Business Analytics Advisor (Specialty Care Collaboration) - Remote
Business advisor job at Cigna
We are looking for a candidate to conduct advanced and exploratory analytics, generating actionable insights and resources to strategically design and/or enhance pay for performance programs.
Responsibilities
Collaborate and work closely with stakeholders to design and evaluate VBC programs with a focus on Specialty VBC. Example areas include Nephrology, hospital Accountable Care Organization (ACO) programs, Episodes of Care/Bundle programs, Oncology Medical Home, etc.
Design and build financial models under supervision for new VBC programs and build and manage annual reconciliation for pilot and mature programs.
Apply robust and appropriate statistical and clinical rigor using advanced analytic techniques including but not limited to risk adjustment, episode analytics, statistical modeling, power analysis, matched case control studies etc.
Derive actionable insights from healthcare data (claims, clinical, pharmacy, externally sourced) to engage and enable our provider/clinical partners. Work with IT partners to deploy actionable insight into accessible solutions for our provider/clinical partners.
Present analytic findings and recommendations to technical and non-technical business partners and leadership to drive data driven strategies.
Explore innovative solutions to business questions/problems
Qualifications
This position requires healthcare and insurance content knowledge, analytics expertise with a focus on data extraction, data analytics and financial modeling and VBC expertise to support Cigna's affordability strategy
5+ years' experience in related healthcare analytics or VBC research
Strong technical skills required to extract, transpose, and analyze Big Data housed in Databricks and Teradata using SQL and Python, SAS or R
Strong Healthcare data knowledge and hands on experience (medical claims data, clinical data, pharmacy data and eligibility data)
Strong medical economics and healthcare financial modeling experience
Knowledge of ACO, bundles, episodes, etc. is required
Statistical training in school or through work (ability to formulate and execute appropriate confidence intervals, power analysis, bootstrapping, regression modeling, etc.) required
Advanced visualization skills using Tableau, Python or R preferred
Ability to consistently deliver on-time while managing multiple projects at the same time
Ability to work under supervision as well as independently based on project requirements
Ability to successfully navigate and contribute in a highly matrixed environment
Enjoys problem solving and creating innovative solutions
Strong verbal and written communication skills
Advanced degree or equivalent experience in Statistics, Biostatistics, Economics, Epidemiology, Health Outcomes Research, Actuarial Science, or Data Science is highly desirable
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 96,000 - 160,000 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.
We want you to be healthy, balanced, and feel secure. That's why 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) with company match, 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, visit Life at Cigna Group.
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.
Auto-ApplyIndividual & Family Plans (IFP) Financial Operational Risk Management Senior Advisor - Remote - Cigna Healthcare
Business advisor job at Cigna
The _Individual & Family Plans (IFP) Financial Operational Risk Management Senior Advisor_ plays a critical role in identifying, assessing, and mitigating financial and operational risks across the IFP business. This role partners closely with leadership to support total medical cost management, population health strategies, and operational improvements across markets and geographies.
The ideal candidate brings strong analytical expertise, healthcare experience, and the ability to translate complex data into actionable insights that inform strategic decision-making.
**Core Responsibilities**
+ Develop and implement strategic recommendations to mitigate financial risk and support total medical cost management and enterprise risk objectives.
+ Analyze and interpret complex datasets to identify cost drivers, trends, and emerging risks across IFP segments, geographies, and populations.
+ Serve as a key point of contact for segment analytics support, partnering with IFP leadership to inform product, network, and market strategies.
+ Lead and support data-driven discussions with senior leaders, delivering clear insights and recommendations based on performance results.
+ Collaborate cross-functionally with clinical, product, network, and finance partners to influence decision-making and drive performance improvement.
+ Support and maintain savings scorecards, ensuring emerging risks and opportunities are identified, quantified, and communicated effectively.
+ Translate ambiguity into structured plans, actionable insights, and measurable outcomes.
**Minimum Qualifications**
+ Bachelor's degree in business, analytics, or a related field (required).
+ 5+ years of experience in data analytics, financial analysis, risk management, underwriting, or related healthcare experience.
+ 5+ years of Healthcare industry experience strongly preferred
+ Prior experience supporting ACA or Medicaid health plans preferred.
+ Prior experience supporting Population Health / Total Cost of Care (TCOC) initiatives preferred.
+ Strong analytical and problem-solving skills with the ability to synthesize complex information into clear recommendations.
+ Excellent written and verbal communication skills, with experience presenting to leadership audiences.
+ Demonstrated ability to work effectively in a matrixed organization and influence across teams.
+ Proven change agent with the ability to drive outcomes in a fast-paced environment.
+ High level of professionalism, organizational awareness, and attention to detail.
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 109,300 - 182,100 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 Cigna Healthcare**
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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._
Lead Business Process Consultant
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.
Position Purpose:
Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics.
Mentors junior team members on duties and responsibilities with supervision from leadership. Leads all levels of staff who are responsible for initiatives included in the companies operating plan in order to support their success, development and effective completion and communication of their initiative
Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity.
Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.
Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan.
Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.
Leads larger scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance.
Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results.
Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.
Assists functional and project leaders in areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc.
Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives.
Provides other related support as needed to improve the performance of the business.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience:
Bachelor's Degree in a related field or equivalent experience required
Master's Degree in a related field preferred
7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required
Licenses/Certifications:
Certified Project Management Professional (PMP)-PMI preferred
Process quality certification preferred
This position is remote within the state of California. Candidates must reside within the state of California in order to be considered. Onsite meetings as need required.
Pay Range: $105,600.00 - $195,400.00 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
Auto-ApplySenior Healthcare Network Consultant
Columbus, OH jobs
**Become a part of our caring community and help us put health first** Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and overall performance through strategic initiatives and strong relationship-building.
Senior Healthcare Network Consultant /Senior Network Performance Professional
+ **Provider Collaboration** : Work with providers to define and advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies.
+ **Stars/Quality Program Expertise** : Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Collaborate to develop tailored action plans and communicate actionable insights to improve performance.
+ **Performance Improvement** : Actively monitor and analyze provider performance data to identify areas for improvement. Implement strategies to enhance outcomes and provide ongoing support and guidance to providers.
+ **Resource Liaison** : Act as a liaison for providers to access Humana resources, educating and encouraging providers on the use of self-serve tools. Facilitate communication between providers and internal teams to ensure seamless access to necessary resources and support.
+ **Reward Programs:** Educate provider groups on reward programs and target metrics, collaborating to achieve established goals. Monitor and report on the effectiveness of reward programs, making recommendations for enhancements as needed.
+ **Provider Abrasion Resolution:** Resolve provider abrasion issues effectively, ensuring a positive and collaborative relationship between Humana and its providers. Implement strategies to minimize provider abrasion and enhance overall satisfaction.
+ **Internal Collaboration** : Partner with internal teams to track and report on market performance, ensuring alignment with organizational goals.
**Use your skills to make an impact**
**Required Qualifications**
+ 2 or more years of Experience with Medicare and/or managed care
+ 3 or more years of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system experience
+ 1 or more years of experience understanding of Consumer / Patient Experience
+ 2 or more years of experience building relationships with physician groups and influencing execution of recommended strategy
+ 1 or more years of experience with focus on process and quality improvement
+ Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
+ Work during 8am-5pm CST or EST
+ Travel a minimum of 10%
+ Live in EST or CST state
**Preferred Qualifications**
+ Strong communication and presentation skills, both verbal and written, and experience presenting to internal and external customers, including high-level leadership
+ Bachelor's Degree Understanding of and ability to drive interoperability
+ Progressive experience with interoperability solutions in Healthcare
+ Proven organizational and prioritization skills and ability to collaborate with multiple
+ Experience with Medicare Risk Adjustment and/or medical coding
+ Understanding of metrics, trends and the ability to identify gaps in care
+ Lives in the region IN, KY, MI, OH, WV
+ 1 or more years' experience with tools such as Power BI, Tableau, Qlikview
**Additional Information**
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
**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
Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
\#LI-BB1
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.
$78,400 - $107,800 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.
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 ***************************************************************************
Software Engineering Senior Advisor
Business advisor job at Cigna
Data and Analytics Engineering at Cigna is looking for a strong software engineer who can solve complex problems, inspire other engineering talent, and deliver business capabilities that improve access to high performing providers and increase healthcare affordability. This role is the perfect blend of software development, data engineering, business analytics, and delivery execution. It is a great opportunity for someone who wants to be challenged, drive change, and deliver value that is tangible.
You will drive design, and develop applications that provide Cigna with competitive analytics and intelligence used to create more cost effective products, increase member affordability, and optimize market growth strategies. You will have the opportunity to design, develop, and deploy new applications and features that will directly impact and drive Cigna's competitive decisions within the marketplace, and ultimately provide better and more affordable healthcare.
Cigna uses a variety of technologies, from big data to the latest web frameworks. You will get to build state-of-the-art technology that is scalable and robust, utilizing cloud infrastructure, and full automation.
Core responsibilities:
As a lead software engineer, you will help develop an integrated solution strategy to support next-generation reporting and analytical capabilities on an enterprise-wide scale. You will deliver user-oriented products in a fast-paced and agile environment.
Data and analytical capabilities and architecture
Developing rock-solid, scalable systems
Drive opportunities to revolutionize workflow with embedded analytics, machine learning, and AI
Enforce modern delivery practices such as continuous integration, behavior/test driven development
Ideal Candidates Will Offer:
Attributes:
LOVES data, analytics, building self-service tools and web application platforms using the latest technologies
Solid managerial and/or mentorship experience
Boundless intellectual curiosity to continually explore how to do things better, bigger, faster and cheaper
A strong voice for data integrity and reporting quality utilizing best practices and industry standards
A “roll-up your sleeves and get the job done” mentality
Enjoys speaking with customers to understand how we can best meet their needs
Team player and motivator who inspires, embraces diversity of thought, and fosters a culture of creativity
Requirements:
5+ years of experience in software development
Extensive experience in modern web development frameworks: React, Angular, Node.js, Django, etc.
Extensive experience with a scripting language: Javascript, Python, Ruby, Perl, etc.
Extensive experience with an object oriented language: C++, Java, Scala, or other OO compiled language
Data mining and SQL experience
Familiarity with Visualization Libraries: D3, Shiny, Tableau, etc.
Knowledge and experience with agile development process
Bachelor's or Master's degree in Computer Science or equivalent in education and experience
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.
About Cigna Healthcare
Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. 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.
Auto-ApplyWorkforce Management Consultant I
Remote
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
The role supports Direct Phone Sales operations, including the Allstate Sales and Nat Gen Sales Contact Centers, enabling optimal contact center performance to meet sales targets and deliver exceptional service experiences. Key responsibilities include real-time monitoring of contact center metrics-such as call volume trends, forecast accuracy, average handle time, and agent adherence-to proactively manage work conditions and meet service level goals. This position requires strong analytical and critical thinking skills to align staffing plans with forecasted needs. The role also supports operational workflows such as training scheduling, telephony skilling, new hire onboarding, and staffing initiatives. Candidates must demonstrate agility in a fast-paced environment, multitask effectively, and act with urgency. A system-thinking mindset and proficiency in scheduling and ACD systems (including Verint, Alvaria, Avaya, and AWS) are essential. The role involves frequent verbal and written communication with associates, leaders, and stakeholders, and require excellent customer service and professional judgment to both daily tasks and long-term projects.
Schedule:
Sunday - Thursday - 12:30 PM to 9:00 PM CST
Key Responsibilities:
Responsible for monitoring real time contact center performance and taking actions to manage work condition and achieve service level goals
Analyze contact center metrics such as call forecast, volume trends, average handle time, adherence, and phone aux and provide recommendations to improve and maintain work condition
Use critical thinking to process agent schedule requests, such as time away, flex ,OT, off phone time and ensure agent time is effectively planned against forecasted staffing requirements
Support workflows that include scheduling training, telephony skilling, new hire preparation and staffing projects
Apply professional judgement, knowledge and critical thinking to complete tasks, assignments, and/or long-term projects
Exhibit strong change agility with ability to multitask and act with a sense of urgency
Provide excellent customer experience to associates, leaders and stakeholders through verbal and written interactions
Demonstrate a system thinking mindset and work daily in scheduling software and ACD systems, including Verint, Alvaria, Avaya, and AWS.
Functional Skills:
Analytical and holistic problem solver
Proactive and forward-thinking mindset
Ability to make decisions and navigate the gray areas
Strong change agility to adapt to an ever-changing environment
Technological and system thinking mindset with ability to multitask
Great team player and business partner to many stakeholders
Passion to create a positive customer experience to the associates and leaders DPS supports and to the
external customers calling the customer contact center
Challenge ideas and bring a fun get it done attitude to the team
Experience:
• 2 or more years of experience (Preferred)
Supervisory Responsibilities:
• This job does not have supervisory duties.
Skills
Call Center Operations, Call Center Staffing, Problem Solving, Scheduling, Workforce Management (WFM)
Compensation
Compensation offered for this role is 44,000.00 - 67,227.50 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Auto-ApplyProduct Strategy Senior Advisor
Business advisor job at Cigna
This is a management position where the candidate should have documented development experience in communication systems that involve Customer Data Platform (CDP) and Content Management System (CMS) technologies. This person will have an extensive background in managing a team focused on developing emails, SMS, and Push communications, pushing content live using the known SaaS technologies, as well as significant time working with engineers, designers, writers and HTML coders to implement said technologies. In this role, the individual works across multiple teams, and it is essential for this person to work collaboratively. Excellent communication and leadership skills are a must.
Ideal candidate will be a hands-on, results-oriented, team player with the ability to collaborate cross-functionally and perform well in a fast-paced environment on multiple challenging projects at a time. Previous experience with a CDP platform and agile IT methodology is required.
Key Responsibilities will include:
Manage a team of up to 5 developers working in the RedPoint CDP environment.
Develop and design emails with technologies like XSL, XSLT, XML, CSS, DHTML, JSON, core Java Freemarker and/or software tools like Litmus, Email on Acid, and XML Spy. Some database knowledge.
Support maintenance and management of campaign & transactional based email templates, including optimization of existing programs through testing.
Support technology enhancements for new and existing communication programs. Includes close collaboration with product and campaign teams to map data driving dynamic and personalized content.
QA and test emails across different browsers, devices and desktop clients
Work with IT and architecture teams to stand up and implement the necessary tools for comms management.
Participate in IT intake and Agile process to manage portfolio of projects and prioritize appropriately.
Manage prioritization calendar for owned projects and adjust accordingly based on Enterprise goals and objectives.
Oversee A/B testing of email creative, subject lines, date/time, list segments, etc. and communicate recommendations effectively.
Participate in daily, weekly team and Agile meetings as needed. Provide status updates to cross functional teams and management.
What skills will make you successful?
Experience working in and managing a team working in a CDP, RedPoint RPI experience a big plus
Knowledge of SaaS email platforms such as Salesforce, Epsilon, Cheetah Digital Marketing Suite is a plus.
A solid understanding of email platform functionality, data integrations/APIs, CAN-SPAM and CASL compliance, email metrics, email deliverability, and email best practices; knowledge of major email service providers, web analytics tools and content management solutions, such as Contentful, Drupal and Alfresco.
Ability to manage multiple direct reports and projects simultaneously without compromising quality, timelines or attention to detail
Demonstrates a sense of urgency
Exhibits a curious, positive, team-oriented, enthusiastic approach
Ability to work under extreme pressure and strict timelines, and to thrive in a fast-paced environment
What is required for you to apply?
Bachelor's degree in computer science, engineering, or similar field of study
Minimum 5-7 years in technical experience including 2-3 years in management
Experience with a Customer Data Platform (CDP), preferably RedPoint
Advanced knowledge of html and data driven, dynamic creative
Knowledge of Adobe Analytics platforms or similar reporting tools.
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 116,800 - 194,600 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.
We want you to be healthy, balanced, and feel secure. That's why 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) with company match, 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, visit Life at Cigna Group.
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.
Auto-ApplyData Science Senior Advisor (Pricing & Underwriting) - Remote
Business advisor job at Cigna
Using your knowledge of statistics, healthcare, and ML / AI you will build models to help identify opportunities for our pricing and underwriting partners. You will perform feature engineering, model development, and model monitoring / maintenance using a broad range of medical, prescription drug, utilization management, and third-party data. In this role you will work closely with leadership, data scientists, business stakeholders and engineering partners to deliver robust well-documented deliverables that will enhance our competitive position in the marketplace.
Responsibilities
Contribute to the development of comprehensive analytics that facilitate best in class pricing and underwriting
Execute special projects that can improve Commercial Healthcare underwriting
Utilize data science and advanced analytics to create actionable insights and recommendations for business leaders to advance Cigna's strategic objectives
Regularly communicate work with business stakeholders and senior leadership
Stay up to date on latest analytic tools and techniques and strategize how to leverage these tools to modernize our pricing/UW organizations
Ensure solutions drive long term value while also ensuring they can integrate with current processes
Test & Learn Pilots: collaborate with business leaders to design, launch and measure robust pilots to test new solutions
Develop models that foster underwriting and actuarial advancement by aligning business problems to a potential solution like GLMs, Machine Learning, Clustering, LLMs or other advanced techniques
Qualifications:
5+ years direct Data Science experience in a healthcare related environment
Strong background in stats, ML and model development
Experience deploying ML/predictive models to prod/cloud env't
Strong skills with Python, SQL, Git, Keras and TensorFlow
Knowledge of common health care data e.g., claims, EHR, laboratory data
Experience with best programming practices and writes clean, documented, and well-structured code
Ability to peer review
Champions a culture of documentation and logging
Ability to own a project end-to-end e.g., scoping, ideation, dev, prod
Ability to independently deliver clear and well developed presentations for both technical and business audiences
Ability to create DS-specific project goals associated within high level project deliverables
Ability to articulate timeline changes, rationale, and goals to meet deadlines moving forward
Prefer MS or PhD in STEM related fields
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 127,400 - 212,300 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.
Auto-ApplyArchitecture Senior Advisors
Business advisor job at Cigna
The job profile for this position is Architecture Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc.
Responsibilities-
Conduct internal client assessments which include as-is, to-be, gap analysis phased technology plans, project plans, and audit documentation.
Responsible for identifying gaps and issues, recommending areas of opportunity, determining potential timing of improvement initiatives, and defining the costs and benefits of proposed solutions.
Act as a technology partner between the Contact Center Business Leadership and Technology teams to aid in planning, coordinating, and directing the delivery of highly complex business solutions to meet Contact Center needs.
Actively govern the IT elements of the project through its life cycle, ensuring the delivered solution is aligned with architecture and standards.
Utilize Contact Center systems such as Contact Routing, CTI, Automatic Call Distribution (ACD), Interactive Voice Response (IVR), Call Recording, Workforce Management, and Quality Assurance for multi-channel contact management of voice, email, chat, SMS messaging, etc.
Provide guidance, thought leadership and operational support for internal and external customers. Provide development of strategic designs.
Conduct iterative reviews and revisions of design documentation.
Drive large contact center projects from an architecture and design perspective including call routing, multi-platform contact centers, inbound/outbound self-service/queuing and applications, agent desktop, courtesy callback, IVR, and deployment approach.
May work remotely.
Qualifications-
Requires Bachelor's degree or foreign equivalent in Computer Science, Computer Engineering, or a closely related field and 7 years of IT experience. Must have experience with: Dell Boomi; Glue; Kong; Amazon AWS API; HTML5; CSS3; JavaScript; Bootstrap; jQuery; LESS; Angular; ReactJS; C#; .Net; MySQL; MongoDB; SQL Server; AWS; Azure; GitHub; Jenkins; GitLab; Confluence Documentation; SharePoint Documentation; Security Designs and Documentation; API (REST & SOAP); Twilio; managing healthcare project standards; HIPPA compliance norms; and reviewing Business Associate Agreement (“BAA”) documents.
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.
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.
Auto-ApplyData & Reporting Lead/Senior Advisor - Evernorth Health Services - Remote
Business advisor job at Cigna
The Senior Advisor - Reporting & Data Senior Lead will play a critical role in shaping and delivering advanced reporting solutions for specialty pharmacy clients. This position requires a strategic thinker with strong technical expertise and project leadership skills to transform complex data environments into actionable insights. The ideal candidate will lead the migration from legacy reporting systems to modern platforms, leveraging Databricks and cutting-edge tools to ensure accuracy, scalability, and client satisfaction.
Responsibilities:
Understand and navigate a complex data and reporting environment, including legacy and modern systems.
Ability to deftly discover new datasets; and incorporate into existing and new data pipelines and dashboards
Develop a strategic approach for enabling pharma clients to access and customize their own reporting solutions.
Design and build client-facing reports, ensuring accuracy, usability, and alignment with business needs.
Lead the conversion of a high volume (1000+) of legacy reports into new formats and content leveraging Databricks as the primary data source.
Define and manage each segment of the reporting transformation process, including planning, execution, and cross-functional collaboration.
Oversee end-to-end delivery of reporting initiatives, including progress tracking, risk management, and communication of next steps.
Act as both a hands-on report developer and a project leader, balancing technical execution with stakeholder engagement.
Understanding of business process to enable translation of data and insights
Communicate effectively with internal teams and external clients to ensure clarity on requirements, timelines, and deliverables.
Core Competencies
Strategic Thinking: Ability to design scalable reporting frameworks and anticipate future needs.
Project Leadership: Skilled in managing complex, multi-phase projects with cross-functional teams.
Analytical Expertise: Strong problem-solving skills and ability to interpret complex data sets.
Client Engagement: Excellent communication and relationship-building skills with pharma clients.
Adaptability: Comfortable working in evolving environments and driving change initiatives.
Collaboration: Proven ability to work across technical and business teams to achieve shared goals.
Experience:
Bachelor's degree or equivalent certifications in Data Analytics, Computer Science, Information Systems, Business, or related field
7+ years of experience in report development, data analytics, and business intelligence within healthcare or specialty pharmacy environments.
Proven track record of managing end-to-end reporting projects, including migration from legacy systems to modern platforms.
Experience working with pharma clients and understanding regulatory and compliance considerations in reporting.
Strong background in project management, including risk assessment and stakeholder communication.
Technical Proficiency
Advanced skills in reporting tools (e.g., Power BI, Tableau, or similar).
Expertise in Databricks and modern data platforms.
Strong SQL skills and familiarity with data modeling and ETL processes.
Proficiency in data visualization best practices and ability to translate complex data into actionable insights.
We will consider candidates who prefer to work in one of our local offices 3 days a week
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 109,500 - 182,500 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 Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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.
Auto-ApplyProduct Strategy Senior Advisor
Business advisor job at Cigna
You'll join a team that is reinventing how millions of people experience health and vitality. As a Digital Product Owner, you will help shape bold, human‑centered solutions that support our Pharmacy lines of business. You'll guide teams across design, engineering, research, strategy, and analytics to build digital products that are reusable, scalable, and intuitive-across desktop, mobile web, and mobile apps. If you're energized by solving meaningful problems, influencing product direction, and creating value for people and the business, this is the place to grow.
Responsibilities (Outcome‑Focused & Strategic)
Product Vision & Strategy
Champion a clear product vision and roadmap that advances customer well‑being and business priorities.
Use research and insights to define opportunities, shape outcomes, and guide decision making.
Share ground‑level learning with strategy partners to influence future direction and product evolution.
Execution & Delivery Leadership
Lead day‑to‑day product development with engineering, design, and cross‑functional partners.
Maintain an organized, prioritized backlog that reflects customer needs, compliance requirements, and strategic goals.
Translate complex problem statements into user stories with clear acceptance criteria and measurable success metrics.
Drive the successful delivery of MVPs, features, and epics that create meaningful and iterative value.
Problem Solving & Product Health
Use data to identify opportunities, validate outcomes, and guide continuous improvement.
Proactively remove blockers-technical, operational, or organizational-to keep teams moving forward.
Ensure product quality and longevity by balancing new enhancements with ongoing tech‑health needs and reducing technical debt.
Leadership & Collaboration
Serve as a connector across compliance, legal, cyber, sales, marketing, operations, and more to align priorities and accelerate progress.
Communicate complex information in a clear, concise, and audience‑appropriate way.
Mentor new Product Owners and share best practices to strengthen our product culture.
Help teams focus, navigate difficult discussions, and balance strategic and tactical needs.
Qualifications
Required
Minimum 3 years of professional experience managing software products through launch and iteration.
Experience working with Agile development teams to build high‑quality consumer‑facing products.
Ability to synthesize research, customer insights, and data to solve problems and define clear opportunities.
Strong communication and relationship‑building skills across technical and non‑technical groups.
Ability to lead cross‑functional teams, manage priorities, and navigate competing interests with empathy and clarity.
Preferred
Bachelor's degree in a related field (preferred, not required).
Experience with human‑centered design practices.
Familiarity with agility tools (e.g., Jira) and product performance metrics.
Experience mentoring others or developing team capabilities.
Demonstrated comfort incubating new ideas, testing hypotheses, and iterating quickly.
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 116,800 - 194,600 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.
Auto-ApplySenior Healthcare Network Consultant
Ohio jobs
Become a part of our caring community and help us put health first Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal role in enhancing provider performance and advancing Humana's mission to deliver high-quality healthcare. You will work with providers to improve their STARs ratings and overall performance through strategic initiatives and strong relationship-building.
Senior Healthcare Network Consultant /Senior Network Performance Professional
Provider Collaboration: Work with providers to define and advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies.
Stars/Quality Program Expertise: Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience. Collaborate to develop tailored action plans and communicate actionable insights to improve performance.
Performance Improvement: Actively monitor and analyze provider performance data to identify areas for improvement. Implement strategies to enhance outcomes and provide ongoing support and guidance to providers.
Resource Liaison: Act as a liaison for providers to access Humana resources, educating and encouraging providers on the use of self-serve tools. Facilitate communication between providers and internal teams to ensure seamless access to necessary resources and support.
Reward Programs: Educate provider groups on reward programs and target metrics, collaborating to achieve established goals. Monitor and report on the effectiveness of reward programs, making recommendations for enhancements as needed.
Provider Abrasion Resolution: Resolve provider abrasion issues effectively, ensuring a positive and collaborative relationship between Humana and its providers. Implement strategies to minimize provider abrasion and enhance overall satisfaction.
Internal Collaboration: Partner with internal teams to track and report on market performance, ensuring alignment with organizational goals.
Use your skills to make an impact
Required Qualifications
2 or more years of Experience with Medicare and/or managed care
3 or more years of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system experience
1 or more years of experience understanding of Consumer / Patient Experience
2 or more years of experience building relationships with physician groups and influencing execution of recommended strategy
1 or more years of experience with focus on process and quality improvement
Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
Work during 8am-5pm CST or EST
Travel a minimum of 10%
Live in EST or CST state
Preferred Qualifications
Strong communication and presentation skills, both verbal and written, and experience presenting to internal and external customers, including high-level leadership
Bachelor's Degree Understanding of and ability to drive interoperability
Progressive experience with interoperability solutions in Healthcare
Proven organizational and prioritization skills and ability to collaborate with multiple
Experience with Medicare Risk Adjustment and/or medical coding
Understanding of metrics, trends and the ability to identify gaps in care
Lives in the region IN, KY, MI, OH, WV
1 or more years' experience with tools such as Power BI, Tableau, Qlikview
Additional Information
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
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
Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
#LI-BB1
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.
$78,400 - $107,800 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.
Auto-ApplyAdvisory Services - Business Transformation Specialist
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.
Build your future with us
The Cincinnati Insurance Companies is seeking an experienced and motivated business transformation specialist to lead, manage and execute on complex, strategic and transformational change initiatives across various lines of business. This role will work directly with functional leaders to plan, develop and execute on initiatives that deliver improved customer experience, top-line growth and operational efficiency. This position requires a blend of organizational design, technical process analysis, data analysis, change management and the ability to lead and create alignment at multiple levels.
Starting Pay: The pay range for this position is $70,000 - $150,000 annually. Pay 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:
* serve as a trusted advisor to key business leaders and their teams, while maintaining independence and objectivity
* elicit desired business objectives and deliver outcomes with an owner mentality
* align focus and coach multi-disciplinary teams to achieve meaningful results on strategic initiatives
* define, plan and execute initiatives that deliver transformational change and measurable business impact
* provide feedback on strategic objectives and translate strategic objectives into practical and sustainable solutions
* analyze complex business processes and make recommendations within predefined strategies to identify alternate approaches
* conduct gap analyses versus recognized leading practices
* lead and perform sophisticated data analysis to support change recommendations and improve business performance
* develop and present external consulting firm grade engagement deliverables
Be equipped with:
* the utmost level of professionalism
* the ability to work in and navigate a matrixed organization
* strong critical thinking, analytical and problem-solving skills
* strong interpersonal and relationship building skills
* the ability to produce and deliver compelling, executive-level presentations
* familiarity and experience with various process, quality and organizational change methodologies
* the ability to work both independently and as part of a team with professionals across various levels and disciplines
* the ability to prioritize tasks, work independently on multiple assignments and manage ambiguity
* motivation to devote the time and effort necessary to meet deadlines
* an understanding of risk management principles and compliance within a regulated industry
Bring education and experience from:
* a bachelor's degree in finance, operations management, information systems, engineering, risk management, accounting or an insurance-related field
* prior experience working on large, strategic and enterprise-level transformation initiatives (preferred)
* prior underwriting experience (preferred)
* knowledge of the property & casualty and/or life insurance industry (preferred)
* portfolio management experience and the ability to prioritize opportunities using financial or other models (preferred)
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 provide equal employment opportunity to all qualified persons without regard to race; creed; color; sex, including sexual orientation, gender identity and transgender status; religion; national origin; age; disability; military service; veteran status; pregnancy; AIDS/HIV or genetic information; or any other basis prohibited by law. All job applicants have rights under Federal Employment Laws. Please review this information to learn more about those rights.
Corporate Strategy Senior Consultant II
Remote
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
The Corporate Strategy Senior Consultant II will perform activities related to market, trend, customer, channel, and competitive assessments. This position also provides data, reports, and presentations to and answers questions about data to both the Treasury and external departments. This position will work independently and provide an expert level of analysis to corporate strategy execution.KEY RESPONSIBILITIES
Provide analytic and research support for market, trend, customer, channel and competitive assessments
Supports project management team goals and objectives through analysis
Participate in analytic support of business unit strategic development
Provide leadership support in managing strategic process
Provide support for interdisciplinary teams across the company to drive results
Provide expert level support of validation and corporate finance
Provide analytic and research support for target assessment
Provide support for strategic due diligence process
Provide support with preparing senior management and board level communications
Uses corporate strategy expertise to coach less experienced employees
SUPERVISORY RESPONSIBILITIES
This job does not have supervisory duties.
EDUCATION AND EXPERIENCE
4 year Bachelors Degree (Preferred)
3 or more years of experience (Preferred)
In lieu of the above education requirements, an equivalent combination of education and experience may be considered.
CERTIFICATIONS, LICENSES, REGISTRATIONS
Certified Public Accountant (CPA) (Preferred)
Certified Internal Auditor (CIA) (Preferred)
Certified Information Systems Auditor (CISA) (Preferred)
FUNCTIONAL SKILLS
Strong quantitative and analytic skills. Advance modeling skills. Ability to synthesize complex data
Beginning ability to synthesize quantitative work and present ideas to manager
Experience with insurance or other financial institutions preferred
Demonstrated leadership skills from prior employment and extracurricular activities
Focuses on implementing and executing strategies within own team
Extends capabilities by working closely with senior team members/experts
The preceding description is not designed to be a complete list of all duties and responsibilities. May be required to perform other related duties as assigned. Regular, predictable attendance is an essential function of this job.
Skills
Corporate Strategies, Data Analytics, Leadership Support, Project Management, Strategy Development
Compensation
Compensation offered for this role is $62,800.00 - 114,175.00 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
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It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
Auto-ApplyAdvisory Consultant - Payer Strategy - Remote
Eden Prairie, MN 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.**
The Advisory Consultant - Payer Strategy - Remote works within a team and serves a key role in contributing to client engagement problem solving and work product development. The Consultant structures and conducts analysis and creates content for assigned workstreams under direction from project lead and contributes to assisting more junior team members with their responsibilities. This role will support client communications around own workstream and at times those of more junior team members and successfully work under timelines for own work along with assisting junior team members with theirs, in accordance with overall project requirements. This role is a major contributor to team problem solving across full scope of each project. The Consultant will participate in various practice development projects, proactively anticipate challenges and risks in both own area and those of junior staff, make sound adjustments/recommendations to address issues, and play an active role in improving business processes, knowledge management, etc.
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:**
+ Structure approach/analysis for assigned workstream under direction and contribute to assisting more junior team members with their responsibilities
+ Contribute to client communications around own workstream and sometimes those of more junior team members
+ Major contributor to team problem solving across full scope of project
+ Knowledgeable on Optum data sets and tools and carries foundational understanding of health care industry dynamics
+ Maintain a comprehensive understanding of health care research, tools, and assets used by the practice to support client work
+ Participate in various practice development projects
+ Provide active role in improving business processes, knowledge management, etc. within the practice
+ Proactively anticipate challenges and risks in both own area and those of more junior staff and make sound adjustments/recommendations to address issues
+ Communicates effectively and accurately in writing and verbally to prospects, members and other team members
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:**
+ 1+ years working in payer strategy, provider network, NCQA/URAC accreditation, provider data management, or value-based care
+ 1+ years of experience utilizing formal industry strategy frameworks
+ 1+ years of healthcare, payer (primary) or life sciences experience
+ Experienced in Quantitative/Qualitative Analytic execution and synthesis
+ Client relationship management experience
+ Proficiency in MS Office Suite - Word, PowerPoint, Excel
+ Demonstrated ability to anticipate challenges and provide solutions
+ Demonstrated ability to drill down to the root cause of issues and be creative in problem solving
+ Demonstrated ability to travel domestically, up to 50%
**Preferred Qualifications:**
+ Healthcare, payer and/or provider, life sciences experience
+ Experience conducting strategy projects
+ Experience working in and successfully navigating a matrixed environment
+ Demonstrated ability to possess analytical reasoning and solution-focus problem solving
+ Demonstrated ability to participate in cross-functional teams
+ Demonstrated ability to work independently with minimal supervision
*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 $71,200 to $127,200 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._
Advisory Consultant - Payer Strategy - Remote
Eden Prairie, MN 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.
The Advisory Consultant - Payer Strategy - Remote works within a team and serves a key role in contributing to client engagement problem solving and work product development. The Consultant structures and conducts analysis and creates content for assigned workstreams under direction from project lead and contributes to assisting more junior team members with their responsibilities. This role will support client communications around own workstream and at times those of more junior team members and successfully work under timelines for own work along with assisting junior team members with theirs, in accordance with overall project requirements. This role is a major contributor to team problem solving across full scope of each project. The Consultant will participate in various practice development projects, proactively anticipate challenges and risks in both own area and those of junior staff, make sound adjustments/recommendations to address issues, and play an active role in improving business processes, knowledge management, etc.
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:
* Structure approach/analysis for assigned workstream under direction and contribute to assisting more junior team members with their responsibilities
* Contribute to client communications around own workstream and sometimes those of more junior team members
* Major contributor to team problem solving across full scope of project
* Knowledgeable on Optum data sets and tools and carries foundational understanding of health care industry dynamics
* Maintain a comprehensive understanding of health care research, tools, and assets used by the practice to support client work
* Participate in various practice development projects
* Provide active role in improving business processes, knowledge management, etc. within the practice
* Proactively anticipate challenges and risks in both own area and those of more junior staff and make sound adjustments/recommendations to address issues
* Communicates effectively and accurately in writing and verbally to prospects, members and other team members
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:
* 1+ years working in payer strategy, provider network, NCQA/URAC accreditation, provider data management, or value-based care
* 1+ years of experience utilizing formal industry strategy frameworks
* 1+ years of healthcare, payer (primary) or life sciences experience
* Experienced in Quantitative/Qualitative Analytic execution and synthesis
* Client relationship management experience
* Proficiency in MS Office Suite - Word, PowerPoint, Excel
* Demonstrated ability to anticipate challenges and provide solutions
* Demonstrated ability to drill down to the root cause of issues and be creative in problem solving
* Demonstrated ability to travel domestically, up to 50%
Preferred Qualifications:
* Healthcare, payer and/or provider, life sciences experience
* Experience conducting strategy projects
* Experience working in and successfully navigating a matrixed environment
* Demonstrated ability to possess analytical reasoning and solution-focus problem solving
* Demonstrated ability to participate in cross-functional teams
* Demonstrated ability to work independently with minimal supervision
* 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 $71,200 to $127,200 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.
Senior Advisory Consultant - Payer Strategy - Remote
Eden Prairie, MN 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.**
The Sr. Advisory Consultant - Payer Strategy - Remote works within a team and serves a key role in contributing to the engagement work product as well as project and business management within the delivery team. The Senior Consultant structures and conducts analysis and creates content for assigned workstreams largely independently and contributes to assisting more junior team members with their responsibilities. This role will lead client communications around own workstream and at times those of more junior team members and establish timelines for own work along with assisting junior team members with theirs, in accordance with overall project requirements. This role is a major contributor to team problem solving across full scope of each project. The Senior Consultant will lead or participate in various practice development projects, proactively anticipate challenges and risks in both own area and those of junior staff, make sound adjustments/recommendations to address issues, and play an active role in improving business processes, knowledge management, etc.
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:**
+ Structure approach/analysis for assigned workstream largely independently and contribute to assisting more junior team members with their responsibilities
+ Lead client communications around own workstream and sometimes those of more junior team members
+ Major contributor to team problem solving across full scope of project
+ Able to structure and drive team problem solving sessions with assistance from Project Manager
+ May serve as project lead for smaller and/or more templated engagements or those in more well-known terrains
+ Establish self as knowledgeable/credible on topics
+ Knowledgeable on Optum data sets and tools and carries foundational understanding of health care industry dynamics
+ Maintain a comprehensive understanding of Health Care research, tools, and assets used by the practice to support client work
+ Establish own timeline for own workstream and assist junior staff, in accordance with overall project requirements
+ Lead or participate in various practice development projects
+ Provide active role in improving business processes, knowledge management, etc. within the practice
+ Proactively anticipate challenges and risks in both own area and those of more junior staff and make sound adjustments/recommendations to address issues
+ Communicates effectively and accurately in writing and verbally to prospects, members and other team members
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:**
+ 2+ years working in payer strategy, provider network, NCQA/URAC accreditation, provider data management, or value-based care
+ 2+ years of experience utilizing formal industry strategy consulting frameworks
+ 2+ years of healthcare, payer (primary) or life sciences experience
+ Experienced in Quantitative/Qualitative Analytic execution and synthesis
+ Client relationship management experience
+ Project management experience
+ Proficiency in MS Office Suite - Word, PowerPoint, Excel
+ Demonstrated ability to anticipate challenges and provide solutions
+ Ability to drill down to the root cause of issues and be creative in problem solving
+ Willingness to travel domestically, up to 50%
**Preferred Qualifications:**
+ Experience in management consulting or payer strategy roles
+ Experience conducting strategy projects
+ Experience working in and successfully navigating a matrixed environment
+ Proven to possess analytical reasoning and solution-focus problem solving
+ Proven ability to participate in cross-functional teams
+ Proven ability to work independently with minimal supervision
*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 $89,900 to $160,600 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._
Actuarial Sr Consultant - Remote
Eden Prairie, MN 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.**
In joining the Optum Advisory Services Trend Analytics Consulting team: you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting health plans across the country through a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and consulting presence by identifying, developing, and executing on new and exciting business opportunities.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. MN location preferred. 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:**
+ Performing quantitative analysis of healthcare utilization and cost data, preparing client reports, managing project timelines, and coordinating tasks
+ Developing and analyzing complex datasets for reporting, clearly communicating analytical implications to stakeholders, and collaborating effectively across teams
+ As a trusted subject matter expert, the consultant will support ad-hoc analytics, foster strategic client relationships, and take ownership of deliverables in a fast-paced environment
+ This position is part of a high-performing team focused on continuous improvement and innovation, offering clear direction, recognition, and opportunities to apply traditional expertise to cutting-edge actuarial and analytical solutions
+ Support in the development of junior analysts
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:**
+ On the Actuarial exam track, having passed a minimum of 3 or more Actuarial exams
+ 3+ years hands-on experience in data analysis, data science, data-driven investigations, and/or analytic insight creation for executive consumption
+ 3+ years of experience handling healthcare claims datasets
+ 3+ years of experience and an advanced proficiency in SQL, SAS, R, and/or Python, ability to work seamlessly in multiple programming languages
+ Demonstrated experience using programming to solve complex technical problems
+ Advanced proficiency in MS Office products: Excel, Word, PowerPoint
**Preferred Qualifications:**
+ Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries designation (FSA)
+ 2+ years of experience with medical claims/utilization trend reporting
+ 1+ years of experience with extracting data from Enterprise Data Warehouses and Enterprise Data Lakes
+ 1+ years of experience working with actuarial team(s) with an understanding of actuarial concepts
+ Proven analytical, organizational, and problem-solving skills
+ Proven ability to handle changing priorities/requirements/deadlines
+ Local to the Eden Prairie, MN office location for 4 days a week in office work arrangement
*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 $89,900 to $160,600 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._
Actuarial Senior Consultant - Remote
Eden Prairie, MN jobs
At UnitedHealth Group, we're committed to transforming the health care experience-making it simpler, more affordable, and more equitable for everyone. The work you do here will touch millions of lives and help build a healthier future. Join us in shaping the health care system of tomorrow, where care is connected and communities thrive. Ready to make an impact? Start your journey with us: **Caring. Connecting. Growing together.**
As a Senior Actuarial Consultant within UHG Trend Analytics' - Forecasting & Insights team, you will be instrumental in advancing healthcare analytics and developing data-driven strategies that improve health outcomes. You will collaborate with cross-functional teams to drive innovation, solve complex challenges, and deliver actionable insights for our business partners.
Join a dynamic team working on a high-impact initiative focused on Medicare Advantage. In this role, you will help design and build trend forecast models, analyze detailed healthcare claims data, and develop studies that support financial forecasting and strategic planning. You'll apply advanced analytical skills to solve complex business challenges, create partner-ready deliverables, and contribute to improved healthcare outcomes for Medicare beneficiaries.
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:**
+ Maintain and enhance forecast models for Medicare Advantage financial projections
+ Support cross-business analytics (Commercial, Medicare, and Medicaid) to ensure consistent modeling
+ Conduct in-depth data extractions and analyses to provide actionable insights
+ Identify new opportunities for analytical development in collaboration with stakeholders
+ Create high-quality written communications, persuasive presentations, and client-ready deliverables
+ Design analytics and extract data using tools such as R, Python, Excel, SAS, and SQL
+ Mentor junior team members and lead training sessions to build internal capabilities
+ Collaborate across departments to deliver holistic solutions to business challenges
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:**
+ Bachelor's degree obtained from an accredited university
+ Currently on the Actuarial exam track, having passed a minimum of 4 or more Actuarial exams
+ 4+ years of experience as an actuary in healthcare, finance, or related industry analytics role
+ 4+ years of experience acquiring, manipulating, and working with large heterogeneous datasets (claim and non-claim based) and using them to solve business problems
+ Extensive experience in building and maintaining Excel based models
+ Experience in designing and executing actuarial analyses, including data extraction and analysis using R, Python, SQL, SAS, and/or VBA
+ Proven ability to create and maintain efficient and scalable models
**Preferred Qualifications:**
+ Credentialled Actuary (ASA or FSA)
+ 4+ years of experience working for a healthcare consulting practice
+ 2+ years of experience collaborating with cross functional partners and presenting analytical findings
+ 2+ years of experience working in Medicare Advantage
+ Working on-site in our office located in Eden Prairie, MN
+ Ability to relocate to Minnesota
*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 $89,900 to $160,600 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._
Senior Advisory Consultant - Payer Strategy - Remote
Eden Prairie, MN 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.
The Sr. Advisory Consultant - Payer Strategy - Remote works within a team and serves a key role in contributing to the engagement work product as well as project and business management within the delivery team. The Senior Consultant structures and conducts analysis and creates content for assigned workstreams largely independently and contributes to assisting more junior team members with their responsibilities. This role will lead client communications around own workstream and at times those of more junior team members and establish timelines for own work along with assisting junior team members with theirs, in accordance with overall project requirements. This role is a major contributor to team problem solving across full scope of each project. The Senior Consultant will lead or participate in various practice development projects, proactively anticipate challenges and risks in both own area and those of junior staff, make sound adjustments/recommendations to address issues, and play an active role in improving business processes, knowledge management, etc.
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:
* Structure approach/analysis for assigned workstream largely independently and contribute to assisting more junior team members with their responsibilities
* Lead client communications around own workstream and sometimes those of more junior team members
* Major contributor to team problem solving across full scope of project
* Able to structure and drive team problem solving sessions with assistance from Project Manager
* May serve as project lead for smaller and/or more templated engagements or those in more well-known terrains
* Establish self as knowledgeable/credible on topics
* Knowledgeable on Optum data sets and tools and carries foundational understanding of health care industry dynamics
* Maintain a comprehensive understanding of Health Care research, tools, and assets used by the practice to support client work
* Establish own timeline for own workstream and assist junior staff, in accordance with overall project requirements
* Lead or participate in various practice development projects
* Provide active role in improving business processes, knowledge management, etc. within the practice
* Proactively anticipate challenges and risks in both own area and those of more junior staff and make sound adjustments/recommendations to address issues
* Communicates effectively and accurately in writing and verbally to prospects, members and other team members
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:
* 2+ years working in payer strategy, provider network, NCQA/URAC accreditation, provider data management, or value-based care
* 2+ years of experience utilizing formal industry strategy consulting frameworks
* 2+ years of healthcare, payer (primary) or life sciences experience
* Experienced in Quantitative/Qualitative Analytic execution and synthesis
* Client relationship management experience
* Project management experience
* Proficiency in MS Office Suite - Word, PowerPoint, Excel
* Demonstrated ability to anticipate challenges and provide solutions
* Ability to drill down to the root cause of issues and be creative in problem solving
* Willingness to travel domestically, up to 50%
Preferred Qualifications:
* Experience in management consulting or payer strategy roles
* Experience conducting strategy projects
* Experience working in and successfully navigating a matrixed environment
* Proven to possess analytical reasoning and solution-focus problem solving
* Proven ability to participate in cross-functional teams
* Proven ability to work independently with minimal supervision
* 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 $89,900 to $160,600 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.