Senior Systems Engineer jobs at HCA Healthcare - 26 jobs
Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Columbus, OH jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
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Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Cleveland, OH jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Cincinnati, OH jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Akron, OH jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Dayton, OH jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Houston, TX jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Senior Analyst, IT Systems - AI Technical Project Manager - Mobile Apps - Remote
Molina Healthcare 4.4
Ohio jobs
**Knowledge/Skills/Abilities** -Mentors and leads 2-10 software engineers on multiple projects for project deliverables, assess deliverables' quality, plan and implement corrective and preventive actions to improve application quality. -Evaluates alternative systems solutions and recommends solution that best meets the need of the business.
-Develops the BRDs along with business stakeholders, Conceptual Designs for multiple projects concurrently. SOX compliant Project deliveries and Project coordination.
-Translates user requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations.
-Drives Joint Applications Development session with business stakeholders to define business requirements and provides systems/application expertise for multiple projects concurrently.
-Communicates with cross functional teams (and if applicable, vended partners) to coordinate requirements, design and enhancements with the development team(s).
-Assesses and analyzes computer system capabilities, work flow and scheduling limitations to determine if requested program or program change is possible within existing system.
-Recognizes, identifies and documents potential areas where existing business processes require change, or where new processes need to be developed, and makes recommendations in these areas.
-Works independently and resolves complex business problems with no supervision.
-Mentors and leads 2-10 systems or programmer analysts on multiple projects for project deliverables, assesses deliverables' quality, plans and implements corrective and preventive actions to improve application quality.
-Works with project managers to define work assignments for development team(s).
-Identifies, defines and plans software engineering process improvements and verifies compliance.
-Mentors and trains systems/programmer analysts on software applications, business domain and design standards.
-Conducts peer review of other analysts (internal and contract staff) to ensure standards and quality.
-Recommends, schedules and performs software systems/applications improvements and updates.
-Conducts studies pertaining to designs of new information systems to meet current and projected needs.
-Defines and plans software releases in accordance with other software applications.
Assists in the project definition, execution and implementation. Provides application, business process or functional domain leadership/expertise and peer mentoring to IT staff. Provides expertise to one or multiple domain such as application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software engineering expertise or proficiency. Manages small or medium size projects as assigned.
-Excellent verbal and written communication skills
-Must be knowledgeable of business processes, industry standard quality norms, systems and applications development best practices, project management methodologies and estimation processes.
**Job Qualifications**
**Required Education**
Bachelor's Degree in Computer Science or related field or equivalent experience
**Required Experience**
3-5 years experience supporting, designing and/or implementing application changes.
**Preferred Education**
Master's Degree
**Preferred Experience**
QNXT knowledge.
SharePoint, MS Project experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $80,168 - $155,508 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$80.2k-155.5k yearly 60d+ ago
Systems Administrator
Community Health Systems 4.5
Remote
The Citrix Administrator supports, maintains, and administers enterprise systems, infrastructure, and application environments. This role is responsible for responding to system-related incidents, troubleshooting technical issues, and implementing effective solutions. The Citrix Administrator ensures that systems are functioning efficiently and securely while collaborating with cross-functional teams to support technology operations across the organization.
Essential Functions
• Supports and maintains enterprise systems, servers, applications, and related infrastructure.
• Responds to hardware, software, and network incidents and service requests, ensuring timely resolution.
• Performs system monitoring, maintenance, and patching to ensure optimal performance and compliance.
• Maintains accurate documentation of system configurations, procedures, and incident resolutions.
• Participates in the on-call rotation to provide after-hours technical support as needed.
• Promotes system security, user access controls, and compliance with organizational and regulatory standards.
• Collaborates with IT teams and business stakeholders to evaluate and implement technical solutions.
• Assists in the deployment and configuration of new systems and upgrades to existing infrastructure.
• Follows change management protocols and participates in testing and validation processes.
• Identifies and shares best practices with peers and supports continuous improvement initiatives.
• Required for All Jobs
• Performs other duties as assigned.
Qualifications
• H.S. Diploma or GED required
• Bachelor's Degree in Computer Science, Information Technology, or a related field preferred
• 2-4 years of experience in systems administration required
• Experience supporting a mid to large-size enterprise environment preferred Licenses and Certifications
• Relevant certification in systems administration, such as Microsoft Certified: Azure Administrator Associate, CompTIA Server+, or Red Hat Certified
System Administrator (RHCSA) Preferred
• Relevant certification in Citrix administration, such as Citrix Certified Associate - Virtualization, Citrix Certified Professional - Virtualization or Citrix Virtual Apps and Desktops Service on Citrix Cloud Preferred
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
**Knowledge/Skills/Abilities**
- Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
- Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
- Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
- Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
- Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
- Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
- Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
- Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
- Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
- Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Provides peer review of pricing configuration to ensure accuracy of financial modeling
- Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
- Support process improvements for the team's methods of collecting and documenting report / programming requirements
- Serves as a key resource on the more complex pricing and analysis issues
- Reviews work performed by others and provides recommendations for improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
**Required Experience**
- 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
- 5+ years increasingly complex database and data management responsibilities
- Advanced level proficiency in Microsoft Excel
- Intermediate to advanced level proficiency in SQL
- 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
- Preferred experience in healthcare medical economics and/or strong financial analytics background
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
- Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJHPO
\#LI-AC1
Pay Range: $77,969 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$78k-129.6k yearly 60d+ ago
Principal Engineer, Applications - Pega/AI-ML/SQL- PostgreSQL - Remote
Molina Healthcare 4.4
Columbus, OH jobs
Molina Healthcare is seeking a Principal Engineer, Applications (Pega) to lead and elevate our enterprise application landscape. We are looking for a highly experienced, self-motivated professional with 20+ years of technology and software development experience, including deep expertise in Pega-based solutions and enterprise system design.
As a senior technical leader, you will drive architectural decisions, mentor engineering teams, and ensure that our applications are scalable, secure, and aligned with strategic objectives.
Key Responsibilities:
+ Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines for enterprise-level Pega applications.
+ Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions.
+ Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any design solution.
+ Promotes use of industry and enterprise technology standards.
+ Monitors emerging technologies for potential application within or across the Corporation.
+ Adheres to design and application development standards, methodology and, framework within Architectural compliance and governance.
+ Guide and mentor development teams, fostering a culture of technical excellence and continuous learning.Evaluate emerging technologies and contribute to long-term digital transformation efforts.
**Knowledge/Skills/Abilities**
+ Extensive hands-on experience with Pega application development, including architecture and design patterns.
+ Practices and leads SW and applications design and development methodologies in adherence to SW development standards.
+ Designs and develops SW applications or systems solving specific business or processing problem.
+ Experience and hands on AI/ML development
+ Gathers business requirements and develops conceptual design and technical design for multiple projects concurrently.
+ Works closely with Architects and business teams to align application systems design and development with the enterprise strategic direction.
+ Builds relationship with IT leadership, technical teams (applications, infrastructure and others), vendors etc. to understand and solve problems.
+ Provides leadership and direction to the engineers in the team and across the enterprise.
+ Develops software (hands on code development) to meet key business objectives.
+ Conducts peer review of other developers (internal and contract staff) to ensure standards and quality.
+ Responsible for quality deliveries for self and application engineers. Participates in build vs. buy evaluation process.
+ Leads architecture and design discussions in adherence to SW development standards.
+ Provides design and architectural expertise on application systems / technologies, to both technical teams and business partners.
+ Responsible to support the application system / service owner for system performance, budgeting and planning.
+ Responsible for application system stability and scalability related activities.
+ Responsible for alignment with project methodologies and change management processes.
+ Responsible to organize, manage and lead cross-team project tasks and deliverables.
+ Responsible for designing and building enterprise level application systems.
+ Responsible for presentations and solutions submitted to technical and business review committees.
+ Responsible for understanding the business area being supported by the team and the company's overall business.
+ Ownership to provide cross-organization teamwork, collaboration, communication and leadership.
+ Provides constructive feedback on people, process and technology for continuous improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in relevant field
**Required Experience**
+ 2+ years of demonstrated leadership experience.
+ 5+ years of hands-on technical implementation experience in mid to large IT Enterprise environments.
+ 8+ years of IT technical experience with IT enterprise infrastructure.
+ Pega LSA Certified is highly preferred
+ Pega Decisioning and Gen AI knowledge preferred
**Required License, Certification, Association**
- Industry certifications required.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $117,731 - $275,491 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
Knowledge/Skills/Abilities
• Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
• Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
• Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
• Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
• Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
• Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
• Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
• Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
• Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
• Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
• Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
• Provides peer review of pricing configuration to ensure accuracy of financial modeling
• Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
• Support process improvements for the team's methods of collecting and documenting report / programming requirements
• Serves as a key resource on the more complex pricing and analysis issues
• Reviews work performed by others and provides recommendations for improvement.
Job Qualifications
Required Education
• Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
Required Experience
• 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
• 5+ years increasingly complex database and data management responsibilities
• Advanced level proficiency in Microsoft Excel
• Intermediate to advanced level proficiency in SQL
• 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
Required License, Certification, Association
N/A
Preferred Education
Master's Degree
Preferred Experience
• Preferred experience in healthcare medical economics and/or strong financial analytics background
• Proactively identify and investigate complex suspect areas regarding medical cost issues
• Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
• Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
• Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
Preferred License, Certification, Association
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHPO
#LI-AC1
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
**Knowledge/Skills/Abilities**
- Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
- Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
- Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
- Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
- Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
- Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
- Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
- Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
- Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
- Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Provides peer review of pricing configuration to ensure accuracy of financial modeling
- Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
- Support process improvements for the team's methods of collecting and documenting report / programming requirements
- Serves as a key resource on the more complex pricing and analysis issues
- Reviews work performed by others and provides recommendations for improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
**Required Experience**
- 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
- 5+ years increasingly complex database and data management responsibilities
- Advanced level proficiency in Microsoft Excel
- Intermediate to advanced level proficiency in SQL
- 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
- Preferred experience in healthcare medical economics and/or strong financial analytics background
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
- Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJHPO
\#LI-AC1
Pay Range: $77,969 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
**Knowledge/Skills/Abilities**
- Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
- Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
- Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
- Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
- Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
- Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
- Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
- Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
- Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
- Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Provides peer review of pricing configuration to ensure accuracy of financial modeling
- Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
- Support process improvements for the team's methods of collecting and documenting report / programming requirements
- Serves as a key resource on the more complex pricing and analysis issues
- Reviews work performed by others and provides recommendations for improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
**Required Experience**
- 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
- 5+ years increasingly complex database and data management responsibilities
- Advanced level proficiency in Microsoft Excel
- Intermediate to advanced level proficiency in SQL
- 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
- Preferred experience in healthcare medical economics and/or strong financial analytics background
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
- Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJHPO
\#LI-AC1
Pay Range: $77,969 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
**Knowledge/Skills/Abilities**
- Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
- Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
- Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
- Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
- Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
- Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
- Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
- Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
- Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
- Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Provides peer review of pricing configuration to ensure accuracy of financial modeling
- Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
- Support process improvements for the team's methods of collecting and documenting report / programming requirements
- Serves as a key resource on the more complex pricing and analysis issues
- Reviews work performed by others and provides recommendations for improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
**Required Experience**
- 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
- 5+ years increasingly complex database and data management responsibilities
- Advanced level proficiency in Microsoft Excel
- Intermediate to advanced level proficiency in SQL
- 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
- Preferred experience in healthcare medical economics and/or strong financial analytics background
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
- Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJHPO
\#LI-AC1
Pay Range: $77,969 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
**Knowledge/Skills/Abilities**
- Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
- Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
- Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
- Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
- Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
- Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
- Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
- Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
- Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
- Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Provides peer review of pricing configuration to ensure accuracy of financial modeling
- Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
- Support process improvements for the team's methods of collecting and documenting report / programming requirements
- Serves as a key resource on the more complex pricing and analysis issues
- Reviews work performed by others and provides recommendations for improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
**Required Experience**
- 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
- 5+ years increasingly complex database and data management responsibilities
- Advanced level proficiency in Microsoft Excel
- Intermediate to advanced level proficiency in SQL
- 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
- Preferred experience in healthcare medical economics and/or strong financial analytics background
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
- Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJHPO
\#LI-AC1
Pay Range: $77,969 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Sr. Analyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and preventive care and develop payment strategies that give incentives to providers and healthcare systems that deliver better health, more affordably.
Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical insights to focus high priorities and attack underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by leveraging value-based care models.
**Knowledge/Skills/Abilities**
- Develop key strategic reports and analysis using SQL programming, SQL Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard.
- Generate hospital performance analytics tools on a quarterly basis; develop reports on a regular basis using SQL, Excel, and other reporting software.
- Research, develop, analyze and recommend cost savings opportunities in alignment to support enterprise strategies
- Track, monitor, and report cost savings initiatives (hospitals, physicians, ancillary) trend analyses, and its performance on a monthly basis.
- Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and ETL systems to support negotiating strategies, modeling current and future contract rate proposals.
- Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult the health plans on the financial impact.
- Work independently to support and validate Provider Network contracting and unit cost management activities through financial and network pricing modeling, analysis, and reporting
- Ability to translate contract rates and terms to evaluate the financial impact to effectively negotiate new or amended contracts (e.g. coding and chargemaster impact analysis)
- Strong written and verbal communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint)
- Coordinates and provides peer review of our quarterly national contract performance analysis by team members to ensure timely deliverables to stakeholders requiring decision support.
- Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings.
- Provides peer review of pricing configuration to ensure accuracy of financial modeling
- Provides peer review of team members' presentations for total cost of care and profit improvement initiatives
- Support process improvements for the team's methods of collecting and documenting report / programming requirements
- Serves as a key resource on the more complex pricing and analysis issues
- Reviews work performed by others and provides recommendations for improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in Business, Finance, Mathematics, Economics, Data Science or Actuarial Sciences or equivalent experience
**Required Experience**
- 5+ years of analytics experience in financial analysis, healthcare pricing, network management,
healthcare economics or related discipline.
- 5+ years increasingly complex database and data management responsibilities
- Advanced level proficiency in Microsoft Excel
- Intermediate to advanced level proficiency in SQL
- 5+ years of increasingly complex experience in quantifying, measuring, and analyzing financial/performance management metrics
**Required License, Certification, Association**
N/A
**Preferred Education**
Master's Degree
**Preferred Experience**
- Preferred experience in healthcare medical economics and/or strong financial analytics background
- Proactively identify and investigate complex suspect areas regarding medical cost issues
- Initiate in-depth analysis of the suspect/problem areas and suggest a corrective action plan
- Apply investigative skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc.
- Experience with industry standard normalization/reimbursement methodologies (APR-DRG, MS-DRG, EAPG, APC)
**Preferred License, Certification, Association**
N/A
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
\#PJHPO
\#LI-AC1
Pay Range: $77,969 - $129,590 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$78k-129.6k yearly 60d+ ago
Principal Engineer, Applications - Pega/AI-ML/SQL- PostgreSQL - Remote
Molina Healthcare 4.4
Cleveland, OH jobs
Molina Healthcare is seeking a Principal Engineer, Applications (Pega) to lead and elevate our enterprise application landscape. We are looking for a highly experienced, self-motivated professional with 20+ years of technology and software development experience, including deep expertise in Pega-based solutions and enterprise system design.
As a senior technical leader, you will drive architectural decisions, mentor engineering teams, and ensure that our applications are scalable, secure, and aligned with strategic objectives.
Key Responsibilities:
+ Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines for enterprise-level Pega applications.
+ Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions.
+ Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any design solution.
+ Promotes use of industry and enterprise technology standards.
+ Monitors emerging technologies for potential application within or across the Corporation.
+ Adheres to design and application development standards, methodology and, framework within Architectural compliance and governance.
+ Guide and mentor development teams, fostering a culture of technical excellence and continuous learning.Evaluate emerging technologies and contribute to long-term digital transformation efforts.
**Knowledge/Skills/Abilities**
+ Extensive hands-on experience with Pega application development, including architecture and design patterns.
+ Practices and leads SW and applications design and development methodologies in adherence to SW development standards.
+ Designs and develops SW applications or systems solving specific business or processing problem.
+ Experience and hands on AI/ML development
+ Gathers business requirements and develops conceptual design and technical design for multiple projects concurrently.
+ Works closely with Architects and business teams to align application systems design and development with the enterprise strategic direction.
+ Builds relationship with IT leadership, technical teams (applications, infrastructure and others), vendors etc. to understand and solve problems.
+ Provides leadership and direction to the engineers in the team and across the enterprise.
+ Develops software (hands on code development) to meet key business objectives.
+ Conducts peer review of other developers (internal and contract staff) to ensure standards and quality.
+ Responsible for quality deliveries for self and application engineers. Participates in build vs. buy evaluation process.
+ Leads architecture and design discussions in adherence to SW development standards.
+ Provides design and architectural expertise on application systems / technologies, to both technical teams and business partners.
+ Responsible to support the application system / service owner for system performance, budgeting and planning.
+ Responsible for application system stability and scalability related activities.
+ Responsible for alignment with project methodologies and change management processes.
+ Responsible to organize, manage and lead cross-team project tasks and deliverables.
+ Responsible for designing and building enterprise level application systems.
+ Responsible for presentations and solutions submitted to technical and business review committees.
+ Responsible for understanding the business area being supported by the team and the company's overall business.
+ Ownership to provide cross-organization teamwork, collaboration, communication and leadership.
+ Provides constructive feedback on people, process and technology for continuous improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in relevant field
**Required Experience**
+ 2+ years of demonstrated leadership experience.
+ 5+ years of hands-on technical implementation experience in mid to large IT Enterprise environments.
+ 8+ years of IT technical experience with IT enterprise infrastructure.
+ Pega LSA Certified is highly preferred
+ Pega Decisioning and Gen AI knowledge preferred
**Required License, Certification, Association**
- Industry certifications required.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $117,731 - $275,491 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$117.7k-275.5k yearly 1d ago
Principal Engineer, Applications - Pega/AI-ML/SQL- PostgreSQL - Remote
Molina Healthcare 4.4
Bellevue, WA jobs
Molina Healthcare is seeking a Principal Engineer, Applications (Pega) to lead and elevate our enterprise application landscape. We are looking for a highly experienced, self-motivated professional with 20+ years of technology and software development experience, including deep expertise in Pega-based solutions and enterprise system design.
As a senior technical leader, you will drive architectural decisions, mentor engineering teams, and ensure that our applications are scalable, secure, and aligned with strategic objectives.
Key Responsibilities:
+ Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines for enterprise-level Pega applications.
+ Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions.
+ Considers business problems "end-to-end": including people, process, and technology, both within and outside the enterprise, as part of any design solution.
+ Promotes use of industry and enterprise technology standards.
+ Monitors emerging technologies for potential application within or across the Corporation.
+ Adheres to design and application development standards, methodology and, framework within Architectural compliance and governance.
+ Guide and mentor development teams, fostering a culture of technical excellence and continuous learning.Evaluate emerging technologies and contribute to long-term digital transformation efforts.
**Knowledge/Skills/Abilities**
+ Extensive hands-on experience with Pega application development, including architecture and design patterns.
+ Practices and leads SW and applications design and development methodologies in adherence to SW development standards.
+ Designs and develops SW applications or systems solving specific business or processing problem.
+ Experience and hands on AI/ML development
+ Gathers business requirements and develops conceptual design and technical design for multiple projects concurrently.
+ Works closely with Architects and business teams to align application systems design and development with the enterprise strategic direction.
+ Builds relationship with IT leadership, technical teams (applications, infrastructure and others), vendors etc. to understand and solve problems.
+ Provides leadership and direction to the engineers in the team and across the enterprise.
+ Develops software (hands on code development) to meet key business objectives.
+ Conducts peer review of other developers (internal and contract staff) to ensure standards and quality.
+ Responsible for quality deliveries for self and application engineers. Participates in build vs. buy evaluation process.
+ Leads architecture and design discussions in adherence to SW development standards.
+ Provides design and architectural expertise on application systems / technologies, to both technical teams and business partners.
+ Responsible to support the application system / service owner for system performance, budgeting and planning.
+ Responsible for application system stability and scalability related activities.
+ Responsible for alignment with project methodologies and change management processes.
+ Responsible to organize, manage and lead cross-team project tasks and deliverables.
+ Responsible for designing and building enterprise level application systems.
+ Responsible for presentations and solutions submitted to technical and business review committees.
+ Responsible for understanding the business area being supported by the team and the company's overall business.
+ Ownership to provide cross-organization teamwork, collaboration, communication and leadership.
+ Provides constructive feedback on people, process and technology for continuous improvement.
**Job Qualifications**
**Required Education**
- Bachelor's Degree in relevant field
**Required Experience**
+ 2+ years of demonstrated leadership experience.
+ 5+ years of hands-on technical implementation experience in mid to large IT Enterprise environments.
+ 8+ years of IT technical experience with IT enterprise infrastructure.
+ Pega LSA Certified is highly preferred
+ Pega Decisioning and Gen AI knowledge preferred
**Required License, Certification, Association**
- Industry certifications required.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $117,731 - $275,491 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$117.7k-275.5k yearly 1d ago
Principal Engineer, Applications - Pega/AI-ML/SQL- PostgreSQL - Remote
Molina Healthcare 4.4
Long Beach, CA jobs
Molina Healthcare is seeking a Principal Engineer, Applications (Pega) to lead and elevate our enterprise application landscape. We are looking for a highly experienced, self-motivated professional with 20+ years of technology and software development experience, including deep expertise in Pega-based solutions and enterprise system design.
As a senior technical leader, you will drive architectural decisions, mentor engineering teams, and ensure that our applications are scalable, secure, and aligned with strategic objectives.
Key Responsibilities:
Designs and builds company specific enterprise application systems and technology expertise across multiple disciplines for enterprise-level Pega applications.
Applies and promotes key principles (e.g. stability, scalability, performance, security, compatibility, re-use), helping ensure a balance between tactical and strategic technology solutions.
Considers business problems “end-to-end”: including people, process, and technology, both within and outside the enterprise, as part of any design solution.
Promotes use of industry and enterprise technology standards.
Monitors emerging technologies for potential application within or across the Corporation.
Adheres to design and application development standards, methodology and, framework within Architectural compliance and governance.
Guide and mentor development teams, fostering a culture of technical excellence and continuous learning.
Evaluate emerging technologies and contribute to long-term digital transformation efforts.
Knowledge/Skills/Abilities
Extensive hands-on experience with Pega application development, including architecture and design patterns.
Practices and leads SW and applications design and development methodologies in adherence to SW development standards.
Designs and develops SW applications or systems solving specific business or processing problem.
Experience and hands on AI/ML development
Gathers business requirements and develops conceptual design and technical design for multiple projects concurrently.
Works closely with Architects and business teams to align application systems design and development with the enterprise strategic direction.
Builds relationship with IT leadership, technical teams (applications, infrastructure and others), vendors etc. to understand and solve problems.
Provides leadership and direction to the engineers in the team and across the enterprise.
Develops software (hands on code development) to meet key business objectives.
Conducts peer review of other developers (internal and contract staff) to ensure standards and quality.
Responsible for quality deliveries for self and application engineers. Participates in build vs. buy evaluation process.
Leads architecture and design discussions in adherence to SW development standards.
Provides design and architectural expertise on application systems / technologies, to both technical teams and business partners.
Responsible to support the application system / service owner for system performance, budgeting and planning.
Responsible for application system stability and scalability related activities.
Responsible for alignment with project methodologies and change management processes.
Responsible to organize, manage and lead cross-team project tasks and deliverables.
Responsible for designing and building enterprise level application systems.
Responsible for presentations and solutions submitted to technical and business review committees.
Responsible for understanding the business area being supported by the team and the company's overall business.
Ownership to provide cross-organization teamwork, collaboration, communication and leadership.
Provides constructive feedback on people, process and technology for continuous improvement.
Job Qualifications
Required Education
• Bachelor's Degree in relevant field
Required Experience
2+ years of demonstrated leadership experience.
5+ years of hands-on technical implementation experience in mid to large IT Enterprise environments.
8+ years of IT technical experience with IT enterprise infrastructure.
Pega LSA Certified is highly preferred
Pega Decisioning and Gen AI knowledge preferred
Required License, Certification, Association
• Industry certifications required.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$138k-176k yearly est. Auto-Apply 2d ago
Senior Health Integration Engineer - Remote based in US
Tenet Healthcare Corporation 4.5
Frisco, TX jobs
We are seeking an experienced Health Integration Engineer to join our team as a senior contributor and technical leader. The ideal candidate has a strong background in healthcare interoperability and has previously built and maintained integration solutions using InterSystems IRIS, HealthShare, Ensemble, or other healthcare integration engines. While IRIS experience is preferred, proven expertise with comparable platforms (Cloverleaf, Rhapsody, Mirth/NextGen, eGate, etc.) is fully acceptable.
This role requires the ability to collaborate with business stakeholders and analysts to understand requirements, independently design integration patterns, and implement robust and maintainable solutions-with an emphasis on code-based development rather than BPL-driven design.
As a seniorengineer, the candidate will also mentor junior developers, contribute to team best practices, and proactively recommend technical improvements that elevate our integration capabilities.
Responsibilities
* Design, develop, test, and deploy healthcare integrations using InterSystems IRIS or other integration platforms.
* Implement production components-business services, processes, and operations-primarily through code (ObjectScript, Embedded Python, or similar), minimizing reliance on BPL.
* Interpret business and technical requirements and convert them into scalable, supportable integration designs.
* Build message transformations, routing logic, and custom adapters as required.
* Work with HL7 v2, FHIR, CCD/C-CDA, X12, and other healthcare data formats and transport protocols.
* Collaborate closely with analysts, business teams, and external partners to clarify requirements and ensure successful solution delivery.
* Troubleshoot issues using logs, message tracing, and integration engine tooling.
* Provide mentorship, code reviews, and architectural guidance to junior team members.
* Identify opportunities to improve team processes, tools, and integration standards; propose and lead technology-enhancing initiatives.
* Adhere to organizational standards for security, reliability, testing, and documentation.
Qualifications
* 5+ years of hands-on healthcare integration experience.
* Strong proficiency with at least one major healthcare integration engine; InterSystems IRIS/HealthShare/Ensemble experience is preferred.
* Ability to develop integration components using code (ObjectScript, Python, Java, etc.), not only graphical tools.
* Solid understanding of HL7 v2, FHIR, and common healthcare interoperability workflows.
* Experience designing and implementing integration patterns (synchronous/asynchronous messaging, transformations, routing, error handling).
* Strong problem-solving skills and ability to work independently with minimal oversight.
* Experience mentoring peers or junior engineers.
* Excellent written and verbal communication skills and the ability to engage effectively with both technical and non-technical audiences.
* Familiarity with version control, CI/CD pipelines, and modern development practices is a plus.
Preferred Skills
* InterSystems IRIS production development experience (ObjectScript, Embedded Python, DTL, custom business services/operations).
* REST/SOAP API integration experience.
* Knowledge of cloud deployment environments and containerized integration workloads.
* Exposure to healthcare standards such as IHE, OAuth-based security, or identity/access management in healthcare systems.
Compensation
* Pay: $89,440 - $143,104 annually. Compensation depends on location, qualifications, and experience.
* Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
* Medical, dental, vision, disability, and life insurance
* Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
* Discretionary 401k match
* 10 paid holidays per year
* Health savings accounts, healthcare & dependent flexible spending accounts
* Employee Assistance program, Employee discount program
* Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
* For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
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Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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