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Analyst jobs at Health Management Associates - 1465 jobs

  • Clinical Business Systems Analyst

    Highmark Health 4.5company rating

    Lansing, MI jobs

    This job supports one or more analytical aspects of the application product life cycle, within a sub-product scope (one or more application components). Uses regular judgement and discretion to collaborate with customers in order to: Understand capability needs; Gather project specifications; Create business cases; Translate high-level business needs into detailed requirements for new capabilities (and change request/enhancements on existing capabilities); Analyze data to determine business problems, trends, or opportunities for process improvements; Create/execute test cases; Provide root cause analysis and corrective action plans; Verify delivery of customer needs, and Ensure quality delivery. The incumbent identifies, documents, and resolves risks, defects and issues. Analyzes market trends for competitive insight to correlate into business value statements. Builds organizational and platform knowledge in one or more disciplines to advance professional track career. Uses functional and organizational knowledge to mentor junior resources. Requires thorough understanding of end systems impact of changes across multiple systems, clinical disease process, and healthcare data. As a **Clinical Business Systems Analyst** , you will play a critical role in shaping the digital healthcare strategy for the organization and our clients. You will be responsible for fostering strong partnerships with stakeholders, providing expert consultation on the design and feasibility of our clinical digital healthcare products, implementing large scale data exchange initiatives, and providing development and operations support. This role involves translating intricate clinical requirements into clear, actionable plans for product and technical teams. Our products are designed for clinical identification and stratification and facilitating precise member routing to in-person, telephonic, and digital outreach programs. Your contributions will directly impact our ability to deliver impactful member outreach. **ESSENTIAL RESPONSIBILITIES** + Work with customers, Software Engineers, Architects, Capability Managers, and other team members to capture capability needs and drive quality business solutions. Create and maintain deliverables such as business vision, requirements and personalization to different clients, and user interface design. + Participate in the full software development life cycle by actively participating on Agile scrum teams in various roles, including, but not limited to, Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager, or Tester, based upon experience and need. + Support various aspects of requirements testing (e.g. testing plan, scenarios, documentation, defect management) to ensure minimal production defects are realized and completing analysis of the results tying back to customer impacts. + Ensure compliance for required standards and all necessary approvals have been obtained throughout the project lifecycle. + Effectively communicate with team members, customers, partners and management, including assisting with or conducting requirement walkthroughs and sprint reviews, reporting project status, enabling vendor solutions and providing accurate and concise documentation. + Other duties as assigned. **EDUCATION** **Minimum** + Bachelor's Degree in Business Management, Information Systems, or closely related field **Substitutions** + Degree in Nursing, Informatics, Business Management, Health Administration, Public Health or related field **Preferred** + None **EXPERIENCE** **Minimum** + 3 - 5 years in IS/IT or Healthcare **Preferred** + 1 - 3 years in Lean/Six Sigma experience + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in the Healthcare industry **LICENSES OR CERTIFICATIONS** **Required** + None **Preferred** + Six Sigma + Project Management Professional (PMP) + Clinical License **SKILLS** + Analytical Skills + Problem-Solving + Communication Skills + Report Writing + SQL + Agile Methodolgy + Agile Project Management + Manage Multiple projects concurrently + Proven ability to effectively juggle multiple competing projects + Strong planning and execution + Data Exchange **Language Requirements (other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Teaches / trains others regularly Rarely Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Rarely Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement:_** _This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $57,700.00 **Pay Range Maximum:** $107,800.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270367
    $57.7k-107.8k yearly 5d ago
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  • Sr Analyst, Serialization

    Fresenius Kabi USA, LLC 4.7company rating

    Chicago, IL jobs

    Job SummaryThe Senior Serialization Analyst is a key role within Supply Chain that will be responsible for monitoring and maintaining internal and external metrics associated with serialization compliance. They perform data-driven analysis and use that information to identify trends and proactively communicate to both internal and external stakeholders about any changes uncovered. * Salary Range: $85,000-$100,000 Position is eligible to participate in a bonus plan with a target of 6% of the base salary (include only if applicable to the grade level) * Final pay determinations will depend on various factors, including, but not limited to experience level, education, knowledge, skills, and abilities. * Our benefits and programs are comprehensive and thoughtfully crafted to ensure our colleagues live healthy lives and have support when it matters most. Benefits offered include a 401(k) plan with company contributions, paid vacation, holiday and personal days, employee assistance program, and health benefits to include medical, prescription drug, dental and vision coverage. Applicants must be authorized to work for ANY employer in the United States. Fresenius Kabi is unable to sponsor or take over sponsorship of an employment visa either now or in the future.Responsibilities The Senior Serialization Analyst will monitor and maintain internal compliance metrics associated with serialization Manage and maintain exceptions management mailbox Perform data driven analysis on both internal and external exceptions associated with serialization Identify trends in exceptions, and proactively communicate any change in the trends as needed Perform detailed technical investigations related to serialization in both internal and external systems Provide process and technical support as a part of suspect and illegitimate product investigations Serve as primary communicator with external customers on serialization exceptions Support functional and validation testing of serialization systems Monitor current regulations and industry trends related to serialization Identify and coordinate any serialization process improvements cross functionally between IT, manufacturing, distribution centers, and external customers. Manage system enhancement projects related to serialization Onboard new customers to GS1 Electronic Product Code Information Services (EPCIS) and coordinate any required testing with customers and internal stakeholders All employees are responsible for ensuring the compliance to company documents, programs and activities related to the Health, Safety, Environment, Energy, and Quality Management Systems, as per your roles and responsibilities Requirements Bachelor's degree in a relevant field such as pharmaceutical sciences, engineering, or supply chain management is required. Minimum of 5 years of experience within Supply Chain industry. Advanced skills in interpreting complex datasets, identifying trends, and making data-driven decisions to optimize processes and solve problems. SAP serialization OER or ATTP preferred Strong communication and interpersonal skills, with the ability to collaborate with stakeholders at all levels of the organization. Experience in pharmaceutical distribution or related industries, with a strong understanding of serialization requirements and processes Project management skills, with the ability to prioritize tasks, manage timelines, and lead cross-functional teams effectively Knowledge of Microsoft Office Suite including Project. Additional Information We offer an excellent salary and benefits package including medical, dental and vision coverage, as well as life insurance, disability,401K with company contribution, andwellness program. Fresenius Kabi is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, citizenship, immigration status, disabilities, or protected veteran status.
    $85k-100k yearly 5d ago
  • Coding Analyst Associate, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL)

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Coding Analyst Associate reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Analyst Associate is the coding and reimbursement expert in ICD-10-CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCD/LCD claim edits. This position is 100% remote Responsibilities: Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures. Collaborates with Orders Management Unit (OMU) and other coding divisions for NCD/LCD edit resolution. Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy Resolves NCD/LCD or other outpatient edit claim failures as assigned Meets established minimum coding productivity and quality standards for each outpatient encounter type Review and analyze dashboard to derive conclusions and determine opportunities for improvement Other duties as assigned Qualifications Required: RHIA, RHIT, CCS, CPC or COC credential AHIMA or AAPC membership Preferred: Associate's degree in related field 1 year of outpatient coding experience in a healthcare setting Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $37k-63k yearly est. 29d ago
  • Coding Analyst Associate, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO

    Northwestern Memorial Healthcare 4.3company rating

    Chicago, IL jobs

    At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Coding Analyst Associate reflects the mission, vision, and values of Northwestern Memorial, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Coding Analyst Associate is the coding and reimbursement expert in ICD-10-CM diagnosis coding and has expertise with HCPC Level I and II procedural codes. Also demonstrates expertise to resolve NCD/LCD claim edits. This position is 100% remote Responsibilities: Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures. Collaborates with Orders Management Unit (OMU) and other coding divisions for NCD/LCD edit resolution. Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, Coding Clinic for HCPCs, CPT Assistant, interprets coding conventions and instructional notes to select appropriate diagnoses and procedures with a minimum of 95% accuracy Resolves NCD/LCD or other outpatient edit claim failures as assigned Meets established minimum coding productivity and quality standards for each outpatient encounter type Review and analyze dashboard to derive conclusions and determine opportunities for improvement Other duties as assigned Qualifications Required: RHIA, RHIT, CCS, CPC or COC credential AHIMA or AAPC membership Preferred: Associate's degree in related field 1 year of outpatient coding experience in a healthcare setting Additional Information Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status. Background Check Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check. Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person. Benefits We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family.
    $37k-63k yearly est. 28d ago
  • EHR Analyst

    The Emily Program 3.7company rating

    Saint Paul, MN jobs

    Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care. Position Summary: The EHR Analyst will be an integral member of the EHR team. They will provide ‘real time' support to the Revenue Cycle Management (RCM) team and business staff, help work through claim and remittance technical issues, offer superior service and responsiveness to internal customers and work with vendors and members of the EHR team to facilitate fixes/solutions/enhancements to the billing system. They will assist with system upgrades and test scripts. Schedule: Monday - Friday, typical business hours Fully Remote Compensation Disclosure: Starting salary range between $65,000 - $80,000 Final Compensation offered will be within pay range based on qualifications/experience met for the position How an EHR Billing Analyst Empowers Recovery: Address billing discrepancies received from claim remittances. Handle billing production problem/issues resolution for all end users. Play a key/lead role in the overall billing support and optimization of the EHR system. Serve as the point of contact for all EHR billing corrections for the billing team. Responsible for maintaining a high level of customer satisfaction with end users. Provide reliable tracking mechanics for changes to the EHR system. Maintain accurate records of all billing changes made and results of inquiries via ticketing system. Assist EHR team members with researching functionality for new enhancements. Work with Training to update support and maintenance documentation. Provide key knowledge on the development and implementation of standardized, streamlined billing content. Participate in validation testing of new design/build and provide implementation support. Assist in the implementation, design, build, test, and maintenance of systems to support clinical and/or financial processes. Assist in EHR build requirements when needed. Contribute to tasks and projects as assigned by management as necessary to help in the development of application test strategies and plans. Effectively communicate the status of tasks/projects to management and ensure timely and quality delivery of all deliverables. Qualifications: Minimum two years' experience with my Avatar, Sigmund, AURA, SmartCare, or with another EHR system strongly preferred. Willingness to learn and develop leadership skills. Must possess excellent written and verbal communication skills. Must be able to communicate effectively with billing staff and leadership. Ability to understand and interpret billing concepts/requirements. Knowledge of billing/CMS regulations/837i/837p loop and segments required. Knowledge of claim remittance codes/posting codes/service codes. Self-reliant individual with strong multitasking skills. Must have excellent follow-through and attention to detail. Ability to work under pressure and prioritize work appropriately in a changing environment. Bachelor Degree in Health Information Management preferred. Competencies: Strong attention to detail and commitment to quality. Solid Interpersonal skills with the demonstrated ability to develop and maintain productive relationships. Demonstrate initiative and exercise good judgement (e.g, in starting tasks, asking questions, identifying, and discussing problems, ability to structure own work, stay on task). Ability to prioritize and adapt to changing priorities. Shows passion for our business, clients, and values. What we offer: Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs. For full-time employees, we offer: HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield) Dental insurance (Delta Dental) Vision insurance (EyeMed) Short-term and long-term disability insurance Company-paid life insurance 401(k) plan available two months after start date Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.
    $65k-80k yearly Auto-Apply 2d ago
  • Health Care Analyst (Medicare)

    Ra 3.1company rating

    San Antonio, TX jobs

    About Client: They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!! Job Title: Health Payer Technology Medicare Consultant Job Level: Senior Level Job Description: THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems. You will design and implement solutions that are Medicare complaint. You will be understanding the strategic direction set by senior management as it relates to team goals. WE ARE LOOKING FOR SOMEONE.!! Who holds 4 years of experience as a consultant! Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is experienced in systems and processes required to support health plan! Who is currently in Medicare/ Medicaid! Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience! Who holds 2 years experience with Medicare systems and technologies with formal consulting! Qualifications Who holds 4 years of experience as a consultant! Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Additional Information All your information will be kept confidential according to EEO guidelines.
    $64k-82k yearly est. 60d+ ago
  • Distributor Experience Analyst

    Avanos Medical 4.2company rating

    Georgia jobs

    Job Title: Distributor Experience Analyst Job Country: United States (US) Here at Avanos Medical, we passionately believe in three things: Making a difference in our products, services and offers, never ceasing to fight for groundbreaking solutions in everything we do; Making a difference in how we work and collaborate, constantly nurturing our nimble culture of innovation; Having an impact on the healthcare challenges we all face, and the lives of people and communities around the world. At Avanos you will find an environment that strives to be independent and different, one that supports and inspires you to excel and to help change what medical devices can deliver, now and in the future. Avanos is a medical device company focused on delivering clinically superior breakthrough solutions that will help patients get back to the things that matter. We are committed to creating the next generation of innovative healthcare solutions which will address our most important healthcare needs, such as reducing the use of opioids while helping patients move from surgery to recovery. Headquartered in Alpharetta, Georgia, we develop, manufacture and market recognized brands in more than 90 countries. Avanos Medical is traded on the New York Stock Exchange under the ticker symbol AVNS. For more information, visit *************** Essential Duties and Responsibilities: This position reports to the Global Distributor Accounts Leader and is responsible for ensuring the satisfaction and successful deployment of orders to Avanos key distributors and accounts. The incumbent will provide tactical support to assigned customers ensuring the efficient processing of orders, discrepancies, and concerns. The ideal candidate will be their customer's first point of contact for general information, backorder management, and availability requests, enforcing Avanos procedures, best practices, and standards. Individuals in this role are required to have proven exceptional communication (written and verbal) and leadership skills. Key Responsibilities: Act as a focal point for all distributor/key account inquiries/issues relating to order, price, credit, logistics, customs, damage, shipping, or related items. Work with necessary Avanos teams to resolve issues. Ownership for Order Management of key accounts/distributors, including but not limited to EDI troubleshooting, Overages, Shortages, and Damages (OS&D), logistics and back-office concerns, etc. Responsible for identifying, processing, and communicating Team Metrics, analyzing key account data, suggesting, and implementing improvement. Communicate consistently with superiors, peers, and others who have a need to know. Information should be communicated professionally, in a clear, concise, and timely manner. Management and maintenance of Customer Facing related processes, systems, and reporting, including but not limited to Customer Portal and EDI. Process returns and order handling adjustments Works cross-functionally with other teams and departments to gather insights which will improve customer experience and transactional effectiveness. Identify and implement plans, in conjunction with internal Avanos business partners to facilitate shipments that best meets customer requirements. Ensure all required documentation is provided to the customer and maintain customer records. Utilizing project management skills to effectively develop implementation plans and accurate project timelines to ensure business objectives are met. Drive Continuous Improvement culture within Customer Service. Your qualifications Required: 3+ years of experience in a Logistics or Customer Service function Ability to exercise independent judgment and decision making Strong analytical skills. Good human relations Strong written and verbal communication skills Able to build sustainable relationships (internal and external) Experience in SAP systems and processes Experience in SFDC systems and processes Preferred: 3+ years' experience in SAP systems and processes 3+ years' experience in SFDC systems and processes Demonstrable proficiency in Microsoft Excel. The statements above are intended to describe the general nature and level of work performed by employees assigned to this classification. Statements are not intended to be construed as an exhaustive list of all duties, responsibilities and skills required for this position. Salary Range: The anticipated average base pay range for this position is $60,000.00 - $68,000.00. In addition, this role is eligible for an attractive benefits package. Avanos Medical is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity or any other characteristic protected by law. If you are a current employee of Avanos, please apply here Join us at Avanos Join us and you can make a difference in our products, solutions and our culture. Most of all, you can make a difference in the lives, people, and communities around the world. Make your career count Our commitment to improving the health and wellbeing of others begins with our employees - through a comprehensive and competitive range of benefits. We provide more than just a salary - our Total Rewards package encompasses everything you receive as an employee; your pay, health care benefits, retirement plans and work/life benefits. Avanos offers a generous 401(k) employer match of 100% of each pretax dollar you contribute on the first 4% and 50% of the next 2% of pay contributed with immediate vesting. Avanos also offers the following: benefits on day 1 free onsite gym onsite cafeteria HQ region voted 'best place to live' by USA Today uncapped sales commissions
    $60k-68k yearly 41d ago
  • Medicare and Quality Policy Analyst

    America's Essential Hospitals 4.0company rating

    Washington, DC jobs

    The Medicare and Quality Policy Analyst serves as a trusted subject matter expert and advisor regarding complex public policy developments that affect essential hospitals. The Medicare and Quality Policy Analyst will be responsible for a portfolio that includes Medicare quality measures, alternative payment models, and policies to reduce regulatory burden for hospitals. For this portfolio, the Medicare and Quality Policy Analyst researches and synthesizes policy initiatives, develops educational materials and responses for a variety of audiences, and makes thoughtful recommendations relating to policy implementation and impact. This role is highly visible within the association and among its members, as well as with external stakeholders. The Medicare and Quality Policy Analyst enjoys a hybrid schedule, coming to the office on Tuesdays and as needed for internal and external meetings, events, or projects. The projected salary range for the Medicare and Quality Policy Analyst is $85,000-$95,000 per year. PRINCIPAL DUTIES AND RESPONSIBILITIES OF THE MEDICARE AND QUALITY POLICY ANALYST*: * below is a summary, not an inclusive list of all responsibilities * Function as the principal content expert on specific policy issues in portfolio to include Medicare and prescription drug programs. * Identify, craft and advance policy positions, collecting information from members of America's Essential Hospitals as needed, to further the association's regulatory advocacy efforts. * Lead the drafting of comment letters, policy briefs, and position papers on federal policy issues that are relevant to essential hospitals. * Summarize, write-up, and present written policy analysis findings in a clear and concise manner through website content, email alerts for members, and other communications. * Analyze data models to measure impact of proposals and alternatives. * Communicate orally policy and regulatory updates and analysis through bi-weekly government relations conference calls, periodic webinars, and other meetings. * Support Legislative Affairs team to analyze legislation and craft policy position papers to further the association's legislative advocacy efforts; engage in direct lobbying as needed. * Represent America's Essential Hospitals with external coalitions and at external meetings with federal agencies and other stakeholders, as necessary. * Collaborate across teams to include research and data teams on key policy issues affecting members. * Collaborate with consultants in support of advancing association advocacy efforts. * Participate in media inquiries about topics within portfolio, providing information on background and communicating association positions on record, as needed. * Assist in all other activities, special projects, meetings, and other assignments as needed.
    $85k-95k yearly 31d ago
  • Medicare and Quality Policy Analyst

    Americas Essential Hospitals 4.0company rating

    Washington, DC jobs

    The Medicare and Quality Policy Analyst serves as a trusted subject matter expert and advisor regarding complex public policy developments that affect essential hospitals. The Medicare and Quality Policy Analyst will be responsible for a portfolio that includes Medicare quality measures, alternative payment models, and policies to reduce regulatory burden for hospitals. For this portfolio, the Medicare and Quality Policy Analyst researches and synthesizes policy initiatives, develops educational materials and responses for a variety of audiences, and makes thoughtful recommendations relating to policy implementation and impact. This role is highly visible within the association and among its members, as well as with external stakeholders. The Medicare and Quality Policy Analyst enjoys a hybrid schedule, coming to the office on Tuesdays and as needed for internal and external meetings, events, or projects. The projected salary range for the Medicare and Quality Policy Analyst is $85,000-$95,000 per year. PRINCIPAL DUTIES AND RESPONSIBILITIES OF THE MEDICARE AND QUALITY POLICY ANALYST*: *below is a summary, not an inclusive list of all responsibilities Function as the principal content expert on specific policy issues in portfolio to include Medicare and prescription drug programs. Identify, craft and advance policy positions, collecting information from members of America's Essential Hospitals as needed, to further the association's regulatory advocacy efforts. Lead the drafting of comment letters, policy briefs, and position papers on federal policy issues that are relevant to essential hospitals. Summarize, write-up, and present written policy analysis findings in a clear and concise manner through website content, email alerts for members, and other communications. Analyze data models to measure impact of proposals and alternatives. Communicate orally policy and regulatory updates and analysis through bi-weekly government relations conference calls, periodic webinars, and other meetings. Support Legislative Affairs team to analyze legislation and craft policy position papers to further the association's legislative advocacy efforts; engage in direct lobbying as needed. Represent America's Essential Hospitals with external coalitions and at external meetings with federal agencies and other stakeholders, as necessary. Collaborate across teams to include research and data teams on key policy issues affecting members. Collaborate with consultants in support of advancing association advocacy efforts. Participate in media inquiries about topics within portfolio, providing information on background and communicating association positions on record, as needed. Assist in all other activities, special projects, meetings, and other assignments as needed.
    $85k-95k yearly 29d ago
  • Government Programs Analyst

    University Health System 4.8company rating

    San Antonio, TX jobs

    Full Time 12238 Silicon Drive Professional Non-Nursing Day Shift NA /RESPONSIBILITIES Responsible for the oversight of the Community First Health Plans, Inc. (Community First) Marketplace and Medicare Advantage plans. Provides administrative and operational direction by collaborating with all designated clinical and administrative teams throughout the health plan, ensuring day-to-day operational effectiveness. Serves as a liaison with the Center for Medicare Services (CMS) and Texas Department of Insurance (TDI) for Marketplace and Medicare Advantage products. Assists with the development, implementation and management of all associated regulatory requirements and deliverables. EDUCATION/EXPERIENCE A Bachelor's degree in health administration, business administration or another related field is required. Two years of recent experience in Marketplace or Medicare is preferred. Knowledge of Health Insurance Marketplace (ACA) and Medicare regulations, regulatory filings, billing, enrollment, program policies, services and other regulatory requirements is required.
    $55k-78k yearly est. 11d ago
  • Assoc Analyst Implementation Distributed Products

    Medline 4.3company rating

    Northfield, MN jobs

    Work on a cross functional team supporting various internal teams while managing projects and aggressive timelines. Analyze data provided by customers and Group Purchasing Organizations in a variety of formats and convert that data into usable information. Gather all eligibility and process contract connections to each account. Responsibilities Coordinates project activities to ensure the project is on schedule. Provides administrative support including progress tracking and documentation. Coordinate and monitor all pricing communications of distribution implementation for a specific list of accounts. Interact with the vendor community and coordinate efforts with Sales, Implementation, GPO's, and customer to align and implement expected contract pricing. Monitor and log all vendor responses and communicate gaps or challenges to the customer and internal business partners. Provide reoccurring reporting for progress of contract alignment and price accuracy. Resolve pricing misalignments by working with the vendor community, customer and sales in an effort to meet customer pricing and contract expectations. Conduct conference calls to educate the customer on processes, timelines, and required action to achieve project completion. Communicate with the customer, sales team, and internal departments on potential obstacles, project progress, and completion rates. Escalate appropriately and devise a plan for issue resolution with management assistance. Monitor progress of price accuracy for 30 days post go-live. Required Experience Bachelor's Degree. At least 2 years of experience providing customer service to internal and/or external customers Knowledge / Skills / Abilities Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling). Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates. Experience working through details of a problem, overcoming obstacles, and reaching a positive and successful solution. Experience presenting to and communicating with various audiences. Experience collaborating with internal resources and external resources. Preferred Experience At least 1 years of pricing experience. Advanced level skill in Microsoft Excel (for example:creating a pivot tables, IF statements, charts). Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $58,000.00 - $87,000.00 Annual The actual salary will vary based on applicant's location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We're dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here. Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
    $58k-87k yearly Auto-Apply 10d ago
  • Assoc Analyst Pricing Distribution

    Medline 4.3company rating

    Northfield, MN jobs

    Manage and coordinate contracted and non-contracted pricing for Medline customers regarding branded products. Communicate with various parties on all aspects concerning pricing. Manage price change expectations related to contracts and non-contracted pricing. Cultivate the day- to-day relationships with customers. Act as a liaison between vendors and sales reps (DSMs, PVAs, etc) to communicate and correct pricing misalignments, and ensure customer satisfaction. Job Description MAJOR RESPONSIBILITIES: Collaborate with internal teams and the vendor community to manage customer distributed contracts and ensure pricing accuracy. Research issues, address inquiries, and provide necessary support resulting from contract operations. Manage pricing requests from initiation through completion and communicate results accordingly. Analyze, interpret, and determine best course of action to resolve issues related to pricing. Confirm pricing eligibility with appropriate parties. Communicate relevant updates and trend observation to both external and internal business partners. Maintain SAP, Zendesk and other systems to provide visibility to requests and adhere to establish procedures in regards to documented back up for contract connections. Document and review key processes and SOP's with an eye towards improvement. Create, maintain, and develop relationships with customers, sales teams, and vendor community. Coordinate meetings between sales and customers to ensure customer expectations are being met and timely action is taken to address pricing issues. Engage the vendor community when required. Perform weekly Price Change Notifications (PCN) audits to ensure accuracy and communicate changes to customers. MINIMUM JOB REQUIREMENTS: Education: Bachelor's Degree. Certification / Licensure: None required. Work Experience: At least 1 year of experience providing customer service to internal and/or external customers. Knowledge / Skills / Abilities Intermediate level skill in Microsoft Excel (for example: using SUM function, setting borders, setting column width, inserting charts, using text wrap, sorting, setting headers and footers and/or print scaling). Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates. Experience working through details of a problem, overcoming obstacles, and reaching a positive and successful solution. Experience presenting to and communicating with various audiences. Experience collaborating with internal resources and external resources. PREFERRED JOB REQUIREMENTS: Work Experience: Customer service experience in a high call volume environment. SAP, Vistex, Zendesk and/or AS400 experience. Medline Industries, LP, and its subsidiaries, offer a competitive total rewards package, continuing education & training, and tremendous potential with a growing worldwide organization. The anticipated salary range for this position: $56,160.00 - $78,520.00 Annual The actual salary will vary based on applicant's location, education, experience, skills, and abilities. This role is bonus and/or incentive eligible. Medline will not pay less than the applicable minimum wage or salary threshold. Our benefit package includes health insurance, life and disability, 401(k) contributions, paid time off, etc., for employees working 30 or more hours per week on average. For a more comprehensive list of our benefits please click here. For roles where employees work less than 30 hours per week, benefits include 401(k) contributions as well as access to the Employee Assistance Program, Employee Resource Groups and the Employee Service Corp. We're dedicated to creating a Medline where everyone feels they belong and can grow their career. We strive to do this by seeking diversity in all forms, acting inclusively, and ensuring that people have tools and resources to perform at their best. Explore our Belonging page here. Medline Industries, LP is an equal opportunity employer. Medline evaluates qualified individuals without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, disability, neurodivergence, protected veteran status, marital or family status, caregiver responsibilities, genetic information, or any other characteristic protected by applicable federal, state, or local laws.
    $56.2k-78.5k yearly Auto-Apply 27d ago
  • Health Care Analyst (Medicare)

    Ra 3.1company rating

    Houston, TX jobs

    About Client: They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!! Job Title: Health Payer Technology Medicare Consultant Job Level: Senior Level Job Description: THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems. You will design and implement solutions that are Medicare complaint. You will be understanding the strategic direction set by senior management as it relates to team goals. WE ARE LOOKING FOR SOMEONE.!! Who holds 4 years of experience as a consultant! Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is experienced in systems and processes required to support health plan! Who is currently in Medicare/ Medicaid! Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience! Who holds 2 years experience with Medicare systems and technologies with formal consulting! Qualifications Who holds 4 years of experience as a consultant! Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Additional Information All your information will be kept confidential according to EEO guidelines.
    $64k-81k yearly est. 60d+ ago
  • Vibration Analyst

    I-Care USA 4.8company rating

    Valdosta, GA jobs

    The I-care analyst will be responsible for providing condition monitoring services as directed by management. The Analyst coordinates and assists scheduling work as necessary as well as assembles and maintains technical data and reports as required by the client and I-care. The Analyst will be accountable for overall safety, including ensuring compliance with all I-care, client, OSHA, and all other applicable standards to the facility that they are servicing. The Analyst is also expected to be a technical resource to the client and I-care employees in the troubleshooting lubrication related issues and performs and oversees specific projects as assigned. ESSENTIAL FUNCTIONS AND BASIC DUTIES 1. Leads condition monitoring program setup or for clients as required, including but not limited to: a. Building and maintaining CM technology databases to applicable I-care and client required standards. b. Assist in advanced setup work such as Technology Mapping, Criticality Analysis, etc. c. Equipment walk down and information gathering. 2. Responsible for communication and education between the company and clients, including but not limited to: a. Communicating the I-care deliverables to the client. b. Conduct technology awareness sessions for clients as requested. c. Submit documented case studies for customer to support machine life cycle improvement. d. Must be able to interact comfortably, gain trust and communicate effectively. 3. Responsible for necessary auditing, metrics and reporting, including but not limited to: a. Ensuring all databases in compliance with current applicable standards. b. Managing all database changes. c. Lead Management of Change (MOC) process adherence. e. The accuracy and the timeliness of all internal and external communications and reporting. f. Nuisance alarm management. 4. Responsible for the overall safety awareness of the work environment. a. Ensuring compliance with I-care, client, OSHA, and other applicable standards. b. Actively participates in I-Care and client safety programs to foster continuous improvement. c. Issue's a “Stop Work” action if any situation, environment, or condition is an immediate concern of injury to himself or others. If it is not safe than do not perform the work until a safe method or condition exists, period. 5. Mentoring - A few of the activities in the area of Mentoring will include, but are not limited to: a. Assist in training/mentoring of I-Care employees. b. Able to convey obtained knowledge from seminar/training sessions. 6. Performs Condition Monitoring and Reporting of equipment. Condition Monitoring responsibilities include but are not limited to: a. Collect technology data in accordance with I-Care and best practice industry standards. b. Maintains technology databases with current information. c. Performs Visual Inspection of equipment for proper installation, damage, etc. d. Data or Image analysis of the technology data for defect or deficient conditions. e. Reports results in clear concise manner following all I-Care and/or client procedures for content. 7. Other Responsibility a. Performs special projects as assigned. Work on call and/overtime as needed and required. b. Ensures that work area and all I-Care and/or client supplied equipment is clean, secure, and well maintained. GENERAL PERFORMANCE MEASUREMENTS 1. Technical - accurate analysis and reporting of technology data, reports are accurate, neat, and assignments are completed as scheduled. 2. All inquiries are courteously attended to. Good business relations exist with I-Care employees and clients. A professional image is projected at all times. 3. Work is performed safely and employee actively participates in continuous improvement of the safety programs. Work areas and equipment are kept neat, clean, and well organized. QUALIFICATIONS EDUCATION/CERTIFICATION: High school graduate or equivalent, College Graduate preferred in technology or engineering field. ASNT-TC1A or ASNT-CP189 Professional Certification Level 2, or ISO Category 3, or industry equivalent. REQUIRED KNOWLEDGE: Mechanical CM Analyst: machinery fundamentals including: pumps, motors, gearboxes, blowers, compressors, switchgear, etc. Knowledge of mechanical fundamentals, such as fits and tolerances. Detailed knowledge of data acquisition techniques utilizing Vibration Analyzers, Ultrasound. Working knowledge of other condition monitoring technologies. Electrical CM Analyst: knowledge of electrical fundamentals including: switchgear, fuses, disconnects, cable, torqueing of fasteners, transformers, etc. Knowledge of data acquisition techniques utilizing Infrared Cameras, Ultrasound, Motor Testing Equipment. Working knowledge of other condition monitoring technologies. EXPERIENCE REQUIRED:3 or more years of direct related experience. SKILLS/ABILITIES: Good communication skills, both oral and written. Proficient computer skills, including but not limited to Windows, Word, and Excel. Solid analytical and problem-solving abilities.
    $65k-83k yearly est. 60d+ ago
  • Vibration Analyst

    I-Care Group 4.8company rating

    Valdosta, GA jobs

    The I-care analyst will be responsible for providing condition monitoring services as directed by management. The Analyst coordinates and assists scheduling work as necessary as well as assembles and maintains technical data and reports as required by the client and I-care. The Analyst will be accountable for overall safety, including ensuring compliance with all I-care, client, OSHA, and all other applicable standards to the facility that they are servicing. The Analyst is also expected to be a technical resource to the client and I-care employees in the troubleshooting lubrication related issues and performs and oversees specific projects as assigned. ESSENTIAL FUNCTIONS AND BASIC DUTIES 1. Leads condition monitoring program setup or for clients as required, including but not limited to: a. Building and maintaining CM technology databases to applicable I-care and client required standards. b. Assist in advanced setup work such as Technology Mapping, Criticality Analysis, etc. c. Equipment walk down and information gathering. 2. Responsible for communication and education between the company and clients, including but not limited to: a. Communicating the I-care deliverables to the client. b. Conduct technology awareness sessions for clients as requested. c. Submit documented case studies for customer to support machine life cycle improvement. d. Must be able to interact comfortably, gain trust and communicate effectively. 3. Responsible for necessary auditing, metrics and reporting, including but not limited to: a. Ensuring all databases in compliance with current applicable standards. b. Managing all database changes. c. Lead Management of Change (MOC) process adherence. e. The accuracy and the timeliness of all internal and external communications and reporting. f. Nuisance alarm management. 4. Responsible for the overall safety awareness of the work environment. a. Ensuring compliance with I-care, client, OSHA, and other applicable standards. b. Actively participates in I-Care and client safety programs to foster continuous improvement. c. Issue's a “Stop Work” action if any situation, environment, or condition is an immediate concern of injury to himself or others. If it is not safe than do not perform the work until a safe method or condition exists, period. 5. Mentoring - A few of the activities in the area of Mentoring will include, but are not limited to: a. Assist in training/mentoring of I-Care employees. b. Able to convey obtained knowledge from seminar/training sessions. 6. Performs Condition Monitoring and Reporting of equipment. Condition Monitoring responsibilities include but are not limited to: a. Collect technology data in accordance with I-Care and best practice industry standards. b. Maintains technology databases with current information. c. Performs Visual Inspection of equipment for proper installation, damage, etc. d. Data or Image analysis of the technology data for defect or deficient conditions. e. Reports results in clear concise manner following all I-Care and/or client procedures for content. 7. Other Responsibility a. Performs special projects as assigned. Work on call and/overtime as needed and required. b. Ensures that work area and all I-Care and/or client supplied equipment is clean, secure, and well maintained. GENERAL PERFORMANCE MEASUREMENTS 1. Technical - accurate analysis and reporting of technology data, reports are accurate, neat, and assignments are completed as scheduled. 2. All inquiries are courteously attended to. Good business relations exist with I-Care employees and clients. A professional image is projected at all times. 3. Work is performed safely and employee actively participates in continuous improvement of the safety programs. Work areas and equipment are kept neat, clean, and well organized. QUALIFICATIONS EDUCATION/CERTIFICATION: High school graduate or equivalent, College Graduate preferred in technology or engineering field. ASNT-TC1A or ASNT-CP189 Professional Certification Level 2, or ISO Category 3, or industry equivalent. REQUIRED KNOWLEDGE: Mechanical CM Analyst: machinery fundamentals including: pumps, motors, gearboxes, blowers, compressors, switchgear, etc. Knowledge of mechanical fundamentals, such as fits and tolerances. Detailed knowledge of data acquisition techniques utilizing Vibration Analyzers, Ultrasound. Working knowledge of other condition monitoring technologies. Electrical CM Analyst: knowledge of electrical fundamentals including: switchgear, fuses, disconnects, cable, torqueing of fasteners, transformers, etc. Knowledge of data acquisition techniques utilizing Infrared Cameras, Ultrasound, Motor Testing Equipment. Working knowledge of other condition monitoring technologies. EXPERIENCE REQUIRED:3 or more years of direct related experience. SKILLS/ABILITIES: Good communication skills, both oral and written. Proficient computer skills, including but not limited to Windows, Word, and Excel. Solid analytical and problem-solving abilities.
    $65k-83k yearly est. 60d+ ago
  • Health Care Analyst (Medicare)

    Ra 3.1company rating

    Dallas, TX jobs

    About Client: They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!! Job Title: Health Payer Technology Medicare Consultant Job Level: Senior Level Job Description: THIS IS WHAT YOU WILL DO... You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems. You will design and implement solutions that are Medicare complaint. You will be understanding the strategic direction set by senior management as it relates to team goals. WE ARE LOOKING FOR SOMEONE.!! Who holds 4 years of experience as a consultant! Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Who is experienced in systems and processes required to support health plan! Who is currently in Medicare/ Medicaid! Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience! Who holds 2 years experience with Medicare systems and technologies with formal consulting! Qualifications Who holds 4 years of experience as a consultant! Who holds consulting experience in US Healthcare Payer market! Who holds 2+ years' experience in US Payer operations & US Payer system implementations! Additional Information All your information will be kept confidential according to EEO guidelines.
    $63k-80k yearly est. 60d+ ago
  • Early Careers - Customer Service Business Analyst Intern

    Health Care Service Corporation 4.1company rating

    Chicago, IL jobs

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. **Job Summary** This ten-week paid internship can be located in Chicago, IL or Richardson, TX **What Are Your Responsibilities?** The Customer Service Business Analyst Intern position is responsible for actively participating in an Internship program that leverages your skills, knowledge and capabilities within the Customer Service division while exposing you to different methodologies and tools. This role will assist with applying emerging technologies to assist with developing best-in-class systems and solutions for our clients and members. The Customer Service Business Analyst Intern is responsible for learning specific aspects of the processes, programs and technology. Additional project support, administrative tasks and ad hoc requests to support business needs. This role will also need to: + Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. + Maintain complete confidentiality of company business. + Maintain communication with management regarding development within areas of assigned. + responsibilities and perform special projects as required or requested. + Create a final internship PowerPoint presentation to share with department leadership covering the internship experience, the assigned project over the course of the summer, including the results along with any solutions or recommendations that can be leveraged by the department in the future. **What Do You Need To Be Successful?** + Prior related technical internship or work experience is a plus + Volunteerism or leadership experience is a plus + Eagerness to learn, grow and contribute + Demonstrated interpersonal skills including clear and concise verbal and written communication + Strong analytical and problem-solving skills + Be coachable and open to feedback + Have a professional presence + Results-oriented with a continuous improvement mindset and an ability to grasp new and unfamiliar concepts + Strong organizational and multi-tasking skills with the ability to prioritize and support multiple projects + Practical, developed PC skills, especially Office 365 and virtual team collaboration tools _(MS Teams, Word, SharePoint, etc.)_ **What Are the Requirements You Must Meet?** + Pursuing a bachelor's degree in business, data analytics, information technology, information systems, computer science or other related degree + Graduation date between December 2026 - June 2027 + A minimum GPA of 3.0/4.0 + Availability to work ten weeks during the summer (June - August) + Unrestricted authorization to work in the United States. **_(Currently, we are not offering this program to students on a visa)_** **What Does the Internship Program Entail?** + Formal Intern Orientation to build business and industry acumen + Challenging real-world, hands-on project + Weekly networking opportunities among interns and company leaders + Professional development workshops + Volunteer activities \#LI-Hybrid \#LI-JT1 \#hcscintern **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting ************************************* . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan. **HCSC Employment Statement:** We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. **Base Pay Range** $18.46 - $37.84 Exact compensation may vary based on skills, experience, and location. **Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities.** **Join our Talent Community. (******************************************** PA8v\_eHgqFiDb2AuRTqQ)** For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at ************** to request reasonable accommodations. Please note that only **requests for accommodations in the application process** will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.
    $18.5-37.8 hourly 5d ago
  • Pre-Award Associate Analyst

    Children's Healthcare of Atlanta 4.6company rating

    Atlanta, GA jobs

    Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs). Work Shift Day Work Day(s) Monday-Friday Shift Start Time 8:00 AM Shift End Time 5:00 PM Worker Sub-Type Regular Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Supports the pre- award business processes and award management procedures associated with Children's Healthcare of Atlanta's grant/contract funded programs. Works with minimal supervision in performing job duties and responsibilities, obtaining manager review and approval when necessary. Experience * One (1) year business experience in an office, retail or related work environment. Preferred Qualifications * Knowledge of Workday, CTMS and Epic systems * Experience in customer service with MD/PhD research population Education * Bachelor's degree in accounting, finance, business administration, research administration, or other health- or business-related field, or in a non-health or finance related field with related experience Certification Summary * No professional certifications required Knowledge, Skills, and Abilities * Ability to read and comprehend regulatory requirements pertaining to pre-award administration, such as federal grant policies. * Proven competency with spreadsheets, word processing, database software, and internal information systems * Ability to work accurately in a high-volume processing environment under pressure and on deadline * Proven ability for detailed work with high degree of accuracy in organization and financial record-keeping * Strong analytical skills and problem-solving techniques * Self-directed and motivated to work independently toward short- and long-term goals * Excellent communication, organization, interpersonal, and customer service skills * Ability to initiate activities and support team processes Job Responsibilities * Responsible for reviewing assigned study protocols and associated budgets. * Collaborate with clinical research team to review study protocols. * Develop internal budget for assigned clinical studies including all procedure and non-procedure items in collaboration with the clinical research team. * Develop NIH and other federal agency proposal budgets for grant applications consistent with federal guidelines. * Prepare Letter of Intent packages for subcontract proposals. * Collaborate with the Emory Research Administration Services team to develop Children's budgets for all studies routing through Emory that include services at Children's. * Ensure compliance with federal regulations for pre-award activities. * Responsible for contract routing, negotiation, approval, and execution. * Act as liaison between clinical research team and Children's Legal for all questions concerning research agreements. * Maintain integrity of study information in Clinical Trial Management System including the study record, study calendars, study budgets, and status updates in a timely manner consistent with department guidelines. * Coordinate with Post-Award team, Office of Grants Accounting, Foundation, Legal, and other departments (as appropriate) to ensure new projects and amendments to existing projects are processed appropriately. * Provide Post-Award team with all necessary information to complete award set-up in Research Administration databases and ensure a smooth hand-off to Office of Grants Accounting. * Serves as a resource for investigators and research staff for all matters related to pre-award research administration at Children's. * Maintain accurate and organized files in the shared drive as appropriate. * Oversee all pre-award activity for research studies at Children's. * Perform other general administrative duties as required. Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law. Primary Location Address 1575 Northeast Expy NE Job Family Research
    $45k-57k yearly est. 37d ago
  • Corporate Finance Analyst

    Janus Health 4.0company rating

    Texas jobs

    Due to the continued growth at our organization, we are looking for a Corporate Finance Analyst who will perform financial analysis/modeling, develop management/sales reporting and conduct product volume analyses. The Analyst will play a significant role in modeling the company's revenue and expense forecasts, while identifying growth drivers and efficiencies within the business. This position reports to the CFO. Responsibilities Parter with senior management, heads of departments and other key leadership figures. Prepare financial and strategic plans for individual departments and the wider organization. Build detailed annual budgets and forecasts for different departments and consolidate into one master budget. Closely manage and monitor all cost drivers and advise on incremental commitments towards budgeted spending. Create financial models to predict growth and forecast performance, including cash management. Evaluate new and existing growth projects and investments to make recommendations. Responsible for detailed customer and product level analyses (i.e. gross margin and pricing models by product / customer). Responsible for examining, analyzing, and reporting customer data and product volumes on a monthly cadence. Analyze previous financials, budgets and forecasts to perform variance analysis and explain discrepancies. Responsible for building and managing financial and operational KPI trackers. Evaluating financing structures such as debt and equity. Prepare financial reports for management and the Board of Directors. Be a thought leader and partner cross-functionally to drive operational efficiencies and strategic initiatives. Partner closely with the broader Finance and Accounting teams, proactively seeking opportunities to improve processes and forecasting accuracy across all areas of FP&A. Prepare competitor analysis and examine market trends along with commentary for management. Other duties as assigned by the CFO. Please note that this job description is not intended to be an exhaustive list of all responsibilities, expected outcomes or qualifications associated with the role. Janus reserves the right to make changes and/or assign additional responsibilities of a role within reason at any time with or without notice. Qualifications 1-3 years of work experience in investment banking, corporate finance, FP&A or similar role. B.S. from an accredited university or college required; a degree in Finance or Accounting desired. Significant analytical and financial modeling experience. Highly proficient in Microsoft Office including Excel and PowerPoint. Demonstrated analytical, strategic, operational, and organizational problem-solving skills are required. Strong communication (verbal and written) and presentation skills. Strong results orientation and a sense of urgency to get things done with a team spirit are critical. Passion for achieving a high degree of accuracy and ownership. Team player with the ability to work independently, proactively and effectively under pressure. Ability to work in a dynamic, high growth environment. Experience working with QuickBooks is a plus, but not required. Travel Requirements This role does require some limited domestic travel. These travel expectations will be communicated by the department manager or executive. Janus is committed to providing as much flexibility and advanced notice as possible related to scheduling travel. Physical Demands This job operated in a professional remote or in-office environment. This job uses standard office equipment. This job is largely a sedentary role; however, the employee has the flexibility to move as needed. Constantly operates a computer, phone, keyboard, mouse, and other office equipment. The employee frequently communicates with internal and/or external people. Must be able to exchange accurate information in a timely manner. Must be able to recognize objects from short and long distances. We know that potential candidates are often less likely to apply to a position if they don't match 100% of the job qualifications. Don't let that be why you miss out on this opportunity! We encourage you to apply if you can demonstrate many of these skills and competencies. Care For The Whole Person At Janus, our commitment is to provide each employee with what they need to be successful. Our benefits package has been designed in a thoughtful way that allows our employees to be happy, healthy and whole. Here are a few things we offer: We contribute 100% of base plan (HDHP) medical premiums for employees and 50% of premiums for family members. There are other options available as well. We contribute 75% of premiums for dental and vision insurance for employee-only plans. We have an employee assistance program that allows you the chance to work through any issues that may arise with the appropriate professional. We have a 401k plan with minimal portfolio fees (traditional and roth options, as well as rollovers and loan capabilities). We offer unlimited PTO because we want our employees to take the time they need to rejuvenate and relax. At minimum, encourage all employees to take at least 15 fully unplugged days off each year. We provide a monthly allowance to cover the cost related to working in a remote environment like upgraded internet or to offset your cell phone bill. We offer parental leave because bonding with your newest addition is so important! We encourage on-going training, additional certifications and professional development related to your role and will review all requests for additional growth (including travel). Equal Opportunity Statement Janus is an equal opportunity employer. We hire great people from a wide variety of backgrounds and appreciate our differences. We welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, ancestry, sex, gender identity and expression, national origin, citizenship, marital status, age, languages spoken, veteran status, color, religion, disability, sexual orientation, and beliefs. We consider qualified applicants regardless of criminal histories, consistent with legal requirements. Further, consistent with applicable federal and state law, Janus provides reasonable accommodations when requested by qualified applicants or employees with disabilities, unless doing so would cause an undue hardship. Janus' policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If you require reasonable accommodation, please contact the People team. E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.
    $46k-60k yearly est. 60d+ ago
  • EVV Program Analyst - Intermittent (Medicaid Health Systems Analyst)

    Highland County Joint Township 4.1company rating

    Ohio, IL jobs

    What You Will Do At ODM: Office: Legal Counsel Bureau: Program Integrity Classification: Medicaid Health Systems Analyst (PN: 20102075) This position is part of a team at the Bureau of Program Integrity which focuses on the operations activities of an Electronic Visit Verification (EVV) program. This position is located in Columbus, OH (Franklin County). As a EVV Program Analyst your responsibilities will include: * Assisting higher level staff and providing technical assistance to providers to ensure their EVV status correctly aligns with claims validation requirements. * Trouble-shooting and resolving EVV/claims validation and related payment issues * Assisting EVV compliance staff with program oversight as needed. * Processing live in caregiver exemption applications as needed. * Preparing reports, data analysis as requested by management and leadership. * Researching and responding to program inquiries * Logging data as needed for program operations Completion of undergraduate core program in business administration, social or behavioral science, health or statistics; additional 12 mos. exp. specific to subject area. Note: education & experience to be commensurate with approved position description on file. * Or equivalent of Minimum Class Qualifications for Employment noted above. Technical Skills: Health Administration Professional Skills: Consultation, Collaboration, Attention to Detail, Interpreting Data, Customer Focus, Verbal Communication, Written Communication
    $55k-68k yearly est. 12d ago

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