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Systems Analyst jobs at HCSC - 24 jobs

  • IT Analyst - Indirect Tax

    Healthcare Services 4.1company rating

    Remote

    Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers' toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: *************************************************************************************** applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Job Description: 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers' toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Impact You'll Make in this Role The person hired for the position of SAP Indirect Tax IT Analyst will be responsible for the design, implementation, and support of key Tax processes, particularly the integration of the OneSource tax engine, in a new SAP S/4 ERP environment. The successful candidate will possess a strong combination of analytical and technical skills and will design best practice IT solutions in close collaboration with business counterparts. As a Tax IT Analyst, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by: Execute and deliver Tax Solutions to Healthcare Tax through the leadership of process design and configuration, that meet defined global business objectives and requirements. Collaborate with business and IT colleagues in the design, development, testing and delivery of Tax solutions. Support the design, creation, testing & documentation of the configuration of Tax solutions to support global business requirements and performance goals. Fully understand the capabilities and limitations of the Tax solutions technical architecture in assigned areas. Work with Healthcare areas and IT colleagues to define the overall application and technical requirements. Your Skills and Expertise To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications: Bachelor's Degree or higher from an accredited university and 4 years of information technology experience in a private, public, government or military environment OR High School Diploma/GED from an accredited institution and a minimum of 8 years Industry experience 4 years of experience designing, configuring, implementing, or supporting the OneSource Tax Engine in a global SAP environment Experience with Global Next integration into the Tax Engine Additional qualifications that could help you succeed even further in this role include: Experience producing business process and configuration functional design documentation Experience supporting integrations Experience in project management Strong verbal and written communication skills Educational or professional background in Finance or Accounting SAP ABAP knowledge Provide knowledge and expertise on current processes and procedures. Ensure the products and components work together to meet the objectives and performance goals as defined in the functional, security, integration, performance, quality and operational requirements. Lead and/or participate in design workshops representing a process or subprocess for a region or BU. Identify and help resolve design issues, participate, and provides critique for design reviews. Travel: May include up to 10% Relocation Assistance: No Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). Supporting Your Well-being Solventum offers many programs to help you live your best life - both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope. Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties. Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers. Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain *****************. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains. Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status. Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly. Solventum Global Terms of Use and Privacy Statement Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms. Please access the linked document by clicking here, select the country where you are applying for employment, and review. Before submitting your application you will be asked to confirm your agreement with the terms.
    $76k-104k yearly est. Auto-Apply 59d ago
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  • 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
  • Regulatory Operations - Mental Health Parity 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. Position Purpose: Performs and oversees the development of Mental Health Parity related filings and/or filing material for Marketplace products in the commercial markets. Performs and/or assists with regulatory research and issue advocacy in relation to Mental Health Parity policy positioning. Guide special projects. Analyzes and interprets proposed or enacted legislation and/or regulations in relation to federal MHPAEA law and/or state Mental Health Parity law for business impacts and subsequently communicates impacts to the business and/or impacted departments in assigned high risk states for commercial product. Provides recommendations to the business based on analysis/interpretation. Subject Matter Expert for department functions and regulatory interpretation related to Mental Health Parity for the commercial product. Attends cross-functional meetings as department lead and shares positioning within meetings. Responsibility for understanding regulations and business needs for multiple states, as well as federal regulations pertaining to the commercial health insurance market. Oversee the preparation and/or development of Mental Health Parity Nonquantitative Treatment Limitations (NQTL) Comparative Analyses documentation for internal business needs and/or for formal regulatory reporting deadlines for Marketplace products for assigned high risk states. Creates and revises federal MHPAEA law and/or state Mental Health Parity law related filing documentation (including Nonquantitative Treatment Limitation (NQTL) Comparative Analyses, Quantitative Treatment Limitation (QTL) Testing Templates, and Qualified Health Plan (QHP) regulatory filing documentation related to federal MHPAEA law and/or state Mental Health Parity law, projects, and communications for assigned high risk states. Audits documents for accuracy and alignment with regulations and internal business strategies. Lead initiatives related to these activities. Creates and performs quality and accuracy audits on Quantitative Treatment Limitation (QTL) Testing Templates, and additional Qualified Health Plan (QHP) documentation related to Mental Health Parity, for assigned high risk states. Performs data entry into QTL Source of Truth and audits data inputs. Data inputs are used to demonstrate compliance to regulators. Leads cross-functional meetings, building strong relationships, to collaborate on creation of Mental Health Parity documentation and policy positioning and advocacy. Assists in supporting successful relationship with regulatory agencies (Department of Insurance (state DOI) and Centers for Medicare & Medicaid Services (CMS)). Independently drafts responses to external requests for information required by the organization for its regulatory filings and/or for policy advocacy specific to federal MHPAEA law and/or state Mental Health Parity law. Leads onboarding of new employees and training of analysts on essential job duties. Responsible for revising training materials specific to workstream responsibilities and/or processes. Responsible for maintaining critical internal filing trackers and other reference materials to complete federal MHPAEA law and/or Mental Health Parity law related filing submissions; Identifies and leads risk reduction initiatives related to decrease YOY objection totals specific to federal MHPAEA and/or state Mental Health Parity law. Develop and spearhead new projects with a focus on communications, workflow, and quality initiatives. Oversees maintenance and implementation of department policies, procedures, and work processes specific to workstream responsibilities and/or processes. May attend external and/or virtual conferences and seminars to evaluate industry trends. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in business, Communications, Health Care, Political Science/Pre-Law or equivalent experience required: Master's Degree in a related field or Juris Prudence preferred 4+ years experience in health insurance, legal, or compliance ore related area required Experience in commercial health insurance and/or behavioral health managed care preferred Experience developing and/or auditing policy documentation and/or QHP filing templates preferred Knowledge of Mental Health Parity law(s) and SERFF preferred: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 3d ago
  • IT Communications Analyst II

    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. Communications process automation/workflow support leveraging AI. Develop innovative solutions to automating the end-to-end communications process from intake, to production, to reviews/approvals, to post-project metrics. Position Purpose: Ensures all IT communications, including those involving change, are consistent, timely, and appropriate. Develops, presents, and seeks approval of IT communication content and supports the development of routine organizational communication products including technical marketing materials. Manages overall communications related to technology change across business units across technology teams Works to communicate and understand concerns related to technical change across BUs Translates the details of complex change into business friendly, digestible information Creates IT communication content and seeks required approval from senior management Collaborates with change management and project teams to provide business, project, and IT improvement data to stakeholders Builds awareness and consensus among key stakeholders regarding but not limited to change, and internal technical marketing communication Engages key stakeholders to include feedback in the plan on a continuous basis Collaborates with other teams, as required, to create marketing materials to support technology change across business units across technology teams Performs other duties as assigned Complies with all policies and standards Highly Preferred Experience & Skills Automation and innovation experience Workflow Management (tip to toe process) Dashboarding, Power BI, SharePoint workflow Communications background Healthcare experience (nice to have) Remote MO 90% Remote and 10% Travel for trainings/in office meetings. Education/Experience: Requires a Bachelor's degree and 2 - 4 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. Knowledge of Project Management Knowledge of Other: Agile Experience with Other: with multiple collaboration platforms and writing familiarity with multiple media platforms Knowledge of Other: • Highly computer literate with email, MS Office, and related business and communication tools 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 License/Certification: Prosci certified and/or experience with the Prosci ADKAR model and methodology preferred Pay Range: $63,600.00 - $114,600.00 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
    $63.6k-114.6k yearly Auto-Apply 10d 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
  • Epic Systems Analyst II (UM/Referrals exp req)- Kelsey Seybold Clinic

    Unitedhealth Group Inc. 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. Position in this function shows ability and competency to work on most phases of application systems analysis, workflow analysis, build, design, testing and programming activities but requires instruction/guidance/mentoring in other phases. May be responsible to work on a team or project team(s) in the capacity to be a member of the project or lead a phase of the project. Has the ability and can multi-task. May be responsible to work or lead business owners, stakeholders, and IT personal to assess project needs as guided by management. Supports implementation and upgrades to clinical and bio-medical applications as required. Provide weekly status updates on project(s) progress to team lead or management. Position will require travel to KSC clinic locations for implementation, training and support. Other duties as assigned. 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: * 10% Project Management: Participate on projects as assigned in accordance with standard KSC project management and documentation standards with guidance from team lead/management. Has some Project Management skills and has the ability to learn build, testing, and document in accordance with KSC PMO standards. Maintain complete and up to date project documentation for all assigned projects and requested by Project leads. Work with project team leads/members so that defined objectives and benefits are achieved. Serves as a member to assigned user group(s) or IT groups * 10% Teamwork: Establish strong working relationships with project lead(s), team, and of other application teams/management to ensure proposed system changes are thoroughly vetted and potentially adverse downstream consequences are discovered. Learning to develop and communicate risk mitigation strategies. Participate/support in Help Desk service, working service desk tickets, and 24 x 7 on call program, along with other team members * 10% System Development: Under general supervision, diagnose and resolve problems. Define and document business/clinical system requirements and workflows as required by project. Configure system settings and master files to meet business requirements, sign off may be required by project lead. Provide or support system go lives and problem resolution. Begin to achieve a higher level application knowledge, proficiency, and problem solving skills as guided by IT management. Can deliver work that is consistently accurate, precise, thorough, neat, ethical, and reliable. Has some knowledge of quality standards and follows applicable quality guidelines. Understands concepts of process improvement and results to improve the quality of services. Completes all duties as assigned in the required timeframes. Meets deadlines for regular duties and projects * 10% System Support: Under general supervision, ongoing application support, problem resolution and question and answer services. Participate in Application Service Desk duty and 24 x 7 on call program with other team members. Assists application analysts and Help Desk with support of resolving help desk tickets * 10% Proficiency: Begin to maintain and develop competency level application knowledge, proficiency and problem solving skills, as well as follow KSC IT project management tools and processes, change management/control and service procedures * 10% Communication/Customer Relations: Maintains an effective working relationships with project teams, IT management, Clinical and/or business leadership. Ability to maintain working relationships with application vendor technical staff as directed by project assignments. Ability to facilitate rapid problem resolution and service delivery, where vendor services are needed. Possesses the ability to effectively communicate relevant information, in a clear and concise manner, at all levels of the organization. Promotes and practices effective listening skills in all interpersonal contacts. Demonstrates competence in grammar and clarity in all oral and written communication * 10% Optimization: Begin to learn and participate on implementation efforts for system improvements in accordance with KSC project management tools and processes, standard change control and change management procedures. Communicates system changes to all applicable users. Provides a high level of output and productivity. Meets team and project objectives. Does not waste skills, time, and resources. Looks to find ways to improve processes and control costs * 10% Interpersonal Skills: Solid positive attitude, interpersonal and relational skills, ability to make and keep commitments, meet project timelines, and provide outstanding customer service is required. Communication regarding technical matters in language easily understood by non-technical staff is required. Conducts effective meetings and ability to lead IT projects as assigned. Possesses the ability to be flexible in changing situations, meet changing priorities, and solve new and existing problems. Understands the value of adaptability with patients, customers, clinicians and business owners. * 10% Reliability: Can be counted on to arrive and start work on time. Meets expectations for completion of duties as assigned in the required timeframes. Meets deadlines for regular duties and projects without management intervention * 5% Certifications: Certification required based on application. KSC IT Management will determine if certification is required * 5% Other duties as assigned 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 equivalent work experience * 3+ years of experience in applicable healthcare clinical operations, or Epic Application or other similar healthcare application systems design, configuration or support * Understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization. Proficiency in use of desktop computer systems (Windows, Microsoft Office, email) and some experience in use of clinical or practice management systems in medical practice * Proven to have a positive and "can do" attitude. Ability to learn quickly, and to obtain Epic System Proficiency level certification (as defined by Epic) and/or other clinical system certifications * Proven ability to translate clinical and operating requirements into clear, specific and actionable system configurations and ability to implement those configurations. Ability to test and audit personally developed system configurations, in order to assure functional accuracy * Proven excellent communication, relationship, teamwork and project management skills * Proven communication, presentation, project management, teamwork, problem solving and technical skills are also required. * Valid Texas Driver's License Preferred Qualifications: * Clinical Degree * 5+ years of experience * Demonstrable knowledge of clinical data sets (CPT, HCPCS, ICD-9, etc) * Proven participated on clinical projects and implementations successfully * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $72.8k-130k yearly 9d ago
  • Epic Systems Analyst II (UM/Referrals exp req)- Kelsey Seybold Clinic

    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.** Position in this function shows ability and competency to work on most phases of application systems analysis, workflow analysis, build, design, testing and programming activities but requires instruction/guidance/mentoring in other phases. May be responsible to work on a team or project team(s) in the capacity to be a member of the project or lead a phase of the project. Has the ability and can multi-task. May be responsible to work or lead business owners, stakeholders, and IT personal to assess project needs as guided by management. Supports implementation and upgrades to clinical and bio-medical applications as required. Provide weekly status updates on project(s) progress to team lead or management. Position will require travel to KSC clinic locations for implementation, training and support. Other duties as assigned. 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:** + 10% Project Management: Participate on projects as assigned in accordance with standard KSC project management and documentation standards with guidance from team lead/management. Has some Project Management skills and has the ability to learn build, testing, and document in accordance with KSC PMO standards. Maintain complete and up to date project documentation for all assigned projects and requested by Project leads. Work with project team leads/members so that defined objectives and benefits are achieved. Serves as a member to assigned user group(s) or IT groups + 10% Teamwork: Establish strong working relationships with project lead(s), team, and of other application teams/management to ensure proposed system changes are thoroughly vetted and potentially adverse downstream consequences are discovered. Learning to develop and communicate risk mitigation strategies. Participate/support in Help Desk service, working service desk tickets, and 24 x 7 on call program, along with other team members + 10% System Development: Under general supervision, diagnose and resolve problems. Define and document business/clinical system requirements and workflows as required by project. Configure system settings and master files to meet business requirements, sign off may be required by project lead. Provide or support system go lives and problem resolution. Begin to achieve a higher level application knowledge, proficiency, and problem solving skills as guided by IT management. Can deliver work that is consistently accurate, precise, thorough, neat, ethical, and reliable. Has some knowledge of quality standards and follows applicable quality guidelines. Understands concepts of process improvement and results to improve the quality of services. Completes all duties as assigned in the required timeframes. Meets deadlines for regular duties and projects + 10% System Support: Under general supervision, ongoing application support, problem resolution and question and answer services. Participate in Application Service Desk duty and 24 x 7 on call program with other team members. Assists application analysts and Help Desk with support of resolving help desk tickets + 10% Proficiency: Begin to maintain and develop competency level application knowledge, proficiency and problem solving skills, as well as follow KSC IT project management tools and processes, change management/control and service procedures + 10% Communication/Customer Relations: Maintains an effective working relationships with project teams, IT management, Clinical and/or business leadership. Ability to maintain working relationships with application vendor technical staff as directed by project assignments. Ability to facilitate rapid problem resolution and service delivery, where vendor services are needed. Possesses the ability to effectively communicate relevant information, in a clear and concise manner, at all levels of the organization. Promotes and practices effective listening skills in all interpersonal contacts. Demonstrates competence in grammar and clarity in all oral and written communication + 10% Optimization: Begin to learn and participate on implementation efforts for system improvements in accordance with KSC project management tools and processes, standard change control and change management procedures. Communicates system changes to all applicable users. Provides a high level of output and productivity. Meets team and project objectives. Does not waste skills, time, and resources. Looks to find ways to improve processes and control costs + 10% Interpersonal Skills: Solid positive attitude, interpersonal and relational skills, ability to make and keep commitments, meet project timelines, and provide outstanding customer service is required. Communication regarding technical matters in language easily understood by non-technical staff is required. Conducts effective meetings and ability to lead IT projects as assigned. Possesses the ability to be flexible in changing situations, meet changing priorities, and solve new and existing problems. Understands the value of adaptability with patients, customers, clinicians and business owners. + 10% Reliability: Can be counted on to arrive and start work on time. Meets expectations for completion of duties as assigned in the required timeframes. Meets deadlines for regular duties and projects without management intervention + 5% Certifications: Certification required based on application. KSC IT Management will determine if certification is required + 5% Other duties as assigned 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 equivalent work experience + 3+ years of experience in applicable healthcare clinical operations, or Epic Application or other similar healthcare application systems design, configuration or support + Understanding of physician practice operations, and ways improved information management can lead to clinical, operating and financial improvement in a health care organization. Proficiency in use of desktop computer systems (Windows, Microsoft Office, email) and some experience in use of clinical or practice management systems in medical practice + Proven to have a positive and "can do" attitude. Ability to learn quickly, and to obtain Epic System Proficiency level certification (as defined by Epic) and/or other clinical system certifications + Proven ability to translate clinical and operating requirements into clear, specific and actionable system configurations and ability to implement those configurations. Ability to test and audit personally developed system configurations, in order to assure functional accuracy + Proven excellent communication, relationship, teamwork and project management skills + Proven communication, presentation, project management, teamwork, problem solving and technical skills are also required. + Valid Texas Driver's License **Preferred Qualifications:** + Clinical Degree + 5+ years of experience + Demonstrable knowledge of clinical data sets (CPT, HCPCS, ICD-9, etc) + Proven participated on clinical projects and implementations successfully *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
    $72.8k-130k yearly 26d 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
  • 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
  • Principal IT Assurance 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: Gathers and organizes the assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies. Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design Ensures stakeholders incorporate new controls and/or updates to controls into testing Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise Maintain departmental work process for IT controls Interface with business control personnel and provide technical guidance Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel Maintains risk register with risk treatment plans Perform assessments of an IT Risk Acceptance request to identify risks and mitigating controls as well as follow-up on necessary approvals Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency Manages stakeholders, identify, and manages issues and risks Examines options for improvement, risks, and proposed changes and identifies mitigation strategies Builds relationships with key business stakeholders and aligns the business and IT architecture Drives agile development methodology best practices across the teams Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and deep functional and Centene-specific knowledge, and 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. Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio Experience with Data Analysis; Project Management Soft Skills: Advanced - Seeks to acquire knowledge in area of specialty Advanced - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Advanced - Ability to work independently Advanced - Demonstrated analytical skills Advanced - Demonstrated project management skills Advanced - Demonstrates a high level of accuracy, even under pressure Advanced - Demonstrates excellent judgment and decision making skills Advanced - Ability to communicate and make recommendations to upper management Advanced - Ability to drive multiple projects to successful completion 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
    $57k-75k yearly est. Auto-Apply 3d 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
  • 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
  • Senior Systems Engineer (Citrix)

    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: The Senior Citrix Infrastructure Engineer will play a key role in the design, deployment, upgrade, and support of our enterprise Citrix environment, including both on-premises and Citrix Cloud platforms. This individual will ensure high availability, performance, and secure access for virtual applications and desktops across a hybrid infrastructure. This position requires advanced technical skills, troubleshooting expertise, and documentation practices in alignment with compliance requirements. Defines system and product requirements and generate software / hardware performance and reliability specifications and requirements Leads the evaluation, design, and integration of all enhancements or new releases of the system Leads the enhancement of processes, procedures, and policies relating to systems functioning and performance Meets with management team of multiple functional areas and vendors on the planning, upgrading, testing, securing, and servicing of IT solutions Designs and implement architecturally compliant system landscapes Develops, modifies, tests, implements, documents, and maintains systems software and hardware Troubleshoots and resolves server, operating system, and other infrastructure problems Monitors systems and networks for viruses, malfunctions, and errors Prepares network analytics, data reports, and operational manuals Performs troubleshooting and remediation, ensure successful project implementation, and perform post project end user support Manages project timelines, budgets, and documentation Trains the engineering team on new systems, protocols, and best practices 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: Citrix & Virtualization: Deploy and manage Citrix Virtual Apps and Desktops (CVAD) - both on-premises and in Citrix Cloud Maintain and optimize Citrix Cloud Connectors for high availability and performance Configure and troubleshoot Federated Authentication Services (FAS) for certificate-based SSO Manage Citrix NetScaler (ADC) for secure remote access and load balancing Utilize Citrix Director/Monitor for session monitoring and performance tuning Experience with Citrix Provisioning Services (PVS) for efficient image streaming and management Experience with Machine Creation Services (MCS) as an alternative or complement to PVS Experience working with Citrix XenServer (or Citrix Hypervisor) Authentication & Security: Experience with supporting SAML 2.0 authentication with Identity Providers and multi-factor authentication (MFA) Manage SSL certificates and secure configuration of Citrix components User Profile & Workspace Management: Administer Ivanti User Workspace Manager for user personalization and policy management Experience with FSLogix Infrastructure & Cloud: Solid understanding of Microsoft Active Directory, Group Policy Objects, and Windows Server OS Experience with cloud-first and hybrid environments, particularly Microsoft Azure Automation & Support: Proficiency in PowerShell scripting and Citrix PowerShell SDK Create and maintain infrastructure documentation aligned with audit and compliance Provide technical support and serve as a subject matter expert for Citrix-related incidents and escalations 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 License/Certification: Citrix Certified or Microsoft Certifications or ITIL Foundation certification or experience with ITIL-based processes preferred Pay Range: $87,000.00 - $161,300.00 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
    $87k-161.3k yearly Auto-Apply 4d 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
  • 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 AI or ML Engineer - Clinical AI systems - Remote

    Unitedhealth Group 4.6company rating

    Boston, MA 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 Insight partners with healthcare organizations to simplify clinical, financial, and administrative processes through software and analytics, driving better experiences and value-based care. As part of the AI Data Engineering team, you'll build end-to-end AI solutions - from healthcare data integration and model deployment to analytics and clinical review tools. Our projects often involve developing cutting-edge Generative AI technologies from scratch. We're a globally distributed, mission-driven team focused on improving patient outcomes, streamlining operations, and delivering quality at scale. 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:** + Design, develop, and operate secure cloud platform services and software that meet business requirements + Create GitHub Actions and workflows for standardize CI/CD pipelines within UHG + And ensure that pipelines are following best practices, documented and delivered in a scalable reusable manner + Demonstrate innovation, streamline processes, and reduce technical debt by standardizing patterns + Automate repetitive tasks (TOIL), monitor applications, simplify work practices, define metrics, and ensure the operational quality of applications + Manage security controls at the platform level to enable secure, efficient, and policy-compliant operations + Collaborate with multiple partner teams to communicate information security guidance and standards and reduce information security risks + AI User Responsibilities + Uses GitHub Copilot to speed up the creation of boilerplate code + Uses M365 Copilot to recap meetings and draft emails + Uses a chat-based AI tool to debug code + Uses GenAI to create sample test data or test cases + Uses StoryCraft to streamline the creation of user stories + AI Expectations + Will utilize AI tools and applications to perform tasks, make decisions and enhance their work and overall cloud migration velocity. Expected to use AI Powered software for data analysis, coding, and overall productivity + Design, develop, and deploy AI-powered solutions using no-code, low-code, and advanced platforms, translating business needs into scalable applications that enhance products, workflows and decision-making 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 of Science degree with 7+ years or Masters of Science with 5+ years in Computer Science or similar experience + 5+ years of experience as a software development engineer or equivalent hands-on experience producing code for production systems + 4+ years working with Public Cloud providers such as AWS, Azure, GCP, beyond basic IaaS functionality + 2+ years of engineering experience in building infrastructure using code and repeatable designs (IaC) + 2+ years of experience in automating CI/CD using Jenkins [Pipeline as Code], GitHub actions, or similar tools, along with proficiency in source control systems such as Git + 2+ years of experience working with Agile team + 1+ years of experience in designing, building and deploying ML models with AWS SageMaker or Azure ML + 1+ years of experience using AI tools to enhance productivity and innovation, such as GitHub CoPilot + Proven track record of engaging with customers to design and deliver at least two complete AI products, from ideation to product release **Preferred Qualifications:** + Working with Generative AI API's and Frameworks + Hands-on experience with API's like OpenAI, Google Gemini and Hugging face + Experience with containers and orchestration platforms, such as Kubernetes + Experience with Cloud Computing (AWS/Azure/GCP), DevOps tools and automation using Python or any other scripting language + Experience in using Tools like GitHub Copilot, Cursor, Windsurf or Amazon Code Whisperer etc. + Knowledge of API design and lifecycle management (REST, etc.) + Familiarity with inter-service messaging and stream discovery (SQS, Pub/Sub Kafka, etc.) + Familiarity with frameworks like Lang Chain, AutoGen and Microsoft Copilot Studio etc. + Good understanding of LLMs and generative models + Prompt Engineering + How to effectively create prompts to get desired output from generative models + Expertise in data storage, caching, and optimization (SQL and NoSQL databases) + Proficient in algorithms, data structures, object-oriented programming, and system design + Proficiency in instrumentation, logging, and tracing tools (Prometheus, CloudWatch, Stack Driver, Azure Monitor, etc.) + Proficiency with AI-Assisted Development Tools + Proven excellent verbal, written and interpersonal communication skills + Proven evidence-based approach to decision-making and problem-solving + Proven design mindset with the ability to construct scalable, distributed services *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 AI or ML Engineer - Clinical AI systems - Remote

    Unitedhealth Group Inc. 4.6company rating

    Boston, MA 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 Insight partners with healthcare organizations to simplify clinical, financial, and administrative processes through software and analytics, driving better experiences and value-based care. As part of the AI Data Engineering team, you'll build end-to-end AI solutions - from healthcare data integration and model deployment to analytics and clinical review tools. Our projects often involve developing cutting-edge Generative AI technologies from scratch. We're a globally distributed, mission-driven team focused on improving patient outcomes, streamlining operations, and delivering quality at scale. 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: * Design, develop, and operate secure cloud platform services and software that meet business requirements * Create GitHub Actions and workflows for standardize CI/CD pipelines within UHG * And ensure that pipelines are following best practices, documented and delivered in a scalable reusable manner * Demonstrate innovation, streamline processes, and reduce technical debt by standardizing patterns * Automate repetitive tasks (TOIL), monitor applications, simplify work practices, define metrics, and ensure the operational quality of applications * Manage security controls at the platform level to enable secure, efficient, and policy-compliant operations * Collaborate with multiple partner teams to communicate information security guidance and standards and reduce information security risks * AI User Responsibilities * Uses GitHub Copilot to speed up the creation of boilerplate code * Uses M365 Copilot to recap meetings and draft emails * Uses a chat-based AI tool to debug code * Uses GenAI to create sample test data or test cases * Uses StoryCraft to streamline the creation of user stories * AI Expectations * Will utilize AI tools and applications to perform tasks, make decisions and enhance their work and overall cloud migration velocity. Expected to use AI Powered software for data analysis, coding, and overall productivity * Design, develop, and deploy AI-powered solutions using no-code, low-code, and advanced platforms, translating business needs into scalable applications that enhance products, workflows and decision-making 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 of Science degree with 7+ years or Masters of Science with 5+ years in Computer Science or similar experience * 5+ years of experience as a software development engineer or equivalent hands-on experience producing code for production systems * 4+ years working with Public Cloud providers such as AWS, Azure, GCP, beyond basic IaaS functionality * 2+ years of engineering experience in building infrastructure using code and repeatable designs (IaC) * 2+ years of experience in automating CI/CD using Jenkins [Pipeline as Code], GitHub actions, or similar tools, along with proficiency in source control systems such as Git * 2+ years of experience working with Agile team * 1+ years of experience in designing, building and deploying ML models with AWS SageMaker or Azure ML * 1+ years of experience using AI tools to enhance productivity and innovation, such as GitHub CoPilot * Proven track record of engaging with customers to design and deliver at least two complete AI products, from ideation to product release Preferred Qualifications: * Working with Generative AI API's and Frameworks * Hands-on experience with API's like OpenAI, Google Gemini and Hugging face * Experience with containers and orchestration platforms, such as Kubernetes * Experience with Cloud Computing (AWS/Azure/GCP), DevOps tools and automation using Python or any other scripting language * Experience in using Tools like GitHub Copilot, Cursor, Windsurf or Amazon Code Whisperer etc. * Knowledge of API design and lifecycle management (REST, etc.) * Familiarity with inter-service messaging and stream discovery (SQS, Pub/Sub Kafka, etc.) * Familiarity with frameworks like Lang Chain, AutoGen and Microsoft Copilot Studio etc. * Good understanding of LLMs and generative models * Prompt Engineering * How to effectively create prompts to get desired output from generative models * Expertise in data storage, caching, and optimization (SQL and NoSQL databases) * Proficient in algorithms, data structures, object-oriented programming, and system design * Proficiency in instrumentation, logging, and tracing tools (Prometheus, CloudWatch, Stack Driver, Azure Monitor, etc.) * Proficiency with AI-Assisted Development Tools * Proven excellent verbal, written and interpersonal communication skills * Proven evidence-based approach to decision-making and problem-solving * Proven design mindset with the ability to construct scalable, distributed services * 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 4d ago

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