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Business Analyst jobs at AmTrust Financial - 48 jobs

  • Business Systems Analyst - Claims

    Amtrust Financial Services, Inc. 4.9company rating

    Business analyst job at AmTrust Financial

    The Business Analyst is a part of the Claims Product Management/Execution group that supports outlining and implementing software solutions. Business Analysts must be able to efficiently reach an understanding of complex tasks while using this understanding to produce project artifacts that satisfy project objectives. The Business Analyst will work as a liaison among various stakeholders to elicit, analyze, communicate, validate and document requirements for changes to business processes, policies and information systems. We are looking for someone insatiably inquisitive with attention to detail and empathetic to business needs, who will critically analyze and solve problems of a complex nature. Must be a team player with strong communication skills. Maintains a solid understanding of AmTrust's mission, vision, and values. Upholds the standards of the AmTrust organization. Responsibilities Collaborate with business stakeholders to gather and document requirements. Analyze and model business processes to identify areas for improvement. Develop and implement system solutions that meet business needs. Conduct system testing and validation to ensure functionality and performance. Provide ongoing support and training to users. Create and maintain documentation for system processes and procedures. Support risk management and change management activities. Stay up-to-date with industry trends and best practices. Qualifications Bachelor's Degree required from college or university or 3+ years' experience in commercial insurance and accounts receivable setting Knowledge of system development lifecycle (SDLC) and project management principles. Proven experience as a Business Analyst or similar role. Strong, professional communication skills including interacting with all levels of customer service including external customers, internal customers and senior management Able to work effectively in a team environment, building rapport and relationships Abie to work independently Proficient in synthesizing information and conveying it in a way that fosters common understanding Proficient in the use of Microsoft Office, particularly in Outlook, Word, Project and Visio Preferred: 1+ years of experience with Salesforce Automations such as Flows, Process Builders. Strong Flow knowledge is preferred, with emphasis on record triggered flows, collections, loops, and working with and configuring 3rd party lightning components. Strong technical knowledge of Salesforce administration and configuration; Salesforce Advanced Administrator Certification preferred. Prior experience in Commercial Lines Property & Casualty insurance litigation, inclusive of Workers' Compensation related litigation, highly desired. Hands on involvement with litigation facing solutions and experiences. The expected salary range for this role is $76,600- $100,000. Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. #LI-IT1 #LI-HYBRID What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.
    $76.6k-100k yearly Auto-Apply 1d ago
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  • Sr Actuarial Analyst ALDP - Remote

    Unitedhealth Group 4.6company rating

    Cypress, CA jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. What's your next step? How will you leverage the study, training, certifications, and your energy to help develop solutions to transform the health care industry? As an Actuarial Consultant in our Actuarial Leadership Development Program at UnitedHealth Group, you can do just that. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. It's an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Develop in-depth understanding of core actuarial concepts to develop rate reviews, medical plan pricing, competitive analyses, and more Identify and address data issues and outliers in results Communicate effectively to actuarial and non-actuarial audiences Independently anticipate and complete recurring work responsibilities in an accurate and timely fashion Support all regulatory reports, surveys, audits, and filings Provide timely and complete Peer Review services Maintain proper and sufficient documentation Build relationships within and across regional pricing teams and internal customers such as Products, Sales, Regulatory, and UW Take on opportunities to contribute to various projects and work groups to further Regional/National pricing focus areas Be self-aware, compassionate, and genuine in service to all team members Be inclusive, advance diversity; participate in collaborative, engaged, and high-performing teams Be courageous, empowering, and supportive so each person can achieve their goals Meet exam sitting and passing requirements as described in AEP/ALDP (if applicable) Meet CE requirements as outlined by AAA/SOA (if applicable) Other professional development (specific for individual) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Undergraduate Bachelor's degree On the Actuarial exam track, having passed 2 or more Actuarial exams 2+ years of actuarial experience Experience communicating technical information to non-technical audiences Intermediate or higher level of proficiency in MS Excel Preferred Qualifications: Experience with actuarial pricing Actuarial experience with small group ACA health insurance plans Intermediate or higher level of proficiency with SQL or similar programming language Proven good communication/presentation skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $72.8k-130k yearly 2d ago
  • Business Analyst III Hedis, SQL

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. Identify and analyze user requirements, procedures, and problems to improve existing processes. Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. Identify ways to enhance performance management and operational reports related to new business implementation processes. Coordinate with various business units and departments in the development and delivery of training programs. Develop, share, and incorporate organizational best practices into business applications. Diagnose problems and identify opportunities for process redesign and improvement. Formulate and update departmental policies and procedures. Serve as the subject matter expert on the assigned function product to ensure operational performance. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 11d ago
  • Business Analyst III Excel and Power BI

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. The Position Management team plays a critical role in supporting organizational structure, workforce planning, and operational efficiency. Advanced Excel skills highly preferred. Experience with staffing models, capacity planning or workforce planning a plus. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 3d ago
  • Senior Business Analyst - Transportation and Sharing Economy Insurance (Remote)

    Crum & Forster 4.5company rating

    Morristown, NJ jobs

    Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recognized as among the best in the industry. Our most valuable asset is our people: more than 2500 employees in locations throughout the United States. The company is increasingly winning recognition as a great place to work, earning several workplace and wellness awards for four years running, including the 2025-2026 Great Place to Work Award for our employee-first focus and our steadfast commitment to diversity, equity and Inclusion. C&F is part of Fairfax Financial Holdings, a global, billion dollar organization. For more information about Crum & Forster, please visit our website: ************** Job Description What you will do: Seeking a seasoned, results-focused Senior Business Analyst who combines P&C insurance industry knowledge with a natural curiosity and drive for continuous improvement. The primary focus will be leading projects to support our rapidly expanding Sharing Economy business, providing the opportunity to establish innovative, high-quality technical solutions to address complex business challenges. The ideal candidate is a tenacious, highly independent self-starter who thrives in fast-paced environments and is comfortable navigating ambiguity to deliver clear, actionable results. This role requires a leader with a demonstrated history of achieving measureable results and successfully delivering on business objectives. What you will bring to C&F: Bachelor's degree required. 5-6+ years of related experience working as a Business Analyst. Experience working in the insurance industry. Experience with Sharing Economy business, preferred but not required. Experience with Confluence and JIRA, preferred. Excellent Microsoft Office skills (Word, Excel, Outlook, PowerPoint, Visio, Teams). Experiencing supporting underwriting operations (particularly Admitted/Non-Admitted in Auto, General Liability, and Excess/Umbrella lines of business preferred.) Leadership qualities and a proven record of delivering projects successfully and timely. A natural leader who takes ownership of tasks and ensures thorough and on time completion. Ability to interpret and clarify ambiguous requirements, proactively seeking and driving clarification from stakeholders to ensure effective progress and successful outcomes. Manage scope creep by maintaining focus on outlined business objectives, ensuring teams remain aligned with project goals and deliverables throughout the project lifecycle. Skilled in segmenting projects into actionable tasks and deliverables to drive efficiency and achieve project goals. Adept in facilitating and documenting collaborative discussions to ensure clarity and accountability. Support newer business analysts by offering mentorship, sharing expertise and providing direction. What C&F will bring to you Competitive compensation package Generous 401K employer match Employee Stock Purchase plan with employer matching Generous Paid Time Off Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family's wellness, including your physical, mental and financial wellbeing A core C&F tenet is supporting your career development, so we provide a wealth of ways for you to keep learning, which may include tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path A dynamic, ambitious, fun and exciting work environment We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community At C&F you will BELONG If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know. Belonging at C&F, is a mindset. It's about fostering a culture of inclusion and connection, where everyone feels valued, heard, and empowered to thrive and where our social impact efforts help strengthen the communities where we live and work. For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit **************************************************************** for more information. Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $87,000 to a maximum of $127,600. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee's contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.
    $87k-127.6k yearly Auto-Apply 2d ago
  • Martech Business Analyst

    Cigna Group 4.6company rating

    Saint Louis, MO jobs

    We are seeking a strategic, analytical contributor to join the Platform & Delivery Efficiency Team as a Workstream Analyst. This role is pivotal in translating business priorities into clear, actionable deliverables, supporting prioritization, and enabling value realization across delivery strategy and CDP initiatives. WHAT YOU'LL BE DOING Partner with business leaders and stakeholders to translate strategic priorities into actionable deliverables. Document the ask, goals, requirements, measurable outcomes, and success criteria for each initiative. Provide analysis to support prioritization, value realization, and trade-off decisions. Identify and align with cross-functional teams required to deliver on strategic deliverables. Ensure delivery teams have clarity on scope, success criteria, and expected outcomes. Support intake of new requests and facilitate review and prioritization in Steerco forums. Participate as a member of the delivery team, adding clarity and a path forward when requirements change or blockers arise. Funnel shovel-ready work to delivery teams for estimation and scheduling/resource alignment. Track progress and support reporting on KPIs and value delivery. RELEVANT SKILLSET Hands‑on marketing technology experience with tools such as CDPs, ESPs, marketing automation platforms, or campaign orchestration systems preferred. Proven ability to map MarTech data flows, translate marketing requirements into technical specs, and support implementation or integration work. Experience in strategy, portfolio analysis, or business analysis within a cross-functional environment. Demonstrated ability to translate business strategy into actionable plans and measurable outcomes. Strong analytical skills; able to assess value, prioritize initiatives, and support trade-off decisions. Excellent communication and stakeholder management skills. Experience developing and maintaining roadmaps and dashboards. Ability to work collaboratively across teams and influence without direct authority. Familiarity with delivery frameworks, project management tools, and value realization methodologies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 75,200 - 125,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $55k-74k yearly est. Auto-Apply 34d ago
  • Martech Business Analyst

    The Cigna Group 4.6company rating

    Saint Louis, MO jobs

    We are seeking a strategic, analytical contributor to join the Platform & Delivery Efficiency Team as a Workstream Analyst. This role is pivotal in translating business priorities into clear, actionable deliverables, supporting prioritization, and enabling value realization across delivery strategy and CDP initiatives. **WHAT YOU'LL BE DOING** + Partner with business leaders and stakeholders to translate strategic priorities into actionable deliverables. + Document the ask, goals, requirements, measurable outcomes, and success criteria for each initiative. + Provide analysis to support prioritization, value realization, and trade-off decisions. + Identify and align with cross-functional teams required to deliver on strategic deliverables. + Ensure delivery teams have clarity on scope, success criteria, and expected outcomes. + Support intake of new requests and facilitate review and prioritization in Steerco forums. + Participate as a member of the delivery team, adding clarity and a path forward when requirements change or blockers arise. + Funnel shovel-ready work to delivery teams for estimation and scheduling/resource alignment. + Track progress and support reporting on KPIs and value delivery. **RELEVANT SKILLSET** + Hands‑on marketing technology experience with tools such as CDPs, ESPs, marketing automation platforms, or campaign orchestration systems preferred.Proven ability to map MarTech data flows, translate marketing requirements into technical specs, and support implementation or integration work. + Experience in strategy, portfolio analysis, or business analysis within a cross-functional environment. + Demonstrated ability to translate business strategy into actionable plans and measurable outcomes. + Strong analytical skills; able to assess value, prioritize initiatives, and support trade-off decisions. + Excellent communication and stakeholder management skills. + Experience developing and maintaining roadmaps and dashboards. + Ability to work collaboratively across teams and influence without direct authority. + Familiarity with delivery frameworks, project management tools, and value realization methodologies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 75,200 - 125,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $55k-74k yearly est. 60d+ ago
  • Senior Business Systems Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Design, build, test and maintain enablers of business processes, including technology and process solutions with a focus on medium to high complexity, multiple large application business processes and/or business relationships. Contribute to the entire implementation process Drive definition of improvements based on business need and architectural improvements Responsible for overall solution design, build and test, root cause analysis, and advanced performance tuning complex business processes and functionality Consult with users to identify current operating procedures and to clarify program objectives May be expected to write documentation to describe program development, logic, coding, and corrections. Write manuals for users to describe installation and operating procedures Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 3+ years of related experience. One or more of the following skills: ETL Deployment SQL Server Power BI Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $87.7k-157.8k yearly Auto-Apply 3d ago
  • Scrum Master II

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Supports the oversight of activities managed by a delivery pod / application team while adhering to agile practices and disciplines. Works closely with Product Owners to ensure that delivery pod / application team members are working on the highest priority work items defined within their respective roadmaps. Prepares deliverables and artifacts that highlight the progress accomplished by delivery pods / application teams (velocity, sprint and feature burn ups / burn downs, cumulative flow reports, etc.) and presents those artifacts as needed. Provides hands-on coaching to support the adoption of agile practices and identifying opportunity areas for continuous improvement. Supports Scrum team(s) in delivery of sprint goals and iterative delivery of software solutions that deliver business value. Partners with the product owner to support product backlog definition, refinement, and prioritization of work into sprints Creates dashboards, gathers metrics, measures, and monitors team progress; disseminates relevant project information including action items to necessary stakeholders Facilitates daily stand-up meetings to track and remove roadblocks for the scrum team, and escalates issues in a timely manner Creates, revises, and executes timelines as appropriate to ensure projects are on track Sets concrete goals for a sprint, including deadlines for completion and metrics to determine success Ensures the work implemented by delivery pod and application teams adheres to the steps and procedures outlined within the definition of done (DoD) framework Facilitates the sprint review of product increment planning by the scrum team Collaborates with program management on process improvement initiatives; supports retrospectives Develops and presents sprint level reports (ex: burnups, cumulative flows, velocity charts) to technology and business stakeholders Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 - 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Knowledge of Agile Leadership; Agile Management; Agile Software Development; Agile Testing; Project Management; Software Development Life Cycle Experience with JIRA; Project Management; Stakeholder Management; User Story Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently License/Certification: SAFe Scrum Master Certification Certified Agile Practitioner, or equivalent certifications required SAFe Scrum Master Certification preferred Pay Range: $75,300.00 - $135,400.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $75.3k-135.4k yearly Auto-Apply 4d ago
  • RCM - Business Process Analyst - Remote

    Unitedhealth Group 4.6company rating

    Atlanta, GA jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** This role supports the design and implementation of operational digital playbooks for RCM Middle Operations (CDI, Coding, HIM). The senior analyst ensures accurate documentation, compliance, and smooth onboarding for new clients while contributing to process standardization across existing accounts. This role will have primary responsibility supporting the Optum Physician Advisory Services (OPAS). You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Support Optum Physician Advisory Services (OPAS) + Contribute to the development and maintenance of digital playbooks by documenting workflows and SOPs under guidance from senior leaders + Ensure alignment with enterprise standards and client-specific requirements + Assist in onboarding new clients by applying established playbook frameworks + Adapt processes to meet client needs while maintaining compliance + Support efforts to standardize workflows across multiple clients + Identify and report opportunities for efficiency improvements + Implement updates to operational content based on regulatory changes + Collaborate with compliance teams to ensure timely adoption + Participate in content review and validation processes + Ensure documentation meets quality and usability standards + Work closely with SMEs and internal teams to execute transformation initiatives + Provide input for Centers of Excellence activities + Escalate issues to the consultant You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 5+ years in RCM with experience in CDI, Coding, HIM + Experience supporting change management initiatives + Solid understanding of compliance and payer-provider dynamics **Preferred Qualifications:** + Experience with operational playbook development and process documentation + Proficiency with tools such as Microsoft Office Suite and Smartsheet + Familiarity with governance processes and compliance frameworks + Proven solid communication and collaboration skills across cross-functional teams *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $72.8k-130k yearly 2d ago
  • Personal Lines - Business Analyst I-lll

    Cincinnati Financial Corporation 4.4company rating

    Fairfield, OH jobs

    Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into action, we're looking for extraordinary people to join our talented team. Our service-oriented, ethical, knowledgeable, caring associates are the heart of our vision to be the best company serving independent agents. We help protect families and businesses as they work to prevent or recover from a loss. Share your talents to help us reach for continued success as we bring value to the communities we serve and demonstrate that Actions Speak Louder in Person. If you're ready to build productive relationships, collaborate within a diverse team, embrace challenges and develop your skills, then Cincinnati may be the place for you. We offer career opportunities where you can contribute and grow. Start your journey with us The Personal Lines Operations department is currently seeking a business analyst. The business analyst acts as a liaison between the users of Diamond and the technical development teams. The PL Business Analyst gathers information from state filed rules, rates and forms; tests and reviews existing workflows; interviews internal end-users and works with development staff to develop solutions that maximize functionality for our users while keeping within time and resource constraints. The PL Business Analyst develops requirement specifications and follows established procedures to communicate the requirements to the team. The PL Business Analyst acts as a Product Owner for individual Agile teams within the Personal Lines Department. Salary: The pay range for this position is $55,000 - $85,000 annually. The pay determination is based on the applicant's education, experience, location, knowledge, skills, and abilities. Eligible associates may also receive an annual cash bonus and stock incentives based on company and individual performance. Be ready to: * analyze state filing information to determine how changes should be incorporated into Diamond * gather and document Personal Lines business requirements * communicate effectively * work with the technical development team to determine solutions to problems that consider timeliness, effectiveness, and practicality in addressing customer needs Be equipped with: * strong decision making, logical thinking and sound judgment * strong written and verbal communication skills * a strong technical aptitude * excellent analytical skills with a focus on attention to detail You've earned: * a Bachelor's Degree * an API designation or an INS / AINS designation with 3 years of Personal Lines experience Enhance your talents Providing outstanding service and developing strong relationships with our independent agents are hallmarks of our company. Whether you have experience from another carrier or you're new to the insurance industry, we promote a lifelong learning approach. Cincinnati provides you with the tools and training to be successful and to become a trusted, respected insurance professional - all while enjoying a meaningful career. Enjoy benefits and amenities Your commitment to providing strong service, sharing best practices and creating solutions that impact lives is appreciated. To increase the well-being and satisfaction of our associates, we offer a variety of benefits and amenities. Learn more about our benefits and amenities packages. Embrace a diverse team As a relationship-based organization, we welcome and value a diverse workforce. We grant equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation; religion; national origin; age; disability; or any other basis prohibited by law. Learn more about the Federal Employment Notices.
    $55k-85k yearly 37d ago
  • Analyst, Product Analysis

    Liberty Mutual 4.5company rating

    Remote

    Note: This role may require in-office presence depending on candidate location. The Personal Lines Property & Specialty Program Delivery team is looking for an Analyst to play a key role in leading the analysis and execution of pricing program rollouts that drive USRM's profit and growth goals. In this role, you will lead the end-to-end rollouts for assigned states, gaining hands-on experience with pricing strategy and product rollout processes. You will be responsible for determining product scope, ensuring this scope is in compliance with regulations while collaborating closely with stakeholders to ensure product implementations are accurate, timely, and high quality. Join a collaborative Delivery team where your attention to detail, strong analytical skills, and continuous-improvement mindset will directly contribute to measurable results. Responsibilities Partner with the lead project manager and stakeholders to drive the development and implementation of new personal lines property and specialty pricing programs, ensuring timely, compliant, and high-quality rollouts. Fully own end-to-end state program launches - manage timelines, identify risks, create contingency plans, and escalate blockers as needed. Provide thoughtful recommendations to key stakeholders on pricing, strategy, etc. Support cross-functional workstreams and moderate-to-high complexity projects. Conduct analysis under minimal supervision to help drive business decisions; when necessary, query data to conduct ad hoc analysis of profit and loss metrics and understand and manipulate the data to tell a story and answer questions. Support creating and updating training materials and process documentation Drive continuous improvement - identify opportunities to streamline processes, increase accuracy, and accelerate state implementations. The ideal candidate will have: Strong project management, organization, and communication skills Technical aptitude with experience in SAS and/or SQL, Excel and data visualization Demonstrated ability to learn new concepts, processes, and tools quickly A keen eye for process improvement, with a proven track record of proactively identifying and driving forward change Ability to work through ambiguity, think critically, and influence others to drive quick and sound decision-making Ability to simplify complex concepts for varying audiences Intermediate knowledge of insurance pricing is a plus as well as experience in Personal Lines Property/Specialty or Product Management Qualifications Bachelor's degree in business, economics, or other quantitative field. Minimum 2 years, typically 3 years or more of relevant experience. Completion on product development program. Proficient in Excel, PowerPoint, and data analysis software (e.g., SAS, Access). Must have good planning, organizational, analytical, decision making and communication skills. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $65k-88k yearly est. Auto-Apply 2d ago
  • Data Solutions Analyst

    Liberty Mutual 4.5company rating

    Remote

    Provides, builds, and maintains prototype data solutions to meet the needs of the enterprise. Helps ensure those solutions can be scaled appropriately. Under technical direction, works within limits and authority on assignments of moderate technical complexity and coordination. Possesses demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels. May provide guidance and assistance to lower level associates and other functional areas. If you reside within 50 miles of any of the following offices: Boston, MA; Portsmouth, NH you'll be required to go into the office twice a week. Please note this policy is subject to change. Responsibilities * Under technical direction, prototypes/develops data solutions of moderate complexity to meet the needs of the organization and business customers. * Code proof of concepts utilizing a working knowledge of multiple coding languages, leveraging reusable code modules. * May provide assistance to lower level team members. Participate in the design and development of data solutions that enable effective self service data consumption, and can describe their value to the customer. * Has an understanding of Agile techniques. * Can set expectations for deliverables of moderate complexity. * Participate in the maintenance of proof of concepts and prototype data solutions, and participates in any assessment of their viability and scalability, with partnership from IT. * Working with IT, assist in building robust systems focusing on long term and ongoing maintenance and support. * Ensure data solutions include deliverables required to achieve high quality data. * Has an understanding of Business Intelligence tools, including visualization and user experience techniques. * Can set expectations for deliverables of moderate complexity. Apply a working knowledge of the principles of metadata, lineage, business definitions, compliance, and data security to project work. Have a basic ability to understand new technologies as needed to progress initiatives. Qualifications * Working experience with SAS, SQL, PowerBI, JCL, Jira, SAP, Snowflake and Focus preferred. * 1-3 or more years' experience in coding for data management, data warehousing, or other data environments * Experience extracting data utilizing data stores * Candidate must have an analytical mind and a curious nature - able to read ambiguous regulatory guidance, ask the right questions, and translate vague instructions into precise data requirements and testable rules. Strong written and oral communication skills required. * Bachelor's degree in computer science, Computer Engineering, or related discipline preferred ∙ Masters in same or related disciplines preferred About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $82k-111k yearly est. Auto-Apply 2d ago
  • Principal Data Solutions Analyst

    Liberty Mutual 4.5company rating

    Remote

    As a Principal Data Solutions Analyst within the Financial Services Portfolio, you will collaborate with the USRM Finance and Finance Planning teams to provide modern tools that simplify processes and enhance analytical insights. You will be responsible for working across finance teams to deliver a modernized planning, forecasting, and budgeting platform, as well as developing and executing a vision for implementing this platform in the US organization. Operating at the intersection of business strategy and technical development, the Data Solutions team collaborates closely with senior leadership, IT, finance, marketing, distribution, and product teams to enhance the company's ability to analyze past performance and plan for the future. By designing, building, and implementing centralized data, planning, and reporting solutions, the team plays a key role in integrating USRM functions effectively. In this role, you will: Be responsible for partnering with the Planning and Data teams to drive the design, development and implementation of new Anaplan models. Collaborate with various US-based development teams to determine stakeholder needs, propose innovative solutions to existing limitations, and facilitate better collaboration between teams. Gain exposure to new skills, technologies, and challenges regularly. The ideal candidate will: Have hands-on experience with Anaplan, including creating and translating requirements, model building, optimization, and troubleshooting. Level 1 Certification required, Level 2 Certification preferred. Possess strong analytical skills, a deep understanding of financial systems and an ability to translate complex business requirements into effective technical solutions. Leverage your expertise to drive improvements in our financial planning processes, utilizing both your technical acumen and your ability to communicate effectively with diverse stakeholder groups. Have exceptional project management capabilities as this is critical to oversee multiple parallel initiatives to enhance our enterprise application solutions. Take a collaborative approach fostering innovation and efficiency, ensuring that our team consistently delivers high-value outcomes that align with the strategic objectives of our organization. Responsibilities for this role include: Engage in collaborative efforts with stakeholders to identify and implement innovative solutions aimed at increasing process efficiency. Establish strong working relationships with team members to thoroughly understand processes, gather detailed requirements, and test solutions effectively. Employ inquisitive techniques to extract necessary information for the development of effective and efficient processes. Develop and refine business processes, implementing solutions for the collection and management of requirements to ensure they meet business needs. Collaborate with business stakeholders to identify and clarify user story acceptance criteria and support the planning of user acceptance tests. Identify issues within existing Anaplan Models and other tools, processes, and data sources, and proactively suggest improvements to enhance accuracy, reduce latency, and eliminate inefficiencies. Participate in continuous improvement efforts to enhance business processes, systems, and support mechanisms. Prepare regular status update documentation and conduct meetings for ongoing projects and solutions. Create and maintain comprehensive process documentation and lead end-user training sessions. Empower contractors through effective mentorship, fostering collaboration, and achieving collective success. Qualifications Strong written and oral communication skills required Bachelor`s Degree in Computer Science, Computer Engineering, or related discipline preferred Masters in same or related disciplines strongly preferred 5-7 years' experience in coding for data management, data warehousing, or other data environments, including, but not limited to, working in NoSQL implementation, ETL, Java, scripting languages (Python, Perl, Shell), and the Hadoop stack 5-7 years' experience as developer with top quadrant Business Intelligence tools About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $82k-111k yearly est. Auto-Apply 4d ago
  • Fraud Waste Abuse - FWA - Data Analyst - Remote

    Unitedhealth Group 4.6company rating

    Dallas, TX jobs

    Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities within Medicaid claims. You will be working with a State Government Product and Data Mining team. Your primary responsibility will be to assist in the development and deployment of algorithms designed to support program integrity across various platforms and states plus support our fraud and abuse detection product and services. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Write simple to intermediate SQL statements to extract data for client inquiry and research + Utilize production reports to perform research and assess quality of overall data + Analyze and interpret data to identify FWA trends and patterns within claims data + Engage with clients to triage and manage incoming operational inquiries and tasks + Interface professionally with data engineers, software engineers and other development teams + Troubleshoot client operational issues quickly and comprehensively + Support, train and mentor fellow analysts and developers + Improve operational processes + Works with minimal guidance; seeks guidance on only the most complex tasks + Function well within a matrix organization (E.g. - supporting multiple leaders) + Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality + Proficiency with excel & visualization tools + Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE) + 3+ years of experience writing intermediate SQL queries + 3+ years fraud, waste and abuse data mining experience + 2+ years of data analysis experience working with database structures + 2+ years of healthcare claims experience + Ability to travel up to 10% **Preferred Qualifications:** + Experience with statistical analysis of data + Experience with Rally + Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes + Knowledge of healthcare claim adjudication systems *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $72.8k-130k yearly 2d ago
  • Fraud Waste Abuse - FWA - Data Analyst - Remote

    Unitedhealth Group 4.6company rating

    Phoenix, AZ jobs

    Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities within Medicaid claims. You will be working with a State Government Product and Data Mining team. Your primary responsibility will be to assist in the development and deployment of algorithms designed to support program integrity across various platforms and states plus support our fraud and abuse detection product and services. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Write simple to intermediate SQL statements to extract data for client inquiry and research + Utilize production reports to perform research and assess quality of overall data + Analyze and interpret data to identify FWA trends and patterns within claims data + Engage with clients to triage and manage incoming operational inquiries and tasks + Interface professionally with data engineers, software engineers and other development teams + Troubleshoot client operational issues quickly and comprehensively + Support, train and mentor fellow analysts and developers + Improve operational processes + Works with minimal guidance; seeks guidance on only the most complex tasks + Function well within a matrix organization (E.g. - supporting multiple leaders) + Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality + Proficiency with excel & visualization tools + Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE) + 3+ years of experience writing intermediate SQL queries + 3+ years fraud, waste and abuse data mining experience + 2+ years of data analysis experience working with database structures + 2+ years of healthcare claims experience + Ability to travel up to 10% **Preferred Qualifications:** + Experience with statistical analysis of data + Experience with Rally + Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes + Knowledge of healthcare claim adjudication systems *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $72.8k-130k yearly 2d ago
  • Business Systems Analyst II

    Amtrust Financial Services, Inc. 4.9company rating

    Business analyst job at AmTrust Financial

    The Business Systems Analyst at AmTrust is the individual who has the primary responsibility to elicit, analyze, validate, specify, verify, and manage the real needs of the project stakeholders, including customers and end users. The BSA serves as the conduit between the customer community and the software development team through which requirements flow. They facilitate discussions amongst business stakeholders across the organization to ensure all groups impacted by a project are given an opportunity to provide the necessary feedback as functional requirements are gathered and confirmed. Projects can range from minor enhancements to larger and more complex work items for insurance quoting and policy management systems, and responsibilities may include production support on assigned systems. The BSA is responsible for working with IT to deliver software solutions for new and existing products and services within our company. The BSA is involved at some level throughout the entire software development life cycle and collaborates with the technology teams to ensure that they have the information they need for successful solution delivery. They serve the agile teams by ongoing and iterative prioritization of the product backlog, ensuring requirements for user stories/features are complete prior to each sprint, and addressing questions the team may have in sprint planning and throughout the sprint. The BSA is responsible for seeing that the tasks are performed properly and verifying customer satisfaction. Qualifications Bachelor of Science Degree or equivalent business experience required. 3 plus years of experience in the design and development of complex business systems preferably in the Property & Casualty insurance industry. Good working and solid background knowledge of core business analysis practices & utilization of various techniques. Successful elicitation, prioritization, documentation, and organization of requirements. Ability to document and analyze business and system processes. Ability to provide recommendations for business and/or system processes. Effective and successful requirement estimation. Experience with full SDLC methodology including requirements, design, testing and support in an agile environment. Ability to communicate effectively with both business and technical staff and convey complex ideas both verbally and in written form. Flexible team player who can work in a fast-paced environment where ambiguity exists, and priorities are subject to change. Ability to successfully collaborate with all Project Sponsors/Governance, Core Project & Delivery Team participants. Ability to share knowledge and train others. Ability to multi-task (i.e., successfully work on several projects at the same time). Ability to work independently as well as effectively on medium to large projects. Demonstration of timely delivery of projects. Ability to professionally manage challenging situations. Must be proficient in Word and Excel. 3 plus years of experience in Commercial Property & Casualty insurance required. The expected salary range for this role is ($58,500.00 - $90,000.00). Please note that the salary information shown above is a general guideline only. Salaries are based upon a wide range of factors considered in making the compensation decision, including, but not limited to, candidate skills, experience, education and training, the scope and responsibilities of the role, as well as market and business considerations. #LI-IT1 #LI-HYBRID #AmTrust What We Offer AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off. AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities. AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future. Not ready to apply? Connect with us for general consideration.
    $58.5k-90k yearly Auto-Apply 1d ago
  • Senior IT Data Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment Delivers business solution architecture and implementation validation Engages in data profiling and source to target mapping. Works on complex data integration from disparate sources. Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners Engages with customers and business partners to gather requirements and validate results Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Data Manipulation; Data Mining Experience with one or more of the following Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language) Experience with Agile Software Development Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Pay Range: $73,800.00 - $132,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $73.8k-132.7k yearly Auto-Apply 60d+ ago
  • Principal Data Analyst MARS and TMSIS - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Analyze and develop complex SQL in Teradata and Oracle supporting data warehouse downstream reporting and analytics * Analysis of current business processes and systems, and documenting requirements for new processes and systems * Work with internal team and the customer on business documentation and updates * Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria * Help with developing presentations for the internal team and customer. Solicit input from others and pull information together to create a professional presentation * Work with team to document updates needed for Operations Guide * Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution * Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts * Positive attitude and willingness to jump in and help where needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 7+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems * 5+ years of experience in writing SQL * 4+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS) * Proven ability to lead communication (written and verbal) at the customer leadership level * Proven knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation * Proven effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision Preferred Qualifications: * 5+ years of experience in Informatica PowerCenter creating extracts * Experience with using SharePoint * Knowledge of data integration and software enhancements/planning * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $59k-71k yearly est. 10d ago
  • Principal Data Analyst MARS and TMSIS - Remote

    Unitedhealth Group 4.6company rating

    Eden Prairie, MN jobs

    Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Analyze and develop complex SQL in Teradata and Oracle supporting data warehouse downstream reporting and analytics + Analysis of current business processes and systems, and documenting requirements for new processes and systems + Work with internal team and the customer on business documentation and updates + Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria + Help with developing presentations for the internal team and customer. Solicit input from others and pull information together to create a professional presentation + Work with team to document updates needed for Operations Guide + Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution + Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts + Positive attitude and willingness to jump in and help where needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 7+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems + 5+ years of experience in writing SQL + 4+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS) + Proven ability to lead communication (written and verbal) at the customer leadership level + Proven knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation + Proven effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision **Preferred Qualifications:** + 5+ years of experience in Informatica PowerCenter creating extracts + Experience with using SharePoint + Knowledge of data integration and software enhancements/planning *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $59k-71k yearly est. 10d ago

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