Become a part of our caring community A Director of Authorizations & Eligibility is a senior revenue cycle leader responsible for the strategic oversight, operational execution, and continuous improvement of all authorization, insurance eligibility re-verification and payer maintenance for a large, complex Home Health organization operating on the Homecare Homebase (HCHB) platform. This role leads enterprise-wide authorization related operations supporting high-volume, multi-branch environments and ensures timely, compliant payer approvals to protect revenue integrity and patient access. The Director partners closely with clinical leadership, operations, finance, compliance, and IT, and manages both onshore and offshore teams. The role also leads transformational initiatives related to centralization, automation, scalability, and payer optimization. Key Responsibilities Strategic Leadership & Governance • Develop and execute a comprehensive authorization, eligibility reverification and payor encounter maintenance strategy aligned with enterprise revenue cycle objectives. • Serve as the organizational subject-matter expert on payer authorization rules, revalidation requirements, and medical necessity workflows. • Lead large-scale transformation initiatives including centralization, workflow redesign, automation, and performance standardization. • Establish governance, escalation paths, and performance accountability across a complex, multi-site organization. Operational Oversight • Direct day-to-day authorization, eligibility reverification and payor encounter maintenance operations across all service lines and payers. • Ensure timely and accurate submission, tracking, and renewal of authorizations in Homecare Homebase. • Oversee management of payer portals, authorization queues, and work distribution. • Ensure consistent execution across onshore and offshore teams. • Coordinate closely with Intake, Clinical Operations, Scheduling, Billing, and Denials teams. Clinical & Operational Collaboration • Partner with nursing leadership, therapy leadership, and clinical staff to ensure clinical documentation supports medical necessity. • Support resolution of clinical questions related to authorization determinations. • Collaborate with Quality, Compliance, and Audit teams to support medical reviews and audits. • Translate payer requirements into operational workflows and staff education. Performance Management & Analytics • Define, monitor, and report KPIs including authorization turnaround time, authorization success rate, denial rate, and authorization-related delays. • Use data to identify trends, root causes, and improvement opportunities. • Present performance insights to executive leadership. • Drive continuous improvement using Lean, Six Sigma, or similar methodologies. Compliance & Risk Management • Ensure compliance with Medicare, Medicaid, and commercial payer authorization and revalidation requirements. • Maintain audit-ready documentation and processes. • Support external audits (MAC, SMRC, RAC, UPIC) and payer reviews related to authorization. • Partner with Compliance and Legal teams on corrective action plans. People Leadership • Lead, coach, and develop managers, supervisors, and frontline authorization staff. • Manage blended onshore/offshore workforce models. • Establish clear roles, performance expectations, and career pathways. • Promote accountability, engagement, and operational excellence. Key Interfaces • Branch Operational Staff and Leaders • Clinical Operations Leadership (Nursing, Therapy, QA) • Intake and Scheduling Teams • Revenue Cycle Leadership • Billing, Denials, and Appeals Teams • Compliance, Legal, and Audit • IT / Applications (Homecare Homebase) • External Payers and Vendor Partners Use your skills to make an impact Requirements Education: • Bachelor’s degree in Healthcare Administration, Business, Nursing, or related field required. • Master’s degree (MHA, MBA, MSN, or similar) preferred. Experience: • 8 or more years of progressive experience in healthcare revenue cycle or access operations. • Minimum of 5 years leading authorization or insurance verification functions. • Experience in large, complex, multi-site healthcare organizations. • Demonstrated experience leading centralized and distributed (onshore/offshore) teams. • Direct experience working with Homecare Homebase strongly preferred. • Experience supporting Medicare, Medicare Advantage, Medicaid, and commercial payers. • Proven success leading transformational or enterprise-scale process improvement initiatives. Skills & Competencies: • Deep knowledge of home health authorization, eligibility, and payer rules. • Strong understanding of clinical workflows and medical necessity. • Advanced operational and analytical skills. • Ability to manage complexity, ambiguity, and change. • Executive-level communication and influence skills. • Strong collaboration across clinical, operational, and financial teams. • Expertise in KPI-driven performance management. Preferred Certifications: • Certified Healthcare Access Manager (CHAM) • Certified Revenue Cycle Professional (CRCP) • Nursing license (RN or LPN/LVN) Additional Information: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. - Satellite, cellular and microwave connection can be used only if approved by leadership. - Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Date Posted: 2026-04-09Country: United States of AmericaLocation: US-TX-MCKINNEY-513WA ~ 2501 W University Dr ~ WING A BLDGPosition Role Type: RemoteU.S. Citizen, U.S. Person, or Immigration Status Requirements: Active and transferable U.S. government issued security clearance is required prior to start date.​ U.S. citizenship is required, as only U.S. citizens are eligible for a security clearance​Security Clearance Type: DoD Clearance: SecretSecurity Clearance Status: Active and existing security clearance required on day 1 At Raytheon, the foundation of everything we do is rooted in our values and a higher calling – to help our nation and allies defend freedoms and deter aggression. We bring the strength of more than 100 years of experience and renowned engineering expertise to meet the needs of today’s mission and stay ahead of tomorrow’s threat. Our team solves tough, meaningful problems that create a safer, more secure world. We are currently seeking a seasoned professional for our Program Supplier Assurance (PSA) Associate Director position for our Advanced Products & Solutions (APS) Strategic Business Unit. The selected candidate can be Remote with nominal travel. The Program Supplier Assurance Associate Director position is a program-facing role that is responsible for effectively leading a multi-disciplined department of approximately 20 Program Supplier Assurance Engineers (PSAE) within APS which includes two SSBU – Radio Frequency Solutions (RFS) and the Electro-Optical & Infrared Solutions (EOIRS). PSAE personnel provide Mission Assurance and Supplier Assurance solutions for supplier selection and to ensure good parts and services are received from the supply chain. They work collaboratively with our internal functional counterparts to ensure requirements flow down and Technical Data Packages will result in product that performs in the system or services that meet performance requirements. They conduct supplier oversight through requirements reviews, support of writing and reviewing Supplier Statements of Work (SSOW), implement Advanced Product Quality Planning (APQP) at suppliers and perform supplier risk assessments. They perform robust containment, root cause, corrective action and validation of supplier caused defects. What You Will Do: - Program facing manager that provides technical and functional leadership to the organization in the area of Program Supplier Assurance. - Engage with APS Programs to ensure that all aspects of supplier quality are addressed. - Will be the interface between Programs and partner with cross functional teams and the more general Supplier Assurance organization. - Support Supplier Assurance initiatives and improvement projects. - Continuously drive the department’s technical, program, and supplier assurance process skills. - Effectively staff programs in order to provide the required innovation, efficiency, effectiveness, capability and capacity to meet the SBU and SSBU business needs. - Support monthly APS level Major Business Reviews (MBR) and Operations Review - Support monthly Raytheon Supplier Assurance Operations Review - Support Program gate reviews as an independent reviewer. - Manage labor and non-labor budgets to meet organizational funding targets. - Drive and review actionable metrics to assure improvement plans and actions are being addressed. - Accountable for providing high integrity supplier selection options to programs that will ensure program cost, schedule and delivery targets are met. - Drives effective deployment of process initiatives including the Advanced Product Quality Planning (APQP) Production Part Approval Process (PPAP) deployment and growth and maintenance of department processes that support Supplier Assurance. - Accountable for employee performance including organizational and individual goal setting, career counseling, and employee development which are aligned to product roadmaps and resource allocation. Qualifications You Must Have: - Typically requires: A university degree or equivalent experience and minimum 12 years prior relevant experience, or an advanced degree in a related field and minimum 10 years’ experience - Relevant experience is prior Quality, Manufacturing or Project Management experience - Experience in both personnel and program or project management - Experience in supplier management, quality, performance, and/or auditing - Experience preparing and facilitating briefs and presentations - Continuous Improvement and process improvement experience (e.g. APQP/PPAP and Customer-Oriented Results & Excellence-CORE) for defect/error mitigation - Active and transferable U.S. government issued security clearance is required prior to start date. U.S. citizenship is required, as only U.S. citizens are eligible for a security clearance Qualifications We Prefer: - Six Sigma, Lean, and/or American Society for Quality (ASQ) Certification (CQE, CQM/OE, CSQE, CQA, CRE, etc.) - Proven successes in building and maintaining relationships with multiple suppliers/ customers. - Experience in DoD product and process oversight including requirements, build, integration, test, and delivery. - Experience in engineering, development, project planning, and collaborating remotely. - Past experience working in a large / matrixed organization interfacing with multiple levels (e.g. Engineering, Supply Chain, Operations, Production Control, Program Leadership, and/or Customers) - Working knowledge of ISO 9001/AS9100 quality management systems, AS9145 Requirements for APQP & PPAP, and FAI Standard AS9102. - Experience working with one or more of the following aerospace or commercial equivalent preventative tools – Statistical Process Control (SPC), Failure Modes and Effects Analysis (FMEA), Quality Function Deployment (QFD), Production Part Approval Process (PPAP), Lean Manufacturing, Control Plans, other process improvement tools - General knowledge of industry technical standards (such as ANSI, CMMI, ASTM, etc.) - Strong technical engineer with excellent communication skills that exhibits presence and influence and self-managed technical contributor - Strong judgment and decision-making abilities - Able to effectively work multiple tasks and priorities - Strong written and oral communication skills - Ability to develop plans to demonstrate continuous improvement for out-of-phase defects What We Offer: Our values drive our actions, behaviors, and performance with a vision for a safer, more connected world. At RTX we value: Safety, Trust, Respect, Accountability, Collaboration, and Innovation. Relocation Eligibility – None. No relocation available for this role. Learn more & apply now! Please consider the following role type definition as you apply for this role. Remote: This position currently is designated as remote. Employees who are working in remote roles will work primarily offsite (from home) but may be expected to travel to the site location as needed. The successful candidate for this role will be required to reside and work from one of the 50 U.S. states (excluding U.S. territories). This position requires the ability to obtain a security clearance. The Defense Industrial Clearance Office (DISCO), and agency of the Department of Defense, handles and adjudicates the security clearance process. More information about Security Clearances can be found on the US Department of State government website here: https://www.state.gov/m/ds/clearances/c10978.htm #LI-Remote As part of our commitment to maintaining a secure hiring process, candidates may be asked to attend select steps of the interview process in-person at one of our office locations, regardless of whether the role is designated as on-site, hybrid or remote. The salary range for this role is 157,200 USD - 298,800 USD. The salary range provided is a good faith estimate representative of all experience levels. RTX considers several factors when extending an offer, including but not limited to, the role, function and associated responsibilities, a candidate’s work experience, location, education/training, and key skills. Hired applicants may be eligible for benefits, including but not limited to, medical, dental, vision, life insurance, short-term disability, long-term disability, 401(k) match, flexible spending accounts, flexible work schedules, employee assistance program, Employee Scholar Program, parental leave, paid time off, and holidays. Specific benefits are dependent upon the specific business unit as well as whether or not the position is covered by a collective-bargaining agreement. Hired applicants may be eligible for annual short-term and/or long-term incentive compensation programs depending on the level of the position and whether or not it is covered by a collective-bargaining agreement. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company’s performance. This role is a U.S.-based role. If the successful candidate resides in a U.S. territory, the appropriate pay structure and benefits will apply. RTX anticipates the application window closing approximately 40 days from the date the notice was posted. However, factors such as candidate flow and business necessity may require RTX to shorten or extend the application window. RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act. Privacy Policy and Terms: Click on this link to read the Policy and Terms

At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose: Honesty, Reliability, Curiosity, Collaboration, and Passion. About the role and what you'll be doing: Ensono’s Program Director is a business and technology advisor who challenges the status quo to drive innovation and transformation within the enterprise space. This individual will work closely with our Clients to understand their business drivers and objectives to induce significant change and continuous improvement. This individual is responsible for aligning the strategic business requirements of the Client with the knowledge and capabilities of Ensono and leads the effort to execute multi-year transformation initiatives. The candidate will collaborate with internal stakeholders to coordinate architecture, features functions, migration and planning governance for the Client. This role works with the Client’s business and technical teams to create reference architecture frameworks, templates, and target state architecture designs. The successful person in this role will be effective in fostering executive level relationships with an emphasis on Client satisfaction while owning the overall operational solution, migration and planning governance. We want all new Associates to succeed in their roles at Ensono. That's why we've outlined the job requirements below. To be considered for this role, it's important that you meet all Required Qualifications. If you do not meet all of the Preferred Qualifications, we still encourage you to apply. What You Will Need: Responsibilities: - Engage closely with C-level and Client Transformation executives to lead enterprise-wide transformation and migration program(s). - Identify business drivers, goals and develop compelling board ready proposals and value-driven business cases to achieve desired business outcomes. - Collaborate with cross-functional technology experts to drive architectural planning, execution plans and roadmaps to accelerate our Client’s business, transformation and migration outcome. - Manage transitions of responsibility with Clients in the case of various scenarios such as colocation transitions or public cloud instances and ensure steady state consistency. - This could include assimilating complex and diverse personnel and operational responsibility as well as managing, changing or competing demands and priorities. - Drive and collaborate with counterparts within Internal teams (Consulting organizations, Product Engineering, Implementation Engineering and Program Management) and the Client Technology leads to create solution and strategies for transformation and migration program(s). - Lead large scale migration projects in concert with multiple stakeholders through the assessment, planning and execution stages. - Develop and conduct discovery, assessment and solution development workshops, often in collaboration with Client, Internal resources (consulting, operations, product, and program management teams) to design solutions. - Develop and document solutions that meet Client’s (technical and business) requirements and allow them to adapt to changing industry needs with a focus on transformation and re-platform efforts - Conduct solution development sessions and present technical solutions and business cases to a wide variety of audiences. - Gain executive (Client and Internal) buy-in for complex solutions - Gain Client’s confidence as a trusted operational adviser by offering consultation and recommendations drawn from insights, technology know-how and past experiences - Align and partner with Product and Program Management to help drive appropriate product enhancements and changes to technology roadmap - Report out on budget attainment for all aspects of expense and cost savings towards key programs Requirements: - Experience in planning and leading large-scale enterprise IT change management programs for transformation and migration program(s) - Experience designing, building, and operating global IT infrastructure and cloud solution and services - Demonstrated program leadership and management experience with high attention to detail in complex business or IT transformation environments - Exceptional business acumen to understand Client’s needs to articulate and shape transformation initiatives - 15+ years of experience as a leader of technology in the hosting and cloud space (preferably with a service provider and/or cloud MSP) - 7+ years of relevant leadership experience in enterprise IT, consulting, and/or engineering/development/transformation and migrations - Delivering enterprise IT professional service or cloud services - Highly credibility with CxO and board-level audiences as well as technology leaders, engineers and developers - Ability to share knowledge and expertise among various organizations within the company and to facilitate teamwork among those organizations to better serve our Clients - Ability to work within internal and external team environment and demonstrate strong problem-solving skills - Very comfortable with developing, implementing, managing and executing through influence across a cross-functional set of senior and Client stakeholders - Proven track record of taking ownership and driving results. Ability to effectively lead and work with a variety of organizations, management levels, cultures, and personalities. - Exceptional interpersonal and communication (both written and verbal) skills. Experience communicating with both technical and non-technical stakeholders across multiple teams. - Understanding of (and experience with) public cloud platforms (AWS, Azure) and hybrid solutions preferred Key Attributes: - Independent, Self-directed, Results-oriented - Advanced presentation & communication skills - Strong empathy, self-awareness and interpersonal skills - Able to challenge status quo with compelling insight and data, while maintaining healthy, collaborative relationships Why Ensono? Ensono is a place to make better happen – for our clients and for your career. You can do great things through innovation or collaboration, by learning or volunteering, or to promote diversity and inclusion. You can do great things for your own health or for a healthier planet. Whatever it means to you to do great things we want Ensono to be the place you can do it. We are a client-facing business, but we do encourage clients to allow us to work remotely most of the time so if you are not required to be on a client site, you can choose to work from home or in our Ensono offices. Some of our benefits include: · Unlimited Paid Days Off · Three health plan options · 401k with company match · Eligibility for dental, vision, short and long-term disability, life and AD&D coverage, and flexible spending accounts · Family Forming Benefit including fertility coverage and adoption/surrogacy reimbursement · Paid childbearing and paternal leave · Education Reimbursement, Student Loan Assistance or 529 College Funding · Sabbatical leave · Wellness program · Flexible work schedule As of the date of this posting, a good faith estimate of the current pay scale for this role is $150,000 to $200,000 annually based on a full-time schedule. Please note that placement in the range may vary based on numerous factors including but not limited to skills, experience, internal equity, and business needs. In addition to base salary, other compensation programs, depending on eligibility, include an annual bonus plan based on company and individual performance and an equity grant under our Associate Equity Appreciation Program. Ensono is an Equal Opportunity/Affirmative Action employer. We are committed to providing equal employment to our Associates and building a diverse and inclusive workforce. All qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or other legally protected basis, in accordance with applicable law. Pay transparency nondiscrimination statement/posting OFCCP’s pay transparency policy can be found on OFCCP’s website. If you need accommodation at any point during the application or interview process, please let your recruiter know or email USTalentAcquisition@ensono.com.

Responsible for directing an enterprise-level function within RSI (part of Finance) and on behalf of Mayo Clinic. The function will entail significant impact to Mayo Clinic revenue performance and involve deep domain expertise. The Director will be responsible for implementing strategies for the assigned function, overseeing work outputs and priorities of the team, leading projects and initiatives, and driving ongoing operational and analytic processes. Director provides these services as necessary at an enterprise, region, site, and service-specific level. The role conducts duties with a view on maintaining and growing revenue, supporting Mayo Clinic strategic plans and objectives, and supporting the priorities of RSI. Director shall maintain a deep knowledge of market trends, opportunities, and risks in the assigned functional area and be highly knowledgeable on Mayo Clinic’s methods and strategies. The Director is expected to be a strong leader of assigned staff and to operate within provided budgets. Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights - Medical: Multiple plan options. - Dental: Delta Dental or reimbursement account for flexible coverage. - Vision: Affordable plan with national network. - Pre-Tax Savings: HSA and FSAs for eligible expenses. - Retirement: Competitive retirement package to secure your future. Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.