Analyst jobs at HCSC - 40 jobs

A leading healthcare company is looking for a Workforce Management Professional to apply analytics and people metrics to strategic workforce decision-making. The role involves assessing staffing needs and ensuring the alignment of organizational strategies. Candidates should have at least 2 years of relevant experience and excel in communication and analytical problem-solving. This position offers a competitive salary and benefits and requires occasional travel for training. A bachelor's degree is preferred. #J-18808-Ljbffr

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. What's your next step? How will you leverage the study, training, certifications, and your energy to help develop solutions to transform the health care industry? As an Actuarial Consultant in our Actuarial Leadership Development Program at UnitedHealth Group, you can do just that. You'll lead complex actuarial projects that have strategic importance to our mission of helping people lead healthier lives and helping to make the health system work better for everyone. It's an opportunity to help rewrite the future of UnitedHealth Group as you participate in the development of business strategy. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: Develop in-depth understanding of core actuarial concepts to develop rate reviews, medical plan pricing, competitive analyses, and more Identify and address data issues and outliers in results Communicate effectively to actuarial and non-actuarial audiences Independently anticipate and complete recurring work responsibilities in an accurate and timely fashion Support all regulatory reports, surveys, audits, and filings Provide timely and complete Peer Review services Maintain proper and sufficient documentation Build relationships within and across regional pricing teams and internal customers such as Products, Sales, Regulatory, and UW Take on opportunities to contribute to various projects and work groups to further Regional/National pricing focus areas Be self-aware, compassionate, and genuine in service to all team members Be inclusive, advance diversity; participate in collaborative, engaged, and high-performing teams Be courageous, empowering, and supportive so each person can achieve their goals Meet exam sitting and passing requirements as described in AEP/ALDP (if applicable) Meet CE requirements as outlined by AAA/SOA (if applicable) Other professional development (specific for individual) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Undergraduate Bachelor's degree On the Actuarial exam track, having passed 2 or more Actuarial exams 2+ years of actuarial experience Experience communicating technical information to non-technical audiences Intermediate or higher level of proficiency in MS Excel Preferred Qualifications: Experience with actuarial pricing Actuarial experience with small group ACA health insurance plans Intermediate or higher level of proficiency with SQL or similar programming language Proven good communication/presentation skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Summary of Job Continuously and proactively assess and monitor pharmacy operations performance to achieve contractual targets on a daily basis. Frequently interface with counterparts across the organization to continuously identify and communicate opportunities for improvement with claims, pharmacy customer service and pharmacy core processes. Identify opportunities of improvements in business and operational areas; provide appropriate action plans, develop and implement pharmacy Operations performance analysis programs and metrics to improve operational efficiency. Continuously identify opportunities for improvement and trends via proactive assessment. Responsilities * Assess and monitor performance of vendors for the pharmacy ops process to meet contractual and compliance requirements and align with EmblemHealth customer experience objectives and enterprise goals. * Conduct reviews, transactional audits, and compliance and operational procedure reviews. * Work with business partners to define, design and develop analytic and process solutions to improve operations performance and quality; identify, gauge and mitigate risks, through timely, accurate and consistent understanding of impact within operational area and across the organization and to customers. * Analyze pharmacy ops performance and quality data to understand intended versus actual outcomes and evaluate performance and quality controls and tools to assess effectiveness in identifying errors in processes and systems. * Communicate results to pharmacy Operations management via reports and presentations. * Maintain meticulous audit and other assessment records to baseline historical performance and track and trend over time. * Document special variation events that impact performance as well as corrective action taken to address issues. * Support pharmacy Operations leadership as needed to conduct ad-hoc assessments and assignments. * Perform related tasks as directed, assigned, or required. Qualifications * Bachelor's degree. * 3 - 5+ years of relevant, professional work experience (Required) * 2+ years of auditing and assessment experience (Required) * Additional experience/specialized training may be considered in lieu of degree requirement (Required) * Ability to effectively utilize appropriate metrics to determine performance accuracy/outcomes (Required) * Excellent collaboration skills and the ability to influence management decisions (Required) * Strong auditing skills that can be applied across all types of business areas (Required) * Proficient with MS Office - Word, Excel, PowerPoint, Outlook, Teams, SharePoint, etc. (Required) * Strong communication skills - verbal, written, presentation, interpersonal with all types/levels of audiences (Required) Additional Information * Requisition ID: 1000002821 * Hiring Range: $56,160-$99,360

Become a part of our caring community and help us put health first We are seeking a skilled and motivated P2 CyberSecurity Defense Operations Analyst to strengthen our Cybersecurity Operations Center (CSOC). This role is ideal for a cybersecurity professional with proven experience in monitoring, triaging, and responding to complex security alerts. In this role you will have the opportunity to work directly with other members of the CSOSC, partner with the Digital Forensics and Incident Response team, utilize a comprehensive tool stack, and have a direct impact on our mission of safeguarding the Humana environment.The CyberSecurity Defense Operations Analyst 2 documents and logs cyber defense incidents from initial detection through final resolution or escalation and ensures information is appropriately catalogued, analyzed, and reported on for root-cause analysis identification. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications: 1-3 years of experience in a security operations center or similar environment Proficiency with security tools such as SIEM and EDR Ability to investigate and respond to security alerts Strong communication, documentation, and collaboration skills Preferred Qualifications: Related Security Certification Bach Degree in a technology related concentration Remote/WAH requirements: WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $80,900 - $110,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 01-19-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

**Become a part of our caring community and help us put health first** We are seeking a skilled and motivated P2 CyberSecurity Defense Operations Analyst to strengthen our Cybersecurity Operations Center (CSOC). This role is ideal for a cybersecurity professional with proven experience in monitoring, triaging, and responding to complex security alerts. In this role you will have the opportunity to work directly with other members of the CSOSC, partner with the Digital Forensics and Incident Response team, utilize a comprehensive tool stack, and have a direct impact on our mission of safeguarding the Humana environment. The CyberSecurity Defense Operations Analyst 2 documents and logs cyber defense incidents from initial detection through final resolution or escalation and ensures information is appropriately catalogued, analyzed, and reported on for root-cause analysis identification. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications:** + 1-3 years of experience in a security operations center or similar environment + Proficiency with security tools such as SIEM and EDR + Ability to investigate and respond to security alerts + Strong communication, documentation, and collaboration skills **Preferred Qualifications:** + Related Security Certification + Bach Degree in a technology related concentration Remote/WAH requirements: + WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. + A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $80,900 - $110,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-19-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Become a part of our caring community and help us put health first As a Humana Data and Reporting Professional 2 you will provide analytical support to the Florida Medicaid Quality Improvement and Clinical and Quality Provider Engagement teams. These teams focus on quality processes and outcomes. They ensure operational compliance standards and procedures, such as those for regulatory and accreditation entities are established and followed. Further, the team advances business practice by collaborating with leaders and cross functional teams to monitor and support various clinical performance and experience for our Medicaid members statewide. The Data and Reporting Professional 2 support these goals by developing and managing data sets and system tools. The Data and Reporting Professional 2 will have considerable latitude to create a compelling visual story of our health data. You will be responsible for all stages of the development, documentation, and dissemination of dashboards, with the goal of gaining a deeper understanding of the health categorization and stratification of the Florida Medicaid population. A significant amount of attention and time will be spent developing dashboards and providing insights utilizing eligibility and claims data to include medical, pharmacy, laboratory and other sources of available internal data. We are constantly challenging the status quo of data analysis and dissemination of information and knowledge, and there is considerable opportunity for innovation and creativity. Humana has a highly collaborative environment, and you will work closely with the Quality Improvement and Clinical and Quality Provider Engagement teams and other Leaders where you will be encouraged, rewarded, and cheered on for working out loud, continuously learning, and dreaming big. To be successful in this role, you should be curious and never be afraid to ask why, have an entrepreneurial attitude, and the confidence, skill and will to accomplish our goals. Responsibilities Research, create, and test dashboards for our internal partners and leadership: Create visualizations (dashboards) to monitor trends, utilization and timelines that enhance internal/external partners overall understanding of Humana's Florida Medicaid population, utilization and quality outcomes Develop visualizations (dashboards) using Power BI that assist internal partners to address and identify specific risks, identify gaps in care, improve efficiencies and enrollment of existing services/programs, implement clinical interventions and programs, monitor intervention/program performance/success, and reduce preventable events. Collaborate with internal leaders, teams to provide strategic analytical support and insight for new opportunities. Serve as a data and reporting subject matter expert for the Quality Improvement and Clinical & Quality Provider Engagement teams Use your skills to make an impact Required Qualifications: Bachelor's degree 3 or more years of experience in data management and reporting Comprehensive knowledge of Microsoft Office applications including Excel, Access, Power BI Demonstrated experience producing high functioning dashboards using Power BI. Experience working with big and complex data sets within large organizations. Proficient querying large data sets from data warehouses using languages such as SQL, SAS, R, and/or Python. Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction. Strong, demonstrated strategic, analytical thinking, and consulting skills. Proficiency in verbal and written communication to senior and executive leadership. Demonstrated ability to work independently, proactively initiate tasks, conduct thorough research, and acquire new knowledge to support ongoing development. Must be passionate about contributing to an organization focused on continuously improving consumer experiences. Preferred Qualifications: Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field Experience in managed care or health care sector Knowledge of Humana's internal policies, procedures, and systems Medicaid Health Plan Experience Reside in Florida Additional Information Workstyle: Remote Work Location: Preferred reside in FL Travel: None Typical Workdays/Hours: Monday- Friday, 8am- 5pm EST Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $60,800 - $82,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Summary of Job Maximize agent productivity by providing issue resolution to the individual agent; coordinate with training and HR team for onboarding and offboarding activities. Responsible for the intra-day timeline reporting to the Call Center Management; work closely with the team to analyze and improve the performance. Provide advanced level of RTA support. Partner with department management throughout the enterprise to ensure the appropriate number of Call Center resources at the right time and the right place to maximize the best-in-class customer service experience. Responsibilities * Support Manager, Workforce Engagement to identify schedule gap, out of adherence activities, provide approval of PTO, and support over Intra-day resources allocation decisions. * Adjust intraday forecasts derived from attendance report, business drivers to determine required staffing levels by projecting call volumes, call duration and required staffing levels using current trends and historical data. * Support real time queue monitoring for the Emblem, CCI, and ACPNY line of business, etc. Perform agent / agent group skill adjustment when necessary. * Produce attendance, intra-day reporting including the End of Day and Agent Out of Adherence reporting. Incorporate vendor's data to create additional insights. * Runs and analyzes reports with the result of making recommendations for adjusting staffing levels to meet departmental productivity and profitability goals. * Support Performance Management - Site level Dashboard, Agent Scorecard creation, and new initiatives. * Monitor / coordinate regular morning team huddles, Supervisor 1 on 1 meetings. * Provide / assist Supervisor teams on the site level communications to the agent / Supervisor teams. * Manage and track the issue resolution, escalate system level outage and provide quick resolutions to the operations. * Collaborate with training team and / or HR to provide a better onboarding experience. Track offboarding activities. Qualifications * Bachelor's Degree in Business Management or related * 3 - 5+ years' Call Center experience in workforce management function (Required) * 1+ year experience working with Verint, Genesys WFO or another workforce management systems (Required) * 1+ year experience with ACD / IVR Reporting (Required) * Additional experience/specialized training may be considered in lieu of educational requirements (Required * Help desk experience (Preferred) * Call Center Supervisory / Management experience (Preferred) * Ability to create reports in Excel using formulas - vlookup, count, sum, etc., graphs, and other tools (Required) * Proficient with MSOffice - Word, Excel, Access, PowerPoint, Outlook, SharePoint with advanced Excel skills (Required) * Ability to effectively organize and manage multiple task/projects with conflicting priority levels and deadlines (Required) * Ability to perform research and utilize technical/statistical/policy & procedure knowledge to identify and solve problems (Required) * Ability to work successfully in a team environment, while maintaining strong individual performance (Required) * Excellent customer service skills, with a commitment to seeing tasks through to completion (Required) Additional Information * Requisition ID: 1000002612 * Hiring Range: $56,160-$99,360

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This ten-week paid internship can be located in Chicago, IL or Richardson, TX **What Are Your Responsibilities?** The Customer Service Business Analyst Intern position is responsible for actively participating in an Internship program that leverages your skills, knowledge and capabilities within the Customer Service division while exposing you to different methodologies and tools. This role will assist with applying emerging technologies to assist with developing best-in-class systems and solutions for our clients and members. The Customer Service Business Analyst Intern is responsible for learning specific aspects of the processes, programs and technology. Additional project support, administrative tasks and ad hoc requests to support business needs. This role will also need to: + Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. + Maintain complete confidentiality of company business. + Maintain communication with management regarding development within areas of assigned. + responsibilities and perform special projects as required or requested. + Create a final internship PowerPoint presentation to share with department leadership covering the internship experience, the assigned project over the course of the summer, including the results along with any solutions or recommendations that can be leveraged by the department in the future. **What Do You Need To Be Successful?** + Prior related technical internship or work experience is a plus + Volunteerism or leadership experience is a plus + Eagerness to learn, grow and contribute + Demonstrated interpersonal skills including clear and concise verbal and written communication + Strong analytical and problem-solving skills + Be coachable and open to feedback + Have a professional presence + Results-oriented with a continuous improvement mindset and an ability to grasp new and unfamiliar concepts + Strong organizational and multi-tasking skills with the ability to prioritize and support multiple projects + Practical, developed PC skills, especially Office 365 and virtual team collaboration tools _(MS Teams, Word, SharePoint, etc.)_ **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree in business, data analytics, information technology, information systems, computer science or other related degree + Graduation date between December 2026 - June 2027 + A minimum GPA of 3.0/4.0 + Availability to work ten weeks during the summer (June - August) + Unrestricted authorization to work in the United States. **_(Currently, we are not offering this program to students on a visa)_** **What Does the Internship Program Entail?** + Formal Intern Orientation to build business and industry acumen + Challenging real-world, hands-on project + Weekly networking opportunities among interns and company leaders + Professional development workshops + Volunteer activities \#LI-Hybrid \#LI-JT1 \#hcscintern **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $18.46 - $37.84 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This role supports the design and implementation of operational digital playbooks for RCM Middle Operations (CDI, Coding, HIM). The senior analyst ensures accurate documentation, compliance, and smooth onboarding for new clients while contributing to process standardization across existing accounts. This role will have primary responsibility supporting the Optum Physician Advisory Services (OPAS). You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Support Optum Physician Advisory Services (OPAS) * Contribute to the development and maintenance of digital playbooks by documenting workflows and SOPs under guidance from senior leaders * Ensure alignment with enterprise standards and client-specific requirements * Assist in onboarding new clients by applying established playbook frameworks * Adapt processes to meet client needs while maintaining compliance * Support efforts to standardize workflows across multiple clients * Identify and report opportunities for efficiency improvements * Implement updates to operational content based on regulatory changes * Collaborate with compliance teams to ensure timely adoption * Participate in content review and validation processes * Ensure documentation meets quality and usability standards * Work closely with SMEs and internal teams to execute transformation initiatives * Provide input for Centers of Excellence activities * Escalate issues to the consultant You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 5+ years in RCM with experience in CDI, Coding, HIM * Experience supporting change management initiatives * Solid understanding of compliance and payer-provider dynamics Preferred Qualifications: * Experience with operational playbook development and process documentation * Proficiency with tools such as Microsoft Office Suite and Smartsheet * Familiarity with governance processes and compliance frameworks * Proven solid communication and collaboration skills across cross-functional teams * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. + Job Description **Position Purpose:** Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. + Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting + Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop reports and deliverables for management + Write **advanced and performant SQL** (joins, CTEs, window functions, query tuning) across SQL Server and Teradata. + Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis + Assist with training and mentoring other Data Analysts + Performs other duties as assigned + Complies with all policies and standards + Develop **advanced Power BI solutions** : complex DAX, optimized data models, and secure, performant datasets. + Translate business needs into analytics solutions and clearly **communicate findings to non-technical stakeholders** . **Education/Experience:** Bachelor's degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Advanced Power BI skills (data modeling, DAX, Power Query, governance/security basics) preferred. Strong expertise in SQL (SQL Server/SSMS/SSIS) with experience in query optimization and performance tuning preferred. Familiarity with automation/orchestration (Power Automate, Azure Data Factory, preferred. **_By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified._** Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for performing moderate to complex Value Based Care Provider performance financial analyses. Some level of financial modeling of Revenue and Cost contribution to VBC financial, MLR performance, preparing all necessary financial analyses, periodic financial statements, analyzing total cost of care and revenue trends. Additional assignments and projects within the business unit. The analyst will also be responsible for monitoring VBC contract financial performance across several programs and financial specific activities. Monitor and perform contracted provider validation and establish control analytics on various types of financial contractual arrangements (all lines of business). Lead workgroup forums, create presentations, and facilitate discussions across varying functional leads to establish a plan of action. Ensure outcomes and standards are defined and executed as standard operating procedures. Manage line of credit process and procedures and overseeing outstanding provider recoupments. **Required Job Qualifications:** + Bachelor Degree in Accounting or Finance. + 4 years experience conducting financial analysis **Preferred Job Qualifications:** + Ability to create Executive business level presentations related to financial topic + Ability to inform VBC provider contract performance risks, and collaborate cross-functionally to perform corrective action when applicable. + Advance expertise PC experience in Windows, Word, Excel, Access, PowerPoint, and other business related/associated databases. + Knowledge of SQL (or similar languages such as VBA) + Experience with Value Based Care arrangements Sponsorship will not be provided for this role. Hybrid: Work in office 3 days a week; work from home 2 days a week. \#LI-LI1 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This position is responsible for all functions in the HMO medical group/Independent Practice Association (IPA) payment process using the a homegrown financial analysis system, BlueCap. This includes support for creating basic HMO contract agreements, negotiating terms, generating contract amendments, payments, reconciliation processes, and medical group and IPA specific reporting. The individual in this role will also work to document processes, be involved in process optimization projects, and supporting leadership to outline a proactive annual rate planning process. **Required Job Qualifications:** + Bachelor Degree. + 4 years of business operational experience. + Knowledge of creating, organizing, and disseminating auditable documentation surrounding payment processes. + Ability to understand the big picture while executing and managing detail-oriented work. + Ability to perform a wide range of financial analysis. + Clear and concise interpersonal, verbal and written communication skills. + PC proficiency to include Access, Word, Excel, and PowerPoint. **Preferred Job Qualifications:** + Bachelors Degree in Accounting or Finance. + MBA. + Healthcare experience. + BlueCap or Cobalt experience preferred + SQL experience strongly preferred + Ability to pull data, reports, and leverage the data for decision making + Proficient with the full Microsoft Suite and Microsoft Access strongly preferred + Experience with process documentation, project management, and future planning financial analytics activities. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Locations:** Prefer to be located in Chicago, IL. Open to Richardson, TX **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $55,900.00 - $123,500.00 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This ten-week paid internship can be in Chicago, IL or Richardson, TX **What Are Your Responsibilities?** This intern position may include researching, analyzing and gathering data to support the implementation of new or renewing accounts, new legislation, and products across the enterprise. The intern may work cross-functionally with internal stakeholders to coordinate the implementation. In this role you may be responsible for assisting with managing implementation project activities of low to moderate complexity. You may also gather, organize, analyze, and interpret marketing, legislative, financial, and operating data. You may also: + Support multiple priorities across projects and work with the implementation team to complete tasks on time. + Interact one-on-one and in group settings with departmental/inter-departmental team members to identify issues, gather data, brainstorm, prioritize, discuss analytic approach, and share findings. + Support projects, form, and maintain key partnerships with other/related HCSC business areas. + Communicate with team, management, and key stakeholders to keep them informed of project deliverables, status updates and issue resolution. + Assist in preparing reports and presentations as directed to support the overall delivery and execution of client, business, and operational requirements. + Work to ensure that appropriate materials raising awareness, providing education and training, reports, and deliverables are prepared and delivered to appropriate account executives, clients, and HCSC management as needed. This role will also need to: + Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. + Maintain complete confidentiality of company business. + Maintain communication with management regarding development within areas of assigned. + Perform responsibilities and special projects as required or requested. + Create a final internship PowerPoint presentation to share with department leadership covering the internship experience, the assigned project over the course of the summer, including the results along with any solutions or recommendations that can be leveraged by the department in the future. **What Do You Need To Be Successful?** + Adaptable communication style + Ability to forecast issues and risks + Demonstrated interpersonal skills including verbal and written communication + Strong analytical skills + Practical, developed PC skills, especially Excel, Word, and Access **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree in business administration, marketing, healthcare administration, or a similar field. + Graduation date between December 2026 and June 2027 + A minimum GPA of 3.0/4.0 + Availability to work 10 weeks during the summer (June - August) + Unrestricted authorization to work in the United States. **_(Currently, we are not offering this program to students on a visa)_** **What Does the Internship Program Entail?** + Formal Intern Orientation to build business and industry acumen. + Challenging real-world hands-on project + Weekly networking opportunities among interns and company leaders + Professional development workshops + Volunteer activities \#LI-Hybrid \#LI-JT1 \#hcscintern **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $18.46 - $37.84 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** The Fraud, Waste, and Abuse (FWA) Analyst plays a critical role in safeguarding state Medicaid programs by identifying, analyzing, and preventing fraudulent activities within Medicaid claims. You will be working with a State Government Product and Data Mining team. Your primary responsibility will be to assist in the development and deployment of algorithms designed to support program integrity across various platforms and states plus support our fraud and abuse detection product and services. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Write simple to intermediate SQL statements to extract data for client inquiry and research + Utilize production reports to perform research and assess quality of overall data + Analyze and interpret data to identify FWA trends and patterns within claims data + Engage with clients to triage and manage incoming operational inquiries and tasks + Interface professionally with data engineers, software engineers and other development teams + Troubleshoot client operational issues quickly and comprehensively + Support, train and mentor fellow analysts and developers + Improve operational processes + Works with minimal guidance; seeks guidance on only the most complex tasks + Function well within a matrix organization (E.g. - supporting multiple leaders) + Proficient in research, interpreting, and analyzing diverse and complex data, and assessing data quality + Proficiency with excel & visualization tools + Intermediate to advanced computer skills consisting of Teams, Microsoft Excel, Outlook, Word, and Power Point You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Certified Professional Coder (CPC) or Certified Fraud Examiner (CFE) + 3+ years of experience writing intermediate SQL queries + 3+ years fraud, waste and abuse data mining experience + 2+ years of data analysis experience working with database structures + 2+ years of healthcare claims experience + Ability to travel up to 10% **Preferred Qualifications:** + Experience with statistical analysis of data + Experience with Rally + Knowledge of Medicaid policy and real-life fraud, waste, abuse schemes + Knowledge of healthcare claim adjudication systems *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote (ET) - Pennsylvania Candidates Preferred We welcome applicants located in or near Pennsylvania, with a strong preference for those in the Harrisburg or Philadelphia areas. Relocation may be considered for candidates outside these areas. This position includes occasional travel for meetings at the State Capitol/Capitol Complex and for stakeholder engagements across Pennsylvania. A valid driver's license is required for essential job functions. Position Purpose Facilitate and manage the tracking of policy/legislation updates and perform analysis of policy changes, such as CMS rules and regulations to determine business impacts. Performs deliverables including talking points, fact sheets, and policy briefs for Government Relations advocacy partners as well as other business units. This role has high visibility with senior leadership. This position can also be tailored to align with the candidate's interests, including opportunities to incorporate additional Government Relations responsibilities. Why This Role Is Appealing In this role, you'll have the opportunity to build meaningful experience across health policy and government relations while shaping work that truly matters. You'll dive into high‑impact projects - tracking legislation, analyzing policy, engaging stakeholders, and collaborating across teams. As part of a large and growing enterprise, you'll have access to diverse career paths across our health plans and corporate teams. With remote flexibility, occasional stakeholder travel, and room to shape the role around your strengths, this position supports your growth and long‑term career goals. In this Health Policy Analyst role, you will Assist Research health policy and legislation updates Track and monitor the Federal Register and other sources for policy/legislation updates (proposed and final rules, sub-regulatory guidance, and other policy changes) and think critically to analyze the business and member impacts on Centene priorities Develop position papers, talking points, meeting summaries, policy briefs, fact sheets, and presentations for senior executives on health policy issue areas, with oversight from peers/manager. Engage Centene business units to form policy positioning and draft comment letters/RFIs to CMS and other federal agencies Attend meetings with third party organizations, such as trade associations and synthesize meetings outcomes and next steps to relevant leadership Performs other duties as assigned Complies with all policies and standards Highly preferred Knowledgeable of Marketplace Insurance, CHIP, Medicaid, or Medicare Familiar with Pennsylvania politics and the interworking of Pennsylvania Government Remote (EST); candidates must reside in Pennsylvania, with preference for Harrisburg or Philadelphia. Relocation assistance may be available for other locations Education/Experience Bachelor's degree in Health Policy, Public Policy, or related field. 1-2 years combined experience of health policy, public policy, healthcare analytics, economics, law, or related experience. Travel Minimal travel required (0-10%), primarily for State Capitol/Capitol Complex meetings and external engagements across Pennsylvania. Overnight stays are rare, except for conferences. A valid driver's license is required for essential job functions. Location Remote (ET); candidates must reside in Pennsylvania, with preference for Harrisburg or Philadelphia. Relocation assistance may be available for other locations. Pay Range: $56,200.00 - $101,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis ten-week paid internship can be in Chicago, IL or Richardson, TX What Are Your Responsibilities? This intern position may include researching, analyzing and gathering data to support the implementation of new or renewing accounts, new legislation, and products across the enterprise. The intern may work cross-functionally with internal stakeholders to coordinate the implementation. In this role you may be responsible for assisting with managing implementation project activities of low to moderate complexity. You may also gather, organize, analyze, and interpret marketing, legislative, financial, and operating data. You may also: Support multiple priorities across projects and work with the implementation team to complete tasks on time. Interact one-on-one and in group settings with departmental/inter-departmental team members to identify issues, gather data, brainstorm, prioritize, discuss analytic approach, and share findings. Support projects, form, and maintain key partnerships with other/related HCSC business areas. Communicate with team, management, and key stakeholders to keep them informed of project deliverables, status updates and issue resolution. Assist in preparing reports and presentations as directed to support the overall delivery and execution of client, business, and operational requirements. Work to ensure that appropriate materials raising awareness, providing education and training, reports, and deliverables are prepared and delivered to appropriate account executives, clients, and HCSC management as needed. This role will also need to: Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. Maintain complete confidentiality of company business. Maintain communication with management regarding development within areas of assigned. Perform responsibilities and special projects as required or requested. Create a final internship PowerPoint presentation to share with department leadership covering the internship experience, the assigned project over the course of the summer, including the results along with any solutions or recommendations that can be leveraged by the department in the future. What Do You Need To Be Successful? Adaptable communication style Ability to forecast issues and risks Demonstrated interpersonal skills including verbal and written communication Strong analytical skills Practical, developed PC skills, especially Excel, Word, and Access What Are the Requirements You Must Meet? Pursuing a bachelor's degree in business administration, marketing, healthcare administration, or a similar field. Graduation date between December 2026 and June 2027 A minimum GPA of 3.0/4.0 Availability to work 10 weeks during the summer (June - August) Unrestricted authorization to work in the United States. (Currently, we are not offering this program to students on a visa) What Does the Internship Program Entail? Formal Intern Orientation to build business and industry acumen. Challenging real-world hands-on project Weekly networking opportunities among interns and company leaders Professional development workshops Volunteer activities #LI-Hybrid #LI-JT1 #hcscintern Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$18.46 - $37.84 Exact compensation may vary based on skills, experience, and location.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Analyze and develop complex SQL in Teradata and Oracle supporting data warehouse downstream reporting and analytics * Analysis of current business processes and systems, and documenting requirements for new processes and systems * Work with internal team and the customer on business documentation and updates * Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria * Help with developing presentations for the internal team and customer. Solicit input from others and pull information together to create a professional presentation * Work with team to document updates needed for Operations Guide * Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution * Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts * Positive attitude and willingness to jump in and help where needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 7+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems * 5+ years of experience in writing SQL * 4+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS) * Proven ability to lead communication (written and verbal) at the customer leadership level * Proven knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation * Proven effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision Preferred Qualifications: * 5+ years of experience in Informatica PowerCenter creating extracts * Experience with using SharePoint * Knowledge of data integration and software enhancements/planning * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Analyze and develop complex SQL in Teradata and Oracle supporting data warehouse downstream reporting and analytics + Analysis of current business processes and systems, and documenting requirements for new processes and systems + Work with internal team and the customer on business documentation and updates + Assist with user acceptance testing, including defect reporting and follow up. Help with development of test scenarios and acceptance criteria + Help with developing presentations for the internal team and customer. Solicit input from others and pull information together to create a professional presentation + Work with team to document updates needed for Operations Guide + Assist with identifying and documenting data anomalies and collaborate with cross functional teams for effective resolution + Ability to juggle multiple priorities and ensure availability to questions and clarifications from data analysts + Positive attitude and willingness to jump in and help where needed You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 7+ years of healthcare business analysis experience supporting business initiatives through data analysis, writing business requirements and user acceptance testing of various systems + 5+ years of experience in writing SQL + 4+ years of experience working with State Medicaid and CHIP agencies including federal reporting (CMS 64/21, TMSIS) + Proven ability to lead communication (written and verbal) at the customer leadership level + Proven knowledge of health insurance, HMO and managed care principles including Medicaid and Medicare regulation + Proven effective organizational, analytical, time management, problem-solving, and multi-tasking skills, and habits; ability to complete assignments under tight deadlines with little/no direct supervision **Preferred Qualifications:** + 5+ years of experience in Informatica PowerCenter creating extracts + Experience with using SharePoint + Knowledge of data integration and software enhancements/planning *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This role encompasses monitoring and operating computer and peripheral equipment, as well as reviewing, analyzing, and modifying programming systems-including encoding, testing, debugging, and installing software for large-scale computer environments. Responsibilities include evaluating system specifications, input/output processes, and hardware/software compatibility parameters. The position requires expertise in systems programming, operating software applications, consulting on complex projects or existing applications, ensuring timely completion of scheduled jobs, and maintaining overall operating system health. Additional duties involve overseeing the health of IT environments, facilitating the resolution of high-severity incidents to enhance service availability and continuity, and developing processes focused on rapid service restoration after incidents. The role also includes documenting hardware, application, and facility issues, taking corrective actions as needed, and providing operational support for Facets systems both post-go-live and during pre-go-live activities such as environment setup, job scheduling, and dependency management. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Monitor Facets application jobs, Hangfire dashboard, and related dependencies * Perform triage and escalate system issues promptly to appropriate teams * Support file movement, environment configuration, and job scheduling (Hangfire, SSIS) * Utilize SQL/SQL Server for data validation and troubleshooting * Debug and handle web service/API calls and responses * Monitor cloud resources (e.g., Azure Blob storage) and Application Insights for performance * Participate in on-call rotation and provide proactive support * Document processes and communicate effectively with stakeholders You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * 3+ years of experience with facets configurations and UI familiarity * 3+ years of experience with SQL/SQL Server for data validation and troubleshooting * 2+ years of experience with job scheduling and monitoring tools (Hangfire, SSIS) * 2+ years of experience with cloud technologies (Azure Blob storage) * 2+ years of experience troubleshooting web services/APIs (requests, responses, authentication) Preferred Qualifications: * Bachelor's degree in Information Technology, Computer Engineering or related field * 2+ years of experience supporting Facets in production and pre-production environments * 2+ years of experience with SSIS package development and scheduling best practices * 1+ years of experience with Azure DevOps, CI/CD pipelines, and work item tracking * 1+ years of experience with scripting/automation (PowerShell, Python) for operational tasks * 1+ years of healthcare payer domain concepts (claims, eligibility, EDI) * 1+ years of working in an on-call rotation and with ITSM processes (Incident, Problem, Change) * 1+ years of experience with API monitoring and distributed tracing patterns * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.