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Senior Business Analyst jobs at HCSC - 21 jobs

  • Early Careers - Customer Service Business Analyst Intern

    HCSC 4.5company rating

    Senior business analyst job at HCSC

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis ten-week paid internship can be located in Chicago, IL or Richardson, TX What Are Your Responsibilities? The Customer Service Business Analyst Intern position is responsible for actively participating in an Internship program that leverages your skills, knowledge and capabilities within the Customer Service division while exposing you to different methodologies and tools. This role will assist with applying emerging technologies to assist with developing best-in-class systems and solutions for our clients and members. The Customer Service Business Analyst Intern is responsible for learning specific aspects of the processes, programs and technology. Additional project support, administrative tasks and ad hoc requests to support business needs. This role will also need to: Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. Maintain complete confidentiality of company business. Maintain communication with management regarding development within areas of assigned. responsibilities and perform special projects as required or requested. Create a final internship PowerPoint presentation to share with department leadership covering the internship experience, the assigned project over the course of the summer, including the results along with any solutions or recommendations that can be leveraged by the department in the future. What Do You Need To Be Successful? Prior related technical internship or work experience is a plus Volunteerism or leadership experience is a plus Eagerness to learn, grow and contribute Demonstrated interpersonal skills including clear and concise verbal and written communication Strong analytical and problem-solving skills Be coachable and open to feedback Have a professional presence Results-oriented with a continuous improvement mindset and an ability to grasp new and unfamiliar concepts Strong organizational and multi-tasking skills with the ability to prioritize and support multiple projects Practical, developed PC skills, especially Office 365 and virtual team collaboration tools (MS Teams, Word, SharePoint, etc.) What Are the Requirements You Must Meet? Pursuing a bachelor's degree in business, data analytics, information technology, information systems, computer science or other related degree Graduation date between December 2026 - June 2027 A minimum GPA of 3.0/4.0 Availability to work ten weeks during the summer (June - August) Unrestricted authorization to work in the United States. (Currently, we are not offering this program to students on a visa) What Does the Internship Program Entail? Formal Intern Orientation to build business and industry acumen Challenging real-world, hands-on project Weekly networking opportunities among interns and company leaders Professional development workshops Volunteer activities #LI-Hybrid #LI-JT1 #hcscintern Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$18.46 - $37.84 Exact compensation may vary based on skills, experience, and location.
    $18.5-37.8 hourly Auto-Apply 20d ago
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  • Sr Analytics & Reporting Analyst

    HCSC 4.5company rating

    Senior business analyst job at HCSC

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job SummaryThis position is responsible for creating reports, insights and analytics in support of the division; creating specifications for reports and analysis based on business needs; possibly providing consultation to users and working on cross-functional teams to address the division*s issues; producing datasets and reports for analysis using system reporting tools; possibly performing research and assisting in analyzing data related to the division*s strategic initiatives and broader research needs; interfacing between the business and divisional data teams to generate tools to be leveraged in building analysis and reports which are actionable within the business environment; working closely with customers to build relationships; and continuously gaining a deeper understanding of the division*s data in order to meet business needs; analyzing complex business problems and issues using data from internal and external sources to provide insight to decision-makers; identifying and interpreting trends and patterns in datasets to locate influences. Required Job Qualifications: * Bachelor Degree and 2 year experience in data analysis and information reporting data OR 4 year experience in data analysis and information reporting data. * Analyze possible solutions using standard procedures to solve routine or basic problems. * Use best practices and knowledge of internal or external business issues to improve products or services. * Solve complex problems with guidance. * Produce data sets and reports for analysis using SQL, Excel or other reporting tools. * Verify accuracy of reports and provide insights. * Knowledge of SQL, SAS, Tableau and/or Teradata or other reporting tools / languages. * Work with both internal and external data * Work on multiple projects simultaneously, both independently and as part of a team to accomplish goals. * Learn needed skills by performing assigned work Preferred Job Qualifications: * Power BI experience * Dataiku experience Please note that this role is HYBRID with an in-office requirement of 3 days a week and NO VISA Sponsorship is available for this role. #LI-LK1 #LI-Hybrid Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************** The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range$61,500.00 - $136,100.00 Exact compensation may vary based on skills, experience, and location.
    $61.5k-136.1k yearly Auto-Apply 10d ago
  • Business Analyst III Hedis, SQL

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. Identify and analyze user requirements, procedures, and problems to improve existing processes. Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. Identify ways to enhance performance management and operational reports related to new business implementation processes. Coordinate with various business units and departments in the development and delivery of training programs. Develop, share, and incorporate organizational best practices into business applications. Diagnose problems and identify opportunities for process redesign and improvement. Formulate and update departmental policies and procedures. Serve as the subject matter expert on the assigned function product to ensure operational performance. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 24d ago
  • Business Analyst III

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT The ideal candidate will reside in Florida Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred. UB04 experience preferred. AMYSIS experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly Auto-Apply 10d ago
  • Business Analyst II Claims, Excel

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Remote Available FL. ***The Business Analyst II is primarily remote with 10% travel expectation. Candidates must reside in the state of Florida and be willing to travel to Southern Florida annually to be considered for the position. *** Responsibilities: Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on assigned projects, recommend potential business solutions, and assist with implementation Identify ways to enhance performance management and operational reports related to new business implementation processes Develop and incorporate organizational best practices into business applications Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Performs other duties as assigned Complies with all policies and standards Highly Preferred Skills: Advanced Excel skills Intermediate PowerPoint skills Medical claim experience Strong analytical skills Education/Experience: Bachelor's degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $56,200.00 - $101,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $56.2k-101k yearly Auto-Apply 3d ago
  • Stars Technology Business Intelligence Lead Product Owner

    Humana 4.8company rating

    Springfield, IL jobs

    **Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. **Key responsibilities:** + **Technology strategy and roadmap of Business and Data Products:** Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog management:** Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. + **Requirements translation:** Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. + **Cross-functional collaboration:** Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. + **Technical guidance:** Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. + **Data quality and compliance:** Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. + **Stay current:** Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. + **Travel for this role is quarterly** **Use your skills to make an impact** **Role Essentials** + Bachelor's degree + 8 or more years of experience in data flow & analysis and software application building & enhancements + 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars programs** , NCQA standards, and quality performance metrics. + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership **Role Desirables** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, + Finance, Statistics, Computer Science, Engineering or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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. As part of our hiring process for this opportunity, we will be 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 you. Humana values personal identity protection. Please be aware that applicants 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. $117,600 - $161,700 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: 02-26-2026 **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 ***************************************************************************
    $117.6k-161.7k yearly Easy Apply 60d+ ago
  • Senior Data Analyst

    Humana 4.8company rating

    Springfield, IL jobs

    **Become a part of our caring community and help us put health first** The Senior Data Analyst /Senior Data and Reporting Professional generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. You will report to the Associate Director, Clinical Strategy and Practice. As the Senior Data Analyst / Senior Data and Reporting Professional you will: + Bring deep experience working with health data, strong technical expertise across modern data platforms, and the ability to translate complex data into actionable insights for clinical, operational, and executive stakeholders.· + Program and maintain report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources. + Create specifications for reports based on business requests. **Use your skills to make an impact** **Required Qualifications** + 5 or more years of experience in data reporting + Advanced Microsoft Excel skills including ability to link pivots to external data sources, creating pivot tables and summarizing data into reports and dashboards + Advanced proficiency in Power BI, Microsoft Power Apps, Dataverse, SQL, Python and SAS + Experience working with big and complex data sets within large organizations or the analysis of healthcare data **Preferred Qualifications** + Bachelor's degree + Build and optimize data pipelines and models using Snowflake and Databricks + Experience in a system analytics or data warehousing environment Hours- 8am- 5pm EST Work at home with 5% travel Additional Information As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Work-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees 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 employees 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. \#LI-BB1 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. $73,400 - $100,100 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** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties. About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our 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 ***************************************************************************
    $73.4k-100.1k yearly 2d ago
  • Business Analyst III Hedis, SQL

    Centene Corporation 4.5company rating

    Springfield, IL jobs

    You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. **_Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT._** **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems. + Identify and analyze user requirements, procedures, and problems to improve existing processes. + Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations. + Identify ways to enhance performance management and operational reports related to new business implementation processes. + Coordinate with various business units and departments in the development and delivery of training programs. + Develop, share, and incorporate organizational best practices into business applications. + Diagnose problems and identify opportunities for process redesign and improvement. + Formulate and update departmental policies and procedures. + Serve as the subject matter expert on the assigned function product to ensure operational performance. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. **_By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified._** Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $70.1k-126.2k yearly 22d ago
  • Business Intelligence Lead - Digital VOC

    Humana 4.8company rating

    Springfield, IL jobs

    **Become a part of our caring community and help us put health first** The Digital Voice of Customer (VoC) Program Leader & Insights Champion will own and advance the end-to-end VoC strategy across Digital CW, ensuring measurement approaches align with customer experience goals and business priorities. This position is responsible for vendor management (Qualtrics), cross-functional stakeholder collaboration, and driving everyday self-service and adoption of VoC insights throughout the organization. The ideal candidate will develop diverse VoC touchpoints, analyze structured and unstructured data, present findings through effective storytelling, and serve as a thought leader to educate and empower teams for data-driven decision-making. **Key Responsibilities** : + Develop, execute, and continuously refine the comprehensive VoC Program strategy for Digital CW, ensuring alignment with enterprise customer experience objectives and business priorities. + Manage and cultivate the vendor relationship with Qualtrics, representing the interests of Digital CW and collaborating with the Humana Digital lead. + Partner with stakeholders across UX, Product, Business Intelligence, Operations, and other lines of business to strategize, design, and implement optimal VoC touchpoints-including expansion beyond digital channels-to capture actionable customer insights. + Champion the incorporation of VoC metrics into everyday business practices, fostering a pull-driven, self-service engagement model across the enterprise. + Analyze structured and unstructured data to identify trends, friction points, opportunities for improvement, and root causes impacting user experiences. + Synthesize and communicate insights through compelling storytelling to influence cross-functional teams and drive user-backed optimizations. + Stay current with industry trends, emerging tools, and best practices to enhance VoC program effectiveness and operational efficiency. + Serve as a thought leader, educating stakeholders and promoting a culture of data-driven decision-making. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree and 8 or more years of technical experience in data analysis OR Master's degree and 4 years of experience + 2 or more years of project leadership experience **Preferred Qualifications** + Demonstrated experience leading VOC or customer experience programs in a digital environment + Strong vendor management skills, preferably with Qualtrics or similar platforms + Knowledge of current trends and tools in customer experience measurement and analytics + Advanced experience in analysis and synthesis of quantitative and qualitative data + Excellent communication, presentation, and storytelling skills to inform and influence senior and executive leadership + Experience aggregating data across multiple sources (e.g., primary research, secondary research, operational data) + Working knowledge of primary research techniques (e.g., basic survey design) + Advanced Degree in a quantitative discipline, such as **Business, Marketing, Analytics** , Mathematics, Statistics, Computer Science, or related field + Passion for contributing to an organization focused on continuously improving consumer experiences + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Advanced experience working with big and complex data sets within large organizations + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Experience creating analytics solutions for various healthcare sectors + Advanced in SQL, SAS and other data systems + Experience with tools such as Tableau and Qlik for creating data visualizations + Expertise in data mining, forecasting, simulation, and/or predictive modeling 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. $117,600 - $161,700 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: 04-17-2026 **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 ***************************************************************************
    $117.6k-161.7k yearly 16d ago
  • Business Architect, Operations Senior Advisor - Cigna Healthcare - Remote

    Cigna Group 4.6company rating

    Remote

    Senior Program Manager (Business Architect) We are seeking a dynamic healthcare professional to drive innovation in utilization management (UM) and Electronic Health Record (EHR) strategy. A key focus of this role is the implementation and optimization of EHR platforms to enable bi-directional data exchange and support Cigna's strategic business objectives. As Senior Program Manager (Business Architect), you will lead project work and strategic decision-making to lower costs, mobilize EHR data with providers, and ensure compliance with privacy and security standards. Your responsibilities span defining strategic intent, building business cases, collaborating with IT and clinical teams, developing go-to-market strategies, and educating delivery teams on capability needs. Key Responsibilities: Define strategic intent, scope, product strategy, risks, and benefits in collaboration with matrix partners. Build lean business cases by partnering with multiple stakeholders across the organization. Specify operating models and clarify business functions for solution delivery. Assess existing capabilities and gather requirements for new capabilities. Facilitate cost estimation process and identify operational impacts. Develop Go-To-Market strategies: pricing, performance guarantees, client elections, marketing, reporting, and timing. Facilitate leadership decisions to rank new opportunities against an existing prioritized backlog. Educate delivery teams on strategic intent, scope, and capability needs. Stay engaged in execution to ensure strategic intent is achieved; assist in facilitating decisions and resolving key issues/risks. Monitor timeliness of execution and value realization along the targeted benefits schedule. EHR Platform-Specific Responsibilities: Lead integration and optimization efforts for Epic Payer Platform and other EHR systems. Collaborate with IT and clinical teams to ensure seamless data exchange between payer and provider systems. Analyze workflows and recommend improvement opportunities across the enterprise by leveraging EHR capabilities. Oversee implementation of new features or modules within EHR platforms to meet business requirements. Ensure compliance with data privacy and security standards during implementation. Train and support stakeholders on EHR platform functionalities relevant to payer operations. Partner with business leads to monitor project performance and troubleshoot issues. Qualifications & Competencies: Bachelor's degree required; master's degree (MBA, MHA, MPH) preferred. 5+ years' experience as a Program Manager, Business Analyst or Business Architect. Healthcare insurance experience is highly preferred. Demonstrated hands-on experience with Electronic Health Records (EHR) platforms like Epic, Oracle Cerner, Athena, etc. highly preferred. Experience implementing clinical programs (utilization management, level/site of care). Experience with process modeling tools (IBM Blueworks Live, MS Visio). Agile/Project Management certification (PMI, CSM, SAFe) or Six Sigma preferred. Proficient in Microsoft Office. Strong business acumen and ability to quickly learn new business areas. Excellent verbal, written, and presentation skills. Ability to lead and influence in direct and matrixed environments. Self-directed, results-driven, and comfortable with ambiguity and change. Some travel required (10%). If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 113,600 - 189,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $94k-116k yearly est. Auto-Apply 41d ago
  • Business Analyst

    Unitedhealth Group Inc. 4.6company rating

    La Crosse, WI jobs

    Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The statements listed below are not intended to be all inclusive of the duties and responsibilities of the position. Based on leadership decisions and business needs, "all other duties as assigned" will be expected for each position. The AI Operations Analyst role is responsible for supporting the integration and optimization of AI capabilities within a contact center environment. The position focuses on understanding operational workflows, gathering and documenting requirements, evaluating performance, and supporting cross‑functional collaboration between Operations, Clinical teams, IT, and Analytics. This role does not require direct development or coding of AI tools. Instead, the analyst defines business requirements, supports testing and rollout activities, monitors performance, and identifies additional opportunities for AI-driven process improvement. Familiarity with Amazon Connect, Contact Lens, and Amazon Lex are highly beneficial for understanding system capabilities and developing effective requirements. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Business Analysis & Requirements * Collaborates with Operations, Quality, and Clinical teams to understand processes, challenges, and desired outcomes * Translates business needs into clear, structured business and functional requirements for technical teams * Develops process maps, user stories, acceptance criteria, and test scenarios for technology enhancements, AI-capabilities, Contact Center operational workflows and reporting * Supports the design and refinement of call flows, agent workflows, and user interactions * AI Use Case & Workflow Development * Contributes to the development of AI-enabled workflows for demographic and eligibility data capture, clinical AI integration, and agent-assist capabilities * Conducts research on emerging AI capabilities and applies best practices relevant to contact center operations * Partners with subject matter experts to validate workflow logic and ensure operational accuracy * Performance Monitoring & Reporting * Defines success metrics and KPIs for AI initiatives, such as containment rates, accuracy, efficiency, sentiment, and quality impacts * Supports the development of dashboards or analytical views to monitor AI performance over time * Performs root cause analysis to identify issues affecting workflow or AI performance * Prepares summaries, insights, and recommendations for operational and technical leadership * Cross-Functional Coordination * Acts as the primary operational liaison to IT, Data, and vendor teams for AI enhancements and platform changes * Supports planning and execution of user acceptance testing (UAT) * Assists in organizing work plans, documenting requirement decisions, translating feedback, and coordinating project timelines * Participate in the onboarding and implementation of new contact center platforms * Continuous Improvement & Opportunity Identification * Identifies opportunities to use AI to improve efficiency, compliance, or customer experience * Develop benefit assessments, value estimates, and business cases for potential AI use cases * Maintains a structured backlog of improvement opportunities and participates in prioritization discussions You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * High School Diploma/GED (or higher) * 3+ years of experience in business analysis, operations analysis, or contact center operations - to include business and functional requirement development, writing user stories, creating process documentation, knowledge of handling PHI/PII and HIPAA considerations * 2+ years of experience with MS Office suite proficiency - mainly MS Excel * 1+ years of experience with contact center systems, industry standard telecom design. Preferably Amazon Connect, Contact Lens or Amazon Lex/Bedrock * Ability to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top Secret security clearance * United States citizenship Preferred Qualifications: * National Career Readiness Certificate * Experience using process mapping tools such as Visio, Lucidchart or Miro * Experience supporting cross‑functional projects involving technology and operations teams * Experience with AI-driven clinical triage, clinical decision support or symptom assessment tools * Experience in healthcare contact centers, clinical workflows or eligibility processes * Experience with utilizing Six Sigma tools for process decomposition * Exposure to AI/ML tools or AI‑enabled business processes * Prior military, TRICARE Beneficiary experience and/or contact center experience * Project Management experience, healthcare related field experience and knowledge of military databases * Familiarity with BI tools such as Power BI, QuickSight or Tableau * Ability to create simple prototypes or conceptual models (e.g., sample intent designs, draft call flow logic, prompt concepts) * Lean, SSA, process improvement, continuous improvement training * Strong analytical and problem‑solving skills with the ability to transform insights into actionable recommendations * All Telecommuters 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 $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. 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. #RPO #GREEN
    $28.9-51.8 hourly 2d ago
  • Lead IT Portfolio Management Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: In charge of the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of project or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives. Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. Creates visibility into areas struggling with scope, schedule, resources, or budget Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of projects into the portfolio Identifies dependencies and critical paths, and aids stakeholders in managing them Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions Analyzes project risk profile and balance at the portfolio level Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions Develop and maintain processes to facilitate integrated project scoping between various workgroups and identifies operational impacts and dependencies Maintain departmental work process for IT controls Analyze demand data to identify and report on trends Identify key leading and lagging risk factors Ensure compliance to all policies and procedures Drive portfolio planning and operations for assigned portfolio Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 5 - 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Other: ServiceNow, Flexera, and/or BDNA Experience with Data Analysis Knowledge of Other: IT hardware/software assets as well as knowledge of applications and application platforms Knowledge of JIRA Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Demonstrated analytical skills Demonstrated project management skills Demonstrates a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Ability to communicate and make recommendations to upper management Ability to drive multiple projects to successful completion License/Certification: Certified Project Management Professional (PMP)-PMI preferred Certified Workforce Planning Professional preferred Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $121,500.00 - $224,900.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
    $121.5k-224.9k yearly Auto-Apply 4d ago
  • Senior Data Systems Analyst

    Cigna Group 4.6company rating

    Kirkland, WA jobs

    Verity Solutions, a Cigna Company, is an award-winning leader in software and services for the federal 340B drug pricing program. Our mission is to simplify 340B program compliance, resulting in critical cost savings for our customers. We value fresh thinking, drive, transparency, and collaboration, and we are dedicated to providing agile solutions to those serving vulnerable communities. The Senior Data Systems Analyst is responsible for designing and developing data-centric solutions, ensuring data accuracy, and optimizing report performance within the Verity 340B platform. This role is key to maintaining data integrity and supporting business intelligence initiatives. Responsibilities: Analyze data patterns to answer business questions. Define requirements for data extracts and aggregation for reports and BI solutions. Collaborate with developers and product managers to ensure robust, trustworthy functionality. Create and execute data-centric test cases. Validate transactional data against business rules. Analyze datasets to ensure data integrity criteria are met. Maintain documentation for data models and solution designs. Support Operations in data setup for customer implementations and resolve data-centric issues. Maintain and update sales demo environment solutions. Participate actively in Scrum standups, grooming, sizing, and sprint planning. Communicate progress, issues, and risks promptly. Exercise data engineering best practices. Protect confidentiality of sensitive company and customer information, including HIPAA data. Promote Verity Solutions values through positive interactions with stakeholders. Qualifications: Bachelor's degree in a related field or equivalent experience. 10+ years of data engineering and/or BI experience. Knowledge of SDLC. Deep experience with databases (NoSQL required; MongoDB preferred). Demonstrated ability to test for accuracy in large datasets. Proficient in data warehousing and ETL processes. Experience with data architecture and pipeline design. Experience with reporting and data visualization tools (Tableau strongly preferred). Understanding of basic statistics and its application. Familiarity with cloud environments is highly desirable. Strong problem-solving, written, and verbal communication skills. Effective collaboration in a Scrum-based environment. Adaptability to changing requirements and business processes. Team player with a positive attitude and ability to influence others. Self-motivated, effective with minimal direction. High level of curiosity and critical thinking. Strong desire to learn new concepts. Healthcare industry experience is a major plus. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 111,700 - 186,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $57k-75k yearly est. Auto-Apply 4d ago
  • Senior IT Data Analyst

    Centene 4.5company rating

    Remote

    You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment Delivers business solution architecture and implementation validation Engages in data profiling and source to target mapping. Works on complex data integration from disparate sources. Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners Engages with customers and business partners to gather requirements and validate results Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Data Manipulation; Data Mining Experience with one or more of the following Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language) Experience with Agile Software Development Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Pay Range: $73,800.00 - $132,700.00 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
    $73.8k-132.7k yearly Auto-Apply 60d+ ago
  • Business Analyst Advisory Services - Remote

    Unitedhealth Group 4.6company rating

    Eden Prairie, MN jobs

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** Optum StepWise Automated Rating is a proprietary software platform that delivers centralized rate management, financial modeling, and automated quoting across products and lines of business. Its enterprise-level rate engine, block management tools, and underwriting application enhance financial management, improve sales channel responsiveness, and increase operational agility. As a Business Analyst on the software team, you will work closely with the Product Owner and development partners to define, refine, and deliver high-quality product features. This role focuses on backlog grooming, requirements definition, feature elaboration, and bug triage to ensure the development team has clear, actionable work. You will support the helpdesk intake and prioritization process, translate business needs into well-documented user stories, and contribute to product and process documentation. You will also collaborate with product and engineering to help define and implement AI-driven capabilities within the software, ensuring they address real user needs and are clearly specified for development. Ideal candidates bring strong analytical skills, technical aptitude, and a collaborative mindset, with the ability to communicate clearly in writing and work effectively within an agile development environment. 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:** + Understand and translate business needs into detailed software requirements, ensuring that development efforts align with business objectives + Serve as a liaison between business and technical teams to ensure mutual understanding of project scope and requirements + Conduct gap analyses to identify business needs, propose solutions, and drive implementation within the development team + Triage support tickets and assist the product owner with prioritizing tickets in the backlog + Continuously review and refine documentation based on user feedback and software updates, ensuring clarity and accuracy + Validate that delivered software meets specified requirements and assist with User Acceptance Testing (UAT) + Collaborate with product and technical teams to define and refine business requirements for AI-driven features such as chatbots, copilots, and virtual agents, leveraging generative AI (GenAI) and large language model (LLM) technologies + Stay informed on emerging AI trends and participate in initiatives that explore new ways to enhance user experiences and automate business processes 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:** + 4+ years of experience as a business analyst + 4+ years of experience working on an Agile delivery team + 4+ years of experience with requirements analysis + 4+ years of experience creating and maintaining user documentation + 2+ years of experience with gap analyses identifying business needs, proposing solutions, and driving implementation within the development team + Experience with generative AI concepts and tools (e.g., ChatGPT, agents, LLM-based applications) and enthusiasm for applying them to improve business processes and customer engagement + Experience with Agile work management tools such as Jira, Rally, VersionOne **Preferred Qualifications:** + Experience with documentation tools using Markdown + Experience with version control systems such as Git + Underwriting experience or familiarity with the health insurance industry + Experience with UX design and tools such as Figma, Adobe XD, or Axure + Experience with Jira and Confluence + Experience with the StepWise platform *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 $91,700 to $163,700 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._
    $48k-55k yearly est. 2d ago
  • Sr Configuration Analyst - Rating & Pricing systems, EST/CST

    Unitedhealth Group 4.6company rating

    Minnetonka, MN jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start **Caring. Connecting. Growing together.** The Senior Configuration Analyst will primarily configure and develop within StepWise, our automated rating and pricing system, and consult with business users on requirements gathering, system design, configuration, and implementation. 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:** + Proactively partner and consult with business resources to design and develop innovative solutions for difficult business problems + Cross functional requirements gathering, system consultation, and implementation of system design and configuration + Partner directly with the UHC Underwriting and Actuarial Team + Support and understand the rating formulas and factors, system workflow, and implement appropriate design and configuration of workflow portals within the StepWise application suite + Analyze advantages and limitations of multiple solutions options. Recommend and develop referred option + Work with user interface design and/or workflow design automation + Develop user interfaces with HTML and CSS + Create and maintain SQL Stored Procedures + Utilize SQL-based systems to solve business problems + Work with multiple project deadlines with minimal supervision + Serve as a subject matter expert for others + Present material to peers and clients You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Bachelor's Degree in Finance, Business, Actuarial Science, Math, Economics or a related degree + 2+ years of experience with Microsoft Excel and/or Access including complex formulas, calculations, macros, VBA, etc. + 2+ years of SQL experience + Experience in an Actuarial and/or Underwriting role + Hands-on professional experience in using Excel or SQL-based systems to solve business problems **Preferred Qualifications:** + 2+ years programming (software programming or configuration within the framework of an application) + Experience with user interface design and/or workflow design automation + StepWise development experience + Experience working in the Health Care Industry (commercial and group business lines) + Experience working in the Insurance Industry + Cascading Style Sheets (CSS) experience + XML experience + Expertise in rating systems (Software applications and/or Excel tools) - as a consultant, super user, or technical design/implementation subject matter expert + Proven proactive in analyzing and recommending system solutions for business processes *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 $89,900 to $160,600 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._
    $89.9k-160.6k yearly 60d+ ago
  • Sr Configuration Analyst - Rating & Pricing systems, EST/CST

    Unitedhealth Group Inc. 4.6company rating

    Minnetonka, MN jobs

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. The Senior Configuration Analyst will primarily configure and develop within StepWise, our automated rating and pricing system, and consult with business users on requirements gathering, system design, configuration, and implementation. 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: * Proactively partner and consult with business resources to design and develop innovative solutions for difficult business problems * Cross functional requirements gathering, system consultation, and implementation of system design and configuration * Partner directly with the UHC Underwriting and Actuarial Team * Support and understand the rating formulas and factors, system workflow, and implement appropriate design and configuration of workflow portals within the StepWise application suite * Analyze advantages and limitations of multiple solutions options. Recommend and develop referred option * Work with user interface design and/or workflow design automation * Develop user interfaces with HTML and CSS * Create and maintain SQL Stored Procedures * Utilize SQL-based systems to solve business problems * Work with multiple project deadlines with minimal supervision * Serve as a subject matter expert for others * Present material to peers and clients You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's Degree in Finance, Business, Actuarial Science, Math, Economics or a related degree * 2+ years of experience with Microsoft Excel and/or Access including complex formulas, calculations, macros, VBA, etc. * 2+ years of SQL experience * Experience in an Actuarial and/or Underwriting role * Hands-on professional experience in using Excel or SQL-based systems to solve business problems Preferred Qualifications: * 2+ years programming (software programming or configuration within the framework of an application) * Experience with user interface design and/or workflow design automation * StepWise development experience * Experience working in the Health Care Industry (commercial and group business lines) * Experience working in the Insurance Industry * Cascading Style Sheets (CSS) experience * XML experience * Expertise in rating systems (Software applications and/or Excel tools) - as a consultant, super user, or technical design/implementation subject matter expert * Proven proactive in analyzing and recommending system solutions for business processes * 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 $89,900 to $160,600 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.
    $89.9k-160.6k yearly 11d ago
  • Senior Systems Management Analyst - Remote

    Unitedhealth Group 4.6company rating

    Eden Prairie, MN jobs

    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.** The Sr. Systems Management Analyst will lead the Facets support team, ensuring smooth operations post-go-live and readiness pre-go-live. 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:** + Oversee Facets support operations and coordinate team activities + Lead onboarding and training for support team members on jobs, dependencies, and environment setup + Manage escalations and interface with development and infrastructure teams + Ensure monitoring and alerting systems (Hangfire, App Insights) are optimized + Provide advanced troubleshooting for SQL, APIs, and cloud resources + Drive continuous improvement in support processes and documentation + Communicate status and issues to leadership and 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:** + 4+ years of experience with facets configurations and operational workflows + 4+ years of experience with SQL/SQL Server for data validation and troubleshooting + 4+ years of experience with job scheduling and monitoring tools (Hangfire, SSIS) + 3+ years of experience with cloud technologies (Azure Blob storage) + 3+ years of experience troubleshooting web services/APIs (requests, responses, authentication) + 2+ years of experience managing on-call rotations and ensuring proactive issue resolution + If you are offered this position, you will be required to provide extensive personal information to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top Secret security clearance as a condition of your employment + United States Citizenship **Preferred Qualifications:** + Bachelor's degree in Information Technology, Computer Engineering or related field + 2+ years of experience leading Facets support in production and pre-production environments + 2+ years of experience with SSIS package development and advanced scheduling strategies + 2+ years of experience with Azure DevOps, CI/CD pipelines, and work item tracking + 2+ years of experience with scripting/automation (PowerShell, Python) for operational tasks + 2+ years of experience with healthcare payer domain concepts (claims, eligibility, EDI) + 2+ years of experience managing ITSM processes (Incident, Problem, Change) and on-call rotations + 2+ 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 $91,700 to $163,700 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._
    $91.7k-163.7k yearly 8d ago
  • Senior Systems Management Analyst - Remote

    Unitedhealth Group Inc. 4.6company rating

    Eden Prairie, MN jobs

    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. The Sr. Systems Management Analyst will lead the Facets support team, ensuring smooth operations post-go-live and readiness pre-go-live. 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: * Oversee Facets support operations and coordinate team activities * Lead onboarding and training for support team members on jobs, dependencies, and environment setup * Manage escalations and interface with development and infrastructure teams * Ensure monitoring and alerting systems (Hangfire, App Insights) are optimized * Provide advanced troubleshooting for SQL, APIs, and cloud resources * Drive continuous improvement in support processes and documentation * Communicate status and issues to leadership and 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: * 4+ years of experience with facets configurations and operational workflows * 4+ years of experience with SQL/SQL Server for data validation and troubleshooting * 4+ years of experience with job scheduling and monitoring tools (Hangfire, SSIS) * 3+ years of experience with cloud technologies (Azure Blob storage) * 3+ years of experience troubleshooting web services/APIs (requests, responses, authentication) * 2+ years of experience managing on-call rotations and ensuring proactive issue resolution * If you are offered this position, you will be required to provide extensive personal information to obtain and maintain a suitability or determination of eligibility for a Confidential/Secret or Top Secret security clearance as a condition of your employment * United States Citizenship Preferred Qualifications: * Bachelor's degree in Information Technology, Computer Engineering or related field * 2+ years of experience leading Facets support in production and pre-production environments * 2+ years of experience with SSIS package development and advanced scheduling strategies * 2+ years of experience with Azure DevOps, CI/CD pipelines, and work item tracking * 2+ years of experience with scripting/automation (PowerShell, Python) for operational tasks * 2+ years of experience with healthcare payer domain concepts (claims, eligibility, EDI) * 2+ years of experience managing ITSM processes (Incident, Problem, Change) and on-call rotations * 2+ 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 $91,700 to $163,700 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.
    $91.7k-163.7k yearly 8d ago
  • Sr. EPIC Analyst (Cadence Certified) - Kelsey Seybold Clinic - Remote

    Unitedhealth Group 4.6company rating

    Pearland, TX jobs

    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._
    $51k-63k yearly est. 57d ago

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