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Senior Analyst jobs at Cigna

- 43 jobs
  • Market Insight Senior Analyst / Research Analyst

    Cigna 4.6company rating

    Senior analyst job at Cigna

    Are you passionate about using data to make a difference in healthcare? At Evernorth, we believe that smart, compassionate experts can unlock new possibilities for patients and communities. As a Market Insight Senior Analyst, you'll help shape the future of healthcare by turning complex data into strategies that drive innovation and improve lives. If you're ready to grow, collaborate, and make an impact, we invite you to join our ambitious team. Responsibilities Collaborate with cross-functional teams to uncover opportunities and deliver impactful research insights. Translate data into clear, actionable recommendations that inform strategic decisions. Develop reproducible analytical solutions using tools like R, Python, and SQL to address business and research challenges. Create compelling reports, visualizations, and presentations that communicate findings effectively. Drive continuous improvement in data analytics practices and governance. Qualifications Required: 1+ years of applied healthcare research experience. Proficiency in statistical programming (SAS, R, STATA, or similar) and SQL. Experience working with large healthcare datasets, including medical and pharmacy claims. Strong communication skills and ability to convey complex insights clearly. Preferred: Bachelor's degree in a quantitative or social sciences field (such as epidemiology, public health, or health economics). Master's degree or higher in a related field. Experience with real-world data (RWD) and real-world evidence (RWE). Knowledge of medical coding schemas (ICD, CPT, HCPCS, NDC, SNOMED). Familiarity with data visualization tools and best practices. At Evernorth, we are driven by curiosity, compassion, and a commitment to excellence. If you are excited to use data to make a real difference and want to grow as a leader in healthcare research, we encourage you to apply and help us build a healthier future for everyone. 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.
    $83k-104k yearly est. Auto-Apply 14d ago
  • Provider Contracting Senior Analyst - Cigna Healthcare - Remote

    Cigna 4.6company rating

    Senior analyst job at Cigna

    can be located anywhere in the USA This role delivers professional activities in the Provider Contracting job family. The position is responsible for dental provider recruitment and contracting as well as managing contracted provider relationships for a specified territory. Conducts daily outreach to dental offices or providers to develop and maintain positive relationships with the purpose of negotiating a contract for participation in our dental networks. Ability and willingness to travel frequently within the US including overnight stays. Conduct quality reviews of Practitioner and/or Facility/Ancillary contracts. Conducts comparison of contract data relative to provider data and/or demographic and reimbursement data submitted for processing. Assesses the accuracy of provider data processed in accordance with documented and standard operating policies and procedures. Applies standard techniques and procedures to routine instructions that require professional knowledge in specialist areas. Provides standard professional advice and creates initial reports/analyses for review. May provide guidance, coaching, and direction to more junior members of the team in the Network Management Organization. Responsibilities: Recruiting providers to join Cigna's dental networks (PPO & DHMO): Field Recruitment: Candidates will visit offices in person (25-50% travel) Outbound Calling: Candidates will follow up with visited offices via phone at home Identifying, recruiting, contracting, and retaining qualified health care professionals in geographic area within established guidelines to meet health plan needs Achieve competitive and cost-effective contracts in assigned areas or assigned client/customer needs Negotiate contracts and recruit dental providers to become a Cigna PPO and/or DHMO network provider. Explain plans, policies, and procedures to potential providers Maintain positive relationships with health care professionals and their office staff extending high quality service Conduct negotiations and ensure the smooth operation and administration of provider agreements Support and retention of offices in our dental networks Complete onsite quality assessments Respond to provider inquiries, concerns, complaints, appeals and grievances Provide ongoing product education to dentists and their staff Work to achieve contract discounts with new providers and current providers through thoughtful negotiation Use data and facts to identify and overcome objections Prioritize and organize own work to meet deadlines, and reach established personal and department goals Conduct ongoing support to contracted providers in our networks via telephone or by personal relationship visits. Requirements: High School Diploma or equivalent required 1-3 year plus experience in healthcare administration or provider relationship management, preferably experience working with Dental offices Strong skill set required in the following areas: analytical, negotiations, financials, presentation skills, written and oral communication skills Strong negotiation and communication skills Self-Starter and organized Intermediate proficiency in Microsoft Office products required Valid drivers license Phone Etiquette - Inbound/Outbound calls Ability to manage multiple priorities in a fast-paced environment Strong relationship management skills: ability to foster collaboration, value other perspectives and gain support and buy-in Sales Experience is a plus Bilingual is a plus (English and Spanish) This position can be located anywhere in the USA 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 58,500 - 97,500 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. 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 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.
    $55k-74k yearly est. Auto-Apply 19d ago
  • Data Analyst III

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management Develop reports and deliverables for management Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis Assist with training and mentoring other Data Analysts Performs other duties as assigned Complies with all policies and standards Candidate should reside in Kansas or surrounding states. Education/Experience: Bachelor's degree related field or equivalent experience. 4+ years of statistical analysis or data analysis experience or 2-4 years of HEDIS data analysis experience including measurement and rates impacted. Expert in Power BI and familiar with AI in Data Analysis preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $68.7k-123.7k yearly Auto-Apply 22d ago
  • Analyst I, Data Science

    Liberty Mutual 4.5company rating

    Remote

    At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand. We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization. This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion. Responsibilities: Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources. Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses. Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons. Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision. Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility. Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice. Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship. Preferred skills and experience: Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models. Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus. Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus. Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus. Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills. Additional skills and experiences that are nice to have: Coursework or experience in claims/service operations or workforce management. Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark). Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision. Qualifications Solid knowledge of predictive analytics techniques and statistical diagnostics of models. Advance knowledge of predictive toolset; expert resource for tool development. Demonstrated ability to exchange ideas and convey complex information clearly and concisely. Has a value-driven perspective with regard to understanding of work context and impact. Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $72k-97k yearly est. Auto-Apply 19d ago
  • Senior Product Marketer

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Ensure successful execution, maintenance, and improvement of Centene's products. Manage a specific product (e.g. Value, Virtual, etc.) and support issues that arise in the current plan year while also building the vision and strategy for future years. Drive execution of the strategy to implementation with a cross-functional team. Own and drive resolution for in-year issues identified for complex product offering(s) or portfolios of products. Provide support to team in addressing issues for their assigned products. Support definition and execution of roadmaps for higher complexity products or product portfolios requiring greater cross-organizational alignment. Drive near and long-term strategies that increase product or portfolio value over time Track performance (market, financial, operational) of assigned product(s) or portfolio and collaborate with cross-functional partners to mitigate performance risks across functional verticals (e.g. Rx, Network, Risk Adjustment, Health Plans) Serve as subject matter expert to internal and external stakeholders on products and provide proactive communication to applicable cross-functional partners, health plans, and executive leadership team. Support the Manager in interviewing, hiring, onboarding, and training newly hired team members Education/Experience: Bachelor's degree in Business Administration, Marketing and Sales, or related field, or equivalent experience. 6+ years of experience managing healthcare products and/or managed care, including but not limited to health plan, provider, or health system experience. Experience driving product implementations, managing product operational performance preferred.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
    $105.6k-195.4k yearly Auto-Apply 8d ago
  • Data Analyst II Healthcare Analytics

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data Support execution of large-scale projects with limited direction from leadership Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines Support the design, testing, and implementation of process enhancements and identify opportunities for automation Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with customers and business partners to gather requirements and validate results Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $55.1k-99k yearly Auto-Apply 13d ago
  • Data Analyst III Appeals Reporting

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Contribute to the planning and execution of large-scale projects with limited direction from leadership Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with customers and business partners to gather requirements and validate results Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Provide technical guidance to junior analysts Education/Experience: Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of modern business intelligence and visualization tools including Microsoft Power BI. Appeals background highly preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 1d ago
  • Analyst I, Data Science

    Liberty Mutual 4.5company rating

    Columbus, OH jobs

    At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand. We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization. This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion. Responsibilities: * Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources. * Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses. * Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons. * Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision. * Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility. * Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice. * Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship. Preferred skills and experience: * Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models. * Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus. * Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus. * Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus. * Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills. Additional skills and experiences that are nice to have: * Coursework or experience in claims/service operations or workforce management. * Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark). * Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision. Qualifications * Solid knowledge of predictive analytics techniques and statistical diagnostics of models. * Advance knowledge of predictive toolset; expert resource for tool development. * Demonstrated ability to exchange ideas and convey complex information clearly and concisely. * Has a value-driven perspective with regard to understanding of work context and impact. * Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $65k-86k yearly est. Auto-Apply 20d ago
  • Analyst I, Data Science

    Liberty Mutual 4.5company rating

    Columbus, OH jobs

    At Liberty Mutual, the Capacity Modeling and Optimization team within Claims and Service Data Science builds advanced forecasting and staffing optimization models that enable best in class workforce planning across our Claims and Service lines of business. We convert operational data into decision grade analytics that improve assignment strategies, benchmark productivity, and align capacity with demand. We are hiring a Junior Data Scientist to support the work effort assessment and modeling. With guidance from senior team members, you will help build pipelines and quality checks, develop statistical and simulation models that explain and predict claim/exposure durations and action frequencies, evaluate segmentation and assignment strategies, and support work effort-based staffing forecasts and optimization. This role may have in office requirements based on candidate location. Level of position offered will be based on skills and experience at manager discretion. Responsibilities: Support development of scalable data pipelines and automated quality controls (schema, completeness, drift) across multiple sources. Build statistical models for duration and action frequency; build exposure/phase level features and run exploratory/variance analyses. Assist in clustering/segmentation and hypothesis testing to quantify efficiency and service impacts. Help build and run simulation models to compare assignment policies; analyze results and create scenario comparisons. Help building work effort-based demand forecasts and staffing models; implement components of optimization models with supervision. Maximize usable data by applying censoring aware methods, imputation, and reconciliation, document assumptions and ensure reproducibility. Communicate findings through dashboards, reports, and presentations; collaborate with Claims and Service partners to move insights into practice. Follow MLOps best practices (Git, reproducible workflows, experiment tracking) under mentorship. Preferred skills and experience: Solid foundation in statistics and ML: regression/GLM, inference, experimental design; familiarity with survival/censoring, time series, and hierarchical models. Exposure to operations research and simulation: queueing concepts, discrete event or agent-based simulation; familiarity with OR Tools or Pyomo and SimPy is a plus. Proficiency in Python and SQL; experience with pandas, NumPy, scikit learn, stats models; visualization using Plotly/Seaborn and dashboarding (e.g., Dash) is a plus. Experience writing clean, tested code with version control (Git); familiarity with MLflow and workflow orchestration (e.g., Airflow) is a plus. Comfort working with large, complex operational datasets; strong problem solving, communication, and collaboration skills. Additional skills and experiences that are nice to have: Coursework or experience in claims/service operations or workforce management. Familiarity with cloud platforms (AWS/GCP/Azure) and distributed processing (Spark). Exposure to Docker and CI/CD; experience deploying models or dashboards with supervision. Qualifications Solid knowledge of predictive analytics techniques and statistical diagnostics of models. Advance knowledge of predictive toolset; expert resource for tool development. Demonstrated ability to exchange ideas and convey complex information clearly and concisely. Has a value-driven perspective with regard to understanding of work context and impact. Competencies typically acquired through a Master's degree (scientific field of study) and 0-1 years of relevant experience or a Bachelor's degree (scientific field of study) and 3+ years of relevant experience. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $65k-86k yearly est. Auto-Apply 19d ago
  • BI Analyst

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The BI Analyst / Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers BI Analyst / Business Intelligence Engineer 2 + Developing and optimizing data models, ETL processes, and dashboards to track key performance indicators. + Supporting the team's ability to analyze customer, provider, and operational data, ensuring actionable insights for leadership. + Automating and improving reporting processes, reducing manual effort and increasing accuracy and predictability. + Collaborating with cross-functional teams (Product, Finance, Operations) to ensure data consistency, governance, and alignment with enterprise standards. **Use your skills to make an impact** **Required Qualifications** + 5 or more years of technical experience in Healthcare data analysis + 2 or more years of experience in SQL, SAS or other data systems + Comprehensive experience Microsoft Word, Excel (pivot tables, formulas, data manipulation), PowerPoint, Visio and Access (data analysis, experience with relational databases) + Expertise in assessing complex data sets and performing root cause analysis **Preferred Qualifications** + Bachelor's degree or higher + Experience with data mining and predictive modeling techniques + Ability to use data to drive business outcomes and decisions + Experience in Medicare/Medicaid, CMS (Centers for Medicare & Medicaid Services) or other Federally regulated healthcare programs + Experience with Humana systems, specifically Service Fund + Experience with tools such as Power BI for creating data visualizations + Experience with Azure Synapse Analytics + Understanding of organizational operations and the ability to communicate findings effectively to both technical and non-technical stakeholders. **WORK STYLE:** Remote/work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week. All associates must start their workday between 6AM-9AM EST **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. $66,800 - $91,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-09-2026 **About us** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our 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 ***************************************************************************
    $66.8k-91.1k yearly 11d ago
  • Senior Analyst, Advanced Analytics, Small Commercial

    Liberty Mutual 4.5company rating

    Remote

    As a Sr. Analyst in Small Commercial Risk Analytics, you will you will play a critical role in the calculation and analysis of the Underwriter pricing tools, performing analyses designed to improve business processes and support decisions that contribute to profitable growth. This role will have exposure to teams across Small Commercial including Indications, Data Science, State, Underwriting and other Product teams to help optimize and monitor our underwriting tools and a variety of other critical strategic decisions. This is an exciting opportunity where your work will greatly influence strategy, decision-making and contribute to Liberty's goal of being a top 3 Global P&C insurer! **This position may have in-office requirements dependent upon candidate location.** Responsibilities: Responsible for updating all Risk Analytics owned inputs of the underwriting pricing tool(s). Collaborate with UWE monitoring team to share findings & align interpretation. Provide pricing tool analytics on a quarterly and ad hoc basis, supporting stakeholder communication and engagement. Owner of certain PowerBI dashboards, executing monthly updates and supporting the development and implementation of enhancements. Support the training of end-users. Based on analysis, develops reports, proposals for action or implementation plans as necessary and presents to manager with opportunity to present to other Small Commercial leaders. Communicates and collaborates with other departments as necessary to deliver guidance and actionable analysis. Resolves problems as needed to ensure guidance, reporting and analysis are delivered accurately and on time. Special Projects as prioritized within SC Risk Analytics. Meets with supervisor to discuss deliverable(s) status and present recommendations. Qualifications Bachelor's Degree plus a minimum 3 years, typically 4 or more years of experience, or equivalent, is required. Mathematics, Economics, Statistics or other quantitative field are preferred fields of study. Advanced knowledge of data sources, tools, statistical principles and methodologies, and techniques. Advanced proficiency in Excel (VBA, macros, scripts, formulas, data visualization, etc.), PowerPoint, and statistical software packages (SAS, Emblem). Must have good planning, analytical, decision-making and communication skills. Solid understanding of business to improve business outcomes. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
    $82k-114k yearly est. Auto-Apply 18d ago
  • Lead IT Portfolio Management Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: In charge of the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of project or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives. Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. Creates visibility into areas struggling with scope, schedule, resources, or budget Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of projects into the portfolio Identifies dependencies and critical paths, and aids stakeholders in managing them Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions Analyzes project risk profile and balance at the portfolio level Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions Develop and maintain processes to facilitate integrated project scoping between various workgroups and identifies operational impacts and dependencies Maintain departmental work process for IT controls Analyze demand data to identify and report on trends Identify key leading and lagging risk factors Ensure compliance to all policies and procedures Drive portfolio planning and operations for assigned portfolio Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or ore of the following skills are desired. Experience with Other: ServiceNow, Flexera, and/or BDNA Experience with Data Analysis Knowledge of Other: IT hardware/software assets as well as knowledge of applications and application platforms Knowledge of JIRA Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Demonstrated analytical skills Demonstrated project management skills Demonstrates a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Ability to communicate and make recommendations to upper management Ability to drive multiple projects to successful completion License/Certification: Certified Project Management Professional (PMP)-PMI required Certified Workforce Planning Professional preferred Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $119,100.00 - $220,500.00 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
    $119.1k-220.5k yearly Auto-Apply 14d ago
  • IHWA Data and Reporting Professional

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The In-Home Health and Wellbeing assessment team is seeking a Business Analyst who is adept in data analytics and possesses a keen eye for monitoring and troubleshooting KPIs. This role requires someone who can effectively perform ad-hoc analyses to support our business objectives. The ideal candidate will have insatiable curiosity and a strong aptitude for learning. **Key Responsibilities:** + Develop SQL queries for ad hoc data pulls, analysis, and identification of root cause + Utilize existing reports and dashboards to monitor and report out on key performance indicators (KPIs). + Conduct ad-hoc analyses to provide insights and support decision-making processes. + Collaborate with cross-functional teams to gather requirements and enhance reporting capabilities. + Refine business processes to improve efficiency and effectiveness. + This position will have a list of regular monthly and weekly to-do items on top of ad-hoc analysis requests and projects. **Use your skills to make an impact** **Required Qualifications** + Minimum one (1) year experience in a data and analytics-oriented role with monitoring of KPI's + In-depth experience in Microsoft Excel including formulas, pivots, charts, and graphs. + Strong analytical skills and attention to detail. + Excellent organizational skills. + Ability to read and understand raw data, reports and dashboards. + Excellent problem-solving abilities and a proactive approach to identifying and resolving issues. + Strategic thinker and skilled communicator. + Must be passionate about contributing to a team focused on continuous learning and improvement. + Ability to manage multiple projects simultaneously and meet deadlines. **Preferred Qualifications** + Bachelor's degree in business administration/information systems + Medicare Risk Adjustment background and knowledge. + 1 or more years of experience in SQL, databricks, or Power BI + Experience in designing, developing, and maintaining visually appealing reports and dashboards in Power Bi, Microsoft PowerPoint, or similar applications. + Automation experience. + Proficiency in understanding Healthcare related data. **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees 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. **Workstyle** : Open for Hybrid or Remote Work at Home **Location:** U.S. **Schedule:** 8:00 AM - 5:00 PM Eastern Time Monday through Friday **Travel:** occasional onsite as business needs require. **Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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. $60,800 - $82,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-08-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $60.8k-82.9k yearly Easy Apply 5d ago
  • Senior IT Data Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment Delivers business solution architecture and implementation validation Engages in data profiling and source to target mapping. Works on complex data integration from disparate sources. Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners Engages with customers and business partners to gather requirements and validate results Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Data Manipulation; Data Mining Experience with one or more of the following Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language) Experience with Agile Software Development Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Pay Range: $73,800.00 - $132,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $73.8k-132.7k yearly Auto-Apply 43d ago
  • IHWA Data and Reporting Professional

    Humana 4.8company rating

    Remote

    Become a part of our caring community and help us put health first The Data and Reporting Professional 2 generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The Data and Reporting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The In-Home Health and Wellbeing assessment team is seeking a Business Analyst who is adept in data analytics and possesses a keen eye for monitoring and troubleshooting KPIs. This role requires someone who can effectively perform ad-hoc analyses to support our business objectives. The ideal candidate will have insatiable curiosity and a strong aptitude for learning. Key Responsibilities: Develop SQL queries for ad hoc data pulls, analysis, and identification of root cause Utilize existing reports and dashboards to monitor and report out on key performance indicators (KPIs). Conduct ad-hoc analyses to provide insights and support decision-making processes. Collaborate with cross-functional teams to gather requirements and enhance reporting capabilities. Refine business processes to improve efficiency and effectiveness. This position will have a list of regular monthly and weekly to-do items on top of ad-hoc analysis requests and projects. Use your skills to make an impact Required Qualifications Minimum one (1) year experience in a data and analytics-oriented role with monitoring of KPI's In-depth experience in Microsoft Excel including formulas, pivots, charts, and graphs. Strong analytical skills and attention to detail. Excellent organizational skills. Ability to read and understand raw data, reports and dashboards. Excellent problem-solving abilities and a proactive approach to identifying and resolving issues. Strategic thinker and skilled communicator. Must be passionate about contributing to a team focused on continuous learning and improvement. Ability to manage multiple projects simultaneously and meet deadlines. Preferred Qualifications Bachelor's degree in business administration/information systems Medicare Risk Adjustment background and knowledge. 1 or more years of experience in SQL, databricks, or Power BI Experience in designing, developing, and maintaining visually appealing reports and dashboards in Power Bi, Microsoft PowerPoint, or similar applications. Automation experience. Proficiency in understanding Healthcare related data. Additional Information To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees 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. Workstyle: Open for Hybrid or Remote Work at Home Location: U.S. Schedule: 8:00 AM - 5:00 PM Eastern Time Monday through Friday Travel: occasional onsite as business needs require. Work at Home Guidance To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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. $60,800 - $82,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-08-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $60.8k-82.9k yearly Auto-Apply 6d ago
  • EDW Medicaid Subject Matter Expert or Data Specialist - Remote

    Unitedhealth Group 4.6company rating

    Chicago, IL jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some ( 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:** + Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations + With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability + Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts + Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately + Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies 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:** + 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems + 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects + Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered + Understanding of claims, recipient/eligibility, and provider/enrollment data processes + Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets + Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills + Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance) + Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed **Note:** Core customer business hours to conduct work is M-F 8 AM - 5 PM CST. **Preferred Qualifications:** + 2+ years of experience in HEDIS, CHIPRA or similar quality metrics + Experience with data analysis using Teradata Database Management System or other equivalent database management system + Experience using JIRA, Rally, DevOps or equivalent + Experience in large implementation or DDI project + Located within driving distance (3 - 5 Hours) of Springfield, IL *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 $110,200 to $188,800 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._
    $54k-75k yearly est. 42d ago
  • EDW Medicaid Subject Matter Expert or Data Specialist - Remote

    Unitedhealth Group Inc. 4.6company rating

    Chicago, IL jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role provides the guidance and direction to support a large data warehouse implementation and maintenance & operations. The selected SME will provide the required decisions for the business and technical team members to modify, change, enhance or correct within the system, related to claims, provider, and recipient data. Roles in this function will partner with stakeholders to understand data requirements and support development tools and models such as interfaces, dashboards, data visualizations, decision aids and business case analysis to support the organization. Additional roles include producing and managing the delivery of activity, value analytics and critical deliverables to external stakeholders and clients. This is a telecommute position with some ( 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: * Provide direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations * With the specialized knowledge of the Medicaid and Children's Health Insurance Programs (CHIP), lead and guide internal and external stakeholders to make determinations relating to complex processes involving claims processing/adjudication, recipient eligibility, provider enrollment, and third-party liability * Proactively identify and understand state Medicaid agency data needs and determines the recommended solution to meet them with credible reason, justification and validated proof of concepts * Direct technical and business teams on healthcare topics understanding and utilizing healthcare data appropriately * Proactively suggest and recommend enhancements and improvements throughout the project processes, driven by Medicaid best practices, standards and policies 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: * 10+ years of experience in information technology with 5+ years of experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing business requirements and testing/validation of various systems * 2+ years of experience working CMS Federal Reporting MARS, PERM, T-MSIS, Quality of Care CMS Core Measure or similar projects * Knowledge of the Centers for Medicare and Medicaid Services reporting requirements and the programs covered * Understanding of claims, recipient/eligibility, and provider/enrollment data processes * Proven ability to create and perform data analysis using SQL, Excel against data warehouses utilizing large datasets * Proven excellent verbal/written communication and presentation skills, manager/executive/director-level client facing, team collaboration, and mentoring skills * Proven solid culture fit, demonstrating our culture values in action (Integrity, Compassion, Inclusion, Relationships, Innovation, and Performance) * Ability to travel to Springfield, IL two (3) to three (4) times per year or as needed Note: Core customer business hours to conduct work is M-F 8 AM - 5 PM CST. Preferred Qualifications: * 2+ years of experience in HEDIS, CHIPRA or similar quality metrics * Experience with data analysis using Teradata Database Management System or other equivalent database management system * Experience using JIRA, Rally, DevOps or equivalent * Experience in large implementation or DDI project * Located within driving distance (3 - 5 Hours) of Springfield, IL * 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 $110,200 to $188,800 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.
    $54k-75k yearly est. 46d ago
  • Sr. EPIC Analyst (MyChart or Cadence Certified) - Kelsey Seybold Clinic - Remote

    Unitedhealth Group Inc. 4.6company rating

    Pearland, TX jobs

    Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. 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: * Under general direction, formulates/defines system scope and objectives * Able to work individually on a team or project teams and can multi-task * May be responsible for completion of a phase of a project or responsible for leading and completing a project * Regularly provides guidance and training to less experienced analysts * Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models * May support implementation and upgrades to clinical and bio-medical applications * Provide weekly status updates on project(s) progress * Position will require travel to KSC clinic locations for implementation, training and support 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 or at least 3+ years of equivalent relevant work experience * EPIC MyChart or EPIC Cadence certification * 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support * Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications * Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations * Ability to test and audit personally developed system configurations, in order to assure functional accuracy * Demonstrated excellent communication, relationship, teamwork and project management skills * Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets * Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization * Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice * Demonstrated clear ability to articulate benefit realization personally achieved on previous projects * Proven communication, presentation, teamwork, project management, problem solving and technical skills Preferred Qualifications: * Clinical, or Advanced degree * Complex project management experience with demonstrably successful outcome * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. 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. OptumCare 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. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $51k-63k yearly est. 6d ago
  • Sr. EPIC Analyst (MyChart or Cadence Certified) - Kelsey Seybold Clinic - Remote

    Unitedhealth Group 4.6company rating

    Pearland, TX jobs

    Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. 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:** + Under general direction, formulates/defines system scope and objectives + Able to work individually on a team or project teams and can multi-task + May be responsible for completion of a phase of a project or responsible for leading and completing a project + Regularly provides guidance and training to less experienced analysts + Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models + May support implementation and upgrades to clinical and bio-medical applications + Provide weekly status updates on project(s) progress + Position will require travel to KSC clinic locations for implementation, training and support 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 or at least 3+ years of equivalent relevant work experience + EPIC MyChart or EPIC Cadence certification + 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support + Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications + Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations + Ability to test and audit personally developed system configurations, in order to assure functional accuracy + Demonstrated excellent communication, relationship, teamwork and project management skills + Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets + Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization + Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice + Demonstrated clear ability to articulate benefit realization personally achieved on previous projects + Proven communication, presentation, teamwork, project management, problem solving and technical skills **Preferred Qualifications:** + Clinical, or Advanced degree + Complex project management experience with demonstrably successful outcome *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. _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._ _OptumCare 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._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $51k-63k yearly est. 24d ago
  • Financial Systems Analyst

    Progressive 4.4company rating

    Mayfield, OH jobs

    Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As an associate financial systems analyst on the Treasury Accounting team, you'll work on payment and fixed asset-related activities as well as process improvements and efficiencies. In this role, you'll collaborate closely with the financial platforms and our financial groups to ensure financial statement accuracy and proper issue resolution management. In addition to the minimum requirements for the role, the candidate must meet the requirements to work in the General Ledger. Those General Ledger requirements include passing Principles of Accounting I and II -or- Financial Accounting I and II. This is a hybrid role working two days per month out of our Mayfield Village, OH headquarters. Must-have qualifications * Bachelor's degree or higher in Accounting or related field of study Preferred skills * Detail-oriented with a strong foundation in Excel * Technical accounting knowledge * Proactive approach to problem-solving and continuous improvements Compensation * $52,600 - $65,800 per year * Gainshare bonus up to 16% of your eligible earnings based on company performance Benefits * 401(k) with dollar-for-dollar company match up to 6% * Medical, dental & vision, including free preventative care * Wellness & mental health programs * Health care flexible spending accounts, health savings accounts, & life insurance * Paid time off including volunteer time off * Paid & unpaid sick leave where applicable, as well as short & long-term disability * Parental & family leave; military leave & pay * Diverse, inclusive & welcoming culture with Employee Resource Groups * Career development & tuition assistance * Onsite gym & healthcare at large locations Energage recognizes Progressive as a 2025 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership. Equal Opportunity Employer Sponsorship for work authorization is not available for this position. For ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at ************************************************************** #LI-Hybrid Share: Apply Now
    $52.6k-65.8k yearly 11d ago

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