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#Vendor Negotiation Services Company MA
costreductionfirm · 1 year
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Best Vendor Negotiation Services 2023 (MA) | BusinessCost.net
Find our "Local Vendor Negotiation Services Company near you in Marlborough Massachusetts".
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wedcellinsti · 2 years
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Scope of Event Management as a Career in India and Abroad
Are you someone who always finds creative ways to do things? someone who looks for even the smallest details and wants everything perfect, then taking a career in event management can be a boon for you. Event Management has great scope as a career in India as such industries are one of the fastest-growing industries in India.
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Whether we talk of India or Abroad, there are thousands of festivities that mean a number of events out of which there are many which are needed to be professionally handled. When we talk of the events organized by industries, they especially require event managers and with increasing industrialization, their need and demand is also increasing. From corporate seminars to diplomatic talks, and from regional fairs to weddings, event management companies plan and organize events of all sorts. 
Some people who already know about this field and are actually interested pursue event management courses after the 12th. 
Career Options Available:
From corporate seminars to diplomatic talks, and from regional fairs to weddings, event management companies plan and organize events of all sorts.
Event Manager: The work of the event manager is to manage the entire event according to the needs, demands, and budget of the client and also according to the interest of the target audience. They contact and deal with vendors, suppliers, and merchants.
Event Planner: The work of an event planner is basically to establish a relationship with the clients, look for venues, and negotiate with clients and vendors as per the budget. Typically, they plan client meetings and plan out the intricacies of events.
 Public Relations Manager: these are the ones who organize all PR-related activities, create a marketing communications plan that requires strategy, objectives, budget proposals, and techniques, establish a media relation plan, and seek high-level positions in print, television, and online media.
Event Space Manager: Venue managers are responsible for searching for a good venue as per the budget of the client and the requirement of the event out of all possible venues available on that particular date. They manage the reservation of the venue and also the staff employees who are there managing the ground and property at the time of the event.
Catering service manager: His/hers work is to decide the type and the amount of food that is needed to be there at the time of the event. Along with making sure everything works smoothly from beginning to end, they also negotiate pricing with suppliers and prepare comprehensive order forms for each food that will be served. The work may involve selecting staff members to prepare these delicious dishes, supervising the venue, etc.
Expected Salary pursuing event management courses 
Event Manager: upto 10,00000
Event planner: upto 900000
Exhibition organizer: 800000
Wedding planner: 400000
Public relations manager: 800000
Catering services manager: 600000
Logistics manager: upto 2000000
How to become an event planner:
First of all, clear your 12th
Then go for entrance exams of various universities providing this course including JMI, LPU etc.
At bachelor level popular event management courses are
Bachelor of Event Management
BHM
B.A. Event Management
BMC
BAMC Mass Communication
BBA Event Management
At Postgraduate level Event management courses are:
MBA event management
MA event Management
MNM event management
MAMC Event Management
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haulix · 6 years
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Music Industry Job Board (November 26, 2018)
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New openings:
Assistant, Music Brand Partnerships (CAA - Los Angeles, CA) 
CAA is seeking an Assistant to support an Agent in our Music Brand Partnerships department based in Los Angeles. CAA Music Brand Partnerships is a dedicated team of music branding and marketing experts that works across all genres. The department works to service the agency’s music clients by developing strategic campaigns and successful partnerships with brands from across the globe.
Senior Manager, Digital Marketing & Strategy (WMG - NYC) 
The Senior Manager, Digital Marketing & Strategy will be responsible for developing comprehensive digital strategies for marketing artist releases from Label Services artists and label clients.  To efficiently and effectively manage all aspects of online marketing for an assigned roster of projects, as supervised by Senior Director, Digital Marketing & Strategy. Liase with the marketing, press, and digital sales departments in the company (and any hired, third party companies) in conjunction with Label Services artists and label clients to maximize the potential for each project’s success.  To find innovative and cost-effective ways to brand Label Services artists and label clients with associated online partners, including content development and management, grassroots community building and marketing, and lifestyle outlets. Required to set goals and manage campaigns in an effort to optimize reach and revenue. Responsible for managing and interpreting departmental reports and partner data.
Words & Music Program Manager (Country Music Foundation - Nashville, TN) 
The Country Music Hall of Fame and Museum seeks an experienced educator with a background in songwriting, teaching, and music education to oversee all aspects of the Words & Music program. This highly creative, charismatic, and passionate individual will manage Words & Music programs that serve K-12 students at the museum, in area schools, and via videoconference. Key responsibilities include serving as lead facilitator for Words & Music sessions; designing, facilitating, and administering curriculum-aligned lessons; leading and instructing Words & Music professional development workshops for teachers; recruiting, training, and supervising contract songwriters; and serving, and engaging school partners. The Words & Music Manager will combine best practices in museum and music education, as well as participate in the continued success and growth of the Words & Music program. 
Manager, Music Licensing (Sony Pictures - Culver City, CA) 
As part of the Music Licensing team within Music Affairs, the Manager of Music Licensing works collaboratively with and supports Sony Pictures Television’s music and audio needs across all of their various television productions.
Reviewing and charting cue sheets, identifying songs and audio that require clearance, research master and publishing rights holders with major and independent record labels and music publishers, seek obtain and negotiate the necessary approvals. Work closely with Music BA on production inquiries to music rights and original music created for our television productions. With an understanding of Performing Rights Organizations, Music Publishers, definition of Public Domain, split territories coupled with knowledge of people and contacts in the industry to swiftly pursue and secure all rights necessary for the use of 3rd party music and audio. Be able and enthusiastic to offer solutions when confronted with the unavailability of a recording for creative or financial reasons. Assignment of various projects on a project-by-project basis to find opportunities of efficiency, financial savings and contribute to the teams’ goal of possible revenue generation with SPE’s owned and controlled music and audio in visual media. Just a few of Sony’s television productions include The Goldbergs, Atypical, Better Call Saul, Cobra Kai, and The Blacklist.
Festival and Special Events Operations Coordinator (Paxahau, Inc. - Detroit, MI) 
The Festival and Special Events Operations Coordinator position will report directly to the Director of Operations and assist in the day to day obligations and tasks needed to move any projects being worked on forward in an efficient and productive manner.
Junior Talent Buyer (Doozy - Chicago, IL) 
Doozy is seeking passionate and motivated people to join our team. Driven with the spirit to be a true entrepreneur. Doozy seeks somebody who can be resourceful, innovative, committed and always thinking ahead. Our partners for success embrace these qualities, so if this sounds like you, we would love to speak more about our opportunities!
Senior Tour Accountant (Tri Star Sports and Entertainment - Nashville, TN) 
Tri Star Sports & Entertainment is looking for high-performing Senior Accountant to join our Touring department in Nashville. The Senior Accountant, Touring would need a strong understanding of accounting policies and procedures, specifically in touring, and would be reporting up to the Tour Accounting Manager.
Manager, Velocity Entertainment Group (Viacom - NYC) 
The Velocity Pitch team is a market facing team focused on advertiser partner needs and lead ideation based on client brief, data and insights, and VMN talent/ assets. The Manager position reports into the Director, working across music and entertainment networks. In this role, you will partner with Ad Sales and support the Pitch Management team to help ideate and develop convergent campaigns across various Viacom Properties. Collaboration is at the core of this role as you will be working closely with execution and creative counterparts to manage client requests.
In addition, you should be a team player, a fan of our content, talent and franchises, and have a passion for developing innovative and creative sponsorship solutions for clients that are engaging, drive revenue and provide meaningful solutions.
Assistant or Associate Curator, Music (Rensselaer Polytechnic Institute - Troy, NY) 
The incumbent develops curatorial concepts, implements, manages and produces programs in the field of music and time-based arts; produces and manages performances and projects; develops concepts for funding strategies, public relations activities and contractual and financial aspects of specific projects.
Senior Director of Artist Relations (Feed The Children - Franklin, TN) 
We are currently in search of a Sr. Director of Artist Relations to join our team! The Sr. Director of Artist Relations will be responsible for expanding Feed the Children’s fundraising income through Artist Program events and similar entertainment industry events and relationships (inclusive of conferences, tours, speakers and other audience generating activities) to support the growth of Feed the Children’s global programs. Within that responsibility, the primary goal is to acquire child sponsorships. This individual must function in a highly collegial, collaborative, mission-driven environment, with strong relationship and financial skills and accountability. This individual will be the lead on developing strategies for acquiring child sponsors involving artists, speakers, and other personalities, managing an operations team, and cultivating and maintaining relationships with artists and other influencers within the music industry. The Sr. Director of Artist Relations will report directly to the Chief Development & Marketing Officer.
Project Manager (Sofar Sounds - Chicago, IL) 
We are looking to to add a Project Manager to join our team on a freelance basis to our team. A commitment of 1-2 days per week with an average project length of 12 weeks. They must share our passion for brands, new music, work well in a startup environment, and want to be part of a worldwide community that is already making music history.
The successful candidate will work within the Global Partnerships team, working exceptionally on brand lead event activations.
Category Manager, Branded Apparel & General Merchandise (Zildjian - Norwell, MA) 
The Category Manager – Branded Gear & Apparel is responsible for developing and executing the global product vision for the Zildjian family of brands’ apparel and general merchandise portfolio. H/She will lead the development process from concept to commercialization inclusive of delivering against category financial targets, managing vendor and licensing relationships in partnership with Purchasing, and resolving vendor production and quality issues.
Coordinator, A&R Administration (Sony - NYC) 
The Coordinator of A&R Administration will act as a liaison between A&R, Business & Legal Affairs, Finance and the rest of the label’s departments to execute the recording process and ensure the successful delivery of recordings intended for commercial release. The position will be located in the New York Office and report to the Senior Director, A&R Administration.
Assistant Media Planner (Horizon Media - Los Angeles, CA) 
The Assistant Digital Media Planner is a crucial position which requires an individual to work well within a team and be prepared for a fast-paced and detail-oriented environment. This individual is expected to show resourcefulness, exhibit accountability, and understand their role well enough to work independently and demonstrate initiative. The Assistant Media Planner, Digital is expected to be an active participant in meetings and day-to-day interactions with an increasing level of contribution as the experience builds.
This individual is expected to contribute in the planning, implementing and maintaining of digital media campaigns. As an entry-level position, the Assistant Media Planner, Digital position represents the start of a media career and is highly supported by the team.
Industry Lead, Retail (Spotify - Chicago, IL) 
We seek an outstanding Industry Lead, Retail to join the new Global Vertical Team within our Global Agency and Top Accounts organization. The team plays a critical role in developing senior business relationships and partnerships with the world’s biggest agencies and brands. Reporting directly into the Global Head of Verticals, this role will require the right candidate to develop and eventually manage Spotify’s 1st Retail Vertical Team.
Our Vertical Heads (across CPG, Auto, Entertainment, Tech & Retail) act as the knowledge centers for the direct sales teams providing category level expertise, insight and solutions to vertical based challenges. Whilst also managing and supporting global account leads in delivering best in-class partnerships and solutions to Spotify’s largest advertisers business needs.
At the heart of this team is a philosophy of consultative sales that anticipates the business needs of Spotify’s largest advertisers and delivers measurable solutions. You will help cultivate this philosophy.
Above all, your work will impact the way the world experiences music.
General Manager (AEG Worldwide - Cleveland, OH) 
The General Manager is responsible for the overall management, promotion and operation of the facility including booking, private event sales, P&L/finance management, marketing, staffing, production maintenance and all related operations. Duties include providing leadership and direction to subordinate operating departments, management of both sales and operational staff, acting as liaison with venue ownership group, industry associates, governing agencies, communication media and the general public. 
Talent Manager (Loeks Theatres - Grand Rapids, MI) 
Studio C has created an exciting new position and is looking for an experienced and enthusiastic Talent Manager. In this role you will lead the charge in sourcing and attracting talent for the Fall 2019 opening of Studio Park (includes a 9 screen cinema 200 seat music venue and a restaurant/bar concept) in downtown Grand Rapids as well as provide continuous support of our goal to distinguish ourselves as an Employer of Choice in Grand Rapids.Studio C exists to create space where story happens. If you are passionate about people excited about this opportunity and love dining music and movies come start your next story with us.
Senior HR Manager, Music and Media (Apple - Culver City, CA) 
Imagine what you could do here. At Apple, new ideas have a way of becoming extraordinary products, services, and customer experiences very quickly. Bring passion and dedication to your job and there's no telling what you could accomplish. The people here at Apple don’t just craft products - they build the kind of wonder that’s revolutionized entire industries. It’s the diversity of those people and their ideas that inspires the innovation that runs through everything we do, from amazing technology to industry-leading environmental efforts. Join Apple, and help us leave the world better than we found it. This is a fantastic opportunity to partner with and support the Apple Music & Media teams based in Culver City, LA. In this role, you will deliver a full spectrum of both strategic and tactical People support and programs on a global basis to employees and help drive culture and expansion in the Culver City office. From educating clients on compensation practices and the performance review process to advising on organizational design, Culture development and various management issues. You will assist with employee communication initiatives within client groups and partner with specialist groups to ensure coordination of People strategies and processes across the organization. Providing relevant data and recommendations to guide decision-making related to compensation, organizational structures, retention, promotions and other actives, are key aspects of this role.
Partner Research & Insights Lead (Spotify - NYC) 
We’re looking for a rockstar to join the band! More specifically, a research lead to enhance the vision, strategy, and execution of Spotify’s Ad business through groundbreaking global research and insights. This role will be an integral part of the Advertiser Research & Measurement team and overall Marketing Sciences organization – blending primary research and 1st party platform data to demonstrate our value proposition to agencies and brands, inform our teams how they can better reach marketers, and elevate industry intelligence to drive smarter business decisions. This role will report directly to the Global Head, Advertiser Research & Measurement.
Corporate Communications Executive, Music and Comedy Touring (CAA - Los Angeles, CA) 
The Corporate Communications Executive will play a key role in creating and implementing external and internal communications strategies for the Company’s Music and Comedy Touring division.
Music Curator (Songtradr - Santa Monica, CA) 
As a Music Curator, you will focus on supporting our licensing team’s sales activities by providing curated selections of music from our vast catalog. The successful candidate will be exceptionally supportive and willing to learn, highly adaptable to the team’s needs, able to shift gears quickly and be passionate about ensuring licensing customers receive the best possible music for their productions.
Procurement Director (Gibson - Nashville, TN) 
The Procurement Director will be an exceptionally capable leader dedicated to delivering optimal raw materials and supplies availability while delivering significant cost optimization as well as establishing performance metrics for the procurement function consistent with the strategic and operational vision of the company. The successful candidate will be a natural front-line leader with the executive presence to establish immediate credibility with manufacturing leaders as well as other senior executives. Reporting to the Chief Production Officer, the Procurement Director will oversee a procurement team who are category leaders. The primary responsibilities of the Procurement Director include developing and driving a comprehensive category procurement program, establishing performance objectives for each team member, and determining, documenting and implementing procurement core policies, tools and processes to ensure sustainable performance and delivery of savings. The Procurement Director must be able to see the opportunity within the existing purchasing function while taking a fresh approach toward leveraging scale and optimization as the company moves toward a more integrated structure.
Assistant to a Music Artist Manager (Elliptic Artist Mgmt - Santa Monica, CA) 
Must have experience in digital marketing: (i.e. social media management, paid online advertising, analytics).
Must be detail oriented, organized, eager to learn and a bit of a self-starter.
Photoshop skills would be a serious plus.
MS Office and Google Drive are essential.
Preference would be to have a basic understanding of music publishing, record companies, touring, public relations, merch management, etc.
Will be responsible for some travel booking and should be comfortable with that.
Must have good people skills and able to communicate with artists.
Should be comfortable working with one person, but others in remote locations.
Should be able to handle confidential information with artists.
Must have own laptop.
Freelance Sound Designer and/or Composer (Bayonet - Indianapolis, IN) 
Bayonet is always looking for people who take audio as seriously as we take visuals. Do you friends thing you are crazy because you’d rather record the sounds of nature than take pictures? Good, that’s the kind of crazy we are looking for. The same goes for music. Nothing draws out the emotion and subtext in a video like a great track. We want your help with custom music.
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lauramalchowblog · 5 years
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9 Healthcare Companies Who Changed the 2010s
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By ANDY MYCHKOVSKY
In order to celebrate the next decade (although the internet is confused whether its actually the end of the decade…), we’re taking a step back and listing our picks for the 9 most influential healthcare companies of the 2010s. If your company is left off, there’s always next decade… But honestly, we tried our best to compile a unique listing that spanned the gamut of redefining healthcare for a variety of good and bad reasons. Bon appétit!
1. Epic Systems Corporation
The center of the U.S. electronic medical record (EMR) universe resides in Verona, Wisconsin. Population of 13,166. The privately held company created by Judith “Judy” Faulkner in 1979 holds 28% of the 5,447 total hospital market in America. Drill down into hospitals with over 500-beds and Epic reigns supreme with 58% share. Thanks to the Office of the National Coordinator for Health Information Technology (ONC) and movement away from paper records (Meaningful Use), Epic has amassed annualized revenue of $2.7 billion. That was enough to hire the architects of Disneyland to design their Google-like Midwestern campus. The other amazing fact is that Epic has grown an average of 14% per year, despite never raising venture capital or using M&A to acquire smaller companies.
Over the years, Epic has been criticized for being expensive, non-interoperable with other EMR vendors, and the partial cause for physician burnout. Expensive is probably an understatement. For example, Partners HealthCare (to be renamed Mass General Brigham) alone spent $1.2 billion to install Epic, which included hiring 600 employees and consultants just to build and implement the system and onboard staff. With many across healthcare calling for medical record portability that actually works (unlike health information exchanges), you best believe America’s 3rd richest woman will have ideas how the country moves forward with digital medical records.
My very first interview out of undergrad was for a position at Epic. I chose a different path, but have always respected and followed the growth of the company over the past decade. In a world where medical data seems like tomorrow’s oil, a number of articles have speculated whether Apple or Alphabet would ever acquire Epic? I don’t buy it. I’m thinking it’s much more likely that 2020 is the first year they acquire a company. How you doing Athenahealth?
2. Theranos
No one can argue Theranos didn’t change the game in healthcare forever… for the worse. I do my best to give all healthcare founders the benefit of a doubt, but Elizabeth Holmes and Ramesh Balwani make that nearly impossible. Turns out that an all-star cast of geopolitical juggernauts on your Board of Directors and the black turtleneck of Steve Jobs is not the recipe for success. Founded by 19-year Elizabeth Holmes, Theranos raised over $700 million at a peak valuation of $9 billion. In retrospect, they have become the poster-child for Silicon Valley’s over-promise and under-deliver mantra. The only problem is that instead of food delivery, their failures resulted in invalid blood testing that could’ve really hurt people.
Despite this failure, the mission and purpose would’ve been tremendously impressive. Cheaper blood tests that require only 1/100 to 1/1,000 the amount of blood that LabCorp or Quest Diagnostics needed. I think the craziest part of the whole saga was that seemingly sophisticated healthcare leaders thirsted for the new technology to beat competitors and improve patient convenience. Before the technology was proved defunct, Theranos convinced Safeway to invest $350 million to retrofit 800 locations with clinics that would offer in-store blood tests. Theranos convinced Walgreens to invest $140 million to develop a partnership that would help beat CVS. Theranos partnered with Cleveland Clinic to test its technology and was working with AmeriHealth Caritas and Capital BlueCross to become their preferred lab provider.
To be clear, they weren’t the first, and won’t be the last healthcare company to fail. I only hope that this extremely well documented (thanks Hollywood) experience has re-focused founders and investors towards building sustainable growth companies that actually help patients live higher quality lives, not just make people money as quickly as possible.
3. One Medical
Thanks to Tom Lee and the One Medical crew, primary care is now investable. Whether you’re talking about private equity or venture capitalists, many have dived head first into the space in search of value-based care treasure. One Medical is the most well-known tech-enabled primary care practice, with 72 clinic locations across seven states, and new locations opening in Portland, Orange County, and Atlanta. The Carlyle Group liked the company so much that it invested $350 million in August 2018, at a reported $1.5 billion valuation. This has led to a number of primary care focused companies (ChenMed, Iora Health, Forward) to amass significant valuations that historically would’ve seemed optimistic. However, the elevation of the primary care provider from the “punter” to the “quarterback” of a patient’s medical journey has lifted all boats.
Interestingly, One Medical has unique differentiators over the traditional primary care competitors. For example, One Medical limits doctors to seeing 16 patients a day, versus the average physician seeing 20-30 patients a day. One Medical also built its own medical records in hopes of a more user friendly experience, instead of outsourcing to practice-based EMRs. One Medical charges $199 annually to each patient to help make up for lower volume, and in return provides same-day appointments, onsite lab draws, and a slick app that allows online appointment scheduling and telehealth consults with providers 24/7. They are also adding capabilities and services to cover mental health and pediatric services to increase revenue.
This change is remarkable. Historically, primary care has been a low-margin business with high administrative and staffing costs, along with physician burnout and regulatory burden. One Medical pioneered the concept of a more modern primary care experience, and I am looking forward to their initial public offering (IPO) targeted for early 2020 and whatever Tom Lee is cooking up at Galileo.
4. Centene
Centene is my favorite health plan to study over the past decade. You would never know that the second largest publicly-traded company headquartered in Missouri was originally started by Elizabeth “Betty” Brinn in Milwaukee, Wisconsin. Under-hyped, which is rare in healthcare nowadays, Centene has quietly grown to become the largest player in both the Medicaid managed care and Affordable Care Act (ACA) exchanges. Under Michael Neidorff’s leadership, Centene now serves 32 states with over 15 million lives and 53,600 employees. They were most recently ranked #51 on the Fortune 500 list. In addition, they are about to grow with the $17.3 billion acquisition of WellCare. Here’s a brief rundown of some major events that demonstrate why I’m so bullish on Centene dominating another decade:
April 2018: WellCare and Centene awarded Medicaid managed care contracts in Florida.
July 2018: Centene acquires Fidelis Care and their 1.6 million New Yorkers for $3.75 billion. This single-handedly gives Centene the leading Medicaid share in the state.
September 2018: WellCare acquires Meridian Health Plan and their 1.1 million lives in Michigan, Illinois, Indiana, and Ohio, for $2.5 billion.
February 2019: Centene and WellCare awarded Medicaid managed care contracts in North Carolina.
December 2019: WellCare awarded Medicaid managed care contract in WellCare (re-procurement underway)
In addition, Texas Medicaid is set to award their STAR contracts for 3.4 million lives between Medicaid and CHIP, of which Centene already won a contract to serve the STAR+PLUS (aged, blind, and disabled population). Seems like a pretty solid guess that Centene will fair pretty well in the STAR RFP rankings. Next decade, I look for Centene to significantly increase their efforts to recruit Medicare Advantage (MA) lives, and I wouldn’t bet against them.
5. Mylan
One word. EpiPen. Mylan, the $10 billion market cap pharmaceutical manufacturer and producer of the epinephrine auto-injector product, EpiPen, became the lightning rod in a consumer and political drug pricing debate in 2016. For those who were living under a rock, here’s the quick recap. Epinephrine auto-injectors are used to treat anaphylaxis (severe allergic reaction). Prior to 2016, Mylan held absolute dominant share of the auto-injector market, hovering around 90% for the first half of the 2010s. The only real competitor was Adrenaclick, produced by Lineage Therapeutics, but they were barely considered a competitor despite having cheaper prices. In 2016, news outlets caught wind of Mylan’s 500% list price increase over a decade ($100 to $600) and a nationwide discussion about drug prices began.
If you asked the Mylan CEO, Heather Bresch, she would tell you that the reason brand EpiPen’s list price increased 500 percent over 7 years is because they invested billions of dollars to significantly increase access in schools and employers across America. These efforts increased the number of EpiPen prescriptions in the U.S. from 2.5 million to more than 3.5 million between 2011 and 2015. She would also tell you that there is a big difference between wholesale acquisition cost price (list price) and net price. This part is often misunderstood by media. The net price takes into account discounts, prescription savings cards, and rebates that Mylan provides to purchasers (PBMs, Employers, Plans). The exact negotiated rebate or discount is different by line of business and organization. However, safe to say that Mylan made a good amount of profit with increasing volume.
At the end of the day, Mylan settled with the U.S. Justice Department for $465 million over claims it overcharged the government. Mylan kept their $600 list price brand EpiPen product with rebates, and added a generic version of EpiPen for $300 list price without rebates and requiring commercial insurance. According to a GoodRx analysis in 2018, the epinephrine auto-injector market now looks much different, with 60% of the market moving to the generic version of EpiPen, 10% of the market remaining with brand EpiPen, and 30% of the market switching to the generic version of Adrenaclick. However, whether generic or brand EpiPen, Mylan makes strong profits and American will continue to discuss the best strategy forward to control drug spend.
6. Evolent Health
First let me caveat. I’ve worked for Evolent Health for the past 5 years and seen it grow from a Series B startup to a publicly-traded company (NSYE: EVH). However, the reason they’re on this list is because Evolent Health has forever changed the game for future value-based care startups. When Frank Williams, Seth Blackley, and Tom Peterson founded the company in 2011 with the help of UPMC Health Plan and The Advisory Board Company, concepts like the Medicare Shared Savings Program (MSSP) did not even exist. Fast forward a decade later, and Evolent Health now serves approximately 3.7 million lives across 35 different U.S. healthcare markets. The mission of Evolent Health is to, “Change the health of a nation, by changing the way healthcare is delivered.” To do this, you need both the technology, clinical, financial, and operational capacity to empower providers to confidently move away from fee-for-service towards fee-for-value.
With the implementation of MACRA and the continued perseverance of CMS under this new administration, value-based care is still full steam ahead (good luck incoming CMMI Director, Brad Smith). Despite the naysayers of value-based care, find me a better way to control medical inflation that is accepted by nearly all healthcare institutions and doesn’t negatively impact patient outcomes, and we can talk. I will mention the importance of “significant” downside risk to actually change provider culture, strategy, and operations. I don’t want the primary purpose of setting up a clinically integrated network (CIN) to be negotiating higher fee-for-service commercial rates for independent physicians aligned to tertiatiary academic medical centers.
I wholeheartedly believe that providers will continue to seek partner options (not vendors with high fees independent of performance) who are not wholly-owned by the large for-profit health plans (Optum…). Of all the available options, Evolent Health is the market leader across a variety of areas. In 2020, I look forward to watching how the 3,000+ Evolenteers push the boundaries of downside risk value-based care with both payers and providers.
7. Livongo
To me, Livongo represents Daenerys Targaryen in Game of Thrones. Not the blood-thirsty character towards the end, but the only person to bring back dragons to the world of Westeros. Except in this example, the dragon is a successful digital health IPO. This was a big deal. Going public rewarded early investors who believed in the nascent digital health and chronic condition space. It allowed public investors an opportunity to peak under the hood of the financials and get comfortable with future economics of the industry. And it provided a legitimacy and a peer valuation to other leading digital health companies like Omada Health. All-in-all, 207,000 members use Livongo for Diabetes management solutions, including a connected glucose monitor, unlimited test strips, and personalized health coaching. This number is expected to grow significantly, with the announcement of a new, two-year diabetes contract with the BlueCross BlueShield Federal Employee Program (FEP). They anticipate the partnership will add an additional $50-60 million in revenue across 2020 and 2021
Livongo has done a brilliant job marketing itself as building a full-stop solution for the 147 million Americans with a chronic condition. According to their estimates, their immediately addressable markets for managing diabetes and hypertension represents a $46.7 billion opportunity. Digging into the unit economics, Livongo estimates that diabetes is worth $900 per patient per year and $468 per patient per year. Since they’re focused on chronic conditions, the business model is subscription-based. In the Q3 quarterly report, Livongo provided full year guidance of $168.5 million on the low end and $169 million on the high end. In either scenario, FY2019 Adjusted EBITDA is projected to lose around $26 million for the year.
Livongo has smartly started with addressing diabetes, given the downstream health impacts of mismanagement of blood sugar and the ability to impact spend with regular insulin, diet, and exercise. They also are very smart to efficiently sell into self-funded large employers using existing channel partners like Express Scripts, CVS, Health Care Services Corporation (HCSC), Anthem, and Highmark BCBS. I know that the stock is down 35% since IPO, but I fundamentally believe chronic conditions are not going away and over time, Livongo will add supplementary clinical programs to expand revenue growth.
8. Optum
UnitedHealth Group is the single largest healthcare company in the world with a $280 billion market cap. It owns UnitedHealthcare, the country’s largest private insurer serving Medicare Advantage, managed Medicaid, employer-sponsored insurance, and ACA exchanges. And yet in 2020, more than 50% of the company’s earning and $112 billion in revenue will come from the lesser known side of the business, Optum. It is difficult to describe Optum because they do so much, but they technically split their business into three units: OptumHealth, OptumInsight and Optum Rx. OptumHealth provides care delivery (primary, specialty, urgent care) and care management to address chronic, complex, and behavioral health needs. OptumInsight utilizes data, analytics, and clinical information to support software, consulting, and managed services programs. OptumRx is a pharmacy benefit management (PBM) to create a more streamlined pharmacy system. In total Optum estimates the U.S. addressable market for its services to exceed $850 billion. If that wasn’t enough, here’s some fun facts why they made the list:
Works with 9 out of 10 U.S. hospitals, more than 67,000 pharmacies, and more than 100,000 physicians, practices, and other providers.
Added 10,000 physicians in the past year, growing its network to 46,000 physicians.
Includes 180,000 team members and serves 120 million customers.
Serves 80% of health plans to reduce total cost of care.
Works with 9 out of 10 Fortune 100 companies.
Pretty remarkable for a business unit that was only technically created in 2011, by merging existing pharmacy and care deliver services into one brand. As chronic disease increases and value-based care is here to stay, Optum is focused on comprehensively treating patients and coordinating their care to improve quality and lower costs. With UnitedHealthcare under the corporate umbrella, Optum has the adequate scale to test any new clinical initiatives before rolling out to other health plans.
9. Purdue Pharma
Purdue Pharma is a privately owned drug company owned by the Sackler Family and most well known for creating OxyContin in 1996. OxyContin represents 90% of Purdue Pharma’s revenue and was aggressively marketed to doctors for use in patients with chronic pain. According to court records, Purdue Pharma has grossed an estimated $35 billion. This is the same prescription painkiller that many experts say fueled the U.S. opioid crisis that has resulted in more than 130 deaths each day after overdosing on opioids. To be clear, the deaths are caused by prescription pain relievers, heroin, and synthetic opioids (fentanyl), however, the initial addiction to opioids is often caused by OxyContin and other prescription drugs. All but two U.S. states and 2,000 local governments have taken legal action against Purdue, other drug makers and distributors.
The Sackler family is the 19th richest family and is well known for supporting the fine arts, including the Sackler Wing at the Metropolitan Museum of Art in New York City where the Ancient Egyptian Temple of Dendur sits. I’ve seen a number of articles persecuting the entire Sackler family, but I want to be a little more nuanced. In 1952, three Sackler brothers (Arthur, Raymond, and Mortimer) bought a drug company called Purdue Frederick. Arthur’s branch of the family got out of the company after his death in 1987. The Raymond and Mortimer branches of Sacklers, who own it, founded affiliate Purdue Pharma in the early 1990s. According to a 2017 article from The New Yorker, there are 15 Sackler children in the generation following the founders of Purdue. Some family members have served on the Board of Directors, while others (most notably descendants from Arthur Sackler who died before OxyContin was invented), have distanced themselves from the company and condemned the OxyContin-based wealth.
Purdue Pharma filed for bankruptcy in September 2019 as part of a tentative settlement related to misleading marketing of the controversial painkiller. The settlement requires the owners of Purdue Pharma and the Sackler family to pay out $3 billion of their own fortune in cash over the next seven years. The only problem is that some family members have reportedly moved $10.7 billion from Purdue Pharma to trusts and holding companies across the world between 2008 and 2017. And all we’re left with is a complicated web of holding companies and offshore bank accounts, ravaged communities, and the leading cause of injury-related death in the U.S.
Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.
The post 9 Healthcare Companies Who Changed the 2010s appeared first on The Health Care Blog.
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kristinsimmons · 5 years
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9 Healthcare Companies Who Changed the 2010s
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By ANDY MYCHKOVSKY
In order to celebrate the next decade (although the internet is confused whether its actually the end of the decade…), we’re taking a step back and listing our picks for the 9 most influential healthcare companies of the 2010s. If your company is left off, there’s always next decade… But honestly, we tried our best to compile a unique listing that spanned the gamut of redefining healthcare for a variety of good and bad reasons. Bon appétit!
1. Epic Systems Corporation
The center of the U.S. electronic medical record (EMR) universe resides in Verona, Wisconsin. Population of 13,166. The privately held company created by Judith “Judy” Faulkner in 1979 holds 28% of the 5,447 total hospital market in America. Drill down into hospitals with over 500-beds and Epic reigns supreme with 58% share. Thanks to the Office of the National Coordinator for Health Information Technology (ONC) and movement away from paper records (Meaningful Use), Epic has amassed annualized revenue of $2.7 billion. That was enough to hire the architects of Disneyland to design their Google-like Midwestern campus. The other amazing fact is that Epic has grown an average of 14% per year, despite never raising venture capital or using M&A to acquire smaller companies.
Over the years, Epic has been criticized for being expensive, non-interoperable with other EMR vendors, and the partial cause for physician burnout. Expensive is probably an understatement. For example, Partners HealthCare (to be renamed Mass General Brigham) alone spent $1.2 billion to install Epic, which included hiring 600 employees and consultants just to build and implement the system and onboard staff. With many across healthcare calling for medical record portability that actually works (unlike health information exchanges), you best believe America’s 3rd richest woman will have ideas how the country moves forward with digital medical records.
My very first interview out of undergrad was for a position at Epic. I chose a different path, but have always respected and followed the growth of the company over the past decade. In a world where medical data seems like tomorrow’s oil, a number of articles have speculated whether Apple or Alphabet would ever acquire Epic? I don’t buy it. I’m thinking it’s much more likely that 2020 is the first year they acquire a company. How you doing Athenahealth?
2. Theranos
No one can argue Theranos didn’t change the game in healthcare forever… for the worse. I do my best to give all healthcare founders the benefit of a doubt, but Elizabeth Holmes and Ramesh Balwani make that nearly impossible. Turns out that an all-star cast of geopolitical juggernauts on your Board of Directors and the black turtleneck of Steve Jobs is not the recipe for success. Founded by 19-year Elizabeth Holmes, Theranos raised over $700 million at a peak valuation of $9 billion. In retrospect, they have become the poster-child for Silicon Valley’s over-promise and under-deliver mantra. The only problem is that instead of food delivery, their failures resulted in invalid blood testing that could’ve really hurt people.
Despite this failure, the mission and purpose would’ve been tremendously impressive. Cheaper blood tests that require only 1/100 to 1/1,000 the amount of blood that LabCorp or Quest Diagnostics needed. I think the craziest part of the whole saga was that seemingly sophisticated healthcare leaders thirsted for the new technology to beat competitors and improve patient convenience. Before the technology was proved defunct, Theranos convinced Safeway to invest $350 million to retrofit 800 locations with clinics that would offer in-store blood tests. Theranos convinced Walgreens to invest $140 million to develop a partnership that would help beat CVS. Theranos partnered with Cleveland Clinic to test its technology and was working with AmeriHealth Caritas and Capital BlueCross to become their preferred lab provider.
To be clear, they weren’t the first, and won’t be the last healthcare company to fail. I only hope that this extremely well documented (thanks Hollywood) experience has re-focused founders and investors towards building sustainable growth companies that actually help patients live higher quality lives, not just make people money as quickly as possible.
3. One Medical
Thanks to Tom Lee and the One Medical crew, primary care is now investable. Whether you’re talking about private equity or venture capitalists, many have dived head first into the space in search of value-based care treasure. One Medical is the most well-known tech-enabled primary care practice, with 72 clinic locations across seven states, and new locations opening in Portland, Orange County, and Atlanta. The Carlyle Group liked the company so much that it invested $350 million in August 2018, at a reported $1.5 billion valuation. This has led to a number of primary care focused companies (ChenMed, Iora Health, Forward) to amass significant valuations that historically would’ve seemed optimistic. However, the elevation of the primary care provider from the “punter” to the “quarterback” of a patient’s medical journey has lifted all boats.
Interestingly, One Medical has unique differentiators over the traditional primary care competitors. For example, One Medical limits doctors to seeing 16 patients a day, versus the average physician seeing 20-30 patients a day. One Medical also built its own medical records in hopes of a more user friendly experience, instead of outsourcing to practice-based EMRs. One Medical charges $199 annually to each patient to help make up for lower volume, and in return provides same-day appointments, onsite lab draws, and a slick app that allows online appointment scheduling and telehealth consults with providers 24/7. They are also adding capabilities and services to cover mental health and pediatric services to increase revenue.
This change is remarkable. Historically, primary care has been a low-margin business with high administrative and staffing costs, along with physician burnout and regulatory burden. One Medical pioneered the concept of a more modern primary care experience, and I am looking forward to their initial public offering (IPO) targeted for early 2020 and whatever Tom Lee is cooking up at Galileo.
4. Centene
Centene is my favorite health plan to study over the past decade. You would never know that the second largest publicly-traded company headquartered in Missouri was originally started by Elizabeth “Betty” Brinn in Milwaukee, Wisconsin. Under-hyped, which is rare in healthcare nowadays, Centene has quietly grown to become the largest player in both the Medicaid managed care and Affordable Care Act (ACA) exchanges. Under Michael Neidorff’s leadership, Centene now serves 32 states with over 15 million lives and 53,600 employees. They were most recently ranked #51 on the Fortune 500 list. In addition, they are about to grow with the $17.3 billion acquisition of WellCare. Here’s a brief rundown of some major events that demonstrate why I’m so bullish on Centene dominating another decade:
April 2018: WellCare and Centene awarded Medicaid managed care contracts in Florida.
July 2018: Centene acquires Fidelis Care and their 1.6 million New Yorkers for $3.75 billion. This single-handedly gives Centene the leading Medicaid share in the state.
September 2018: WellCare acquires Meridian Health Plan and their 1.1 million lives in Michigan, Illinois, Indiana, and Ohio, for $2.5 billion.
February 2019: Centene and WellCare awarded Medicaid managed care contracts in North Carolina.
December 2019: WellCare awarded Medicaid managed care contract in WellCare (re-procurement underway)
In addition, Texas Medicaid is set to award their STAR contracts for 3.4 million lives between Medicaid and CHIP, of which Centene already won a contract to serve the STAR+PLUS (aged, blind, and disabled population). Seems like a pretty solid guess that Centene will fair pretty well in the STAR RFP rankings. Next decade, I look for Centene to significantly increase their efforts to recruit Medicare Advantage (MA) lives, and I wouldn’t bet against them.
5. Mylan
One word. EpiPen. Mylan, the $10 billion market cap pharmaceutical manufacturer and producer of the epinephrine auto-injector product, EpiPen, became the lightning rod in a consumer and political drug pricing debate in 2016. For those who were living under a rock, here’s the quick recap. Epinephrine auto-injectors are used to treat anaphylaxis (severe allergic reaction). Prior to 2016, Mylan held absolute dominant share of the auto-injector market, hovering around 90% for the first half of the 2010s. The only real competitor was Adrenaclick, produced by Lineage Therapeutics, but they were barely considered a competitor despite having cheaper prices. In 2016, news outlets caught wind of Mylan’s 500% list price increase over a decade ($100 to $600) and a nationwide discussion about drug prices began.
If you asked the Mylan CEO, Heather Bresch, she would tell you that the reason brand EpiPen’s list price increased 500 percent over 7 years is because they invested billions of dollars to significantly increase access in schools and employers across America. These efforts increased the number of EpiPen prescriptions in the U.S. from 2.5 million to more than 3.5 million between 2011 and 2015. She would also tell you that there is a big difference between wholesale acquisition cost price (list price) and net price. This part is often misunderstood by media. The net price takes into account discounts, prescription savings cards, and rebates that Mylan provides to purchasers (PBMs, Employers, Plans). The exact negotiated rebate or discount is different by line of business and organization. However, safe to say that Mylan made a good amount of profit with increasing volume.
At the end of the day, Mylan settled with the U.S. Justice Department for $465 million over claims it overcharged the government. Mylan kept their $600 list price brand EpiPen product with rebates, and added a generic version of EpiPen for $300 list price without rebates and requiring commercial insurance. According to a GoodRx analysis in 2018, the epinephrine auto-injector market now looks much different, with 60% of the market moving to the generic version of EpiPen, 10% of the market remaining with brand EpiPen, and 30% of the market switching to the generic version of Adrenaclick. However, whether generic or brand EpiPen, Mylan makes strong profits and American will continue to discuss the best strategy forward to control drug spend.
6. Evolent Health
First let me caveat. I’ve worked for Evolent Health for the past 5 years and seen it grow from a Series B startup to a publicly-traded company (NSYE: EVH). However, the reason they’re on this list is because Evolent Health has forever changed the game for future value-based care startups. When Frank Williams, Seth Blackley, and Tom Peterson founded the company in 2011 with the help of UPMC Health Plan and The Advisory Board Company, concepts like the Medicare Shared Savings Program (MSSP) did not even exist. Fast forward a decade later, and Evolent Health now serves approximately 3.7 million lives across 35 different U.S. healthcare markets. The mission of Evolent Health is to, “Change the health of a nation, by changing the way healthcare is delivered.” To do this, you need both the technology, clinical, financial, and operational capacity to empower providers to confidently move away from fee-for-service towards fee-for-value.
With the implementation of MACRA and the continued perseverance of CMS under this new administration, value-based care is still full steam ahead (good luck incoming CMMI Director, Brad Smith). Despite the naysayers of value-based care, find me a better way to control medical inflation that is accepted by nearly all healthcare institutions and doesn’t negatively impact patient outcomes, and we can talk. I will mention the importance of “significant” downside risk to actually change provider culture, strategy, and operations. I don’t want the primary purpose of setting up a clinically integrated network (CIN) to be negotiating higher fee-for-service commercial rates for independent physicians aligned to tertiatiary academic medical centers.
I wholeheartedly believe that providers will continue to seek partner options (not vendors with high fees independent of performance) who are not wholly-owned by the large for-profit health plans (Optum…). Of all the available options, Evolent Health is the market leader across a variety of areas. In 2020, I look forward to watching how the 3,000+ Evolenteers push the boundaries of downside risk value-based care with both payers and providers.
7. Livongo
To me, Livongo represents Daenerys Targaryen in Game of Thrones. Not the blood-thirsty character towards the end, but the only person to bring back dragons to the world of Westeros. Except in this example, the dragon is a successful digital health IPO. This was a big deal. Going public rewarded early investors who believed in the nascent digital health and chronic condition space. It allowed public investors an opportunity to peak under the hood of the financials and get comfortable with future economics of the industry. And it provided a legitimacy and a peer valuation to other leading digital health companies like Omada Health. All-in-all, 207,000 members use Livongo for Diabetes management solutions, including a connected glucose monitor, unlimited test strips, and personalized health coaching. This number is expected to grow significantly, with the announcement of a new, two-year diabetes contract with the BlueCross BlueShield Federal Employee Program (FEP). They anticipate the partnership will add an additional $50-60 million in revenue across 2020 and 2021
Livongo has done a brilliant job marketing itself as building a full-stop solution for the 147 million Americans with a chronic condition. According to their estimates, their immediately addressable markets for managing diabetes and hypertension represents a $46.7 billion opportunity. Digging into the unit economics, Livongo estimates that diabetes is worth $900 per patient per year and $468 per patient per year. Since they’re focused on chronic conditions, the business model is subscription-based. In the Q3 quarterly report, Livongo provided full year guidance of $168.5 million on the low end and $169 million on the high end. In either scenario, FY2019 Adjusted EBITDA is projected to lose around $26 million for the year.
Livongo has smartly started with addressing diabetes, given the downstream health impacts of mismanagement of blood sugar and the ability to impact spend with regular insulin, diet, and exercise. They also are very smart to efficiently sell into self-funded large employers using existing channel partners like Express Scripts, CVS, Health Care Services Corporation (HCSC), Anthem, and Highmark BCBS. I know that the stock is down 35% since IPO, but I fundamentally believe chronic conditions are not going away and over time, Livongo will add supplementary clinical programs to expand revenue growth.
8. Optum
UnitedHealth Group is the single largest healthcare company in the world with a $280 billion market cap. It owns UnitedHealthcare, the country’s largest private insurer serving Medicare Advantage, managed Medicaid, employer-sponsored insurance, and ACA exchanges. And yet in 2020, more than 50% of the company’s earning and $112 billion in revenue will come from the lesser known side of the business, Optum. It is difficult to describe Optum because they do so much, but they technically split their business into three units: OptumHealth, OptumInsight and Optum Rx. OptumHealth provides care delivery (primary, specialty, urgent care) and care management to address chronic, complex, and behavioral health needs. OptumInsight utilizes data, analytics, and clinical information to support software, consulting, and managed services programs. OptumRx is a pharmacy benefit management (PBM) to create a more streamlined pharmacy system. In total Optum estimates the U.S. addressable market for its services to exceed $850 billion. If that wasn’t enough, here’s some fun facts why they made the list:
Works with 9 out of 10 U.S. hospitals, more than 67,000 pharmacies, and more than 100,000 physicians, practices, and other providers.
Added 10,000 physicians in the past year, growing its network to 46,000 physicians.
Includes 180,000 team members and serves 120 million customers.
Serves 80% of health plans to reduce total cost of care.
Works with 9 out of 10 Fortune 100 companies.
Pretty remarkable for a business unit that was only technically created in 2011, by merging existing pharmacy and care deliver services into one brand. As chronic disease increases and value-based care is here to stay, Optum is focused on comprehensively treating patients and coordinating their care to improve quality and lower costs. With UnitedHealthcare under the corporate umbrella, Optum has the adequate scale to test any new clinical initiatives before rolling out to other health plans.
9. Purdue Pharma
Purdue Pharma is a privately owned drug company owned by the Sackler Family and most well known for creating OxyContin in 1996. OxyContin represents 90% of Purdue Pharma’s revenue and was aggressively marketed to doctors for use in patients with chronic pain. According to court records, Purdue Pharma has grossed an estimated $35 billion. This is the same prescription painkiller that many experts say fueled the U.S. opioid crisis that has resulted in more than 130 deaths each day after overdosing on opioids. To be clear, the deaths are caused by prescription pain relievers, heroin, and synthetic opioids (fentanyl), however, the initial addiction to opioids is often caused by OxyContin and other prescription drugs. All but two U.S. states and 2,000 local governments have taken legal action against Purdue, other drug makers and distributors.
The Sackler family is the 19th richest family and is well known for supporting the fine arts, including the Sackler Wing at the Metropolitan Museum of Art in New York City where the Ancient Egyptian Temple of Dendur sits. I’ve seen a number of articles persecuting the entire Sackler family, but I want to be a little more nuanced. In 1952, three Sackler brothers (Arthur, Raymond, and Mortimer) bought a drug company called Purdue Frederick. Arthur’s branch of the family got out of the company after his death in 1987. The Raymond and Mortimer branches of Sacklers, who own it, founded affiliate Purdue Pharma in the early 1990s. According to a 2017 article from The New Yorker, there are 15 Sackler children in the generation following the founders of Purdue. Some family members have served on the Board of Directors, while others (most notably descendants from Arthur Sackler who died before OxyContin was invented), have distanced themselves from the company and condemned the OxyContin-based wealth.
Purdue Pharma filed for bankruptcy in September 2019 as part of a tentative settlement related to misleading marketing of the controversial painkiller. The settlement requires the owners of Purdue Pharma and the Sackler family to pay out $3 billion of their own fortune in cash over the next seven years. The only problem is that some family members have reportedly moved $10.7 billion from Purdue Pharma to trusts and holding companies across the world between 2008 and 2017. And all we’re left with is a complicated web of holding companies and offshore bank accounts, ravaged communities, and the leading cause of injury-related death in the U.S.
Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.
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hub-pub-bub · 5 years
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When states had established religions and all-powerful churches, the clergy could impose many indignities on their parishioners merely by asserting that it was “God’s will.” Our modern secular religion is the worship of markets as self-correcting, self-perfecting systems that merely demand that we all act in our own self-interest to produce an outcome that makes us all better off. Whenever corporations thrive by making us all worse off, we’re told to stop complaining, because it is the “will of the market” at work.
So it was that when the digital revolution arrived, the business priesthood told us that we must not be tempted by its promise of infinite distribution of all hu­man knowledge at no cost. Any technology that let the “consumers” of information goods do more with the books, movies, games, and music they bought would not be a boon, because it would destroy the markets for media, including the markets that had us buying our music in a new format every couple of years, the markets that required libraries to re-purchase their patrons’ best-loved books when they wore out, and so on.
Despite the fact that no one ever went to a store and asked for a book that would wear out quickly or a music format that would be obsolete in a couple of years, we were told that the limitations of the physi­cal world were, in fact, happy accidents of virtuous matter, whose limitations allowed for all kinds of “innovations,” like selling you an album on vinyl, then 8-track, then cassette, then CD.
Using digital to subvert this cycle of renewal – to allow instant, free access to all human culture for all humans – was a sin in market religion’s doctrine. But the priesthood did have an orthodox, virtuous use for digital: they wanted to use digital tools to enable new markets, markets that never could have existed in the world of dumb matter.
The problem with markets is that selling things is inefficient. There are so many people who don’t need the thing, just a momentary use of the thing: the right to read a book today, but not to own it forever; to use a snatch of a song as a ringtone, but not to put it in your music library; to pull a video clip out of a movie to use in your student project, without having to buy the movie.
Digital, the priesthood told us, could make all these markets – and more – a reality! Thanks to a technology called “Digital Rights Management,” sellers and buyers could negotiate a subset of rights and a reduced payment for same. In the same way that the humble mortgage could be spun out into a million “products” that investors could buy in the form of complex financial instruments, we could turn the unitary book into a thousand sub-books: the book you can only read on Wednesdays, the book you can only read while on an airplane, the book you can only read after the sun sets.
That’s not what we got, of course.
Today, four of the five big publishers sell all their books with DRM (the exception is Macmillan, whose Tor science fiction and fantasy imprint is DRM-free). These ebooks are like books, except that they are locked to the readers approved by the vendor who sold them to you (Kindle, Nook, Kobo, etc.) and they can’t be given away or re-sold, and have little or no capacity for lending them out. In other words, ebooks are like regular books, only they do less.
Despite the fact that they do less, they don’t cost less. The restricted ebooks sold by Tor’s competitors – books that can’t be used with the reader of your choice, or sold, or lent, or given away – cost just the same as Tor’s unrestricted books.
In other words, we were told that we must reject the promise of unfet­tered digital in favor of locked-down digital, and in return, we would enter a vibrant marketplace where sellers offered exactly the uses we needed, at a price that was reduced to reflect the fact that we were getting a limited product. We got the limited product, all right – just not the discount.
The established religion of markets once told us that we must abandon the idea of owning things, that this was an old fashioned idea from the world of grubby atoms. In the futuristic digital realm, no one would own things, we would only license them, and thus be relieved of the terrible burden of ownership.
They were telling the truth. We don’t own things anymore. This summer, Microsoft shut down its ebook store, and in so doing, deactivated its DRM servers, rendering every book the company had sold inert, unreadable. To make up for this, Microsoft sent refunds to the custom­ers it could find, but obviously this is a poor replacement for the books themselves. When I was a bookseller in Toronto, noth­ing that happened would ever result in me breaking into your house to take back the books I’d sold you, and if I did, the fact that I left you a refund wouldn’t have made up for the theft. Not all the books Microsoft is confiscating are even for sale any lon­ger, and some of the people whose books they’re stealing made extensive annotations that will go up in smoke.
What’s more, this isn’t even the first time an electronic bookseller has done this. Walmart announced that it was shutting off its DRM ebooks in 2008 (but stopped after a threat from the FTC). It’s not even the first time Microsoft has done this: in 2004, Microsoft created a line of music players tied to its music store that it called (I’m not making this up) “Plays for Sure.” In 2008, it shut the DRM serv­ers down, and the Plays for Sure titles its customers had bought became Never Plays Ever Again titles.
We gave up on owning things – property now being the exclusive purview of transhuman immortal colony organisms called corporations – and we were promised flexibility and bargains. We got price-gouging and brittle­ness.
Take textbooks: the price of college texts has been rising at an average of 12% per year, with textbook publishers extracting $3.5B/year from American students. The textbooks come with mandatory online resources, and logins for these have to be purchased anew every year, so even if you sell your old textbooks, the kid who buys them from you still has to buy an online login. Professors are offered substantial bribes to select the most expensive texts, and high-performance digital tools make it easy for publish­ers to make minor alterations every year or two so that earlier “editions” of the text are no longer in synch with the professors’ lesson plans, making used books effectively worthless.
Or libraries: libraries often pay higher costs for ebooks than they do for print books, and on top of that, publishers impose ridiculous conditions on the ebooks they sell to libraries, like making them self-destruct after a few lendings (Harpercollins) or just not making ebooks available to libraries at all until the hardcover is no longer a new release (Tor). Again: like print books, only worse. And more expensive.
Didn’t DRM get us ebooks for libraries in the first place, though? Well, it’s true that publishers were reluctant to sell to libraries until libraries started to use Overdrive and other DRM systems (paying for these eats away at libraries’ collection budgets, meaning fewer books, and less money for publishers and writers), but there’s no reason to think that dropping DRM would be a deal-breaker today. After all, it’s been five years since libraries stopped using DRM for electronic audiobooks – the most expensive ma­terials that libraries circulate – and audiobook publishers are still selling audiobooks to libraries.
Even for streaming services – virtually synonymous with DRM – there’s no reason to think that DRM is why those services have customers. People don’t sign up for Spotify or Netflix to get their five (or fifty, or five hundred) favorite titles, which they plan on downloading in the first month and then quitting the service. People sign up for streaming services for convenience and recommendations and search, all possible with or without DRM.
Streaming services do depend on DRM: DRM is how Spotify stops third parties from making play­ers that skip ads, and it’s how Netflix and Amazon Prime stop you from saving its Christmas movies to your hard-drive in July so you can watch them for free in December, when they become pay-per-view movies.
There’s a name for societies where a small elite own property and everyone else rents that prop­erty from them: it’s called feudalism. DRM never delivered a world of flexible consumer choice, but it was never supposed to. Instead, twenty years on, DRM is revealed to be exactly what we feared: an oligarchic gambit to end property ownership for the people, who become tenants in the fields of greedy, confiscatory tech and media companies, whose in­ventiveness is not devoted to marvelous new market propositions, but, rather, to new ways to coerce us into spending more for less.
Cory Doctorow is the author of Walkaway, Little Brother, and Information Doesn’t Want to Be Free (among many others); he is the co-owner of Boing Boing, a special consultant to the Electronic Frontier Foundation, a visiting professor of Computer Science at the Open University and an MIT Media Lab Research Affiliate.
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letscreateafricaorg · 5 years
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New post in LET'S CREATE AFRICA (L.C.A.): ual and Reproductive Health and Rights (SRHR). It is currently working in more than 170 countries in the world. The Africa Regional Office (IPPFARO) is one of IPPF’s six regional offices. The WISH1 Project (Women’s Integrated Sexual Health – Lot 1) is a programme funded by DFID, aimed at delivering sexual and reproductive health services across a range of West African countries. The project is led by Marie Stopes International and subcontracted to IPPF to implement the project in 6 countries of the programme. The WISH2Action Project (Women’s Integrated Sexual Health – Lot 2) is a programme funded by DFID, aimed at delivering sexual and reproductive health services across a range of Southern and Eastern African and Asian countries. The project is a six-member consortium led by IPPF and subcontracted by DFID to implement the project in 15 countries of the programme. The WISH2Action project management and technical support team is based in the Nairobi Hub office hosted by the Africa Regional Office. Job Details The role of the Finance Officer for Lot 1 will be to support the Senior Finance Advisor (and the broader WISH Lot 1 management team) in the lead on the delivery of all financial monitoring and control aspects of a large-scale, DFID funded payment by results contract to deliver sexual and reproductive health services (and related deliverables) across a range of countries and contexts. The post holder will also support all of the financial transactions and payments of the WISH Lot 1 project, incurred at the ARO. The project will be implemented through an existing network of IPPF Member Associations (MAs) as well as other delivery partners working within the context. The role of the Finance Officer for Lot 2 will be to support all the financial transactions and payments of the WISH2Action Project which are carried out by the ARO financial operations team to ensure correct and timely finance function to support the activities of the Hub. Key Tasks WISH Lot 1 Manage the programme finances’ tracker, ensure that it is updated Prepare financial documentation: proofread, review, collate written materials in French and English Ensure that financial programme documentation is managed and filed on SharePoint and available to all users as required Ensure financial transactions and payments relating to Lot 1 are carried out with precision and in a timely manner Ensure preparation of good quality PowerPoint presentations, manuals etc. as required Support the financial reporting to MSI for 6 MAs and project management Support the review of project budgets and reports prepared by MAs. To remain abreast of the latest DFID financial and compliance requirements and best practices, maintain an overview of relevant key developments in the sector. WISH Lot 2 Ensure all Lot 2 costs incurred by ARO are coded correctly and timely in NetSuite Ensure all Lot 2 payments via ARO finance department are paid within 30 days of presentation Support banking requirements for WISH Lot 2 including ensuring per diem (cash payments), payments to local vendors and other requirements as necessary Working with colleagues in ARO Operations team and CO Finance team prepares Lot 2 inter-company payments and reports in Netsuite in order to ensure correctly and timely payments to ARO All other duties as identified and agreed with supervisor to fulfil WISH2 Hub support costs and transactions. EDUCATION & QUALIFICATIONS Bachelor’s Degree in commerce/ Business or related discipline Part qualified or qualified ACCA / CPA or equivalent. Competitive remuneration will be negotiated with the successful candidate. IPPF is an equal opportunity employer. Closing date Friday 5th June 2019. We regret only shortlisted candidates will be acknowledged. Check the job profile at www.ippfar.org “Applications are particularly encouraged from candidates openly living with HIV.” IPPF has​ been made aware of various fraudulent vacancy announcements circulated via e-mail from websites falsely stating that they are issued by or in association with IPPF. These correspondences, http://bit.ly/2WzN5u1
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costreductionfirm · 1 year
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Marlborough MA Business Services - | Business Cost
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If you're a business owner, one of the most important things you can do is to keep your costs low. Doing so will ensure that you have a greater profit margin, which will allow you to invest in additional growth opportunities. One way to achieve this is to hire a local business consultant who can help you develop strategies to minimize expenses.
When it comes to finding a business consultant in Boston or across Massachusetts, look no further than Brian Plain at Catalytic Consulting. With his years of experience working with businesses of all sizes, Brian has a deep understanding of the various ways that companies can save money.
Here are some tips that Brian might recommend to help you lower your business costs:
1. Review and negotiate your contracts: Many business owners don't realize that they're overpaying for services or products that they use on a regular basis. This could be because they haven't reviewed their contracts in a while, or because they haven't negotiated better rates with their vendors. Brian can assist you in checking through your contracts, and suggest ways to reduce costs.
2. Reduce your stock inventory: While it's important to have enough inventory on hand to meet customer demand, having too much can be a financial burden. You have to ensure that you're not holding onto excess inventory that is costing you money. Brian can guide you in determining how much inventory you actually need, and can show you strategies to liquidate or reduce surplus stock in the smartest ways.
3. Review Digital Marketing costs: Many businesses depend on their digital marketing to operate. However, it’s important to ensure that the cost spent on Digital marketing is reasonable and cost-effective while also providing the marketing ROI you need. Brian can help you determine if your online marketing strategies are worth the costs or if there is a way to lower these expenses without compromising on results.
4. Develop efficient processes: Wasting time is losing money. It’s important to figure out and implement efficient processes throughout your business. A business consultant, like Brian, can help you identify areas where you are wasting time and find ways to streamline your operations for better results.
5. Revise Overheads: Keeping an eye on your overheads is vital to reducing expenses. Are you paying too much in office rent or utilities? Do any business processes require too much money? Brain’s expertise will help you figure out these excessive expenses and strategize ways to reduce them.
These are just some of the ways that Brian can help you reduce your business costs. By working with him, you'll have an expert on your side who knows the ins and outs of the industry, and can guide you through the process of reviewing your business operations, minimizing expenses, and maximizing revenue.
If you're looking for the best local business consultant in Marlborough MA 01752 or nearby areas, consider reaching out to Brian Plain at Catalytic Consulting. By taking advantage of his expertise, you can be confident that you're taking the right steps to lower your business costs and increase your profitability.
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nox-lathiaen · 5 years
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VP Litigated Commercial Claims Department
Step into an executive role overseeing Claims Department handling litigated claims in multiple lines of commercial business. Manage and direct staff in the day to day function of Claims department, including providing opportunities for training and development. Discuss and set strategy, policies, and procedures for claims handling within company and department guidelines. Manage reporting, claims and data analytics, litigation support, and vendor coordination. Direct all claims operations activities for Litigated Claims division, including review, analysis, and approval of complex coverage issues. Oversee large claims, including mediation and trials. A company with a reputation for success is seeking a candidate to join their team, offering a comprehensive compensation package including medical dental and vision plans. Life insurance plans, company matched 401(k), paid holidays, sick time, vacations, tuition reimbursement and much more. For complete details contact Jonathan Milburn at: (609) 584-9000 ext 247 Or submit resume online at: dmc9.com/jpm/app.asp Or email to: [email protected] Please reference #38578167 when responding. Education Requirements: Bachelor Degree Minimum Experience Requirements: 5-10 years Job City Location: Woburn Job State Location: MA Job Country Location: USA Salary Range: $105,000 to $155,000 Diedre Moire Corporation, Inc. Diedremoire_dot_com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, sex, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application. Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers. Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response. Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath. If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word "remove" in the subject line to pleaseremove_AT_candseek4.com Or, visit the website at jobbankremove_dot_com. If you have further concern regarding email received from us, call (609) 584-5499. Reference : VP Litigated Commercial Claims Department jobs Source: http://jobrealtime.com/jobs/technology/vp-litigated-commercial-claims-department_i4123
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The Four Types Of Mergers and Acquisitions Advisory
This market covers issuing and acquiring banks, card processing and issuing firms and others. Revenue generated from the cards market embrace all processing and repair charges levied by banks and financial establishments for processing card-based mostly payments. The payments market consists of institutions primarily engaged in processing money transfers and funds between varied accounts https://www.lincolninternational.com/services/ma/.
Things Running Taught Me About Building A Valuable Business
For instance, X might provide Y shareholders the option of receiving $20 in money, one X share for every two Y shares they now hold, or a mix of $10 in money and zero.33 X shares for every Y share. In money mergers or takeovers, the buying firm agrees to pay a sure greenback quantity for each share of the target company's inventory. For instance, if company X agrees to pay $22 for every share of firm Y, the share value of Y would rise to about $22 to mirror the offer. Executing a merger or acquisition is a tough, time- and useful resource-intensive process that includes a number of actors and shifting elements. Refer to the strategic intent you laid out at the beginning of the process, and invoke external expertise.
For an organization that is on the verge of chapter or in some type of financial trouble, merging with another company may turn out to be the one approach to not solely save the company, but additionally to release some much-needed money and credit score. This entity is not affiliated or associated with, authorized or sponsored by Bridgepoint Advisers Limited. Providing higher transparency and clarity by due diligence is significant throughout an ongoing M&A course of. It not only gathers and offers important data required to reveal potential monetary, authorized, IT, and regulatory dangers, but in addition assures that the right funding is made at the right price. Making the Most of Mortgage MergersYou might discover this article by STRATMOR Partner Garth Graham helpful in understanding why now may be the best time for an M&A transaction for your small business.
Private Equity Deal Sourcing Strategies
Our skilled staff of M&A advisors can advise you on whether acquiring one other agency is your finest strategic option or if it’s higher to sell to a bigger, culturally compatible agency. E. Cohen advisors have deep and diverse technical skill sets, which we use to maximise value and minimize risk throughout acquisitions, inclinations, recapitalizations, mergers, reorganizations, formations and different important transactions. This article seems at the Telehealth market and discusses the impression of COVID-19. It details merger and acquisition activity and IPOs in Australia and globally. Automotive BDO is a specialised automotive service supplier aiding franchised dealers, manufacturers and industry associations with a wide range of economic and consulting companies.
All the documentation, management conferences, negotiation phrases, and shutting documents are handled by the representatives of the funding bank. In circumstances where the investment financial institution is handling the promoting facet, an public sale process is carried out with a number of rounds of bids to find out the buyer. A merger or acquisition is likely one of the most vital company events for a corporation, an action that turns into stamped in its history eternally. In an atmosphere of increased competitiveness, this technique is frequent for both small and large businesses. We assist management teams to organize a detailed image of how they plan to grow their business.
Also, by this time, ensure you have all the financial information that’s available, must you move ahead with a deal. As the vendor, you should know your targets when entering a potential sale — even when you don’t end up getting acquired. The government team, along with any outdoors counsel you solicit, should outline the goals of pursuing a sale and determine your best buyers (or buyer qualities).
Merger & Acquisition Services, has a set of press releases, information articles and copies of our agency’s past newsletters. M&A have a worthwhile facet that may create doubtlessly huge earnings for a corporation, and expose the business to a myriad of monetary assets.
Basu holds a Bachelor of Engineering from Memorial University of Newfoundland, a Master of Business Administration from the University of Ottawa and holds the Canadian Investment Manager designation from the Canadian Securities Institute. For example, corporations X and Y might merge to form NewCo, with X and Y shareholders receiving NewCo shares primarily based on their prior holdings. Merger agreements sometimes give shareholders a alternative of receiving inventory, money or both.
Merger And Acquisition Advisory Firm
Companies that interact in successful acquisitions give attention to what the company will have to give up to reap the reward. The onerous half is going out and doing what's talked about on paper and understanding the internal company assets that should be dedicated to achieve success. Acquisitions fail when the corporate doesn't contemplate what an acquisition will price the company and focus solely on what an acquisition will ship. So too are metrics that take into consideration each the absolute projected return of the investment, as well as the danger adjusted return on funding.
Sometimes when two corporations merge, being larger will truly create dis-economies of scale, the place per unit manufacturing costs enhance because of increased coordination prices. His work has appeared in numerous publications and he has carried out financial editing at a Wall Street agency.
For buyers, we recognize the necessity to unlock worth at each stage of the transaction. We assist you to establish target markets and potential targets, and assist an efficient transaction process even for the most complicated deals. We allow you to align offers with your strategic enterprise aims, maintain compliance and improve worth from integration and potential upside opportunity. Buying a enterprise Buying a enterprise Confidently navigate the complexities of shopping for a business, unlocking value at each stage. Confidently navigate the complexities of shopping for a enterprise, unlocking value at each stage.
Investors' Decision Making Process & Why You Should Know It Before Going To Market
Simply determining the best metrics to make use of to measure an acceptable return is usually a daunting task (i.e. stability sheet metrics, P&L metrics, value of capital metrics, or the entire above). When two corporations merge, they should think about how consumers view the two companies and whether or not or not they view them in a compatible way. Larger organizations are usually capable of produce goods and providers more effectively and at a lower per-unit price than smaller companies because mounted costs are spread out over a bigger number of models.
In a merger, the boards of directors for 2 firms approve the mixture and seek shareholders' approval. Post merger, the acquired firm ceases to exist and becomes a part of the buying firm.
Potential equity traders might require this info before they proceed. We will help in negotiations held between the corporate, the shareholders and chosen financiers to reach settlement on the precise timing and structure of the investment consideration. We work carefully with purchasers in private equity helping them to make acquisitions and advising on disposals. The extent of our global attain and the depth of our relationships mean that we can frequently spot alternatives for private equity funding and assemble the groups they want on the bottom. Merger & Acquisition Services, Inc. is targeted on offering insurance coverage investment banking providers under are a few of our recent transactions.
What An Opportunity Zone Investment Can Do For You And Your Capital Gains, An Interview With Brian Forcier
Global Deals Institute Global Deals Institute We have created a thought management platform to help you tackle the ever-growing and sophisticated marketplace challenges and drive inorganic progress in a global financial system. We have created a thought management platform that can assist you tackle the ever-increasing and complex marketplace challenges and drive inorganic progress in a world economic system. Specifically, successful acquirers focus on the inner capabilities they'll leverage to transform the target firm. Just as profitable acquirers give attention to what they have to surrender to for a profitable deal, additionally they concentrate on the unique capabilities they can deliver to the goal firm to render it simpler than it was as a stand-alone firm. Identifying what your organization will have to put in to the deal, not simply what it will pay to close the deal, may be the difference between success and failure.
As for each plan, the M&A course of additionally includes a set of intermediaries within the form of Technology M&A consulting companies, who can execute the tasks for you with ease. Executing M&A course of in a hassle-free method remains to be a key concern for many corporations, majorly because of concerns associated with integrating methods and processes. Ever-increasing market has been posing critical challenges to each particular person player in every business. No one knows what happens the subsequent minute, and that’s the place the competitive spirit amongst companies started rising to a brand new excessive. The cards market comprise establishments engaged in storing, processing and transmitting cost playing cards knowledge.
Based on your distinctive strategic standards, we are able to analysis and develop a universe of candidate firms that meet your geographic, size, and repair goals; pre-qualify them; facilitate merger discussions; and allow you to shut the deal. Whether you are considering of buying or selling an architecture, engineering, or environmental consulting agency, Morrissey Goodale’s trusted advisors can information you thru the entire merger and acquisition process.
Whether buying or selling, put their business focus and customized attention to work on your firm. After the deal, we keep the transition as easy as possible by persistently monitoring progress.
Mergers & Acquisitions Advisory
Our clients are largely mid-measurement and worldwide corporations from numerous sectors, while most of our business comes from Fortune 500 firms. Morrissey Goodale’s professional M&A consultants have structured and closed lots of of transactions for AEC companies of all sizes.
For instance, in 2007 a merger deal occurred between Digital Computers and Compaq, whereby Compaq absorbed Digital Computers. The function of an funding financial institution in the course of sometimes entails offering very important market intelligence and getting ready a listing of prospective targets. Once the shopper is bound of the targeted deal, an evaluation of the present valuation is finished to know the value expectations.
For most business owners, a merger or acquisition is the most significant financial event of their lifetime. Buyers and sellers face many hurdles in reaching their targets of maximizing enterprise worth and minimizing risk. The experience of transaction advisors can be instrumental to achieve these objectives. Originally established in Central and Eastern Europe in 2006, Accace ranks among the many main outsourcing and consultancy suppliers in this area. We have huge expertise with dealing with small to massive scale, multi-nation outsourcing projects and providing comprehensive range of providers to over clients.
This contains all establishments concerned in payment processing corresponding to banks, non-banking monetary establishments, and others. Revenue generated from the payments market include all of the processing and companies charges levied by the banks and financial establishments for payment processing. M&A Advisory Firm Website Design and Development by Mannix Marketing, Inc.
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haulix · 7 years
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New openings (6/25/17)
Stage Manager/ Assistant Production Manager (Houston Ballet - Houston) 
This position, in partnership with the rest of the Stage Management team, is responsible for calling shows or serving as Assistant Stage Manager on all Houston Ballet productions at home or on tour as assigned. The Stage Management team is responsible for providing proactive support to all resident and visiting artistic staff for all of their studio, A/V, and rehearsal needs. The position will also provide support to the Houston Ballet Academy and Houston Ballet II for their rehearsals and performances. 
Senior Digital Producer, Classical Music (American Public Media - St. Paul, MN) 
Do visions of musical notes and Facebook, mobile and YouTube all fill your head at the same time? For the Senior Digital Producer of Classical Music, they do. The Sr Digital Producer of Classical Music is responsible for driving growth for the classical properties at American Public Media, specifically focusing on expanding Your Classical.org's digital reach while also ensuring the operational excellence for Classical MPR. As an expert user of digital tools and platforms, this role will lead the implementation of the content strategy across social, web, newsletters, video and podcasting. This person will bring an analytic mindset to the work, regularly updating project leads about performance and areas for improvement. 
Associate Partnerships Manager, Music (Twitter - LA or NY)
Twitter is changing music, as the fastest and most public way for artists to establish a direct-to-fan relationship. They connect to their audiences directly, through Twitter. Twitter’s Content Partnerships team is looking for a driven, creative and resourceful individual to join us in developing the strategies and best practices that will drive the next generation of music innovation and content on Twitter. How do we launch songs and allow fans to interact with talent? How can Twitter help a VIT (Very Influential Tweeter) better talk to her/his audience? These problems and more are ones that you will tackle, head on.
Marketing Producer, Music Festivals (Townsquare Media - Nashville) 
Townsquare Live Events (TSLE) is seeking an experienced Marketing Producer to join the live events marketing team. The ideal candidate will be an assertive self-starter and an excellent communicator who is a team player and driven to succeed. Experience in the live events and/or music industry is a plus. Artist management and industry relationships are a must. This position reports to the Marketing Director, Live Events. 
VP, Film Music Creative (NBC Universal - California) 07
The VP, Film Music Creative is a key member of the Creative group of executives in the Film Music department. This self-starter is responsible for a variety of ongoing film/project-related routines as well as certain special projects acting as in-house music supervisor and day-to-day point person on film and direct-to-video projects. 
Legal Director, Music Licensing (Facebook - Menlo Park, CA) 
Facebook seeks an experienced music licensing lawyer with a penchant for teamwork and technology to lead its music licensing efforts within Legal. This position will partner closely with internal business counterparts in driving licensing negotiations, as well as coordinating with product, engineering, operations, finance and legal teams in support of the company’s evolving music licensing needs. In this role, you will be responsible for solving cutting-edge licensing issues on a global scale, with an opportunity to help shape the future of music use on Facebook.
House of Worship Manager (Yamaha - Buena Park, CA) 
Yamaha Corporation of America is looking for a House of Worship Manager.  This position is responsible for growing Yamaha share and stature in the worship community for Yamaha Musical Instrument (MI), Recording and Professional Audio products, and maintaining its stature and relationships.  This role will be the principal marketer and ‘face’ for house of worship (HOW) for all Yamaha product divisions.
Product Manager-Music Creation (iZotope - Cambridge, MA) 
The Product Manager will lead the full lifecycle of all iZotope products focused on music & sound creation. At iZotope, you'll find an employee-focused work environment with flexible hours, great 401(k) and insurance plans, and a fully-functioning recording studio that you can use after hours!
Associate Director, Music Licensing (Sony - Miami, FL) 
The position of Associate Director, Music Licensing will pitch US Latin frontline and catalog repertoire to advertising agencies, film & TV studios, video game companies, trailer houses and music supervisors. This individual will build, develop and maintain relationships with various contacts in order to secure deals on behalf of US Latin catalog artists.
Manager, Merch Production (WMG - NYC) 
This is a fast paced, high volume position that requires multi-tasking, resourcefulness and problem solving skills. The Manager works closely with internal customers to develop and manage merchandise concepts for tours, e-commerce and retail.  Responsibilities include sourcing merchandise, locating and onboarding new vendors, maintaining vendor relationships and troubleshooting issues. Daily duties include price sourcing for all requested items, securing and delivery of art files, creating purchase orders, managing shipping logistics, tracking orders/shipments and managing the master production schedule.  Duties also include the maintenance of the department calendar, master quote list, manual purchase order list and finessing of work flow systems. Assists the department head with training and mentoring of the Production staff on all systems and processes.
Music Licensing Executive (Spirit Production Music - Los Angeles, CA) 
Spirit Production Music is currently seeking a Music Licensing Executive to join our team in Studio City, CA. At Spirit Production Music, we strive to provide our clients with a wide range of extraordinary music products and services. The Music Licensing Executive maximizes music licensing revenue for Spirit Production Music, as well as music services revenue for Spirit Music Collective, in North America through business-to-business sales.
Sound Engineer (RIA Global LLC - Washington DC) 
Washington DC office of an international radio broadcaster is looking for a Sound Engineer for a brand new state-of-the-art radio facility in the heart of D.C. The facility is still under construction and this is a great opportunity to get in on the ground level. Candidates for this position should have experience in live radio.
Music Coordinator (Amazon Studios - Santa Monica, CA) 
We are seeking a Music Coordinator to join the dynamic music team supporting the Studios Film and TV productions. Amazon Studios are building an effective way to develop commercially viable feature films and episodic series.The Music Coordinator will work closely with the TV Music Executive and be an integral part to the music team. The successful candidate will be highly organized and motivated to create streamlined processes to ensure efficiency. You will be expected to leverage strong communication and interpersonal skills in order to partner effectively across divisions and with external partners.
Music Licensing Contract Specialist (Netflix - Los Angeles) 
Netflix seeks an experienced Music Licensing Contract Specialist to help support our expanding slate of Originals content. This role will work closely with our Music Licensing Managers and our Music Contract Administrator and will have broad responsibility for reviewing, drafting and negotiating a high volume of contracts for the Music Group.
In this unique and exciting role, you will be the Music Group’s first Music Licensing Contract Specialist. This is not your traditional licensing contract role: in this role you will manage vital components of our music license review and negotiation process and will have visibility into all facets of our music business from a studio perspective, a “network” perspective and even from a music publisher perspective. As this is a new role, you will have the opportunity to shape Netflix’s music licensing process. 
Older posts (7+ Days)
Music Curator (Amazon - Seattle)
We are looking for a music curator to help drive customer engagement through the creation and maintenance of playlists and streaming radio stations and related curatorial tasks crucial to the quality of the Amazon Music customer experience in Canada and other territories outside the US. This position will work closely with the Site Merchandising and Marketing teams on customer-facing initiatives and activities, and with the Product team to ensure that our user experience provides a best-in-class customer value proposition. The Music Curator will create and support key components of our service offerings.
Director of Urban Programming (iHeartMedia - Detroit Region)
Leads all aspects of radio station’s on-air experience in a leadership and operations role, responsible for talent, content, programming, promotions and online presence. The right person will have incredible vision to lead both winning Detroit Urban brands and continue our dominant position in the market.
Associate Campaign Specialist (Pandora - Denver)
This individual will work with the Local Campaign Specialist and Local Sales team to help support the day-to-day needs of the region’s advertising partners. The right individual will be a key contributor in the Client Services organization and will be responsible for assisting with media planning and campaign execution; drafting media plans, providing advertising creative deadlines, technical specifications, reporting; and tracking and optimizing delivery.
Associate Partnerships Manager, Music (Twitter - NYC)
Your task: nurture relationships, expand Twitter’s footprint and develop best Tweeting practices for high-profile talent and their representatives in the music industry. You should have a strong vision for the broad potential of entertainment & Twitter, while being focused on scalable impact and immediate, tactical opportunities that result in value and growth for Twitter.
The role requires superb partner management skills, proven evangelism chops and an aptitude for driving innovation and facilitating change. You must have direct, hands-on experience in entertainment and an ability to “talk the talk” with traditional entertainment players. You should be a native and expert Twitter user. You should thrive in environments that are uncharted and ever-evolving.
Manager of Music Programming (Vevo - NYC)
We are searching for an organized and detail-oriented Manager of Music Programming to support our Creative Content & Programming team and help to successfully give our audience the best possible music video experience.
The Manager of Music Programming will report to the Director of Music Programming and will be a member of the broader CC&P team. In this fast-paced, multi-faceted position you will hold the keys to various aspects of programming such as playlisting, curation, product development, scheduling, and content creation.
As a member of the CC&P team here at Vevo, you’ll be working alongside super talented individuals that will both inspire you and challenge you to think about music in ways you may have not imagined. We often take time as a team to review new industry trends and advancements, and think critically about various things happening in the world around us that may impact the ways we decide to be more strategic as a team overall. We have a phenomenal team made up of accomplished individuals from all walks of the music and tech worlds, and we’re excited about having you join us.
Are you up to the challenge? Yes you are! If you believe Bono that “music can change the world because it can change people”, then you recognize the power of music. Bring your ability to balance creativity, focus, determination, and teamwork so that, together, we can bring the power of our music video and entertainment platform to the world.
College Marketing Representative - Urban/Pop (Sony - VA)
Sony Music U plays an essential part in the development of Sony Music’s emerging artists and also assists in the roll out of established artists as well. Among the myriad of functions and responsibilities, our College Marketing Reps organize listening events, interact closely with various campus groups, independent record stores, lifestyle shops (skate shops, cafes, barber shops, clothing stores, etc.) and are also very active across social media platforms. We ask our reps to spread awareness for our priority projects via social media, therefore you will be asked to utilize your personal accounts and/or create, build and maintain a “market specific” social handle. (ex. Sony Music U San Diego). This is a part time role that requires a commitment of approximately 20 hours a week. The College Rep position is a great way to learn about the music business, gain marketing experience, and get your foot in the door of one of the world’s leading entertainment companies. We work with ALL Sony companies including but not limited to: Columbia Records, Epic Records, RCA Records, Legacy Recordings, Sony Masterworks, Sony Nashville & Sony Electronics.
Director of Marketing (Hawaii Symphony Orchestra - Honolulu)
The Marketing Director is responsible for planning, supervising, administering, and evaluating programs that meet or exceed attendance and ticket revenue goals for concert events and maximizes the visibility of the organization. They will plan and manage all marketing activities, including, but not limited to, advertising, season subscription campaigns, single ticket sales, and audience research.
Latin Music Programmer (Mood Music - Austin)
Mood Media is seeking a Latin Music Programmer to join our growing National team in Austin, TX or Charlotte, NC. This creative role will conceptualize and manage branded music experiences and programs for national corporate clients and consumer offerings, keep abreast of music trends, and coordinate client relations.  A Music Programmer is responsible for choosing music to capture the essence of a brand, experience design concept or consumer target. Candidate must have a background in creating brand or consumer experiences with Music. As a result, the ideal candidate will need to have a creatively focused background, having worked within media or a creative agency (radio, television, new media, advertising, design). While they must ultimately demonstrate significant creativity in the job, he/she must also demonstrate discipline and a strong corporate acumen, as they will regularly interact with a variety of brands across multiple industries. A Music Programmer for Mood Media must also demonstrate a multi-dimensional relationship with Music, either as a musician, a DJ, a producer or promoter in addition to the required experience.
Team Assistant for Music and Media Licensing (Nickelodeon - NYC)
Provide support to the Music & Media Licensing team supporting Nickelodeon including Nick Jr, Nick @ Nite, NickToons, TeenNick, Nick .Music and Nick Sports.
Responsibilities
Administer and track the execution and payment of licenses, secure signatures on license agreements and process payments through the MARKET. Work with third party vendors including obtaining W-9’s and 8Ben’s, and collaborate with Finance and Operations on any payment related issues.  
Research time-sensitive payment information in SAP, attend to client groups and vendors regarding payment inquiries, and coordinate payment issues with Accounting, Production Management, Tax Compliance and Accounts Payable.
Research copyright information (i.e. record label information, songwriter information, publishing information and film and TV distributors). Track and update programming rights reports and show tracking reports. Assist with end of year accruals, cue sheet reporting and other operational administrative duties as needed.
Assist with preparing license requests and ensure licenses are executed and paid in a timely manner.
Marketing Manager (SMG - Tucson, Arizona)
SMG, one of the world’s largest entertainment companies and operator of the Tucson Arena, Convention Center, Music Hall and Leo Rich Theater in Tucson, Arizona is looking for a Marketing Manager. The Marketing Manager will oversee the planning and implementation of a complete marketing campaign for the facility and all events including group sales, sponsorships, advertising, direct mail, promotion, publicity, and social media. This position will also develop and implement an in house agency to act on behalf of the facility.
Manager, Audio Book Studio (New York Public Library)
The Studio Manager oversees all activities of what could be described as an audio book publishing house for the blind and physically handicapped.  The mission of the studio is to record and make available digital recordings for the blind and physically handicapped for   national circulation, especially representing the diverse needs of the diverse communities of New York City.
DWA TV- Music Administrator (NBC Universal - Glendale, CA)
DreamWorks Animation Television’s Music Department is seeking an experienced cue sheet administrator, who has a strong musical background and understanding of original created content, production timelines and grasps the significance of synchronization licenses, publishing splits and PRO information.  
Digital Music Catalog Specialist (Amazon Digital Music - Seattle)
The Digital Music Operations team is responsible for generating content for Amazon’s various digital music services. Our goal is to build technologies, metadata and processes that create distinctive products for our customers and services all over the world. The Catalog Specialist is responsible for supporting the metadata attributed to digital music and upholding our QA standards and workflows. If you love music and want to be a part of the Digital Music revolution – this is the place to start!
Manager of Music Tours (Gustavus Adophus College - Saint Peter, MN)
The annual teaching assignment will be five courses (5/7 appointment), one of which may be one-month January Term experiential course determined by candidate and appropriate to the candidate’s expertise. The position includes the opportunity to teach in our innovative Public Discourse initiative.
Music Department Manager (Straz Center - Tampa, FL)
The Music Department Manager oversees the daily operations of the Music Department and is responsible for managing all Music Department-related administrative, curricular, communication, and event planning needs. The position will also provide administrative and instructional support for the Conservatory to Go programs and Outreach programs as needed.
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Vendor Management Support Officer
Vendor Management Support Officer Job Type: Full Time Qualification: BA/BSc/HND , MBA/MSc/MA Experience: 5 years Location: Lagos Job Field: ICT / Computer Band: Band H Department: Operations Employment Type: Permanent Reporting to: Manager - Vendor Management Your Role The roles includes increasing customer satisfaction, reduced costs and ensure a better quality of service from the vendors such that when and if problems arise the business will be rest assured that a well-managed vendor will be quick to resolve the situation. Key Accountabilities Measure the quality and timelines of delivery; Ensuring that the vendor is meeting service levels set as part of the contract. Administer and track service penalties when service levels are not met to standard Holding service review meetings to determine performance related to SLAs. Ensure that the vendor is informed of changes to services, implementation of additional services and maintenance requirements in time for the vendor to implement in line with expectations. Driving process improvements with the vendor as inefficiencies in operations or customer experience surface. Develop reporting to inform the vendor performance, including key trends. Change Control – Ensures that all changes and requirements presented to the vendor are defined through business requirements and have appropriate approvals. Ensures that the vendor meets company criteria according to established guidelines (documentation, quality, business practices, ethics, availability of staff, etc) Collaborates with vendor to create clear program goals. Communicates goals internally so that staff is aware of expectations and consequences. Monitors results against goals; proactively reviews indices to preempt customer dissatisfaction Oversees the accuracy and timelines of the vendor reporting. Ensures that report meets needs. Maintains vendor calendar of agreement and renewals Strong technical/functional understanding of vendor management tool-sets. Ability to prepare and effectively lead negotiation sessions Manage the vendor to the responsibilities outlined in the contract and statement of work and be creative when contracts do not address certain issues. Must understand the financial repercussions of vendor operations. Measure the quality and timeliness of delivery, as well as understanding core operation management variables and calculations. Control and regulate vendor performance by early adoption of vendor service offerings, co-development of functionality and operations; and advocating for the vendor where necessary. Understand how the interrelationship of processes, technologies, and people create results. Understands how to create mutually beneficial opportunities for company and vendor using this information. Understand the vendors operations as is often required to manage teams of several vendor employees. Vast experience in a broad range of vendor management skill set. Requirements The job holder must have a Bachelor's degree in Electrical / Electronic Engineering or related degree with a minimum of 5 years’ experience in managing global vendor relationships in an ICT/Telecoms Industry. Possession of an MBA / Master’s degree in relevant discipline will be an added bonus. Job Knowledge: Good technical reporting skills. E.g usage of excel, charts, presentations etc. Well informed in key terminologies associated with contracts and understand how they interrelate. E.g. indemnification, intellectual property, force majeure, amendments etc. Leverage on relationship management having strong relationship-building, alignment-building and negotiation skills with the ability to be personable and tenacious as the situation requires. Excellent writing and communication skills including listening and negotiation; have the ability to build and maintain relationships and work well as part of the team. Ability to work in fast-paced, global environment. Thinking outside the box coupled with a strong focus on details: metrics, processes and contract Job Related Skills: Must have the ability to work with little or no supervision Must be able to multitask Organizational skills Team Leadership Experience Financial and Quantitative Analysis skills Strategic / Big Picture Thinking Relationship Management skills Contract Management skills Method of Application Are you interested in this opportunity? Then send a copy of your CV to [email protected] and ogedirect@gmail. You will be contacted if you are qualified for the job. Thank you. Read the full article
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kristinsimmons · 5 years
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9 Healthcare Companies Who Changed the 2010s
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By ANDY MYCHKOVSKY
In order to celebrate the next decade (although the internet is confused whether its actually the end of the decade…), we’re taking a step back and listing our picks for the 9 most influential healthcare companies of the 2010s. If your company is left off, there’s always next decade… But honestly, we tried our best to compile a unique listing that spanned the gamut of redefining healthcare for a variety of good and bad reasons. Bon appétit!
1. Epic Systems Corporation
The center of the U.S. electronic medical record (EMR) universe resides in Verona, Wisconsin. Population of 13,166. The privately held company created by Judith “Judy” Faulkner in 1979 holds 28% of the 5,447 total hospital market in America. Drill down into hospitals with over 500-beds and Epic reigns supreme with 58% share. Thanks to the Office of the National Coordinator for Health Information Technology (ONC) and movement away from paper records (Meaningful Use), Epic has amassed annualized revenue of $2.7 billion. That was enough to hire the architects of Disneyland to design their Google-like Midwestern campus. The other amazing fact is that Epic has grown an average of 14% per year, despite never raising venture capital or using M&A to acquire smaller companies.
Over the years, Epic has been criticized for being expensive, non-interoperable with other EMR vendors, and the partial cause for physician burnout. Expensive is probably an understatement. For example, Partners HealthCare (to be renamed Mass General Brigham) alone spent $1.2 billion to install Epic, which included hiring 600 employees and consultants just to build and implement the system and onboard staff. With many across healthcare calling for medical record portability that actually works (unlike health information exchanges), you best believe America’s 3rd richest woman will have ideas how the country moves forward with digital medical records.
My very first interview out of undergrad was for a position at Epic. I chose a different path, but have always respected and followed the growth of the company over the past decade. In a world where medical data seems like tomorrow’s oil, a number of articles have speculated whether Apple or Alphabet would ever acquire Epic? I don’t buy it. I’m thinking it’s much more likely that 2020 is the first year they acquire a company. How you doing Athenahealth?
2. Theranos
No one can argue Theranos didn’t change the game in healthcare forever… for the worse. I do my best to give all healthcare founders the benefit of a doubt, but Elizabeth Holmes and Ramesh Balwani make that nearly impossible. Turns out that an all-star cast of geopolitical juggernauts on your Board of Directors and the black turtleneck of Steve Jobs is not the recipe for success. Founded by 19-year Elizabeth Holmes, Theranos raised over $700 million at a peak valuation of $9 billion. In retrospect, they have become the poster-child for Silicon Valley’s over-promise and under-deliver mantra. The only problem is that instead of food delivery, their failures resulted in invalid blood testing that could’ve really hurt people.
Despite this failure, the mission and purpose would’ve been tremendously impressive. Cheaper blood tests that require only 1/100 to 1/1,000 the amount of blood that LabCorp or Quest Diagnostics needed. I think the craziest part of the whole saga was that seemingly sophisticated healthcare leaders thirsted for the new technology to beat competitors and improve patient convenience. Before the technology was proved defunct, Theranos convinced Safeway to invest $350 million to retrofit 800 locations with clinics that would offer in-store blood tests. Theranos convinced Walgreens to invest $140 million to develop a partnership that would help beat CVS. Theranos partnered with Cleveland Clinic to test its technology and was working with AmeriHealth Caritas and Capital BlueCross to become their preferred lab provider.
To be clear, they weren’t the first, and won’t be the last healthcare company to fail. I only hope that this extremely well documented (thanks Hollywood) experience has re-focused founders and investors towards building sustainable growth companies that actually help patients live higher quality lives, not just make people money as quickly as possible.
3. One Medical
Thanks to Tom Lee and the One Medical crew, primary care is now investable. Whether you’re talking about private equity or venture capitalists, many have dived head first into the space in search of value-based care treasure. One Medical is the most well-known tech-enabled primary care practice, with 72 clinic locations across seven states, and new locations opening in Portland, Orange County, and Atlanta. The Carlyle Group liked the company so much that it invested $350 million in August 2018, at a reported $1.5 billion valuation. This has led to a number of primary care focused companies (ChenMed, Iora Health, Forward) to amass significant valuations that historically would’ve seemed optimistic. However, the elevation of the primary care provider from the “punter” to the “quarterback” of a patient’s medical journey has lifted all boats.
Interestingly, One Medical has unique differentiators over the traditional primary care competitors. For example, One Medical limits doctors to seeing 16 patients a day, versus the average physician seeing 20-30 patients a day. One Medical also built its own medical records in hopes of a more user friendly experience, instead of outsourcing to practice-based EMRs. One Medical charges $199 annually to each patient to help make up for lower volume, and in return provides same-day appointments, onsite lab draws, and a slick app that allows online appointment scheduling and telehealth consults with providers 24/7. They are also adding capabilities and services to cover mental health and pediatric services to increase revenue.
This change is remarkable. Historically, primary care has been a low-margin business with high administrative and staffing costs, along with physician burnout and regulatory burden. One Medical pioneered the concept of a more modern primary care experience, and I am looking forward to their initial public offering (IPO) targeted for early 2020 and whatever Tom Lee is cooking up at Galileo.
4. Centene
Centene is my favorite health plan to study over the past decade. You would never know that the second largest publicly-traded company headquartered in Missouri was originally started by Elizabeth “Betty” Brinn in Milwaukee, Wisconsin. Under-hyped, which is rare in healthcare nowadays, Centene has quietly grown to become the largest player in both the Medicaid managed care and Affordable Care Act (ACA) exchanges. Under Michael Neidorff’s leadership, Centene now serves 32 states with over 15 million lives and 53,600 employees. They were most recently ranked #51 on the Fortune 500 list. In addition, they are about to grow with the $17.3 billion acquisition of WellCare. Here’s a brief rundown of some major events that demonstrate why I’m so bullish on Centene dominating another decade:
April 2018: WellCare and Centene awarded Medicaid managed care contracts in Florida.
July 2018: Centene acquires Fidelis Care and their 1.6 million New Yorkers for $3.75 billion. This single-handedly gives Centene the leading Medicaid share in the state.
September 2018: WellCare acquires Meridian Health Plan and their 1.1 million lives in Michigan, Illinois, Indiana, and Ohio, for $2.5 billion.
February 2019: Centene and WellCare awarded Medicaid managed care contracts in North Carolina.
December 2019: WellCare awarded Medicaid managed care contract in WellCare (re-procurement underway)
In addition, Texas Medicaid is set to award their STAR contracts for 3.4 million lives between Medicaid and CHIP, of which Centene already won a contract to serve the STAR+PLUS (aged, blind, and disabled population). Seems like a pretty solid guess that Centene will fair pretty well in the STAR RFP rankings. Next decade, I look for Centene to significantly increase their efforts to recruit Medicare Advantage (MA) lives, and I wouldn’t bet against them.
5. Mylan
One word. EpiPen. Mylan, the $10 billion market cap pharmaceutical manufacturer and producer of the epinephrine auto-injector product, EpiPen, became the lightning rod in a consumer and political drug pricing debate in 2016. For those who were living under a rock, here’s the quick recap. Epinephrine auto-injectors are used to treat anaphylaxis (severe allergic reaction). Prior to 2016, Mylan held absolute dominant share of the auto-injector market, hovering around 90% for the first half of the 2010s. The only real competitor was Adrenaclick, produced by Lineage Therapeutics, but they were barely considered a competitor despite having cheaper prices. In 2016, news outlets caught wind of Mylan’s 500% list price increase over a decade ($100 to $600) and a nationwide discussion about drug prices began.
If you asked the Mylan CEO, Heather Bresch, she would tell you that the reason brand EpiPen’s list price increased 500 percent over 7 years is because they invested billions of dollars to significantly increase access in schools and employers across America. These efforts increased the number of EpiPen prescriptions in the U.S. from 2.5 million to more than 3.5 million between 2011 and 2015. She would also tell you that there is a big difference between wholesale acquisition cost price (list price) and net price. This part is often misunderstood by media. The net price takes into account discounts, prescription savings cards, and rebates that Mylan provides to purchasers (PBMs, Employers, Plans). The exact negotiated rebate or discount is different by line of business and organization. However, safe to say that Mylan made a good amount of profit with increasing volume.
At the end of the day, Mylan settled with the U.S. Justice Department for $465 million over claims it overcharged the government. Mylan kept their $600 list price brand EpiPen product with rebates, and added a generic version of EpiPen for $300 list price without rebates and requiring commercial insurance. According to a GoodRx analysis in 2018, the epinephrine auto-injector market now looks much different, with 60% of the market moving to the generic version of EpiPen, 10% of the market remaining with brand EpiPen, and 30% of the market switching to the generic version of Adrenaclick. However, whether generic or brand EpiPen, Mylan makes strong profits and American will continue to discuss the best strategy forward to control drug spend.
6. Evolent Health
First let me caveat. I’ve worked for Evolent Health for the past 5 years and seen it grow from a Series B startup to a publicly-traded company (NSYE: EVH). However, the reason they’re on this list is because Evolent Health has forever changed the game for future value-based care startups. When Frank Williams, Seth Blackley, and Tom Peterson founded the company in 2011 with the help of UPMC Health Plan and The Advisory Board Company, concepts like the Medicare Shared Savings Program (MSSP) did not even exist. Fast forward a decade later, and Evolent Health now serves approximately 3.7 million lives across 35 different U.S. healthcare markets. The mission of Evolent Health is to, “Change the health of a nation, by changing the way healthcare is delivered.” To do this, you need both the technology, clinical, financial, and operational capacity to empower providers to confidently move away from fee-for-service towards fee-for-value.
With the implementation of MACRA and the continued perseverance of CMS under this new administration, value-based care is still full steam ahead (good luck incoming CMMI Director, Brad Smith). Despite the naysayers of value-based care, find me a better way to control medical inflation that is accepted by nearly all healthcare institutions and doesn’t negatively impact patient outcomes, and we can talk. I will mention the importance of “significant” downside risk to actually change provider culture, strategy, and operations. I don’t want the primary purpose of setting up a clinically integrated network (CIN) to be negotiating higher fee-for-service commercial rates for independent physicians aligned to tertiatiary academic medical centers.
I wholeheartedly believe that providers will continue to seek partner options (not vendors with high fees independent of performance) who are not wholly-owned by the large for-profit health plans (Optum…). Of all the available options, Evolent Health is the market leader across a variety of areas. In 2020, I look forward to watching how the 3,000+ Evolenteers push the boundaries of downside risk value-based care with both payers and providers.
7. Livongo
To me, Livongo represents Daenerys Targaryen in Game of Thrones. Not the blood-thirsty character towards the end, but the only person to bring back dragons to the world of Westeros. Except in this example, the dragon is a successful digital health IPO. This was a big deal. Going public rewarded early investors who believed in the nascent digital health and chronic condition space. It allowed public investors an opportunity to peak under the hood of the financials and get comfortable with future economics of the industry. And it provided a legitimacy and a peer valuation to other leading digital health companies like Omada Health. All-in-all, 207,000 members use Livongo for Diabetes management solutions, including a connected glucose monitor, unlimited test strips, and personalized health coaching. This number is expected to grow significantly, with the announcement of a new, two-year diabetes contract with the BlueCross BlueShield Federal Employee Program (FEP). They anticipate the partnership will add an additional $50-60 million in revenue across 2020 and 2021
Livongo has done a brilliant job marketing itself as building a full-stop solution for the 147 million Americans with a chronic condition. According to their estimates, their immediately addressable markets for managing diabetes and hypertension represents a $46.7 billion opportunity. Digging into the unit economics, Livongo estimates that diabetes is worth $900 per patient per year and $468 per patient per year. Since they’re focused on chronic conditions, the business model is subscription-based. In the Q3 quarterly report, Livongo provided full year guidance of $168.5 million on the low end and $169 million on the high end. In either scenario, FY2019 Adjusted EBITDA is projected to lose around $26 million for the year.
Livongo has smartly started with addressing diabetes, given the downstream health impacts of mismanagement of blood sugar and the ability to impact spend with regular insulin, diet, and exercise. They also are very smart to efficiently sell into self-funded large employers using existing channel partners like Express Scripts, CVS, Health Care Services Corporation (HCSC), Anthem, and Highmark BCBS. I know that the stock is down 35% since IPO, but I fundamentally believe chronic conditions are not going away and over time, Livongo will add supplementary clinical programs to expand revenue growth.
8. Optum
UnitedHealth Group is the single largest healthcare company in the world with a $280 billion market cap. It owns UnitedHealthcare, the country’s largest private insurer serving Medicare Advantage, managed Medicaid, employer-sponsored insurance, and ACA exchanges. And yet in 2020, more than 50% of the company’s earning and $112 billion in revenue will come from the lesser known side of the business, Optum. It is difficult to describe Optum because they do so much, but they technically split their business into three units: OptumHealth, OptumInsight and Optum Rx. OptumHealth provides care delivery (primary, specialty, urgent care) and care management to address chronic, complex, and behavioral health needs. OptumInsight utilizes data, analytics, and clinical information to support software, consulting, and managed services programs. OptumRx is a pharmacy benefit management (PBM) to create a more streamlined pharmacy system. In total Optum estimates the U.S. addressable market for its services to exceed $850 billion. If that wasn’t enough, here’s some fun facts why they made the list:
Works with 9 out of 10 U.S. hospitals, more than 67,000 pharmacies, and more than 100,000 physicians, practices, and other providers.
Added 10,000 physicians in the past year, growing its network to 46,000 physicians.
Includes 180,000 team members and serves 120 million customers.
Serves 80% of health plans to reduce total cost of care.
Works with 9 out of 10 Fortune 100 companies.
Pretty remarkable for a business unit that was only technically created in 2011, by merging existing pharmacy and care deliver services into one brand. As chronic disease increases and value-based care is here to stay, Optum is focused on comprehensively treating patients and coordinating their care to improve quality and lower costs. With UnitedHealthcare under the corporate umbrella, Optum has the adequate scale to test any new clinical initiatives before rolling out to other health plans.
9. Purdue Pharma
Purdue Pharma is a privately owned drug company owned by the Sackler Family and most well known for creating OxyContin in 1996. OxyContin represents 90% of Purdue Pharma’s revenue and was aggressively marketed to doctors for use in patients with chronic pain. According to court records, Purdue Pharma has grossed an estimated $35 billion. This is the same prescription painkiller that many experts say fueled the U.S. opioid crisis that has resulted in more than 130 deaths each day after overdosing on opioids. To be clear, the deaths are caused by prescription pain relievers, heroin, and synthetic opioids (fentanyl), however, the initial addiction to opioids is often caused by OxyContin and other prescription drugs. All but two U.S. states and 2,000 local governments have taken legal action against Purdue, other drug makers and distributors.
The Sackler family is the 19th richest family and is well known for supporting the fine arts, including the Sackler Wing at the Metropolitan Museum of Art in New York City where the Ancient Egyptian Temple of Dendur sits. I’ve seen a number of articles persecuting the entire Sackler family, but I want to be a little more nuanced. In 1952, three Sackler brothers (Arthur, Raymond, and Mortimer) bought a drug company called Purdue Frederick. Arthur’s branch of the family got out of the company after his death in 1987. The Raymond and Mortimer branches of Sacklers, who own it, founded affiliate Purdue Pharma in the early 1990s. According to a 2017 article from The New Yorker, there are 15 Sackler children in the generation following the founders of Purdue. Some family members have served on the Board of Directors, while others (most notably descendants from Arthur Sackler who died before OxyContin was invented), have distanced themselves from the company and condemned the OxyContin-based wealth.
Purdue Pharma filed for bankruptcy in September 2019 as part of a tentative settlement related to misleading marketing of the controversial painkiller. The settlement requires the owners of Purdue Pharma and the Sackler family to pay out $3 billion of their own fortune in cash over the next seven years. The only problem is that some family members have reportedly moved $10.7 billion from Purdue Pharma to trusts and holding companies across the world between 2008 and 2017. And all we’re left with is a complicated web of holding companies and offshore bank accounts, ravaged communities, and the leading cause of injury-related death in the U.S.
Andy Mychkovsky is a Director at Evolent Health and the Founder of a healthcare startup and innovation blog, Healthcare Pizza. This post originally appeared on Healthcare Pizza here.
The post 9 Healthcare Companies Who Changed the 2010s appeared first on The Health Care Blog.
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agplus3 · 5 years
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Job Of The Day 2-25-2020
*US CITIZENS*  JOB OPENINGS!!
Are you in the market of finding a new career? Are you actively seeking a new position? If so, tell me what it is you're looking for. I am a recruiter and I have access to many job openings that may not be posted on job search engines.
Send me a message , we can talk in private. Or, if you want, leave a comment. I'll be happy to help! :-)
AG Plus 3 Recruiting
 If you see a job you are interested in or may be qualified for and want more details on that job, message me with the Job Title, City and State of that job and I can get you all the information needed!
 Also, like and follow my page AG Plus 3 Recruiting to stay up to date with the most recent job openings!! You can find me on Instagram, Liknedin, FB Page, Twitter and Youtube!
 Just because you don’t see a job listing in your city or state, doesn’t necessarily mean there isn’t one. It might just mean I didn’t get to that one today. You can always message me and ask what it is you’re looking for and I will be happy to take a look 😊
  PROJECT ACCOUNTANT
LOCATION
Natick, MA
TYPE
Direct Hire
SALARY
$75,000 - $95,000 / yr
POSTED
Feb 25, 2020
The Project Accountant will be knowledgeable about all aspects of construction accounting and will be responsible for the following:
 • Process the monthly owner requisition.
• Process subcontractor requisitions.
• Ensure the subcontractor is complying with terms and conditions of the contract (i.e. insurance, billing procedures, etc.).
• Process budget updates.
• Process cost transfers.
• Select invoices to be included in the weekly disbursement cycle.
• Monitor and track the cash position of the project.
• Work closely with Project Managers and Project Executives on all facets of project accounting and administration issues.
Requirements:
Thorough knowledge of accounting principles and procedures as well as GAAP standards.
BS/BA in Accounting/ 3 plus years’ experience preferred.
Construction accounting experience preferred.
Highly proficient with Microsoft Office and Quickbooks. Sage/Timberline/Timberscan experience is a plus.
Professional writing skills are preferred.
Ability to work on and prioritize multiple projects, while meeting required goals and deadlines.
High degree of initiative, personal responsibility and integrity: positive attitude, flexible, team player.
Professional disposition.
   SR. MANAGER SUPPLY LOGISTICS
LOCATION
Chicago, IL
TYPE
Direct Hire
SALARY
$120,000 - $128,000 / yr
POSTED
Feb 25, 2020
Sr. Manger Supply Chain and Logistics
 Chicago, IL area
 Key Job Responsibilities:
 Strategic
 Work with the Manager of Supply Chain to assess planning needs across brand distribution channels (small- and large-format grocery, convenience, drug, gas, and eCommerce), develop “gap” analysis to best-in-class, and design roadmap from current state to future state.
Work with Oracle team to scope out and recommend demand planning & replenishment (DP&R) software for mature business as well as new business.
Design, implement, and lead cross-functional sales and operations planning (S&OP) process creating end-to-end supply chain alignment, visibility that maximizes service levels and inventory risk.
Develop and implement tailored Key Performance Indicators for each channel of distribution.
Design and develop process to manage “at-risk” inventory.
Actively lead EDI integration (Electronic Data Interchange) across all brand distribution centers and Oracle and customers
Functional
 Manage DP&R process:
Develop and implement short and long term customer demand forecasting solutions.
Collaboration with Sales team to manage new demand and promotional activity.
Developing inventory requirements to balance service level with inventory risk.
Manage production purchase orders process for domestic and international brands and non-company co-packers.
Establish strong relationships with suppliers and 3PL teams.
Build sustainable process for managing the retail/industrial stuffing forecast.
Setup and maintain all inputs in Demantra DP&R tool
Inventory Management:
Maintaining KPIs for customer service level and inventory “health”.
Manage inventory reconciliation between physical DC inventory and Oracle.
Manage S&OP process:
Co-chair weekly/monthly meetings with Sales, marketing, packaging production, supply chain, and other teams as required.
Present supply chain KPIs and provide insight to inventory balances and risks.
Proactively identify opportunities and exposures for the team.
Present executive summary at monthly New Distribution Channels meeting.
Transportation Management:
Work with Logistics lead and manage comprehensive freight bids and implementation of new carrier selection.
Implement new solutions to simply network and process
Lead implementation of TMS (transportation management solution)
Lead implementation of Freight, Audit and Pay (FAP)
SME (subject matter expert) of warehouse EDI transactions and setup.
Job Requirements
 Bachelor’s Degree required.
Operational, Logistics, DP&R Planning experience.
Six Sigma/Process Improvement experience.
10-15 years required in supply chain operational environment.
Technical knowledge of warehouse EDI and ERP systems.
Microsoft office (Outlook, Word, Advanced Excel, Power Point, Intermediate Access).
Exceptional analytical and data-mining skills.
Strong communication - written and verbal skills.
Strong organizational and multitasking skills.
CPG, food manufacturing/distribution is a plus.
 The scope of the role includes S&OP, Demand/Capacity Planning, Inventory Management, and Transportation management.
 The Senior Manager of Supply chain, through leveraging technology and shared-services, combined with a nimble and adaptive leadership approach, will be primarily responsible for managing the supply chain of mature brands and newly acquired brands.  This leader will be critical to the development of scalable and sustainable supply chain systems, processes, and solutions that enhance collaboration, improve customer experience, and
  MATERIALS MANAGER-CLINICAL PACKAGING
LOCATION
San Rafael, CA
TYPE
Direct Hire
SALARY
$110,000 - $135,000 / yr
POSTED
Feb 25, 2020
Responsibilities:
 Initiate and manage label clinical label text following country regulatory guidance.
Manage packaging and label changes in existing clinical products within study timelines.
Communicate forecast, detail and communicate routine work items, coordinate internal resources to accomplish project goals
Facilitate issue resolution and problem solving with contract manufacturers
Monitor production efforts at contract manufacturers
Lead weekly meetings with CMOs and capture discussions in minutes
Communicate with members of the manufacturing group and other departments to optimize the production schedule. Promptly elevate issues to upper management that compromise on-time drug availability
Complete tasks within the Oracle ERP system as related to production.
Initiate Change Control, Deviations, and CAPAs through the Trackwise system.
Communicate in online meetings with Europe and Asia, which requires availability outside of standard working hours.
Support Manager to develop budget.
Proactively identify risks. Create strategies to avoid or minimize their impact. Manage the execution of risk mitigation plans.
Provide back-up support for other Operations Specialist(s) and/or Coordinator(s)
Other duties as assigned
Experience:
 Demonstrated project management skills related to all aspects of clinical packaging/labeling activities
Proven track record to successful meet on-time delivery of clinical packaging/labeling projects
Collaboration/Influence Management, Decision Making, Results Orientation
Ability to work effectively with cross-functional and multi-location teams
Successful track record in execution of deliverables. Changes in plans and updates are proactively communicated to management and teams
Strong quality orientation with attention to detail
Working knowledge of current GMP/GCP regulations desired.
Working knowledge of manufacturing processes
Proficient in MS Office, MS Project, and Visio
Excellent organizational, interpersonal communication, and problem-solving skills
Ability to find, communicate, and implement ways to continuously improve processes
Proficiency with Oracle or other materials management systems knowledge desired
Strong organizational and leadership skills.
Process development or technology transfer experience preferred.
Excellent written, verbal, and presentation communication skills.
Negotiation skills
Networking skills
Education:
Bachelor's (required) in Life Sciences (preferred), Business, or Engineering with minimum 5-8 years’ experience in the pharmaceutical field and/or clinical packaging/labeling
 Clinical Packaging and project management experience is highly desired
Summary Description:
 This person is responsible for supporting clinical packaging manufacturing operations inside and outside the northern California facility. S/he will help coordinate clinical material needs between contract manufacturers and the internal project teams to ensure that all clinical product needs are defined and met.
 Through your experience and knowledge you will evaluate upcoming packaging requirements, provide a single point of contact for Contract Manufacturing sites, communicate project details and ensure that all key milestones are met.
 This role partners with other Company supply chain members to ensure packaged material is available for clinical distribution. The Manager, Clinical Packaging Operations will participate in improvement efforts and is an integral member of the product launch team.
 This is a cross-functional role in which S/he will work closely with Clinical Operations, Development Sciences, Regulatory and external vendors to ensure all clinical labeling/packaging operations are met or exceed timelines. The individual will often work under very tight timelines.
  INFECTION PREVENTIONIST, PA-
LOCATION
Reading, PA
TYPE
Direct Hire
POSTED
Feb 25, 2020
Align yourself With an award winning Organization!
Hospital is located in; Coatesville, PA
  The Infection Preventionist (IP) helps to prevent healthcare associated infections by isolating sources of infections and limiting their spread. The IP is responsible for surveillance, rounding, analyzing, interpreting and the reporting of healthcare associated infections. The IP supports the development of evidence-based organizational infection prevention policies/standards that meet state, federal, regulatory and accrediting agencies standards. The IP trains healthcare members in infection prevention. The IP is a leader in infection prevention and serves as a resource, educator, researcher and proponent of change in order to influence infection prevention improvement to provide quality health care within the organization. The IP reports to the Director of Epidemiology, Infection Control and Prevention.
Education Requirements: Bachelor's Degree: Medical Technology-Clinical Laboratory Science, Microbiology, or Nursing.
Certification and Licensure Requirements:
ASCP REGISTRATION (Required).
PA REGISTERED NURSE LICENSE (Required).
INFECTION CONTROL PRACTITIONER CERTIFICATION (Preferred).
Experience and Skills:
1-3 Years Principles of surveillance, infection control and prevention e.g. aseptic technique, infectious diseases, microorganisms, sterilization (Required)>
1-3 Years Healthcare regulations and standards e.g. The Joint Commission, Pennsylvania Department of Health, OSHA (Preferred).
4-5 Years Recent acute healthcare (Preferred).
Our Client is a strong, regional, integrated healthcare provider/payer system that offers leading-edge, compassionate healthcare and wellness services to a population of 2.5 million people. Together, our six hospitals and other entities provide a full range of medical care from prevention, screenings & education; to the latest clinical services and surgeries available
Permanent Position; Salary + Benefits + 401k, etc...
  FINANCIAL ADVISOR
LOCATION
Elizabethtown, KY
TYPE
Direct Hire
POSTED
Feb 25, 2020
Financial Advisor
 Elizabethtown, KY
 Job description
 You will be responsible for reaching out to the existing Self-Directed client base. It is expected that the associate will be able to transition these calls into a consultative conversations in order to assist with identifying underlying needs the client may have and to deepen relationships. The primary goal of the team is to gather outside assets and to open new accounts for existing clients by successfully highlighting value proposition. Responsibilities: Articulate the competitive advantage of product offerings and deliver value proposition through consultative conversations Understand and proactively identify opportunities for additional business from existing clients Demonstrate a passion for driving sales and being self-motivated Identify referral opportunities for various internal partners Accountable for defined and measured goals including sales activity, client surveys, quality assurance, productivity, and driving efficiencies Responsible for having a broad knowledge of products and services throughout the enterprise and educating clients capabilities Align with client's conversation style to drive better engagement and optimal experience Develop business partner relationships and maintain a high level of integrity and comply with the Guidelines for Business conduct.
 Enterprise Role Overview
 Investment Consultants are phone-based licensed representatives that provide prospects and self-directed investors with financial assistance by identifying broader product and service solutions that meet their investment and savings needs. Investment Consultants demonstrate knowledge of investments and financial markets and apply key principles appropriately to the individual client's investment needs. Additionally, they align products and services where appropriate. Licensing requirements are as follows: Series 7, 66 or their equivalent. This position may be subject to SAFE Act registration requirements. Pursuant to the SAFE Act requirements, all employees engaged in residential loan mortgage originations must register with the federal registry system and remain in good standing. If your position requires SAFE Act registration, you will be required to register and to submit to the required SAFE Act background check and registration process. Failure to obtain and/or maintain SAFE Act registration may result in your immediate termination.
 Required Skills: "MUST" have these skills to be minimally qualified.
 Series 7 required.
Series 66 or 63/65 strongly preferred. If Series 66 is not currently held, must be obtained within 90 days.
Two years sales experience
Ability to have need based conversations and prior sales experience, preferably investment related.
Superior customer service skills.
Excellent verbal and written communication skills required.
Strong analytical, technical skills, and organizational skills.
Detailed oriented with excellent follow-up skills.
Ability to perform and manage multiple tasks in a growth environment that is experiencing constant change.
Problem solving skills and the ability to clearly articulate responses and solutions.
Must be able to work independently and be a team player to achieve team goals.
Strong investment product and industry knowledge
 FINANCIAL ADVISOR
LOCATION
Radcliff, KY
TYPE
Direct Hire
POSTED
Feb 25, 2020
Financial Advisor
 Ft. Knox, KY / Radcliff, KY
 Job description
 You will be responsible for reaching out to the existing Self-Directed client base. It is expected that the associate will be able to transition these calls into a consultative conversations in order to assist with identifying underlying needs the client may have and to deepen relationships. The primary goal of the team is to gather outside assets and to open new accounts for existing clients by successfully highlighting value proposition. Responsibilities: Articulate the competitive advantage of product offerings and deliver value proposition through consultative conversations Understand and proactively identify opportunities for additional business from existing clients Demonstrate a passion for driving sales and being self-motivated Identify referral opportunities for various internal partners Accountable for defined and measured goals including sales activity, client surveys, quality assurance, productivity, and driving efficiencies Responsible for having a broad knowledge of products and services throughout the enterprise and educating clients capabilities Align with client's conversation style to drive better engagement and optimal experience Develop business partner relationships and maintain a high level of integrity and comply with the Guidelines for Business conduct.
 Enterprise Role Overview
 Investment Consultants are phone-based licensed representatives that provide prospects and self-directed investors with financial assistance by identifying broader product and service solutions that meet their investment and savings needs. Investment Consultants demonstrate knowledge of investments and financial markets and apply key principles appropriately to the individual client's investment needs. Additionally, they align products and services where appropriate. Licensing requirements are as follows: Series 7, 66 or their equivalent. This position may be subject to SAFE Act registration requirements. Pursuant to the SAFE Act requirements, all employees engaged in residential loan mortgage originations must register with the federal registry system and remain in good standing. If your position requires SAFE Act registration, you will be required to register and to submit to the required SAFE Act background check and registration process. Failure to obtain and/or maintain SAFE Act registration may result in your immediate termination.
 Required Skills: "MUST" have these skills to be minimally qualified.
 Series 7 required.
Series 66 or 63/65 strongly preferred. If Series 66 is not currently held, must be obtained within 90 days.
Two years sales experience
Ability to have need based conversations and prior sales experience, preferably investment related.
Superior customer service skills.
Excellent verbal and written communication skills required.
Strong analytical, technical skills, and organizational skills.
Detailed oriented with excellent follow-up skills.
Ability to perform and manage multiple tasks in a growth environment that is experiencing constant change.
Problem solving skills and the ability to clearly articulate responses and solutions.
Must be able to work independently and be a team player to achieve team goals.
Strong investment product and industry knowledge
  FIELD SUPERINTENDENT
LOCATION
Cedar Rapids, IA
TYPE
Direct Hire
POSTED
Feb 16, 2020
Top RANK is seeking a candidate for the position of Field Superintendent  in various locations in Wisconsin and Iowa
Scope:
Responsible for overall direct field supervision of projects, ensuring production goals, craftsmanship standards, and safety
practices are met. The position interfaces with project management to develop construction schedules, update construction
schedule progress completion, obtain subcontractors, and ensure that project is within budget.
 Experience:
  High School diploma or equivalent, some vocational/technical/college is desirable
 10 years of commercial construction experience and 5 years of construction supervision
 Required certifications/licenses
 Driver’s license in good standing
 First Aid/ CPR certified;
 Proficient with heavy equipment (forklifts, reach forklifts, scissor lifts, etc.)
 Requirements:
  Ability to communicate well and establish long-term relationships with our clients, subcontractors and employees.
 Experience executing a safety plan in the field.
 Strong sense of quality - must be able to both set an example of how to do high quality work and also must ensure crew
performs high quality work.
 Must have experience managing large crews.
 Strong computer knowledge of MS Word, Excel, Outlook, and MS Project.
 Proficient with spelling, punctuation, grammar and basic business math.
 Think critically and able to solve problems.
 Handle confidential/sensitive information with discretion.
 Good judgment and analytical skills.
 Strong organizational skills.
 Responsibilities:
  Cultivate relationships with our clients, subcontractors and employees.
 Manage and direct in-field construction and subcontracted resources (labor, sub-contractors, equipment, tools, and
materials).
 Interpret drawings.
 Work with project management team to develop accurate construction schedule forecasts and to keep them updated
weekly to track labor usage, material deliveries, and equipment costs
 Collaborate with project management team to provide pre-construction system design support with system design
constructability and material take-offs, and post-construction constructability “lessons learned” feedback
 Work with safety personnel to ensure that new hires receive the requisite construction and safety training
 Maintain a high attention to detail and quality control
 Manage multiple tasks simultaneously
 Enforce site safety
 Manage and discipline a large work force
A DIVERSE WORKFORCE MATTERS TO US!
 Our client is an equal opportunity employer (EOE).  All qualified applicants are encouraged to apply and will receive consideration for employment without regard to race, color, religion or creed, national origin or ancestry, gender/sex, gender identity, age, disability, veteran status, or any other classification protected by federal, state, or local law.
   CHANNEL ACCOUNT MANAGER - INDUSTRIAL AUTOMATION
LOCATION
Farmington Hills, MI
TYPE
Direct Hire
POSTED
Feb 25, 2020
Our client, a leading global factory automation manufacturer is seeking a Channel Account Manager to be based out of the Farmington Hills, Michigan area.
 The Channel Account Manager is responsible for working closely with Channel Partners to achieve aggressive sales growth within the Sales Region. The CAM objective is to bring close alignment between the company and their channel partners. The Channel Account Manager will focus on the implementation of channel initiatives as well as develop distribution action plans in support of the company's Strategic Objectives. Collaboration with Senior Sales Management, Regional Sales, Strategic Marketing, Product Marketing and Technical Support Group is essential to achieve required sales growth with the company's channel partners.
 Position Duties and Responsibilities  
Work in cooperation with Regional Sales Managers in development of aggressive distribution sales plans
Develop and implement the Distributor Sales Plan (DSP) with channel partners/distributors
Target a minimum baseline sales growth of 15%-20% year over year through distribution (organic growth outside of strategic/project sales)
Focus distributors on expansion of sales at existing key accounts
Focus distributors to capture new target opportunities
Help distributors increase top line sales and return on investment by promoting value with company's Products and Solutions
Administer, manage and continually improve the Diamond Distributor Elite Program.
Plan and lead joint sales calls with partners, per the Distributor Sales Plan (DSP), to expand customer base and maintain Key customer relationships
Conduct Distributor Scorecard and Distributor Sales Plan (DSP) quarterly reviews as directed by management
Conduct partner sales training as required in assigned territory
Represent company in a professional, ethical, and socially responsible manner with channel partners and customers
Document activities in CRM and complete monthly reports as required by management
Complete monthly and annual business forecasts to show projected sales vs. quota
Attain quarterly and yearly sales goals as established by management
Perform other job functions as assigned
 Travel Requirements
25-30% travel primarily within the Central Region territory: State of Michigan
 Required Experience
BS in an engineering discipline: i.e.; electrical, mechanical or equivalent experience.
10+ years’ experience in sales and channel management.
10+ years sales experience in the automation industry (Servo/Motion, PLC/HMI, VFD)
Job Location
Farmington Hills, MI, United States
  INNOVATION ENGINEER (PROCESS ENGINEERING)
LOCATION
Salt Lake City, UT
TYPE
Direct Hire
POSTED
Feb 25, 2020
The Innovation Engineering position will support capability assessments and the industrialization of packaging, product, productivity, innovation, and renovation projects. These projects will take place at both internal manufacturing sites as well as co-manufactures. Process engineering background in food & beverage manufacturing high speed production environments is required.
 Ability to travel 50%
Plant Process Engineering experience
Engineering Degree
CPG Food & Beverage High Speed Manufacturing industry exp
 Innovation Engineering Manager is the single point of contact between the manufacturing teams and cross functional project teams (PMO, Research & Innovation (R&I), Quality, etc.) working closely with the Plant Industrialization Managers (PIM) for all product and package Industrialization projects. This position will create the right processes in order to achieve key goals and influence project teams to implement data driven solutions and successful project completion.
 Responsibilities:
 Administer technical guidance on new projects to ensure processes and equipment are capable of production capacity, quality, food safety, and EHS requirements.
An active member of multiple cross functional teams including corporate marketing, finance, QA, engineering, Research & Innovation (R&I) and plant operations. Developing relationships / collaborating with these key stakeholders is a critical aspect of the role
Work with purchasing, demand planning, and contract manufacturing to conduct
Make vs. Buy analysis and help determine production locations for new products
As needed, contribute to commissioning plans for new products and packages to ensure repeatable and reliable processes
Practice proven decision-making skills, working effectively under pressure and possessing the integrity to make the right decisions
 Education and Experience (Requirements):
 Bachelor’s degree in engineering (mechanical / chemical / industrial), microbiology or closely related field a must
3-7+ years of relevant progressive experience in Consumer Package Goods (CPG) Food & Beverage industry
Process Engineering experience (Plant Experience)
Experience in a production and/or maintenance environment
Packaging Equipment experience
Batch experience
 Knowledge, Skills and Abilities:
 Must be highly self-directed and able to work independently as well as part of a team
Flexible to consider additional information or ideas when formulating solutions
Possesses the ability to use knowledge, facts, data and professional insights to effectively solve problems and put in place best practice solutions
Must be exceptionally organized and self-disciplined to accommodate the management of a large portfolio of projects
Excellent conflict resolution and interpersonal skills
Fast learner and quickly adapts in a changing environment
Solid understanding of GMP’s, food safety, and plant safety
 Travel: Estimated 20% if in NY.  50% for TX, UT & OH locations
  MEDICAL TECHNOLOGIST - TRAVELER / CONTRACT
LOCATION
Geneva, NY
TYPE
Contract
POSTED
Feb 25, 2020
This job opportunity is for a Medical Technologist
While there is a need for a full time direct hire tech - we are also in need of a TRAVELER OR CONTRACTOR FOR A MARCH 22 START.
Full Time
Nights or Evenings
Competitive Compensation
Geneva, New York
 Hospital setting located in the beautiful finger lakes region.
RESPONSIBILITIES:
Under the supervision of the Laboratory Director/Supervisor, performs a variety of complicated technical assignments with minimal supervision.
Tasks and objectives assigned are broadly outlined, frequently requiring unique or special abilities and/or training.
Plans own approaches and progressive stages of work to accomplish desired results.
With required education and experience, supervises the activities of other Technical staff and laboratory processes.
Ability to interpret results and clinical significance of test findings.
Demonstrated ability to handle confidential information with discretion and ability to deal with the public in a professional and courteous manner.
Ability to meet deadlines, manage multiple priorities and enhance the spirit of teamwork through effective role modeling.
Excellent interpersonal, communication and organization skills.
Computer literacy.
REQUIREMENTS:
B.S. degree in Medical Technology or Clinical Laboratory Science.
NYS Clinical Laboratory Technologist license.
One year experience performing the duties of a Clinical Laboratory Technologist
 ABOUT THE AREA:
Geneva is a city in New York State. It is located at the northern end of Seneca Lake, known as the Finger Lakes Region. It boasts quality wine trails, a rich history, natural beauty, and four season attractions.
On Cayuga Lake, the city of Ithaca is home to Cornell University. The surrounding area is marked by high gorges, many with dramatic waterfalls, including Taughannock Falls and Buttermilk Falls.
Near the tip of Seneca Lake, Watkins Glen State Park has rocky cliffs and cascading waterfalls, plus trout fishing. Southwest is the Corning Museum of Glass. To the north is the Old Erie Canal, a pivotal 19th-century waterway now offering hiking, canoeing and fishing. In the northwest, the city of Rochester overlooks Lake Ontario.
Not a far drive to a top rated mall, great restaurants and tons of outdoor activities.
You can find Hobart and Williams Smith Colleges and Ithaca are nearby.
    ELECTRICAL MAINTENANCE ENGINEER
LOCATION
Atlanta, GA
TYPE
Direct Hire
SALARY
$75,000 - $90,000 / yr
POSTED
Feb 21, 2020
Major international company has an opportunity at a world class, high volume, fast paced and technologically advanced large manufacturing facility for an Electrical Engineer with the location being commutable to the north of the north Atlanta suburbs.  In this role will design, test, install and maintain large-scale electronic equipment or machinery for use in manufacturing.  Company vision is to perform these duties to promote a high degree of reliability in meeting or exceeding process requirements.  It is a hands-on oriented role.  The company offers a good work / life balance.  There is a good relocation package associated with this role.
  B. S. in Electrical Engineering or Electrical Engineering Technology from a 4 year college or university that is accredited
At least 3 1/2 years of successful engineering experience in industrial process or manufacturing environment is desired that includes maintenance engineering
Competency in programming and troubleshooting with an emphasis on motion controllers with preference for Mitsubishi PLCs, servo systems and motion controls
Managing projects from concept to implementation to completion ability is needed
Troubleshooting ability of complex electrical systems to the component level is needed
Need to be able to interface with vendors and contractors to obtain parts, equipment and services in a timely manner that is cost effective
Ability is needed to design or modify electrical controls and systems to improve the reliability and productivity of manufacturing machinery
SCADA and DCS experience is a plus
Hands-on oriented
Capital project experience
Servo maintenance experience
   TAX ANALYST
LOCATION
Tampa, FL
TYPE
Direct Hire
POSTED
Feb 22, 2020
POSITION SUMMARY
Perform entry level to moderately complex data preparation, account analysis, and work paper documentation tasks necessary for completion and timely filing of accurate income, VAT, GST, admissions, payroll withholding, and other tax returns for our client, and/or its subsidiaries, affiliates and branches  operating outside the U.S.  Preparation of payroll manifest and supporting documentation compilation in various foreign jurisdictions.  Assist in the preparation of responses to related correspondence from foreign taxing authorities, English translation of foreign documents, fulfilling inquiries in connection with tax audits, and perform entry level to moderately complex review and analysis tasks in support of returns prepared by in-country accounting firms and tax planning activities as requested.
   ESSENTIAL FUNCTIONS
Preparation, proper documentation, and/or review of the Company’s foreign income, VAT, GST, admissions, foreign payroll withholding and other tax returns, including payments of tax due and responses to related correspondence from foreign taxing authorities.
  Assist in the preparation and proper documentation of foreign subsidiary/branch tax information included in the Company’s U.S. income/franchise tax returns.
  Perform ongoing monthly review and analysis of all foreign tax-related transactions and liabilities in the general ledger (USD and local currency); to insure proper accounting and financial reporting of tax-related expenses, assets and liabilities in accordance with the Company’s internal accounting policies. Perform analysis of double taxation treaties as they relate to our foreign operations.
  Assist in supporting audits and related inquiries from foreign taxing authorities.
  Perform such other duties as may be assigned by the Manager of International Tax Compliance.
  QUALIFICATIONS
BS/BA in accounting, finance or a related field.
1-3 years prior corporate tax experience, including foreign tax compliance, in a public accounting firm or a medium to large-sized company with foreign subsidiaries preferred.
  SKILLS & ABILITIES
 Experience/knowledge with tax research software, Corptax, EXCEL, WORD and research skills preferred.
 Excellent communication and people skills a must, along with a positive, professional demeanor.
 Team player, organized, task oriented, quick learner, self-starter, critical thinking.
 Ability to excel in a fast-paced environment.
    If the stars were made to worship, so will I.
John 16:33
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lauramalchowblog · 5 years
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Will Medicare Advantage (MA) Startup Plans Be The Future?
By ANDY MYCHKOVSKY
Would it blow your mind if only five startup health plans interested in Medicare Advantage (MA) have collectively raised over $3.9 billion in private funding to-date? Well, readers, that is the reality. Now I know there are some skeptics out in the healthcare ecosystem, so I’m here to break down some of the investment thesis. Not going to necessarily defend, but explain some reasons why you should love and hate these investments. Let’s start with who raised these mind-boggling sums of money. The five startups are Oscar Health, Bright Health, Clover Health, Devoted Health, and Alignment Healthcare.
Oscar Health has raised $1.3 billion
Bright Health has raised $1.1 billion
Clover Health has raised $925 million
Devoted Health has raised $362 million
Alignment Healthcare has raised $240 million
I think it’s safe to say that the MA insurance market (also known as Medicare Part C) has captured the imagination of the venture capital and private equity community. The changing demographic trends of an aging baby boomer population, the increased selection of MA plans versus traditional Medicare fee-for-service (FFS), and the opportunity of technology-first MA startup plans to better reduce administrative fees (“Administrative Loss Ratio” or “ALR”) and control medical spend (“Medical Loss Ratio” or “MLR”) seems too good to pass up. If you were going to start a health plan, of all the lines of business you could be focused on, MA has highest profit margins, growing population, and better potential to impact patient spend and manage chronic diseases. It is certainly harder than writing the previous statement, but there are some real benefits versus the traditional commercial or Medicaid managed care.
To put some perspective on the current market opportunity, total Medicare spending grew to $750 billion in 2018. Likely higher now, we just haven’t received the official CMS results yet for 2019. Today, there are ~61 million Americans enrolled in Medicare coverage, however only approximately one-third are enrolled in MA plans. Although MA enrollment has grown significantly from 11.1 million in 2010 to 22.0 million in 2019, most experts believe we’re still in the early-to-middle innings. Nearly everyone agrees that the MA penetration rate (i.e., % of the total Medicare population is enrolled in MA plans) will rise higher over the next decade. The Congressional Budget Office (CBO) projects that 47% of the population will be enrolled in MA by 2029. A consulting firm called LEK published a more investor-friendly estimate, declaring the potential for 70% of the Medicare population to be in MA between 2030 and 2040.
Now just because a startup mentions a market opportunity worth hundreds of billions of dollars, that does not equate to guaranteed funding and success. The founding teams at each of the five startup health plans are equally impressive and visionary. Let’s take Devoted Health for example, who has three founders, Ed Park, Todd Park, and Jeremy Delinsky. Todd was the co-founder of Castlight Health and Athenahealth, and the former Chief Technology Officer (CTO) of United States who is widely credited for helping save healthcare.gov. Not to be outdone, Ed was the former CTO, COO, and President of Services at Athenahealth and Jeremy is the former Chief Product Officer and CTO of Athenahealth and the former CTO of Wayfair (furniture and home goods company now worse $10 billion market cap). If we quickly switch to Bright Health, you have Bob Sheehy at the top of the helm, who literally served as the former CEO of UnitedHealthcare, the largest commercial plan in the country, along with two other extremely talented and successful entrepreneur co-founders, Tom Validivia, MD and Kyle Rolfling. The point being, these people have walked the walk and talked the talk in healthcare at the highest levels.
Additionally, it would be deceiving to believe the monthly burn rates or company expenditures would match these hundreds of millions or billions of dollars of funding. Part of the reason why these health plans have raised so much money is due to a National Association of Insurance Commissioners (NAIC) concept called risk-based capital (RBC). Basically, all health plans (including MA) must maintain a certain balance of reserves to cover unexpected losses or actuarial risk. The NAIC and subsequent insurance commissioners generally set a threshold called the authorized control level, in which any plan that drops below that dollar amount based on risk and size of plan, can be subject to change of control. These MA startups must effectively keep a rainy-day fund to stay in business. Once the plans achieve significant scale and begin to generate positive cash flow, the RBC will accumulate in the plan, be reinvested to fuel expansion, or distributed to the owners as dividends.
One question that is often raised in skepticism is why a senior would actually select a MA startup versus the range of MA competitors or sticking with the traditional Medicare FFS program? The first question is pretty complicated, because the reality of MA is that everyone who runs a health plan is also focused on targeting the Medicare population. To give you a perspective, the top 7 largest MA plans control 77% of the total January 2020 MA enrollment. The combined market cap and resources shared between these national healthcare organizations is enormous. You can see the actual breakdown of market share below.
UnitedHealthcare: 26% market share
Humana: 18% market share
Aetna: 10% market share
BlueCross BlueShield Plans (incl. Anthem): 10% market share
Kaiser Health Plan: 7% market share
WellCare / Centene: 4% market share
Cigna: 2% market share
To put that in perspective, the remaining 284 MA plans split 23% of the market. If you’re talking about brand recognition and scale necessary to negotiate provider rates and vendor fees, and stand out from the crowd in a sea of options, it is daunting task to compete with the large MA plans. In addition, the large national MA players have large balance sheets allowing them to acquire small-to-medium size plans at higher short-term multiples to gain further market share and eliminate competition. Among the 23% of the market not-owned by the “big 7” plans, you can include the five MA startups mentioned earlier in this blog. According to the January 2020 MA enrollment files, the combined MA enrollment of the startups who have raised nearly $4 billion represents 0.55% of the current market. See below for the breakdown.
Alignment Healthcare: 59.5K MA lives
Clover Health: 52.5K MA lives
Devoted Health: 15.1K MA lives
Bright Health: 5.3K MA lives
Oscar Health (also known as Mulberry Health): 1.4K lives
A few important points to mention before we go on. First, not every startup plan above exclusively focuses on the MA market to achieve scale. For example, I believe Bright Health and Oscar Health also focus on attracting ACA exchange membership to initially broaden reach and increase brand recognition. Second, it is absolutely critical to remember that the MA Open Enrollment Period began January 1stand ends March 31st. Therefore, these enrollment numbers will change by the end of spring 2020. I feel sorry for anyone who turns on the television in targeted markets over the next few months. Third, to accelerate growth, I believe we will these well-funded startups begin to deploy their capital to acquire small existing plans in the market. Earlier this month Bright Health announced the acquisition of the Medicare-focused California plan, Brand New Day (owned by Universal Care, Inc.), with 44K MA lives across 13 counties in the sunshine state.
In terms of my second question about differentiators for the startup plans versus traditional MA health plan options, they can be boiled down into provider networks, consumer engagement, and technology-enabled marketing. If you believe that the future of the world is based on value-based care and direct provider-payer integration, some of the MA startups focus on partnering with local providers to improve brand and manage MLR. In a recent announcement, Bright Health will be partnering with AdventHealth, Ascension Health, and Tenet Health in Florida, as a part of their Care Partner Network, to help drive provider change and assist with enrollment. The points about consumer engagement or marketing are factors related to the DNA of the founders as a group of highly-skilled technologists looking to build a tech-enabled health plan from day one.
When it comes to adding lives, the reality is that all MA plans will receive bulk of their enrollment from existing brokers and agents who sell policies to Medicare beneficiaries on behalf of the companies. Sometimes these individuals are employees of the contracted company and other times they are independent consultants. As a guiding principal, brokers usually receive the highest payment for initial enrollment of a member, and then a smaller amount any subsequent renewals. The actual payment varies by the plan. In the CY2020 CMS Agent Broker Compensation Data, you are able to view the high and low compensation ranges by state, plan, and contract number. The highest standard fee amount noted is $636 for an initial enrollment and $318 for a renewal. Majority of plans also provide a $100 referral fee. This is the proverbial “pay-to-play” example and the higher the fee you offer, the more likely your plan will be promoted by local professionals. If we dig into the specific MA startups, here are the broker payments for an initial confirmed enrollment.
Clover Health: $510-$636 for initial enrollment
Devoted Health: $510 for initial enrollment
Bright Health: $510 for initial enrollment
Alignment Healthcare: $636 for initial enrollment
Oscar Health: $510 for initial enrollment
Clearly there is an argument that a rising tide will lift all boats and these MA startups will benefit from the changing demographics. In addition, seniors have continually been swayed to convert from traditional Medicare FFS to MA given the offering of supplemental benefits like dental and transportation and plan options with $0 premiums. The big question is if you see the glass half full or empty? Is the task of competing with the dominant incumbents too great, or is the sheer fact that MA startups have so much room to grow enrollment to fair market share values too great to pass up? At the end of the day, these MA startups will own the initial premium dollar and have the flexibility to pay for services at the rate and volume they believe will reduce MLR and ALR spend. This provides a whole host of issues, but not the ones majority of healthcare technology startups face in coming years related to reimbursement. These companies, along with many others, will be deciding the fate of who gets paid, and therefore, who survives.
Andy Mychkovsky is the creator of Healthcare Pizza. This post originally appeared on Healthcare Pizza here.
The post Will Medicare Advantage (MA) Startup Plans Be The Future? appeared first on The Health Care Blog.
Will Medicare Advantage (MA) Startup Plans Be The Future? published first on https://venabeahan.tumblr.com
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letscreateafricaorg · 5 years
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New post in LET'S CREATE AFRICA (L.C.A.): ual and Reproductive Health and Rights (SRHR). It is currently working in more than 170 countries in the world. The Africa Regional Office (IPPFARO) is one of IPPF’s six regional offices. The WISH1 Project (Women’s Integrated Sexual Health – Lot 1) is a programme funded by DFID, aimed at delivering sexual and reproductive health services across a range of West African countries. The project is led by Marie Stopes International and subcontracted to IPPF to implement the project in 6 countries of the programme. The WISH2Action Project (Women’s Integrated Sexual Health – Lot 2) is a programme funded by DFID, aimed at delivering sexual and reproductive health services across a range of Southern and Eastern African and Asian countries. The project is a six-member consortium led by IPPF and subcontracted by DFID to implement the project in 15 countries of the programme. The WISH2Action project management and technical support team is based in the Nairobi Hub office hosted by the Africa Regional Office. Job Details The role of the Finance Officer for Lot 1 will be to support the Senior Finance Advisor (and the broader WISH Lot 1 management team) in the lead on the delivery of all financial monitoring and control aspects of a large-scale, DFID funded payment by results contract to deliver sexual and reproductive health services (and related deliverables) across a range of countries and contexts. The post holder will also support all of the financial transactions and payments of the WISH Lot 1 project, incurred at the ARO. The project will be implemented through an existing network of IPPF Member Associations (MAs) as well as other delivery partners working within the context. The role of the Finance Officer for Lot 2 will be to support all the financial transactions and payments of the WISH2Action Project which are carried out by the ARO financial operations team to ensure correct and timely finance function to support the activities of the Hub. Key Tasks WISH Lot 1 Manage the programme finances’ tracker, ensure that it is updated Prepare financial documentation: proofread, review, collate written materials in French and English Ensure that financial programme documentation is managed and filed on SharePoint and available to all users as required Ensure financial transactions and payments relating to Lot 1 are carried out with precision and in a timely manner Ensure preparation of good quality PowerPoint presentations, manuals etc. as required Support the financial reporting to MSI for 6 MAs and project management Support the review of project budgets and reports prepared by MAs. To remain abreast of the latest DFID financial and compliance requirements and best practices, maintain an overview of relevant key developments in the sector. WISH Lot 2 Ensure all Lot 2 costs incurred by ARO are coded correctly and timely in NetSuite Ensure all Lot 2 payments via ARO finance department are paid within 30 days of presentation Support banking requirements for WISH Lot 2 including ensuring per diem (cash payments), payments to local vendors and other requirements as necessary Working with colleagues in ARO Operations team and CO Finance team prepares Lot 2 inter-company payments and reports in Netsuite in order to ensure correctly and timely payments to ARO All other duties as identified and agreed with supervisor to fulfil WISH2 Hub support costs and transactions. EDUCATION & QUALIFICATIONS Bachelor’s Degree in commerce/ Business or related discipline Part qualified or qualified ACCA / CPA or equivalent. Competitive remuneration will be negotiated with the successful candidate. IPPF is an equal opportunity employer. Closing date Friday 5th June 2019. We regret only shortlisted candidates will be acknowledged. Check the job profile at www.ippfar.org “Applications are particularly encouraged from candidates openly living with HIV.” IPPF has​ been made aware of various fraudulent vacancy announcements circulated via e-mail from websites falsely stating that they are issued by or in association with IPPF. These correspondences, http://bit.ly/2WzN5u1
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