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.
Candidate must live in Eastern Time Zone.
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. In addition to the above the analyst will collect, analyze, and report on healthcare quality data (Healthcare Effectiveness Data and Information Set) for the health plan, ensuring accuracy for regulatory compliance and identifying gaps to improve patient care, using tools like SQL and collaborating with providers and other teams to meet NCQA standards and enhance quality metrics.
Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data.
Use SQL to query and manipulate large healthcare datasets to identify trends, anomalies, and improvement opportunities.
Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customer.
Manage multiple, variable tasks and data review processes under direct supervision within targeted timelines.
Create reports and data reconciliation through Access, Excel, and other reporting tools, to include provider data, claims data, and membership data.
Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience: Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 0-2 years of experience in working with large databases, data verification, and data management. Working knowledge of SQL/query languages. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred. Experience with data mining, population health, and statistical modeling 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: $56,200.00 - $101,000.00 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
$56.2k-101k yearly Auto-Apply 2d ago
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Provider Data Coordinator II
Centene 4.5
Data analyst job at Centene
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.
Position Purpose: Perform day to day functions to inbound requests and maintain provider database. Audit analyses on completed requests and monitor compliance status of submitted requests.
Analyze inbound request to determine accuracy and route request to provider changes or other cross functional teams
Maintain provider data management systems for accuracy
Handle and resolve provider data issues, such as mass change updates, limited reconciliations and direct submissions of urgent requests
Coordinate provider data between the health plan database and various internal databases
Participate in reconciliation and provider data projects
Review, investigate and resolve inquiries regarding loaded providers that may have issues reported from internal and external customers
Submit daily and weekly internal and external status reports
Initiate and process provider add, change and termination forms
Track, update and audit provider information in database
Assist in Corporate audit activities or requests for claims provider set up
Education/Experience: High school diploma or equivalent. Associate's degree in related field preferred. 3+ years of provider data or network administration experience, preferably in managed care. Proficient in Microsoft Access and Excel applications. Experience with data management in large databases, reporting, and analysis preferred.
This position is remote within the state of New York or the Tri-State area. Quarterly and as needed meetings in office are required.
Pay Range: $23.23 - $39.61 per hour
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
$23.2-39.6 hourly Auto-Apply 7d ago
Principal Data Scientist - Healthcare AI (Remote)
Humana Inc. 4.8
Juneau, AK jobs
A leading health services organization is seeking a Principal Data Scientist to drive AI innovation and develop reliable AI systems. The role involves designing AI solutions, building autonomous agents, and collaborating with various teams. Candidates should have a master's or Ph.D. and at least 10 years of relevant experience, with expertise in programming languages like Python and R. This position is remote and offers competitive compensation and benefits.
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$73k-89k yearly est. 6d ago
Principal Data Scientist, AI for Healthcare (Remote)
Humana Inc. 4.8
Providence, RI jobs
A leading healthcare company seeks a Principal Data Scientist to drive AI innovation in improving healthcare quality. The role involves designing AI solutions, building autonomous systems, and collaborating with business teams. Candidates must have substantial experience in data science, particularly with AI and NLP, along with advanced technical skills in Python and machine learning frameworks. This role offers a competitive salary, benefits, and a chance to significantly impact healthcare outcomes.
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$68k-89k yearly est. 3d ago
Principal Data Scientist - AI, NLP for Healthcare (Remote)
Humana Inc. 4.8
Boston, MA jobs
A leading healthcare company is seeking a Principal Data Scientist to drive AI innovation, focusing on building reliable AI systems to enhance healthcare outcomes. The candidate will have extensive experience in data science, particularly in AI and NLP applications. This remote role offers competitive compensation and a variety of benefits including generous PTO and health coverage effective from day 1.
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$72k-95k yearly est. 6d ago
Principal Data Scientist, AI for Healthcare (Remote)
Humana Inc. 4.8
Urban Honolulu, HI jobs
A healthcare-focused company is seeking a Principal Data Scientist to lead AI innovation aimed at enhancing healthcare quality. You will design AI systems, collaborate with various teams, and provide strategic insight for improving patient care through advanced technology. The ideal candidate will have a strong background in data science, particularly in AI and NLP, with the capacity to build scalable AI solutions, and possess excellent communication and analytical skills.
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$62k-76k yearly est. 3d ago
Principal Data Scientist - Healthcare AI (Remote)
Humana Inc. 4.8
Denver, CO jobs
A leading healthcare innovation firm is seeking a Principal Data Scientist to lead AI innovations and develop interpretable AI systems that improve healthcare experiences. Candidates must have a Master's degree or Ph.D. and over 10 years of experience, particularly in AI and NLP applications. The position offers a generous benefits package and the opportunity to work in a collaborative environment focused on impact and excellence.
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$64k-81k yearly est. 6d ago
Principal Data Scientist - Health AI Leader (Remote)
Humana Inc. 4.8
Annapolis, MD jobs
A leading health services company is seeking a Principal Data Scientist to drive AI innovation. This role requires a Master's degree or Ph.D. and 10+ years of experience in data science, including AI and NLP applications. Responsibilities include designing AI solutions, building autonomous agents, and collaborating with business teams. The ideal candidate has proficiency in Python, extensive analytical skills, and exceptional communication capabilities. The position is remote and offers competitive pay and benefits.
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$67k-88k yearly est. 5d ago
Analyst II, Data Science, Solaria Labs
Liberty Mutual 4.5
Remote
Solaria Labs is a cross-functional team that partners with teams from across Liberty Mutual to stay on the forefront of disruption, incubating new products, services and experiences to better serve our customers, partners and communities today and in the future.
The Solaria Labs Applied Science team harnesses cutting-edge data science and machine learning to drive the lab's products and strategic priorities. Our mission is to develop customer-centric solutions and enhance our reputation as industry thought leaders.
We champion a culture of creativity, continuous improvement, and delivery of data science solutions that set new standards of excellence. Join us to be part of a fearless, visionary team and shape the future of the insurance industry.
Discover more at **************************
Job responsibilities
Collaborate with cross-functional teams across the enterprise to develop innovative predictive and generative AI solutions and solve Liberty's most challenging data science problems.
Apply knowledge of sophisticated analytics techniques to manipulate large structured and unstructured datasets in order to generate insights to inform business decisions.
Identify and tests hypotheses as part of building and developing predictive and generative models for business applications.
Translate quantitative analyses and results into accessible visuals and high-level presentations for non-technical audiences to help stakeholders interpret the data.
Enable the business to make trade-offs among choices, with a reasonable view into likely outcomes.
Customize machine learning solutions to specific client needs.
Develop solutions to loosely defined problems with guidance from teammates as you iterate on approaches.
Regularly engage with the data science community and participate in cross-functional working groups.
Ability to work eastern time is required
Qualifications
Solid knowledge of predictive analytics techniques and statistical diagnostics of models.
Advance knowledge of predictive toolset; expert resource for tool development.
Demonstrated ability to exchange ideas and convey complex information clearly and concisely.
Has a value-driven perspective with regard to understanding of work context and impact.
Competencies typically acquired through 0-1 yrs. of related experience with a Ph.D., a minimum of 2-3 yrs. of experience with a master's degree, a minimum of 4+ yrs. of experience with a bachelor's degree.
Preferred Qualifications
Breadth of knowledge with feature engineering, traditional machine learning, deep learning, and generative AI.
Familiarity with common machine learning frameworks (e.g. scikit-learn, PyTorch, Hugging Face, etc.).
Highly skilled in at least one data science discipline (e.g. computer vision, NLP, etc.).
Curiosity, ability to learn quickly, and a problem solving mindset.
Demonstrated ability to collaborate with cross-functional teams, interact with business stakeholders to understand the business problem, and explain complex concepts clearly and concisely.
Knowledge or experience with integrating multiple modalities (e.g., vision, language, audio) for advanced AI solutions.
Understanding of DevOps principles and MLOps practices to ensure smooth model deployment, monitoring, and continuous improvement.
Experience contributing to open-source data science and machine learning projects.
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
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$72k-97k yearly est. Auto-Apply 7d ago
Principal Data Analyst MARS and TMSIS - Remote
Unitedhealth Group 4.6
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 dataanalysts
+ 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. 4d ago
Principal Data Analyst MARS and TMSIS - Remote
Unitedhealth Group Inc. 4.6
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 dataanalysts
* 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. 5d ago
Lead Data Scientist - Safety Alignment
Humana 4.8
Columbus, OH jobs
**Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across our Insurance and CenterWell business segments. By collaborating with world-leading experts, we are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top talent to develop robust and reusable AI modules and pipelines, ensuring adherence to best practices in accountable AI for effective risk management and measurement. Join us in shaping the future of healthcare through AI excellence.
We are seeking a Lead Data Scientist to drive the safety, alignment, and ethical development of Agentic AI systems. You will lead initiatives to ensure our intelligent agents behave reliably, safely, and in accordance with human values across dynamic, multi-agent, and high-stakes environments. This is a cross-functional role bridging technical safety research, systems engineering, governance, and product implementation.
**Key responsibilities**
+ Design and implement safety architectures for Agentic AI systems, including guardrails, reward modeling, and self-monitoring capabilities
+ Lead and collaborate on alignment techniques such as inverse reinforcement learning, preference learning, interpretability tools, and human-in-the-loop evaluation
+ Develop continuous monitoring strategies for agent behavior in both simulated and real-world environments
+ Partner with product, legal, Responsible AI, governance, and deployment teams to ensure responsible scaling and deployment
+ Contribute to and publish novel research on alignment of LLM-based agents, multi-agent cooperation/conflict, or value learning
+ Proactively identify and mitigate failure modes, e.g., goal misgeneralization, deceptive behavior, unintended instrumental actions
+ Set safety milestones for autonomous capabilities as part of deployment readiness reviews
**Technical skills**
+ Proficiency in SQL, Python, and data analysis/data mining tools.
+ Experience with machine learning frameworks like PyTorch, JAX, ReAct, LangChain, LangGraph, or AutoGen
+ Experience with high performance, large-scale ML systems
+ Experience with deploying or auditing LLM-based agents or multi-agent AI systems
+ Experience with large-scale ETL
**Use your skills to make an impact**
**Required Qualifications**
+ Master's Degree and 4+ years of experience in research/ML engineering or an applied research scientist position preferably with a focus on developing production-ready AI solutions
+ 2+ years of experience leading development of AI/ML systems
+ Deep expertise in AI alignment, multi-agent systems, or reinforcement learning
+ Demonstrated ability to lead research-to-production initiatives or technical governance frameworks
+ Strong publication or contribution record in AI safety, interoperability, or algorithm ethics
**Preferred Qualifications**
+ Ph.D. in Computer Science, Data Science, Machine Learning, or a related field
+ Contributions to open-source AI safety tools or benchmarks
+ Understanding of value-sensitive design, constitutional AI, or multi-agent alignment
+ Experience in regulated domains such as healthcare, finance, or defense
**Additional Information**
**Location/Work Style:** Remote US
**Why Humana?**
At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:
+ Work-Life Balance
+ Generous PTO package
+ Health benefits effective day 1
+ Annual Incentive Plan
+ 401K - Excellent company match
+ Well-being program
+ Paid Volunteer Time Off
If you share our passion for helping people, we likely have the right place for you at Humana.
**Work at Home Guidance**
To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
**SSN Alert Statement**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$142,300 - $195,700 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-29-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$64k-82k yearly est. Easy Apply 60d+ ago
Martech Business Analyst
Cigna Group 4.6
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 29d ago
Commercial Product Analyst
Centene 4.5
Data analyst job at Centene
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:
Support the product team's focus on offering quality, competitive product solutions for growth and retention of our Ambetter and Medicare marketplace members. Provide tactical, operational, execution and analytical support for assigned Ambetter and Medicare product portfolio. Responsible for delivering compliant products to market while supporting business goals and objectives.
Perform product-related operational tasks by assisting with new product development and product feature updates, providing data, assembling reports, and regulatory filings.
Develop trust-based relationships and collaborates with other functional areas to collect information, in addition to acting as a lead on sub-projects and smaller initiatives ensuring timelines, internal alignment and all risks are escalated as needed for project deliverables.
Conduct basic qualitative and quantitative analysis on Ambetter or Medicare product performance, market share, and general competitor information to align internal stakeholders on the success of our Products as well as to shape changes to the product portfolios supporting growth goals.
Research competitor products, performs regulatory compliance analysis, and disseminates information with recommendations to team and partners to support product success fueled by deep industry knowledge and insights.
Lead the administration of meetings, follow defined policies and procedures, use designated team tools, and monitor regulatory rules and requirements.
Ensure a fully compliant Ambetter or Medicare product portfolio, at the state and federal levels by implementing the required changes into the product portfolios through benefit configuration and project documentation.
Attention to detail in all assigned audits and projects. Responsibility and accountability in completing self-checks before submitting files or proofing approvals to Product Manager.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience:
Bachelor's Degree or equivalent experience required. 2+ years of insurance, insurance or sales operations, business analysis key performance indicators, and/or portfolio management or related experience. 2+ years Healthcare industry experience preferred.
Pay Range: $56,200.00 - $101,000.00 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
$56.2k-101k yearly Auto-Apply 5d ago
Data Scientist - Generative AI
Humana 4.8
Columbus, OH jobs
**Become a part of our caring community and help us put health first** The Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Data Scientist work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Growth Analytics & AI within Humana is dedicated to transforming members' journeys and Humana's services using technology and analytics. We are looking for a Data Scientist who will be responsible for using mathematics, statistics, NLP, Generative AI, and machine learning to analyze complex data and deliver insights. In this multi-disciplinary team, you will have the opportunity to work closely with various partners, including IT, sales, and strategy partners, to positively identify potential opportunities using high volumes of complex data.
This is a unique opportunity for a motivated individual to influence Humana's vision around member growth and experiences. Our goal is to create an impactful AI solution to improve healthcare experience and outcomes for our members. As a Data Scientist, you will develop advanced analytic solutions, engaging with customers, and creating reusable statistical models and generative AI solutions. You will create reports, projections, models, and presentations to support business strategy and objectives, and communicate insights with leaders (technical and non-technical).
**Key Responsibilities**
+ Develop and validate machine learning and statistical analysis using Python, R, SQL, programming languages and packages
+ Design Generative AI solutions using Python, generative models like LLMs (API and open-source models), and frameworks (i.e., LangChain, LangGraph, Google Agent Development Kit)
+ Develop, maintain, and collect structured and unstructured data sets for analysis and reporting
+ Experience in creating reports, projections, models, and presentations to support business
+ Interpret and communicate analytic results to analytical and non-analytical business partners
+ Partner with business teams to understand challenges, co-create solutions, and communicate AI capabilities, especially generative AI
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree with at least 4 years of technical experience OR a Master's Degree in Math, Computer Science, Analytics, Quantitative Social Sciences, or related analytical field and 1 year of experience
+ Proficiency in SQL, Python, and data analysis/data mining tools
+ Experience with machine learning frameworks like Scikit-Learn, TensorFlow, or PyTorch
+ Experience with large language models, transformers, and model providers
**Preferred Qualifications**
+ Ph.D. in a quantitative discipline, such as Computer Science, Data Science, Machine Learning, or related field
+ Prior experience in healthcare
+ Experience in Big Data environment, specifically PySpark and/or Databricks
+ Experience in cloud computing, Azure, AWS, or GCP
+ Clear and concise oral and written communication skills
+ Ability to communicate statistical concepts to broad audiences
+ Hands-on experiences deploying Generative AI solutions
**Additional Information**
+ Visa sponsorship is not available for this position.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$97,900 - $133,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-15-2026
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
$97.9k-133.5k yearly 53d ago
Data Scientist - Generative AI
Humana 4.8
Remote
Become a part of our caring community and help us put health first The Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Data Scientist work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Growth Analytics & AI within Humana is dedicated to transforming members' journeys and Humana's services using technology and analytics. We are looking for a Data Scientist who will be responsible for using mathematics, statistics, NLP, Generative AI, and machine learning to analyze complex data and deliver insights. In this multi-disciplinary team, you will have the opportunity to work closely with various partners, including IT, sales, and strategy partners, to positively identify potential opportunities using high volumes of complex data.
This is a unique opportunity for a motivated individual to influence Humana's vision around member growth and experiences. Our goal is to create an impactful AI solution to improve healthcare experience and outcomes for our members. As a Data Scientist, you will develop advanced analytic solutions, engaging with customers, and creating reusable statistical models and generative AI solutions. You will create reports, projections, models, and presentations to support business strategy and objectives, and communicate insights with leaders (technical and non-technical).
Key Responsibilities
Develop and validate machine learning and statistical analysis using Python, R, SQL, programming languages and packages
Design Generative AI solutions using Python, generative models like LLMs (API and open-source models), and frameworks (i.e., LangChain, LangGraph, Google Agent Development Kit)
Develop, maintain, and collect structured and unstructured data sets for analysis and reporting
Experience in creating reports, projections, models, and presentations to support business
Interpret and communicate analytic results to analytical and non-analytical business partners
Partner with business teams to understand challenges, co-create solutions, and communicate AI capabilities, especially generative AI
Use your skills to make an impact
Required Qualifications
Bachelor's Degree with at least 4 years of technical experience OR a Master's Degree in Math, Computer Science, Analytics, Quantitative Social Sciences, or related analytical field and 1 year of experience
Proficiency in SQL, Python, and data analysis/data mining tools
Experience with machine learning frameworks like Scikit-Learn, TensorFlow, or PyTorch
Experience with large language models, transformers, and model providers
Preferred Qualifications
Ph.D. in a quantitative discipline, such as Computer Science, Data Science, Machine Learning, or related field
Prior experience in healthcare
Experience in Big Data environment, specifically PySpark and/or Databricks
Experience in cloud computing, Azure, AWS, or GCP
Clear and concise oral and written communication skills
Ability to communicate statistical concepts to broad audiences
Hands-on experiences deploying Generative AI solutions
Additional Information
Visa sponsorship is not available for this position.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$97,900 - $133,500 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-15-2026
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$97.9k-133.5k yearly Auto-Apply 12d ago
Principal Data Scientist
Humana 4.8
Remote
Become a part of our caring community and help us put health first The Principal Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Principal Data Scientist is highly skilled with broad, advanced technical experience and provides strategic advice and guidance to functional teams.
The Consumer Digital organization at Humana develops innovative digital capabilities that empower people with personalized guidance and solutions to achieve their best health.
We are seeking a Principal Data Scientist to lead advanced analytics initiatives and provide strategic insights that shape enterprise-wide decisions. This role combines deep technical expertise with leadership and advisory responsibilities, working closely with senior leadership to drive functional strategies across the organization.
Key Responsibilities
Develop, maintain, and collect structured and unstructured data sets for analysis and reporting
Apply machine learning, mathematics, statistics, and business analysis to transform large, complex data into actionable insights
Build advanced models, projections, and presentations to support business strategy and tactics
Collaborate with senior executives to develop and drive segment- or enterprise-wide strategies
Mentor and guide junior data science talent
Use your skills to make an impact
Required Qualifications
Master's Degree or Ph.D. in machine learning, computer science, statistics, mathematics, data science, engineering, or a related quantitative field
10+ years of hands-on experience applying machine learning and creating advanced analytics solutions to solve complex business problems
2+ years of project and/or people leadership experience
Proficient in Python and PySpark, including libraries such as scikit-learn, TensorFlow, Keras, and Spark ML
In-depth knowledge of machine learning techniques such as regression, decision trees, ensemble models, neural networks, deep learning, clustering, and forecasting
Experience in working with high volumes of structured and unstructured data to develop tactical and strategic insights
Experience with cloud platforms (e.g., Azure, GCP, or AWS)
Strong analytical and critical thinking skills with a track record of delivering data-driven solutions in fast-paced environments
Experience with providing strategic advice and guidance to functional teams
Exceptional verbal and written communication skills, with the ability to explain complex concepts clearly to diverse audiences, including non-technical stakeholders
Demonstrated success in providing strategic guidance and working with senior executives on enterprise-wide initiatives
Experience mentoring and developing junior team members
Preferred Qualifications
Knowledge of the healthcare domain
Experience in e-commerce analytics
Experience with NLP and Generative AI techniques and applications
3-5 years of project and/or people leadership experience
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$172,200 - $236,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
$73k-95k yearly est. Auto-Apply 8d ago
Oracle Enterprise Data Scientist
Community Health Systems 4.5
Remote
We are seeking a highly specialized and experienced Enterprise Data Scientist to drive data quality, standardization, and insight generation across our core Oracle operational suite. This role serves as the authoritative expert on translating complex, high-volume data from Oracle Supply Chain Management (SCM), Oracle Procurement, Oracle Revenue Cycle Management (RCM), and Oracle Inventory into actionable business intelligence.
The successful candidate will be focused on ensuring absolute data integrity-a critical function in a regulated healthcare environment-and transforming raw transactional data into high-value operational reports, interactive dashboards, and predictive models that optimize cost-per-case, enhance inventory accuracy, and accelerate the revenue cycle.
Essential Functions
1. Data Validation, Integrity, and Compliance (Critical Focus)
Healthcare Data Quality Assurance: Design and implement automated data validation frameworks specific to healthcare operations, ensuring transactional data (e.g., supply usage, procedure charging, contract pricing) is accurate.
Compliance Verification: Develop reports and monitoring tools to detect anomalies and discrepancies that could impact regulatory reporting, financial audits (e.g., SOX implications), or compliance with GPO contracts and payer rules.
Revenue Leakage Identification: Specifically focus on validating the link between inventory consumption (SCM) and patient billing (RCM) data to prevent charge capture errors, ensuring accurate patient bills and maximizing appropriate reimbursement.
Root Cause Analysis: Investigate and diagnose data errors originating in Oracle system configurations (EBS or Fusion), ensuring the integrity of critical data points like item master definitions, vendor codes, and pricing tiers.
2. Standardized Operational Analytics and Reporting
KPI Development (Healthcare Specific): Define, standardize, and institutionalize critical operational metrics across the organization, such as:
Inventory Accuracy Rate for Critical Supplies
Procurement Compliance Rate (Off-Contract Spend)
Days of Supply (DOS) for high-value pharmaceuticals and implants
Cost-Per-Case Variance analysis (linking supply cost to procedure type)
Claims Denial Rate Analysis linked to operational inputs
High-Value Reporting: Develop and maintain standardized operational reports and interactive dashboards (e.g., Tableau, Power BI) focused on optimizing the efficiency and spend within the OR, Clinics, and centralized purchasing departments.
Executive Insights: Create visually compelling and accurate reports for executive leadership on the overall health and financial performance driven by Oracle system outputs.
3. Advanced Modeling and Process Optimization
Predictive Inventory Modeling: Develop sophisticated models to forecast demand volatility (e.g., flu season spikes, pandemic-related surges) for critical supplies and pharmaceuticals, minimizing shortages and excess waste.
Revenue Cycle Modeling: Build predictive models to forecast cash flow, anticipate denials based on procurement/charging patterns, and prioritize RCM work queues based on expected return.
Efficiency Optimization: Utilize machine learning techniques to optimize logistics (e.g., warehouse routing, supply replenishment schedules) and procurement processes (e.g., automated purchase order generation based on consumption velocity).
4. Collaboration and System Expertise
Serve as the technical data expert for functional Oracle teams (Finance, Clinical Operations, Materials Management), bridging the gap between business needs and data structure.
Document data lineage, metric definitions, and model methodologies to ensure transparency and trust in derived insights across the enterprise.
Required Qualifications:
Education: Master's degree in Data Science, Health Informatics, Statistics, Industrial Engineering, or a related quantitative field.
Experience: 2+ years of experience in a specialized data science, BI, or analytics role, working within a large healthcare system, hospital, or payer environment.
Deep Oracle Domain Expertise (Mandatory): Proven practical experience analyzing, querying, and understanding the complex data models within at least two of the following Oracle applications (EBS or Fusion):
Oracle Supply Chain Management (SCM) & Inventory: Specific understanding of item masters, warehouse transactions, and consumption data.
Oracle Procurement: Expertise in purchase order data, contract management, and vendor performance metrics.
Oracle Revenue Cycle Management (RCM): Understanding of charge capture, billing, and the data linkage to operational inputs.
Technical Proficiency:
Expert-level SQL skills for complex database querying, including experience navigating Oracle tables/views.
Proficiency in Python or R, with experience in statistical modeling, time series analysis, and machine learning libraries.
Experience developing advanced visualizations using industry-leading tools (Tableau, Power BI).
Demonstrable experience working with large-scale Enterprise Data Warehouses (EDW) in a regulated environment.
Preferred Skills and Attributes
Familiarity with clinical coding standards (CPT, ICD-10) as they relate to procedure costing and RCM data.
Understanding of HIPAA, HITECH, and general healthcare data governance standards.
Experience with advanced analytics applied to surgical services or procedural areas.
Excellent collaboration and communication skills, with the ability to present complex analytical findings to clinical and executive audiences.
Certification in Oracle applications or cloud platforms is a plus.
$99k-128k yearly est. Auto-Apply 60d+ ago
Enterprise Data Scientist
Community Health Systems 4.5
Remote
This role is responsible for leveraging your expertise in data analytics, advanced statistical methods, and programming to derive insights from clinical data. As a member of the Enterprise Data Science team, this role will be responsible for analyzing complex clinical datasets, developing data visualizations and dashboards, assisting with data model and/or feature development, and translating insights into actionable recommendations for improving patient care and operational outcomes.
Responsibilities:
Collaborate with cross-functional teams including clinical leaders, data scientists, and software engineers to identify data-driven opportunities for enhancing clinical processes and patient care.
Utilize cloud-based technologies, such as Google Cloud Platform (GCP), for scalable data processing and analysis.
Develop easily consumable dashboards from complex clinical and operational data to provide visualizations derived from best practices and data consumption theory that drive healthcare and business performance.
Implement best practices for data management, including data quality assessment, data validation, and data governance.
Utilize Python programming and associated libraries such as PyTorch, Keras, Pandas and NumPY to create, train, test and implement meaningful data science models.
Lead the analysis of operational data to identify patterns, trends, and correlations relevant to healthcare outcomes.
Collaborate with healthcare professionals and domain experts to understand operational needs and design data-driven solutions.
Design and conduct experiments, interpret results, and communicate findings to both technical and non-technical stakeholders
Requirements:
Master's degree in Data Science, Data Analytics, Computer Science, or a related field.
Proven experience in analyzing complex healthcare data and building customer facing dashboards and data visualizations.
Proficiency in Python programming and associated libraries.
Experience with cloud-based platforms such as Google Cloud Platform (GCP) for data storage, processing, and deployment.
Strong problem-solving skills and ability to work independently and collaboratively in a fast-paced environment.
Excellent communication and presentation skills with the ability to translate technical concepts to non-technical audiences.
$99k-128k yearly est. Auto-Apply 33d ago
Business Analyst 3
Primerica 4.6
Remote
Join Our Team
In 2025, USA Today recognized Primerica as a Top Workplace USA for the fifth year in a row, and Newsweek named Primerica one of America's Greatest Workplaces for Diversity for the second consecutive year. In 2024, the Atlanta Journal-Constitution named Primerica as a Top Workplace for the eleventh consecutive year, and Forbes recognized Primerica as one of America's Best Employers for Women for the fifth year in a row. In addition, for the tenth time Primerica has been voted a Best Employer by Gwinnett Magazine. Primerica is a great place to work! Join our team to experience what it's like to work at “one of the best places to work in the metro Atlanta”.
About this PositionBusiness Analyst 3 performs a range of assignments related to Life Insurance Project Support. Creates and executes business requirement documents, process flow diagrams and data mapping. Acts as liaison between the business users and programmers to ensure that projects meet outlined objectives and resolve system issues. Manages mainframe/distributed systems projects through entire software development life cycle including documentation of requirements, testing, implementation and post production monitoring. May lead projects or project steps within a broader project or may have accountability for on-going activities or objectives. Acts as a resource for colleagues with less experience. Interfaces with multiple teams and departments across the organization. Interfaces with managers and business owners throughout the organization. Coordinates with third parties and oversees projects involving 3rd party providers.
*Local Applicants Only*Responsibilities & Qualifications
Responsibilities
Create and execute business requirement documents, process flow diagrams and data mapping
Coordinate, manage and execute projects for Life Operations
Research and resolve departmental system issues and concerns
Devise, recommend and implement solutions and options for system design and enhancements and recognize when management approval is required.
Create user acceptance criteria (test plans), coordinate with QA team to execute testing and work with QA to analyze test results
Refine requirements and coordinate additional development as a result of any QA findings
Research and resolve departmental system issues and concerns
Formulate, develop and implement changes to improve departmental and process efficiency, including using automation tools (Microsoft Access, Testing Scripts, etc.)
Devise, recommend and implement solutions and options for system design and enhancements and recognize when management approval is required.
Act as liaison between the business users and programmers to ensure that projects meet outlined objectives and resolve system issues
Manage mainframe/distributed systems projects through entire software development life cycle including documentation of requirements, testing, implementation and post production monitoring
Minimum Qualifications:
Associates and/or bachelor's degree with a Concentration in Business and/or Liberal Arts. OR 3-5 years of equivalent business experience.
Project Management Software (Version One, Jira, or equivalent)
MS Office (Project, SharePoint, Word, Excel, Power Point, Access)
Confluence / SQL and Data base experience
Requires in-depth conceptual and practical knowledge of Life Insurance Business and practices and procedures within Project Management Life Cycle.
Required Knowledge, Skills and Abilities
Continue to build knowledge of the company, processes and customers.
Solves complex problems and research requests.
In depth knowledge of the systems and processes of the departments and business functions they support
Broad knowledge of the systems and processes of the departments and business functions they support
Able to work independently with minimal direction from management.
Handle multiple priorities simultaneously
FLSA status:
This position is exempt (not eligible for overtime pay):
YesOur Benefits:
Day one health, dental, and vision insurance
401(k) Plan with competitive employer match
Vacation, sick, holiday and volunteer time off
Life and disability insurance
Flexible Spending Account & Health Savings Account
Professional development
Tuition reimbursement
Company-sponsored social and philanthropy events
It has been and will continue to be the policy of Primerica, Inc., and its subsidiaries to be an Equal Opportunity Employer. We provide equal opportunity to all qualified individuals regardless of race, sex, color, religious creed, religion, national origin, citizenship status, age, disability, pregnancy, ancestry, military service or veteran status, genetic or carrier status, marital status, sexual orientation, or any classification protected by applicable federal, state or local laws.
At Primerica, we believe that diversity and inclusion are critical to our future and our mission - creating a foundation for a creative workplace that leads to innovation, growth, and profitability. Through a variety of programs and initiatives, we invest in each employee, seeking to ensure that our people are not only respected as individuals, but also truly valued for their unique perspectives.