. For remote work, focus on ergonomic setup of home office to comply with OSHA guidelines for virtual environments. Why Join PFACO? - Play a key role in driving value-based care transformation. - Work directly with leadership to impact cost and quality outcomes. - Shape utilization strategies across a diverse provider network. - Operate in a data-driven, clinically integrated environment. Equal Opportunity Employer Southeast Primary Care Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

The Principal, Process Management & Continuous Improvement serves as the enterprise leader for process excellence, continuous improvement, and the integration of change across business operations, IT, and corporate functions. This role applies structured project management and change management disciplines to analyze current processes, design improved solutions, and drive successful adoption of new processes, technologies, and ways of working. The Principal, Continuous Improvement & Process Management treats change as a project—or a defined workstream within larger initiatives—ensuring that process improvements are implemented effectively; stakeholders are engaged, and benefits are realized. The ideal candidate is both analytically strong and people-focused, able to translate operational insight into sustainable change. This role is responsible for identifying, prioritizing, and driving improvements to how the organization operates—ensuring processes are efficient, scalable, and sustainable. The Principal leads enterprise efforts to standardize workflows, embed lessons learned from root cause analyses (RCA), and ensure that improvements are effectively implemented and adopted across the organization. In partnership with all organizational functional groups and PMO, this role ensures that process and behavior changes associated with projects, operational changes, and RCA follow-up actions are executed with discipline and consistency. This role acts as both a strategic leader and hands-on driver of improvement, enabling the organization to continuously evolve while maintaining reliability, control, efficiency, and operational excellence.   RESPONSIBILITIES: Process Analysis & Improvement - Analyze current-state processes using data, stakeholder input, and workflow mapping techniques. - Identify inefficiencies, risks, and opportunities for improvement across Operations, IT, and business functions. - Design future-state processes that improve efficiency, quality, reliability, and scalability. - Document process maps, standard operating procedures (SOPs), and supporting artifacts. Continuous Improvement Leadership - Lead enterprise-wide continuous improvement initiatives focused on efficiency, quality, reliability, and scalability. - Identify and prioritize process improvement opportunities across Operations, IT, and corporate functions. - Apply structured methodologies (Lean, Six Sigma, Kaizen, PDCA) to deliver measurable business outcomes. - Establish and maintain a continuous improvement roadmap aligned with organizational priorities. - Drive a culture of continuous improvement, accountability, and operational excellence. Process Management & Standardization - Define, document, and maintain enterprise process standards, workflows, and SOPs. - Ensure consistency and standardization of key operational and business processes across functions. - Implement process governance practices to ensure sustainability and compliance. - Continuously evaluate and refine processes based on performance data, feedback, and operational needs. Root Cause Analysis (RCA) Integration & Follow-Through - Collaborate with the Project Manager of Cause Analysis and Change Management to ensure RCA findings are translated into actionable process improvements and sustainable solutions. - Maintain visibility into recurring issues and systemic risks to inform improvement priorities. - Integrate lessons learned into process documentation, standards, and training. PMO Enablement & Change Advisory - Serve as a subject matter expert (SME) for process improvement and change enablement across the PMO. - Consult with project and program managers to ensure process and behavior changes are effectively embedded within their initiatives. - Provide guidance on stakeholder engagement, adoption strategies, and process implementation approaches. - Partner with PMO leadership to elevate organizational capability in process and change execution.   Change Management & Adoption (Project-Based) - Lead change initiatives as standalone projects or as defined workstreams within larger programs. - Develop and execute change management plans, including stakeholder analysis, communication plans, training support, and adoption metrics. - Coordinate change activities with PMO, IT, Operations, and Change Management governance bodies. - Ensure process and technology changes are understood, adopted, and embedded into day-to-day operations. - Track change risks, resistance, and mitigation actions throughout the project lifecycle. - Capture lessons learned and contribute to organizational knowledge repositories. - Reinforce accountability for sustaining improvements post-implementation. Cross-Functional Leadership & Collaboration - Act as a central connector across Operations, IT, PMO, and business functions for improvement initiatives. - Facilitate cross-functional workshops to align on process design, improvements, and implementation plans. - Communicate progress, risks, and outcomes to executive stakeholders. - Promote alignment, transparency, and shared accountability across teams. Training, Enablement & Culture - Support the development of a continuous improvement mindset across the organization. - Collaborate with the Director of Training & Development to develop and deliver training on process management, continuous improvement, and change practices. - Promote a “learn, don’t blame” culture by leveraging RCA insights and continuous improvement principles. - Reinforce process discipline and operational excellence across all levels of the organization. - Model company values: Honest, Nice, Smart, and Passionate.

The Principal, Process Management & Continuous Improvement serves as the enterprise leader for process excellence, continuous improvement, and the integration of change across business operations, IT, and corporate functions. This role applies structured project management and change management disciplines to analyze current processes, design improved solutions, and drive successful adoption of new processes, technologies, and ways of working. The Principal, Continuous Improvement & Process Management treats change as a project—or a defined workstream within larger initiatives—ensuring that process improvements are implemented effectively; stakeholders are engaged, and benefits are realized. The ideal candidate is both analytically strong and people-focused, able to translate operational insight into sustainable change. This role is responsible for identifying, prioritizing, and driving improvements to how the organization operates—ensuring processes are efficient, scalable, and sustainable. The Principal leads enterprise efforts to standardize workflows, embed lessons learned from root cause analyses (RCA), and ensure that improvements are effectively implemented and adopted across the organization. In partnership with all organizational functional groups and PMO, this role ensures that process and behavior changes associated with projects, operational changes, and RCA follow-up actions are executed with discipline and consistency. This role acts as both a strategic leader and hands-on driver of improvement, enabling the organization to continuously evolve while maintaining reliability, control, efficiency, and operational excellence.   RESPONSIBILITIES: Process Analysis & Improvement - Analyze current-state processes using data, stakeholder input, and workflow mapping techniques. - Identify inefficiencies, risks, and opportunities for improvement across Operations, IT, and business functions. - Design future-state processes that improve efficiency, quality, reliability, and scalability. - Document process maps, standard operating procedures (SOPs), and supporting artifacts. Continuous Improvement Leadership - Lead enterprise-wide continuous improvement initiatives focused on efficiency, quality, reliability, and scalability. - Identify and prioritize process improvement opportunities across Operations, IT, and corporate functions. - Apply structured methodologies (Lean, Six Sigma, Kaizen, PDCA) to deliver measurable business outcomes. - Establish and maintain a continuous improvement roadmap aligned with organizational priorities. - Drive a culture of continuous improvement, accountability, and operational excellence. Process Management & Standardization - Define, document, and maintain enterprise process standards, workflows, and SOPs. - Ensure consistency and standardization of key operational and business processes across functions. - Implement process governance practices to ensure sustainability and compliance. - Continuously evaluate and refine processes based on performance data, feedback, and operational needs. Root Cause Analysis (RCA) Integration & Follow-Through - Collaborate with the Project Manager of Cause Analysis and Change Management to ensure RCA findings are translated into actionable process improvements and sustainable solutions. - Maintain visibility into recurring issues and systemic risks to inform improvement priorities. - Integrate lessons learned into process documentation, standards, and training. PMO Enablement & Change Advisory - Serve as a subject matter expert (SME) for process improvement and change enablement across the PMO. - Consult with project and program managers to ensure process and behavior changes are effectively embedded within their initiatives. - Provide guidance on stakeholder engagement, adoption strategies, and process implementation approaches. - Partner with PMO leadership to elevate organizational capability in process and change execution.   Change Management & Adoption (Project-Based) - Lead change initiatives as standalone projects or as defined workstreams within larger programs. - Develop and execute change management plans, including stakeholder analysis, communication plans, training support, and adoption metrics. - Coordinate change activities with PMO, IT, Operations, and Change Management governance bodies. - Ensure process and technology changes are understood, adopted, and embedded into day-to-day operations. - Track change risks, resistance, and mitigation actions throughout the project lifecycle. - Capture lessons learned and contribute to organizational knowledge repositories. - Reinforce accountability for sustaining improvements post-implementation. Cross-Functional Leadership & Collaboration - Act as a central connector across Operations, IT, PMO, and business functions for improvement initiatives. - Facilitate cross-functional workshops to align on process design, improvements, and implementation plans. - Communicate progress, risks, and outcomes to executive stakeholders. - Promote alignment, transparency, and shared accountability across teams. Training, Enablement & Culture - Support the development of a continuous improvement mindset across the organization. - Collaborate with the Director of Training & Development to develop and deliver training on process management, continuous improvement, and change practices. - Promote a “learn, don’t blame” culture by leveraging RCA insights and continuous improvement principles. - Reinforce process discipline and operational excellence across all levels of the organization. - Model company values: Honest, Nice, Smart, and Passionate.