Reporting Analyst jobs at HCSC - 26 jobs

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

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

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

**Become a part of our caring community and help us put health first** Become a part of our caring community Join Humana's Integrated Marketing Analytics team as an Analyst, Marketing Analytics Capabilities, where you'll support the development and maintenance of tools that power our marketing analytics ecosystem. **Role Responsibilities** As a member of the Marketing Analytics Capabilities team, you'll assist in enhancing and maintaining marketing analytics platforms that support performance measurement and strategic decision-making. You'll contribute to tool governance, documentation, and adoption efforts, helping ensure stakeholders have access to reliable, user-friendly solutions that drive insight and impact. **Key responsibilities include:** + Support the implementation and maintenance of marketing analytics tools, including Media Mix Modeling (MMM) platforms and other solutions that enable performance measurement, attribution, and strategic insight generation (e.g. multi-touch attribution). + Assist in coordinating with third-party partners for solutions such as identity resolution and audience data enrichment. + Collaborate with internal data scientists and marketing analytics peers to enable development of advanced methodologies like multi-touch attribution. + Contribute to documentation and governance efforts to ensure tools are well-managed, accessible, and aligned with business needs. + Help monitor platform usage and gather stakeholder feedback to support continuous improvement and adoption of analytics solutions. + Participate in cross-functional initiatives to enhance the marketing analytics ecosystem and promote data-driven decision-making. **Use your skills to make an impact** Sponsorship is not available for this position (e.g. H-1B, E-3, TN, 0-1, STEM OPT, or any immigration work authorization requiring a written submission from the company to a government agency). Only candidates with Citizenship or Lawful Permanent Residency in the U.S. will be considered. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Marketing, Information Systems, or a related field. + 1+ years of experience in marketing analytics, business intelligence, or data platform support roles. + Familiarity with marketing analytics tools and methodologies, including exposure to Media Mix Modeling (MMM) or similar performance measurement frameworks. + Experience assisting with third-party vendor coordination for solutions such as identity resolution, audience segmentation, or data enrichment. + Basic understanding of marketing attribution concepts, such as multi-touch attribution or customer journey analysis. **Preferred Qualifications** + Exposure to identity resolution platforms such as LiveRamp, Neustar, or similar vendors. + Familiarity with the Adobe Experience Cloud stack, including Adobe Analytics or Adobe Audience Manager. + Experience supporting marketing analytics initiatives in cloud environments (e.g., Snowflake, Azure, AWS). + Knowledge of HIPAA and data privacy standards + Interest in developing expertise in marketing measurement tools and contributing to the evolution of analytics capabilities + Experience with automation or data integration processes **Work at Home Information** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Virtual Pre-Screen** + As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. + If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. + Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $97,900 - $133,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-25-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

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

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

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

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

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

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

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This position will oversee the development and execution of end-to-end revenue cycle service commitments for one or more of Optum's Health System partnerships. The role will continuously drive client revenue cycle performance improvement, as well as cost, productivity, and profitable goals. Success depends on driving efficiency, effective partnership, influence, and collaboration across various functions of Optum Insight ensuring initiatives and strategy are targeting delivery of world-class billing services, driving patient and customer commitment, and maximizing return through improved bad debt, cash realization, and cost efficiencies. This position is responsible for influencing change related to the key functions of Revenue Cycle through collaborative engagement with various matrixed teams to develop and support innovative initiatives that will achieve optimal results while identifying gaps in client support/performance and proposing solutions (technology, services) to drive performance improvement. 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 of CDL role will focus on four key areas: The Client Delivery Lead (CDL), Revenue Cycle Management is an operations leader who has direct accountability for P&L performance, KPIs, and all functions in Front, Middle, and Back Revenue Cycle Management (RCM) Operations supporting Market Performance Partnership (MPP) clients. The position achieves successful outcomes by working across a matrix environment to drive cost performance, productivity, and growth while ensuring successful delivery on end-to-end performance requirements for revenue cycle management clients. * Operations * Provide direction, oversight, and monitoring of RCM performance on a daily, weekly, monthly, and quarterly cadence * Deliver updates to clients and Centers of Excellence (COEs) as necessary * Proactively raise concerns with clients, COEs, and delivery teams, influencing change to drive action and improvement * Celebrate successes across clients, COEs, and delivery teams * Perform regular analysis of performance, including industry metrics, client metrics, SLAs, and incentive programs * Inform Client Relationship Executives (CREs) and other stakeholders regularly * Client Partnership * Partner and build trust-based relationships with client CFOs and other relevant client leaders * Provide guidance and advice on the impact of industry changes, revenue impact of client strategic plans, payer contracting and other relevant topics * "Walk the halls" to understand client operations, challenges, and successes * Performance Improvement * Plan and manage overall client and Optum RCM strategy to ensure SLA adherence, achieve incentive goals, and deliver high client performance * Develop, execute and monitor projects and technology introduction to improve client performance, operational efficiency/productivity and growth * Guide change management across diverse client and Optum teams * Serve as a creative thought leader, comfortable leading in ambiguity and influencing positive outcomes in a matrixed environment * People Management * Manage patient access and other on-site teams, ensuring alignment with client and organizational goals * Ensure tight collaboration, communications and relationships between on-site, remote domestic and global teams supporting client revenue cycle services 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 RCM Operations leadership experience overseeing Front, Middle, and/or Back * 7+ years of client management/consulting experience within healthcare delivery systems, interfacing with enterprise-level executives * 5+ years planning and managing overall RCM strategy to ensure SLA adherence, incentive goals, and client performance * Demonstrated experience driving projects and introducing technology to improve client performance and operational efficiency * Proven ability to analyze complex market opportunities and develop creative solutions * Demonstrated experience facilitating organizational change and providing process improvement recommendations * Travel up to 25% of the time on a sustained basis Preferred Qualifications: * Advanced Degree (MBA, MHA, or equivalent) * Experience working within a global organization * Experience managing and supporting organizational change * Proven excellent communication, leadership, customer service, and problem-solving skills * Local to Minneapolis, MN * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** This position will oversee the development and execution of end-to-end revenue cycle service commitments for one or more of Optum's Health System partnerships. The role will continuously drive client revenue cycle performance improvement, as well as cost, productivity, and profitable goals. Success depends on driving efficiency, effective partnership, influence, and collaboration across various functions of Optum Insight ensuring initiatives and strategy are targeting delivery of world-class billing services, driving patient and customer commitment, and maximizing return through improved bad debt, cash realization, and cost efficiencies. This position is responsible for influencing change related to the key functions of Revenue Cycle through collaborative engagement with various matrixed teams to develop and support innovative initiatives that will achieve optimal results while identifying gaps in client support/performance and proposing solutions (technology, services) to drive performance improvement. 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 of CDL role will focus on four key areas:** The Client Delivery Lead (CDL), Revenue Cycle Management is an operations leader who has direct accountability for P&L performance, KPIs, and all functions in Front, Middle, and Back Revenue Cycle Management (RCM) Operations supporting Market Performance Partnership (MPP) clients. The position achieves successful outcomes by working across a matrix environment to drive cost performance, productivity, and growth while ensuring successful delivery on end-to-end performance requirements for revenue cycle management clients. + Operations + Provide direction, oversight, and monitoring of RCM performance on a daily, weekly, monthly, and quarterly cadence + Deliver updates to clients and Centers of Excellence (COEs) as necessary + Proactively raise concerns with clients, COEs, and delivery teams, influencing change to drive action and improvement + Celebrate successes across clients, COEs, and delivery teams + Perform regular analysis of performance, including industry metrics, client metrics, SLAs, and incentive programs + Inform Client Relationship Executives (CREs) and other stakeholders regularly + Client Partnership + Partner and build trust-based relationships with client CFOs and other relevant client leaders + Provide guidance and advice on the impact of industry changes, revenue impact of client strategic plans, payer contracting and other relevant topics + "Walk the halls" to understand client operations, challenges, and successes + Performance Improvement + Plan and manage overall client and Optum RCM strategy to ensure SLA adherence, achieve incentive goals, and deliver high client performance + Develop, execute and monitor projects and technology introduction to improve client performance, operational efficiency/productivity and growth + Guide change management across diverse client and Optum teams + Serve as a creative thought leader, comfortable leading in ambiguity and influencing positive outcomes in a matrixed environment + People Management + Manage patient access and other on-site teams, ensuring alignment with client and organizational goals + Ensure tight collaboration, communications and relationships between on-site, remote domestic and global teams supporting client revenue cycle services 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 RCM Operations leadership experience overseeing Front, Middle, and/or Back + 7+ years of client management/consulting experience within healthcare delivery systems, interfacing with enterprise-level executives + 5+ years planning and managing overall RCM strategy to ensure SLA adherence, incentive goals, and client performance + Demonstrated experience driving projects and introducing technology to improve client performance and operational efficiency + Proven ability to analyze complex market opportunities and develop creative solutions + Demonstrated experience facilitating organizational change and providing process improvement recommendations + Travel up to 25% of the time on a sustained basis **Preferred Qualifications:** + Advanced Degree (MBA, MHA, or equivalent) + Experience working within a global organization + Experience managing and supporting organizational change + Proven excellent communication, leadership, customer service, and problem-solving skills + Local to Minneapolis, MN *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $159,300 to $273,200 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

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

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

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

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

**Internships at UnitedHealth Group.** If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. And even better? Join us to start **Caring. Connecting. Growing together.** You'll be at the core of Sales Enablement, helping to ensure that solutions for customers with insurance needs come to fruition. If you want to advance your learning in a technology environment that's always pushing the envelope, you've come to the right place. The UnitedHealthOne team, part of UnitedHealthcare's thriving family of businesses, is a team of people who are passionate about using consultative sales to help improve the lives of millions and make health care work better for all. During this 6-month Co-op Early Careers internship opportunity, you'll gain insight to call center operations, insurance sales, and more. You'll be trained on the specifics of your sales enablement track, with the opportunity to gain exposure to the broader operations. In addition, the Co-op also offers networking, collaboration opportunities as well as mentorship from experienced insurance professionals and leaders. The intent of our Co-op program is to provide return internship opportunities or full-time employment opportunities at UnitedHealthOne, depending on eligibility. **Key Information Regarding the Co-op Program:** This full-time Co-op position will be available for the Summer/Fall semester, starting mid-Summer 2026 through December 2026. While the majority of work will occur during core business hours (8:00 AM - 5:45 PM ET), candidates must be available to work any shift within our full Hours of Operation: Monday-Friday: 8:00 AM - 10:00 PM ET Saturday: 9:00 AM - 5:30 PM ET The following are examples of tracks where candidates may be placed. Please note that track placement is dependent on business need and availability, and there may be opportunity to gain exposure to multiple tracks during your Co-op experience: + Onboarding, Licensing, and Appointments + Responsible for agent onboarding and ready-to-sell activities + Training + Responsible for design & delivery of agent training and assessment of knowledge, along with classroom chat facilitation and tracking responsibilities + Workforce Management + Responsible for utilizing software tools and call volume history to help manage daily staffing levels and determine effective methods for making staffing adjustments for our dynamic call center + Product Activation + Responsible for conducting user testing across multiple platforms, including executing test scenarios, documenting results, capturing screenshots, and logging defects, following provided guidelines + Quality Audit + Responsible for auditing sales agent calls to ensure compliance with regulatory requirements and adherence to internal scripting guidelines, providing feedback to maintain quality and consistency Sponsorship is not available for this position. You'll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. **Commitment Expectations:** + Generally, this means that students have limited, additional coursework (0 - 6 credit hours for the fall semester), along with outside commitments that are flexible to the agreed-upon work hours for the duration of the Co-op + This is not a situation where hours and location of work are at the discretion of the student; hours are agreed upon, in advance, with the Co-op supervisor, and work location needs to be a protected health information (PHI) compliant space (no coffee shops or generally other 'open' Wi-Fi networks are to be used) **Primary Responsibilities:** + Identify, track, report and resolve critical dependency issues + Keep records and provide reports to management team on a regular & timely basis + Maintain and develop business relationships with internal and external partners + Utilize internal learning platforms and training resources to support use of software and technology + Generate weekly schedules + Schedule non-phone activities + Monitor attendance/schedule adherence and take appropriate action as needed + Proof-read and make recommendations for e-mails, reports and collateral materials + Special projects & ad hoc reporting as required + Active participation in team meetings and Co-op programming, including a culminating executive presentation 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:** + Currently pursuing a Bachelor's degree from an accredited college/university + Actively enrolled in an accredited college/university during the duration of the Co-op and seeking academic credit for the experience. Co-ops are not intended for graduating seniors + Basic Microsoft Office skills (Outlook, Word, Excel, PowerPoint) + Ability to work 40 hours per week during full hours of operation, 8am - 10pm ET, based upon business need (core business is typically conducted 8am - 5:45pm ET; evening & weekends may be required for the Workforce Management track which include Saturdays, 9am - 5:30pm, and Sundays, 12pm - 4pm ET) + Eligible to work in the U.S. without company sponsorship, now or in the future, for employment-based work authorization. F-1 visa holders with Curricular Practical Training (CPT) or Optional Practical Training (OPT) who will require visa sponsorship, TN visa holders, current H-1B visa holders, and/or those requiring green card sponsorship will not be considered **Preferred Qualifications:** + Pursuing a degree in Business, Communication, Mathematics, Healthcare or Insurance + Eagerness to learn about the healthcare system, insurance, and business operations + Solid communication skills (both written and verbal) + Good problem-solving skills with attention to detail + Ability to work independently with minimal supervision in a fast-paced team environment + Demonstrated ability to learn new technology quickly *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities: * Under general direction, formulates/defines system scope and objectives * Able to work individually on a team or project teams and can multi-task * May be responsible for completion of a phase of a project or responsible for leading and completing a project * Regularly provides guidance and training to less experienced analysts * Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models * May support implementation and upgrades to clinical and bio-medical applications * Provide weekly status updates on project(s) progress * Position will require travel to KSC clinic locations for implementation, training and support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree or at least 3+ years of equivalent relevant work experience * EPIC MyChart or EPIC Cadence certification * 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support * Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications * Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations * Ability to test and audit personally developed system configurations, in order to assure functional accuracy * Demonstrated excellent communication, relationship, teamwork and project management skills * Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets * Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization * Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice * Demonstrated clear ability to articulate benefit realization personally achieved on previous projects * Proven communication, presentation, teamwork, project management, problem solving and technical skills Preferred Qualifications: * Clinical, or Advanced degree * Complex project management experience with demonstrably successful outcome * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind **Caring. Connecting. Growing together.** The Sr Systems Analyst will work at the highest technical level of all phases of application systems analysis, workflow analysis, build, design, testing, interface knowledge and programming activities. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. **Primary Responsibilities:** + Under general direction, formulates/defines system scope and objectives + Able to work individually on a team or project teams and can multi-task + May be responsible for completion of a phase of a project or responsible for leading and completing a project + Regularly provides guidance and training to less experienced analysts + Works with business owners, physicians, clinicians, stakeholders, and IT personnel to assess and develop best practice models + May support implementation and upgrades to clinical and bio-medical applications + Provide weekly status updates on project(s) progress + Position will require travel to KSC clinic locations for implementation, training and support You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's degree or at least 3+ years of equivalent relevant work experience + EPIC MyChart or EPIC Cadence certification + 3+ years of experience in applicable healthcare clinical operations, project management, or systems design, implementation, configuration or support + Ability to learn quickly, and to obtain Epic System Certification level (as defined by Epic) and/or other clinical system certifications + Proven solid ability to define clinical and operating requirements, and translate requirements into clear, specific, actionable system configurations, and ability to implement those configurations + Ability to test and audit personally developed system configurations, in order to assure functional accuracy + Demonstrated excellent communication, relationship, teamwork and project management skills + Demonstrably solid conceptual, process and data analysis skills, and in depth understanding of medical practice informatics, clinical and operating data sets + Proven solid understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization + Demonstrated proficiency with use of desktop computer systems (Windows, Microsoft Office, email) and experience in use of clinical or practice management systems in medical practice + Demonstrated clear ability to articulate benefit realization personally achieved on previous projects + Proven communication, presentation, teamwork, project management, problem solving and technical skills **Preferred Qualifications:** + Clinical, or Advanced degree + Complex project management experience with demonstrably successful outcome *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._