Senior Business Manager jobs at Cigna - 26 jobs

Managing Director, Enterprise Organizational Enablement
Cigna 4.6
Senior business manager job at Cigna
We are seeking a visionary and experienced leader to serve as Managing Director, Enterprise Organizational Enablement. This role will lead the enterprise organizational development (OD) and change function, an internal consulting group positioned to drive organizational effectiveness, high performance, and change adoption across The Cigna Group. The successful candidate will partner with senior leaders to address complex organizational challenges, build internal capability in organizational design, systems thinking, team effectiveness, and change management, and foster a culture of agility, resilience, and innovation. Key Responsibilities Enterprise Enablement Strategic Leadership * Serve as a strategic advisor on organizational effectiveness, organizational design, culture, change readiness, and stakeholder engagement to senior HR Business Partners and executive leaders. * Develop and execute integrated organizational development and change management strategies aligned with enterprise goals to drive business outcomes. * Lead the design and implementation of complex OD interventions (e.g., organizational design, culture transformation, team effectiveness). * Develop and execute comprehensive change strategies aligned with enterprise talent strategy priorities and critical business initiatives, working with key partners to manage decision-making, risk mitigation, and project delivery accordingly. * Assess and manage change saturation and readiness across the enterprise portfolio, elevating critical risks and mitigation strategies to senior leadership. Team Leadership & Development * Bolster and lead a high-performing internal consulting practice that partners with business and HR leaders to diagnose organizational needs, design tailored OD and change interventions and deliver measurable business outcomes. * Coach and mentor team members to build expertise in needs assessment, systems thinking, consulting, and strategic thinking while supporting career growth and development. * Define clear goals and performance metrics for the team, ensuring alignment with enterprise priorities and client needs. * Establish a consulting center of excellence, promoting best practices, knowledge sharing, and continuous improvement across the team and with key matrix partners. Capability Building & Methodology Development * Continue to refine existing OD methodologies and resources, aligning to current best practices and business needs. * Establish and scale enterprise-wide change management methodologies and resources, in partnership with Leadership Development and Learning teams. * Build internal OD and change capability across HR and business units through training, coaching, and knowledge-sharing. Stakeholder Engagement & Communication * Facilitate executive team interventions and design sessions to address organizational health, engagement, and performance. * Partner with executive sponsors, business leaders, and project teams to assess change impacts, drive alignment and readiness, and develop tailored change plans. * Design and execute communication strategies that foster transparency, engagement, and alignment across all levels of the organization. * Facilitate leadership alignment sessions, employee forums, and feedback loops to ensure inclusive and responsive change efforts. Measurement & Continuous Improvement * Partner with talent analytics to define KPIs and leverage advanced analytics, dashboards, and digital tools to monitor organizational health and change adoption. * Use data-driven insights to refine OD and change strategies and ensure sustained outcomes. * Conduct post-implementation reviews and lessons-learned sessions to inform future initiatives. Qualifications * Advanced degree in Organizational Development, Industrial/Organizational Psychology, or related field strongly preferred. * 10+ years of progressive Human Resources leadership experience, including significant experience in OD, change management and transformation. * Demonstrated ability to build and lead high-performing consulting teams. * Experience in both change management and OD within large, complex, matrixed organizations. * Deep expertise in OD theory and practice (e.g., systems thinking, group dynamics, culture transformation, leadership assessment) and leading OD interventions at-scale. * Proven success in leading enterprise-wide, large-scale, complex change initiatives in a global, matrixed organization is required. * Certification in OD (e.g., organizational design, team effectiveness tools), change management methodologies (e.g., PROSCI, ADKAR, Kotter) highly desirable. * Strong business acumen, strategic thinking, and stakeholder management skills. * Exceptional communication, facilitation, and relationship-building abilities. * Experience with HR technology such as ServiceNow, Workday, or SAP SuccessFactors preferred. * Demonstrated ability to manage multiple projects and priorities in a fast-paced, dynamic environment. * Strong analytical and problem-solving skills, with a data-driven approach to decision-making. * Ability to work collaboratively and build strong relationships across diverse functions and geographies in a highly matrixed organization. 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.
$90k-118k yearly est. Auto-Apply 2d ago

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Corporate Real Estate Senior Director
Cigna Group 4.6
Senior business manager job at Cigna
Job Summary: The Senior Director, Global Real Estate Delivery, will oversee Cigna's global real estate transactions and projects. This role requires a strategic thinker with extensive experience in real estate markets, strong negotiation skills, and the ability to manage complex transactions across multiple regions. The Senior Director will be accountable for ensuring that all real estate projects align with the company's overall business objectives and deliver expected outcomes. Additionally, the Senior Director will have oversight of the entire real estate lifecycle, from initial market analysis to ongoing management of the projects and construction until occupancy. Key Responsibilities: Lead and manage all aspects of global real estate transactions, while managing outsourced service providers and an internal team. Implement global real estate strategies that align with the company's overall business objectives. Review market research and analysis to identify optimal opportunities for Cigna's businesses. Negotiate and structure complex real estate transactions, ensuring the best outcomes for Cigna. Collaborate with internal stakeholders, including finance, legal, and operations teams, to ensure alignment and support for real estate initiatives. Manage relationships with external partners, including brokers, consultants, and legal advisors. Oversee due diligence processes, including financial analysis, building inspections, and risk assessments. Ensure compliance with local, national, and international regulations and standards. Prepare and present reports to senior management on the status of real estate transactions and portfolio performance. Assume overall accountability for the successful delivery of real estate projects, ensuring they meet scope, budget, and timeline requirements. Monitor and evaluate the performance of real estate projects, implementing corrective actions as needed to achieve desired outcomes. Ensure adherence to governance and compliance, providing feedback and process improvement opportunities. Develop, leverage existing, and maintain strong internal relationships with business leaders, cross-functional team leads, and other executives. Qualifications: Bachelor's degree in real estate, Business Administration, Finance, or a related field. An advanced degree (MBA or equivalent) is preferred. Minimum of 15 years of experience in real estate transactions, with a strong history in international markets. Proven track record of successfully managing complex real estate transactions and portfolios. Strong negotiation and analytical skills. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced, dynamic environment. Proficiency in real estate software and financial modeling tools. Desired Skills: Strategic thinker with the ability to develop and implement long-term real estate plans. Strong leadership and team management skills. Knowledge of global real estate markets and trends. Ability to manage multiple projects and priorities simultaneously. Demonstrated ability to deliver projects on time and within budget. 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 179,500 - 299,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
$131k-184k yearly est. Auto-Apply 59d ago
Senior Business Resiliency Manager
Allstate 4.6
Remote
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description As a Senior Business Resiliency Manager, you'll be a strategic leader responsible for driving a unified, forward-looking resiliency strategy that strengthens Allstate's ability to anticipate, prepare for, withstand, respond to, and rapidly recover from disruptive events including ransomware and other destructive cyber attacks. You'll oversee the continuous maturity of cyber and technology resiliency, disaster recovery, business continuity, and crisis management programs - ensuring they operate cohesively and evolve with the changing threat and technology landscape. You'll drive strategy development, operational execution, governance, and continuous improvement across all resiliency domains, and partner closely with senior leaders across Technology, Security, Operations, Second Line Risk, and Internal Audit to deliver resiliency outcomes aligned with enterprise strategy. Cyber & Technology Resiliency Strengthen recovery for hybrid/cloud environments and critical applications through resilient design and backups. Strengthen cyber recovery capabilities, including ransomware readiness, through validated backups and robust, repeatable restoration processes. Align resiliency capabilities with evolving threats and regulatory expectations in partnership with Cybersecurity. Oversee readiness of isolated recovery environments and recovery governance. Shape and drive recovery strategies grounded in business-prioritized functions to strengthen enterprise resilience. Run targeted cyber tabletops to validate readiness and reduce emerging risks. Disaster Recovery & Business Continuity Advance BC, DR maturity by ensuring strategies, plans meet business needs and reflect evolving threats. Oversee dependency mapping, runbooks, and team engagement to ensure accurate recovery models. Partner with business units to ensure continuity plans address operational, technology, and crisis response needs. Crisis Management & Incident Preparedness Oversee crisis management frameworks, communication protocols, and leadership decision-support processes. Lead or support response activities during large-scale technology or cyber incidents. Support enterprise tabletop exercises, simulations, and after-action reviews to identify improvements and strengthen organizational readiness. Risk, Compliance & Reporting Ensure alignment with regulatory and industry frameworks (NIST, ISO 22301, FFIEC, NYDFS 500.16). Produce executive-level reporting on resiliency posture, program maturity, risks, and remediation efforts. Identify gaps and drive remediation with technology, business, and security partners. People Leadership & Collaboration Lead and develop a high-performing team of resiliency professionals. Foster a culture of accountability, preparedness, and cross-functional partnership. Engage leaders across Technology, Security, and Business to drive alignment and adoption of resiliency practices. Qualifications 10+ years of experience in cyber resiliency, DR/BC/CM, technology risk, or cyber risk. Proven leadership, communication, and program development capabilities. Experience leading enterprise resiliency programs (e.g., DR, BC, Crisis Management). Strong strategic planning, risk assessment, and critical thinking skills. Deep knowledge of high-availability architectures, cyber threats, and backup/restore technologies. Broad understanding of core IT infrastructure, Datacenter operations, SOC operations, and incident management. Excellent communication skills, executive presence, and ability to influence at all levels. #LI - TE1 Skills Business Continuity, Business Resilience, Disaster Recovery (DR), Enterprise Resilience, Information Technology (IT) Risk Management, Leadership, Motivational Leadership, People Management, Risk Mitigation Strategies, Strategic Direction, Strategic Planning, Strategy Implementation Compensation Compensation offered for this role is 134,000.00 - 209,750.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
$99k-133k yearly est. Auto-Apply 10d ago
Vice President, Population Health & Clinical Operations
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level. Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislature. Understand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple Aim. Understand the unique community health needs and the attributes of the populations served to drive development of programs and service. Uses analytics to identify key insights about the populations served and drive the development of the interventions to target unique populations. Oversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined partnership agreement; co-leads agenda planning and annual performance goal setting, unique to market needs Orchestrates all elements of the population health strategy for the business Drives MLR initiatives locally through strong partnership and routine with Finance Partner with the Special Investigations Unit (SIU) to proactively identify patterns of potential fraud, waste, and abuse (FWA) through clinical, claims, and utilization data insights, ensuring timely escalation and coordinated mitigation strategies. Additionally, NHHF will integrate SIU‑driven findings into Population Health & UM operational workflows, informing policy updates, provider education, and process improvements to prevent recurrence of FWA and enhance overall compliance and accountability. Partners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomes Liaises with state regulators for clinical programs; proactively reviews and evaluates the utility, performance and ROI of clinical programs and acts as lead/champion to drive awareness and advocacy where needed Develops comprehensive position papers-supported by clear rationale, data analysis, and documented recommendations-to advocate for program enhancements and strategic changes with internal and external stakeholders. Coordinates quality initiatives (audits, star ratings, contract reviews, etc.) and activate enterprise and local policies Informs and executes against contracts (including provider contracts) - driving outcomes captured in contract and operationalizing locally Contributing member of enterprise and local committees Serves as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needs Executes on standards and customizing per local requirements while partnering with the COEs to drive continuous improvement through governance and performance monitoring. Education/Experience: Bachelor's Degree with 5+ years of relevant experience required. Master's Degree preferred. Current state RN license preferred. research, health policy, information technology or other relevant field. Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers. Proven leadership in a large, matrixed organization with 3-5 years of experience working with state or federal regulators Pay Range: $171,900.00 - $326,900.00 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
$171.9k-326.9k yearly Auto-Apply 7d ago
Vice President, Operations, IHPA
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. This is a unique executive leadership opportunity for a hands-on operator with enterprise vision. This role serves as the Chief Executive Officer of the Illinois Health Practice Alliance (IHPA) - a Behavioral Health Independent Practice Association and joint venture between Centene Corporation and Provider Co, and is responsible for day-to-day and long-term strategic leadership related to the performance of IHPA's statewide clinically integrated network. While titled at the VP level, this role carries full CEO accountability for a focused, high-impact organization.The role provides strategic, operational, and financial leadership to ensure IHPA's objectives align with broader business priorities while advancing value-based care, provider performance, and improved health outcomes for a diverse member population.Position Purpose: Plan and direct all aspects of the company's operational policies, objectives, and initiatives. Oversee the development of policies and procedures for operational processes to ensure optimization and compliance with established standards and regulations. Oversee the negotiation and administration of value based contracts to ensure a strong provider network. Influence and drive network provider performance. Ensure IHPA clients access to quality of care and adherence to regulatory requirements. Represent the organization in its relationships with all stakeholders, including health care providers, government agencies, trade associations, health plans, and similar groups. Deliver leadership and oversight to IHPA staff and contracted vendors. Develop a sound short-and long-range plan for the organization. Ensure the adequacy and soundness of the organization's financial structure and review projections of working capital requirements. Promote enrollment growth by supporting marketing event planning and execution. Develop and manage network provider relationships. Education/Experience: Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required. Master's Degree preferred. 9+ years of operations, management, or administration in the healthcare or insurance industry required. Extensive experience in contracting, contract acquisition, operations management, and strategic planning and development. IPA experience preferred. Experience in an integrated delivery system and value-based contracting preferred. Understands the healthcare field from the provider and health plan perspectives, preferably in multiple states and knowledge of the Illinois market. Pay Range: $168,500.00 - $320,500.00 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
$168.5k-320.5k yearly Auto-Apply 31d ago
Director, Workforce Management
Centene 4.5
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: The Director, Workforce Management serves as a business leader who will be responsible for building, managing, and owning workforce management strategy, process, and execution. Will focus on tactical and strategic plans, capacity planning, quality, efficiency standards, and tool development to meet short-term and long-term business objectives. Drives accountability for the workforce management function and supports the development of long-term growth plans. Ensures business operations provides high levels of service by leading the short- and long-term staffing models and monitoring daily activities. Develops staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for business operations. Influences adherence to established policies and procedures within workforce management. Adheres to department budget and allocates resources according to project(s) and schedule; reviews actual and budgeted comparisons and ensures expenses reflect effective and efficient utilization of company resources. Ensures strong partnerships between workforce management, training and other lines of business. Act as a key driver for change to support growth initiatives and continued business improvement and transformation. Use data, technology and innovation to drive continuous improvement to identify, assess and resolve issues across business operations. Supports daily inventory management and SLA performance of the organization. Drives cross functional improvements in processing times and prevention of aging work. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's Degree in a related field or equivalent experience required. A Master's Degree in business administration or analytical field preferred. 7+ years of professional level experience. Experience to include strategy development, identifying and implementing process improvements, presenting to senior management, and analytical background. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Demonstrated experience in workforce management across call center and/or back-office environments highly preferred. Pay Range: $148,000.00 - $274,200.00 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
$148k-274.2k yearly Auto-Apply 2d ago
Vice President, Clinical Operations & System Integration
Centene 4.5
Remote
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Leads the strategy and execution of technology solutions to support clinical operations, including but not limited to systems requirement gathering, monitoring and improvements. Oversees the implementation, integration, and ongoing support of clinical systems, as well as ensuring that technology effectively enables clinical staff to deliver high-quality care. Oversees and executes vision and roadmap in collaboration with clinical and technology leaders to drive enterprise-wide clinical technology initiatives and improvements. Partners with senior leaders to ensure successful product launch, execution, and support for technology solutions. Leads complex projects and technical innovation activities in collaboration with cross functional leaders in a matrixed environment. Leads the SME team who provides consultation and direct testing services for all technology initiatives and implementations. Partners with stakeholders to analyze system needs for all business operations functions, assist with system requirements, influences the design of integrated solutions, and develops integration strategies. Implements integration solutions within the operations space, ensure thorough testing to guarantee functionality and performance, and oversees deployment. Identifies and resolves issues related to system integration and provide technical support to end-users. Documents integration processes, workflows, and system configurations, and provides training to relevant personnel. Continuously monitors the performance of integrated systems, identifies areas for improvement, and optimizes system performance and reliability. In essence, the Operations and Systems Integration role is crucial for ensuring that different systems within an organization work together efficiently and effectively, supporting overall business objectives. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree required or equivalent experience required 7+ years Strong understanding of system architecture, integration technologies, and relevant programming languages required 6+ years Ability to analyze complex technical issues, troubleshoot problems, and develop effective solutions required. Excellent verbal and written communication skills to effectively collaborate with teams, stakeholders, and end-users required. Ability to manage integration projects, prioritize tasks, and meet deadlines required Adaptability to changing technologies and business needs required or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $223,200.00 - $422,900.00 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
$127k-164k yearly est. Auto-Apply 16d ago
Senior Manager, Privacy Compliance
Centene 4.5
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 the management and oversight of the data privacy compliance program to ensure compliance with applicable policies and regulations across the organization. Represent the Privacy department in Enterprise level programs and initiatives. Develop and maintain relationships with cross functional teams to promote a culture of privacy and compliance. Implement standards and processes to ensure compliance with new and changing privacy regulations. Manage, monitor and report on Enterprise Privacy vendors' performance. Monitor and audit privacy compliance program processes and documentation to ensure compliance with company policy and regulatory requirements. Coordinate with other functional areas to address data privacy compliance issues and concerns that impact the business. Coordinate investigations into data privacy and security incidents. Develop, implement and manage corrective actions to remediate incidents of data privacy non-compliance. Develop and maintain reporting metrics of data privacy department activities. Conduct training on data privacy requirements and policies. Mentor team members to improve knowledge and skillset related to data privacy program processes and requirements. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree Health Care Administration, Compliance or related field or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position required 7+ years of privacy compliance experience required 1+ years experience managing a compliance team focused on privacy policies, standards, regulations, and culture required 1+ years working knowledge of HIPAA Privacy, Security and Breach rule requirements, experience identifying, interpreting and implementing new data and consumer privacy regulations, experience in PCI, 42 C.F.R. Part 2 or State breach laws preferred Data privacy professional certification preferred This position is remote within the United States with 10% travel for meetings as needed. Pay Range: $107,700.00 - $199,300.00 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
$107.7k-199.3k yearly Auto-Apply 13d ago
Senior Manager, Data Analysis
Centene 4.5
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: Support analytical data needs for assigned business unit. Handle complex data requests and acts as a “go to” person for other Data Analysts. Initiate and manage companywide data processes improvements. Manage cross functional activities related to large-scale analytic projects to deliver on schedule, within budget and with superior quality. Develop and lead activities to accomplish overall strategic department goals and lead the communication of these goals to stakeholders at all levels of the organization. Education/Experience: Bachelor's degree in data related field; Master's degree preferred. 8+ years of data analysis experience, preferably in healthcare. People leadership and mentoring experience strongly preferred. Advanced SQL and Power BI skills strongly preferred. Understanding of health insurance business, claims payment procedures, strategies and trends in health care government programs strongly preferred. Familiarity with call center analytics 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: $107,700.00 - $199,300.00 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
$107.7k-199.3k yearly Auto-Apply 2d ago
Senior Manager, Value Based Performance Management
Centene 4.5
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: Leads team of Provider Relations Representatives, Network Performance Advisors and/or Provider Relations Supervisors to effectively manage assigned region and/or market territory. Develops Provider Relations Team to achieve market performance targets through the implementation and execution of network transformation strategies in order to improve overall Network Performance. Candidate Education: Required A Bachelor's Degree in a related field Leads and develops a team of Provider Relations Representatives, Provider Relations Supervisors and/or Network Performance Advisors. Conducts ride-alongs with Reps in the field to develop skills and behaviors and document progress/provide formative feedback through timely and consistent Field Trip Reports. Identifies team skill set deficiencies and implements proper professional development plans. Monitors Provider Performance action plans and tracks provider performance improvement. Ensures compliance with enterprise provider performance and relationship model and team engagement of provider performance reporting. Responsible for understanding the differences between Risk and Value-Based contractual arrangements. Responsible for understanding HEDIS and STARS measures and partners with Quality Team to drive improvement of quality provider performance. Plans, prepares and executes effective group meetings/discussions with proper objectives and outcomes. Ensures adherence to contractual obligations and to regulatory requirements. Identifies areas of opportunity to improve Provider Satisfaction and Provider Experience. Assists in monitoring and developing High Performing Practices and driving Network Transformation Strategies to optimize member outcomes. Educates and enhances provider partnerships and implements market and enterprise initiatives. Strategizes membership growth for High Performing Practices and/or sophisticated complex provider relationships. Provides training, mentoring and guidance to new managers. Special projects as assigned or directed.Additional Responsibilities: * Leads and develops Provider Operations staff. Required or equivalent work experience Candidate Experience: Required 6+ years of experience in provider relations or similar background Required 3+ years of management experience Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$87.7k-157.8k yearly Auto-Apply 7d ago
Manager,Business Analysis, Property & Specialty Product
Liberty Mutual 4.5
Remote
At Liberty, our Personal Lines Property & Specialty Product team partners across the company design and launch home and specialty insurance solutions - from homeowners (property) and condos to renters and other niche lines (specialty)- that meet evolving customer and agent needs. We focus on preparing and executing program rollouts, delivering on our growth roadmap, and modernizing pricing and the technology that supports the work we do. Organized into five functions-State Management, Development, Delivery, Underwriting Effectiveness, and Specialty-we collaborate closely to meet our goals and help customers feel secure today and confident about tomorrow. The Property & Specialty Program Delivery team is looking for a Manager II, Product Analysis to join a committed and collaborative team environment. In this position, you will lead analysts through the development and implementation of the latest Property & Specialty pricing programs. You will be a key player in enabling Liberty to achieve our profitable growth aspirations, driving the implementation of new pricing products and serving as a Product expert for our cross-functional partners. This role provides an opportunity to contribute to high visibility and high impact initiatives through a team of product analysts. You may also lead cross-functional initiatives with the goal of improving both speed and accuracy in the Delivery rollout process. Responsibilities: Lead the development of and implementation of the latest countrywide P&S pricing initiatives Manage and develop a team of 5-6 analysts who are responsible for state-specific project launches Independently lead workstreams with much cross-functional collaboration to ensure existing and future rollout tools, data and processes are best in class, while also managing direct reports who own workstreams Lead the development of analytic tools and queries (i.e. complex excel files, processes and process documentation) Communicate project updates cross-functionally and to P&S Product leadership Preferred qualifications: 7+ years of relevant experience, with progressively more responsibility, within an insurance organization The ability to develop and manage a team in a fast-paced environment, prioritizing team culture and a DE&I focus People leading experience beneficial, but not required Experience with pricing products beneficial, but not required Highly developed quantitative analysis and problem-solving skills Excellent project management and cross-functional collaboration skills (planning, timeline management, gaining buy-in, organization, contingency planning, etc. MBA or advanced degree in quantitative field preferred but not required Qualifications Advanced knowledge of data sources, tools, software applications and business drivers. Advanced knowledge of business operations, policies, procedures, and priorities, to include a strong understanding of the function's value chain and market conditions. Demonstrated ability to exercise influence, engage employees; communicate effectively; promote collaboration, team work and change initiatives; and build value for customers through a service orientation, innovation, and continuous improvement. Displays solid business acumen and integrated thinking. Competencies typically acquired through a Bachelor's degree or equivalent experience. Advanced degree preferred. Minimum of 7 years of relevant experience to include business analysis work and prior experience working in an effective leadership capacity. 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.
$71k-94k yearly est. Auto-Apply 8d ago
Director II, Relationship Management
Liberty Mutual 4.5
Remote
Are you ready to lead one of Liberty Mutual's most strategic partnerships and make an immediate impact on growth? This is your chance to expand our Personal Lines relationship with a large external Agency - a high-volume, high-impact partnership that fuels our omni-channel distribution strategy. In this role you'll be the go-to Relationship Manager driving innovation, profitability, and collaboration across two industry giants. If you thrive in fast-paced environments, love solving complex challenges, and want to shape the future of partnership distribution, this is the opportunity for you. As a Director II within our Strategic Partnership Group (SPG), you will manage and grow one of our largest partnerships - an account essential to our omni-channel distribution strategy. SPG is a vital growth engine that drives high-quality personal and small commercial leads to our Direct channel through thousands of affinity partnerships and strategic third-party appointments. By fueling Liberty's omni-channel distribution, SPG generates meaningful premium and competitive advantages through innovation and business development expertise. In this role you will serve as a primary contact for the partner's sales, service and tech management teams for personal lines, operating independently with limited direction. You will leverage your strong influencing, communication, analytical, and collaborative skills to champion operational excellence and business development. You will also work cross-functionally with internal teams in Underwriting, Product, Claims, Technology and more, to address business challenges, lead tech modernization prioritization, implement new products, and optimize agency performance. And often you will serve as the dedicated bridge between USRMs best interests and what it takes to win now, delicately managing this balance to ensure a mutually beneficial outcome. This role is critical in ensuring overall growth, profitability and retention of the Agency partnership. We are looking for someone with strong technical acumen, strategic and analytical thinking, and who is entrepreneurial, inquisitive, data-savvy, and passionate about partnership distribution. If you thrive in fast-paced, innovative environments and want to make an immediate impact, this is your opportunity. Key Responsibilities: Manage and Grow B2B2C: Independently manage a key strategic relationship, driving new business, profitability, and retention. Build Relationships: Cultivate strong connections across organizational levels - from frontline agents to senior leaders - adapting your communication to diverse cross-functional audiences. Champion Collaboration: Foster teamwork internally and externally, influencing and advocating for both Liberty Mutual and the Partner to achieve shared goals. Analytical Problem Solving: Conduct analyses and drive data-driven decisions from reporting; experience with PowerBI is required. Proven ability to proactively identify trends and implement solutions through compelling storytelling. Team Leadership: Collaborate with a geographically dispersed team of Relationship Managers, Analysts, & Product Owners to optimize processes, troubleshoot issues, and maintain alignment. Product Expertise: Have the aptitude to quickly learn Liberty's personal lines' products and systems, as well as the custom Partner's sales integration. Balance Win Now and Vision: Anticipate trends and effectively prioritize tradeoff decisions with scarce resources while setting a clear direction for future needs. What We are Looking For: Proven experience managing complex, high-volume partner or client relationships in insurance or related industries Entrepreneurial spirit and eagerness to learn in a fast-paced environment Ability to work independently, prioritize competing demands, and solve problems creatively and decisively Excellent interpersonal communication skills with the ability to adapt style for diverse audiences Analytical skills and comfort working with data; experience using PowerBI or similar tools is required Familiarity with insurance call center operations, agency workflows, and P&L management is highly desirable Collaborative mindset with a passion for driving business results through cross-functional teamwork Qualifications Bachelor`s degree or equivalent experience required Advanced degree such as MBA and/or CPCU certification preferred Demonstrated ability to exercise advanced negotiation skills and resolve complex business issues with internal and external parties Advanced knowledge of marketing practices and insurance products as demonstrated through the ability to present products and recommend marketing initiatives to clients Excellent verbal and written communication skills About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.
$106k-142k yearly est. Auto-Apply 7d ago
Vice President, Population Health & Clinical Operations
Centene 4.5
Columbus, OH jobs
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable improvements in member health. Reporting directly to the Chief Medical Officer, this leader will oversee a team of Directors and large cross-functional teams to ensure initiatives are strategically aligned, operationally executed, and continuously improved. This role is charged with assuring that the organization has a robust population health strategy that supports achievement of business goals, improves the current and future health of members, and aligns with the direction of Centene and the Ohio Department of Medicaid. While the primary focus is on Medicaid, the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and shared best practices. Key Responsibilities Strategic Leadership Develop, implement, and maintain a comprehensive population health strategy that advances business objectives, improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid. Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare and Marketplace programs. Translate organizational vision into actionable initiatives with clear metrics and accountability. Serve as a trusted advisor on population health strategy as part of the senior leadership team. Operational Execution Ensure the successful implementation of population health initiatives by driving accountability for results, measuring impact, and aligning resources with strategic priorities. Translate strategy into operational reality by building systems, processes, and performance standards that deliver sustained improvements in quality, outcomes, and efficiency. Integrate population health initiatives across clinical, operational, and financial functions to ensure consistency, compliance, and alignment with organizational goals. Continuously monitor program performance, identifying opportunities for innovation and course correction to achieve optimal results for members and the organization. Regulatory & Corporate Collaboration Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program success. Collaborate with Centene corporate teams to align local initiatives with enterprise-wide strategies. Partner with leaders responsible for Medicare and Marketplace to ensure consistency, integration, and shared learning. Work closely with operations, finance, and other internal teams to achieve organizational objectives. Communication & Stakeholder Engagement Build trusted relationships with state regulators, providers, community partners, and internal executives to advance shared goals and improve member outcomes. Serve as a visible ambassador for population health initiatives, clearly articulating strategy, progress, and outcomes to diverse audiences, including the Board, senior leadership, regulators, and community stakeholders. Anticipate stakeholder needs and concerns, proactively engaging in dialogue that fosters collaboration, transparency, and alignment across all levels of the organization. Vendor & Partner Management Oversee relationships with key vendors to ensure programmatic success, accountability, and value. Negotiate and manage vendor contracts to align deliverables with organizational priorities. Team Leadership & Development Mentor, coach, and develop a high-performing team of Directors and staff. Delegate effectively while ensuring accountability and ownership across teams. Foster a culture of innovation, collaboration, and continuous improvement. Education/Experience: Current state RN license preferred. Previous experience in a managed care organization strongly preferred. 3+ years of leadership experience required. Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology or other relevant field. Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Candidate must reside or relocate to Ohio Pay Range: $180,400.00 - $343,300.00 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
$109k-137k yearly est. Auto-Apply 9d ago
Vice President, Population Health & Clinical Operations
Centene Corporation 4.5
Columbus, OH jobs
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable improvements in member health. Reporting directly to the Chief Medical Officer, this leader will oversee a team of Directors and large cross-functional teams to ensure initiatives are strategically aligned, operationally executed, and continuously improved. This role is charged with assuring that the organization has a robust population health strategy that supports achievement of business goals, improves the current and future health of members, and aligns with the direction of Centene and the Ohio Department of Medicaid. While the primary focus is on Medicaid, the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and shared best practices. **Key Responsibilities** + **Strategic Leadership** + Develop, implement, and maintain a comprehensive population health strategy that advances business objectives, improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid. + Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare and Marketplace programs. + Translate organizational vision into actionable initiatives with clear metrics and accountability. + Serve as a trusted advisor on population health strategy as part of the senior leadership team. + **Operational Execution** + Ensure the successful implementation of population health initiatives by driving accountability for results, measuring impact, and aligning resources with strategic priorities. + Translate strategy into operational reality by building systems, processes, and performance standards that deliver sustained improvements in quality, outcomes, and efficiency. + Integrate population health initiatives across clinical, operational, and financial functions to ensure consistency, compliance, and alignment with organizational goals. + Continuously monitor program performance, identifying opportunities for innovation and course correction to achieve optimal results for members and the organization. + **Regulatory & Corporate Collaboration** + Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program success. + Collaborate with Centene corporate teams to align local initiatives with enterprise-wide strategies. + Partner with leaders responsible for Medicare and Marketplace to ensure consistency, integration, and shared learning. + Work closely with operations, finance, and other internal teams to achieve organizational objectives. + **Communication & Stakeholder Engagement** + Build trusted relationships with state regulators, providers, community partners, and internal executives to advance shared goals and improve member outcomes. + Serve as a visible ambassador for population health initiatives, clearly articulating strategy, progress, and outcomes to diverse audiences, including the Board, senior leadership, regulators, and community stakeholders. + Anticipate stakeholder needs and concerns, proactively engaging in dialogue that fosters collaboration, transparency, and alignment across all levels of the organization. + **Vendor & Partner Management** + Oversee relationships with key vendors to ensure programmatic success, accountability, and value. + Negotiate and manage vendor contracts to align deliverables with organizational priorities. + **Team Leadership & Development** + Mentor, coach, and develop a high-performing team of Directors and staff. + Delegate effectively while ensuring accountability and ownership across teams. + Foster a culture of innovation, collaboration, and continuous improvement. **Education/Experience:** Current state RN license preferred. Previous experience in a managed care organization strongly preferred. 3+ years of leadership experience required. Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology or other relevant field. Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Candidate must reside or relocate to Ohio Pay Range: $180,400.00 - $343,300.00 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
$109k-137k yearly est. 60d+ ago
Senior Director of Risk - Remote
Unitedhealth Group 4.6
Lincoln, NE jobs
**Explore opportunities at Proceed Finance, part of the Optum family of businesses.** We're a Nebraska-based financial technology company that is an established leader in the markets we serve. As patient financing experts, we create affordability for life-changing treatment so patients can restore their health and happiness. Come be a part of our innovative culture and make an impact with our rewarding career opportunities. Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Vice President of Risk Management will be a pivotal member of the leadership team, responsible for overseeing the company's risk management strategies and processes. The Vice President of Risk Management is responsible for risk, underwriting, credit, collections, and loss mitigation. 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:** + Defines and implements key performance indicators and strategic objectives for the division and, as appropriate, the entire organization; facilitates measurement of those objectives, reporting results to the executive team + Develop and implement comprehensive risk management strategies to mitigate financial, operational, and compliance risks + Drafts and implements policies and best practices to support achievement of objectives and required standards + Streamline and optimize operational processes to enhance productivity and reduce costs + Collaborate with other leaders to identify and pursue strategic business opportunities + Lead and mentor the risk management and operations teams, fostering a culture of continuous improvement + Ensures availability of adequate and appropriate equipment, staffing, and systems; recommends additional staffing and services + Utilize data analytics to identify trends, assess risks, and make informed decisions + Communicates department, program, and project performance and process to senior leadership through periodic status reports and presentations + Develop and oversee crisis management plans to ensure business continuity + Ensures compliance with industry and legal regulations and best practices, and adherence to company processes and procedures + Maintains knowledge in developing trends and technologies in the industry + Work closely with other senior executives to align risk management and operational initiatives with overall company strategy + Facilitates implementation of new systems and major modifications of existing systems to reduce downtime + Performs other duties as required 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 in Business Administration, Finance, Data Analytics, or a related field; master's degree preferred and/or Project Management Professional (PMP) certification + 15+years in risk management with at least 7 years in senior leadership capacity. + 5+ years of experience constructing and making presentations to C-level executives + Solid understanding of regulatory requirements and compliance + Proficient with the financial tools required to make estimates, business forecasts, and strategic + Proficiency using Microsoft Office Suite (Excel, Word, PowerPoint, Outlook) + Proficiency with data analytics tools and methodologies + Proven track record of developing and implementing successful risk management strategies + Proven excellent verbal and written communication skills + Proven solid analytical and problem-solving skills with a proven ability to improve business processes and practices to reduce costs and increase efficiency + Proven interpersonal and negotiation skills + Proven exceptional leadership and team management abilities decisions + Proven solid organizational skills and attention to detail + Proven excellent time management skills with a proven ability to meet deadlines + Proven ability to work in a fast-paced environment + Proven entrepreneurial mindset **Preferred Qualifications:** + Experience with CRM, Zoho/Salesforce + Experience in the healthcare or patient financing industry + Experience with financial technology and digital payment solutions + Knowledge of elective procedures in dentistry and generative medicine **Work Environment:** + Work is performed in a standard office setting + The noise level in the work environment is usually quiet + Ability to travel approximately 15% of the time **Physical Demands:** + Sedentary work that primarily involves sitting/standing + Light work that includes moving objects up to 20 pounds occasionally + Prolonged periods of sitting at a desk and working on a computer *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 $156,400 to $268,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$156.4k-268k yearly 60d+ ago
Patient Financing Business Manager - Remote
Unitedhealth Group 4.6
Lincoln, NE 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. Job Summary: The Patient Financing Business Manager is responsible for the strategy, development, and management of elective medical financing products, overseeing their lifecycle from conception to launch and optimization. Key duties include understanding patient borrower needs, defining product features/benefits, end-to-end customer experience, developing business cases, setting pricing strategies, ensuring regulatory compliance, and collaborating with various departments like marketing, operations, engineering and risk management to drive product growth and performance. 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:** + Product strategy and development: + Define and execute the product vision and roadmap, aligning with business objectives + Conduct market research, competitive analysis, and customer needs analysis to identify opportunities for new or improved products + Develop business cases and financial models partnering with Finance to support new product initiatives + Translate business requirements into formal design and requirements documentation for new and enhanced products + Product lifecycle management: + Manage products throughout their lifecycle, from ideation through to ongoing optimization + Monitor and manage product performance, including financial performance and key metrics + Implement and manage changes in product or marketing strategy based on performance data + Risk and compliance: + Ensure all products comply with relevant laws, regulations, and internal policies + Develop and update product policies and procedures to address regulatory changes + Go-to-market and sales: + Partner with Marketing and Sales teams to develop and implement marketing, sales, and channel strategies + Collaborate with marketing to develop customer communication plans and campaigns + Provide training and support to internal teams, such as sales and customer service + Collaboration and stakeholder management: + Work with cross-functional teams, including engineering, IT, risk, operations, marketing, and sales, to ensure successful product execution and support + Build and maintain relationships with internal and external stakeholders, including partners and third-party vendors + Reporting and analytics: + Develop and produce reports and dashboards to track product performance + Use data analysis and insights to make informed, data-driven decisions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 5+ years of experience in business, product, marketing management or operations roles + 2+ years of experience of consumer and/or point-of-sale lending + Experience working in a highly regulated industry preferably a financial industry + Demonstrated ability to work in a fast-paced environment + Proven solid analytical and problem-solving skills + Proven persistent and results focused - must be able to deliver results + Proven ability to work with all levels of the organization + Proven excellent verbal and written communication skills + Proven excellent organizational skills and attention to detail + Proven excellent time management skills with a proven ability to meet deadlines + Proven entrepreneurial mindset + Willing or ability to travel up to 10% based on business needs *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 $xx,xxx to $xx,xxx 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._
$58k-67k yearly est. 14d ago
Patient Financing Business Manager - Remote
Unitedhealth Group Inc. 4.6
Lincoln, NE 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. Job Summary: The Patient Financing Business Manager is responsible for the strategy, development, and management of elective medical financing products, overseeing their lifecycle from conception to launch and optimization. Key duties include understanding patient borrower needs, defining product features/benefits, end-to-end customer experience, developing business cases, setting pricing strategies, ensuring regulatory compliance, and collaborating with various departments like marketing, operations, engineering and risk management to drive product growth and performance. 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: * Product strategy and development: * Define and execute the product vision and roadmap, aligning with business objectives * Conduct market research, competitive analysis, and customer needs analysis to identify opportunities for new or improved products * Develop business cases and financial models partnering with Finance to support new product initiatives * Translate business requirements into formal design and requirements documentation for new and enhanced products * Product lifecycle management: * Manage products throughout their lifecycle, from ideation through to ongoing optimization * Monitor and manage product performance, including financial performance and key metrics * Implement and manage changes in product or marketing strategy based on performance data * Risk and compliance: * Ensure all products comply with relevant laws, regulations, and internal policies * Develop and update product policies and procedures to address regulatory changes * Go-to-market and sales: * Partner with Marketing and Sales teams to develop and implement marketing, sales, and channel strategies * Collaborate with marketing to develop customer communication plans and campaigns * Provide training and support to internal teams, such as sales and customer service * Collaboration and stakeholder management: * Work with cross-functional teams, including engineering, IT, risk, operations, marketing, and sales, to ensure successful product execution and support * Build and maintain relationships with internal and external stakeholders, including partners and third-party vendors * Reporting and analytics: * Develop and produce reports and dashboards to track product performance * Use data analysis and insights to make informed, data-driven decisions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 5+ years of experience in business, product, marketing management or operations roles * 2+ years of experience of consumer and/or point-of-sale lending * Experience working in a highly regulated industry preferably a financial industry * Demonstrated ability to work in a fast-paced environment * Proven solid analytical and problem-solving skills * Proven persistent and results focused - must be able to deliver results * Proven ability to work with all levels of the organization * Proven excellent verbal and written communication skills * Proven excellent organizational skills and attention to detail * Proven excellent time management skills with a proven ability to meet deadlines * Proven entrepreneurial mindset * Willing or ability to travel up to 10% based on business needs * 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 $xx,xxx to $xx,xxx 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.
$58k-67k yearly est. 14d ago
Business Manager - Hospice
Unitedhealth Group Inc. 4.6
San Antonio, TX jobs
Explore opportunities with CHRISTUS VNA Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. The Home Health Business Manager is responsible for managing, coordinating, and directing the administrative support and non-clinical operations of the agency, and for ensuring that all duties are performed in a timely manner. The Business Manager is also responsible for ensuring that all administrative support to the Executive Director and/or Clinical Director functions are operating effectively and efficiently. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Overseeing and maintaining contracts, binders, and HR/medical files for all agency employees and contract staff in accordance with policy and applicable regulations * Reviewing, reconciling, and submitting invoices to Home Office in accordance with LHC Group policy. This also includes ensuring payment is issued timely, following up on concerns, and maintaining a positive relationship with all vendors * Performs and or manages billing audits per policy and follows-up with corrections * Manages clerical staff and manages all non-clinical workflow and process in the office. This includes timely completion of all clerical tasks, as well as providing input into hiring, disciplinary, and separation decisions 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: * Must possess at least one of the following: * 3+ years of healthcare experience * 3+ years of experience in an office administration role * Bachelor's Degree * Computer proficiency, including Microsoft Office suite Preferred Qualifications: * Demonstrated solid organizational, written, verbal communication, and time management skills * Demonstrated computer proficiency, including Microsoft Office suite * Demonstrated ability to work independently * Demonstrated solid process and people leadership abilities * Experience with payroll process, supply management, and basic financial knowledge * 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 hourly pay for this role will range from $20.38 to $36.44 per hour 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.
$20.4-36.4 hourly 12d ago
Senior Actuarial Director
Unitedhealth Group Inc. 4.6
Eden Prairie, MN jobs
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together. In joining the Optum Advisory Trend Analytics Consulting team: you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting health plans across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and our consulting presence by identifying, developing, and executing on new and exciting business opportunities. As a member of our high-performing team, you'll help support Optum's growth and financial goals while you help shape our future. As an Senior Actuarial Director, you will be empowered, supported, and encouraged to use your actuarial expertise as you perform financial analysis and build models that improve health plan competitiveness. The Senior Actuarial Director in this role will work with detailed health care Medicare claims data to build and maintain actuarial models to support financial analysis and forecasting. A successful candidate in this role will be able to apply technical skills to complex analyses to draw key insights that reflect an understanding of the overall consulting engagement; effectively create visually appealing, client-ready, and insightful deliverables; diagnose the root causes of modeling shortcomings and propose solutions on how to address and improve models; successfully construct and communicate logical storylines and manage client questions in areas of content knowledge. 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: * Client Engagement Delivery Responsibilities: * Act as client lead on a day-to-day basis for delivery of large-scale and complex projects * Lead recurring meetings across finance, pharmacy, clinical, and actuarial client teams * Collaborate with key stakeholders to identify and develop business questions for analytic investigation (e.g., utilization analysis) * Develop and design complex data programs and forecast models, by utilizing applicable data/analytical tools to extract and analyze data (e.g., SAS, SQL, R, Python, Excel, Tableau, PowerBI) * Interpret, compile, and disseminate results of modeling analyses with appropriate conclusions and recommendations * Serve in an advisory role to clients on business strategy, operational effectiveness, and healthcare best practices * Provide strategic input to the development of the project roadmap and timelines * Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies * Business Development / Leadership: * Manage a team of Actuarial Consultants * Provide coaching and mentoring to junior consultants and analysts with the goal of developing and retaining talent within the organization * Support cross business collaboration with Optum actuarial and other consultants in the pursuit of new development opportunities * Complete financial analysis and develop client business case for proposed solutions * Support and actively participate in thought leadership for innovative solutions and expanding consulting engagements 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 * Actuarial Credential (ASA or FSA) * 10+ years of healthcare actuarial experience * 5+ years of experience presenting analytical findings * 5+ years of experience working with claims data * 5+ years of experience as a people and project manager Preferred Qualifications: * 5+ years of experience working for a healthcare consulting practice * 3+ years of experience forecasting Medicare drug costs * Advanced proficiency in Excel, SAS, PowerBI, and experience designing and running complex Actuarial analytics * Local to Eden Prairie, MN * 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 $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$159.3k-273.2k yearly 8d ago
Senior Actuarial Director
Unitedhealth Group 4.6
Eden Prairie, MN jobs
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, **UnitedHealthcare** and **Optum** , working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start **Caring. Connecting. Growing together.** In joining the Optum Advisory Trend Analytics Consulting team: you'll be part of a team that is a leader in health care cost analytics, with a proven track record of supporting health plans across the country though a diverse staff of Actuaries, Data/Research Analysts, and Business/Technology Consultants. Our consulting team has continued to expand capabilities and our consulting presence by identifying, developing, and executing on new and exciting business opportunities. As a member of our high-performing team, you'll help support Optum's growth and financial goals while you help shape our future. As an Senior Actuarial Director, you will be empowered, supported, and encouraged to use your actuarial expertise as you perform financial analysis and build models that improve health plan competitiveness. The Senior Actuarial Director in this role will work with detailed health care Medicare claims data to build and maintain actuarial models to support financial analysis and forecasting. A successful candidate in this role will be able to apply technical skills to complex analyses to draw key insights that reflect an understanding of the overall consulting engagement; effectively create visually appealing, client-ready, and insightful deliverables; diagnose the root causes of modeling shortcomings and propose solutions on how to address and improve models; successfully construct and communicate logical storylines and manage client questions in areas of content knowledge. 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:** + Client Engagement Delivery Responsibilities: + Act as client lead on a day-to-day basis for delivery of large-scale and complex projects + Lead recurring meetings across finance, pharmacy, clinical, and actuarial client teams + Collaborate with key stakeholders to identify and develop business questions for analytic investigation (e.g., utilization analysis) + Develop and design complex data programs and forecast models, by utilizing applicable data/analytical tools to extract and analyze data (e.g., SAS, SQL, R, Python, Excel, Tableau, PowerBI) + Interpret, compile, and disseminate results of modeling analyses with appropriate conclusions and recommendations + Serve in an advisory role to clients on business strategy, operational effectiveness, and healthcare best practices + Provide strategic input to the development of the project roadmap and timelines + Create a team-oriented work climate that enables professional development and encourages creative solutions and strategies + Business Development / Leadership: + Manage a team of Actuarial Consultants + Provide coaching and mentoring to junior consultants and analysts with the goal of developing and retaining talent within the organization + Support cross business collaboration with Optum actuarial and other consultants in the pursuit of new development opportunities + Complete financial analysis and develop client business case for proposed solutions + Support and actively participate in thought leadership for innovative solutions and expanding consulting engagements 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 + Actuarial Credential (ASA or FSA) + 10+ years of healthcare actuarial experience + 5+ years of experience presenting analytical findings + 5+ years of experience working with claims data + 5+ years of experience as a people and project manager **Preferred Qualifications:** + 5+ years of experience working for a healthcare consulting practice + 3+ years of experience forecasting Medicare drug costs + Advanced proficiency in Excel, SAS, PowerBI, and experience designing and running complex Actuarial analytics + Local to Eden Prairie, MN *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 $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$159.3k-273.2k yearly 8d ago

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Updated January 20, 2026

Senior Business Manager jobs at Cigna - 26 jobs

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Business Manager - Hospice

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Senior Actuarial Director

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