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Business Analyst jobs at HCSC - 51 jobs

  • Early Careers - Customer Service Business Analyst Intern

    HCSC 4.5company rating

    Business analyst job at HCSC

    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 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.
    $18.5-37.8 hourly Auto-Apply 1d ago
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  • Medicare Senior Business Consultant - Hybrid

    HCSC 4.5company rating

    Business analyst job at HCSC

    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 The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. Required Job Qualifications: * Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. * 3 years of experience leading with large and complex multi-million dollar projects. * Experience communicating with senior management from multiple divisions. * Experience developing and delivering presentations. * Problem resolution experience and skills. * Knowledge of strategic planning techniques and industry trends * Experience interpreting business and financial information * Negotiations skills. * Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. * Organizational skills. * Experience managing multiple complex projects successfully. * Detail oriented. * PC proficiency to include Microsoft Office products Preferred Required Job Qualifications: * Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. * Proven analytical thinking and the ability to move from strategy to action. * Prior internal or external consulting experience preferred. * Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. * Schedule: This is a Flex (Hybrid) role: 3 days in office; 2 days remote. * Location: Richardson, TX or Chicago, IL. * Sponsorship: Sponsorship is not available. #LI-Hybrid #LI-JR2 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 $61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location.
    $61.5k-136.1k yearly Auto-Apply 13d ago
  • Principal Health Business Analytics - Risk Adjustment

    Florida Blue 4.5company rating

    Remote

    The Principal, Health Business Analytics leads analytic strategy and execution for Medicare Risk Adjustment programs, driving insights that optimize revenue, compliance, and operational performance. This role partners with cross-functional leaders to translate complex data into actionable strategies that improve risk score accuracy, evaluate program effectiveness, and support executive decision-making. The Principal Health Business Analyst applies expertise to initiatives of the highest risk, complexity and impact to the business, solves the most critical issues, serves as a strategy influencer, applies knowledge of emerging trends and industry practices and is responsible for coaching, training and providing technical oversight to others. Essential Functions: Lead analytic strategy for risk adjustment and align insights with enterprise financial and compliance goals. Analyze risk score trends, model performance, and program results to identify revenue and quality improvement opportunities. Partner with Finance and Actuarial to forecast revenue and assess CMS model impacts (e.g., V24 → V28). Evaluate vendor, provider, and campaign performance for prospective, retrospective, and encounter programs. Ensure analytic integrity, data accuracy, and compliance with CMS risk adjustment requirements. Deliver clear, actionable insights and visualizations to senior leadership. Mentor analysts and advance the use of predictive modeling, automation, and performance dashboards. The essential functions listed represent the major duties of this role, additional duties may be assigned. Serve as strategy influencer and subject matter expert on assigned projects of high risk, complexity and impact to the business Manipulate data using large datasets and multiple data sources Act as primary Analyst for large projects and proactively identify topics for analysis Analyze or assist in the analysis of processes and programs in achieving stated goals. Provide analyses and recommendations if corrections are needed. Investigates and discovers areas of opportunity. Develop advanced Excel-based models and spreadsheets containing advanced functions that are used to evaluate historical trends and forecasts and to identify best practices. Write advanced SAS and/or SQL programs for data extraction. Integrate data across multiple areas. Modifies existing programs for data extraction Apply risk adjusters when applicable Accountable for developing insightful and actionable summaries and recommending actions Monitor and evaluate patterns, costs and trends. Recommend new analytical processes; partner with Information Management in the development of new analytical tools such as power pivots and analytical cubes to enhance analytical capabilities. Train team members on analytical tools and techniques including complex SAS and/or SQL, advanced Excel and detailed risk/analytical models. Provide guidance and review work of team members. Monitor emerging trends, provides strategy input to Director, prepares benchmarking reports and recommendations Lead development of industry leading analytical methods, tools and models Required Work Experience 8+ years related work experience. Experience Details: Risk Adjustment Related Bachelor's degree or additional related equivalent work experience Experience using algorithms and inferential statistics. Advanced level experience writing SQL /SAS or related code Advanced Excel skills Proficient with Microsoft Office products Ability to manage tasks independently, take ownership of responsibilities and meet deadlines High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy Demonstrated leadership abilities including effective knowledge sharing and conflict resolution Ability to train team members on advanced analytical tools and techniques (complex SAS and/or SQL, advanced Excel and detailed risk/analytical models) In-depth business process knowledge of several key business functional areas Expert-level ability communicating highly complex information clearly and articulately for all levels and audiences Expert innovator with ability to think beyond established standards and processes Expert-level knowledge and experience applying current and emerging trends Expert consulting, negotiating, communicating , consensus building, presentation and facilitation skills 4 or more years of experience with health business Preferred Education Bachelor's degree Business Analytics, Health Economics or similar program Master's degree General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $116,500 - $189,300 Typical Annualized Hiring Range: $116,500 - $145,600 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.
    $116.5k-189.3k yearly Auto-Apply 3d ago
  • Business Analyst IV

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Position Purpose: Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements. Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes Resolve issues and identify opportunities for process redesign and improvement Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements Evaluate risks and concerns and communicate to management Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Oversee all changes to departmental policies and procedures, including communicating and implementing the changes Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Education/Experience: Bachelor's degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred. Third Party Liability (TPL) and Coordination of Benefits (COB) experience 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: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $87.7k-157.8k yearly Auto-Apply 4d ago
  • Business Analyst III Hedis, SQL

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. Identify and analyze user requirements, procedures, and problems to improve existing processes. Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. Identify ways to enhance performance management and operational reports related to new business implementation processes. Coordinate with various business units and departments in the development and delivery of training programs. Develop, share, and incorporate organizational best practices into business applications. Diagnose problems and identify opportunities for process redesign and improvement. Formulate and update departmental policies and procedures. Serve as the subject matter expert on the assigned function product to ensure operational performance. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 5d ago
  • Business Analyst III Healthcare Analytics

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Evaluate data and insights from extensive and integrated data sets to enable data-driven decision making to reduce overall cost of care and improve clinical outcomes for members. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights. Support business initiatives through data analysis, identification of implementation barriers, and development of documentation and project planning Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Identify ways to enhance performance management and operational reports Support identification of and incorporate organizational best practices into business applications and processes Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Serve as a subject matter expert on assigned functions, products, or analytic domains in support of strategic objectives Provide process and requirements guidance to junior analysts Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 4+ years of experience in business process, data analysis, or requirements analysis. Healthcare, analytics delivery, project management, and/or IT experience preferred. Experience in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis 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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 7d ago
  • Martech Business Analyst

    Cigna Group 4.6company rating

    Saint Louis, MO jobs

    We are seeking a strategic, analytical contributor to join the Platform & Delivery Efficiency Team as a Workstream Analyst. This role is pivotal in translating business priorities into clear, actionable deliverables, supporting prioritization, and enabling value realization across delivery strategy and CDP initiatives. WHAT YOU'LL BE DOING Partner with business leaders and stakeholders to translate strategic priorities into actionable deliverables. Document the ask, goals, requirements, measurable outcomes, and success criteria for each initiative. Provide analysis to support prioritization, value realization, and trade-off decisions. Identify and align with cross-functional teams required to deliver on strategic deliverables. Ensure delivery teams have clarity on scope, success criteria, and expected outcomes. Support intake of new requests and facilitate review and prioritization in Steerco forums. Participate as a member of the delivery team, adding clarity and a path forward when requirements change or blockers arise. Funnel shovel-ready work to delivery teams for estimation and scheduling/resource alignment. Track progress and support reporting on KPIs and value delivery. RELEVANT SKILLSET Hands‑on marketing technology experience with tools such as CDPs, ESPs, marketing automation platforms, or campaign orchestration systems preferred. Proven ability to map MarTech data flows, translate marketing requirements into technical specs, and support implementation or integration work. Experience in strategy, portfolio analysis, or business analysis within a cross-functional environment. Demonstrated ability to translate business strategy into actionable plans and measurable outcomes. Strong analytical skills; able to assess value, prioritize initiatives, and support trade-off decisions. Excellent communication and stakeholder management skills. Experience developing and maintaining roadmaps and dashboards. Ability to work collaboratively across teams and influence without direct authority. Familiarity with delivery frameworks, project management tools, and value realization methodologies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 75,200 - 125,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $55k-74k yearly est. Auto-Apply 28d ago
  • Martech Business Analyst

    The Cigna Group 4.6company rating

    Saint Louis, MO jobs

    We are seeking a strategic, analytical contributor to join the Platform & Delivery Efficiency Team as a Workstream Analyst. This role is pivotal in translating business priorities into clear, actionable deliverables, supporting prioritization, and enabling value realization across delivery strategy and CDP initiatives. **WHAT YOU'LL BE DOING** + Partner with business leaders and stakeholders to translate strategic priorities into actionable deliverables. + Document the ask, goals, requirements, measurable outcomes, and success criteria for each initiative. + Provide analysis to support prioritization, value realization, and trade-off decisions. + Identify and align with cross-functional teams required to deliver on strategic deliverables. + Ensure delivery teams have clarity on scope, success criteria, and expected outcomes. + Support intake of new requests and facilitate review and prioritization in Steerco forums. + Participate as a member of the delivery team, adding clarity and a path forward when requirements change or blockers arise. + Funnel shovel-ready work to delivery teams for estimation and scheduling/resource alignment. + Track progress and support reporting on KPIs and value delivery. **RELEVANT SKILLSET** + Hands‑on marketing technology experience with tools such as CDPs, ESPs, marketing automation platforms, or campaign orchestration systems preferred.Proven ability to map MarTech data flows, translate marketing requirements into technical specs, and support implementation or integration work. + Experience in strategy, portfolio analysis, or business analysis within a cross-functional environment. + Demonstrated ability to translate business strategy into actionable plans and measurable outcomes. + Strong analytical skills; able to assess value, prioritize initiatives, and support trade-off decisions. + Excellent communication and stakeholder management skills. + Experience developing and maintaining roadmaps and dashboards. + Ability to work collaboratively across teams and influence without direct authority. + Familiarity with delivery frameworks, project management tools, and value realization methodologies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 75,200 - 125,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here (********************************************** . **About The Cigna Group** Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $55k-74k yearly est. 60d+ ago
  • Business Analyst II

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Identify ways to enhance performance management and operational reports related to new business implementation processes Develop and incorporate organizational best practices into business applications Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience 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: $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
    $56.2k-101k yearly Auto-Apply 8d ago
  • Business Analyst II

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Identify ways to enhance performance management and operational reports related to new business implementation processed Develop and incorporate organizational best practices into business applications Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Performs other duties as assigned Complies with all policies and standards Provide analytics support to markets throughout the RFP process Education/Experience: Bachelor's degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience 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: $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
    $56.2k-101k yearly Auto-Apply 1d ago
  • Medicare Senior Business Consultant - Hybrid

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    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** The Medicare Senior Business Consultant is responsible for providing internal consulting services, business analysis and provides direction to ensure alignment and integration across functional areas in support of organizational goals. This position ensures consistency and efficiency requiring leadership of major, complex, and strategic cross-divisional and enterprise-wide projects from inception to completion. This includes oversight coordination, and ability to implement projects according to dynamic and critical timelines. This also includes oversight of project teams, resources, and budget, and interacting with all levels of management including senior management. This position supports the prioritization of Medicare activities and tracks progress to goals. **Required Job Qualifications:** + Bachelor's degree and 5 years of experience OR 9 years of experience in business analysis, process improvement, project management, business operations or relevant health care industry experience. + 3 years of experience leading with large and complex multi-million dollar projects. + Experience communicating with senior management from multiple divisions. + Experience developing and delivering presentations. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Negotiations skills. + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Organizational skills. + Experience managing multiple complex projects successfully. + Detail oriented. + PC proficiency to include Microsoft Office products **Preferred Required Job Qualifications:** + Health insurance or healthcare industry experience strongly with an emphasis on Medicare Operations is strongly preferred. + Proven analytical thinking and the ability to move from strategy to action. + Prior internal or external consulting experience preferred. + Understanding of Software Development Life Cycle (SDLC) in the project management process preferred. + **Schedule:** This is a Flex (Hybrid) role: 3 days in office; 2 days remote. + **Location:** Richardson, TX or Chicago, IL. + Sponsorship: Sponsorship is not available. \#LI-Hybrid \#LI-JR2 **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** $61,500.00 - $136,100.00 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.
    $61.5k-136.1k yearly 60d+ ago
  • IT Analyst - Indirect Tax

    Healthcare Services 4.1company rating

    Remote

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role The person hired for the position of SAP Indirect Tax IT Analyst will be responsible for the design, implementation, and support of key Tax processes, particularly the integration of the OneSource tax engine, in a new SAP S/4 ERP environment. The successful candidate will possess a strong combination of analytical and technical skills and will design best practice IT solutions in close collaboration with business counterparts. As a Tax IT Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Execute and deliver Tax Solutions to Healthcare Tax through the leadership of process design and configuration, that meet defined global business objectives and requirements. Collaborate with business and IT colleagues in the design, development, testing and delivery of Tax solutions. Support the design, creation, testing & documentation of the configuration of Tax solutions to support global business requirements and performance goals. Fully understand the capabilities and limitations of the Tax solutions technical architecture in assigned areas. Work with Healthcare areas and IT colleagues to define the overall application and technical requirements. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's Degree or higher from an accredited university and 4 years of information technology experience in a private, public, government or military environment OR High School Diploma/GED from an accredited institution and a minimum of 8 years Industry experience 4 years of experience designing, configuring, implementing, or supporting the OneSource Tax Engine in a global SAP environment Experience with Global Next integration into the Tax Engine Additional qualifications that could help you succeed even further in this role include: Experience producing business process and configuration functional design documentation Experience supporting integrations Experience in project management Strong verbal and written communication skills Educational or professional background in Finance or Accounting SAP ABAP knowledge Provide knowledge and expertise on current processes and procedures. Ensure the products and components work together to meet the objectives and performance goals as defined in the functional, security, integration, performance, quality and operational requirements. Lead and/or participate in design workshops representing a process or subprocess for a region or BU. Identify and help resolve design issues, participate, and provides critique for design reviews. Travel: May include up to 10% Relocation Assistance: No Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $76k-104k yearly est. Auto-Apply 40d ago
  • Business Analyst III Hedis, SQL

    Centene Corporation 4.5company rating

    Springfield, IL jobs

    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 Available. **_Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT._** **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. + Identify and analyze user requirements, procedures, and problems to improve existing processes. + Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. + Identify ways to enhance performance management and operational reports related to new business implementation processes. + Coordinate with various business units and departments in the development and delivery of training programs. + Develop, share, and incorporate organizational best practices into business applications. + Diagnose problems and identify opportunities for process redesign and improvement. + Formulate and update departmental policies and procedures. + Serve as the subject matter expert on the assigned function product to ensure operational performance. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. **_By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified._** Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly 3d ago
  • Senior Business Systems Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Design, build, test and maintain enablers of business processes, including technology and process solutions with a focus on medium to high complexity, multiple large application business processes and/or business relationships. Contribute to the entire implementation process Drive definition of improvements based on business need and architectural improvements Responsible for overall solution design, build and test, root cause analysis, and advanced performance tuning complex business processes and functionality Consult with users to identify current operating procedures and to clarify program objectives May be expected to write documentation to describe program development, logic, coding, and corrections. Write manuals for users to describe installation and operating procedures Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 3+ years of related experience. One or more of the following skills: ETL Deployment SQL Server Power BI Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $87.7k-157.8k yearly Auto-Apply 4d ago
  • Business Systems Analyst - EPIC - Remote

    Unitedhealth Group Inc. 4.6company rating

    Minneapolis, MN jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The health solutions marketplace is hungry for new ideas, innovative products and software that drives elevated performance for the business and the customer. The UnitedHealth Group family of businesses is feeding incredible solutions to that marketplace every day by bringing out the best in our software engineering teams. We serve customers across the health system. Not only do we have more of them every day, we also have more technology, greater data resources and far broader expertise than any competitor anywhere. We're out to change the way our businesses and consumers engage with technology. If you're in, you'll be challenged like never before. It's time to join this history making. 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: * Collaborate with clinical and operational stakeholders to gather, analyze, and document business requirements for Epic applications * Translate business needs into functional specifications and workflows within Epic modules * Support build, configuration, and testing activities for Epic applications, ensuring alignment with organizational standards * Participate in system upgrades, enhancements, and optimization projects * Troubleshoot issues and provide Tier 2 support for Epic-related incidents * Develop and maintain documentation for processes, workflows, and system configurations * Facilitate communication between technical teams and business users to ensure successful project delivery * Assist in training and knowledge transfer for end-users and team members You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in business, Healthcare, Information Technology, or related field (or equivalent experience) * Experience as a Business Analyst in healthcare IT or similar environment * Solid understanding of healthcare workflows and clinical processes * Proficiency in requirements gathering, documentation, and stakeholder communication * Ability to manage multiple priorities in a fast-paced environment Preferred Qualifications: * Epic certification or proficiency in Beaker CP and/or AP or additional modules (e.g., EpicCare Inpatient, Orders) * Hands-on experience with Epic Beaker CP and/or AP applications * Experience with system testing, validation, and change management processes * Familiarity with HL7 interfaces and healthcare data standards * Experience in large-scale implementation or optimization projects * Solid facilitation and presentation skills * Knowledge of regulatory requirements (HIPAA, Meaningful Use) * Excellent analytical and problem-solving 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 $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $71.2k-127.2k yearly 5d ago
  • Senior Business Analyst - Remote

    Unitedhealth Group 4.6company rating

    Draper, UT jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** 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 the maintenance, enhancement, and optimization of existing Loan Origination and Loan Management Systems + Support system improvements, process enhancements, and software updates, ensuring compliance with regulatory changes + Partner with internal teams and third-party vendors to maintain system accuracy and adherence to industry best practices + Support integration of new products, expanded offerings, and critical system integrations + Document comprehensive data and system requirements aligned with evolving business needs and strategic objectives + Serve as a primary liaison across business units, conducting in-depth analyses and creating robust documentation + Evaluate and communicate system requirements, maintain processes, and deliver monthly status reports + Facilitate interviews, workshops, and data collection sessions to capture business needs + Author and maintain functional specifications, BRDs, and process maps + Perform daily analytics to maximize system effectiveness, troubleshoot issues, and identify improvement opportunities + User Acceptance Testing (UAT) to validate solutions meet business requirements + Conduct analyses to support data-driven decisions and strategic investments + Stay current with trends, emerging technologies, and best practices in lending systems and business analysis You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + 2+ years of progressive experience in business analysis, systems development, or related enterprise environment + Expertise in requirements analysis, documentation, and process improvement initiatives + Knowledge of AI trends and technologies relevant to financial services (predictive analytics, NLP, intelligent automation) + In-depth understanding of the loan lifecycle + Proven solid analytical, critical thinking, and problem-solving skills with exceptional attention to detail + Proven outstanding communication skills; ability to translate technical concepts for non-technical audiences + Proven ability to build solid relationships across all organizational levels + Ability to travel 10% **Preferred Qualifications:** + Master's degree (MBA or equivalent) in Business Administration, IT, or related field + Professional certifications: CBAP, PBA, or ECBA + Experience with Agile methodologies and Scrum framework + Familiarity with lending platforms (e.g., LoanPro) + Knowledge of project management tools (JIRA, Azure DevOps) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $71.2k-127.2k yearly 19d ago
  • Lead Business Consultant - Medicare Part D Pharmacy

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    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 driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and initiatives in support of assigned line of business strategy and multi-year plan. Oversees the day-to-day activities of project delivery and contingency execution strategy, vendors relationship management, and business partner engagement while managing various enterprise-wide projects or initiatives. Ensures integration between partner teams and serves as a functional business liaison in the development and implementation of program scope, timing, and budgets as needed, based on the needs of the business. Providing a blend of technical and business acumen to drive the design, development and implementation of strategic IT projects. Building a sufficient level of knowledge of IT products and LOB to enable targeted probing of delivery feasibility and conflicts with other projects. Setting and managing customer expectations; managing and escalating issues and changes. Responsible for tracking key program milestones and recommending adjustments to program leadership and team. It takes innovation, imagination, and a passion for solving problems in new and better ways. **Required Job Qualifications:** + Bachelor's degree and 7 years of experience OR 11 years of experience in project management, business analysis, process improvement, strategic planning, product administration or other relevant healthcare function + 4 years of experience leading with large and complex multi-million-dollar projects. + Demonstrated experience leading, coaching, and mentoring teams and more junior resources + Experience communicating with senior management and executive leadership from multiple divisions. + Experience developing and delivering presentations to an executive audience. + Problem resolution experience and skills. + Knowledge of strategic planning techniques and industry trends + Experience interpreting business and financial information + Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. + Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment. + Advanced MS Office products. + Organizational skills. + Problem resolution experience and skills. + Negotiations skills. + Analytical skills. + Detail oriented. **Preferred Job Qualifications:** + Ability to influence (direct / indirect reports, project stakeholders and leaders), and manage in a matrix organization + Analytical/critical thinking and problem-solving skills; agility and flexibility to adapt to constantly changing priorities + Experience in negotiation, managing conflict, and organizational / political savvy + Structured, organized and methodical in execution, takes ownership and accountability for outcomes, drives for results and drives certainty in delivery; able to manage multiple parallel efforts ad deliver quality deliverables on schedule + Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience + Advanced analytical skills, databases medical/pharmacy data + Experience driving personalization efforts at a large organization. + Monitoring and tracking initiative impacts against the personalization maturity curve and connecting them to key enterprise outcomes. + Health insurance or healthcare industry experience. + Proven strategic thinking and execution. + Ability to drive decisions, create optionality and determine impacts of options. + Ability to clearly articulate and prepare presentations for all levels to share data, options and recommendations. **This is a Flex (Hybrid) role: 3 days in office; 2 days remote.** \#LI-PD1 \#LI-Hybrid INJLF **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** $90,900.00 - $164,200.00 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.
    $90.9k-164.2k yearly 26d ago
  • Lead IT Portfolio Management Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: In charge of the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of project or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives. Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. Creates visibility into areas struggling with scope, schedule, resources, or budget Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of projects into the portfolio Identifies dependencies and critical paths, and aids stakeholders in managing them Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions Analyzes project risk profile and balance at the portfolio level Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions Develop and maintain processes to facilitate integrated project scoping between various workgroups and identifies operational impacts and dependencies Maintain departmental work process for IT controls Analyze demand data to identify and report on trends Identify key leading and lagging risk factors Ensure compliance to all policies and procedures Drive portfolio planning and operations for assigned portfolio Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or ore of the following skills are desired. Experience with Other: ServiceNow, Flexera, and/or BDNA Experience with Data Analysis Knowledge of Other: IT hardware/software assets as well as knowledge of applications and application platforms Knowledge of JIRA Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Demonstrated analytical skills Demonstrated project management skills Demonstrates a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Ability to communicate and make recommendations to upper management Ability to drive multiple projects to successful completion License/Certification: Certified Project Management Professional (PMP)-PMI required Certified Workforce Planning Professional preferred Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $119,100.00 - $220,500.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $119.1k-220.5k yearly Auto-Apply 28d ago
  • Principal Data Analyst MARS and TMSIS - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    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.
    $59k-71k yearly est. 4d ago
  • Lead Business Consultant - Medicare Part D Pharmacy

    HCSC 4.5company rating

    Business analyst job at HCSC

    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 driving delivery, contingency planning, business results, and strategic planning for Medicare Part D Pharmacy consisting of multiple programs, complex projects, and initiatives in support of assigned line of business strategy and multi-year plan. Oversees the day-to-day activities of project delivery and contingency execution strategy, vendors relationship management, and business partner engagement while managing various enterprise-wide projects or initiatives. Ensures integration between partner teams and serves as a functional business liaison in the development and implementation of program scope, timing, and budgets as needed, based on the needs of the business. Providing a blend of technical and business acumen to drive the design, development and implementation of strategic IT projects. Building a sufficient level of knowledge of IT products and LOB to enable targeted probing of delivery feasibility and conflicts with other projects. Setting and managing customer expectations; managing and escalating issues and changes. Responsible for tracking key program milestones and recommending adjustments to program leadership and team. It takes innovation, imagination, and a passion for solving problems in new and better ways. Required Job Qualifications: * Bachelor's degree and 7 years of experience OR 11 years of experience in project management, business analysis, process improvement, strategic planning, product administration or other relevant healthcare function * 4 years of experience leading with large and complex multi-million-dollar projects. * Demonstrated experience leading, coaching, and mentoring teams and more junior resources * Experience communicating with senior management and executive leadership from multiple divisions. * Experience developing and delivering presentations to an executive audience. * Problem resolution experience and skills. * Knowledge of strategic planning techniques and industry trends * Experience interpreting business and financial information * Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. * Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment. * Advanced MS Office products. * Organizational skills. * Problem resolution experience and skills. * Negotiations skills. * Analytical skills. * Detail oriented. Preferred Job Qualifications: * Ability to influence (direct / indirect reports, project stakeholders and leaders), and manage in a matrix organization * Analytical/critical thinking and problem-solving skills; agility and flexibility to adapt to constantly changing priorities * Experience in negotiation, managing conflict, and organizational / political savvy * Structured, organized and methodical in execution, takes ownership and accountability for outcomes, drives for results and drives certainty in delivery; able to manage multiple parallel efforts ad deliver quality deliverables on schedule * Healthcare acumen, Managed Care Organization, Pharmacy Benefit Manager, Medicare experience * Advanced analytical skills, databases medical/pharmacy data * Experience driving personalization efforts at a large organization. * Monitoring and tracking initiative impacts against the personalization maturity curve and connecting them to key enterprise outcomes. * Health insurance or healthcare industry experience. * Proven strategic thinking and execution. * Ability to drive decisions, create optionality and determine impacts of options. * Ability to clearly articulate and prepare presentations for all levels to share data, options and recommendations. This is a Flex (Hybrid) role: 3 days in office; 2 days remote. #LI-PD1 #LI-Hybrid INJLF 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 $90,900.00 - $164,200.00 Exact compensation may vary based on skills, experience, and location.
    $90.9k-164.2k yearly Auto-Apply 27d ago

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