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Business Analyst jobs at Health First - 1442 jobs

  • Scrum Master

    Healthfirst 4.7company rating

    Business analyst job at Health First

    **This position requires three days per week in office (Tues//Wed//Thurs) at either: 100 Church Street, NYC or 1101 Greenwood, Lake Mary, FL.** **Description & Responsibilities:** + Fostering Communication - creating channels and translating Scrum nuanced language + Protecting the team - acting as a buffer for disruptive product managers and management + Tool Maintenance - administer the Scrum tools and framework + Reporting - creating and delivering reporting framework for team members and management + Meeting Facilitation - sprint planning, daily scrum//standups, retrospectives + Agile Coaching - 1:1 with Scrum team members, stakeholders and management + Team Support - facilitating communication and resolving disagreements, tech + Remove Blockers - work with the team to understand blockers, work to remove them + Ensuring that goals, scope, and product domain are understood by everyone on the Scrum Team as well as possible. + Finding techniques for effective Product Backlog management. + Helping the Scrum Team understand the need for clear and concise Product Backlog items. + Understanding product planning in an empirical environment. + Ensuring the Product Owner knows how to arrange the Product Backlog to maximize value; + Facilitating Scrum events as requested or needed. + Coaching the Team in self-organization and cross-functionality; + Removing impediments to the Teams progress; + Facilitating Scrum events as requested or needed + Coaching the Team in organizational environments in which Scrum is not yet fully adopted and understood. **Minimum Requirements:** + HS Diploma or GED from an accredited institution + 3-5 years working as a Scrum Master + Strong Project Management Skills + Experience in managing or working on projects across multiple departments using an SDLC methodology and Agile//Scrum methodology. + Experience working in a team environment, exercising independent thinking, problem solving and achieving goals and deadlines. + Exceptional interpersonal, communication and mentoring skills to frequently interact with all levels of the organization **Preferred Requirements:** + Bachelors Degree from an accredited institution + CSM Certified + Experience working in a Scaled Agile Framework (SAFe) environment. + Knowledge and//or experience with multiple Agile techniques: User Stories, ATDD, TDD, Continuous Integration, Continuous Testing, Pair Programming, Automated Testing. + Knowledge of PEGA business platform + Experience with MuleSoft API's WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
    $93k-115k yearly est. 33d ago
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  • Clinical Risk Management Analyst (RN) - Day Shift, Mon - Fri

    St. Joseph's Health 4.8company rating

    Syracuse, NY jobs

    *Employment Type:* Full time *Shift:* Day Shift *Description:* ***This is not a remote work from home position*** ***Monday - Friday, Day Shift Schedule*** Clinical Risk Management Analyst* *Mission Statement:* We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. *POSITION SUMMARY* The Clinical Risk Management Analyst is responsible for the overall patient safety and clinical risk management functions related to review and response to reported events. Responds to crisis situations that have patient safety and risk management implications and assists staff with problem solving. *EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:* * Experience in health care setting. * Bachelor's degree required (nursing, healthcare related degree is strongly preferred). * Master's degree preferred. * Certification (CPHRM) is preferred. * Registered Nurse preferred. * Ideally, the candidate will have 3-5 years in risk management / patient safety experience. *SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:* * Strong written and oral communication skills, strong interpersonal, motivational and conflict resolution skills. * Strong management and administrative skills. * Broad-based knowledge of hospital related regulatory compliance requirements. * Presentation skills, team player, ability to influence change without direct authority, and negotiation skills. *WORK ENVIRONMENT AND HAZARDS:* Office and/or Clinical Setting. Exposure Class I or II - dependent on service. *PHYSICAL DEMANDS:* Sedentary work: requires sitting, standing and walking. *WORK CONTACT GROUP:* All services, employees, medical staff, patients, visitors, vendors, various regulatory and professional agencies. *SUPERVISED BY: * Manager of Risk Management *SUPERVISES:* None *CAREER PATH: * Management *OPERATIONS/COMPLIANCE: * Is responsible for data management, investigation & reporting. Supports the education components of the facility's risk management program. Promotes the organizational patient safety initiatives. *LOSS PREVENTION/PATIENT SAFETY: * Navigates facility-wide systems for risk identification, investigation, and reduction. Organizes and manages facility-wide educational programs on health care risk management and related subjects for health care practitioners. Presents such programs in conjunction with the facility's education department or other organizations. Maintains a network of informational sources and experts; performs risk surveys and inspects patient care areas; reviews facility to assess loss potential. Works with leadership to develop risk mitigation plans associated with litigated claims. Ensures that patient care-related incidents are reported to Trinity System Office, CMS, and/or the Department of Health as required by law. *Specific Activities* * Conducts case finding by daily review of reported events and other information retrieved from other sources (i.e., verbal report, phone report, electronic submissions from MIDAS, and other referrals) and initiates appropriate follow-up. * Communicates with regulatory agencies, as needed, including, but not limited to: the NYS Department of Health (DOH), FDA, and others. * Coordinates overall functions including but not limited to: NYPORTS, NIMRS, Justice Center, STARS/ClearSight, Centers for Medicare and Medicaid Services (CMS) death reporting in restraints; ensuring that reporting criteria are met. * Demonstrates a strong ability to identify, analyze and solve problems. * Uses appropriate tools when conducting root cause analysis, failure mode and effect analysis, gap analysis, other risk assessments. * Promotes an environment of learning and safety. * Is readily available to all staff as a resource. * Competent with data display and analysis * Additional duties as assigned. Other duties as assigned- including but not limited to supporting clinical risk management (such as event review, event reporting, oversee/facilitate causal analysis (root causes analysis, apparent cause analysis, common cause analysis), event management, other loss control/loss prevent activities. Pay Range: $31.50 - $44.35 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. 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 any other status protected by federal, state, or local law.
    $31.5-44.4 hourly 6d ago
  • Application Analyst - Epic Resolute Billing - FT - Days - DIO

    Memorial Healthcare System 4.0company rating

    Miramar, FL jobs

    At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary This position is responsible for administration and support related to Memorial's business or clinical applications. Provides day-to-day management of applications for moderately complex or standard applications. Responsible for supporting systems designing, building/configuring, testing, debugging and installation in partnership with business application vendors for technical support. Responsibilities Maintains assigned application through partnership with technical experts, vendors, and technology teams to ensure the application continues to support end-users and to mitigate any functional or operational issues. Oversees application activities including the archiving of data and security administration, and electronic data received. Performs work of moderate complexity for assigned business application including collecting and auditing information, analyzing data, and generating reports, preparing operating instructions, and compiles documentation of program development. Maintains knowledge of current operational workflows that are supported through the business or clinical application. Proactively analyzes operational processes and data to identify opportunities and improve existing processes for workflow optimization. Manage applications projects as needed. Supports end-users, in partnership with selected vendors if applicable, to provide customer service and classroom/virtual training for users. Builds and codes moderately complex applications and/or modules using common programming languages to configure and maintain applications. Tests, troubleshoots to user requirements, inquiries and problems and provides input in the development or modification of currently established processes and procedures to drive application efficiency. Supports associate application analysts to develop application management skill sets and understand more complex Memorial systems. Participates in vendor selection, data management, and process improvement for assigned business application. Designs and maintains report structure and analysis needs in order to communicate application management findings and identify areas for improvement. Develops digital tools to ensure they meet applicable regulations and standards. Partners with other business applications management teams and contractors to identify synergies and opportunities for improvement, and works with vendors to ensure upgrades and configuration changes are maintained and accurate. Contributes to the design and upgrade of clinical systems or business systems to ensure up-to-date versions that serve all necessary clinical or business needs. Documents application data needs and business requirements as input into application upgrades and modifications for the developers. Competencies ACCOUNTABILITY, ACCURACY, ANALYSIS AND DECISION MAKING, ANALYSIS AND DECISION MAKING - IT, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTHCARE INFORMATION SYSTEMS, HIPAA, IT APPLICATIONS, IT CUSTOMER SUPPORT, ORGANIZATION SKILLS, ORGANIZATION SKILLS (4), RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education And Certification Requirements Associates (Required) Additional Job Information Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. May require specialized knowledge in a business line. Required Work Experience: Three (3) years of relevant experience. Equivalent work experience may substitute for education requirement.Equivalency for degree: High school diploma plus five years of experience. Other Information: Follows Standard Precautions using personal protective equipment as required.Additional Education Info: in Information Technology, Computer Science, or related field. Working Conditions And Physical Requirements Bending and Stooping = 40% Climbing = 20% Keyboard Entry = 60% Kneeling = 40% Lifting/Carrying Patients 35 Pounds or Greater = 20% Lifting or Carrying 0 - 25 lbs Non-Patient = 60% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40% Lifting or Carrying > 75 lbs Non-Patient = 20% Pushing or Pulling 0 - 25 lbs Non-Patient = 40% Pushing or Pulling 26 - 75 lbs Non-Patient = 40% Pushing or Pulling > 75 lbs Non-Patient = 20% Reaching = 40% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 60% Running = 0% Sitting = 60% Squatting = 40% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing - Far = 60% Seeing - Near = 60% Bio hazardous Waste = 20% Biological Hazards - Respiratory = 20% Biological Hazards - Skin or Ingestion = 20% Blood and/or Bodily Fluids = 20% Communicable Diseases and/or Pathogens = 20% Asbestos = 0% Cytotoxic Chemicals = 20% Dust = 60% Gas/Vapors/Fumes = 20% Hazardous Chemicals = 20% Hazardous Medication = 20% Latex = 20% Computer Monitor = 60% Domestic Animals = 20% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 20% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 20% Magnetic Fields = 20% Moving Mechanical Parts = 20% Needles/Sharp Objects = 0% Potential Electric Shock = 20% Potential for Physical Assault = 0% Radiation = 20% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 20% Shift Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************
    $74k-99k yearly est. 2d ago
  • Manager - Business Intelligence

    Lakeland Regional Health-Florida 4.5company rating

    Lakeland, FL jobs

    Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Monday - Friday Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $119,142.40 Mid $148,928.00 Position Summary Working under the supervision of the Director of Analytics, provide leadership to the Business Intelligence team. Responsible for ensuring that Business Intelligence projects are aligned with executive priorities. Accountable for all aspects of Epic data analysis, and delivery for the organization. Ensuring that we deliver insights and actionable recommendations to help the organization achieve its strategic goals. Position Responsibilities People At The Heart Of All We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Manager Capabilities Demonstrates accountability for overall departmental operations and/or organization-wide functional responsibilities within the system to support achievement of organizational priorities. Coaches team leaders, direct reports and team members to create a productive work environment. Creates a high performing team by building strong relationships, mobilizing others to action and effectively leveraging the talent of their team. Manages and supports conflict/issues resolution implementing appropriate corrective actions, improvement plans and regular performance evaluations. Demonstrates capacity to manage change resistance and break down barriers to effective improvement and transformation. Serves as a mentor for a healthy and safe culture to advance system, department and service experience. Standard Work: Manager - Business Intelligence Develop positive, cooperative relationships across functional boundaries. Support and drive the value of team work and instill collaborative practices throughout the department and organization Ensure coordination among team related to the design, administration, and communication of all Business Intelligence solutions for the health system. Ensure best practice standards for Business Intelligence and monitor compliance to ensure quality solutions. Oversee project timelines to ensure solutions are delivered on time and communicate with stakeholders any unforeseen delays. Apply sound business judgment in the execution of duties. Monitor department focus to ensure efforts are aligned with strategic goals, both by attending to the specifics of the processes and by ensuring that people meet the demanding standards of performance. Realize how projects fit into the larger strategic context. Competencies & Skills Essential: Advanced analytic skills. Constantly seek new and better ways to do things, solve problems, and get things accomplished Ability to plan, organize and assimilate information in order to make key decisions. Desire to find creative and innovative solutions to complex problems. Strong leadership and staff development skills. Focus, align, collaborate, and build effective groups. High degree of self-motivation, commitment and integrity. Actively seek feedback on their performance and behavior so they can continually improve their leadership performance. Agile, flexible and comfortable with ambiguity. Have the demonstrated capacity to manage resistance and break down organizational barriers. Qualifications & Experience Essential: Bachelor Degree Essential: Healthcare, Business, or similar field Other information: Experience Essential: Progressive leadership experience within a team setting. Experience with analytics best practices, analysis techniques and methodologies, and database management/reporting At least 3 years working in a Epic Advanced SQL Experience Preferred: Strong analytics background providing insights and recommendations to archive outcomes grounded in data. At least seven years working in a hospital setting in financial/operational or a professional role Experience with Epic, Tableau Certification Essential: Epic - Cogito Certification Preferred: Epic - Cogito Project Management
    $119.1k-148.9k yearly 5d ago
  • EPIC Business Intelligence Developer II - Business Intelligence

    Lakeland Regional Health-Florida 4.5company rating

    Lakeland, FL jobs

    Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Work Hours per Biweekly Pay Period: 80.00 Shift: Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $85,488.00 Mid $106,870.40 Position Summary Join our dynamic Analytics team supporting high level strategic priorities directly connected to Executive Leadership's top priorities. The Business Intelligence Developer role is responsible for understanding and gathering business requirements, solution design, implementation and testing. Utilizing data visualization best practices is a must to ensure that the message is communicated in the most effective way possible. Position Responsibilities People At The Heart Of All We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work: Business Intelligence Developer II Using reporting tools to help your stakeholders improve their performance, and understand the who, what, where, when and why behind their outcomes. Understanding your business stakeholders' objectives, the metrics that are the most important to them, and how they measure their performance. Turning business requirements into technical requirements. Finding and understanding the correct data sources for a given analysis. Learning from, and sharing knowledge and skills with your teammates to grow impact to the organization. QA Audits and troubleshooting issues. Competencies & Skills Essential: Experience with EPIC EHR Critical thinking, collaboration, flexibility, project/task ownership, system improvement (computerized or manual), project management, consultation and conflict management, organization and time management and attention to detail. Knowledge and skills in business intelligence methodologies and tools (Tableau, Business Objects, OBIEE, Qlikview, ect..) T-SQL or equivalency to query data from data warehouse Nonessential: Experience with Tableau or equivalency to create impactful reports, visualizations, and interactive dashboards. Qualifications & Experience Essential: Bachelor Degree Essential: Business Administration, Computer Science, Information Systems, or related field Other information: Experience Essential: - 5+ years building reports/dashboards Certifications Essential: - Epic - Cogito
    $85.5k-106.9k yearly 4d ago
  • Sr. Incentives & Strategy Analyst

    Goodrx Inc. 4.4company rating

    Seattle, WA jobs

    Sr. Incentives & Strategy Analyst page is loaded## Sr. Incentives & Strategy Analystlocations: Remote USAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR100531**GoodRx is the leading prescription savings platform in the U.S.**Trusted by more than 25 million consumers and 750,000 healthcare professionals annually, GoodRx provides access to savings and affordability options for generic and brand-name medications at more than 70,000 pharmacies nationwide, as well as comprehensive healthcare research and information. Since 2011, GoodRx has helped consumers save nearly $75 billion on the cost of their prescriptions.Our goal is to help Americans find convenient and affordable healthcare. We offer solutions for consumers, employers, health plans, and anyone else who shares our desire to provide affordable prescriptions to all Americans.## About the Role:We are seeking a strong *Sr. Incentives & Strategy Analyst* to design, evaluate and optimize our incentive programs. This individual will drive insights from data to support strategic decisions and reporting for GoodRx's two consumer incentive programs, Consumer Discounts and Rewards, which together drive over $15M in incremental revenue each year. This role will work cross-functionally with teams including Finance, Pricing, Product & Design to shape the evolution of these programs, from how they are managed & optimized internally to how they are presented to our users. A strong analytical foundation is essential, along with the ability to to dive deep into data to measure and improve program impact. This role is best suited for an enthusiastic problem-solver who is energized by tackling ambiguous business challenges and who can communicate effectively with stakeholders. ## Responsibilities:* Identify opportunities to optimize and expand incentive programs; translate data into insights to guide decision-making and partner with Product & Design teams to implement improvements.* Determine the incremental value driven by incentive programs by analyzing fill patterns and user journey behavior* Optimize consumer discounts by evaluating pricing economics and adjusting discount levels to maximize impact and efficiency.* Monitor ongoing program performance, identifying key trends, drivers, and areas for intervention.* Produce weekly and monthly reporting on performance, insights, and trends.* Present biweekly status updates to senior leadership.## ## **Skills & Qualifications:*** 5+ years experience in an analytical role collaborating with multiple stakeholders* Advanced SQL, Excel, and PowerPoint proficiency* Dashboarding & data visualization skills (Tableau, Looker, etc.)* Exceptional written and oral communication skills* Ability to influence cross-functional partners by translating data into actionable insights* Experience in any of the following is a plus: - Analytics at a technology or healthcare company - Experience with loyalty or discount programs All GoodRx employees are responsible for reviewing and complying with all Company safety and security policies and procedures, being vigilant and observant of potential security threats (including phishing attempts) and proactively communicating with the Security Team to raise any concerns.At GoodRx, pay ranges are determined based on work locations and may vary based on where the successful candidate is hired. The pay ranges below are shown as a guideline, and the successful candidate's starting pay will be determined based on job-related skills, experience, qualifications, and other relevant business and organizational factors. These pay zones may be modified in the future. Please contact your recruiter for additional information.San Francisco and Seattle Offices:$119,000.00 - $179,000.00New York Office:$109,000.00 - $164,000.00Santa Monica Office:$99,000.00 - $149,000.00Other Office Locations:$89,000.00 - $134,000.00GoodRx also offers additional compensation programs such as annual cash bonuses or commission, and annual equity grants for most positions as well as generous benefits. Our great benefits offerings include medical, dental, and vision insurance, 401(k) with a company match, an ESPP, unlimited vacation, 13 paid holidays, and 72 hours of sick leave. GoodRx also offers additional benefits like mental wellness and financial wellness programs, fertility benefits, generous parental leave, pet insurance, supplemental life insurance for you and your dependents, company-paid short-term and long-term disability, and more!We're committed to growing and empowering a more inclusive community within our company and industry. That's why we hire and cultivate diverse teams of the best and brightest from all backgrounds, experiences, and perspectives. We believe that true innovation happens when everyone has a seat at the table and the tools, resources, and opportunities to excel.With that said, research shows that women and other underrepresented groups apply only if they meet 100% of the criteria. GoodRx is committed to leveling the playing field, and we encourage women, people of color, those in the LGBTQ+ communities, individuals with disabilities, and Veterans to apply for positions even if they don't necessarily check every box outlined in the job description. Please still get in touch - we'd love to connect and see if you could be good for the role!GoodRx is committed to providing reasonable accommodations for candidates with disabilities during our recruiting process. If you need any assistance or accommodations due to a disability, please reach out to us at accommodations@goodrx.com.We prioritize candidate safety. Please be aware that all official communication will only be sent from **@****goodrx.com** or ************************addresses.GoodRx is America's healthcare marketplace. The company offers the most comprehensive and accurate resource for affordable prescription medications in the U.S., gathering pricing information from thousands of pharmacies coast to coast, as well as a tele-health marketplace for online doctor visits and lab tests. Since 2011, Americans with and without health insurance have saved $60 billion using GoodRx and million consumers visit each month to find discounts and information related to their healthcare. GoodRx is the #1 most downloaded medical app on the iOS and Android app stores. For more information, visit .**We help Americans get the healthcare they need at a price they can afford.**We believe everyone deserves affordable and convenient healthcare. We build better ways for people to find the best care at the best price. Our technology gives all Americans - regardless of income or insurance status - the knowledge, choice, and care they need to stay healthy. We're here to help.Come and help us create the future of healthcare. #J-18808-Ljbffr
    $119k-179k yearly 4d ago
  • Sr. Incentives & Strategy Analyst

    Goodrx Inc. 4.4company rating

    New York, NY jobs

    Sr. Incentives & Strategy Analyst page is loaded## Sr. Incentives & Strategy Analystlocations: Remote USAtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR100531**GoodRx is the leading prescription savings platform in the U.S.**Trusted by more than 25 million consumers and 750,000 healthcare professionals annually, GoodRx provides access to savings and affordability options for generic and brand-name medications at more than 70,000 pharmacies nationwide, as well as comprehensive healthcare research and information. Since 2011, GoodRx has helped consumers save nearly $75 billion on the cost of their prescriptions.Our goal is to help Americans find convenient and affordable healthcare. We offer solutions for consumers, employers, health plans, and anyone else who shares our desire to provide affordable prescriptions to all Americans.## About the Role:We are seeking a strong *Sr. Incentives & Strategy Analyst* to design, evaluate and optimize our incentive programs. This individual will drive insights from data to support strategic decisions and reporting for GoodRx's two consumer incentive programs, Consumer Discounts and Rewards, which together drive over $15M in incremental revenue each year. This role will work cross-functionally with teams including Finance, Pricing, Product & Design to shape the evolution of these programs, from how they are managed & optimized internally to how they are presented to our users. A strong analytical foundation is essential, along with the ability to to dive deep into data to measure and improve program impact. This role is best suited for an enthusiastic problem-solver who is energized by tackling ambiguous business challenges and who can communicate effectively with stakeholders. ## Responsibilities:* Identify opportunities to optimize and expand incentive programs; translate data into insights to guide decision-making and partner with Product & Design teams to implement improvements.* Determine the incremental value driven by incentive programs by analyzing fill patterns and user journey behavior* Optimize consumer discounts by evaluating pricing economics and adjusting discount levels to maximize impact and efficiency.* Monitor ongoing program performance, identifying key trends, drivers, and areas for intervention.* Produce weekly and monthly reporting on performance, insights, and trends.* Present biweekly status updates to senior leadership.## ## **Skills & Qualifications:*** 5+ years experience in an analytical role collaborating with multiple stakeholders* Advanced SQL, Excel, and PowerPoint proficiency* Dashboarding & data visualization skills (Tableau, Looker, etc.)* Exceptional written and oral communication skills* Ability to influence cross-functional partners by translating data into actionable insights* Experience in any of the following is a plus: - Analytics at a technology or healthcare company - Experience with loyalty or discount programs All GoodRx employees are responsible for reviewing and complying with all Company safety and security policies and procedures, being vigilant and observant of potential security threats (including phishing attempts) and proactively communicating with the Security Team to raise any concerns.At GoodRx, pay ranges are determined based on work locations and may vary based on where the successful candidate is hired. The pay ranges below are shown as a guideline, and the successful candidate's starting pay will be determined based on job-related skills, experience, qualifications, and other relevant business and organizational factors. These pay zones may be modified in the future. Please contact your recruiter for additional information.San Francisco and Seattle Offices:$119,000.00 - $179,000.00New York Office:$109,000.00 - $164,000.00Santa Monica Office:$99,000.00 - $149,000.00Other Office Locations:$89,000.00 - $134,000.00GoodRx also offers additional compensation programs such as annual cash bonuses or commission, and annual equity grants for most positions as well as generous benefits. Our great benefits offerings include medical, dental, and vision insurance, 401(k) with a company match, an ESPP, unlimited vacation, 13 paid holidays, and 72 hours of sick leave. GoodRx also offers additional benefits like mental wellness and financial wellness programs, fertility benefits, generous parental leave, pet insurance, supplemental life insurance for you and your dependents, company-paid short-term and long-term disability, and more!We're committed to growing and empowering a more inclusive community within our company and industry. That's why we hire and cultivate diverse teams of the best and brightest from all backgrounds, experiences, and perspectives. We believe that true innovation happens when everyone has a seat at the table and the tools, resources, and opportunities to excel.With that said, research shows that women and other underrepresented groups apply only if they meet 100% of the criteria. GoodRx is committed to leveling the playing field, and we encourage women, people of color, those in the LGBTQ+ communities, individuals with disabilities, and Veterans to apply for positions even if they don't necessarily check every box outlined in the job description. Please still get in touch - we'd love to connect and see if you could be good for the role!GoodRx is committed to providing reasonable accommodations for candidates with disabilities during our recruiting process. If you need any assistance or accommodations due to a disability, please reach out to us at accommodations@goodrx.com.We prioritize candidate safety. Please be aware that all official communication will only be sent from **@****goodrx.com** or ************************addresses.GoodRx is America's healthcare marketplace. The company offers the most comprehensive and accurate resource for affordable prescription medications in the U.S., gathering pricing information from thousands of pharmacies coast to coast, as well as a tele-health marketplace for online doctor visits and lab tests. Since 2011, Americans with and without health insurance have saved $60 billion using GoodRx and million consumers visit each month to find discounts and information related to their healthcare. GoodRx is the #1 most downloaded medical app on the iOS and Android app stores. For more information, visit .**We help Americans get the healthcare they need at a price they can afford.**We believe everyone deserves affordable and convenient healthcare. We build better ways for people to find the best care at the best price. Our technology gives all Americans - regardless of income or insurance status - the knowledge, choice, and care they need to stay healthy. We're here to help.Come and help us create the future of healthcare. #J-18808-Ljbffr
    $119k-179k yearly 4d ago
  • Epic Patient Access Analyst

    Medisys Health Network, Inc. 3.7company rating

    Hicksville, NY jobs

    Epic Patient Access Analyst will be responsible for building and testing implementations, and optimization of the module. He/she must be a subject matter expert in the following Epic Patient Access core modules: Cadence, Grand Central and Prelude. Job Responsibilities: Provides application, workflow build and process expertise through knowledge sharing, guidance and training. Provides support, analysis, configuration, development, testing and implementation services for multiple applications with users, technologies and complexities. Identify system optimization and enhancement opportunities and collaborate with users, vendors and other IT analysts in order to design and implement effective solutions Performs work that is complex and cross functional in nature. Analyzes, develops, tests and implements solutions while adhering to change control and testing methodologies and all other related documentation standards. Communicate with stakeholders from requirements to implementation. Resolve application issues and escalate complex ones as needed. Provide support of application incidents reported through the help desk; including 24/7 on call coverage as required Required Education: BS Degree Experience: Requires at least 1+ years of related experience: EPIC Cadence, Grand Central and/or Prelude proficiency/certification required Required Skills and/or Experience: Good Written/Oral Communication Skills Good Interpersonal Skills Strong Project Management Skills Good Leadership Skills Strong Knowledge of the Clinical/Hospital Environment Strong Problem Solving and Analytical Skills WORK LOCATION: Hicksville, NY WORK SCHEDULE: Hybrid with 2 remote days after 90 days from start date SALARY RANGE: $75K - $120K
    $75k-120k yearly 2d ago
  • DEVELOPER ANALYST

    Catholic Health Services 3.8company rating

    Lauderdale Lakes, FL jobs

    Summary & Objective The Developer/Analyst supports the development, customization, and maintenance of Microsoft 365 platform applications. This includes work with the Microsoft Power Platform, on-premises SQL Server, classic C# development, SharePoint 365 and legacy SharePoint 2010 applications. This role is ideal for someone with foundational development experience who is eager to grow their skills in enterprise collaboration solutions. Essential Functions Collect and analyze business and technical requirements Develop and enhance solutions using Microsoft 365, especially Power Apps and Power Automate Build and maintain SharePoint solutions using SPFx Design and develop SQL Server relational databases based on requirements Write clear system and user documentation to support development and training Demonstrate proficiency in C# across various development contexts Apply knowledge of JavaScript and/or JavaScript frameworks Work with REST APIs and Webhook receivers Maintain and support legacy SharePoint 2010 applications, including: Workflows Custom Web Parts and Features InfoPath forms *Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position. Other Duties Maintain your required license, certifications and mandatory skill updates. Comply with all policies, local, state and federal laws and regulations. Perform other duties as assigned. Supervisory Responsibility May serve as an interim department leader depending on need Physical Requirements Use of Senses-Position requires excellent hearing. Frequently necessary to communicate through personal occasional telephone and radio communication is required. Good vision is necessary. Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc. Disclaimer The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time. EEOC Statement CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training. NO RELOCATION ASSITANCE AVAILABLE
    $59k-83k yearly est. 1d ago
  • Epic Rehab System Analyst

    Medisys Health Network, Inc. 3.7company rating

    Hicksville, NY jobs

    Epic System Analyst (Rehab) The Clinical Systems Analyst - Rehab will be responsible for implementing/developing Epic and related applications. This position will develop, implement, manage and provide ongoing support for clinical information systems. Will proactively increase knowledge of Epic EHR software, health system operations and will work with the Epic project team to translate business needs into EHR functionality. Will analyze procedures and problems, report findings and make recommendations for resolutions. Responsible for formulating objectives to meet system scope. This position will interact with clients and build problem solving partnerships with clinical and business providers, customers and colleagues, while working independently building system components, testing, documenting, and ensuring 24/7 system support and maintenance. Education - Preferred Epic proficient/certified in Rehab. Required Epic proficient/certified in EpicCare Inpatient or Ambulatory. Bachelor's degree in information technology or related field (or equivalent combination of education and experience) preferred. Experience - Familiarity with clinical hospital software and/or hardware technology, database, screen handler, query languages, including ability to design, configure, train, or implement clinical systems. Healthcare support experience is desired in areas such as billing, scheduling, access services, and health information management. Hands on Epic clinical systems experience desirable. Prefer prior experience working on project team, clinical systems support, and general knowledge of healthcare information issues. Knowledge/Skills/Abilities - Knowledge of current business practices and computing systems, interfaces and rehab hospital and medical rehab group practice standard software including computer systems and methods utilized in structuring and preparing input data for computer applications. Knowledge of a variety of hardware and software environments and of the healthcare industry and Epic healthcare applications required. Analytical skills necessary to apply computer technology to resolve clinical problems and/or increase operational efficiency of data processing systems. Ability to analyze the functionality of systems and their fit with specifications. Understands relationships between system processes/programs, system parameters, files and data relationships for assigned products. Ability to research, analyze and thoroughly understand workflows of end users, using this knowledge to configure systems which improve processes, add efficiencies and promote patient safety. Familiar with program development tools such as editors and configuration tools. Basic knowledge of standardized quality improvement methodologies. Ability to respond to changing demands, priorities, procedures and technology. Able to lead groups to make key decisions. Ability to lead meetings, prioritize, resolve conflicts, maintain issues lists and help manage a project plan. Interpersonal skills necessary to communicate effectively with user departments in ascertaining and converting needs for application to electronic data processing systems. Ability to express needs clearly, both verbally and in writing. Ability to work independently. Self-directed in identifying changing demands and priorities. Acts as a change agent in adjusting to new procedures and technology. Dedication to detail with proven organizational skills. Ability to establish and maintain effective working relationships with co-workers, supervisors, and users. Project management and planning expertise. Ability to set priorities, produce accurate work, and meet deadlines; ability to function in a setting with a wide variety of duties and numerous interruptions.
    $71k-92k yearly est. 4d ago
  • EpicCare Ambulatory Analyst

    Medisys Health Network 3.7company rating

    Hicksville, NY jobs

    This position is a full-time/salaried on-site opportunity based in Hicksville, Long Island. The EPIC System Analyst is responsible for design, build, testing, validation, and ongoing support of EpicCare Ambulatory applications. Perform basic analysis of the daily use and administration of assigned IT system(s). Work closely with Operational counterparts to ensure delivery of expected outcomes. Provide expert and creative solutions to end-user requirements and problems. Test and troubleshoot existing and proposed assigned system(s). Generate reports as requested, including writing specifications for custom reports. Provide support and troubleshooting to end users. Document end-user issues and recommend steps to prevent recurrences. Work collaboratively with other EPIC applications and the Training Team to provide positive outcomes for our end users. Education: • Bachelor's degree preferred, or equivalent experience. Experience: § Requires at least 1+ years of related experience: Ambulatory proficiency/certification required MyChart experience a + Ambulatory orders/order transmittal build knowledge a + Knowledge and Skills: • Possess clinical application knowledge and experience • Positive attitude, detail oriented, self-motivated, critical thinker • Ability to troubleshoot basic application issues and provide solutions from an existing knowledge base • Basic presentation skills • Ability to interact and develop relationships with intra-departmental teams • Effectively communicate in both oral and written form to a widely diverse audience • Requires basic understanding of healthcare terminology, clinical application configuration and/or workflows and related technologies • Requires basic skills using Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) • Ability to complete work assignments in a timely manner as assigned by supervisor with minimal oversight • Excellent customer service skills • Ability to multi-task effectively in a rapidly changing environment
    $62k-94k yearly est. 2d ago
  • Interoperability Engineer (Workday)

    Moffitt Cancer Center 4.9company rating

    Tampa, FL jobs

    Highlights The Workday Interoperability Engineer serves as a senior technical expert responsible for architecting, deploying, and maintaining Workday integrations and interoperability frameworks that support secure, scalable data exchange across HR, finance, clinical, research, and enterprise systems. Acts as a subject matter expert in Workday integration patterns including Workday Studio, EIBs, RaaS, APIs, event-driven integrations, and streaming/data pipelines. Owns the design and operational delivery of Workday-centric interoperability initiatives, ensuring reliability and alignment with business outcomes. Provides mentorship and technical leadership to engineers and analysts, guiding them in best practices for Workday and enterprise integration. Combines deep Workday integration expertise with an understanding of cross-functional business processes and downstream system dependencies. The role will also be responsible for developing and maintaining frameworks that support information exchange needs across clinical systems Responsibilities Hands-on experience building integrations with Workday HCM, Finance, Payroll, Recruiting, or other Workday modules. Strong understanding of Workday data structures, security groups, calculated fields, and Workday report development (including RaaS). Proficiency in developing integrations using Workday Studio, EIB, Core Connectors, and PECI(Payroll Effective Change Interface). Translate Workday integration requirements into technical specifications, integration contracts, and design standards. Ability to gather API requirements, translate them into technical specifications, and produce comprehensive API design documentation (standards, contracts, and specifications). Hands-on experience implementing application security frameworks, including OAuth2, SAML, OpenID Connect, and JWT. Experience in API testing strategies - functional, regression, performance, and security testing - using tools such as Postman, SoapUI, JMeter, or equivalents. Good understanding of firewall and advanced networking concepts to support secure system integrations. Provide on-call support and keep integration documentation and records up to date. Credentials and Experience: Bachelor's Degree - field of study: Computer Science, systems analysis, or a related study Minimum 7 years of experience leading end-to-end integration implementations, with a strong emphasis on Workday and supporting middleware technologies like Cloverleaf and Boomi. Minimum of 3 years' experience working with cross functional teams providing expert knowledge for ERP data analysis to design, build and deploy integrations. The Ideal Candidate will have the following experience: Strong hands-on experience developing Workday integrations using Workday Studio, EIBs, Core Connectors, RaaS, and Workday Web Services. Experience designing and supporting interoperability between Workday and downstream systems Familiarity with healthcare interoperability concepts and standards such as HL7 or FHIR, especially where Workday interacts with clinical or research environments. Proficiency with integration platforms such as Boomi and/or Cloverleaf for orchestrating Workday-related data flows. Experience with EMR systems such as Epic is a plus, particularly when supporting Workday-to-clinical data exchange.
    $67k-87k yearly est. 3d ago
  • Business Analyst III - Data Infrastructure & Analytics Team

    Healthright 360 4.5company rating

    San Francisco, CA jobs

    This is a remote position. There is limited expectations for regular in-person, in-office activities. You're not the person who will settle for just any role. Neither are we. Because we're out to create a better world, and that takes a certain kind of person and teams who care about making a difference. Here, you'll bring your professional expertise, talent, and drive to be HR360's new Business Analyst III. The Business Analyst will work closely with HR360's internal and external stakeholders to turn data into information and knowledge that can be used to make sound business decisions. This data helps drive improvement in key business metrics, stakeholder experience and business results. The Business Analyst will also interact with various development teams, project managers, senior management, and external vendors. This individual understands how data is turned into information and knowledge, and how the knowledge supports and enables key business processes. The Business Analyst must develop an in-depth understanding of the business environment and possess both strong analytical and communication skills. Further, the Business Analyst must work well within a team environment. The Business Analyst III has advanced experience in performing business case analyses which measures/quantifies the impact and effectiveness of specific programs and performance. The Business Analyst III works cross functionally and directly supports department leaders in the development, analysis and interpretation of HealthRIGHT's scope of business. Key Responsibilities Provide analytical expertise to leadership in areas critical to the organization's overall strategy and performance. Possess an in-depth understanding of business strategy, processes, services, roadmap, and context in which the business operates to identify opportunities and direct projects. Recommend solutions in areas critical to organization's overall and service line performance to inform agency decisions, strategy, and tactics. Collect, understand, and translate stakeholder requirements into actionable parameters for projects. Design and implement business solutions by building relationships and partnerships with key stakeholders. Develop Return On Investment (ROI) analysis for new strategies to improve organization performance. Maintain clear, accurate project documentation including the development of business cases, proposals, and summaries using project management methodologies. Identify risks and mitigate threats by managing issues and resolutions. Exhibit leadership for business analysts, and broader organization where appropriate. Act as critical liaison between business, technical, program and support teams translating technical ideas and analytical results to non-technical peers and stakeholders across all levels of the organization. Produce understandable reports and presentations that describe and communicate complex findings for a variety of technical and non-technical audiences. Write SQL queries to develop, implement, and utilize databases and reporting tools to extract data, using data analysis programs. Visualize data using Power BI, Excel, or other visualization programs. Check ticking system for incoming requests; provide customer-centered, primary line of support for report/dashboard problems, data requests and other issues. Provide solution by researching problems and questions, diagnosing, troubleshooting, and applying available information and resources. Attend staff meetings, in-service meetings and participate in agency committees and task force activities as required. Demonstrate respectful, professional and appropriate behavior that supports a team oriented work environment. Demonstrate a commitment to the mission, core values and goals of HealthRIGHT 360 including the ability to integrate values of justice, respect, compassion, excellence and stewardship into appropriate programs and services. Other duties as assigned by supervisor. Education and Knowledge, Skills and Abilities Education, Certification, and Experience Required: Bachelor's degree in a quantitative discipline such as Mathematics, Epidemiology, Metrics and Evaluation or Statistics, or equivalent 5 years or more of relevant experience. Proven analytical and quantitative skills, including experience with managing and modeling of large data sets, required. Desired: Master's degree in Public Health, Health Analytics/Informatics or related preferred. 5-7 years of experience analyzing data in a healthcare environment preferred. Intermediate experience with or knowledge of data visualization techniques. Established business acumen including understanding of market dynamics, financial/budget management, data analysis and decision-making. Healthcare coding conventions and health plans experience a plus. 3+ years of experience designing, writing, and maintaining Epic reports and dashboards desired. Certification or knowledge of Epic Cogito, Caboodle data model, SlicerDicer, or Clarity data model a plus. Background Clearance: Must not be on active parole or probation, clear with OIG database. Ability to obtain and maintain satisfactory background check. Knowledge Required: Advanced ability to operate computers and related software programs including Word, Excel, Outlook and other Microsoft Office applications. Experience writing SQL queries to develop, implement, and utilize databases and reporting tools to extract data. Experience conducting analyses using data analysis programs. Experience visualizing data using Power BI, Excel, or other visualization programs. Demonstrated healthcare experience in quantifying, measuring and analyzing financial and utilization metrics of healthcare. Skills and Abilities Required: Ability to read, analyze, and interpret common industry related journals, financial reports, and legal documents. Ability to respond to common inquiries from customers, regulatory agencies, or members of the business community. Ability to effectively present information to top management, clients, and/or external groups. In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available. We will consider for employment qualified applicants with arrest and conviction records.
    $71k-90k yearly est. Auto-Apply 60d+ ago
  • Principal Health Business Analytics - Risk Adjustment

    Florida Blue 4.5company rating

    Remote

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

    Photon Group 4.3company rating

    Remote

    About the company Photon.com has emerged as one of the world's largest and fastest-growing Digital Agencies. We work with 40% of the Fortune 100 on their Digital initiatives and are known for our ability to integrate Strategy Consulting, Creative Design, and Technology on a scale. Please visit ************** to learn more about us, how we work, and our customer case studies. (LinkedIn) Job Description: Product Owner - MarTech Domain Position Overview We are seeking an experienced Product Owner (PO) with deep expertise in the MarTech domain to lead business discovery, capability assessment, and roadmap definition for marketing technology transformation initiatives. The PO will partner with client stakeholders, architects, and SMEs to identify gaps in the existing MarTech setup and provide strategic recommendations that enhance marketing effectiveness, personalization, and customer experience. Key Responsibilities Discovery & Requirement Gathering Act as the primary bridge between business stakeholders, marketing teams, and technical teams. Lead workshops and interviews to capture business objectives, pain points, and desired outcomes. Translate business requirements into actionable user stories, acceptance criteria, and backlog items. MarTech Domain Leadership Evaluate the client's current MarTech stack (e.g., MAP, CDP, CRM, CMS, Analytics, Personalization). Identify gaps, redundancies, and underutilized capabilities in the ecosystem. Benchmark client maturity against industry best practices and emerging trends. Provide strategic guidance on tool adoption, integration, and operational processes. Backlog & Roadmap Management Own the product backlog - define, prioritize, and refine epics and user stories. Collaborate with architects (technical, data, integration) to ensure feasibility and alignment. Align roadmap items with business value, marketing goals, and KPIs. Manage trade-offs between quick wins and long-term transformation. Stakeholder Engagement Serve as the voice of the business and marketing teams in technical discussions. Present findings, recommendations, and roadmaps to client leadership. Facilitate alignment between IT, Marketing, Data, and Operations teams. Governance & Delivery Support Define success criteria, KPIs, and measurement framework for MarTech initiatives. Guide implementation teams by clarifying requirements and priorities during sprints. Ensure compliance with regulatory and data governance standards. Qualifications & Experience 7-10 years of professional experience, with 5+ years as a Product Owner / Business Analyst in the MarTech domain. Strong working knowledge of major MarTech platforms such as Adobe Experience Cloud, Salesforce Marketing Cloud, Oracle Eloqua, HubSpot, or similar. Proven track record in MarTech capability assessment and roadmap creation. Hands-on experience in customer journey mapping, personalization, and campaign workflows. Familiarity with data flows, CDPs, consent management, and analytics frameworks. Excellent communication, facilitation, and stakeholder management skills. Agile/Scrum Product Owner certification (preferred). Key Attributes Business-first mindset with strong technical appreciation. Ability to spot gaps and opportunities in MarTech ecosystems. Skilled at balancing quick wins vs. long-term transformation. Confident in presenting to senior business and IT stakeholders. Passion for driving personalized, data-driven customer experiences Compensation, Benefits and Duration Minimum Compensation: USD 48,000 Maximum Compensation: USD 168,000 Compensation is based on actual experience and qualifications of the candidate. The above is a reasonable and a good faith estimate for the role. Medical, vision, and dental benefits, 401k retirement plan, variable pay/incentives, paid time off, and paid holidays are available for full time employees. This position is available for independent contractors No applications will be considered if received more than 120 days after the date of this post
    $95k-134k yearly est. Auto-Apply 24d ago
  • Principal Health Business Analytics - Risk Adjustment

    Guide Well 4.7company rating

    Remote

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

    VSP Global 4.5company rating

    Remote

    The Senior SAP Analyst is responsible for determining modifications/design of SAP, through implementation and testing, ensuring changes provide the necessary functionality. Deliver technical expertise for the SAP system. Responsible for the analysis, design, and delivery of SAP-based solutions to high complexity problem(s) for a business function area Provide functional design, system configuration, and end-user support within a broad functional scope Analyze business requirements, develop functional specifications, ensuring they meet business, development, and integration requirements Develop functional architecture based on process requirements, application, and system landscape Oversee SAP application migration to production and performance tuning function Determine and complete all maintenance, upgrade, and implementation tasks related to the core SAP applications Develop, execute, and document test scenarios and test data with minimal outside input; perform required configurations of SAP solutions Actively drive deliverables in relevant SAP and cross-functional projects Train end users on new enhancements or functionality as required, and maintain/update user manuals and documentation Design and develop customized reports utilizing technical resources and other tools within SAP Provide Level 3 center of excellence support of the Global SAP Competency Center Job Specifications Typically has the following skills or abilities: Bachelor's degree in Information Systems, Business, Computer Science, or related field, or equivalent experience 6+ years experience with SAP module integration points and systems integration with business processes In-depth knowledge of SAP module integration points and systems integration with business processes Strong business process analysis skills Excellent analytical and problem-solving skills for complex problems Excellent organization and time management skills Ability to identify and mitigate risks; contribute to the risk management plan Excellent written and verbal communication skills with employees of all levels Demonstrated ability to direct others to optical outcomes Preferred Skills: SAP Business Warehouse - BW/4HANA, BI/BW, SAP BOBJ, BW on HANA, Datasphere(DWC), Native HANA Modelling, SAP Analytics for cloud (SAC), SAP S/4 HANA Embedded Analytics, SAP Business process consolidation (BPC)/Embedded BPC, BI-related ABAP & AMDP, CDS Views, Open SQL programming and Power BI. #LI-VISIONCARE Compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here. Salary Ranges: $84,000.00 - $141,750.00 VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. Unincorporated LA County Residents: Qualified Applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act, and any other similar laws. Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities. As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.
    $84k-141.8k yearly Auto-Apply 1d ago
  • Principal IS Business Analyst - Clinical Study Design and Analysis

    Amgen 4.8company rating

    Remote

    Career CategoryInformation SystemsJob Description Join Amgen's Mission of Serving Patients At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech in our fight against the world's toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of patients as we research, manufacture, and deliver innovative medicines to help people live longer, fuller happier lives. Our award-winning culture is collaborative, innovative, and science based. If you have a passion for challenges and the opportunities that lay within them, you'll thrive as part of the Amgen team. Join us and transform the lives of patients while transforming your career. Principal IS Business Analyst - Clinical Study Design and Analysis What you will do Let's do this. Let's change the world. Amgen is seeking a Principal IS Business Analyst to join the Clinical Study Design and Analysis (CSDA) product team. You will be responsible for "Run" and "Build" project portfolio execution, collaborate with business partners and other IS service leads to deliver IS capability and roadmap in support of business strategy and goals. The role leverages domain and business process expertise to detail product requirements as epics and user stories, along with supporting artifacts like business process maps, use cases, and test plans for the software development teams. This role involves working closely with developers and business analysts to ensure that the technical requirements for upcoming development are thoroughly elaborated. This enables the delivery team to estimate, plan, and commit to delivery with high confidence and identify test cases and scenarios to ensure the quality and performance of IT Systems. You will collaborate with Product Managers and developers to maintain an efficient and consistent process, ensuring quality deliverables from the team. Roles & Responsibilities: Collaborates with System Architects and Product Managers to manage business analysis activities, ensuring alignment with engineering and product goals. Captures the voice of the customer to define business processes and product needs. Works with Product Managers and customers to define scope and value for new developments. Collaborates with Engineering and Product Management to prioritize release scopes and refine the product backlog. Ensures non-functional requirements are included and prioritized in the product and release backlogs. Facilitates the breakdown of epics into features and sprint-sized user stories and participates in backlog reviews with the development team. Clearly expresses features in user stories and requirements so all team members and stakeholders understand how they fit into the product backlog. Translates complex business and technological needs into clear, actionable requirements for development teams. Ensures acceptance criteria and definition of done are well-defined. Works closely with UX to align technical requirements, scenarios, and business process maps with user experience designs. Stays focused on software development to ensure it meets requirements, providing proactive feedback to stakeholders. Develops and executes effective product demonstrations for internal and external stakeholders. Maintains accurate documentation of configurations, processes, and changes. Serves as a liaison between global DTI functional areas and global development scientists, prioritizing their needs and expectations. Manages a suite of custom internal platforms, commercial off-the-shelf (COTS) software, and systems integrations. What we expect of you We are all different, yet we all use our unique contributions to serve patients. The professional we seek is an individual with these qualifications. Basic Qualifications: Doctorate degree and 2 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR Master's degree and 4 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR Bachelor's degree and 6 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR Associate's degree and 10 years of Life Science/Biotechnology/Pharmacology/Information Systems experience OR High school diploma / GED and 12 years of Life Science/Biotechnology/Pharmacology/Information Systems experience Preferred Qualifications: Must-Have Skills: Excellent problem-solving skills and a passion for tackling complex challenges in drug discovery through technology. Experience with Agile software development methodologies (Scrum). Excellent communication skills and the ability to interface with senior leadership with confidence and clarity. Experience in writing requirements for the development of modern web applications. Experience in writing user requirements and acceptance criteria in Agile project management systems such as JIRA. Good-to-Have Skills: Demonstrated expertise in a clinical development domain and related technology needs. Experience in managing product features for PI planning and developing product roadmaps and user journeys. Familiarity with low-code and no-code test automation software. Technical thought leadership. Ability to communicate technical or complex subject matters in business terms. Experience with Jira Align. Knowledge of cloud platforms (AWS, Azure/Databricks, GCP) and enterprise infrastructure technologies. Experience with DevOps, continuous integration, and continuous delivery methodologies. Professional Certifications: SAFe for Teams certification (preferred). Soft Skills: Able to work under minimal supervision. Skilled in providing oversight and mentoring team members, with a demonstrated ability to delegate work effectively. Excellent analytical and gap/fit assessment skills. Strong verbal and written communication skills. Ability to work effectively with global, virtual teams. High degree of initiative and self-motivation. Ability to manage multiple priorities successfully. Team-oriented with a focus on achieving team goals. Strong presentation and public speaking skills. What you can expect of us As we work to develop treatments that take care of others, we also work to care for your professional and personal growth and well-being. From our competitive benefits to our collaborative culture, we'll support your journey every step of the way. The expected annual salary range for this role in the U.S. (excluding Puerto Rico) is posted. Actual salary will vary based on several factors including but not limited to, relevant skills, experience, and qualifications. In addition to the base salary, Amgen offers a Total Rewards Plan, based on eligibility, comprising of health and welfare plans for staff and eligible dependents, financial plans with opportunities to save towards retirement or other goals, work/life balance, and career development opportunities that may include: A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan Stock-based long-term incentives Award-winning time-off plans Flexible work models, including remote and hybrid work arrangements, where possible Apply now and make a lasting impact with the Amgen team. careers.amgen.com In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. Application deadline Amgen does not have an application deadline for this position; we will continue accepting applications until we receive a sufficient number or select a candidate for the position. As an organization dedicated to improving the quality of life for people around the world, Amgen fosters an inclusive environment of diverse, ethical, committed and highly accomplished people who respect each other and live the Amgen values to continue advancing science to serve patients. Together, we compete in the fight against serious disease. Amgen is an Equal Opportunity employer and will consider all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or any other basis protected by applicable law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. . Salary Range 143,358.00 USD - 173,256.00 USD
    $113k-142k yearly est. Auto-Apply 4d ago
  • Lead Business Systems Analyst - Epic Beaker Lab Implementation , Technology & Digital, FT, 8A-4:30P

    Baptist Health South Florida 4.5company rating

    Coral Gables, FL jobs

    The Lead Business Systems Analyst applies analytical processes to the planning, design & implementation of technology systems to meet business requirements. Leads multiple mid-large size implementations & initiatives. Modifies systems including encoding, testing, debugging & installing support application systems. Formulates measurable & actionable approaches to accelerate implementation through optimized or established operational workflow & processes. Partners with operations to ensure business ideas are translated into requirements with clear & measurable outcomes. Works with others to identify, research, & evaluate enterprise applications & technologies to promote strategic Technology & Digital initiatives. Translates business needs to technical requirements, optimizing existing implementations & debugging reported issues. Excellent knowledge of systems analysis, prototyping & integration. Manages & leads others through change. Provides & supports the implementation of business solutions by building partnerships with key stakeholders, identifying business needs, determining & carrying out necessary processes & practices, monitoring progress & results, recognizing & capitalizing on improvement opportunities & adapting to competing demands, organizational changes & new responsibilities Estimated salary range for this position is $96682.12 - $125686.76 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Bachelor's degree in Computer Science, MIS, Information Sciences or related discipline or equivalent work experience. * Epic Beaker Experience * Epic Beaker Certified * Experience in medium sized, fast paced corporate organizations. * Self-motivated, ability to learn new concepts/job requirements. * Proven project leadership skills for medium to large scale projects. * Budget forecasting capabilities, ability to deliver on time and on budget. * Basic skills in vendor management, risk mitigation. * Basic system vulnerability management competencies. * Knowledge in Structured Query Language (SQL). * Passion to learn and grow. * Lead and support the implementation of Epic Beaker CP and AP modules, including build, configuration, and validation. * Collaborate with laboratory leadership, pathologists, and IT teams to gather requirements and translate them into system specifications. * Design and optimize workflows for specimen collection, processing, analysis, and reporting. * Orders and collection, resulting workflows, results routing, interfaces and reference labs, charging and access, reporting. * Provide go-live and post-implementation support, including issue resolution and system enhancement * Experience with Epic implementation lifecycle (planning, build, testing, training, go-live, optimization). * Key Responsibilities: * Lead and support the implementation of Epic Beaker CP and AP modules, including build, configuration, and validation. * Collaborate with laboratory leadership, pathologists, and IT teams to gather requirements and translate them into system specifications. * Design and optimize workflows for specimen collection, processing, analysis, and reporting. * Orders and collection, resulting workflows, results routing, interfaces and reference labs, charging and access, reporting. * Microbiology, General Laboratory, and Anatomic Pathology workflows. * Perform system testing, validation, and troubleshooting to ensure data integrity and system performance. * Develop and maintain documentation, including build specifications, test scripts, and training materials. * Provide go-live and post-implementation support, including issue resolution and system enhancements. * Ensure compliance with HIPAA, CAP, CLIA, and other regulatory requirements. Participate in on-call rotation and provide after-hours support as needed Minimum Required Experience: 8 Years
    $96.7k-125.7k yearly 60d+ ago
  • Senior Actuarial Analyst - Actuarial and Underwriting (must reside in Florida)

    Health First 4.7company rating

    Business analyst job at Health First

    Job Requirements To be fully engaged in providing Uncompromised Safety, Superior Quality, Memorable patient/Customer Experiences, and Financial Stewardship by providing statistical data analysis/support and construct probability tables to forecast risk and liability.Support product rate filings, reserve calculations, group underwriting and experience reporting, to make price decisions.Support the financial management of the health plan through medical cost and revenue projections predominantly through the use of Excel.Explain complex technical matters as needed. PRIMARY ACCOUNTABILITIES: Engagement: * Represent the System as necessary through community activities and participation in professional organizations. Quality/No Harm: * Support and developed financial models for the monitoring and projection of current and future business. * Maintain rating models and data base support programs used in the Underwriting department. * Develop and maintain models for the calculation of appropriate claims and other reserves. * Submit weekly report showing progress on current projects Customer Experience: * Demonstrate dependability, flexibility and a high level of job interest. * Consistently seek ways to improve operational and financial efficiencies through better use of resources. * Contribute to development and maintenance of management reports necessary for the financial management of all products. Stewardship: * Filing Support: support the development of required state and federal premium rates and other filings. * Product Support: assist in development and pricing of new products and product enhancements.Collaborate with Decision Support, Underwriters, Claims, and Senior Management to develop plans for new lines of business or improve existing business. * Financial Support: assist in the determination of cash reserves (IBNR), risk funding mechanisms (SSA, 3-R's, etc.), budget projections, and all other financial modeling including development of provider payment mechanisms. * Group Services Support: support the design, review, administration, and regulatory compliance of health insurance plans in the delivery to specific employer groups. * Underwriting Support: assist in development and pricing of existing and proposed Large Group business including support of pricing models. * Will provide lead responsibilities and be considered a Subject Matter Expert in at least one of the above disciplines:Filing, Product, Financial, Group Services, or Underwriting. Work Experience QUALIFICATIONS REQUIRED: * BS or BA degree in Mathematics or Actuarial Science from accredited college or university.. * 3.4 GPA in college or university required. * Possess strong computer abilities with emphasis on Microsoft Excel, SQL or other programming language desired. * Passed three actuarial exams * Knowledge of laws, government regulations, and agency rules for managed care controls. * Some level of understanding of insurance and associated terminology. * Strong background in arithmetic, algebra, geometry, calculus, statistics, and their applications. * Knowledge of economics and accounting principles and practices, and reporting of financial data. * Knowledge of document structure and content, including spelling, grammar and rules of composition. * Be able to perform support tasks autonomously for at least one of the following responsibilities as described above:Filing, Financial, Group Services, or Underwriting. * Has demonstrated an ability to work directly with Underwriting, Risk Adjustment, Finance, Decision Support, Group Services and/or Senior Management. * Minimum of 2 years of experience in at least one of the following support responsibilities as described above:Filing, Financial, Product, Group Services, or Underwriting. PHYSICAL DEMANDS: * Able to sit and view computer screen for up to three hours at a time to enter data and set up functions. * Ability to work extended hours as projects demand. * Ability to occasionally stand; walk; use hands to handle or feel; and reach with hands and arms. * Able to frequently lift and/or move up to 25 pounds. MENTAL DEMANDS: * Able to work in often stressful environments, and maintain composure. * Must exhibit superior analytical and problem solving abilities, to compile, categorize, and verify information. * Ability to prioritize and organize to maximize quality, value, and service. Benefits At Health First, diversity and inclusion are essential for our continued growth and evolution. Working together, we strive to build and nurture a culture that recognizes, encourages, and respects the diverse voices of our associates. We know through experience that different ideas, perspectives, and backgrounds create a stronger and more collaborative work environment that delivers better results. As an organization, it fuels our innovation and connects us closer to our associates, customers, and the communities we serve. Schedule : Full-Time Shift Times : 800am_500pm Paygrade : AA4
    $70k-88k yearly est. 60d+ ago

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